Original subtitles

So, how's your life going?

Having any chest pains?

Been in an accident?

Are you bleeding anywhere?

I'm the one you call when shit goes wrong.

I am your best friend on your worst day.

And all of the shit you're about to see happened to a real, actual paramedic.

What's up, Mike?

Who's your friend?

Nobody. Student ride -along. Not a real person.

Man, don't take that shit from them.

Hey, what y 'all doing here anyway? We got a Disturbing the Peace call. What?

What the fuck are you talking about, Disturbing the Peace? They told us it

an unknown medical.

Shit, I hope it is.

Somebody gotta go to the hospital. That's your paperwork, not mine.

Yep, ABC's the police work.

Ambulance before cruising.

Please be Disturbing the Peace.

Please, Disturbing the Peace, come on.

Police!

O .D.

That's all y 'all suckers.

Shit. You want to get the stretcher?

Gladly. Is she dead?

She's not dead.

Dying? Not dead.

What do we assess first?

ABCs. ABCs?

Airway, breathing, circulation.

Yeah. First thing. That's what we check. Do you understand that? Yeah.

ABCs. It is.

Oh, man.

Oh, come on. Quick.

What the treatment is for a dirty needle stick?

Chemo. Same as for a cancer patient.

72 hours flat on your back and puking.

A year's worth of HIV.

All right.

Now.

I'm going to kill you motherfuckers. I should mention at this point that you're

all going to die.

Heart attack.

Car accident.

Murder. Cancer.

Diabetic shock.

Pork in the toaster. Or peanut allergy.

Rich or poor.

old young sometimes they don't find you for days you'll be dead too one day and

sooner than you think because guess what it all ends in the movie of your life

when you're starting in one day that movie just ends and you're gone

remember what it was like before you were born it'll be just

like that forever

For the people like me, you give a little borrowed time.

I'm going to kill you motherfuckers! Get the fuck out of my house!

Gun! Gun!

Secure your seat, Tiger! Secure your fucking seat!

Look, man, first of all, I didn't know you could run that fucking fast. God

you fast.

I didn't know who had a fucking gun.

I'm going to fucking kill the dispatch for this.

Shoot. Shot at us. You idiots! Someone pull that gun! You run!

These are yours, dear man.

Okay. I'm fine now.

It's going to be all right, okay, ma 'am? We're not going to let you die.

Here's the thing. If you say that one more time, I'm going to punch you in the

throat. We never say that to a patient, ever.

This is Narcan.

It kicks the heroin off of the narcotic receptors.

This woman just paid a lot of money to get higher than Jimi Hendrix, and we're

about to take that away from her like that.

Okay, um, you know what? I wouldn't sit there if I were you.

Why?

Because of you.

What the fuck? You stole my

heart, motherfucker!

You're welcome.

Your life is safe. I'll take you to the hospital now, ma 'am. We need to settle

down.

Hey,

hey, calm down. You need to calm down.

Oh, shit. All right, we're free.

Oh, shit. Oh, no, no, no. No, no, no.

Are you

kidding

me? You struck me with a dirty needle!

You shit!

What happened?

We administered oxygen.

Yes, and then the patient needed to be restrained.

thereby possibly resulting in some self -administered bruising. Is that your

medical opinion?

I'm sorry, what medical school did you go to again, doctor?

Not a doctor.

Sorry?

Not a doctor. That's right.

You're not a doctor.

So what do you say we leave the diagnosing of the patient to the real

huh? They got a dirty needle sticking in the end. Except you please write me a

prescription. What a shit show. You're unbelievable. Hope you enjoy your time

this nice, clean hospital.

Doctor, while I'm out there on the street, vomiting it on, having to take

to smell like the hope I'm sat in my mouth.

One day, I've been shot at.

Thrown up on and strangled.

I don't know what we still have.

Yeah,

this sounds real shitty when you say it like that.

There goes a period, no?

Bullshit, you can't talk while intubated.

Well, I see you've certainly put in your time as a paramedic.

Well, I imagine insurance sounds pretty boring, but we do work on it in pretty

tight timetables.

How are you handling stress?

Well, I'm a paramedic, so I'm always stressed.

Is that why you chose insurance?

Well, I think that with my many years of experience as a medical provider,

that... transitioning to another kind of medical or healthcare field, I could

bring a beneficial experience.

Beneficial, huh?

Well, I think that being a poor medic is really important.

And in all honesty, I got into EMS because I really wanted to help people.

But the reality is we hardly ever help anybody.

We're just kind of a mop -up crew for the worst tragedies in people's lives,

know?

And, man, I have seen stuff.

Dead bodies don't even register.

I've seen millions of dead bodies, body parts.

I've seen arms and faces ripped off.

Man, that image gets scarred into your brain for the rest of your life, and I'm

tired.

tired I just I show up to work first thing in the morning and my first

is fuck everybody and given the opportunity I would set fire to that

because it's broken Bruce it's broken the whole system is fucking broken

and it's sinking and I'm out there with a thimble trying to bail it out if I

make one mistake someone could die and you want to know my experience I'm

burning out

I'm freaking out.

I'm burning out.

I'm burning out and I need the hell out of EMS

before I fuck up and kill somebody.

Are you 10 -8 yet?

Negative. Waiting on hospital paperwork.

Waiting on paperwork. They are over there hitting on those nurses. That's

bullshit. 22, get moving.

Oh,

hey, Shanice.

Hey. Hey, Randy.

How'd you enjoy your week off?

Oh, yeah, great. All the fun of cancer without the cancer.

Yeah, I had a needle stick one.

I remember.

That junkie behind the chicken place with the hair.

Oh, yeah, I forgot. I was riding with... That's right. Listen.

You've got to take me off the schedule.

Please. You've got to cut down my hours.

Somehow, really. I'm in terrible shape, Shanice. Shanice, listen.

I'm not okay.

Randy, I am sorry, but I am sure that I don't have anybody else. You're in 42

with Mike.

Why are you always sticking with Mike?

Because he's the only one that can put up with your prickly ass. You know what?

You may not know this, but you're not very good at interpersonal relations,

I hope that's not a shock to you. Because you know what? I rode with you

years, but you break most of these people within two or three months. Oh,

on. That's not true. That's not fair. Lots of people like riding with me. Like

Kim. You like riding with me, right, Kim?

You do so like riding with me. She likes riding with me.

When are we going to get a raise? Oh, baby, I would love to give you a raise.

And as soon as the government ups our reimbursement, that's when you will get

your raise. Oh, and by the way, Randy, you have another student.

No. Yeah? Uh -uh. No, there's no way. Oh, no. You are senior. You hit the

student. Is there another paramedic I should put them with? Somebody better

you?

Nobody's better than me. That's what I thought you'd say.

Oh, come on, baby. Don't do me like that.

You know, I mean, it can't work.

I mean, you have to sit.

No, no, not p .m., a .m.

I can get up to 7 .30, but all I need is 45 minutes.

That's more than enough time, you know?

About 15 months.

Oh, yeah, you know, I like that.

Look at this old freaky bitch.

You know you only got like 10 summers left.

You know what? Don't start with me. I haven't even had breakfast yet.

Mike, you don't want me to drive today?

Uh, no.

Okay, I drive. You know that. Come on.

No, come on.

Look, I will.

You heal.

Why do you want to upset the natural order thing?

And look, we got a student today, too. I know. I'm hoping we can pull out before

that dipshit shows up.

Dipshit's already here.

Oh, fuck what?

Or Jessica.

Randy.

Hey, Randy.

Thanks for having me.

Hey, you know something? You seem pretty smart.

Bet you're on top of your paramedic class and everything, ain't you?

Pretty smart.

I'm smart, too.

We're a gay -recognized gang.

Okay. Listen up.

We work a 24 -hour shift from 7 a .m. to 7 a .m. You really want to spend 24

hours in this hot box with two sweaty dudes?

Yep. You're going to see things that you can't unsee.

I'm sorry. Did I make a mistake? Because I actually need you to set me up with

the best, because I want to learn from the best. So, am I on the wrong track?

Okay. All right. You want to tag along? Fine. But here's what you're going to

do.

Nothing.

You are going to do nothing.

You're going to touch nothing.

You are going to say nothing unless I instruct you to. You understand?

This is not a democracy.

It's a dictatorship.

Okay? What I say goes.

Period. End of story.

All right, dictator.

Let's hit it.

What the hell?

We're supposed to be saving land and you're getting a latte?

Hey, we don't get lunch breaks or bathroom breaks. We got 24 hours ahead

We got to grab what we can, when we can, and right now I am starving.

Hey, do you guys really have to park like this, man? I mean, you're taking up

like three fucking spots.

We park that way because we have to leave quickly in an emergency, sir.

You know what?

All you people do is tie up trap.

You know that? You should get a fucking real job. How about that?

Hey, dipshit, we do have a real fucking job. What do you do with this classic

-ass name tag?

Kevin? I'll go back to Radio Shack, motherfucker.

Chill out, man. I don't have to chill the fuck out. You chill the fuck out.

You're an asshole.

Yeah. I'm not chilling. You'll see.

Fucking handlebar mustache bitch.

Yeah, I'm sorry, mama.

uh coffee and a muffin no you know what two muffins one chocolate one blueberry

two muffins one coffee that is 10 .25 um

free coffee for heroes free coffee for firemen and policemen

Oh, it's your boy Johnny.

He's working close today.

You know something?

I bet you he's not. I bet $20. $20 or he's going to be butt -ass naked.

Oh, no way.

$20. Bet you right now. I'm in.

You're paying for my lunch today because he's going to be fucking butt -ass

naked. Let's do this.

Let's do it. Come on, big money.

Okay. Hey, student of the year, what do you think? You in?

Ball's in or out?

Ball.

Ah, there you have it. It's a draw.

Shirt, no pants.

What are you talking about? That's bullshit, okay?

I can see his dick. That qualifies.

He's not naked.

How do you call that naked? He's wearing a shirt.

Shirt, no pants. Looks like Winnie the Pooh. I guess Winnie the Pooh got his

dick out because I can see Winnie the Pooh's dick.

I am Satan and his only messenger.

Man, that's greedy as fuck. You cannot be Satan and his only messenger. Just

pick one, okay? Too many fucking jobs.

I'm Satan and his only messenger.

Okay, you know what?

Have some breakfast. But leave people alone.

Lay low, okay? Or I'm going to poke the defibrillator up to your face.

You understand?

Hey, look, it don't matter. Put some fucking pants on and get your ashy

leprechaun -ass movie. Nobody want to see that shit.

Satan goes.

County is medic 42.

We are available. No patient on scene. Repeat, no patient on scene. Wait a

minute, what are you doing? You just abandoned your patient. You can lose

license.

That is not a patient.

That is Johnny.

If he was actively schizo, he'd be pulling out his hair and biting his lips

until they bleed.

That's what Johnny does when he's not on his meds. Right now, Johnny is acting

this way because he's hungry.

Oh, he's hungry.

Yeah, the guy wagging his dick around.

Yeah. He's hungry.

He wants us to take him into the ER.

where they have to give him a meal before they let him go, because the ER

choice. They legally can't turn anyone away.

Now, we could bring him in for his ER happy meal, but guess what? There's a

ton of paperwork involved, so it's a lot easier for me to just skip the

middleman and give him my breakfast, and I'm starving.

Okay, so just to recap, your medical solution is nothing.

I sacrifice my delicious muffins for the good of humanity.

Why are you here?

Because I want to save lives.

Is that funny?

Save lives. You think we're saving lives?

Come on, man, we just gave a dude muscles.

Yeah, I used to want to be a hero, but the fact is, we're not heroes, okay?

The fact is that most of the calls that we get are bullshit.

The people that need us don't call, and the people that call don't need us.

People live, people die. You rarely make any kind of difference.

Whatsoever. This is a job.

Okay? You clock in, you clock out. At the end of the day, you go home. That's

it. I don't think you really believe that.

No, I do.

I do. I really, really do.

I do, if you want to laugh.

But you have people's lives in your hands. How can you not care? How can you

give a shit?

Cams will kill you.

The fact is...

Most people on this job can't last a year. They can't hack it.

And the good ones, the really, really good ones, five years.

Five years max. That's all they can handle.

How long have you been doing it?

All

right,

class president, this one's for real, so pay attention.

You're with me. Grab the bag. Don't touch anything.

Nothing. Got it? But then why am I... Here.

Walk. Don't run. Never run. Why? Why?

BSI. What?

BSI. Put your gloves on. Okay, okay.

Hey, Jimmy. Hey. Gonna need you to pop that door.

Good. Also need an additional driver.

I need Mike in the back with me.

Hey, hey. Everything okay?

What is that?

I answer questions after the fact.

Window punts.

All right, head of our clan.

What do we assess first?

Airway, breathing, circulation.

He's breathing, but it's rapid deep breaths.

Kugel?

Wait, am I right?

Ricky, get out the way.

What's going on here?

Yeah, Kuzma's possible broken everything.

What about you?

The lady was a little shook up, but she's all right. All right.

Grab me a collar, will you? Okay, I got you.

Get out the way.

All right, can you grab me a non -rebreather?

You just said not to touch anything.

And now I'm asking you to touch a non -rebreather and bring it to me.

Wait, no.

In the bag.

In the bag. In the bag.

Walk. Don't run.

Hey, buddy.

Can you hear me?

One, two, three.

One,

two, three.

How am I doing?

Nothing to belly do no for.

Got this, hero?

Yeah, he's in big bed.

You, I need you to do CPR.

Now, go.

Go!

Harder.

Harder! You're not doing anything.

Harder! Oh, God, this is... No, no, no, that's a good thing. That's a good

thing. Don't stop, okay? That means you're doing it right. Yeah, I can fix

broken. I can't fix dead.

Come on!

Oh, we're going to whack them. Yes, we're going to shot them.

Charging.

Clear.

Brainiac is clear. All clear.

Coming through.

Hello, hello, hello.

Got an approximately 40 -year -old male, two -car MVA, restrained driver.

Severe damage to the vehicle.

10 -minute extrication.

Kuzmals at first, but once we got him out, went apneic and V -fit. Been shot

three times. Last time was on the drive here. Now asystolic.

Ready? One, two, three.

Pupils are fixed and dilated.

Fractured right arm and depressed skull fracture.

Hold, hold, hold, please.

He's asystolic.

You said it was traumatic. Did you ever get a pulse back?

No. No.

No.

Time of death, 1029.

Oh, God, you gotta be shitting me. Is that mud?

Well, nice job, Dr.

Randy. Just track all the mud and bacteria you want into my ER.

doctor just called it that's it yes that's it dude was dead when he got

okay well if you thought he was dead then why did you make me do cpr because

nobody dies in an ambulance what do you mean it's an ambulance nobody dies

in the ambulance it's a legal nightmare once we start working on you we're not

allowed to declare you dead only a doctor a coroner can do that so even if

has zero chance of making it even if we're just pumping blood through a

we cannot declare him dead.

Now, he can be dead before we show up, he can be dead once we drop him off, but

never, ever in between.

That doesn't make any medical sense.

It's not medicine.

It's healthcare.

Welcome to EMS.

No. God damn it.

Stay.

No, girl!

Take my dollar, you motherfucker!

God damn it!

Children can hear you.

Fine, good.

Do you have a dollar?

What I don't understand is, if you hate your job so much, why don't you just

quit?

Because I like to eat, and I don't like to sleep in the gutter.

So get another job. Like what? Like an airline pilot?

Huh? Listen, I've tried.

I am stuck here, okay? Work at the hospital.

All I'm qualified to do is change bedpans and wipe asses. My training

mean shit here. Go to med school? Forget it. Now, by the time I finish, it will

be time for me to retire.

Okay.

Wait, what?

No, God!

I hate you! No, no, no!

Oh, God!

Andy.

Chris, I feel like my heart's gonna get my asshole.

Hey. Hey.

What's the matter? No, I'm fine.

I'm fine. Do you have a heart attack?

No, just stop it. God.

No. Okay, so it's a panic attack. No, it's not.

Why don't you take some slow, deep breaths? Uh, hello.

Paramedic.

Are you okay to walk like this?

I'm gonna be fine. I just...

I just need some time.

You don't understand.

You

know,

when I was 13, my mom and my sister and I went camping in the middle of nowhere.

My mom really liked cold chicken, so we were eating cold chicken on the picnic

table with some potato chips. And my mom got a piece stuck in her throat.

And I didn't know how I'm like or anything.

So right there, in that dumb campground, my

mother died.

me a long time ago, run away from this job as fast as humanly possible,

or you will end up like this.

That's weird.

Uh, hello, this is Randy.

Okay.

Jimmy, you can't be late.

I'm not going to be a teacher. Fuck those kids.

It's just always so early to be here.

What the fuck's going on with you? I can't stop.

I don't think Randy's doing correct.

That's it. I'm done.

I'm done. I got a new job. I can't believe it. I totally thought that I

interview, but apparently they love my honesty.

So that's it. I'm out of here.

Shanice, you've been amazing. It's not you. Really, thanks. You're the best

supervisor. I really thank you.

I don't even give you two weeks, do I?

I don't think I could stay here another two weeks. I can't do two weeks notice,

please. They need me to start on Monday. Come on, please, please. I can't

believe it.

Honestly, I didn't know that I could feel happy.

two here can we uh read up on the rubber gloves hypo and normal saline hang on

randy i did not say you can quit and you have to finish your shift excuse

me

It's actually kind of freaking me out. Yeah, it's a little unnerving.

Well, in 18 more hours, I am done with EMS forever.

Uh, hi.

Hello. What took you so long?

What do you mean, what took us so long? We got here in six minutes. That's two R

&B songs.

Six minutes. We can't get here faster than six minutes. What the fuck do you

think we got to tell for?

Uh, where's the patient?

All right, look, just, just follow me.

This way.

Come on.

She's been having a little trouble breathing lately.

Define lately.

Newbie, what's your assessment?

Well, she's cyanotic, appears to have lividity, in my professional opinion.

She's dead.

You gotta do something.

Do something what?

CPR? She's dead.

Got a better chance of reviving the nightstand.

You gotta try.

No, we're not touching her. Uh -uh.

I'm getting the charge nurse.

You get the charge nurse if you want to. Is the charge nurse a magician?

Because that's the only way this lady is coming back alive.

With magic.

Waste of time.

You can maneuver you instead.

No offense.

I am offended.

Hey, Kelly. Medic 42.

Medic 42, this is Kelly. Go ahead.

Kelly, we need a coroner. There was DOA on the scene. And we're standing by for

paperwork. Copy 42. Contact.

mean coroner? What's going on here?

Your patient is assuming room temperature. I declared her dead.

The coroner is coming and we are going to leave.

How do you know she's dead?

What are her vitals?

You want to know her vitals?

Well, if you must know, zero pulse, zero over zero blood pressure, zero

respirations. Like all zeros.

Would you like to know her blood?

He was just fine when I checked on her a few minutes ago. A few minutes ago,

really?

Shake her hand.

Go over and shake her hand.

Do it.

I'm good.

Mike?

Because she's dead.

This type of stiffness don't take a few minutes.

We're talking five or six hours.

Huh? You can iron your clothes on. That's how stiff she is. Stiff as a

Can I be honest with you?

You're probably the worst nurse I've ever fucking met.

This is totally unacceptable.

I'm calling your supervisor.

Oh, please do. That would be hysterical.

In the meantime, I suggest you get Mrs. Purcelli on ice.

She's starting to add a lovely aroma around here. I smell dead people.

Hello?

Randy, who is this nursing home lady screaming at me on the other line? Look,

these people are idiots, okay? They had a patient of theirs that was dead for

hours. Randy, you have got to learn to manage these people. They're acting like

an asshole to everybody.

Now I'm going to deal with this mess.

Wait, it's my last day, Janine. It's not my last day. If you finish your shift,

then we'll see if it's your last day. Really?

Oh, no. This is definitely my... I said what I said.

Fuck. So, Carol, if you were assessing that patient, would you classify them as

alive?

I see.

No, no, no, no. You're right. I don't have a nursing degree. I was trained as

paramedic. Uh -huh.

Let me ask you something, Carol, since you deal in elder care.

My grandmother died 12 years ago at the age of 99, and we buried her next to my

grandfather at that cemetery out by the airport. You know what I'm talking

about? Uh -huh. Let me ask you this. If you and I were to go out there together

right now and dig up my grandmother's corpse, do you think you could revive

Because that makes about as much sense as what you're saying to me right now.

Your patient was dead, bitch.

Mm -hmm. And your people didn't realize it for five or six hours. That is called

negligence. But you thought you'd just call 911 and pump your asses, is that

Well, how about you and I call your administrator and go over this incident

point by point and see which one of us still has a goddamn job by the end of

day?

Oh, you're suddenly okay?

We're clear now, Carol?

Grateful if you have any more problems. My name is Shanice. You call me

immediately, okay?

I'm so hungry. Mike, find a taco truck or something.

I guess that's all you have to say.

You didn't really quit, did you?

Yeah, I did.

No, you didn't. No,

you didn't. Yes, I did.

But look, let me say this. Okay,

Randy has been in this way too long.

Your hand mask is not supposed to be on just this long.

He's going to be out there in the real world.

What the fuck are you doing shit? What are you talking about? I wouldn't know

how to function out there. Only you know how to function out there. You're damn

right I do. I function well out there too. Because I'm a normal fucking

I go home. I take a shit. Then I take a shower. Then I put on my clothes. Then I

pick up my lady. We go to dinner. Then we come back home and we fuck.

Okay? That is called being a part of society.

You, on the other hand, would not survive one day in the real world.

ain't did shit. He don't do nothing besides this. When was the last time you

been on a date?

When was the last time you washed your fucking sheets?

Oh.

Well, where are you going to work?

I'm working in an insurance company.

What?

What?

You don't work in insurance, please.

Man, you can't even work in fucking Philadelphia.

I can work.

I can still work at Subway. You got to deal with customers to work at Subway. I

can deal with customers.

Oh, you could.

I'm a customer.

Okay. Okay, you ready? Yeah. Ding!

You know, the bell go off. Oh, hello, sir. Are you having a nice day? I'm

a great day. I'd like a sandwich for lunch. Okay. Would you like a six -inch

a foot long? Okay. I want a six -inch vegetarian sub. Okay. Okay. All wheat.

-hmm. With chicken.

Okay.

the vegetarian stuff if you have chicken though no i would like like i said a

six inch vegetarian soup only with chicken i'm sorry sir we can't we can't

that because it's not a vegetarian stuff motherfucker it is if you have the

chicken but if you're speaking on it that's it it's not a way to work that

it's not vegetarian there are rules here sir there are rules whatever the fuck i

want all right i want an orange pizza with grape juice in it You can serve

own drink, sir. Here's your cup. Go to the drink station.

What type of racist shit is that?

Fuck that. I'm calling corporate.

Beep, beep, boop. Beep, beep, corporate.

Hey, this dude ain't ready to work at the subway as an asshole, okay? He tried

to make me make my own fucking drink.

Also, this is a black man calling, so you know what that's about.

You know what? I'm not working at Subway, so win -win.

No,

come on. No, no, don't take it. No, no, no, no, Mike, please. My job.

42 is here. Go here.

I hope this patient is dead so I can eat.

Hey, hey, sir.

Sir, excuse me. We just want to take a look at... Yeah, hey.

What?

Hey, sir, why don't you go ahead and get on the ground so we can help you out,

okay? Here, come here. Can I take my helmet off? No!

No, no.

No!

You have a little too much to drink this

afternoon? A little.

I'll be right back. Let me get the rest of you.

Hold C -spine, please, madam.

Yeah. Thank you. Hello there. My name's Randy. We're going to be taking you to

the hospital today. What's your name?

My name's Matt, or Matthew.

Okay, Matthew.

I'm just wondering if you could be... You can call me Matt, actually.

That's more like it. Okay, Matt.

Matt it is. Any other pain anywhere, hmm?

It's like a little headache, but I don't think it's a big deal, doc.

Not a doc, paramedic. Can you tell us a little bit about what happened?

Uh, yeah.

I crashed my bike. Okay, yeah, we just want to hold you real still.

Real still.

I don't have to go to the hospital,

do I? Because I don't have insurance.

Matt, don't worry about that, okay? They're just going to send you a soul

-crushing bill later on. Excuse me. Excuse me, I'm a nurse.

Excuse me, I'm a nurse.

I saw the ambulance and figured you'd need help.

Let's get this helmet off. You don't have to do that.

Lady, I don't want to be mean to you, but you remind me of my auntie. But

us the fuck alone.

Is this like a turf war over there? I need you to bandage his eyes.

What's wrong with my eyes?

Eyes. Both eyes.

Why are the other eyes fine?

Not a democracy.

Both eyes. That doesn't make any sense. Why would I do that?

Both eyes.

Do you guys know what you're doing? Because, like, it sounds like you don't

agree. Oh, we know exactly what we're doing.

Let him see out of his good eyes. Taggart, escort this lady out of my

immediately. What?

Out.

I'm not leaving my patient.

No, this is my patient.

Mine.

Are you having those bow ties because you are not in the panic? Not in front

the patient.

Not in front of the patient. Dictator, remember?

Dictator.

I can hear you guys.

Ladies and gentlemen, this is Matt or Maddie, 42 -year -old male.

Conscious monodular, ETOH on board.

Penetrating injury to his right eye. As far as we can tell, no neuroinvolvement.

Vitals are stable. No SOB or other injuries detected.

Well, that wasn't interesting at all.

Because to me, what I'm seeing here is a stick in the eye.

What? I'm sorry, sir. Your eye. It's jelly.

Oh, man.

I can sew it up and I can give you an eye patch. That's the best I can do for

you, though.

You can thank your friends in EMS.

I did everything right.

Get out of my ER.

Why both eyes? It's a perfectly reasonable question. Listen, our patient

to confuse you. He needs to know that we know what the fuck we're doing. So stop

asking questions in front of him like a fucking five -year -old. Hey, you know

what? I came here to learn from you because I thought you had something to

me. Instead, you give me all this bullshit about how saving lives doesn't

because you are dead inside.

You are everything I don't want to be.

Everything. Talk to me.

I mean, what kind? Are you jaded? Are you Mr. Tough Guy? What's behind the

The brain.

Right. And do we want that stick moving around, carving up the brain? No, we

don't. We do not, right? How many eyes do we have? Oh, come on. How many eyes

we have? We have two.

Do they work independently?

Oh, shit.

Yeah.

Or one eye moves, the other one follows.

You want it dead?

How far does that stick back there? We don't know. Is it digging up the brain?

We don't know.

Our job is to stop the trauma.

and get them into the ER as soon as possible.

Listen, the problem in an accident scene is everyone is so amped up and full of

adrenaline, they get tunnel vision.

They're just looking at the one problem. They're not seeing the big picture.

Our job, while everyone else is freaking out, is to take a deep breath, step

back, and see the whole thing.

that thank you uh okay uh and i shouldn't have questioned you for the

i'm sorry

No. Because he was right and I was wrong.

Okay, look, Randy can be an asshole sometimes, you know?

Okay, yes, he's an asshole all the damn time. But there's nobody else I would

ride with other than him.

Jesus! What the hell, man?

What are you... Pedestrians have the right of way almost killed me, dude!

We all end up like that?

Broken.

Can we go, please? I'm hungry.

Okay. Alright, let's go feed this motherfucker.

What you doing is fucking disgusting. I'm hungry.

What do you mean you're hungry? You don't see kids putting shit in your

You're eating like a fucking Pac -Man.

You know something?

I don't even want to eat no more.

I lost my appetite watching you eat.

Pretty soon, I'm starting this job.

I'm going to have a real lunch hour.

One hour.

Every single day.

I'm going to work from 9 to 5. I'm going to go home and I'm going to sleep.

Excuse me.

Are you an ambulance driver?

I'm not an ambulance driver. Okay, wait.

Can I just ask you one question?

Okay. Can I just have, like, ten more minutes and then I'll answer whatever

question you have? Oh, wait. One thing, super quick.

What's the worst thing that you've ever seen?

Why do people always ask me that?

I mean, I get that there's a morbid fascination, but, I mean, why do they

that?

What's the worst thing that's ever happened to you?

Do you want to think about that right now? I sure don't. I have seen some

terrible... Things.

I know things that you do not want to know.

I know what brains smell like.

Brains have a distinct smell. Do you know that?

Sometimes I smell it when I come out of the ambulance, and I know right then and

there. Better watch my step, or else I'll slip and fall in some poor dead

memories.

You know what's in there?

Dead two -year -old.

She got decapitated by the seatbelt upon impact.

You want to look in there?

You want that image seared into your brain forever and ever?

Well, someone's got to look inside.

Someone's got to have that image in their brain for the rest of their lives.

I'm that somebody.

That's not even the worst thing I've seen.

We get a call.

Unknown medical.

Neighbors complaining about smells.

Go to the apartment, meet the woman. She's totally normal.

Apparently, she's suffering from postpartum depression.

There it is. In the

microwave. And his face was like melted cheese.

Oh my god.

That is the worst thing I've ever heard in my life.

I know. I ordered it medium rare.

Come on. Come on.

Hey, come on. Don't be like that. You wanted to know.

Do you want your chicken sandwich?

Are you going to finish that?

Okay, so there wasn't actually a baby in the microwave.

See, that's what it is. You still new to all this.

And you ain't seen shit yet.

Like, nothing. Not at all.

You know, you still got all that resiliency. You got the emotional

the bank. You got all that in there.

And when bad shit happens, you still got that cushion inside.

Yeah, but when you've been doing this long enough, you run out of those

reserves.

Yeah, but you keep doing it.

Oh, hell no.

Oh shit, I'm going to law school in six months.

What? Yeah.

Why law school?

You know who gets fucked over more than anybody in this country?

Hardworking people.

Hardworking people.

I'll give you an example. My mom.

She passed two years ago of cancer.

And two years before that, she went to the hospital.

Because she knew something was wrong.

And he checked her out.

Her insurance covered that.

They diagnosed her. Her insurance covered that.

But when it came to actually helping her, they told her she didn't have the

right policy.

She did her best. She was calling the insurance company and arguing and

fighting.

But as she was doing that, the cancer spread.

And she died.

It wasn't even about the doctors at that point. She needed a lawyer.

I want to help people. That's why I became EMS.

You know? I want to make a difference.

I don't feel like that's what we're doing, man.

Also, I would love to not make minimum wage anymore.

I'm broke as fuck.

I'm taking all this shit home and warming it up later.

I don't have a goddamn thing.

You know, it's nighttime now, so it's... I think it's really weird.

Weird.

Weird.

I'm the president of the United States!

This is what happened last time.

But that is why we gotta get him in the ambulance peacefully, or he will kick

the living shit out of us.

But he knows that he needs to be in a psychiatric facility.

No, no, no, no, no, no.

He's a sweetheart, man. He don't mean any harm, you know?

That's usually when he's on his meds now.

His office meds are a different story. Plus, it's the end of the month. What

happens at the end of the month?

Well, look, the system gives him 20 pills a month, right?

But it's 30 days in a month.

What are you going to try to do with those other 10 days?

Loses his shit.

Sometimes he makes it to the end of the month.

Sometimes he don't.

Right now, it looks like he did.

Sort of like telepathy.

Look, look, Charlie is a 6 '6 black man with mental health issues.

Would you call the police?

It might kill the lights. We don't want to set him off any more than he already

is.

I'm the President of the United States!

You have all your teeth?

Yeah.

Then you're going to want to stay about, oh, I don't know, that far back.

You all ready?

Ready?

Hey, Mr. President, let's go.

Let's take a service, man. We're here to evacuate you and take you to the White

House.

What about the First Lady and the Vice President?

We're going to head into the war.

We won't be leaving anyone behind.

Stay safe. Stay safe.

Sir, please, please, come, come, come, come.

Stay low. Stay low.

Watch for snipers, sir.

Right this way, sir. Right this way.

Here we go.

No.

No. It's the chopper. Hey, show them that it's the chopper.

It's the chopper. It's right here, sir.

Right this way.

Come on, man.

Let's go. It's good.

All right. We got Mr.

President with us.

officers excuse me uh hey we've got this totally under control okay this is a

patient of ours he's having an episode right now calm

down

all right

I'm the president.

I'm the president.

I'm the president.

Please,

please, please.

As you can see, he's calmed down, okay?

I'm EMS.

That's our ambulance right there. We got him, okay? He just had an episode

today, all right?

He put the guns down, all right?

She's gonna belt you in, okay?

We can't take off until we get you belted in, okay?

Randy,

can you do me a favor? Maybe keep the president calm for a little bit?

Yeah, I'm on it.

County ER, Medic 42, can I get a physician?

Copy, stand by.

I need a doctor's permission to administer a sedative.

This is Dr. Serrano, what?

Dr. Serrano, this is Paramedic Randy, currently en route to your facility, an

emergent psychiatric patient. The patient was uncontrollable disease and

actively fighting the restraint of blood pressure 172 over 100, seeking two

milligrams of atropine for a sedation.

Atropine? Yeah, for sedation.

Atropine? Do you mean Ativan?

Are you trying to kill your patient, paramedic Randy?

Ativan, yes, Ativan. Two milligrams for sedation.

ETA, ten minutes.

There are three other hospitals in this area. Why don't you drop your patients

in one of them, huh? It's a busy night. It's not up to me.

You take care of what?

One patient at a time.

I got 25 full beds in there, man.

I got a waiting room with an eight -hour wait.

I got emergency codes going off upstairs constantly.

I got an administration that won't hire enough staff.

And simultaneously tell me that I gotta be fucking nicer?

I gotta be nicer, and I gotta be faster.

This whole building is on my shoulders, man.

And now, now I gotta take time to fix your mistakes.

I got a better idea.

Maybe you take your bullshit patients somewhere the fuck else.

Dr. Serrano, come to emergency, please.

Oh, you'll excuse me.

I gotta go back to never being done.

All right, here we go.

Can you handle the heat? I got it, playboy. Come on, man.

Oh!

Oh, yeah. You think that's a home run? That's not a home run.

You didn't even make it to the sidewalk.

It went right over your head.

The gutter is a home run line.

Oh, shit. Hey, boy, shut up and fuck a home run. Don't be a hater.

Go get your ball.

I'm not. No, no. What?

You know, son, this is crazy.

We've been doing this silly shit for three years now.

You gonna miss me?

We're gonna see each other. We'll hang out.

What do you mean we're gonna hang out? We don't hang out.

Yeah, we do. What are we doing right now?

Dude, this don't count. We're just running. It's just friendship right

This ain't work.

This is not hanging out. This is EMS shit, man. I don't know shit about you.

don't even talk like that.

What type of shit do you want me to ask you? How's your mom doing?

If your lawn is being tended to, if you have a lawn, I don't even know if

you're... My mom is dead and I don't have a lawn.

And, I don't know, what else?

God damn, man.

We're just co -workers, man. You act like I'm like your best friend or

something.

Come on.

Oh, shit, I'm your best friend.

Okay, who's up?

I have a lot of friends.

I have a lot of...

A lot of really good friends.

Damn it, I'm his best friend.

Medic 42.

I know my best friend.

Jerry is my best friend. Who's Jerry?

Jerry's my cousin.

That's why we don't run.

Excuse us, coming through.

Excuse us.

Thank you.

What happened?

You got hit with a line drive right in the chest and passed out.

I got it, thank you.

Are you his father?

No, I'm his uncle. Uncle.

Uncle, do you know if he has any medical problems?

Is

the

AED shocking?

Yeah, twice now. Did he wake up at all? No.

Total CPR.

Okay, he's invasive.

Charging.

Okay, clear?

Clear. Clear.

Okay, Mike, continue CPR.

How long was he down before you started CPR?

We thought he just had the wind knocked out of him. Yeah, how long exactly? I

don't know, maybe a minute?

Okay, that's good enough.

Oh, oh, oh.

We got a pulse.

Oh, hey, hey, hey, hey, buddy.

What's his name?

Seema Vicente.

Vicente. Hey, my name's Randy, and we're going to be taking care of you, okay?

Hey, there's no easy way to say this, Vicente.

Your heart got hit with a baseball, and it stopped.

That's why your chest hurts.

In the exact millisecond, your heart got hit, just as it was contracting. It's

like the ball reached out and sucker -punched your heart.

It's a one in a million chance.

As a matter of fact, I think this won't go by a lottery ticket if I were you.

Well, am I going to die?

You're with us now, and our job is to keep you healthy.

Okay? So, just lie there and relax.

Keep your night over safety.

Okay, that's not a bad start.

You're going to feel a little sting.

You're going to get an IV started.

One, two, three.

Okay.

Having any trouble breathing?

Any pain anywhere else?

You have any medical problems?

You're on any meds? Have any allergies?

How old are you again?

Are you married?

I get it. You're not ready to settle. You want to play the field. You want to

keep your options open. A commitment is scary.

I got it. I'm with you.

One, two, boom.

Okay, I'm going to call the hospital.

You just lie there and relax.

County ER, Medic 42.

Medic 42 on route to your facility. Emergent with 11 -year -old. Patient

-cardiac arrest due to a baseball to the chest.

Patient was down for approximately a minute before receiving CPR.

Two shocks by AED. One by me. Patient is in an attack. Conscious alert.

Oriented. Time is 3. Blood pressure 90 over 60.

ETA approximately 7 minutes.

County copies.

Medic 42 clear.

Hey, Vicente. So you're quite the baseball player, huh?

What position do they have your plan?

Start CPR.

Charging.

Clear. Clear.

Clear.

County ER, medic 42.

County ER, medic 42.

Update, patient is back in cardiac arrest, EPA, two minutes.

Get out of here.

Okay,

we're good.

about 20 breaths a minute he was fine and then he just went right back into v

-fib 11 year old child male hit in the chest with a baseball he was down for

about a minute before the turn of cpr shocked three times she became alert and

conscious three times back into v -fib and v -fib to 200 one milligram of epi

shocked again second milligram of epi is currently a systolic do we have a name

uh vicente that's all we can wait until we have it got half a day great work

patient didn't make it.

Thanks, Colette.

Yeah, that sucks.

You were great with him, Randy.

No, I wasn't.

You were.

You didn't make a single mistake. It's not your fault.

You did nothing wrong.

I made a big fucking mistake.

I told the boy he was gonna live, and he died.

In a rookie fucking move, and I knew better, but goddamn it, he just kept

and asking.

That boy died.

But yeah, I was gonna save him.

And I had to live with that for the rest of my life.

And that's why we build a wall.

Not to keep people out, but to keep shit like that inside.

This job breaks everybody.

All we want to do is save your life.

Oh, shit.

It's immediate.

Make it easy.

You should be dead five times over.

How many times have you brought her to death?

You refuse to die.

Respect.

Others of you, we do everything right.

They can't die on us anyway.

We see you struggling.

They can't deny you service, but they can bankrupt you. We're the blister.

We carry you on our back.

Every one of us.

Crush us a little more every day.

Until you grind us down to a nub.

This is all part of the job.

So you deal with it.

You compartmentalize it.

You eat shit and shove it down, down, down until one day you wake up and you

say, you know what?

Fuck the patients.

Fuck the nurses.

Fuck the doctors.

Fuck this ratty -ass hospital.

Fuck all the blood, shit, and puke.

Fuck your documentation.

Fuck the fakers.

Fuck the bullshit calls.

Fuck every shoplifter who got caught and pretended to pass out.

Fuck the PD.

I know my rights. I know my rights. Fuck every 2 a .m. drunk who thinks they

know the law.

Fuck the bystanders, the rubberneckers, the looky -loos.

Fuck the dead ones.

Fuck the live ones. Fuck this bullshit pay.

Fuck me. Fuck you.

Fuck this job.

Fuck everyone except the kid who just won. wanted to play baseball.

Exit paperwork?

You don't have to sign it.

I'm not even finishing your lab shit.

Don't go out like a chump.

Turn on the lights.

Randy, come on. Are you... No, I can't do that. Let's get a cup.

This is Man at 42 responding.

I'll check this out.

What the hell?

I got you.

Where's PD to control these assholes?

Shall I roll

around

three one two three

How'd you get so lucky, huh?

Okay.

Ooh.

You're lucky, baby.

Lock off the whole fucking freeway. No one gets through.

County, Medic 42.

Do you have another unit incoming?

Negative. Next railway unit in 50 minutes.

On the start, second unit.

Negative. We're taking the baby with us.

This baby is a healthy baby.

All right, switch with me.

Your job is to get her awake. Keep her breathing and have all calm.

Let's see if she takes an OPA.

Yep, she's okay. No gagging.

She's got a lot of rib fractures and ad lax.

Oh, she's gagging on the OPA, but it's intermittent.

Should I take it out?

Yeah, take it out. She's had too much trauma already.

Talk to her. See if she can make amends.

Miss, can you raise your right arm, please?

Bad. Hang on there, Mom.

Ma 'am, you're in an ambulance.

We had a pre -med call right through. Your child, she's okay. We're taking her

to the hospital.

Tony, ER. It's Medic 42.

We're incoming to your facility.

Emergent with two patients, one a Level 1, the other a stable pediatric.

Medic 42, be aware we're on the verge of, we've got way too many patients

You'll have to take them to the ER at the university.

Negative.

Negative. She will not make it to the university.

Listen up, okay? I've got an approximately 30 -year -old female, a

hemocollision, ejection. That's a damage to the adult.

Now it's a 14, right?

Yes,

she does.

Listen, we're only there five minutes, okay? So just page out as he... We are

coming there with you, like it or not. Forgive any for us.

No one is happy.

No, no, no.

Stop. No, no, no. Doctor, listen.

A 30 -something -year -old woman, a head -on collision. No, no, no. Four other

passengers are DOA. She is not a level one criteria. Do you have any idea how

expensive a level one criteria is? Any idea, you idiot. Okay, this patient

all level one criteria. She's not even incubated.

You got her bag?

What the hell is that? This patient is dying, asshole!

Now listen to my report!

Come on!

Come on!

Listen,

I would be happy to kick your ass and put you in a bed right next to her, but

you need to listen to my report!

How about this? How about instead I call your supervisor and we settle this

right now?

Who the fuck do you think you are?

A patient just went apneic three times with no gag reflex on the way to the

hospital. She's got a skull fracture. She meets all level one criteria.

Because last time I checked, when a patient goes apneic with no gag, their

goes down to three.

Right? And I just watched this paramedic fight like hell to save this woman's

life while caring for her child and dodging incoming traffic at the same

time. And all I see you doing is standing there like a fucking asshole

dick in your hand, arguing with him about this patient who is dying your

patient and if you refuse to treat her you'll lose your goddamn life

who are you

i'm dr romero i'm your new resident

oh

I have so much fun.

Get the patient.

Okay, look.

You mean to tell me you're a doctor?

Resident, but yeah.

You told us you were a paramedic.

No, I didn't. You said that. I just didn't correct you.

I never said that.

That's what you said.

when we first met you why would i i'm a doctor and i'm a paramedic hey doctor

what's your face grab a bedpan come with me we're gonna have so

much fun

I mean, usually once we drop them off, it's not a problem anymore.

But it's good to know she made it, you know?

Yeah.

Way to throw yourself under the bus, doctor.

Serrano's going to make your life a living hell.

No.

I never want to be that kind of surgeon.

should have died, she would have died in my care.

Right now I'd be telling that family that their mom is dead.

You know, I thought I'd come out here today and I'd meet the paramedics and

what you do, how you work.

And I know you're sick of your job.

I know you're burnt out.

I know you think you don't make a difference.

You made a difference today.

You did.

You saved her life.

And you saved her family.

You're the kind of doctor.

ever need saving?

Hey, one of those is for Mike.

Not anymore.

That is a gift from the crew.

This is breakfast on us.

Dispatching the crew to your dinner because they heard you told Dr. Serrano

go fuck himself.

But this is a retirement gift.

Wow.

Now, get out of my substation, civilian.

Keep your passwords safe.

If you have any trouble at all, call IT right away. If you have any trouble with

them, call me right away.

Okay.

Now, to access the forms for the pre -authorization form.

You guys ever see anyone choke to death?

You get the fist, like, right under here. And then it's just straight back.

Ha!

Drowning is the worst way to go.

Absolute worst way to go.

Best way to die?

Decapitation.

What are you still doing here?

Is that it?

That's it?

Come on. Let's get out of here.

Well, as it turns out, your closeout paperwork was never properly filed.

Thanks.

Hey, maybe I could thank you formally sometime.

Take you out for lunch.

You will be in truck 42 with Mike today.

That's right.

That's right.

Listen, man.

You gotta let me drive this one.

Nope, Mike. Not a chance.

You know the rules.

Okay, I will. You heal.

Come on, how do you say James?

Let me try it, is it?

Yeah, the system is still broken, but what am I supposed to do, quit trying?

I'm no hero, but the truth is, I only feel alive when you're about to

die.

See you out there.

Right to the left.