All language subtitles for pitt

Prep to intubate.

Ketamine and Roc on board.

Chest tube is in. Hook me up.

Yellow zone, we are
running out of everything.

Only change bandages that
are completely bled through.

Yo.

Overheard a nurse say
the shooter's here.

Holy shit.

Oh, my God.

Sorry.

He's handcuffed,
but he's in a room.

He gets a room
while the rest of us

are stacked up like firewood.

Sorry to interrupt.

Anything you could tell
us about the shooter?

Is he here?
- Where'd you hear that?

Nurses be talking.

I don't know
anything about that.

Yeah, let's keep the
rumor mill in check.

The cops will alert us
when they know something.

Uh, Dawn, how are you
doing? Do you need anything?

I'm better. Kind
of hungry, though.

Well, we can
discontinue your IV,

give you a sandwich so
your sugar doesn't tank,

and then you can go home.
- Thanks.

But my phone died at
PittFest, so I wasn't getting

any alerts from my
glucose monitor.

What about me?

Can I go home?

Since you OD'd, we
need to keep you here

for a couple more
hours, make sure

you don't need any more Narcan.

How's your pain doing, Buster?

I mean, my arm still
hurts pretty bad.

Hey, can I get a sandwich, too?

Uh, we can up your pain meds,

but you're on the
list for the OR,

so we need to keep you NPO.

Meaning?

Nothing more to eat.

We'll keep you hydrated
with IV fluids.

Can I at least get a blanket?
It's so cold in here.

Yeah, uh...

All the blankets are in Pedes...

the morgue.

Rock Paper Scissors?

Shit.

Dawn, I can charge
your phone for you.

Thank you.

Fucking circus.

- Robby here?
- No. Check trauma rooms.

500 cc's from the
chest tube already.

We're out of O-neg again.

Hang the cell saver
for autotransfusion.

- This is weird.
- What?

Shot in the chest, but nothing

out of the thoracostomy tube.

You got through the pleura okay?

Yeah, I definitely felt
the lung with my finger.

I lost the radial
pulse. I got a femoral.

This guy's bleeding out.

Probably tore
through the spleen.

How?

Okay, nipples to navel
is no man's land.

If he got shot while
exhaling, the bullet possibly

passed below the diaphragm.

Start a second IO, transfuse
two units O-positive.

Where's Robby?

Let's find him and call Walsh.

This guy needs the
next OR immediately.

- Dana!
- Yeah?

Have you seen Robby?

I was about to ask
you the same thing.

McKay!
- Yeah?

You seen Robby?

Uh, no, not in Pink.

I was at the festival

with my husband and my daughter.

My husband is in a
wheelchair from MS.

I did my best to protect him.

A bullet went through my
arm and through his head.

The medics declared him dead.

What about your daughter?

What's her name?

Morgan.

Some family members are
meeting in the cafeteria.

I can see if she's there.

How do you deal with all
this death and carnage?

I don't...

I don't know.

Any more Pleur-evacs in Pink?

- Maybe.
- What do you need?

- A couple units of blood.
- Good luck.

Princess.

Whoa. Jeez.

Sh'ma Yisra'eil...

Dr. Robby?

- Adonai.
- Dr. Robby, you okay?

Eloheinu.

Adonai echad.

Barukh sheim

k'vod malhkuto.

You have to go.
You have to go.

They need you out there.

We need you out there.

Okay, come on,
give me your hand.

I can't.

You have to...

Because if you
don't, we're fucked.

Okay.

See you out there, Captain.

Once your phone is charged
and able to monitor

your blood sugar,
we'll let you go.

Thank you.

Any update on the
guy who did this?

Nothing yet.

I'm kind of glad I was out of
it when the shit went down.

You OD'd. You could have died.

You okay, Huckleberry?
- Yeah.

You sure?

I know it's tough in
there with all the bodies.

- Yeah.
- Can I get help

with a pressure dressing here?
- Yeah, I'm on it.

2 grams of Ancef primed
for your leg guy.

With pleasure.

You okay, Dr. Robby?

Do you need something
to eat or drink?

No, no. I'm good.
Thank you. Thank you.

Uh, Esme, your team's
doing a great job

staying on top of all this.

Um, I need another
four of morphine here.

Yeah, coming right up.

Uh, yeah, that's two.

Tourniquet's down
on MCI-9, looks dry.

Good job, Whitaker, Donahue.

Dr. King, keep it up.

All right, maintenance fluids
at 125 an hour for all NPOs.

- Heard.
- Turn them down.

Well, it looks like you
have everyone tucked in,

Huckleberry.
- Yeah.

We're getting there.
- Well, I'm going to leave you

in charge of the
boring Yellow stuff.

Where are you going?

Get in on the Red Zone action.

Robby, are you okay?

Right.

Well, I got some good news.

County Public Health is
sending out a truckload

of supplies from
Magee-Womens and Mercy.

Gloria, are we gonna have to
call in more blood donors?

- Already done.
- Donated.

I-I don't...

my blood, needles...

Choppers are coming

from blood banks in
Erie and Youngstown.

- Oh, thank God.
- I appreciate the way

you've handled logistics today.
- Wait, hold on.

W-what does she mean,
more blood donors?

You didn't use unscreened
blood donations, did you?

We did what we had to do

to save as many
people as we could.

You're killing me, Robinavitch.

And for the love of
God, can you tell me

that you didn't know about
a-a shooter's hit list,

and then you let
him go this morning?

He didn't do it.

- Police confirmation?
- No.

Then this nightmare...

Jesus, Gloria!

The police are still looking.

Why don't you go back
to your micro-managerial

ivory tower and let us
get the fuck back to work?

Robby, get some air, brother.

Check on triage.

Dr. Abbot, I got your carotid
bypass guy up to the OR.

Vascular surgery says
to give you mad props.

Okay.

You think he told Jake
his girlfriend died?

- Yeah.
- Fuck.

Hey. Hey.

Oh.

- How's it going out here?
- Good.

12 minutes since the
last pink or red.

I think it's quieting.

- Jesus!
- What?

- Don't say that.
- Come on.

Don't tell me you believe
in that superstitious shit.

It's like saying
"Macbeth" in the theater.

Yeah, and you call yourself
a person of science.

Watch out!

Hands up!

Any weapons?

Everyone stand back!

No... no weapons.

All clear!

- Are you okay, sir?
- Yeah, I'm good.

Guy in the back needs help.

Sorry about the parking job.

Getting a little woozy.

Okay, what happened?

I found him in the
festival parking lot.

Gave him Narcan from my
kit, but he didn't respond.

Might be benzos... I don't know.
- You a medical worker?

Navy corpsman.

I'm okay.

Your leg does not look okay.

I got shot through and through.

I stayed to help
as long as I could.

Bullets flying everywhere.
It was a fucking nightmare.

Hey, Ellis. How's
the passenger?

No sign of trauma, but
he's pretty cyanotic.

Needs oxygen.
Let's move him in.

Grabbing a gurney.

Any headache, neck pain,

chest pain, belly pain?

Sir!

No, I'm good.

I'm gonna get a wheelchair.
Do not try to walk.

Must have missed the
bone because I could...

Whoa, whoa, whoa, whoa!
Cancel the wheelchair.

Bring a gurney.
- Gurney!

Any new customers for the OR?

- Yes.
- Yeah.

This one looked like chest,
but it was intra-abdominal.

Nipples to navel
is no man's land.

Am I the only one
who missed that day

in medical school?

I need high-flow O2,
maybe BiPAP for this guy.

Trauma rooms open?
- No, still getting cleaned.

South 15 is avail.
- Okay, South 15 it is.

Find out if the ICU
is ready for her.

All right, get me
a tech and an RT,

and we'll take him up.
- Yeah, I'm on it.

Hey, McKay.

There's someone from
Allegheny County Courthouse

on the line.
- Not now!

I'm in. Bag her.

Dr. McKay, you have a visitor.

I said not now!

Jesus Christ.

Sorry, Dad. Hey.

Thank you so much for coming
in to pick up Harrison.

Are you okay?

Ah, I mean, relatively speaking,

I'm fan-fucking-tastic.
- Good.

Hey, Dr. Abbot, can you
keep an eye on this one?

Stable after 1 unit pRBCs.
- No problem.

Ellis, get him started.
Holler if you need me.

Copy.

Dana, hypotensive and altered.

Untreated GSW to the thigh.

Perfect timing.

Trauma One's open,
but be careful.

Floor's probably still wet.

- Mohan, you're on this.
- Okay.

Dr. Abbot, you need anything?

Check with Ellis in South 15.

- What do we got?
- What do we got?

Pulse ox is low, 85 on room air.

100% non-rebreather mask.

This guy needs a major workup.

Everyone in Yellow is stable.

Okay. Uh, check in with Robby.

- Holy shit.
- See where he can use

another set of hands.

Okay, great. Thanks.

Trauma One, I know that guy.

His sister's in the cafeteria.

Her husband was shot
and killed today.

Oh, sweet Jesus.

Do you think I can
bring the lady in

to see her brother?

Uh, Robby,

lady in the cafeteria,
dead husband,

brother in Trauma One,
can we bring her back?

It seems like it's slowing
down around here... go ahead.

Um, I have a patient
in Central 9.

She was shot trying to protect
her husband, who, um, died.

But her daughter is
in the cafeteria.

I don't think I can spare
any doctors right now.

In fact, why don't you go
cover triage until Shen

and Ellis get back there?
- Okay.

Give me her name.
I'll find her.

Oh, thank you so much.

Um, her name is Morgan.
Her mom is Trish Gregory.

Okay if we bring
her up here, too?

Sure. Why not?

Pulse ox is still 85
on high-flow oxygen.

BP is borderline.

Dr. Santos, differential
diagnosis of cyanosis?

Hypoxia, low oxygen
from lung disease...

pneumonia, PE, asthma.

Good breath sounds, no
crackles, no wheezing.

Pulmonary problems
should improve with O2.

What else?
- Heart disease, heart failure.

- No B line.
- Right to left shunt?

That's usually in
congenital heart disease.

PDA, Tetralogy of Fallot.

Cardiac ECHO looks good.

Normal ejection fraction,
no valvular disease.

Hmm, what else could it be?

Okay, is Dr. Ellis running
this resuscitation, or are you?

Because last time I checked,
you're not supposed to be here.

We both are.

The senior resident's
job is to teach.

What else, Dr. Santos?

Hemoglobinopathies?

Excellent.

Blood is chocolate brown.

Santos?

Methemoglobinemia?

Bingo.

Put him on BiPAP.

Send off a blood gas.
Order methylene blue.

Etiology?

Drugs, toxins.

Smart money is
poppers, amyl nitrates,

and partied a little
too hard at PittFest.

Mm-hmm.

Langdon, got a sec?

Yep.

Keep me posted.

- Can I do the intubation?
- Not necessary yet.

But his pulse ox is
low. He's altered.

All the oxygen in the
world won't fix that.

His methemoglobin
level is sky-high.

Nothing but methylene
blue will help.

I'll run the blood
gas up to the lab,

see if they've caught up
with all the traumas yet.

First day?

Yeah.

What's the beef with Langdon?

Um...

Are you good here?

Yeah, methemoglobinemia,
ordered methylene blue.

Perfect.

Keep it up.

Will do.

And here he is.

- Hey.
- Grandpa!

How's my favorite grandchild?

I'm your only grandchild.

Chadwick Harrison Ashcroft III.

Please don't call me that.

Douchebag name for
a douchebag guy.

- Dad!
- Are you ready?

'Cause Grandma is
making your favorite...

carbonara.

Thanks for taking him, Dad.

Will you save some pasta for me?

Okay.

Tapping in.

- Thanks, brother.
- Yeah.

EFAST normal.

No abdominal hemorrhage,
no tamponade.

Pulse ox borderline,
89% on 15 liters.

BP's only 95 over 58.

Vinny Rivera... is he here?

I'm not sure, man.

I'm so sleepy.

Were you tired right
after you got shot?

Uh, no.

I helped move 20, 30 people.

What's causing his
oxygen levels to tank?

Up the oxygen.

15's as high as it goes.

Gauge only goes to
15. Keep cranking.

You can get to 50.

Brian?

Vinny got shot.

I sent him with the
first car I saw.

Is he okay?

You fight, Brian, okay?

You fight like the
stubborn bastard you are.

I tried, Whit.

I tried.

- Oh, no, thanks.
- It's not coffee.

It's bourbon.

That was a joke.

Robby did everything he could
to save your girlfriend.

If he couldn't save
her, nobody could.

Wait, wait, wait. What
do you mean, neutralized?

Means he's dead.

Wait. I thought the kid
in BH-2 was the shooter.

What's going on?

SWAT found the shooter.

Self-inflicted
gunshot to the head.

He had a duffel
bag full of ammo.

He was in some bushes
down by the river

with his AR-15.

Do we know why he did it?

Does it matter?

Are we expecting
any more victims?

SWAT cleared the
festival grounds.

Probably no more coming our way.

What you've done down here...

all the lives you've saved...

there aren't adequate words.

Thank you.

We need to prep to open
back up to the public.

Walk-ins only.

No traumas until we
get word from surgery

that a few ORs have cleared.

That could be hours.

Blood Bank, pick up line two.

Blood Bank, pick up line two.

Everybody seems to know
exactly what to do.

Is this kind of thing normal?
- Thankfully, no.

But preparing for the worst
and hoping for the best,

that's what we do.

Hey, is Dr. King
still outside?

Yep.

We don't need a doctor
covering triage.

We can bring her back in.
- Yeah.

And, everybody
else, let's process

these remaining patients

so my day shift can
finally go home.

On it, Cap.

Ah, you hear that?

- Hear what?
- It's quiet.

It's over.

Oh, son of a...

Hey, yo, yo, we're closed.

We're way over capacity.
Take them to West Penn.

Kid in extremis. You
were the closest EDAP.

13-year-old hypoxic
and hypertensive.

He looks pale and tachypneic.

Flynn Edwards, home alone
with his little sister.

Cough, fever, rash, altered.

Tachy at 150, BP 80 over
55, breathing at 36,

and satting low 80s
on the face mask.

Hi.

What's your name?
- Georgia.

Hi, Georgia. I'm Mel.

Oh, yeah. That's scary.

Yep.

Georgia, where are your parents?

At the movies.

- Did you try calling them?
- I texted.

Can you give us their numbers?

Do you remember what happened
before you called 911?

Flynn was talking weird.

Okay.

Um, and then after
he was talking weird?

He got super sleepy,

and then I couldn't wake him up.

Um, this is Princess.

I have to go help
your brother now.

But Princess is going
to get you a snack.

I already brushed my teeth.

Then maybe just
a glass of water?

My count, one, two, three.

Flynn, open your eyes, buddy.

Start a second line. 2
liters of Ringer's wide open.

100% non-rebreather.

Crackles bilaterally.

Temp 101, O2 sat only up to 82.

Shit.

It's code sepsis.

Blood cultures, labs,

portable chest,
gram of ceftriaxone.

Dr. King, what
are you thinking?

Uh, well, rash,
altered with sepsis...

could be meningococcus,
Strep pneumo,

something viral like
disseminated HSV, encephalitis?

BP's 82 over 49.

Sat up to 87.

What about the rash?

It's more prominent
on the lower body,

not much on the face.

There's no vesicles.

It doesn't look like chicken
pox or typical Lyme rash.

Agreed.

Do you know what this is?

Nope.

Resuscitate first,
diagnose later.

We're moving patients
from the Yellow Zone

into real rooms along the
South and Central Corridors.

Till now, all these patients
have just been numbers to us.

Time to ask them their names.

So we scan their wristbands

and put them into the big board.

Yeah, and then Dana
and I will assign rooms

based on medical priority.

Ortho extremity
wounds go get X-rays.

Dr. McKay, can you finish up
whatever it is you're doing

and come meet me in BH-2?

Uh, yeah, sure.

I told you he didn't do it.

I know.

But you said yourself
his threats were serious.

At least now we're
nipping it in the bud.

You think this is that easy?

Think again.

He's on 100% oxygen.

His pulse ox is still only 88.

- How's it going upstairs?
- Regular spa day at the OR.

42 ex-laps and thoracotomies.
- Impressive.

What do you got?

GSW through and
through the thigh,

not arterial, now
hypotensive and hypoxic.

- Sounds like blood loss.
- No.

Hemoglobin times 2 is stable.

Vena cava is plump... it
would be flat with hemorrhage.

It's actually a
little too plump.

Let me see the
phased array probe.

Any history of heart disease?

Not sure, but he's a strong guy.

Got shot, strapped a T-shirt
and a belt around his thigh

and ran around helping
people for a few hours.

Holy shit.

Check out the four
chamber apical view.

Dilated right atrium
and right ventricle.

Right-sided strain with
bowing of the septum.

Sounds like a PE.

He throw a clot from
having the tourniquet on?

Way too soon for a DVT.

Okay, let's get him in
left lateral decubitus.

One, two.

Trendelenburg ASAP.

What for?

Intracardiac air embolism.

All that running
around introduced air

into the femoral vein
right up to the heart.

Now it's blocking blood
flow to the lungs.

Need a CT to confirm.

They're still backed
up with other patients.

Well, maybe the cath
lab can take them.

They have fluoro.

I'll go check.
- Yeah, good luck with that.

I need a central line kit

and a 5 French pigtail catheter.

I got it.

He doesn't have
a collapsed lung.

- Yeah?
- So what are you going to do?

I'm not gonna do
anything. You are.

Thank you, Casey.

Hey, David. How you doing?

Hi, David.

I didn't shoot anybody.

I wouldn't do that.

I know.

Did you make a list of
girls you wanted to hurt?

- Where's my mom?
- Did you make a list?

I want to go home.

You're gonna get to go home.

But, first, we have
to keep you here

for a mandatory 72-hour hold.

What? Why? I
didn't do anything.

I know you're upset.

We're only doing what we think
is in your best interest.

No, fuck you! You
don't know me!

You don't know
anything about me!

Look, I know it's a
lot to process, but...

No, no!

I want to see my mom.

Where is she? Is
she out there?

- I...
- Mom!

Mom!

This is not helping
your case, David.

Mom! Mom!

This is not helping your case...

Oh, fuck you!

Let's go outside.

I just want to see
my mom, please!

Please, I just
want to see my mom.

Mom! Mom!

BP's 92 over 60 after 2 liters.

Still tachy.

Sats are way down at 84
on the non-rebreather.

Flynn, open your eyes.

How you doing, bud?

He's still having
trouble breathing.

He's more lethargic than before.

Let's give him a third liter
and prep for intubation.

Can we do that without
parental consent?

We wait, he dies.

Tech is here for
a portable chest.

Dr. King, what are
your intubation meds?

- Etomidate and Roc.
- Great.

Gather up everything you
need. What size tube?

Age divided by 4 plus 3

would be 6.5 cuffed.

Let's do it.

And find his parents.
- Okay.

Prep these.

What time you start today?

7:00 a.m.

Thanks.

Can I get one of
those? I'm starving.

No can do.

But I'm hungry.

We can't give you any food
in case you need surgery.

You might aspirate.

You need to work on
your bedside manner.

Mm, asshole reporter.

- ABG back on the blue man?
- Not yet.

Should we just give
him the methylene blue?

Mm, pulse ox holding at 85.

We can wait a little.

Dr. Santos...

how do we evaluate
methemoglobinemia

and determine a treatment plan?

Um...

Tired?

Yeah.

Feet hurt?

Brain feeling like mush?

Absolutely.

That patient
doesn't give a shit.

He needs you.

Methemoglobinemia.

Let's go.

Robby?

Hey, Janey.

Where's Jake?

I got here as fast as I could,

but there were
street closures...

He's okay. He's okay.

He had some minor injuries

that are going to need to
be treated, but he's okay.

He's gonna go home tonight.
- Oh, thank God.

Um...

Leah didn't make it.

She's dead?

Oh, my God.

He, um, is kind of blaming
me for not saving her.

Robby, he's just a kid.

So was she.

Don't do that to yourself.

Hey, look at me.

Jake loves you, okay?

Where is he?
- Hey, Dana.

You remember Janey?

- Of course.
- Thank you for calling me.

Mind taking her to go find Jake?

Yeah, no problem. Come on.

Tube's in.

Good color change.

Nicely done.

Present.

Uh, we have a septic
13-year-old with pneumonia.

I just intubated, and
ceftriaxone is on board.

Patchy consolidation,
maybe some nodules.

It could be viral pneumonia

with or without
bacterial superinfection.

Kid's got a weird rash, too.

Oh, and it's
maculopapular on the legs.

Pretty faded on
the neck and chest.

Starting to desquamate.

You ever seen anything
like this before?

- Nope.
- Me neither.

Well, that just goes to
show you how old I am.

This looks like measles.

- "Measles"?
- Holy shit.

Any travel history?

He wasn't able to talk
before we intubated.

Measles is super contagious.

It's not contagious
if it's resolving.

We need more history.

Where are the parents?
- Oh, they're at the movies.

I'm sure their phone's off.

But he came in with
his little sister.

We can talk to her.

- What theater?
- I don't know.

Shen, try every theater.

There's got to be over
a dozen in Pittsburgh.

Start with the ones
closest to where they live.

We need to find those parents.
And call Public Health.

Tell them we might have
a measles outbreak.

We get blood gas results back?

I just got them.

Methemoglobin level of 42%,

enough for cyanosis
and lethargy.

Ooh, party on, Wayne.

Okay, let's go ahead and
start methylene blue.

Uh, 1 mg per kg, slow IV
push over five minutes.

On it.

Gonna need somebody
to stand bedside,

push it with a syringe.
- Santos, tag, you're it.

How long until his
cyanosis resolves?

Five minutes, bright spark.

Oh, you two definitely got beef.

Hi, Georgia.

Um, this is Dr. Robby.

He's gonna ask you some
questions so we can help Flynn.

Is that okay?

Hi, Georgia.

Can you tell me

when your brother
first got sick?

A week ago.

I was already getting better.

You were sick, too?

Fever, rash like Flynn?

Has your family traveled
anywhere recently

on an airplane or
to another state?

Orlando for a dance competition

a couple of weeks ago.

And where on your body
did the rash start?

On my face.

Then it went down to my legs.

Okay.

Thank you, Georgia.

- Is Flynn gonna be okay?
- Oh, well, yeah.

We're gonna do everything
we can to help him.

The story is consistent
with measles.

Plenty of opportunity
for exposure in Orlando

with all the
international travelers.

Isolation?

No, 'cause you're
only infectious

for four days after
the rash starts,

so we're past that point.

But the altered mental status,

he's in the right
time frame for ADEM.

ADEM?

Acute Disseminated
Encephalomyelitis,

post-infection immune response.

- So a head CT and an LP?
- Afraid so.

It has a 20% death rate.

- Dr. King, this is Morgan.
- Trish Gregory's daughter.

Is my mom okay?
- Oh, yeah, um, she's fine.

Uh, Dr. Robby, do you mind
if I show Morgan to her mom?

No, go ahead. I'm going to
send Flynn for a head CT

and get Shen to prep the LP.

What about the parents?

I think he's still
trying to find them.

- I can help. Go. We got this.
- Thanks, Lupe.

Um, just this way.

So she's gonna need
surgery, but she's...

- Take a seat.
- What?

Why?

Adrenaline crash
after a big event.

A juice box? Thanks.

What happened here
today, it's not normal.

But you...

You were a rock star, Victoria.

He knows my name.

Got the IJ.

Okay, back to business
as usual, thank God.

Guidewire and introducer.
- What the hell are you doing?

Dr. Mohan is about to pull
air from the right atrium

and right ventricle.
- With what?

- 5 French pigtail catheter.
- Inside his heart?

Multiple side-holes
gives you a better shot

at sucking out all the air.

Dr. Abbot showed me a case
report from South Korea.

What the actual fuck?

I just talked to cardiology.
They want a CT scan.

If it's showing air,
then you need to dive him

in the hyperbaric chamber.
- He'll be dead by then.

Not if you kill him first

with this banana-pants
procedure.

We don't have time to wait
for your fancy-pants machine.

If we don't get the air out
of his heart, he'll die.

This is not the
standard of care.

Oh, fuck standard of care.

If we want to save
him, we go in now.

Maybe I should...

Thread in the pigtail?

Excellent idea, Dr. Mohan.

Go down to 24 centimeters,

and then we'll
confirm with X-ray.

Good.

Think I'll stick
around in case you need

another set of
hands to resuscitate

your patient when he crashes.

Oh, my God. You're
bleeding. What...

Are you okay?
- Mom, I'm fine.

You got to get me out of here.

Well, they... they
just want to help you.

We all do.
- I don't need help.

I just want to go, okay?
- David...

you haven't called me
back or texted me all day.

Mom.

You didn't go to school.

I saw the Instagram
post you made.

And I found the list
about all the girls.

You went through my stuff?

- I love you.
- No, Mom, Mom.

- And I don't...
- Those are my things.

Can I just say that we
all have scary thoughts?

It does not make
you a bad person.

And... and dealing with
those feelings can be hard.

Talking to somebody can really
help somebody about that.

Oh, my God. Just shut up.

I'm not gonna fucking
talk to anyone, okay?

You can't make me.

David, I signed a petition.

What the fuck?

What, you signed some
paper to get me locked up?

I signed a petition
to get you help.

This is fucking bullshit.

Seeing all those people
come in here today...

all those hurt people and
the death and the blood...

I was so afraid

of you being that sad and angry.

I cannot bear to lose you.

I would never do
something like that.

There's nothing wrong
with me. It's me, Mom.

You know I'd never
hurt someone like that.

Please, don't...
don't do this to me.

Why are you doing this?

All we're asking is that you
speak with a professional.

It's important to
talk to somebody

about how you're feeling.

You think you might
be open to that?

Fuck you.

Fuck all of you.

Can you just get out?

Get out!

Hey, Perlah, can
you take Theresa

to go find a cup of tea?
- Yeah, of course.

Jesus.

What now?

Well, I suggested a better way,

but you had him taken down
by the police, handcuffed,

and dragged in here.

You made this fucking mess.
You're gonna have to fix it.

Pigtail's in the right
atrium, good position.

Aspirate, see what you get.

Pulling back blood
from the heart...

Along with some air.

How about that?

BP's still only 85 systolic.

No improvement.

Advance slowly into
the right ventricle.

- How do I know when I'm...
- PVCs.

That's how you know.
Aspirate again.

Run of three.

More blood and air coming out.

- Run of five.
- Non-sustained V tach.

Charge to 200 for
when he deteriorates.

Mainly blood now.

Pull the pigtail back to the RA.

- Step aside.
- Pull the pigtail, Dr. Mohan.

- Step aside!
- You got this.

Normal sinus rhythm, 92.

Pulse ox is improving.
BP's 112 over 84.

Not too shabby, huh, Dr. Walsh?

I think we can admit him
to General Surgery now.

Hell, no.

- He's a gunshot victim.
- Admit him to the cardiac ICU.

We'll consult from there.

Well, you can
admit him yourself,

with Cardiology consulting.

I thought you liked
flying the plane.

Not when it's gonna crash.

Solid work.

That was your save, not mine.

Take the win, Dr. Mohan.

Thanks.

Besides, it was a little too
risky for me to do myself.

- What?
- Suture.

Whoa, this is so cool.

Blue plus blue equals pink.

Can you tell us your name?

Max.

Max, can you tell
us what you took?

Sleep.

Yeah, he might need a second
dose of methylene blue

if his methemoglobin
level stays above 30.

This definitely wasn't poppers.

He would have had to have
sniffed, like, a gallon of it.

So what caused the overdose?

Got to wait for him to wake up

so we can get more answers.

Trish...

I have a special
visitor for you.

Mom, are you okay?

Yeah, I'm fine.

Okay. I was so scared.

- I know.
- And Dad.

- You okay?
- Mm-hmm.

Just... my patient
hasn't seen her daughter,

and it won't... it
won't happen again.

Never apologize for feeling
something for your patients.

Today was chaos.

You were awesome.

I'm really glad you're
with us, Dr. King.

Robby, Flynn's parents
are here, the measles kid.

You should go home.

How did Flynn get measles?

Uh, from his sister.
Hi. I'm Dr. Robby.

Georgia is fine. She's
in our staff room.

She's the one who
actually called 911

and probably saved
her brother's life.

Georgia was sick, but she got
better on her own quickly.

Yeah, many people get better
on their own, like Georgia.

However, as many as 1 in
20 kids that get measles

get pneumonia, like your son.

Are your children
vaccinated against measles?

No.

The MMR vaccine
is perfectly safe.

Measles is not.

We're concerned
about inflammation

and possible damage to
Flynn's brain and spinal cord.

The measles got to his brain?

Well, his head CT was
normal, but the only way

to find out if he's okay is
to perform a lumbar puncture.

A spinal tap?

I've read about kids
who've been paralyzed

from a spinal tap.

There is zero risk of paralysis.

What about bleeding
or infection?

It's a perfectly safe
procedure... we do it every day.

We need spinal fluid to see

if Flynn has acute
disseminated encephalomyelitis.

And if he does?

We treat with high-dose
steroids to decrease the risk

of blindness, deafness,
intellectual disability,

even death.

He could die from this?

Yes, the death rate from
ADEM is high... 1 in 5.

Do the spinal tap.

No!

Can't you just give him steroids

without the spinal tap?
- If there's no ADEM,

the steroids could
suppress his immune system,

making it harder to
fight off the pneumonia.

But it says here that...

Can you put your
damn phone away?

Your son is critically ill.

The longer that we wait,

the higher the risk of
permanent brain damage.

What is not clear here?

Hillary, he has a
tube down his throat.

He can't breathe on his own.

They're not poking
holes in my son's spine!

Wow.

Okay.

Let's just wait and
see if he gets better.

Dr. King, could
you please take

Flynn's parents to
see their daughter?

No problem.

They are going to
see their daughter.

Fucking Dr. Google bullshit.

They want medical treatment,

but they don't want
medical advice.

What the actual
fuck are we doing?

Yeah, I know, and
we'll keep trying.

Hey, you okay, boss?
- Yes.

Hey, Whitaker.

You got a minute?
- Yeah, yeah.

I just wanted to say thank you

for earlier when I was, um...

Oh, your brief moment
of silent reflection?

Yeah. You didn't
mention that to anybody?

- No, no. God, no. No.
- I don't know what that was.

I was just... felt
like I was drowning.

What was that you were reciting?

It's called the Shema prayer.

It's a declaration
of faith in God.

I lived with my grandmother
when I was little,

and she and I used to
recite it every morning.

"Even youths grow
tired and weary,

"and young men stumble and fall.

"But those who hold
hope in the Lord

"will renew their strength

and soar on wings like eagles."

It's Isaiah 40.

I was an undergrad
theology major.

I don't know why I said that.

I don't know if I
actually believe in God,

especially on days like today.

A wise man once told me that
you learn to live with it,

learn to accept it,

and find balance if you can.

I hope we all do.

Only one pink left.

The rest all went up.

Hey.

You guys need any help
with new patients, or...

No, no, no. We're good.

It's quick and easy
stuff. Go home.

- Yeah?
- Yeah.

- Hey, you got a second?
- Yeah.

What is up with Robby?

He's been better.

I'm really worried about him.

I've never seen him
like this. Have you?

No.

How about you, slugger?

Been better.

- Preach.
- Yeah.

Sorry to interrupt.

Oh, uh, if you guys are
looking for Officer Stefano,

he went up to surgery
about an hour ago.

We're looking for
Dr. Cassie McKay.

Uh, yeah, that's me.

We were alerted about
your ankle monitor

being tampered with.

County probation called
to check in earlier,

but you never responded.

Yeah, it was... it was beeping
and giving an error message.

And we were in the middle of
a mass casualty from PittFest.

Did you tamper with
your ankle monitor?

Yeah, I, um... I might have...

I might have drilled
a hole in it.

Officers, look around.
She was saving lives.

Put your hands behind your head.

Whoa!

Whoa, whoa, whoa,
hang on a second.

- Are you joking?
- Officers, wait a second.

You're under arrest.

Great.