The Fall (2013) s03e01 Episode Script

Silence and Suffering

1 STELLA: I've been brought in from the Metropolitan Police to lead the review into the investigation of the murder of Alice Monroe.
He had things entirely under his control.
Which makes me just think that this was not his first murder.
Go back to your review, Stella.
I don't want the two murders linked.
This is the third murder in three months, Jim.
If we don't stop him, he will kill again.
There's someone to see you, ma'am.
Rose Stagg, a friend of Professor Reid Smith.
I spent years interviewing the victims of rape.
I don't think anyone ever felt worse after talking to me about their experiences.
We have an e-fit from Rose Stagg.
Could he really look like that? In his own mind, he believes he has the right to decide who lives and who dies.
Peter? No! They've managed to lift a partial print from the scissors.
We've run it through the system and found a match.
Paul Spector.
Paul Spector? Detective Sergeant Anderson.
I'm arresting you for the unlawful imprisonment of Rose Stagg.
Sally-Ann Spector, I'm arresting you on suspicion of perverting the course of justice.
Open the door! Katie - Get off! - Calm down, you are under arrest.
- I need your car.
- What? You heard me.
You know Paul Spector can go to prison for the things you're saying? We love each other.
- You love each other? - Completely.
You asked if your husband was arrested for having sex with a minor.
He was not.
He was arrested initially for the abduction and false imprisonment of Rose Stagg.
He was subsequently further arrested for a serious sexual assault.
And the murder of Joseph Brawley.
I'm bleeding.
What? I'll talk to Stella.
No-one else.
When was your first attack? Are there other victims that we don't know about? Victims before Fiona Gallagher? No.
Fiona Gallagher was the first.
It's Eastwood, ma'am.
Go ahead.
Spector has come up with an offer.
When are you coming home? Not for a while.
I've got work to do here.
Do you work for her? Sort of.
There's nothing here There's no sign of Rose.
Go deeper, Stella.
There's clearly something going on between you.
Let me give you some advice.
If you haven't done it yet, don't.
I've tasted both the fantasy and the deed.
The fantasy is way more piquant.
STELLA: Rose's car is here.
I repeat, Rose's car is here.
Jesus Christ, she's alive.
There's another individual on the edge of the woods.
Er, someone we can't account for.
- OK, don't move.
- Can that thing land? We've got three men down here.
We need urgent medical backup.
I can't land.
The trees are too dense.
Repeat, I can't land.
- Jesus Christ.
- The trees are too dense.
We're losing him! Mama Bring me my walking cane I said Mama Bring me my walking cane I'm leaving on that midnight train.
TYRES SCREECH SIRENS WAIL 32-year-old male, gunshot wounds to abdomen.
Breathing 35, pulse thready and 140.
BP un-recordable.
GCS nine, eyes two, speech one, motor six.
Central and peripheral veins are collapsed, can't get venous cannulation.
We're trying intraosseous.
We're in.
IO successful.
5 litres saline being squeezed in.
You should know the patient is in police custody.
He's fitting.
How long? Two minutes.
What is it? Man versus bullet, LUQ.
Doesn't sound too good.
BP unrecordable, palpable pulse, GCS nine and falling.
We've cleared a space in Resus One for him.
Draw up 100mg of ketamine and 100 milligrams of Sux, please.
We'll need phenylephrine, ephedrine, atropine handy and ten micrograms per millilitre of epi - drawn up also as rescue drugs.
- OK, sure.
- Right, what's going on here? - She's hypothermic, core temp 28.
Paramedics got a line in and I got some bloods from one I put in.
The junior doc did gas.
PH is 7.
PaCO2 9.
0 PA.
Base XS minus eight.
Lungs are good, though.
What's her name? - Rose Stagg.
- DC McNally.
She's the woman we've been searching for.
Where was she found? In a forest, in the boot of a car.
We think she was there for at least four days.
That's why her CO2's up, breathing her own recycled air.
It's time to wake up, Rose.
I can smell pear drops.
- What are her ketones? - 2.
We can't move her until an ICU bed is ready and her temp's going in the right direction.
- Do you want the Bair Hugger? - Aye.
Set it to 38.
The FMO will need to see her to process for rape evidence.
Not yet and not in here.
We need to stabilise her first.
Can I stay with her? Things are about to get messy.
The gunshot wound that's coming in, we think he's responsible for this.
She shouldn't catch sight of him.
Plus we need to avoid cross-contamination of evidence.
Just keep out of the way.
OK, everybody, listen to me.
I'm the Tsar.
All questions to me, all angst to me, all misery to me.
Fran is on airway, Nurse Bronagh is anaesthetic buddy.
Daryl, you're on "C", Nurse Ursula is runner, just because she is.
Andrew, you're scribe.
Everyone happy? Good.
Come on, let's go.
OK, guys, our patient's here.
This is Paul, he's 32 years old.
He was in police custody when he was shot.
Let's get him across.
OK, on my count.
Nice and easy.
One, two, three.
Let's break the scoop, please.
Hit by a nine millimetre police handgun from close range.
Two wounds to abdomen, left upper quadrant.
Lateral wound I can feel the bullet.
The other is hosing and deep.
Can we get the Gendarmes out of here, please.
We're going to need those clothes.
It was approximately 20 minutes before we got to him, by which time he was unresponsive, GCS 9, and had lost a significant amount of blood.
Breath sounds bilaterally, heart sounds one and two, bit muffled.
He has an IO in the right tibia.
We've given him a litre of warm saline in two boluses.
BP 70, systolic, pulse 136.
We couldn't get his sats, he is too shut down.
Have you given him anything else? Morphine? Transexamic? Just the saline and a gram of transexamic.
Excellent work, thank you.
OK, we're good.
OK, let's roll him in case there's a bullet they haven't told us about.
OK, on my count.
One, two, three.
No exit wound, nothing here.
- OK, roll him back.
- Grab his clothes first.
One, two, three, roll.
BP 60 systolic, pulse 128 palp, no radial.
Use the ambu bags.
Help him with his breaths.
And ultrasound him, please.
Gently, Fran.
No pneumothorax.
Daryl, any luck with the bloods and line? Here's blood.
Ursula, two units of House Red to start.
Cross match me six units in the lab, please.
Good man, Daryl.
Chop, chop now.
How's he doing? I don't know.
He's lost so much blood.
It looks like he's dying.
Tyler died at the scene.
I know.
I had Ged Green secure the scene as per your instructions.
The Ombudsman's SIO is on her way.
Thank you.
The Ombudsman's Office will want to conduct a full investigation of the circumstances surrounding the shooting.
Why Spector was there, why Tyler was shot.
Well, Ferrington had no choice.
Tyler emerged from the woods firing.
I think the one round missed and went into the police car and then the next three rounds hit Anderson and Spector.
I'm not sure of the precise order of shots but I am certain that Ferrington only returned fire.
- The shooting was fully justified.
- How is Anderson? I don't know.
We had to leave him at the scene.
A second rapid response vehicle was on its way.
Has Spector's family been informed? I'm not sure.
Well, make sure that they are.
What about Tom Stagg? I think the, er, officers are on their way to see him now.
And Rose? Alive.
Are you in the car? I'm on my way to HQ.
The Chief wants to see me.
Keep in touch.
Andrew, get on to the blood bank, order four FFP, please.
Ursula needs a gram of transexamic.
We need anaesthesia! And fast! Bleep the surgeons again! None of their "we need a CT" shite.
He needs to go straight to theatre.
Have you got the O-neg up, Daryl? - Yeah.
- He's vomiting.
On my count, one, two, three.
And back, one, two, three.
He needs tubed.
Let's go.
Bronagh, size 8.
5 tube.
MAC four blade.
You ready, Bronagh? - One minute.
- Am I doing it? - Unless you don't want to.
- He's hypertensive and puking.
Them's the breaks.
I'll bail you out if it goes to shite.
Can someone get a pillow for his head before Fran knocks his teeth out? - Will I do cricoid? - Sure.
Get that other blood up, Daryl.
Sophie, you got squeezer drugs ready? I've got ten mics per millilitre of epinephrine, 100 mics per mill of phenylephrine, ephedrine and glycopyrrolate.
The emergency box is ready.
Ketamine and Sux here.
Is that blood up? I've got a Green in his left foot.
- I'll stick the other unit through here.
- You happy, Daryl? - Flushing well.
- OK, let's have quiet.
- Ready, Fran? - Ready.
He's been pre-oxygenated.
End tidal CO2 ready.
Suction ready and under pillow.
Cuff checked, tube lubed.
Boogie handy.
BP 70, pulse 120.
Sats now reading 93%.
50 milligrams ketamine in.
100 of Sux.
- He's fasciculating.
- Just wait.
It should pass.
Go now.
Give him 100 micrograms of phenylephrine, Daryl.
Can you see the cords? - I think I can - Is that a yes or a no? It's a yes.
Tube, please.
Feels good.
Cuff up.
You've got end tidal, sats 90%.
Check BP there.
Sophie, squeeze that blood in.
Daryl, listen to the lungs and stop looking pretty.
Air entry in both axilla.
Cricoid off, please.
Bronagh, can you hold this? It's 22 centimetres at lips.
Ursula, bag while I tie this in.
BP 50 systolic.
Give him 50 micrograms of epi please, Daryl.
Right, let's get him on the vent.
Andrew, log the time.
Where's that bloody surgeon?! Ah, Alex, good, right This one's superficial.
- Yeah, I can feel the bullet.
- Right.
- That one's gone deep.
- OK.
They're taking her up to the ICU, ma'am.
Rose Rose.
You're safe now.
Everything's going to be OK.
Everything's going to be OK.
You go with her.
No media, no photographs.
Yes, ma'am.
Gail, could you go to my hotel room and pick me up some clean clothes? I need something comfortable and - something to talk to the press in.
- Yes, ma'am.
I think I left some papers out this morning in the rush - if you'd put them away? - Yes, ma'am.
Thank you.
OK, let's move him, let's go! Is your boss on his way?! He's been fast-bleeped by theatre.
Sophie, can you squeeze that blood in? It's hard to look at a systolic of 60.
- Thanks, Joe.
- All right.
- How is he? - Dr O'Donnell, we have another gunshot wound here for you.
What is this? The '70s? - Who are you exactly? - Detective Superintendent Gibson.
Er, massive internal bleeding, he's lost half his blood volume at least.
Given where he was shot, I'm guessing he needs his spleen in a bucket.
- Will he live? - Maybe.
So he's the Belfast Strangler? Wow.
We need to keep him under guard at all times.
Well, he's been given muscle relaxants and he's on a ventilator.
He's going nowhere.
It's not the risk of escape, really.
It's for his own protection.
There are people that would harm him if they could, and my aim is to get him to court in one piece.
Right now, the aim is to get him to survive theatre.
Your other gunshot wound I think is a colleague.
- Look after him, please.
- Aye.
And you're backing Gibson to stay in charge? On balance? Yes, sir.
No-one knows the case like her.
She's got her man, Rose is alive There's going to be a media feeding frenzy.
Get an MLO on board as soon as you can and keep Gibson away from the cameras.
I don't want her making any direct statements, conducting any interviews while inquiries into her handling of the case are ongoing.
Spector's first appearance was moved to tomorrow.
I'll contact the courts and let them know he won't be appearing.
Keep the PPS up to speed too.
Yes, sir.
I can manage her, sir.
I promise that.
Detective Sergeant Anderson has a gunshot wound to the lateral aspect of the distal end of his humerus with what looks like an exit wound just distal to the antecubital fossa on the ulnar flexor aspect of his forearm.
He has some minor ooze around the entry and exit sites when taking the dressing down.
There's a lot of swelling around the entrance wound, probably a large haematoma.
- Do you have Mr Anderson's X-rays? - Yeah.
No bony injury, no retained metal by the looks of it.
- He can get an MRI.
- The earliest is tomorrow, and that's with me pleading for it.
So far so good, Mr Anderson.
The X-ray reveals no fractures and your pulses are intact.
Now let's see you bend this wrist back.
There but not great.
Make a fist and open up your hand spreading your fingers.
Can you feel me touch you there? It feels odd.
Your function in your hand is good.
However, I am a little worried about the radial nerve.
Where the bullet entered is not exactly where the radial nerve lies, but swelling can compress it and clearly there is a lot of swelling above the elbow.
Reassuringly, with encouragement you can extend the wrist, which is what the radial nerve should do, but the altered sensation is a cause of concern.
So the plan is we'll clean the wound out and scan it tomorrow.
How long will I be out of action for? I really don't know.
We'll be in a better position to judge tomorrow, post MRI.
Well, weeks, months? For ever? What? I'm sorry.
I really don't know.
All I can tell you is that he was shot in police custody.
There's severe abdominal trauma.
He's in a critical condition and undergoing emergency surgery.
There is a possibility that he won't survive that surgery.
Shot by a police officer? No, not a police officer.
I'm sorry, I can't say any more than that.
Is that blood here yet? Two units, O negative, just ready through the rapid transfuser.
We're waiting on MTP.
Christ, 60 systolic before we start? Drapes.
Give me a minute, before you open.
- His BP is in the toilet.
- More like 30 seconds, please.
Make me a syringe of adrenaline.
His pressure will bottom when they open and decompress him.
Sister, would you ring the blood bank and remind them that Massive Transfusion Protocol means now? And would you call Mr King and tell him I'd appreciate his help? What's his pressure now? Can I start? 80 systolic.
Only going to get worse.
- Yes, you can start.
- Scalpel.
Two swabs.
Suction, please.
It's a real, real mess here.
He's slowing, systolic dropping.
Where's that adrenaline? He's cold.
Let's push the fluids.
Turn up the heat in theatre, please.
There's another unit ready for transfusion.
The six FFP are here.
Give him the unit and horse in the FFP through that peripheral.
- Sister, would you squeeze that in? - Packs.
We're losing here.
BP and pulse are the same.
Where are we at, Miss Morton? We need to get control here.
I can't see shit.
Pulse rate is dropping.
We're really struggling here.
Stop, stop, stop.
There's no pulse.
Adrenaline, please.
Start CPR.
Peter? Mother? Daddy, look what I've found! Peter! Peter, come to me.
BEEPING Adrenaline is hitting.
So, he's back? He's back.
Carry on, Dr Morton.
His spleen is shattered.
I'm going to need a second pair of hands here.
Any sign of Mr King? He is scrubbing.
BP now 60 and pulse 56.
Time to act, we've got a window here.
- Spleen? - Yeah, I think so.
Let's get it out and see what else is going on.
Mobilise the spleen, please.
- That's just coming now.
- Good.
Watch the tail of the pancreas.
- Got it.
- Good.
Pressure rising 80 systolic, pulse rising up at 72.
How are we getting on there, Adrian? Systolic stable at 90, pulse stable at 102.
He's on a trickle of norepinephrine.
He's still behind but pH 7.
2, lactate 4.
5, though, that's improved.
He's still quite labile.
Temp is 34.
8 degrees Celsius.
But he's making urine, - 40 mills in the last 15 minutes.
- He's very oozy.
I think it's best to pack him, warm him up.
We need to fix that acidosis and get his co-ag sorted out.
I suggest putting him in ICU overnight - and having a re-look laparotomy tomorrow? - Agreed.
The hole's superficial.
I can actually feel the bullet.
Another trophy for the forensic lab.
Packs, please.
There's an ICU bed ready whenever you're ready.
Medium soft.
Do not unfold them.
Do not unfold them.
Big soft in my hand, please.
Big soft.
Thank you.
Take the bad look off him up in recovery.
Yeah? - Thank you.
- You're welcome.
Daddy's been in an accident.
What kind of accident? A car accident.
- What car? - I don't know.
I think, um I don't know what car.
Where is he? He's in hospital.
Can we go and see him? The doctors are looking after him now and he needs his sleep.
Maybe tomorrow, if he's feeling better.
Where is he hurt? I don't know.
I think it's his tummy.
- I really want to see him.
- Well, you can't.
Not tonight.
What have the doctors said about your arm? There could be some nerve damage.
May be the end of my career.
Really? I'm sure it's not.
Why did you run to him? What? The both of us were shot, but you ran to him, not me.
All your concern was for him.
I could see that his injuries were worse.
And? You were crying out, "We're losing him.
" You sounded anguished.
I didn't want it to end there.
Not like that.
No court case, no sentence, no punishment.
No closure for the families.
I want him to live so that he can be tried and sentenced and spend the rest of his life in prison.
If I sounded anguished that's why.
HE EXHALES I have your things, ma'am.
Thank you.
If you need somewhere to park yourself, I have a room for you.
- You all right? - Yeah, you? Not brilliant.
MONITORS BEEP He's had his spleen out and his abdomen packed.
Didn't look as if anything else was perf'ed, but the surgeons want him on co-amoxiclav and Flagyl.
They're having a relook tomorrow.
He's had a shed-load of blood and products, though.
Four units of O-neg and ten units cross match.
That's including the two units hanging there.
He's had eight FFP and a bag of platelets.
So, only twice his blood volume, then? No expense spared.
How's the Strangler doing? I'm going up to see him in a minute.
I've been aware of what's going on but I haven't really been following it closely.
Some of my friends have been really caught up in it all, having alarms fitted and asking random boyfriends to move in.
Well, luckily, you're a doctor and therefore never at home.
I hadn't really thought of myself as being at risk in that way.
Then you look at the photographs and you think, "They're just young women living their lives like I live mine.
That could have been me.
" One of my best buddies is a doctor in the military.
Did several tours in Afghanistan.
In the field hospitals, casualties are treated solely on the basis of their clinical need.
Badly injured Taliban treated ahead of British casualties if their condition was more urgent.
Same here in the old days.
That didn't always make him very popular.
In truth, it rather fucked him up.
But he'd still argue medical care has to be delivered according to clinical need without discrimination.
If he was here, he'd tell us it's our duty to treat your man humanely and protect them.
Even if he is a murdering bastard allegedly.
The press are gathering.
TV crews, all the main channels, plus local TV, print and radio journalists.
Quite a few web news sites too.
I think we have to go with a live interview.
Have the victims' families been informed? Gallaghers, Kays, Monroes? The announcement can't come as a shock to them.
They have, ma'am, yes.
And Spector's family? Yes, ma'am, they've been notified.
Right three key points.
One, a man has been arrested and has been charged.
- Two - KNOCK ON THE DOOR - Stella.
- Sorry, sir, just one second.
Rose Stagg has been found and is alive.
Three, that the prisoner was injured in police custody and then something about his condition.
But beyond that, investigations are ongoing.
I need to stop you there.
You won't be making the statement.
What? The Chief Constable wants me to do it.
Am I still SIO? Can you give us a second, please? Martina, it is really important that you monitor all press coverage for accuracy and interpretation.
Defence teams love to make allegations about what's been said in the media, particularly when misquoting facts provided by the police.
Yes, ma'am.
Well? Yes, you are.
For now.
I stood up for you, Stella.
So I should think.
I also told the Chief that I could manage you.
I see.
Don't make this difficult for me.
Well, you might want to straighten your tie before you go on camera.
Tom Stagg is in the ICU waiting room, ma'am.
Oh, thank you.
Would you ask DC McNally to bring me my bags - from the room I just changed in? - Yes, ma'am.
REPORTER: Has the Belfast Strangler been caught? That's the question tonight.
FOOTSTEPS How is she? Have you seen her? I've seen her briefly.
I'm told she's stable, Tom.
HE EXHALES Thank you.
Thank you.
Shall we go in and see her? What's going on outside? Is that all for Rose? Don't worry about that now.
Come on, I'll take you in.
You're Rose's husband? - Yes.
- Come this way.
Oh, my love.
- Here he comes! - REPORTERS FIRE QUESTIONS I am Assistant Chief Constable Jim Burns and I have information relating to the Operation Music Man Task Force and the serial murder investigations.
I wish to confirm that a 32-year-old Belfast male has been arrested in connection with the murders of Sarah Kay, Fiona Gallagher, Alice Parker Monroe and Joseph Brawley.
And also for the unlawful imprisonment of Belfast radiologist Rose Stagg.
He was due to appear in court in Belfast tomorrow morning to face these and other charges, but that is no longer the case as he has suffered serious injury whilst in police custody.
- How did he come by those injuries? - Why was he injured? The victim of a gun attack.
His medical condition is described as critical, his injuries life-threatening.
Assistant Chief Constable, how does a man get shot ? Who's he talking about? - Don't do that! - Katie.
His assailant was shot dead by police in the incident It is Paul.
Oh, my God! I have to go to him! - Katie, you can't! - I have to see him.
- You're not allowed out! - I don't care! Katie, you're on bail, you're not allowed out at night.
- Get out of my way! - You're not allowed to see him! - Get out of my way! - Katie! - Where are the keys? - Katie! You locked me in! You're not allowed out of this house, I said! - Fuck off! - You're not allowed to see him! - Get the fuck off me! - I'm calling the police! If you leave this house, I'm calling the police.
I don't know what's happened to you.
Your father would be appalled at what you've become.
DOOR SLAMS SHU SHE WEEPS I am pleased to say that Rose Stagg has been found, that she's alive and she's in a stable condition.
I'd like to take this opportunity to thank Detective Superintendent Stella Gibson, her team, and the public for all their efforts in finding her.
- Where is Detective Superintendant Gibson? - Why isn't she here? - Won't she be making any statements? - Detective Superintendant Gibson is doing what she does best: policing.
I'm certain it's Paul.
He's been hurt.
How's he been shot? Who shot him? I don't know.
The police, I suppose, I don't know.
He's in hospital.
He's where? In the General Hospital, I think.
I really need you to go there, - find out how he is.
- Me? Why? Why can't you? You know why.
The fucking bail conditions! - Why would they let me in? - They wouldn't.
- They wouldn't let me in.
- You don't understand.
I think he might be dying.
What? It's really difficult to hear.
I think he might be dying.
What do I ? I don't know what I'm supposed to do.
MAN: Daisy, are yous coming? - Why are you being a bitch? - What? - Why are you being a fucking bitch? - SNIGGERING I'm not, I'm just saying.
- Yes? - I can't sleep.
Have you tried? Really, really hard.
It's because you've got your light on.
Can I get in with you? I'm thirsty.
You've cleaned your teeth so you can only have water.
I've got something for you.
Nancy was desperate to come.
She sent you this.
I'll see you tomorrow.
Now, would you like me to hang that up for you? Has she spoken to you? Has she told you anything? Did he ? She's hardly said a word yet.
It's too soon.
She'll see the police doctor in the morning and we'll know more after that.
But she'll talk in her own time.
I can't bear to think of her alone with him for all that time.
I can't bear to think of him - laying his hands on her.
- Tom, try not to imagine things that very probably didn't even occur.
I'm furious with myself for not being there to protect her.
Lying on the sofa, headphones on, for Christ's sake.
If I was in bed with her, it would never have happened.
Tom, you don't know that.
It could have been far worse.
Look at what happened with Joe Brawley.
Why didn't she cry out? Or scream? Why didn't she fight him? Why did she go with him? - Tom - Do you know that Nancy saw them crossing the street together, arm in arm? Tom, I need you to listen to me right now.
Men always think in terms of fight or flight.
In fact, the most common instinct in the face of this kind of threat is to freeze.
If she didn't fight, if she didn't scream, if she was silent and numb, it's because she was petrified.
If she went with him quietly, it's because she was afraid for her life and not just her life, yours, and Nancy's, and the baby's.
In that state of fear, she might well have been compliant she might well have submitted but that does not mean she consented.
Tom, the way you behave the way you approach your role as Rose's helper will either make her experience better or worse.
If you react badly, you will devastate her.
Or you can be a big part of her healing and her recovery.
What she needs from you right now is to know that she is safe, to know that she's loved.
Be patient be tender.
Tomorrow's another day.
NURSE: You shouldn't be in here.
Please leave.
NURSE CLOSES DOOR WOMAN GROANS Is that you? Thank God you're here.
I've been so worried.
Thank God you're safe.
Sweetheart I'm glad you've come.