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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:03,701 --> 00:00:08,701 DOWNLOADED FROM WWW.AWAFIM.TV 2 00:00:08,701 --> 00:00:13,701 For latest movies and series with subtitles Visit WWW.AWAFIM.TV Today 3 00:00:13,701 --> 00:00:16,245 [indistinct chatter] - Prep to intubate. 4 00:00:16,286 --> 00:00:17,455 - Ketamine and Roc on board. 5 00:00:17,538 --> 00:00:19,498 - Chest tube is in. Hook me up. 6 00:00:19,582 --> 00:00:22,251 - Yellow zone, we are running out of everything. 7 00:00:22,293 --> 00:00:25,629 Only change bandages that are completely bled through. 8 00:00:25,713 --> 00:00:27,423 - Yo. 9 00:00:27,465 --> 00:00:29,300 Overheard a nurse say the shooter's here. 10 00:00:29,341 --> 00:00:30,384 - Holy shit. 11 00:00:30,468 --> 00:00:31,469 - Oh, my God. 12 00:00:31,510 --> 00:00:32,719 - Sorry. 13 00:00:32,803 --> 00:00:34,805 He's handcuffed, but he's in a room. 14 00:00:34,889 --> 00:00:36,432 - He gets a room while the rest of us 15 00:00:36,474 --> 00:00:37,808 are stacked up like firewood. 16 00:00:37,850 --> 00:00:39,226 - Sorry to interrupt. 17 00:00:39,310 --> 00:00:40,644 - Anything you could tell us about the shooter? 18 00:00:40,686 --> 00:00:42,438 Is he here? - Where'd you hear that? 19 00:00:42,480 --> 00:00:43,814 - Nurses be talking. 20 00:00:43,856 --> 00:00:45,483 - I don't know anything about that. 21 00:00:45,524 --> 00:00:47,151 - Yeah, let's keep the rumor mill in check. 22 00:00:47,193 --> 00:00:50,654 The cops will alert us when they know something. 23 00:00:50,696 --> 00:00:52,782 Uh, Dawn, how are you doing? Do you need anything? 24 00:00:52,823 --> 00:00:54,492 - I'm better. Kind of hungry, though. 25 00:00:54,533 --> 00:00:56,869 - Well, we can discontinue your IV, 26 00:00:56,952 --> 00:00:58,662 give you a sandwich so your sugar doesn't tank, 27 00:00:58,746 --> 00:00:59,955 and then you can go home. - Thanks. 28 00:00:59,997 --> 00:01:02,291 But my phone died at PittFest, so I wasn't getting 29 00:01:02,333 --> 00:01:04,001 any alerts from my glucose monitor. 30 00:01:04,084 --> 00:01:05,168 - What about me? 31 00:01:05,251 --> 00:01:06,504 Can I go home? 32 00:01:06,587 --> 00:01:08,297 - Since you OD'd, we need to keep you here 33 00:01:08,339 --> 00:01:09,673 for a couple more hours, make sure 34 00:01:09,715 --> 00:01:11,008 you don't need any more Narcan. 35 00:01:11,050 --> 00:01:12,510 How's your pain doing, Buster? 36 00:01:12,593 --> 00:01:14,011 - I mean, my arm still hurts pretty bad. 37 00:01:14,053 --> 00:01:15,888 Hey, can I get a sandwich, too? 38 00:01:15,971 --> 00:01:17,348 - Uh, we can up your pain meds, 39 00:01:17,431 --> 00:01:18,849 but you're on the list for the OR, 40 00:01:18,891 --> 00:01:20,684 so we need to keep you NPO. 41 00:01:20,726 --> 00:01:21,685 - Meaning? 42 00:01:21,727 --> 00:01:23,062 - Nothing more to eat. 43 00:01:23,145 --> 00:01:24,814 We'll keep you hydrated with IV fluids. 44 00:01:24,855 --> 00:01:27,858 - Can I at least get a blanket? It's so cold in here. 45 00:01:27,941 --> 00:01:29,527 - Yeah, uh-- 46 00:01:29,568 --> 00:01:32,446 - All the blankets are in Pedes-- 47 00:01:32,530 --> 00:01:33,697 the morgue. 48 00:01:33,739 --> 00:01:35,032 - [sighs] 49 00:01:35,074 --> 00:01:36,826 - Rock Paper Scissors? 50 00:01:40,704 --> 00:01:42,540 - Shit. 51 00:01:42,581 --> 00:01:44,708 - Dawn, I can charge your phone for you. 52 00:01:44,750 --> 00:01:45,750 - Thank you. 53 00:01:45,835 --> 00:01:48,379 - Fucking circus. 54 00:01:48,462 --> 00:01:52,298 - Robby here? - No. Check trauma rooms. 55 00:01:55,386 --> 00:01:57,762 [indistinct chatter] 56 00:01:57,847 --> 00:01:59,265 - 500 cc's from the chest tube already. 57 00:01:59,348 --> 00:02:00,724 - We're out of O-neg again. 58 00:02:00,766 --> 00:02:02,393 Hang the cell saver for autotransfusion. 59 00:02:02,476 --> 00:02:03,894 - This is weird. - What? 60 00:02:03,936 --> 00:02:05,062 - Shot in the chest, but nothing 61 00:02:05,104 --> 00:02:06,981 out of the thoracostomy tube. 62 00:02:07,064 --> 00:02:08,523 - You got through the pleura okay? 63 00:02:08,565 --> 00:02:10,401 - Yeah, I definitely felt the lung with my finger. 64 00:02:10,441 --> 00:02:12,069 - I lost the radial pulse. I got a femoral. 65 00:02:12,153 --> 00:02:13,529 - This guy's bleeding out. 66 00:02:13,571 --> 00:02:14,572 Probably tore through the spleen. 67 00:02:14,655 --> 00:02:15,906 - How? 68 00:02:15,948 --> 00:02:17,616 - Okay, nipples to navel is no man's land. 69 00:02:17,700 --> 00:02:19,743 If he got shot while exhaling, the bullet possibly 70 00:02:19,827 --> 00:02:21,537 passed below the diaphragm. 71 00:02:21,579 --> 00:02:24,415 Start a second IO, transfuse two units O-positive. 72 00:02:24,456 --> 00:02:25,583 Where's Robby? 73 00:02:25,624 --> 00:02:27,084 Let's find him and call Walsh. 74 00:02:27,126 --> 00:02:30,129 This guy needs the next OR immediately. 75 00:02:30,212 --> 00:02:31,755 - Dana! - Yeah? 76 00:02:31,839 --> 00:02:33,174 - Have you seen Robby? 77 00:02:33,257 --> 00:02:34,925 - I was about to ask you the same thing. 78 00:02:35,009 --> 00:02:36,594 McKay! - Yeah? 79 00:02:36,677 --> 00:02:38,012 - You seen Robby? 80 00:02:38,095 --> 00:02:40,556 - Uh, no, not in Pink. 81 00:02:40,598 --> 00:02:42,600 - [sighs] 82 00:02:42,683 --> 00:02:45,769 - I was at the festival 83 00:02:45,811 --> 00:02:49,273 with my husband and my daughter. 84 00:02:49,356 --> 00:02:53,903 My husband is in a wheelchair from MS. 85 00:02:53,944 --> 00:02:56,947 [voice breaking] I did my best to protect him. 86 00:02:57,031 --> 00:03:00,159 A bullet went through my arm and through his head. 87 00:03:00,242 --> 00:03:03,287 [sobbing] 88 00:03:07,833 --> 00:03:10,461 The medics declared him dead. [sniffles] 89 00:03:10,544 --> 00:03:12,296 - What about your daughter? 90 00:03:12,379 --> 00:03:14,798 What's her name? - [crying] 91 00:03:14,840 --> 00:03:16,967 Morgan. [sniffles] 92 00:03:17,009 --> 00:03:19,803 - Some family members are meeting in the cafeteria. 93 00:03:19,845 --> 00:03:21,639 I can see if she's there. 94 00:03:23,265 --> 00:03:26,100 - How do you deal with all this death and carnage? 95 00:03:29,647 --> 00:03:30,940 - I don't--[clears throat] 96 00:03:30,981 --> 00:03:32,775 I don't know. 97 00:03:32,816 --> 00:03:34,318 - Any more Pleur-evacs in Pink? 98 00:03:34,401 --> 00:03:35,736 - Maybe. - What do you need? 99 00:03:35,819 --> 00:03:37,487 - A couple units of blood. - Good luck. 100 00:03:37,529 --> 00:03:38,989 - Princess. 101 00:03:39,073 --> 00:03:43,076 [both speaking Tagalog] 102 00:03:54,088 --> 00:03:55,338 - Whoa. Jeez. 103 00:03:55,381 --> 00:03:58,217 - [sobbing] Sh'ma Yisra'eil... 104 00:03:58,300 --> 00:04:00,177 - Dr. Robby? 105 00:04:00,261 --> 00:04:02,012 - Adonai. - Dr. Robby, you okay? 106 00:04:02,054 --> 00:04:04,390 - Eloheinu. 107 00:04:04,473 --> 00:04:06,433 [sniffles] 108 00:04:06,517 --> 00:04:10,020 Adonai echad. 109 00:04:11,563 --> 00:04:15,025 Barukh sheim 110 00:04:15,067 --> 00:04:18,987 k'vod malhkuto. 111 00:04:21,240 --> 00:04:24,285 [crying] 112 00:04:28,455 --> 00:04:29,915 You have to go. You have to go. 113 00:04:29,999 --> 00:04:31,709 They need you out there. 114 00:04:31,750 --> 00:04:34,169 - We need you out there. 115 00:04:40,384 --> 00:04:42,761 Okay, come on, give me your hand. 116 00:04:44,138 --> 00:04:45,514 - I can't. 117 00:04:45,555 --> 00:04:46,890 - You have to... 118 00:04:46,974 --> 00:04:48,392 - [sighs] 119 00:04:48,475 --> 00:04:51,395 - Because if you don't, we're fucked. 120 00:05:16,670 --> 00:05:18,255 Okay. 121 00:05:18,339 --> 00:05:20,341 See you out there, Captain. 122 00:05:20,424 --> 00:05:22,551 [door opens, indistinct chatter] 123 00:05:22,593 --> 00:05:24,553 - [breathes deeply] 124 00:05:24,595 --> 00:05:26,388 [door closes] 125 00:05:26,430 --> 00:05:29,475 [sniffling] 126 00:05:33,437 --> 00:05:35,439 [sighs] 127 00:05:35,481 --> 00:05:37,107 - Once your phone is charged and able to monitor 128 00:05:37,149 --> 00:05:38,942 your blood sugar, we'll let you go. 129 00:05:38,984 --> 00:05:41,111 - Thank you. 130 00:05:41,195 --> 00:05:42,946 - Any update on the guy who did this? 131 00:05:43,030 --> 00:05:44,782 - Nothing yet. 132 00:05:44,823 --> 00:05:47,117 - I'm kind of glad I was out of it when the shit went down. 133 00:05:47,201 --> 00:05:49,787 - You OD'd. You could have died. 134 00:05:49,828 --> 00:05:52,456 You okay, Huckleberry? - Yeah. 135 00:05:52,539 --> 00:05:54,041 - You sure? 136 00:05:54,124 --> 00:05:55,667 I know it's tough in there with all the bodies. 137 00:05:55,751 --> 00:05:57,294 - Yeah. - Can I get help 138 00:05:57,378 --> 00:05:59,588 with a pressure dressing here? - Yeah, I'm on it. 139 00:05:59,630 --> 00:06:01,965 - 2 grams of Ancef primed for your leg guy. 140 00:06:02,007 --> 00:06:03,842 - With pleasure. 141 00:06:08,389 --> 00:06:10,557 - You okay, Dr. Robby? 142 00:06:10,641 --> 00:06:12,851 Do you need something to eat or drink? 143 00:06:14,645 --> 00:06:17,606 - No, no. I'm good. Thank you. Thank you. 144 00:06:17,648 --> 00:06:19,650 Uh, Esme, your team's doing a great job 145 00:06:19,733 --> 00:06:21,819 staying on top of all this. 146 00:06:21,902 --> 00:06:23,654 - Um, I need another four of morphine here. 147 00:06:23,737 --> 00:06:25,823 - Yeah, coming right up. 148 00:06:25,906 --> 00:06:27,533 - Uh, yeah, that's two. 149 00:06:27,616 --> 00:06:30,661 Tourniquet's down on MCI-9, looks dry. 150 00:06:30,702 --> 00:06:32,579 - Good job, Whitaker, Donahue. 151 00:06:35,749 --> 00:06:38,127 - [winces] 152 00:06:38,168 --> 00:06:40,045 - Dr. King, keep it up. 153 00:06:44,007 --> 00:06:45,801 [clears throat] 154 00:06:45,843 --> 00:06:49,096 - All right, maintenance fluids at 125 an hour for all NPOs. 155 00:06:49,179 --> 00:06:51,305 - Heard. - Turn them down. 156 00:06:51,348 --> 00:06:52,683 - Well, it looks like you have everyone tucked in, 157 00:06:52,766 --> 00:06:54,351 Huckleberry. - Yeah. 158 00:06:54,393 --> 00:06:55,686 We're getting there. - Well, I'm going to leave you 159 00:06:55,769 --> 00:06:56,853 in charge of the boring Yellow stuff. 160 00:06:56,937 --> 00:06:58,188 - Where are you going? 161 00:06:58,230 --> 00:06:59,898 - Get in on the Red Zone action. 162 00:07:04,194 --> 00:07:07,489 - Robby, are you okay? 163 00:07:07,531 --> 00:07:08,657 Right. 164 00:07:08,699 --> 00:07:10,659 Well, I got some good news. 165 00:07:10,701 --> 00:07:12,536 County Public Health is sending out a truckload 166 00:07:12,578 --> 00:07:14,872 of supplies from Magee-Womens and Mercy. 167 00:07:14,913 --> 00:07:16,874 - Gloria, are we gonna have to call in more blood donors? 168 00:07:16,957 --> 00:07:19,460 - Already done. - Donated. 169 00:07:19,543 --> 00:07:21,670 - I-I don't-- 170 00:07:21,712 --> 00:07:23,172 my blood, needles-- 171 00:07:23,213 --> 00:07:24,715 - Choppers are coming 172 00:07:24,798 --> 00:07:27,050 from blood banks in Erie and Youngstown. 173 00:07:27,134 --> 00:07:29,178 - Oh, thank God. - I appreciate the way 174 00:07:29,219 --> 00:07:31,722 you've handled logistics today. - Wait, hold on. 175 00:07:31,805 --> 00:07:35,684 W-what does she mean, more blood donors? 176 00:07:35,726 --> 00:07:38,937 You didn't use unscreened blood donations, did you? 177 00:07:39,021 --> 00:07:40,230 - We did what we had to do 178 00:07:40,272 --> 00:07:41,690 to save as many people as we could. 179 00:07:41,732 --> 00:07:42,941 - You're killing me, Robinavitch. 180 00:07:43,025 --> 00:07:44,860 And for the love of God, can you tell me 181 00:07:44,902 --> 00:07:47,196 that you didn't know about a-a shooter's hit list, 182 00:07:47,237 --> 00:07:48,697 and then you let him go this morning? 183 00:07:48,739 --> 00:07:49,865 - He didn't do it. 184 00:07:49,907 --> 00:07:51,909 - Police confirmation? - No. 185 00:07:51,992 --> 00:07:53,202 - Then this nightmare-- 186 00:07:53,243 --> 00:07:55,871 - Jesus, Gloria! 187 00:07:55,913 --> 00:07:57,247 The police are still looking. 188 00:07:57,331 --> 00:07:58,874 Why don't you go back to your micro-managerial 189 00:07:58,916 --> 00:08:00,876 ivory tower and let us get the fuck back to work? 190 00:08:06,798 --> 00:08:09,426 - Robby, get some air, brother. 191 00:08:09,468 --> 00:08:12,513 Check on triage. 192 00:08:12,596 --> 00:08:16,767 - Dr. Abbot, I got your carotid bypass guy up to the OR. 193 00:08:16,850 --> 00:08:19,603 Vascular surgery says to give you mad props. 194 00:08:21,188 --> 00:08:23,273 - Okay. 195 00:08:23,357 --> 00:08:25,734 - You think he told Jake his girlfriend died? 196 00:08:25,776 --> 00:08:28,111 - Yeah. - Fuck. 197 00:08:36,911 --> 00:08:39,790 Hey. Hey. 198 00:08:39,873 --> 00:08:41,416 Oh. 199 00:08:47,339 --> 00:08:49,299 [indistinct chatter over police radio] 200 00:08:49,383 --> 00:08:51,468 - How's it going out here? - Good. 201 00:08:51,552 --> 00:08:53,470 12 minutes since the last pink or red. 202 00:08:53,512 --> 00:08:54,471 - I think it's quieting. 203 00:08:54,555 --> 00:08:56,098 - Jesus! - What? 204 00:08:56,139 --> 00:08:57,975 - Don't say that. - Come on. 205 00:08:58,016 --> 00:09:00,143 Don't tell me you believe in that superstitious shit. 206 00:09:00,227 --> 00:09:02,479 - It's like saying "Macbeth" in the theater. 207 00:09:02,521 --> 00:09:04,147 - Yeah, and you call yourself a person of science. 208 00:09:04,189 --> 00:09:05,274 [tires squealing] - Watch out! 209 00:09:05,315 --> 00:09:06,608 [crashing] 210 00:09:10,821 --> 00:09:11,822 - Hands up! 211 00:09:11,863 --> 00:09:12,823 Any weapons? 212 00:09:12,864 --> 00:09:13,949 Everyone stand back! 213 00:09:13,991 --> 00:09:15,576 - No--no weapons. 214 00:09:15,659 --> 00:09:16,994 - All clear! 215 00:09:17,077 --> 00:09:18,829 - [coughing] 216 00:09:18,912 --> 00:09:20,664 - Are you okay, sir? - Yeah, I'm good. 217 00:09:20,747 --> 00:09:21,957 Guy in the back needs help. 218 00:09:21,999 --> 00:09:23,083 Sorry about the parking job. 219 00:09:23,166 --> 00:09:24,501 Getting a little woozy. 220 00:09:24,543 --> 00:09:25,961 - Okay, what happened? 221 00:09:26,003 --> 00:09:27,796 - I found him in the festival parking lot. 222 00:09:27,838 --> 00:09:29,798 Gave him Narcan from my kit, but he didn't respond. 223 00:09:29,840 --> 00:09:31,592 Might be benzos--I don't know. - You a medical worker? 224 00:09:31,675 --> 00:09:32,593 - Navy corpsman. 225 00:09:32,676 --> 00:09:34,803 [panting] I'm okay. 226 00:09:34,845 --> 00:09:36,513 - Your leg does not look okay. 227 00:09:36,555 --> 00:09:38,515 - I got shot through and through. 228 00:09:38,599 --> 00:09:40,225 I stayed to help as long as I could. 229 00:09:40,309 --> 00:09:42,352 Bullets flying everywhere. It was a fucking nightmare. 230 00:09:42,436 --> 00:09:43,854 - Hey, Ellis. How's the passenger? 231 00:09:43,895 --> 00:09:45,897 - No sign of trauma, but he's pretty cyanotic. 232 00:09:45,981 --> 00:09:48,984 Needs oxygen. Let's move him in. 233 00:09:49,026 --> 00:09:50,360 - Grabbing a gurney. 234 00:09:50,402 --> 00:09:51,903 - Any headache, neck pain, 235 00:09:51,987 --> 00:09:53,739 chest pain, belly pain? 236 00:09:53,822 --> 00:09:55,198 Sir! 237 00:09:55,240 --> 00:09:56,825 - No, I'm good. 238 00:09:56,867 --> 00:09:59,036 - I'm gonna get a wheelchair. Do not try to walk. 239 00:09:59,119 --> 00:10:01,663 [distant siren wailing] 240 00:10:01,705 --> 00:10:03,707 - Must have missed the bone because I could-- 241 00:10:03,790 --> 00:10:05,834 - Whoa, whoa, whoa, whoa! Cancel the wheelchair. 242 00:10:05,876 --> 00:10:07,711 Bring a gurney. - Gurney! 243 00:10:09,254 --> 00:10:10,714 - Any new customers for the OR? 244 00:10:10,797 --> 00:10:12,466 - Yes. - Yeah. 245 00:10:12,549 --> 00:10:14,217 This one looked like chest, but it was intra-abdominal. 246 00:10:14,301 --> 00:10:15,719 - Nipples to navel is no man's land. 247 00:10:15,761 --> 00:10:17,387 - Am I the only one who missed that day 248 00:10:17,471 --> 00:10:18,972 in medical school? 249 00:10:21,558 --> 00:10:24,561 - I need high-flow O2, maybe BiPAP for this guy. 250 00:10:24,603 --> 00:10:26,647 Trauma rooms open? - No, still getting cleaned. 251 00:10:26,730 --> 00:10:28,982 South 15 is avail. - Okay, South 15 it is. 252 00:10:29,066 --> 00:10:31,068 Find out if the ICU is ready for her. 253 00:10:31,109 --> 00:10:33,236 - All right, get me a tech and an RT, 254 00:10:33,278 --> 00:10:36,073 and we'll take him up. - Yeah, I'm on it. 255 00:10:36,114 --> 00:10:37,699 - Hey, McKay. 256 00:10:37,741 --> 00:10:39,201 There's someone from Allegheny County Courthouse 257 00:10:39,242 --> 00:10:40,952 on the line. - Not now! 258 00:10:42,287 --> 00:10:43,747 I'm in. Bag her. 259 00:10:43,830 --> 00:10:44,915 - Dr. McKay, you have a visitor. 260 00:10:44,956 --> 00:10:46,458 - I said not now! 261 00:10:46,541 --> 00:10:48,085 - Jesus Christ. 262 00:10:48,126 --> 00:10:49,920 - Sorry, Dad. Hey. 263 00:10:49,961 --> 00:10:52,089 Thank you so much for coming in to pick up Harrison. 264 00:10:52,130 --> 00:10:53,423 - Are you okay? 265 00:10:53,507 --> 00:10:55,592 - Ah, I mean, relatively speaking, 266 00:10:55,634 --> 00:10:58,887 I'm fan-fucking-tastic. - Good. 267 00:10:58,929 --> 00:11:01,598 - Hey, Dr. Abbot, can you keep an eye on this one? 268 00:11:01,640 --> 00:11:05,268 Stable after 1 unit pRBCs. - No problem. 269 00:11:05,310 --> 00:11:07,688 Ellis, get him started. Holler if you need me. 270 00:11:07,771 --> 00:11:09,106 - Copy. 271 00:11:09,147 --> 00:11:11,066 [indistinct message over PA] 272 00:11:11,108 --> 00:11:13,610 - Dana, hypotensive and altered. 273 00:11:13,694 --> 00:11:15,112 Untreated GSW to the thigh. 274 00:11:15,153 --> 00:11:16,530 - Perfect timing. 275 00:11:16,613 --> 00:11:18,115 Trauma One's open, but be careful. 276 00:11:18,156 --> 00:11:19,449 Floor's probably still wet. 277 00:11:19,533 --> 00:11:21,576 - Mohan, you're on this. - Okay. 278 00:11:27,332 --> 00:11:29,626 - Dr. Abbot, you need anything? 279 00:11:29,668 --> 00:11:32,170 - Check with Ellis in South 15. 280 00:11:37,300 --> 00:11:38,635 - What do we got? - What do we got? 281 00:11:38,677 --> 00:11:40,762 - Pulse ox is low, 85 on room air. 282 00:11:40,804 --> 00:11:42,639 - 100% non-rebreather mask. 283 00:11:42,723 --> 00:11:44,683 This guy needs a major workup. 284 00:11:44,766 --> 00:11:47,811 [indistinct message over PA] 285 00:11:50,147 --> 00:11:51,982 - Everyone in Yellow is stable. 286 00:11:52,065 --> 00:11:54,693 - Okay. Uh, check in with Robby. 287 00:11:54,776 --> 00:11:56,153 - Holy shit. - See where he can use 288 00:11:56,236 --> 00:11:57,487 another set of hands. 289 00:11:57,571 --> 00:11:59,781 - Okay, great. Thanks. 290 00:11:59,823 --> 00:12:01,658 - Trauma One, I know that guy. 291 00:12:01,742 --> 00:12:03,118 His sister's in the cafeteria. 292 00:12:03,160 --> 00:12:04,494 Her husband was shot and killed today. 293 00:12:04,578 --> 00:12:05,871 - Oh, sweet Jesus. 294 00:12:05,954 --> 00:12:07,497 - Do you think I can bring the lady in 295 00:12:07,581 --> 00:12:08,707 to see her brother? 296 00:12:08,790 --> 00:12:10,792 - Uh, Robby, 297 00:12:10,834 --> 00:12:12,294 lady in the cafeteria, dead husband, 298 00:12:12,335 --> 00:12:14,463 brother in Trauma One, can we bring her back? 299 00:12:14,504 --> 00:12:16,506 - It seems like it's slowing down around here--go ahead. 300 00:12:16,548 --> 00:12:18,759 - Um, I have a patient in Central 9. 301 00:12:18,842 --> 00:12:21,344 She was shot trying to protect her husband, who, um, died. 302 00:12:21,428 --> 00:12:23,346 But her daughter is in the cafeteria. 303 00:12:23,388 --> 00:12:25,182 - I don't think I can spare any doctors right now. 304 00:12:25,265 --> 00:12:27,851 In fact, why don't you go cover triage until Shen 305 00:12:27,893 --> 00:12:29,686 and Ellis get back there? - Okay. 306 00:12:29,770 --> 00:12:31,772 - Give me her name. I'll find her. 307 00:12:31,855 --> 00:12:33,190 - Oh, thank you so much. 308 00:12:33,231 --> 00:12:36,860 Um, her name is Morgan. Her mom is Trish Gregory. 309 00:12:36,902 --> 00:12:38,695 [indistinct shouting] 310 00:12:38,737 --> 00:12:40,530 - Okay if we bring her up here, too? 311 00:12:40,614 --> 00:12:42,866 - Sure. Why not? 312 00:12:44,326 --> 00:12:45,994 - Pulse ox is still 85 on high-flow oxygen. 313 00:12:46,036 --> 00:12:47,537 BP is borderline. 314 00:12:47,621 --> 00:12:50,707 - Dr. Santos, differential diagnosis of cyanosis? 315 00:12:50,749 --> 00:12:53,752 - Hypoxia, low oxygen from lung disease-- 316 00:12:53,835 --> 00:12:55,712 pneumonia, PE, asthma. 317 00:12:55,754 --> 00:12:57,714 - Good breath sounds, no crackles, no wheezing. 318 00:12:57,756 --> 00:12:59,758 - Pulmonary problems should improve with O2. 319 00:12:59,841 --> 00:13:02,385 What else? - Heart disease, heart failure. 320 00:13:02,469 --> 00:13:04,262 - No B line. - Right to left shunt? 321 00:13:04,346 --> 00:13:05,889 - That's usually in congenital heart disease. 322 00:13:05,931 --> 00:13:08,058 PDA, Tetralogy of Fallot. 323 00:13:08,141 --> 00:13:10,060 - Cardiac ECHO looks good. 324 00:13:10,143 --> 00:13:13,063 Normal ejection fraction, no valvular disease. 325 00:13:13,146 --> 00:13:15,190 - Hmm, what else could it be? 326 00:13:15,232 --> 00:13:17,567 - Okay, is Dr. Ellis running this resuscitation, or are you? 327 00:13:17,609 --> 00:13:19,569 Because last time I checked, you're not supposed to be here. 328 00:13:19,653 --> 00:13:21,071 - We both are. 329 00:13:21,112 --> 00:13:23,240 - The senior resident's job is to teach. 330 00:13:23,323 --> 00:13:25,242 What else, Dr. Santos? 331 00:13:25,325 --> 00:13:26,743 - Hemoglobinopathies? 332 00:13:26,785 --> 00:13:27,869 - Excellent. 333 00:13:27,911 --> 00:13:29,329 - Blood is chocolate brown. 334 00:13:31,081 --> 00:13:32,249 - Santos? 335 00:13:32,290 --> 00:13:33,667 - Methemoglobinemia? 336 00:13:33,750 --> 00:13:34,668 - Bingo. 337 00:13:34,751 --> 00:13:36,169 - Put him on BiPAP. 338 00:13:36,253 --> 00:13:38,046 Send off a blood gas. Order methylene blue. 339 00:13:38,088 --> 00:13:39,089 - Etiology? 340 00:13:39,172 --> 00:13:40,507 - Drugs, toxins. 341 00:13:40,590 --> 00:13:42,092 - Smart money is poppers, amyl nitrates, 342 00:13:42,133 --> 00:13:43,301 and partied a little too hard at PittFest. 343 00:13:43,385 --> 00:13:44,302 - Mm-hmm. 344 00:13:44,386 --> 00:13:46,096 - Langdon, got a sec? 345 00:13:46,137 --> 00:13:47,806 - Yep. 346 00:13:47,889 --> 00:13:49,933 Keep me posted. 347 00:13:49,975 --> 00:13:52,435 - Can I do the intubation? - Not necessary yet. 348 00:13:52,519 --> 00:13:55,063 - But his pulse ox is low. He's altered. 349 00:13:55,105 --> 00:13:57,315 - All the oxygen in the world won't fix that. 350 00:13:57,399 --> 00:13:59,109 His methemoglobin level is sky-high. 351 00:13:59,150 --> 00:14:00,610 Nothing but methylene blue will help. 352 00:14:00,694 --> 00:14:02,279 - I'll run the blood gas up to the lab, 353 00:14:02,362 --> 00:14:04,114 see if they've caught up with all the traumas yet. 354 00:14:04,197 --> 00:14:05,448 - First day? 355 00:14:05,532 --> 00:14:07,284 - Yeah. 356 00:14:07,367 --> 00:14:09,619 - What's the beef with Langdon? 357 00:14:09,703 --> 00:14:10,662 - Um-- 358 00:14:10,745 --> 00:14:12,330 - Are you good here? 359 00:14:12,414 --> 00:14:14,958 - Yeah, methemoglobinemia, ordered methylene blue. 360 00:14:15,041 --> 00:14:15,959 - Perfect. 361 00:14:16,042 --> 00:14:18,128 Keep it up. 362 00:14:18,211 --> 00:14:20,088 - Will do. 363 00:14:20,130 --> 00:14:22,048 - And here he is. 364 00:14:22,132 --> 00:14:24,467 - Hey. - Grandpa! 365 00:14:24,509 --> 00:14:27,304 - How's my favorite grandchild? 366 00:14:27,387 --> 00:14:29,347 - I'm your only grandchild. 367 00:14:31,057 --> 00:14:35,145 - Chadwick Harrison Ashcroft III. 368 00:14:35,228 --> 00:14:36,813 - Please don't call me that. 369 00:14:36,897 --> 00:14:38,982 - Douchebag name for a douchebag guy. 370 00:14:39,024 --> 00:14:40,609 - Dad! - Are you ready? 371 00:14:40,650 --> 00:14:43,653 'Cause Grandma is making your favorite-- 372 00:14:43,737 --> 00:14:45,155 carbonara. 373 00:14:45,238 --> 00:14:46,823 - Thanks for taking him, Dad. 374 00:14:46,865 --> 00:14:48,992 Will you save some pasta for me? 375 00:14:49,034 --> 00:14:50,660 Okay. 376 00:14:54,831 --> 00:14:56,041 - Tapping in. 377 00:14:56,124 --> 00:14:57,667 - [sighs] Thanks, brother. - Yeah. 378 00:14:57,751 --> 00:14:59,127 - EFAST normal. 379 00:14:59,169 --> 00:15:01,880 No abdominal hemorrhage, no tamponade. 380 00:15:01,963 --> 00:15:05,008 - Pulse ox borderline, 89% on 15 liters. 381 00:15:05,050 --> 00:15:07,385 BP's only 95 over 58. 382 00:15:07,469 --> 00:15:10,680 - Vinny Rivera-- is he here? 383 00:15:10,764 --> 00:15:12,682 - I'm not sure, man. 384 00:15:12,724 --> 00:15:14,017 - I'm so sleepy. 385 00:15:14,059 --> 00:15:16,519 - Were you tired right after you got shot? 386 00:15:16,561 --> 00:15:18,188 - Uh, no. 387 00:15:18,271 --> 00:15:20,857 I helped move 20, 30 people. 388 00:15:20,941 --> 00:15:22,817 - What's causing his oxygen levels to tank? 389 00:15:22,859 --> 00:15:24,027 - Up the oxygen. 390 00:15:24,069 --> 00:15:25,862 - 15's as high as it goes. 391 00:15:25,904 --> 00:15:27,989 - Gauge only goes to 15. Keep cranking. 392 00:15:28,031 --> 00:15:29,199 You can get to 50. 393 00:15:29,282 --> 00:15:30,825 - Brian? 394 00:15:30,867 --> 00:15:33,870 - Vinny got shot. - [mouths word] 395 00:15:33,954 --> 00:15:36,039 - I sent him with the first car I saw. 396 00:15:36,081 --> 00:15:37,499 Is he okay? 397 00:15:40,043 --> 00:15:42,796 - You fight, Brian, okay? 398 00:15:42,879 --> 00:15:45,882 You fight like the stubborn bastard you are. 399 00:15:45,924 --> 00:15:47,509 - I tried, Whit. 400 00:15:47,550 --> 00:15:49,886 [crying] I tried. 401 00:15:49,970 --> 00:15:53,765 [monitor beeping] 402 00:15:53,848 --> 00:15:57,227 [indistinct chatter] 403 00:15:58,603 --> 00:16:00,397 - Oh, no, thanks. - It's not coffee. 404 00:16:00,438 --> 00:16:02,273 It's bourbon. 405 00:16:02,357 --> 00:16:03,900 That was a joke. 406 00:16:05,902 --> 00:16:10,532 Robby did everything he could to save your girlfriend. 407 00:16:10,573 --> 00:16:14,577 If he couldn't save her, nobody could. 408 00:16:14,619 --> 00:16:17,747 [indistinct message over PA] 409 00:16:23,253 --> 00:16:25,547 - Wait, wait, wait. What do you mean, neutralized? 410 00:16:25,588 --> 00:16:27,007 - Means he's dead. 411 00:16:27,090 --> 00:16:30,260 - Wait. I thought the kid in BH-2 was the shooter. 412 00:16:30,301 --> 00:16:32,762 - What's going on? 413 00:16:32,846 --> 00:16:34,764 - SWAT found the shooter. 414 00:16:34,848 --> 00:16:38,601 Self-inflicted gunshot to the head. 415 00:16:38,643 --> 00:16:40,603 He had a duffel bag full of ammo. 416 00:16:40,645 --> 00:16:43,690 He was in some bushes down by the river 417 00:16:43,773 --> 00:16:46,776 with his AR-15. 418 00:16:46,860 --> 00:16:48,445 - [sighs] 419 00:16:48,486 --> 00:16:50,405 - Do we know why he did it? 420 00:16:50,447 --> 00:16:51,781 - Does it matter? 421 00:16:51,865 --> 00:16:55,493 - Are we expecting any more victims? 422 00:16:55,577 --> 00:16:57,620 - SWAT cleared the festival grounds. 423 00:16:57,662 --> 00:17:00,081 Probably no more coming our way. 424 00:17:00,123 --> 00:17:03,626 What you've done down here... 425 00:17:03,710 --> 00:17:06,629 all the lives you've saved... 426 00:17:06,671 --> 00:17:09,758 there aren't adequate words. 427 00:17:09,799 --> 00:17:11,176 Thank you. 428 00:17:15,138 --> 00:17:17,639 - We need to prep to open back up to the public. 429 00:17:17,724 --> 00:17:19,142 - Walk-ins only. 430 00:17:19,184 --> 00:17:20,976 - No traumas until we get word from surgery 431 00:17:21,061 --> 00:17:22,645 that a few ORs have cleared. 432 00:17:22,729 --> 00:17:25,898 - That could be hours. 433 00:17:25,982 --> 00:17:28,068 - [over PA] Blood Bank, pick up line two. 434 00:17:28,151 --> 00:17:30,653 Blood Bank, pick up line two. 435 00:17:30,695 --> 00:17:32,989 - Everybody seems to know exactly what to do. 436 00:17:33,031 --> 00:17:35,075 Is this kind of thing normal? - Thankfully, no. 437 00:17:35,158 --> 00:17:37,952 But preparing for the worst and hoping for the best, 438 00:17:37,994 --> 00:17:39,829 that's what we do. 439 00:17:51,341 --> 00:17:52,842 - Hey, is Dr. King still outside? 440 00:17:52,926 --> 00:17:54,135 - Yep. 441 00:17:54,177 --> 00:17:55,845 - We don't need a doctor covering triage. 442 00:17:55,929 --> 00:17:58,056 We can bring her back in. - Yeah. 443 00:17:58,139 --> 00:17:59,974 - And, everybody else, let's process 444 00:18:00,016 --> 00:18:02,227 these remaining patients 445 00:18:02,310 --> 00:18:04,229 so my day shift can finally go home. 446 00:18:04,312 --> 00:18:05,855 - On it, Cap. 447 00:18:05,939 --> 00:18:08,942 [indistinct chatter] 448 00:18:12,779 --> 00:18:16,866 - [sighs] 449 00:18:16,908 --> 00:18:19,536 [sighs, chuckles] 450 00:18:19,577 --> 00:18:21,037 Ah, you hear that? 451 00:18:21,079 --> 00:18:23,498 - Hear what? - It's quiet. 452 00:18:23,540 --> 00:18:26,668 It's over. [chuckles] 453 00:18:26,709 --> 00:18:30,004 [siren wailing] Oh, son of a-- 454 00:18:33,716 --> 00:18:35,802 - Hey, yo, yo, we're closed. 455 00:18:35,885 --> 00:18:38,805 We're way over capacity. Take them to West Penn. 456 00:18:38,888 --> 00:18:41,349 - Kid in extremis. You were the closest EDAP. 457 00:18:41,391 --> 00:18:44,144 13-year-old hypoxic and hypertensive. 458 00:18:44,227 --> 00:18:46,229 - He looks pale and tachypneic. 459 00:18:46,271 --> 00:18:48,314 - Flynn Edwards, home alone with his little sister. 460 00:18:48,398 --> 00:18:50,400 Cough, fever, rash, altered. 461 00:18:50,483 --> 00:18:53,736 Tachy at 150, BP 80 over 55, breathing at 36, 462 00:18:53,820 --> 00:18:56,114 and satting low 80s on the face mask. 463 00:19:00,493 --> 00:19:01,536 - Hi. 464 00:19:01,578 --> 00:19:03,746 What's your name? - Georgia. 465 00:19:03,830 --> 00:19:05,707 - Hi, Georgia. I'm Mel. 466 00:19:07,876 --> 00:19:09,544 Oh, yeah. That's scary. 467 00:19:09,586 --> 00:19:10,879 Yep. 468 00:19:16,384 --> 00:19:18,469 Georgia, where are your parents? 469 00:19:18,553 --> 00:19:20,054 - At the movies. 470 00:19:20,096 --> 00:19:22,265 - Did you try calling them? - I texted. 471 00:19:22,348 --> 00:19:23,975 - Can you give us their numbers? 472 00:19:24,058 --> 00:19:26,019 - Do you remember what happened before you called 911? 473 00:19:26,102 --> 00:19:28,229 - Flynn was talking weird. 474 00:19:28,271 --> 00:19:29,606 - Okay. 475 00:19:29,689 --> 00:19:31,566 Um, and then after he was talking weird? 476 00:19:31,608 --> 00:19:32,942 - He got super sleepy, 477 00:19:33,026 --> 00:19:34,777 and then I couldn't wake him up. 478 00:19:34,819 --> 00:19:37,030 [crying] 479 00:19:37,113 --> 00:19:38,198 - Um, this is Princess. 480 00:19:38,281 --> 00:19:39,616 I have to go help your brother now. 481 00:19:39,699 --> 00:19:41,201 But Princess is going to get you a snack. 482 00:19:41,284 --> 00:19:42,619 - I already brushed my teeth. 483 00:19:42,702 --> 00:19:44,787 - Then maybe just a glass of water? 484 00:19:44,829 --> 00:19:47,874 [indistinct chatter] 485 00:19:50,543 --> 00:19:53,963 - My count, one, two, three. 486 00:19:56,841 --> 00:19:59,594 Flynn, open your eyes, buddy. 487 00:19:59,636 --> 00:20:01,471 - [moans] 488 00:20:01,512 --> 00:20:03,640 - Start a second line. 2 liters of Ringer's wide open. 489 00:20:03,681 --> 00:20:05,433 100% non-rebreather. 490 00:20:05,475 --> 00:20:07,769 - [mumbles indistinctly] 491 00:20:07,810 --> 00:20:09,145 - Crackles bilaterally. 492 00:20:09,187 --> 00:20:11,356 - Temp 101, O2 sat only up to 82. 493 00:20:11,439 --> 00:20:12,357 - Shit. 494 00:20:12,440 --> 00:20:13,858 It's code sepsis. 495 00:20:13,942 --> 00:20:15,276 Blood cultures, labs, 496 00:20:15,318 --> 00:20:17,445 portable chest, gram of ceftriaxone. 497 00:20:17,487 --> 00:20:19,489 Dr. King, what are you thinking? 498 00:20:19,572 --> 00:20:22,992 - Uh, well, rash, altered with sepsis-- 499 00:20:23,034 --> 00:20:27,038 could be meningococcus, Strep pneumo, 500 00:20:27,121 --> 00:20:31,251 something viral like disseminated HSV, encephalitis? 501 00:20:31,334 --> 00:20:32,919 - BP's 82 over 49. 502 00:20:33,002 --> 00:20:34,337 Sat up to 87. 503 00:20:34,420 --> 00:20:35,755 - What about the rash? 504 00:20:35,838 --> 00:20:37,757 - It's more prominent on the lower body, 505 00:20:37,840 --> 00:20:38,841 not much on the face. 506 00:20:38,883 --> 00:20:40,677 There's no vesicles. 507 00:20:40,718 --> 00:20:43,805 It doesn't look like chicken pox or typical Lyme rash. 508 00:20:43,846 --> 00:20:44,806 - Agreed. 509 00:20:44,847 --> 00:20:46,641 - Do you know what this is? 510 00:20:46,683 --> 00:20:47,850 - Nope. 511 00:20:47,934 --> 00:20:50,436 Resuscitate first, diagnose later. 512 00:20:50,520 --> 00:20:52,105 - We're moving patients from the Yellow Zone 513 00:20:52,188 --> 00:20:54,983 into real rooms along the South and Central Corridors. 514 00:20:55,024 --> 00:20:57,277 - Till now, all these patients have just been numbers to us. 515 00:20:57,360 --> 00:20:58,695 - Time to ask them their names. 516 00:20:58,778 --> 00:21:00,071 - So we scan their wristbands 517 00:21:00,154 --> 00:21:01,656 and put them into the big board. 518 00:21:01,698 --> 00:21:03,324 - Yeah, and then Dana and I will assign rooms 519 00:21:03,366 --> 00:21:04,701 based on medical priority. 520 00:21:04,784 --> 00:21:06,536 - Ortho extremity wounds go get X-rays. 521 00:21:09,330 --> 00:21:12,875 - Dr. McKay, can you finish up whatever it is you're doing 522 00:21:12,917 --> 00:21:14,877 and come meet me in BH-2? 523 00:21:14,919 --> 00:21:16,713 - [sighs] 524 00:21:16,796 --> 00:21:19,924 Uh, yeah, sure. 525 00:21:20,008 --> 00:21:22,385 - I told you he didn't do it. 526 00:21:22,427 --> 00:21:23,886 - I know. 527 00:21:23,928 --> 00:21:26,347 But you said yourself his threats were serious. 528 00:21:26,389 --> 00:21:28,266 At least now we're nipping it in the bud. 529 00:21:28,349 --> 00:21:30,226 - You think this is that easy? 530 00:21:30,268 --> 00:21:32,312 Think again. 531 00:21:34,564 --> 00:21:36,733 [monitor beeping rapidly] - He's on 100% oxygen. 532 00:21:36,816 --> 00:21:38,693 His pulse ox is still only 88. 533 00:21:38,735 --> 00:21:42,030 - How's it going upstairs? - Regular spa day at the OR. 534 00:21:42,071 --> 00:21:45,199 42 ex-laps and thoracotomies. - Impressive. 535 00:21:45,241 --> 00:21:46,492 - What do you got? 536 00:21:46,576 --> 00:21:47,910 - GSW through and through the thigh, 537 00:21:47,994 --> 00:21:50,705 not arterial, now hypotensive and hypoxic. 538 00:21:50,747 --> 00:21:52,707 - Sounds like blood loss. - No. 539 00:21:52,749 --> 00:21:54,417 Hemoglobin times 2 is stable. 540 00:21:54,459 --> 00:21:56,586 Vena cava is plump--it would be flat with hemorrhage. 541 00:21:56,627 --> 00:21:58,087 - It's actually a little too plump. 542 00:21:58,129 --> 00:21:59,881 Let me see the phased array probe. 543 00:21:59,922 --> 00:22:01,549 - Any history of heart disease? 544 00:22:01,591 --> 00:22:04,260 - Not sure, but he's a strong guy. 545 00:22:04,344 --> 00:22:06,763 Got shot, strapped a T-shirt and a belt around his thigh 546 00:22:06,804 --> 00:22:08,598 and ran around helping people for a few hours. 547 00:22:08,639 --> 00:22:09,974 - Holy shit. 548 00:22:10,058 --> 00:22:13,061 Check out the four chamber apical view. 549 00:22:13,102 --> 00:22:15,480 - Dilated right atrium and right ventricle. 550 00:22:15,563 --> 00:22:17,106 Right-sided strain with bowing of the septum. 551 00:22:17,148 --> 00:22:18,608 - Sounds like a PE. 552 00:22:18,691 --> 00:22:19,776 He throw a clot from having the tourniquet on? 553 00:22:19,859 --> 00:22:21,319 - Way too soon for a DVT. 554 00:22:21,402 --> 00:22:23,780 Okay, let's get him in left lateral decubitus. 555 00:22:23,821 --> 00:22:25,782 One, two. 556 00:22:25,865 --> 00:22:27,408 Trendelenburg ASAP. 557 00:22:27,450 --> 00:22:28,493 - What for? 558 00:22:28,576 --> 00:22:30,244 - Intracardiac air embolism. 559 00:22:30,286 --> 00:22:31,829 All that running around introduced air 560 00:22:31,913 --> 00:22:33,373 into the femoral vein right up to the heart. 561 00:22:33,456 --> 00:22:34,874 Now it's blocking blood flow to the lungs. 562 00:22:34,957 --> 00:22:36,250 - Need a CT to confirm. 563 00:22:36,292 --> 00:22:37,627 - They're still backed up with other patients. 564 00:22:37,668 --> 00:22:38,961 - Well, maybe the cath lab can take them. 565 00:22:39,045 --> 00:22:40,463 They have fluoro. 566 00:22:40,546 --> 00:22:43,591 I'll go check. - Yeah, good luck with that. 567 00:22:44,967 --> 00:22:46,469 I need a central line kit 568 00:22:46,511 --> 00:22:47,970 and a 5 French pigtail catheter. 569 00:22:48,054 --> 00:22:49,222 - I got it. 570 00:22:49,305 --> 00:22:50,973 - He doesn't have a collapsed lung. 571 00:22:51,015 --> 00:22:53,309 - Yeah? - So what are you going to do? 572 00:22:53,393 --> 00:22:56,187 - I'm not gonna do anything. You are. 573 00:22:58,314 --> 00:23:01,359 [handcuffs clicking] 574 00:23:04,946 --> 00:23:06,155 - Thank you, Casey. 575 00:23:06,239 --> 00:23:08,950 Hey, David. How you doing? 576 00:23:08,991 --> 00:23:10,701 - Hi, David. 577 00:23:10,785 --> 00:23:13,371 [door closes] 578 00:23:13,454 --> 00:23:15,331 - I didn't shoot anybody. 579 00:23:15,415 --> 00:23:16,791 - [sighs] 580 00:23:16,833 --> 00:23:18,501 - I wouldn't do that. 581 00:23:18,543 --> 00:23:20,753 - I know. 582 00:23:26,008 --> 00:23:29,720 - Did you make a list of girls you wanted to hurt? 583 00:23:31,222 --> 00:23:33,474 - Where's my mom? - Did you make a list? 584 00:23:33,516 --> 00:23:35,351 - I want to go home. 585 00:23:35,393 --> 00:23:37,186 - You're gonna get to go home. 586 00:23:37,270 --> 00:23:38,813 But, first, we have to keep you here 587 00:23:38,855 --> 00:23:40,481 for a mandatory 72-hour hold. 588 00:23:40,523 --> 00:23:43,818 - What? Why? I didn't do anything. 589 00:23:43,860 --> 00:23:45,653 - I know you're upset. 590 00:23:45,695 --> 00:23:48,030 We're only doing what we think is in your best interest. 591 00:23:48,072 --> 00:23:50,450 - No, fuck you! You don't know me! 592 00:23:50,533 --> 00:23:52,785 You don't know anything about me! 593 00:23:52,869 --> 00:23:55,037 - [sighs sharply] 594 00:23:55,079 --> 00:23:57,039 Look, I know it's a lot to process, but-- 595 00:23:57,081 --> 00:23:58,291 - No, no! 596 00:23:58,374 --> 00:24:00,543 I want to see my mom. 597 00:24:00,626 --> 00:24:03,045 Where is she? Is she out there? 598 00:24:03,087 --> 00:24:04,547 - I-- - Mom! 599 00:24:04,589 --> 00:24:06,340 Mom! 600 00:24:06,382 --> 00:24:08,217 - This is not helping your case, David. 601 00:24:08,301 --> 00:24:09,760 - Mom! Mom! 602 00:24:09,844 --> 00:24:11,679 - This is not helping your case-- 603 00:24:11,721 --> 00:24:13,890 - Oh, fuck you! [knock on window] 604 00:24:13,973 --> 00:24:15,516 - Let's go outside. 605 00:24:15,558 --> 00:24:20,062 - I just want to see my mom, please! 606 00:24:21,481 --> 00:24:24,150 Please, I just want to see my mom. 607 00:24:25,902 --> 00:24:29,947 Mom! Mom! 608 00:24:30,031 --> 00:24:32,241 - BP's 92 over 60 after 2 liters. 609 00:24:32,283 --> 00:24:33,784 - Still tachy. 610 00:24:33,868 --> 00:24:36,704 Sats are way down at 84 on the non-rebreather. 611 00:24:36,746 --> 00:24:37,914 - Flynn, open your eyes. 612 00:24:37,955 --> 00:24:39,499 How you doing, bud? 613 00:24:39,582 --> 00:24:41,667 - He's still having trouble breathing. 614 00:24:41,751 --> 00:24:43,336 He's more lethargic than before. 615 00:24:43,419 --> 00:24:45,087 - Let's give him a third liter and prep for intubation. 616 00:24:45,129 --> 00:24:46,547 - Can we do that without parental consent? 617 00:24:46,589 --> 00:24:47,924 - We wait, he dies. 618 00:24:47,965 --> 00:24:50,259 - Tech is here for a portable chest. 619 00:24:50,301 --> 00:24:51,844 - Dr. King, what are your intubation meds? 620 00:24:51,928 --> 00:24:53,888 - Etomidate and Roc. - Great. 621 00:24:53,930 --> 00:24:55,890 Gather up everything you need. What size tube? 622 00:24:55,932 --> 00:24:58,184 - Age divided by 4 plus 3 623 00:24:58,267 --> 00:25:00,895 would be 6.5 cuffed. 624 00:25:00,937 --> 00:25:02,104 - Let's do it. 625 00:25:02,146 --> 00:25:03,523 And find his parents. - Okay. 626 00:25:03,606 --> 00:25:04,815 - Prep these. 627 00:25:09,820 --> 00:25:12,490 - [exhales sharply] - What time you start today? 628 00:25:12,573 --> 00:25:15,159 - 7:00 a.m. 629 00:25:15,243 --> 00:25:16,452 Thanks. 630 00:25:16,536 --> 00:25:18,454 - Can I get one of those? I'm starving. 631 00:25:18,538 --> 00:25:20,748 - [sighs] No can do. 632 00:25:20,790 --> 00:25:22,583 - But I'm hungry. 633 00:25:22,625 --> 00:25:25,294 - We can't give you any food in case you need surgery. 634 00:25:25,336 --> 00:25:27,964 You might aspirate. 635 00:25:28,005 --> 00:25:30,132 - You need to work on your bedside manner. 636 00:25:30,174 --> 00:25:31,968 - Mm, asshole reporter. 637 00:25:32,009 --> 00:25:34,136 - ABG back on the blue man? - Not yet. 638 00:25:34,178 --> 00:25:36,013 Should we just give him the methylene blue? 639 00:25:36,097 --> 00:25:37,932 - Mm, pulse ox holding at 85. 640 00:25:37,974 --> 00:25:39,559 We can wait a little. 641 00:25:39,642 --> 00:25:43,312 [indistinct message over PA] 642 00:25:43,396 --> 00:25:45,565 Dr. Santos... 643 00:25:45,648 --> 00:25:47,567 how do we evaluate methemoglobinemia 644 00:25:47,650 --> 00:25:49,360 and determine a treatment plan? 645 00:25:51,571 --> 00:25:54,156 - Um... 646 00:25:54,198 --> 00:25:56,784 [chuckling] 647 00:25:56,826 --> 00:25:58,327 - Tired? 648 00:25:58,411 --> 00:26:00,079 - Yeah. 649 00:26:00,162 --> 00:26:01,622 - Feet hurt? 650 00:26:01,664 --> 00:26:03,332 Brain feeling like mush? 651 00:26:03,374 --> 00:26:05,626 - Absolutely. 652 00:26:05,668 --> 00:26:08,671 - That patient doesn't give a shit. 653 00:26:08,713 --> 00:26:10,631 He needs you. 654 00:26:10,673 --> 00:26:13,342 Methemoglobinemia. 655 00:26:13,426 --> 00:26:15,344 Let's go. 656 00:26:22,560 --> 00:26:23,728 - Robby? 657 00:26:23,811 --> 00:26:25,062 - Hey, Janey. 658 00:26:25,146 --> 00:26:26,355 - Where's Jake? 659 00:26:26,397 --> 00:26:27,982 I got here as fast as I could, 660 00:26:28,024 --> 00:26:29,692 but there were street closures-- 661 00:26:29,734 --> 00:26:31,027 - He's okay. He's okay. 662 00:26:31,068 --> 00:26:32,695 He had some minor injuries 663 00:26:32,737 --> 00:26:34,697 that are going to need to be treated, but he's okay. 664 00:26:34,780 --> 00:26:37,742 He's gonna go home tonight. - Oh, thank God. 665 00:26:37,825 --> 00:26:39,368 - Um... 666 00:26:39,410 --> 00:26:42,204 Leah didn't make it. 667 00:26:42,246 --> 00:26:44,290 - She's dead? 668 00:26:45,875 --> 00:26:47,543 Oh, my God. 669 00:26:47,585 --> 00:26:52,214 - He, um, is kind of blaming me for not saving her. 670 00:26:52,256 --> 00:26:55,635 - Robby, he's just a kid. 671 00:26:55,718 --> 00:26:57,845 - So was she. 672 00:26:57,887 --> 00:27:00,556 - Don't do that to yourself. 673 00:27:00,640 --> 00:27:03,017 Hey, look at me. 674 00:27:04,894 --> 00:27:06,937 Jake loves you, okay? 675 00:27:09,398 --> 00:27:11,233 Where is he? - Hey, Dana. 676 00:27:11,275 --> 00:27:13,027 [clears throat] You remember Janey? 677 00:27:13,069 --> 00:27:14,862 - Of course. - Thank you for calling me. 678 00:27:14,904 --> 00:27:16,238 - Mind taking her to go find Jake? 679 00:27:16,322 --> 00:27:18,783 - Yeah, no problem. Come on. 680 00:27:24,288 --> 00:27:25,873 - Tube's in. 681 00:27:25,915 --> 00:27:28,250 - Good color change. 682 00:27:28,292 --> 00:27:29,460 - Nicely done. 683 00:27:29,543 --> 00:27:31,087 Present. 684 00:27:31,128 --> 00:27:33,631 - Uh, we have a septic 13-year-old with pneumonia. 685 00:27:33,714 --> 00:27:36,759 I just intubated, and ceftriaxone is on board. 686 00:27:36,801 --> 00:27:38,761 - Patchy consolidation, maybe some nodules. 687 00:27:38,844 --> 00:27:40,137 It could be viral pneumonia 688 00:27:40,221 --> 00:27:42,056 with or without bacterial superinfection. 689 00:27:42,098 --> 00:27:44,100 - Kid's got a weird rash, too. 690 00:27:44,183 --> 00:27:46,519 - Oh, and it's maculopapular on the legs. 691 00:27:48,604 --> 00:27:51,607 - Pretty faded on the neck and chest. 692 00:27:51,649 --> 00:27:53,317 Starting to desquamate. 693 00:27:56,153 --> 00:27:58,072 You ever seen anything like this before? 694 00:27:58,114 --> 00:27:59,907 - Nope. - Me neither. 695 00:27:59,949 --> 00:28:02,118 - Well, that just goes to show you how old I am. 696 00:28:02,201 --> 00:28:03,536 This looks like measles. 697 00:28:03,619 --> 00:28:04,787 - "Measles"? - Holy shit. 698 00:28:04,829 --> 00:28:06,956 - Any travel history? 699 00:28:07,039 --> 00:28:08,749 - He wasn't able to talk before we intubated. 700 00:28:08,791 --> 00:28:10,209 Measles is super contagious. 701 00:28:10,292 --> 00:28:11,627 - It's not contagious if it's resolving. 702 00:28:11,711 --> 00:28:13,295 We need more history. 703 00:28:13,337 --> 00:28:14,964 Where are the parents? - Oh, they're at the movies. 704 00:28:15,005 --> 00:28:16,424 I'm sure their phone's off. 705 00:28:16,465 --> 00:28:18,300 But he came in with his little sister. 706 00:28:18,342 --> 00:28:19,468 We can talk to her. 707 00:28:19,552 --> 00:28:21,470 - What theater? - I don't know. 708 00:28:21,554 --> 00:28:23,097 - Shen, try every theater. 709 00:28:23,139 --> 00:28:24,932 - There's got to be over a dozen in Pittsburgh. 710 00:28:24,974 --> 00:28:26,642 - Start with the ones closest to where they live. 711 00:28:26,684 --> 00:28:28,519 We need to find those parents. And call Public Health. 712 00:28:28,602 --> 00:28:30,938 Tell them we might have a measles outbreak. 713 00:28:30,980 --> 00:28:32,606 [chuckles] 714 00:28:32,648 --> 00:28:34,483 - We get blood gas results back? 715 00:28:34,567 --> 00:28:35,943 - I just got them. 716 00:28:35,985 --> 00:28:37,862 Methemoglobin level of 42%, 717 00:28:37,945 --> 00:28:39,447 enough for cyanosis and lethargy. 718 00:28:39,488 --> 00:28:40,865 - Ooh, party on, Wayne. 719 00:28:40,948 --> 00:28:42,658 - Okay, let's go ahead and start methylene blue. 720 00:28:42,742 --> 00:28:44,994 Uh, 1 mg per kg, slow IV push over five minutes. 721 00:28:45,035 --> 00:28:46,328 - On it. 722 00:28:46,412 --> 00:28:48,122 - Gonna need somebody to stand bedside, 723 00:28:48,164 --> 00:28:51,751 push it with a syringe. - Santos, tag, you're it. 724 00:28:51,834 --> 00:28:54,920 - How long until his cyanosis resolves? 725 00:28:55,004 --> 00:28:58,591 - Five minutes, bright spark. [door opens] 726 00:28:58,674 --> 00:29:01,427 - Oh, you two definitely got beef. 727 00:29:05,848 --> 00:29:07,516 [door opens] 728 00:29:07,558 --> 00:29:08,851 - Hi, Georgia. 729 00:29:08,893 --> 00:29:10,770 Um, this is Dr. Robby. [door closes] 730 00:29:10,853 --> 00:29:13,147 He's gonna ask you some questions so we can help Flynn. 731 00:29:13,189 --> 00:29:15,483 Is that okay? 732 00:29:15,524 --> 00:29:16,525 - Hi, Georgia. 733 00:29:16,609 --> 00:29:17,735 Can you tell me 734 00:29:17,818 --> 00:29:19,653 when your brother first got sick? 735 00:29:19,695 --> 00:29:21,030 - A week ago. 736 00:29:21,071 --> 00:29:23,324 I was already getting better. 737 00:29:23,365 --> 00:29:25,493 - You were sick, too? 738 00:29:25,534 --> 00:29:27,745 Fever, rash like Flynn? 739 00:29:27,828 --> 00:29:29,830 - Has your family traveled anywhere recently 740 00:29:29,872 --> 00:29:32,708 on an airplane or to another state? 741 00:29:32,750 --> 00:29:35,169 - Orlando for a dance competition 742 00:29:35,211 --> 00:29:36,754 a couple of weeks ago. 743 00:29:36,837 --> 00:29:40,382 - And where on your body did the rash start? 744 00:29:40,424 --> 00:29:42,259 - On my face. 745 00:29:42,343 --> 00:29:45,721 Then it went down to my legs. 746 00:29:45,805 --> 00:29:46,931 - Okay. 747 00:29:47,014 --> 00:29:48,641 Thank you, Georgia. 748 00:29:48,724 --> 00:29:51,894 - Is Flynn gonna be okay? - Oh, well, yeah. 749 00:29:51,977 --> 00:29:54,814 We're gonna do everything we can to help him. 750 00:29:54,897 --> 00:29:57,399 [door opens] 751 00:29:57,483 --> 00:29:59,026 - The story is consistent with measles. 752 00:29:59,068 --> 00:30:00,986 Plenty of opportunity for exposure in Orlando 753 00:30:01,070 --> 00:30:02,238 with all the international travelers. 754 00:30:02,321 --> 00:30:03,572 - Isolation? 755 00:30:03,656 --> 00:30:05,032 - No, 'cause you're only infectious 756 00:30:05,074 --> 00:30:06,826 for four days after the rash starts, 757 00:30:06,909 --> 00:30:08,035 so we're past that point. 758 00:30:08,077 --> 00:30:09,829 But the altered mental status, 759 00:30:09,912 --> 00:30:11,539 he's in the right time frame for ADEM. 760 00:30:11,580 --> 00:30:13,040 - ADEM? 761 00:30:13,082 --> 00:30:14,834 - Acute Disseminated Encephalomyelitis, 762 00:30:14,917 --> 00:30:16,669 post-infection immune response. 763 00:30:16,752 --> 00:30:19,672 - So a head CT and an LP? - Afraid so. 764 00:30:19,755 --> 00:30:22,424 It has a 20% death rate. 765 00:30:22,466 --> 00:30:26,220 - Dr. King, this is Morgan. - Trish Gregory's daughter. 766 00:30:26,262 --> 00:30:29,390 Is my mom okay? - Oh, yeah, um, she's fine. 767 00:30:29,431 --> 00:30:31,809 Uh, Dr. Robby, do you mind if I show Morgan to her mom? 768 00:30:31,892 --> 00:30:33,978 - No, go ahead. I'm going to send Flynn for a head CT 769 00:30:34,061 --> 00:30:35,437 and get Shen to prep the LP. 770 00:30:35,521 --> 00:30:36,939 - What about the parents? 771 00:30:37,022 --> 00:30:38,941 - I think he's still trying to find them. 772 00:30:38,983 --> 00:30:41,277 - I can help. Go. We got this. - Thanks, Lupe. 773 00:30:41,360 --> 00:30:42,736 Um, just this way. 774 00:30:42,778 --> 00:30:46,615 So she's gonna need surgery, but she's... 775 00:30:46,657 --> 00:30:48,868 - Take a seat. - What? 776 00:30:50,286 --> 00:30:51,787 Why? 777 00:30:51,871 --> 00:30:54,331 - Adrenaline crash after a big event. 778 00:30:56,959 --> 00:30:59,128 - A juice box? Thanks. 779 00:31:00,713 --> 00:31:04,425 - What happened here today, it's not normal. 780 00:31:04,466 --> 00:31:06,260 But you--[chuckles] 781 00:31:06,302 --> 00:31:08,596 You were a rock star, Victoria. 782 00:31:14,685 --> 00:31:17,563 - He knows my name. 783 00:31:17,646 --> 00:31:19,648 [giggles] 784 00:31:19,690 --> 00:31:21,734 - Got the IJ. 785 00:31:21,817 --> 00:31:23,986 - Okay, back to business as usual, thank God. 786 00:31:24,069 --> 00:31:27,281 Guidewire and introducer. - What the hell are you doing? 787 00:31:27,323 --> 00:31:29,658 - Dr. Mohan is about to pull air from the right atrium 788 00:31:29,742 --> 00:31:31,660 and right ventricle. - With what? 789 00:31:31,744 --> 00:31:34,121 - 5 French pigtail catheter. - Inside his heart? 790 00:31:34,163 --> 00:31:36,165 - Multiple side-holes gives you a better shot 791 00:31:36,248 --> 00:31:37,875 at sucking out all the air. 792 00:31:37,958 --> 00:31:40,336 - Dr. Abbot showed me a case report from South Korea. 793 00:31:40,419 --> 00:31:41,962 - What the actual fuck? 794 00:31:42,004 --> 00:31:43,672 I just talked to cardiology. They want a CT scan. 795 00:31:43,756 --> 00:31:45,507 If it's showing air, then you need to dive him 796 00:31:45,549 --> 00:31:47,468 in the hyperbaric chamber. - He'll be dead by then. 797 00:31:47,509 --> 00:31:48,677 - Not if you kill him first 798 00:31:48,761 --> 00:31:50,512 with this banana-pants procedure. 799 00:31:50,554 --> 00:31:52,222 - We don't have time to wait for your fancy-pants machine. 800 00:31:52,306 --> 00:31:54,308 If we don't get the air out of his heart, he'll die. 801 00:31:54,350 --> 00:31:55,684 - This is not the standard of care. 802 00:31:55,726 --> 00:31:57,019 - Oh, fuck standard of care. 803 00:31:57,061 --> 00:31:58,520 If we want to save him, we go in now. 804 00:31:58,562 --> 00:31:59,688 - Maybe I should-- 805 00:31:59,730 --> 00:32:01,315 - Thread in the pigtail? 806 00:32:01,357 --> 00:32:03,609 Excellent idea, Dr. Mohan. 807 00:32:11,033 --> 00:32:12,868 Go down to 24 centimeters, 808 00:32:12,910 --> 00:32:14,703 and then we'll confirm with X-ray. 809 00:32:14,787 --> 00:32:16,038 Good. 810 00:32:16,121 --> 00:32:17,831 - Think I'll stick around in case you need 811 00:32:17,873 --> 00:32:19,541 another set of hands to resuscitate 812 00:32:19,583 --> 00:32:21,043 your patient when he crashes. 813 00:32:26,006 --> 00:32:28,592 - [gasps] Oh, my God. You're bleeding. What-- 814 00:32:28,676 --> 00:32:30,719 Are you okay? - Mom, I'm fine. 815 00:32:30,803 --> 00:32:32,388 - [breathing heavily] 816 00:32:32,429 --> 00:32:34,014 - You got to get me out of here. 817 00:32:34,056 --> 00:32:35,724 - Well, they-- they just want to help you. 818 00:32:35,808 --> 00:32:37,184 We all do. - I don't need help. 819 00:32:37,226 --> 00:32:39,395 I just want to go, okay? - David... 820 00:32:39,478 --> 00:32:42,690 you haven't called me back or texted me all day. 821 00:32:42,731 --> 00:32:44,066 - Mom. 822 00:32:44,108 --> 00:32:46,735 - You didn't go to school. 823 00:32:46,819 --> 00:32:51,115 I saw the Instagram post you made. 824 00:32:51,198 --> 00:32:54,034 And I found the list about all the girls. 825 00:32:56,829 --> 00:32:58,539 - You went through my stuff? 826 00:32:58,580 --> 00:32:59,915 - I love you. - No, Mom, Mom. 827 00:32:59,999 --> 00:33:01,583 - And I don't-- - Those are my things. 828 00:33:01,667 --> 00:33:03,752 - Can I just say that we all have scary thoughts? 829 00:33:03,794 --> 00:33:05,838 It does not make you a bad person. 830 00:33:05,921 --> 00:33:09,717 - And--and dealing with those feelings can be hard. 831 00:33:09,758 --> 00:33:11,593 Talking to somebody can really help somebody about that. 832 00:33:11,635 --> 00:33:13,012 - Oh, my God. Just shut up. 833 00:33:13,095 --> 00:33:16,098 I'm not gonna fucking talk to anyone, okay? 834 00:33:16,140 --> 00:33:18,642 You can't make me. 835 00:33:23,105 --> 00:33:25,441 - David, I signed a petition. 836 00:33:27,651 --> 00:33:29,778 - What the fuck? 837 00:33:29,862 --> 00:33:31,989 What, you signed some paper to get me locked up? 838 00:33:32,072 --> 00:33:34,324 - I signed a petition to get you help. 839 00:33:36,368 --> 00:33:38,620 - This is fucking bullshit. 840 00:33:38,704 --> 00:33:41,749 - Seeing all those people come in here today... 841 00:33:41,790 --> 00:33:46,420 all those hurt people and the death and the blood... 842 00:33:46,462 --> 00:33:48,255 I was so afraid 843 00:33:48,297 --> 00:33:51,925 of you being that sad and angry. 844 00:33:54,511 --> 00:33:56,930 I cannot bear to lose you. 845 00:33:58,849 --> 00:34:01,477 - I would never do something like that. 846 00:34:01,518 --> 00:34:03,979 There's nothing wrong with me. It's me, Mom. 847 00:34:04,021 --> 00:34:06,273 You know I'd never hurt someone like that. 848 00:34:06,315 --> 00:34:07,941 Please, don't-- don't do this to me. 849 00:34:07,983 --> 00:34:09,651 Why are you doing this? 850 00:34:09,735 --> 00:34:14,156 - All we're asking is that you speak with a professional. 851 00:34:14,198 --> 00:34:16,075 It's important to talk to somebody 852 00:34:16,158 --> 00:34:18,077 about how you're feeling. 853 00:34:18,160 --> 00:34:20,537 You think you might be open to that? 854 00:34:23,332 --> 00:34:25,667 - Fuck you. 855 00:34:25,709 --> 00:34:27,836 Fuck all of you. 856 00:34:27,920 --> 00:34:30,214 Can you just get out? 857 00:34:30,296 --> 00:34:31,381 Get out! 858 00:34:31,465 --> 00:34:32,716 - [sobs] 859 00:34:32,800 --> 00:34:34,301 [sighs] 860 00:34:37,095 --> 00:34:39,723 - Hey, Perlah, can you take Theresa 861 00:34:39,807 --> 00:34:42,434 to go find a cup of tea? - Yeah, of course. 862 00:34:44,227 --> 00:34:45,979 - Jesus. 863 00:34:46,021 --> 00:34:48,314 What now? 864 00:34:48,356 --> 00:34:50,359 - Well, I suggested a better way, 865 00:34:50,400 --> 00:34:52,528 but you had him taken down by the police, handcuffed, 866 00:34:52,568 --> 00:34:55,030 and dragged in here. 867 00:34:55,113 --> 00:34:58,075 You made this fucking mess. You're gonna have to fix it. 868 00:34:59,743 --> 00:35:01,787 - [scoffs] 869 00:35:05,541 --> 00:35:07,501 - Pigtail's in the right atrium, good position. 870 00:35:07,543 --> 00:35:09,378 Aspirate, see what you get. 871 00:35:09,461 --> 00:35:11,505 - Pulling back blood from the heart... 872 00:35:15,425 --> 00:35:16,635 Along with some air. 873 00:35:16,718 --> 00:35:18,053 - How about that? 874 00:35:18,137 --> 00:35:20,222 - BP's still only 85 systolic. 875 00:35:20,305 --> 00:35:21,974 - No improvement. 876 00:35:22,057 --> 00:35:23,475 - Advance slowly into the right ventricle. 877 00:35:23,559 --> 00:35:25,227 - How do I know when I'm-- - PVCs. 878 00:35:25,310 --> 00:35:27,062 - That's how you know. Aspirate again. 879 00:35:27,104 --> 00:35:29,690 [alarm blaring] - Run of three. 880 00:35:29,731 --> 00:35:31,066 - More blood and air coming out. 881 00:35:31,108 --> 00:35:32,734 - Run of five. - Non-sustained V tach. 882 00:35:32,776 --> 00:35:34,278 Charge to 200 for when he deteriorates. 883 00:35:34,361 --> 00:35:35,571 - Mainly blood now. 884 00:35:35,654 --> 00:35:37,072 - Pull the pigtail back to the RA. 885 00:35:37,156 --> 00:35:38,949 - Step aside. - Pull the pigtail, Dr. Mohan. 886 00:35:39,032 --> 00:35:40,826 - Step aside! - You got this. 887 00:35:42,494 --> 00:35:45,455 [blaring stops] - Normal sinus rhythm, 92. 888 00:35:45,539 --> 00:35:50,127 Pulse ox is improving. BP's 112 over 84. 889 00:35:55,299 --> 00:35:57,593 Not too shabby, huh, Dr. Walsh? 890 00:35:57,634 --> 00:35:59,469 I think we can admit him to General Surgery now. 891 00:35:59,553 --> 00:36:01,138 - Hell, no. 892 00:36:01,221 --> 00:36:03,557 - He's a gunshot victim. - Admit him to the cardiac ICU. 893 00:36:03,599 --> 00:36:04,892 We'll consult from there. 894 00:36:04,933 --> 00:36:06,768 - Well, you can admit him yourself, 895 00:36:06,852 --> 00:36:08,687 with Cardiology consulting. 896 00:36:08,770 --> 00:36:10,606 I thought you liked flying the plane. 897 00:36:10,647 --> 00:36:12,608 - Not when it's gonna crash. 898 00:36:17,529 --> 00:36:18,947 - Solid work. 899 00:36:19,031 --> 00:36:21,408 - That was your save, not mine. 900 00:36:21,450 --> 00:36:23,869 - Take the win, Dr. Mohan. 901 00:36:23,952 --> 00:36:26,288 - Thanks. 902 00:36:26,330 --> 00:36:30,250 - Besides, it was a little too risky for me to do myself. 903 00:36:30,292 --> 00:36:32,294 - What? - Suture. 904 00:36:36,048 --> 00:36:39,134 - [scoffs] Whoa, this is so cool. 905 00:36:39,176 --> 00:36:41,053 - Blue plus blue equals pink. 906 00:36:43,055 --> 00:36:45,307 - Can you tell us your name? 907 00:36:45,349 --> 00:36:46,808 - Max. 908 00:36:46,850 --> 00:36:49,144 - Max, can you tell us what you took? 909 00:36:49,186 --> 00:36:50,979 - Sleep. 910 00:36:51,021 --> 00:36:53,023 - Yeah, he might need a second dose of methylene blue 911 00:36:53,106 --> 00:36:55,859 if his methemoglobin level stays above 30. 912 00:36:55,943 --> 00:36:57,527 - This definitely wasn't poppers. 913 00:36:57,611 --> 00:36:59,988 He would have had to have sniffed, like, a gallon of it. 914 00:37:00,072 --> 00:37:02,824 - So what caused the overdose? 915 00:37:02,866 --> 00:37:04,826 - Got to wait for him to wake up 916 00:37:04,868 --> 00:37:06,328 so we can get more answers. 917 00:37:09,081 --> 00:37:10,332 - Trish... 918 00:37:10,415 --> 00:37:12,417 I have a special visitor for you. 919 00:37:12,501 --> 00:37:15,837 - [crying] Mom, are you okay? 920 00:37:15,921 --> 00:37:18,674 - [crying] Yeah, I'm fine. [door closes] 921 00:37:18,715 --> 00:37:21,093 - Okay. I was so scared. 922 00:37:21,176 --> 00:37:23,637 - I know. - And Dad. 923 00:37:23,679 --> 00:37:26,765 [indistinct chatter] 924 00:37:28,684 --> 00:37:31,728 - [crying] 925 00:37:33,105 --> 00:37:35,023 - You okay? - [voice breaking] Mm-hmm. 926 00:37:35,107 --> 00:37:37,985 Just--my patient hasn't seen her daughter, 927 00:37:38,026 --> 00:37:40,696 and it won't-- it won't happen again. 928 00:37:40,779 --> 00:37:44,658 - Never apologize for feeling something for your patients. 929 00:37:44,700 --> 00:37:47,869 Today was chaos. 930 00:37:47,911 --> 00:37:50,247 You were awesome. 931 00:37:50,330 --> 00:37:53,333 I'm really glad you're with us, Dr. King. 932 00:37:53,375 --> 00:37:56,586 - Robby, Flynn's parents are here, the measles kid. 933 00:37:56,670 --> 00:37:58,964 - You should go home. 934 00:38:02,301 --> 00:38:04,052 - How did Flynn get measles? 935 00:38:04,094 --> 00:38:06,513 - Uh, from his sister. Hi. I'm Dr. Robby. 936 00:38:06,555 --> 00:38:08,348 Georgia is fine. She's in our staff room. 937 00:38:08,390 --> 00:38:10,475 She's the one who actually called 911 938 00:38:10,559 --> 00:38:12,811 and probably saved her brother's life. 939 00:38:12,894 --> 00:38:15,063 - Georgia was sick, but she got better on her own quickly. 940 00:38:15,105 --> 00:38:17,524 - Yeah, many people get better on their own, like Georgia. 941 00:38:17,566 --> 00:38:20,193 However, as many as 1 in 20 kids that get measles 942 00:38:20,235 --> 00:38:22,154 get pneumonia, like your son. 943 00:38:22,237 --> 00:38:24,072 - Are your children vaccinated against measles? 944 00:38:24,156 --> 00:38:25,824 - No. 945 00:38:25,907 --> 00:38:28,702 - The MMR vaccine is perfectly safe. 946 00:38:28,744 --> 00:38:30,370 Measles is not. 947 00:38:30,412 --> 00:38:32,331 - We're concerned about inflammation 948 00:38:32,414 --> 00:38:35,042 and possible damage to Flynn's brain and spinal cord. 949 00:38:35,083 --> 00:38:36,501 - The measles got to his brain? 950 00:38:36,585 --> 00:38:38,628 - Well, his head CT was normal, but the only way 951 00:38:38,712 --> 00:38:41,923 to find out if he's okay is to perform a lumbar puncture. 952 00:38:42,007 --> 00:38:43,425 - A spinal tap? 953 00:38:43,508 --> 00:38:45,093 - I've read about kids who've been paralyzed 954 00:38:45,177 --> 00:38:46,636 from a spinal tap. 955 00:38:46,720 --> 00:38:48,555 - There is zero risk of paralysis. 956 00:38:48,597 --> 00:38:50,265 - What about bleeding or infection? 957 00:38:50,349 --> 00:38:52,434 - It's a perfectly safe procedure--we do it every day. 958 00:38:52,476 --> 00:38:54,061 - We need spinal fluid to see 959 00:38:54,102 --> 00:38:56,480 if Flynn has acute disseminated encephalomyelitis. 960 00:38:56,563 --> 00:38:58,148 - And if he does? 961 00:38:58,231 --> 00:39:00,233 - We treat with high-dose steroids to decrease the risk 962 00:39:00,275 --> 00:39:03,070 of blindness, deafness, intellectual disability, 963 00:39:03,111 --> 00:39:04,237 even death. 964 00:39:04,279 --> 00:39:05,822 - He could die from this? 965 00:39:05,906 --> 00:39:08,450 - Yes, the death rate from ADEM is high--1 in 5. 966 00:39:08,492 --> 00:39:10,035 - Do the spinal tap. 967 00:39:10,118 --> 00:39:12,287 - No! 968 00:39:12,371 --> 00:39:14,289 Can't you just give him steroids 969 00:39:14,373 --> 00:39:16,750 without the spinal tap? - If there's no ADEM, 970 00:39:16,792 --> 00:39:18,460 the steroids could suppress his immune system, 971 00:39:18,543 --> 00:39:20,379 making it harder to fight off the pneumonia. 972 00:39:20,462 --> 00:39:21,713 - But it says here that-- 973 00:39:21,797 --> 00:39:24,049 - Can you put your damn phone away? 974 00:39:24,132 --> 00:39:25,258 Your son is critically ill. 975 00:39:25,300 --> 00:39:26,802 The longer that we wait, 976 00:39:26,885 --> 00:39:28,470 the higher the risk of permanent brain damage. 977 00:39:28,553 --> 00:39:30,472 What is not clear here? 978 00:39:30,555 --> 00:39:32,641 - Hillary, he has a tube down his throat. 979 00:39:32,682 --> 00:39:34,142 He can't breathe on his own. 980 00:39:34,226 --> 00:39:36,311 - They're not poking holes in my son's spine! 981 00:39:36,353 --> 00:39:37,479 - Wow. 982 00:39:37,521 --> 00:39:39,231 Okay. [sighs] 983 00:39:39,314 --> 00:39:41,942 - Let's just wait and see if he gets better. 984 00:39:41,983 --> 00:39:43,318 - Dr. King, could you please take 985 00:39:43,360 --> 00:39:44,653 Flynn's parents to see their daughter? 986 00:39:44,736 --> 00:39:47,489 - No problem. 987 00:39:47,531 --> 00:39:49,491 - They are going to see their daughter. 988 00:39:49,574 --> 00:39:50,617 - Fucking Dr. Google bullshit. 989 00:39:50,659 --> 00:39:51,952 They want medical treatment, 990 00:39:51,993 --> 00:39:53,495 but they don't want medical advice. 991 00:39:53,578 --> 00:39:55,163 What the actual fuck are we doing? 992 00:39:55,247 --> 00:39:56,998 - Yeah, I know, and we'll keep trying. 993 00:39:57,040 --> 00:39:58,834 Hey, you okay, boss? - Yes. 994 00:39:58,917 --> 00:40:00,043 Hey, Whitaker. 995 00:40:00,127 --> 00:40:02,963 You got a minute? - Yeah, yeah. 996 00:40:03,004 --> 00:40:06,508 - I just wanted to say thank you 997 00:40:06,550 --> 00:40:09,803 for earlier when I was, um... 998 00:40:09,845 --> 00:40:13,515 - Oh, your brief moment of silent reflection? 999 00:40:13,598 --> 00:40:15,684 - Yeah. You didn't mention that to anybody? 1000 00:40:15,767 --> 00:40:18,019 - No, no. God, no. No. - I don't know what that was. 1001 00:40:18,061 --> 00:40:20,605 I was just-- felt like I was drowning. 1002 00:40:22,357 --> 00:40:25,610 - What was that you were reciting? 1003 00:40:25,694 --> 00:40:26,945 - It's called the Shema prayer. 1004 00:40:27,028 --> 00:40:29,781 It's a declaration of faith in God. 1005 00:40:29,865 --> 00:40:32,826 I lived with my grandmother when I was little, 1006 00:40:32,868 --> 00:40:36,037 and she and I used to recite it every morning. 1007 00:40:36,121 --> 00:40:38,373 - "Even youths grow tired and weary, 1008 00:40:38,415 --> 00:40:40,876 "and young men stumble and fall. 1009 00:40:40,917 --> 00:40:44,671 "But those who hold hope in the Lord 1010 00:40:44,713 --> 00:40:46,840 "will renew their strength 1011 00:40:46,882 --> 00:40:50,051 and soar on wings like eagles." 1012 00:40:50,135 --> 00:40:52,554 It's Isaiah 40. 1013 00:40:52,637 --> 00:40:55,599 I was an undergrad theology major. 1014 00:40:55,682 --> 00:40:57,476 I don't know why I said that. 1015 00:40:58,852 --> 00:41:00,937 - I don't know if I actually believe in God, 1016 00:41:01,021 --> 00:41:02,939 especially on days like today. 1017 00:41:04,858 --> 00:41:09,237 - A wise man once told me that you learn to live with it, 1018 00:41:09,321 --> 00:41:11,448 learn to accept it, 1019 00:41:11,531 --> 00:41:14,242 and find balance if you can. 1020 00:41:16,453 --> 00:41:18,872 I hope we all do. 1021 00:41:18,914 --> 00:41:21,917 [indistinct message over PA] 1022 00:41:26,838 --> 00:41:28,256 [indistinct chatter] 1023 00:41:28,298 --> 00:41:30,133 - [sighs] 1024 00:41:31,426 --> 00:41:32,719 - Only one pink left. 1025 00:41:32,761 --> 00:41:34,429 The rest all went up. 1026 00:41:34,471 --> 00:41:35,931 - Hey. 1027 00:41:35,972 --> 00:41:37,557 You guys need any help with new patients, or... 1028 00:41:37,599 --> 00:41:39,017 - No, no, no. We're good. 1029 00:41:39,100 --> 00:41:40,435 It's quick and easy stuff. Go home. 1030 00:41:40,477 --> 00:41:41,603 - Yeah? - Yeah. 1031 00:41:41,645 --> 00:41:43,188 - Hey, you got a second? - Yeah. 1032 00:41:46,316 --> 00:41:47,609 What is up with Robby? 1033 00:41:47,651 --> 00:41:49,069 - He's been better. 1034 00:41:49,110 --> 00:41:50,654 I'm really worried about him. 1035 00:41:50,737 --> 00:41:52,739 I've never seen him like this. Have you? 1036 00:41:52,781 --> 00:41:55,116 - No. 1037 00:41:55,158 --> 00:41:57,786 How about you, slugger? - [chuckles] 1038 00:41:57,827 --> 00:41:59,120 Been better. 1039 00:41:59,162 --> 00:42:01,122 - Preach. - Yeah. 1040 00:42:01,164 --> 00:42:03,250 [indistinct chatter over police radio] 1041 00:42:03,291 --> 00:42:05,293 - Sorry to interrupt. 1042 00:42:05,377 --> 00:42:08,088 - Oh, uh, if you guys are looking for Officer Stefano, 1043 00:42:08,129 --> 00:42:09,923 he went up to surgery about an hour ago. 1044 00:42:09,965 --> 00:42:12,175 - We're looking for Dr. Cassie McKay. 1045 00:42:12,259 --> 00:42:14,678 - Uh, yeah, that's me. 1046 00:42:14,761 --> 00:42:16,137 - We were alerted about your ankle monitor 1047 00:42:16,221 --> 00:42:17,806 being tampered with. 1048 00:42:17,889 --> 00:42:19,641 County probation called to check in earlier, 1049 00:42:19,683 --> 00:42:21,393 but you never responded. 1050 00:42:21,476 --> 00:42:23,937 - Yeah, it was--it was beeping and giving an error message. 1051 00:42:23,979 --> 00:42:27,148 And we were in the middle of a mass casualty from PittFest. 1052 00:42:27,190 --> 00:42:30,652 - Did you tamper with your ankle monitor? 1053 00:42:30,735 --> 00:42:33,154 - [scoffs] 1054 00:42:33,196 --> 00:42:35,657 Yeah, I, um--I might have-- 1055 00:42:35,740 --> 00:42:37,450 I might have drilled a hole in it. 1056 00:42:37,492 --> 00:42:39,494 - Officers, look around. She was saving lives. 1057 00:42:39,578 --> 00:42:40,954 - Put your hands behind your head. 1058 00:42:40,996 --> 00:42:42,247 - Whoa! 1059 00:42:42,330 --> 00:42:43,665 - Whoa, whoa, whoa, hang on a second. 1060 00:42:43,707 --> 00:42:45,750 - Are you joking? - Officers, wait a second. 1061 00:42:45,834 --> 00:42:47,586 - You're under arrest. 1062 00:42:47,669 --> 00:42:49,337 - [sighs] 1063 00:42:49,421 --> 00:42:51,756 Great. [handcuffs clicking] 1064 00:42:51,756 --> 00:42:56,756 DOWNLOADED FROM WWW.AWAFIM.TV 1065 00:42:51,756 --> 00:43:01,756 For latest movies and series with subtitles Visit WWW.AWAFIM.TV Today 71001

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