

Episode 4
Season 1 Episode 4 | 45mVideo has Audio Description, Closed Captions
The RFDS face a harrowing retrieval as a patient takes a critical turn midair.
When a massive dust storm sweeps across the state, the RFDS face a harrowing retrieval when a patient takes a critical turn midair. And when a kangaroo takes out a plane on a remote airstrip, a patient faces losing his foot as the team are forced to make a difficult decision.
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Funding for RFDS: Royal Flying Doctor Service is provided by Viking.

Episode 4
Season 1 Episode 4 | 45mVideo has Audio Description, Closed Captions
When a massive dust storm sweeps across the state, the RFDS face a harrowing retrieval when a patient takes a critical turn midair. And when a kangaroo takes out a plane on a remote airstrip, a patient faces losing his foot as the team are forced to make a difficult decision.
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How to Watch RFDS: Royal Flying Doctor Service
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Learn Moreabout PBS online sponsorshipI remember doing my APLS.
If you need a hand.
No, I'm good, thanks.
He's always like this before an exam.
-What happens if he fails?
-He doesn't.
[woman 1] So, how's Henry?
I think it'll be easier when he's made a couple of friends.
[Pete] No, he's just running the strip.
It's the best way to keep goats out of your undercarriage, or roos.
Well, I wanted to ask you if I'd crossed a line with you?
-What line?
-I'm your boss and we had sex.
You're a hypocrite.
-I'm sorry.
-No, no, I am.
Taylor?
Don't feel sorry for me.
Don't be like everyone else.
Why don't we go out and stay at Wyama?
You'll come with me?
Yeah, if you want.
-Hmm.
-[laughs] Didn't your mum have a plan to do this place up?
Rent the shearer's quarters out for camps and outback tourists?
I plan to have it up and running by the time I get out here full-time.
Yeah, right.
And when's that happening?
Next year, after I finish school.
Really?
I thought you'd want to go to uni or go backpacking or something?
Wyama has been in our family for 130 years.
If I don't run it, who will?
Henry?
I'm leaving.
[lock clicks] Are you sure I can't drop you at school?
The library's open.
Do we really need to lock in my nerd status?
Look, I know you said you don't want to talk about it-- Still don't.
But if that changes...
Okay, I'll see you after school.
[door opens then closes] [Tommy] Henry, you there?
-Tommy?
Kieran?
-How'd you go?
She gone?
-Yeah.
-We've started.
Yeah, ready to go.
Oh, you are a lifesaver.
This isn't some act of benevolence.
It's more for me than it is for you.
Well, thank you.
For today, for the whole week.
Cheers.
Oh, you nail it every time.
So, how long are you going to keep staying out at Wyama for?
Oh, we're mixing it up.
I cut a deal we're staying in town tonight.
-And how's Taylor?
-In her element.
Apparently she's moving out there next year.
-And you're not keen on that?
-It's not up to me.
Nate was insolvent.
Does Taylor know that?
Thank God!
I wasn't sure if it was my turn to do the coffee run today?
Oh, sorry, I didn't-- No, no, it was me.
I...
I forgot.
Oh.
That's fine.
Um, I had an instant this morning.
Um, heads up, we might have some weather this arvo.
There's a cold front coming through.
-So you took the call did you?
-Yeah, I spoke to his wife.
She said he was crook.
[laughs] Well, crook will tell you a lot about a fella.
It's a lot better than dead... but heaps worse than fine.
[female pilot] Doors closed.
[Wayne] It's Ged McLean, right?
Yeah.
You know him?
Ged, yeah, yeah.
Ged's a good fella.
His wife brought him into the clinic a few months ago.
Tired, fatiguing easily, bit of weight loss.
His blood showed iron deficiency and he had positive FOBs.
Sounds like bowel cancer.
We gave him a referral for a colonoscopy but I doubt he made his booking appointment.
Why's that?
[stuttering] It's impossible to get blokes off the land out here.
Heh.
You'll see.
[female pilot] Cabin secure and ready for takeoff?
[male pilot] Cabin secure.
All right, isolating you folks.
[male pilot] Coming down to land now.
Isolating you guys.
Pooncarie inbound on descent.
Joining town with Runway 10 position 35.
[Matty] What star sign are you?
You know, like, Aries, Libra-- I don't really believe in any of that stuff.
Taurus.
That's right, definitely a Taurus.
[thuds] #*##*#!
Was that... -Did we just hit something?
-Bloody roo.
[Matty] Good luck, mate, keep us in the loop.
[woman 2] Hey, Graham, I heard you hit a roo.
Never been a lucky man.
Never picked a winning horse.
- Married the wrong woman.
-Twice.
-Diabolical.
-Blake, roo strike in Pooncarie.
How bad is it?
Hmm.
Think, I've ruptured a brake line.
Blake can head out there now.
It'll be a couple of hours though.
I'm a patient man.
I packed a sudoku.
'Course you did.
Hi, I'm Wayne.
I'm a doctor with the RFDS.
-What's your name?
-Ryan.
[Tiff] I had to cut the boot off to feel for a pulse but-- How long ago was that, Tiff?
Oh, about an hour, hour and a half ago.
Happy if I touch your foot, Ryan?
[groans] [phone beeps] Everything okay?
Just Mum.
Didn't know about the dirt bike, huh?
Not really.
I had scouts coming down to watch me play footy this weekend and everything.
You must be pretty handy then?
[Ryan] I did a draft camp a few years back.
It didn't work out.
And now you've got another chance?
Yeah.
-How is it, doc?
-Well, it's definitely ischemic.
But we're going to try and temporize it, get the blood flowing back into your foot, then we'll get you into surgery.
Will I play again?
We're gonna do everything we can to get you back out there, okay.
Matty, draw up 100 milligrams of ketamine in 10 mils and we'll titrate to effect.
Eliza?
I'm hoping for a favor.
We've got a US in Pooncarie.
A US?
[Wayne] Unserviceable aircraft.
Graham clipped a roo on his way down this morning.
Graham hit a roo.
Bet he loved that.
23 year old male, 75 kilos.
Fractured dislocation of the ankle, foot's ischemic, no pulse.
We're going to try and reduce it now.
Any chance you can collect him on your way back?
[Eliza] P2 in Pooncarie.
Weight's 75 kilos.
Yeah, I reckon we can make that work.
Shouldn't be a problem.
-Pete!
Thought that was you.
-Just hold up, Rob.
Two seconds.
Hey, the amended forecast has that front arriving a lot sooner.
I reckon we should be back within the hour.
-Great.
Hey, Rob.
-Hello.
Mate, you are going to love these two.
I'll bet you ten bucks right now, Robyn's made scones for us.
-Rob, this is Dr. Harrod.
-Hi, nice to meet you.
Oh, and a Brit and everything.
Tell me, have you met the Queen?
I have been to a garden party once.
[laughs] Ten bucks.
Thought I'd just ate a bad prawn, but it hasn't let up.
And when was that?
-Sorry?
-The prawns?
[Robyn] Oh, he didn't.
It's, uh, an expression.
He just means he's been feeling a bit off.
-A bit crook?
-There you go.
And how long have you been feeling crook for, Ged?
Oh, I dunno.
Well, mate, take... take a stab for me.
He was up vomiting Tuesday night.
[machine beeps] BP up, 136 on 92, heart rate's 128.
Okay, do you mind if I examine you?
I heard you got under a bit of rain out this way, Ged?
Oh, patchy as.
Got the neighbors, missed our two dams.
-Ahh!
-Oh, gees.
Sorry.
Generalized tenderness and guarding.
[Pete] It's all right, mate.
He's going to need a nasogastric tube.
[Robyn] What is it?
What does that mean?
Ah, well look, we're not a hundred percent, but he could have a bit of bleeding or an infection in the belly.
So we're going to have to get him to hospital quick... [inaudible] Yeah, hold up, Ged.
Sorry, mate.
All right.
[Matty] All right.
[groans] Are you ready?
All right, one, two... [screams] [Wayne] There we go.
We've got a pulse.
Feeling better?
[phone ringing] -You go, I'll splint this.
-Thanks, Tiff.
-Matty, can you take that?
-[Matty] Mm-hmm.
[phone continues ringing] [Wayne] Eliza, how we tracking?
We're not actually.
Our situation's not quite as advertised.
We're not going to make it to Pooncarie.
[horn honks] Don't even worry about it.
I'm sorry.
No, no, I'll sort something out.
Good luck.
One, two, three.
[grunts] That's it.
There we go.
All right, mate, here we go.
What are they feeding you?
Righto.
How do you reckon I'm getting up there?
Hey?
We've got a winch, mate.
-Nah!
-[Pete] All right, just don't...
Careful, you don't want to, you don't want to push it.
[Ged] I'm fine.
[Pete] I know you're fine, mate.
We just don't want to make a bad situation worse, do we?
-Hand on there, mate.
-[Ged] No!
Okay.
[Pete] Just around the corner there, Ged.
That's it.
-Just hold up.
-On that bed, that's good.
I'm so sorry.
[Pete] You right?
[Ged groans] [Pete] See, that's why you've got to listen to us.
I'll help you.
Ready?
You all right?
All right, Ged, I'm going to do a quick ECG before we take off.
Tell you what, Rob, you could have done something about this chest hair, couldn't you?
Next time you're shearing those rams, you might want to throw him in there with them.
What do you reckon, Ged?
At least two pairs of socks out of that?
Don't make me laugh.
I thought my heart was the one thing that wasn't wrong with me.
Hey, well, we just want to check and make sure it's doing okay.
Just hold still for me, mate.
[shivering] Okay, BP and heart rate's up a little but that's... that's good.
That's pretty good.
Okay, door's closed.
-We ready?
-Are you coming with us, Robyn?
-We've got stock on feed.
-[Robyn] Bugger the stock.
Ged, we're not mucking around here, mate.
This is a big one.
Kev's away.
It's too much for Gibbo.
It's okay, Robbie.
I'll be right.
Yeah?
[Mira] Uh, we need to get going.
Take good care of him.
Yeah, we'll be in touch, Rob, as soon as we land.
[Mira] Clear door.
[Robyn] Thanks.
See ya, Rob.
Well, how long before we get the plane in the air again?
Three, maybe four hours.
Blake's on his way and a brake line's pretty straightforward.
And if it's more than a brake line?
Then we'll reassess.
Or we could bite the bullet and make the decision to road him now.
-What are you worried about?
-The patient.
We're only two hours out from Broken Hill.
And that's worth leaving the safety of the plane for?
The sooner we get him into surgery, the better his recovery will be.
Well, it's your call, you're the doctor, but I promised, I'd always tell you the truth and I think you're being pig-headed.
I'll let the hospital know you're on your way.
[dog barks] Come on.
[chuckles] See this is what I love about Tiff, her excellent taste.
Should you be touching her stuff?
How you going to get the ute back?
I was going to rope Darren in.
-Good luck with that.
-Ah!
-Sorry.
-I'm all right.
You sure?
Yeah, honestly, I can't feel much.
Hey, there's Blake!
He's making good time.
[car horn honking] How's that pain, Ged, out of ten?
Ten.
Bit of turbulence up ahead, folks.
Seat belts on if you can.
Couple of bumps up ahead.
Probably just a cold front.
Any rain in it?
Gees, that'd be nice, wouldn't it?
Oh, oh!
You're all right.
You're all right.
[pilot] And that'd be the turbulence.
Chuck us your bag.
-Oh, yeah.
-[Ged] Ah!
[Ged screams] [Pete] You all right, Ged?
Ged?
Feels... feels like a rock.
[machine beeping] We need an ECG.
Where's the GTN spray?
Uh, drawer number 1.
It's all right, Ged, we're just going to work out what's going on.
I'm just going to spray this under your tongue, okay.
All right, uh.
Marked ST segment elevation.
It's anterolateral.
Okay, Ged, your heart's under a little bit of strain but we're going to help you.
Is the pain in your chest still there?
[Pete] Okay.
Mona.
Are we still sticking with fentanyl?
His oxygen sat's at 97%.
25 micrograms of fentanyl, 300 milligrams of aspirin.
More GTN?
-What's his blood pressure?
-Uh, 104 on 82.
Yeah, let's do it.
You all right, Ged?
Ged?
Ged?
[Eliza] He's arrested.
He's in asystole.
Okay, uh, Mira, we need to upgrade our status to Medivac.
How far away is the nearest base?
[Mira] Uh, maybe 15?
We're going to need lights and sirens on the tarmac.
Copy that.
-Pete, I'm giving adrenaline.
-[Pete] All right.
I want to tube him on the next cycle.
-In this turbulence?
-[Eliza] If we can.
Flydoc two fifty seven, top of descent Broken Hill.
Request clearance and we're now Medivac.
[man] Flydoc two fifty seven cleared to leave control area descending QNH1009.
Copy Medivac.
And I have Speci Broken Hill when ready to copy.
We just see Mike Quebec Delta.
Mike Quebec Delta this is... [inaudible] [Mira] We need lights and sirens, ETA 7.
-Have you got eyes on this dust?
-Dust?
Rob, get the doors closed.
There's a dust storm coming!
[Rob] Okay, righto.
All right, all right.
Bish, Mike Quebec Delta is on descent.
Medivac.
-Get the tug ready.
-[Bish] Yeah, right-o.
Someone get the back door.
Twenty seven, twenty eight, twenty nine, thirty.
[Eliza] Stop compressions.
Rhythm check.
-No change.
-Okay, here we go.
Hey, we can go with the [inaudible].
I've got it.
Stop compressions.
[no audible dialogue] [no audible dialogue] Okay.
Bag?
[grunts] -Thirty.
-[Eliza] Rhythm check.
He's still in asystole, let's swap.
-Yeah, if you're happy.
-[Eliza] When you're ready.
Three, two, one, change.
[Mira] Pete, Eliza, how are you going back there?
Uh, we're a bit busy back here, mate.
What's going on?
Well, I'm going to need you in your seat for landing.
We're coming down through a dust storm.
I don't approach it as a science, but it definitely is a philosophy.
[scoffs] And this guy hates talking about it.
Horoscopes are not philosophy.
-Then how do you explain it?
-It's confirmation bias.
Hmm, classic Taurus.
Stoic, stubborn, stuck in his ways.
-I'm not stuck in my ways.
-Yeah.
It's okay, it's not a bad thing.
We balance each other out.
What are you?
Me, I'm a Gemini.
Curious, playful.
I'm like the farm dog to Dr Yates' bull.
I want to get in there and unlock the fence rope.
Grr.
That's not what a farm dog does.
What does it do then?
It keeps the bull in the paddock.
See, this is what I'm talking about.
[both laugh] See, he's loving it.
What?
Whoa.
Twenty nine, thirty.
Rhythm check.
No change.
Resuming compressions.
[Mira] Pete?
We're going to need a bit more time back here.
Copy that.
I'll hold at the start of the approach.
Let me know when you're ready.
[motorcycle engine revving] [sighs] [sighs] -Hey.
-Hey.
-You want a hand?
-I'm all right, thanks.
-Can we chat?
-Nuh, I'm busy.
Shit!
Are you insane?
I could have hit you!
You could be dead!
-You weren't going to hit me.
-I couldn't see you!
-What were you thinking?
-Why are you avoiding me?
I'm not avoiding you.
Look I...
I want us to be friends again.
-We were never friends.
-Yeah, right.
You worked with my mum.
That is it, Darren.
You and I hung out.
Not really, not until after the accident.
And then suddenly you're everywhere.
What were you even doing the night you picked me up?
I was coming back from Wilcannia.
But you stopped.
Because you were on the highway.
You were going to get hit by a truck!
You like hanging around tragedy?
Is that it?
-Taylor.
-No, honestly tell me.
-I would love to know.
-Seriously.
Get in.
Get in!
[panting] Twenty nine, thirty.
Rhythm check.
-We've got him.
-We've got him.
We've got him.
[Pete] Okay, cabin secure for landing.
Copy that.
Isolating you now.
[both panting] How's that ambulance?
Any luck?
Yeah, they're attempting an instrument approach now.
[automated voice] 500.
400.
300.
200.
100.
50.
40.
Get ready to open the doors.
30.
[beeping] #*##*#.
[automated voice] 20.
Twenty eight, twenty nine, thirty.
-Cockpit open.
-We good?
-Mira, Mira, are we good?
-Hang on.
Come on.
Yeah, you're free to move around the cabin.
[woman 2] Now.
They're pushing us in.
-Any update on that ambulance?
-Not yet.
Twenty eight, twenty nine, thirty.
Hey, break.
One, two.
-No change.
-[Eliza] Adrenaline given.
-Want me to sub in?
-No, I'm good.
You need a break.
-All right, Mira, good for you.
-Okay, thank you.
Three, two, one, change.
Hey.
No chance of an ambulance.
[sighs] -So it's just us then, eh?
-Looks like it.
Twenty five, twenty six... Thirty.
No change.
-I'm fatiguing.
-All right, I'm back in.
Twenty four, twenty five, twenty six, seven, eight, nine, thirty.
Rhythm check.
No change.
Resuming compressions.
Okay, once more.
Hypoxia, electrolytes, temperature, hypovolemia, tension, tamponade, toxins.
We know there's a thrombus but there's nothing more we can do about that.
All others have been excluded or corrected.
Thirty.
-No change.
-I can keep going.
-Pete.
-I'm good.
Pete.
[panting] This is his second arrest.
He's had six rounds of adrenaline.
There's no electrical activity.
I'm calling it.
Time of death, 2.05pm.
[Ryan] Don't remember the last time I saw one that big.
How does it stay up there?
All that dust?
-It's wind, isn't it?
-No, it's static electricity, like when your hair stands on end.
The wind picks it up, but the dust particles, they vibrate off each other.
When it's as big as that, it perpetuates itself.
Only a Taurus would look that up.
Okay... here we go.
[rattling] -It's like the world's ending.
-Won't last long.
Are you okay?
-Where's my bag?
-What bag?
-My puffer.
-You're asthmatic?
It's in the tray.
-I'll go.
-No, no, no.
No, it's sheltered my side.
Put something on your face.
[Matty] Hey, mate, we're gonna take some deep breaths, all right?
Nice and slow.
Here we go.
In, out.
There we are.
That's really good, Ryan.
That's good.
Doing really well, mate.
Yep.
That's mine.
You got a spacer?
All right.
All right, Ryan, we're doing 12 puffs.
That's it.
That's it, mate.
Nice and easy.
That's it, mate.
Keep breathing.
[Matty] I think the storm's passed.
That's it.
[thuds] [laughs] -My bike's out there.
-It's a dirt bike.
Yeah, it can't be good for it.
You're right...
I have been avoiding you.
I'm sorry.
I was just embarrassed.
I kissed you and you didn't kiss me back.
You were upset.
I didn't want to... uh, take advantage or...
I kissed you 'cause I liked you.
You like me?
Yeah, I do.
[alarm rings] -[Pete] I can call her.
-I'm the treating doctor.
It's my responsibility to inform the next of kin.
Yeah, but...
I've known them for years.
It should come from me.
Okay.
Stick to the facts.
Don't get emotional and... try not to tell her that everything's going to be okay.
-And if she has any questions-- -Yeah, you're right here.
[sighs] Voicemail?
Leave a message.
Hey, Robyn, it's Pete Emerson from the RFDS, if you could just give me a call back.
[phone ringing] It's Henry.
-I'll be one sec.
-Yeah.
[Eliza] Hey, how was school?
Yeah, I just got home and there's, uh... there's dirt everywhere.
What do you mean?
It's in the house, it's on everything.
Did you go to school today?
Yeah.
And you didn't notice the enormous dust storm that came through?
Henry?
What did you do today?
Did you even go outside?
Well, who cares?
What does it matter?
-What?
-You do whatever you want.
You don't ever think about anybody but yourself!
[line disconnects] [scoffs] [Matty] I mean, I shouldn't be impressed, but I am.
That's... that's a valiant effort.
Anyway, you guys go ahead.
I'll meet you at the pub.
All right, bye.
How's Ryan?
He's being assessed for surgery.
It's looking good.
They're confident he'll make a full recovery.
Good, that's great.
Oh, guess who I just had on the old dog and bone?
-Dog and bone?
-Yeah, -it's like slang for-- -I know, what it is.
-Well, you gonna guess?
-Uh, your mum?
-No, Tiff.
-Close.
Graham.
Got home about an hour before us.
Apparently Blake just pulled that brake line right out.
Come on, not even you could have predicted a dust storm.
[phone rings] Robyn?
[Robyn] Oh, sorry, had to pull over.
Oh, you, you came in?
Yeah, got held up with the storm.
I'm about 130k from Broken Hill.
How is he?
Robyn, we lost him on the flight.
He had a heart attack and arrested and we worked on him for 43 minutes but he was unable to be revived.
You there, Rob?
What do I do?
Do I come in or do I go back?
[stutters] Well, he's here if you want to see him.
You be there?
Of course, Rob, yeah.
Yeah.
She's on her way in.
[sighs] She's here.
-Was he in pain?
-No.
He wasn't conscious.
[Robyn] I tried to get him to come in.
I should have made him come in.
[crying] [Taylor] That one's a star.
No, that's a planet.
It's, uh, Venus.
Right, it's Jupiter or something.
[both laugh] -Shut up.
-Yeah.
[phone rings] Oh, bugger.
Uh... Pete?
-Where are you?
-I'm, um, -I'm coming home from Wyama.
- Yeah, how far away?
-Still a bit of a way out.
- How far?
I'm still here.
[sighs] I'm sorry, Pete.
I lost track of time but, um, it's dark.
Maybe I should just stay here?
No, you're not... you're not staying out of town.
-Well, then I'll come in.
-You can't drive at night.
-There's too many roos.
-Then how's this going to work?
What happens when I'm living out here?
[sighs] We haven't discussed that yet.
There's nothing to discuss.
This is my home.
Yeah, but it's not, is it, Taylor?
You don't own it, the bank does.
[sighs] I...
I thought you knew that.
Everyone's been doing it tough.
But he had a plan.
He was sorting it out with the bank.
Yeah, but he couldn't do it.
Mate, you know he was...
He... he was up to the hilt.
Tay?
I'll come and get you.
No, you know what, I'll drive myself in.
[line disconnects] [gasps] Henry?
Henry?
[sighs] Thought you might've cleaned up?
It's not my mess.
[sighs] I know how hard this has been for you.
First with your dad... and then with coming out here.
I'm not perfect.
I know I've made mistakes.
But we were going to have an adventure, remember?
Make some new friends... see Australia?
I understand, why you wanted to leave London... but I'm old enough now.
I can live where I want.
I want to go home.
I want to live with Dad.
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Funding for RFDS: Royal Flying Doctor Service is provided by Viking.