Okay.

What?

You got?

Full battery.

Okay.

How's that feel?

Hand over on.

The incoming team will work 12 hours trying to save the desperately ill.

Many.

It's another level to patient again on a lot of oxygen.

A lot of CPAP needs to do more phoning today.

Severe Sofia's patient, not an old man by any means, has bean in intensive care on a ventilator for a month.

My name is Sofia.

From your mess for today.

How are you?

Do you think that's okay?

Since she was 300 today, complete vigilance is required because even this battery of equipment can't save him from respiratory failure.

This will give section of you.

She promised you something.

That noise they call it bubbling is caused by a buildup of fluid in the lungs.

Sophia draws it out to keep him alive.

Okay.

Yeah.

Uh huh.

With the bubbling you were drawing fluid off his chest.

Is that we're off his lungs?

Exactly.

Yeah.

So this is the secretions that they've got in the lungs as a result of the inflammation that the cove it has triggered, all right across the ward.

The trajectory is better.

Nick is making great strides.

How long have you been in intensive?

Were you admitted straight into intensive care, or were you an award first?

No, no.

Straight in here.

I think it was Friday evening.

Um, I'll be honest.

I didn't think I was gonna make it a night.

How is that?

Um, And then it's bean slowly up here and afterwards.

I say this morning was the first time I got out of bed and had awoken nap.

So I'm very happy at the moment.

Knicks hoping that this shift might see him released from I c U.

They're managing People here are widely differing trajectories, some getting better, some getting worse.

And all you can really hopeful on a shift in this ward is that at the end, the score is in your favor.

More patients improved, discharged two other wards getting worse or possibly passing away.

Just kind of my heart consultant filled.

Donaldson has gone to talk to a patient who is going downhill.

It's time to persuade Micah's.

We'll call him that to survive.

He needs to enter the co vid netherworld Heavy sedation.

Onda breathing to you you want to change your life?

Okay.

Is that texting?

Is that because he's so short of breath?

Yeah.

Would you like us for your wife?

Yeah.

No.

Something that we're going to send.

Mike agrees to general anesthetic and intubation a state from which a significant minority never awaken.

It's clearly a very difficult conversation, because at that moment, where the person goes under, they don't know if they're going to come out of it, do they?

No, they don't.

We don't either.

Dealing with co vid has meant more than doubling the size of Salisbury's intensive care unit.

They've done it by taking over neighboring operating theaters.

And while kit can be put into place, the usual ratio of one intensive care nurse per patient has been lost.

Intensive care Nasu croak, um, came back from retirement eight months ago and is dealing with these new realities S So you're doing well.

Your face, you're really safe.

Want social here to send the love.

Okay.

Can you squeeze my hand if you could live?

Yeah.

This patient will call him.

Jim is being readied for excavation.

Having sedation dialed back on a breathing tube removed, sues overseeing him and another patient in this operating theater on How has it been the second wave?

How tough has it been?

It's much tougher.

The patients are younger.

A swell we're seeing.

Yeah, it's much tougher We haven't had way are getting the support deployed nurses, but not the same in the first wave.

I don't know whether that's because theater shut everything shut down, so they were MAWR nurses.

Clinical psychologist Kate Jenkins works with hospital staff.

The current crisis, she believes, is taking a heavy toll as off January, Our staff referrals to clinical psychology were up 1400% on the year previously.

That gives you some indication.

I'd say that everybody is feeling it to some degree, probably 10 to 20% of requiring some sort of formal intervention.

We're just doing a ward round, which at about everyone will just have a look at all your tests and things and see the plans.

Um, there alright.

Consultant begins his round of the ward, trailed by staff, assessing who's getting worse and who's on the mend for Nick.

It's good news, e feel really brilliant.

E found desperately hoping Thio onto award e think that's what we're trying to do for you, is it?

That would be very nice.

10 hours into the shift sues patient who were calling Jim has had his breathing tube removed.

I'm close to tears, actually, because I'm just so tired.

Um, it's been really busy.

Um, his fingers that we've been able to take the tube out.

We're not out the woods yet.

Eso he's being He's been a bit challenging in the period since we've taken the true booth.

Oh, yeah, Thea outlook should be positive, but Jim is distressed over.

Yeah, that's really struggling.

A bit very certain about the uncertainties of this disease are all too clear.

A good day could be followed by a rapid decline.

It's necessary for the team to keep an eagle eye alone time.

John is another patient there watching closely?

He'd been awake throughout shift and really wanted to talk to us.

When did you come down with this?

I mean, how long have you been sick?

Sure that 10 days.

Right?

But I've only been here about three or four, so yeah, try holding on on then.

It's just a picture.

Yeah, she's coming and going.

Sorry, Donna, We contract at the moment.

Well, sat to a bit later.

Okay.

Sorry.

Sorry, guys.

Sorry.

Sorry.

Go back at the moment.

It's where he's not around.

Where he's not face down.

His breathing really suffers, but he can't.

He can't stay on this front 24 hours a day.

Um, Andi, both for his sake and things like eating, drinking, that kind of thing on it is much easier if he's not on his front.

Um, yeah, I'm just hoping we can keep it short as possible.

Which is why is having some food at the moment.

I've been crying again.

And then, yeah, a soon as I can really back on his front and on oxygen.

John's a fighter and he wants to chat again.

There's no pain.

There's nothing.

You know, it's just a silly little thing inside the Uh huh.

Apart from that, I'm all good.

Get told to slow down on me.

Speaking, Got concentrate.

More on the breathing.

Yeah, I like this.

It's It's fine.

I think that's probably a good moment for us to stop asking you questions.

Then good night.

Come.

The shift is coming towards its end.

There have bean a couple more admissions, and that's meant shuttling beds around.

As for discharges, they're waiting for beds to become available.

Two people have died in the hospital this day neither, though in the intensive care unit.

It's not been a bad shift.

Plenty went on today, but it felt okay, actually, on what of the people who work in here taking the strain day after day?

What are you most looking forward to being able to do again?

Well, being able thio get closer to my patients, not wearing these hoods at least the masks and being able to hug my colleagues just before the end of the shift, A bed opens up for Nick.

He's off.

Well, that's the best Thank you taking with him a sense of overwhelming gratitude to those who saved him.

Absolutely unbelievable.

They've got the hardest job in the world, and they're just so dedicated it some real.

It's the evening handover begins.

Mike and Jim are both back in the suspended animation of general anesthetic for days or weeks.