RFDS

I think we need to readjust the tube.

I thought the locum said not to touch it.

He's hypoxic. Do we have a choice? We need to do a cric.

The cognitive test did reveal some issues with his speech.

- From the cut? - Yeah.

But they've attempted to repair it.

We'll know more in the coming weeks.

Eliza and I got a call from Clinical Governance yesterday

about the incident review into White Cliffs.

They've asked for Eliza to run it.

You do know that this is about an incident,

not about a single clinician?

- How much you drinking lately? - Zero. Give it up.

- For real? - Take my pills and insulin.

Wayne's not available. Try Eliza and Graeme?

- Beautiful Eliza? - Hey? Yeah.

Are you two shacked up yet or what?

Oh, I should have told you. It's a one-time thing.

Is this why her running the review has been such a problem?

It isn't.

There's a good heartbeat. And I reckon you're nearly 12 weeks.

It might be time to tell Graeme.

That's bloody fantastic.

Hey, bro. It's Timmy. Yeah, I just got your message.

I'm out bush with the boys, so reception's shit.

Oh, and a heads up,

I left my prayer boots in the washing machine again.

Oh, can you take 'em out before Mira sees 'em and goes ballistic?

Oh, and if you can chuck a couple of dollars in my account

for being such a good brother, I'd really appreciate that, bro, hey.

- Oh. - What's this?

Chilli scrambled eggs, but... Oi, get out.

Oh, my God.

I know, right? He's the Masterchef of Dubbo.

Who are you, and what have you done to my son?

I took a couple weekend cooking classes. It's not a big deal.

Hey, Daz, could you call my phone, please?

- Yep. Hang on. - Wayne.

Sorry, Timmy's boots. He forgets he's living with women.

Wait, can you call it again? I can't hear it.

Hang on, what does being a woman have to do with

not putting muddy boots in a washing machine?

They're prayer boots so...

What are prayer boots?

Boots you pray in.

OK. Are we all ready or?

Hey, Darren, could you put mine in a takeaway container, please?

I thought... I thought we were going to have this here today.

Oh, well, now I'm beyond late. Oh, my God, this phone.

There's the ciggies in the laundry tin.

He does smoke outside, Mirs.

OK, but when the baby comes, that one's got to stop.

- Sorry. Can I please... - Disgusting.

Can we all just stop, please?

Sorry, I just...

I did all of this because I wanted to have a nice family brekkie

because I've got some news and, sorry,

I wasn't sure who to tell first,

so I thought I'd tell you all at once, but, um...

... I'm... I've decided I'm going to move to Dubbo.

Like, full time.

Wait a sec.

Oh, yes. Yes.

I'm so sorry, but I have to go.

- Alright. I'll, um... I'll talk to you later. - Yep.

Hello? Yeah, I'm fine. Yeah.

Any Critical Incident Review

looks systematically across all processes:

rostering, fatigue, policies,

procedures and equipment,

safety mechanisms, environment,

patient practice and knowledge and skills.

The sat phone reception was patchy, the roster was in chaos,

the environment was mud and dirt, the SMO was exhausted,

and the patients were drunk.

So yeah, I guess that leaves knowledge and skills.

This isn't a witch hunt.

I just... I really want you to know that.

Are you ready to start?

Yeah, fire away.

So you were short a doctor because the backup hadn't been confirmed?

That's right. I'd had some personal news which caught me off guard.

And as a result, I... Well, I dropped the ball.

When did you first notice something was wrong?

On the plane?

So the patient desaturated below 90, but FO2 was 100,

and circuit, total volume P-pressure...

... everything was fine.

I was the backup, I assumed the message to Wayne had sent.

Regrettably, it hadn't.

So I checked breath sounds and saw that the tube was 28cm at the teeth.

So I listened to the chest and realised that the tube was only

in the right lung and that's when I decided that we had to adjust.

But the locum said not to touch the tube.

He also said that the tube was at 26cm.

It's really hot in here, isn't it? The air con must be off.

And then turbulence hit and it just kind of came out.

You tried with direct laryngoscopy and blind bougie.

But the airway was a mess, couldn't see anything,

so both attempts ended up oesophageal.

What happened then?

Oh, well, then we two-person bagged and masked. That was no good.

We went blind bougie and then LMA.

Did you try a Guedel?

No.

And that's when you hit the vortex?

Yeah, well, we decided that...

I... I decided he needed a surgical airway. Yeah.

And what technique did you use?

Finger scalpel.

And when was the last time you had a simulation with that?

I don't know. Maybe two months. Three months?

Did you consider the scalpel bougie technique with the turbulence,

given the risk of losing the hole or slicing your finger?

Why, is that what you would have done?

It's not about what I...

Do you think it would have made a difference to his voice?

It's not about blaming,

it's about trying to figure out

how we can all do better for the future.

Oh. Morning, Daddy.

Alright, two things: never call me that again,

and that would be my desk.

- What's that face? - What face?

That "I'm worried but still in control

kind of not in control" look you got.

It's nothing.

You sleep here?

Me? Yeah. Oh, uh, yeah.

Had the late shift last night,

and the review thing was really early this morning, it's crazy.

What's with the suitcase?

Oh, that suitcase.

Freya and I kind of had a big fight last night.

I said some mean things, she said some things.

Wasn't good.

Uh, sorry, Matty. Are you OK?

Yeah, yeah, I'm fine. Just...

- But also kind of not. - Pretty sure it's done.

I mean, are you, though? Sometimes a bit of space can help?

You know, if I'm honest, it's been coming for a while.

It's just hard.

OK, We'll just... You let me know if there's anything I can do, OK?

33-year-old male ex-army just did a stint in Papua New Guinea.

Asthma as a child, but no known lung conditions.

His GP suspects we're dealing with a multidrug-resistant tuberculosis,

so it's airborne PPE for all of us.

Pete?

Yeah. Yeah, no, I heard you.

Ex-Army, childhood asthma, drug resistant TB and PPE.

Well, I'm in a conundrum.

I either drink a whole lot of water now

and avoid the debilitating dehydration of full PPE on a hot plane,

but then I'll be needing to pee all day in a suit I can't remove,

on a plane with no toilet.

- That's a conundrum. Gloves. - Thanks.

So what's your strategy?

Either pack an incontinence pad or go easy on the sports drinks.

- Goggles. - Hey, are we alright?

Yeah, of course.

Full PPE in 40 degrees. Love a sauna.

So, do you want broad-spectrum anties anyway, or...

Yeah. Worth a shot.

Oh. What is this doing here?

- Are you right? - I'm fine. I'm fine.

Why is there a suitcase in the middle of the floor?

- Sorry. - Sorry. That's mine. I had to bring some gear in.

How many times do I have to go through the safety guidelines?

Yeah. OK. It's my fault. Sorry.

You all roll your eyes and complain about them.

But people still leave their crap everywhere to trip over.

No, I'm sorry. It's my bag. It was a mistake. I'm sorry.

We don't have time for mistakes.

We're in the middle of a Critical Incident Review.

Industrial agreements are still outstanding

and timesheets haven't been filled in.

I'm the base manager.

I'm not a babysitter for a group of adults

who need to get their shit together

and leave their personal lives outside that door.

Do you understand? I said, "Do you understand?"

- Lee, point's been made. - Clearly it hasn't.

I'm sorry. It won't happen again.

He and Freya just broke up.

Well, how am I supposed to know that?

You know, this is because you came back too soon, right?

I mean, Jesus, you just been through major surgery.

Have I? Have I, Graeme? Thank you for reminding me.

I'm not reminding.

I'm telling you, you're taking it out on people. It's not like you.

Jesus, you can be so onerous.

"Onerous."

Just give me some space, OK? Just for once, give me a break.

We did. You didn't take it. Stop being a martyr.

You're so desperate to come back and manage things

when you're struggling to manage yourself.

What the hell?

- Yeah, on Comms. - Bugger.

- You right? - Yeah. Yeah. Just lost something.

Prepare cabin for landing.