All language subtitles for Code.Black.S01E01.Pilot.1080p.WEB-DL.DD5.1.H.264-NTb

Doctor?

Any time today.

Hello, residents.
Dr. Rorish will be here shortly.

For now, you got me.

I'm Jesse Sallander.

For the next three years,
I'm your mama.

I'm the senior E.R. nurse,
and I can promise you

there's nothing
that goes on in this house

your mama don't know about.

Try hiding something,
your mama will find out.

You think you're smarter
than your mama

because you got an m.D.?

Well, you are not.

Your mama knows when
you're lying, crying, or dying,

and it's not only my job
to teach you right from wrong,

but to make sure you don't
leave here in three years

thinking you can do no wrong.

Guys, can we clean this up,
please?

You resident or attending?

First-year resident, like you.
My name's Christa.

Mario.
Where'd you intern?

Ucla.

Can't beat the tuition, right?

Wouldn't know. Nyu.

I'll be paying off loans
till I'm your age.

Thank you.

Thousands of newly minted
doctors like yourself

apply every year
to learn emergency medicine

in the civic cathedral,
which you are about to enter.

This is why you're here.

The most famous strip
of hospital real estate

in the nation, where
emergency medicine was born,

where the secret service
reserves a trauma bed

for the president
of the United States

when he is in Los Angeles.

This is trauma-1,
angels memorial.

These stalls
around the perimeter,

which we call the sides,
are for the patients

who put off dying
for a few minutes.

And then this here,
this is for the ones

who are trying to die on you
right this second.

This, ladies and gentlemen,
is center stage.

People come here for one reason
and one reason only...

To get one last miracle.

Now, in your mama's house,
there is a number-one rule,

and in order that you properly
obey this number-one rule,

ask me all the questions
you think are stupid.

Why? Because you're gonna be
too afraid to ask daddy.

So better to ask me than
to violate the number-one rule,

which is that you are not,
under any circumstances,

allowed to kill a guest
in my house.

If he's mama, who's daddy?

Somebody's at the door!

Homeboy drop-off!
Let's move!

That's daddy.

Grab some gloves, follow me.

What the hell's
a homeboy drop-off?

Gangbangers leave their wounded
on the sidewalk.

Jesse put up a doorbell.

"Homeboy drop-off"?
That sounds racist.

They gave it that name, not us.

My God.

What the hell?

Keep it together!
Come on!

Got a heavy bleeder
up front. Check the back.

Back's empty.

Gunshot wound to the neck,
obliterated carotid.

He's lost half his volume here.

Jesse, we got to
get him out of here.

Let's get the gurney underneath
him, please. Go.

All right, you...
Get over there on the other side

and push with both legs.

One, two, three...
Go!

Put him up.

Watch his head. One more time.
Let's go.

One, two, three, go!

All right, you, ride up top.

I can do it.

Get up there.

All right, careful, careful.

Put your finger down
where my finger is, right?

You feel that little thing
wiggling around like a worm

trying to get away?

Okay, that's the carotid artery.

Your finger is now the only
thing keeping that man alive.

Okay, go.

Life is measured here
in split seconds.

Hesitate, and people die.

I'm gonna need some suction.

Ella, Ella.
Call a t.T.A.

Jesse, call the blood bank.

Tell them I need 6 to 8 units
and notify the O.R.

Copy that.

Off to level 1, all right.

Got a gunshot wound, male.

One hole.
I don't know if there's more.

N.V.P. Now!

R.S.I. Etomidate.
20 milligrams.

Sux 140, please.
Push it on my mark.

Meds are ready.

Push it now, please.

Okay. Okay, now's a good time
to get down.

Come on, come on.
Copy that.

Do you want me to get the labs

for transfusion type
and cross match?

No, but you can take over cpr.

But the blood loss is critical.

Look at his pulse, doctor.

This man's heart needs
assistance.

Stop compressions
so we can intubate.

You got it?
Yeah.

Who can tell me why this patient
cannot be transfused

with type
and cross-match blood?

Anyone?

'Cause it takes an hour.
He doesn't have an hour.

He needs o-neg,
which is here now.

Thank you, Jesse.

But six units?
That's a lot of blood.

By the time he gets sewn up,
he'll have lost that and more.

Hang on. She's right.

Yeah.

It's gonna take
a vascular surgeon an hour

to replace that vessel,
and he doesn't have an hour.

He doesn't have 10 minutes.

And all that blood's
gonna end up on the floor

underneath a dead man.

It's friday night, mama.
We're gonna need that blood.

Yes, we will.

You're not gonna transfuse him?

Wait.
You're just gonna kill him?

What's going on?

I need a vas cath
in his "l" subclavian

and all the cold saline
that I can get.

Leanne? A word?

Who can tell me what I'm doing?

Cold saline, coming in.

Anyone?

I'm replacing all the patient's
blood with ice-cold saline.

Why am I doing that?

You shouldn't be.
He's already decompensating.

I need assistance,
Dr. Hudson.

I'll take it black
with no sugar.

That's a man on that table,
leanne.

You... are you ready
to speak yet?

The theory of cold infusion
is that it can create

a temporary suspension of
animation through hypothermia,

buying the patient, in theory,
the hour it'll take a surgeon

to repair the artery.

Bingo.
So you were right.

We are going to kill him.

We're going to kill him
to save him.

All right.
Let it go, let it go.

You have the cold saline?
Yep. Stat it.

Suction.

A cold infusion.
It's an experimental procedure.

It doesn't even have
i.R.B. Approval yet.

Sounds exciting.

You're the director
of the E.R., mark.

Where's your concern?

Left it in a bottle of Xanax.

The patient survived, Neal.

Well, this time.

Look, it was a horrible thing
that happened to leanne.

We all felt it.

But in the three years since,
she's had more dropouts

than any residency director
we've ever had.

She's become more dangerous
and more reckless.

She's been investigated...
What... four times by the state.

Exonerated four times.

I mean, where are we going
with this?

She's different.
You know she is.

No, what I know is that while
the accident was deeply tragic,

all that rage made her better.

You know, more dropouts, yes,

but the ones
that got through her

went on to better jobs
at better hospitals.

She makes great docs, Neal.

The board likes her,
which means I love her.

You wanted to see me?

Yeah. You put a patient
into suspended animation.

How's he doing? Has he,
reached hyperspace yet?

He's in the O.R.,
getting his carotid sewn up.

And all of his blood
is safely back inside him.

Don't ever challenge me
in front of my residents again.

You were performing an unapproved
procedure on a patient, leanne.

Neal, your old lady here,
she's, trying to get up.

Miss? Miss,
you can't do that, okay?

The patient was in the grave.
And I brought him back.

That's a win in anyone's book.

Not yours.

You know, when I was a resident,

you always said
they're not scorecards.

They're actual people.

Careful.

I think I know
a little bit better than you

that kid is an actual person,
that he has an actual family

who's praying that if their son
gets brought in here e.S.I.-1,

he'll be treated by a doctor
who will do everything

humanly possible
to save his kid's life,

not by a timid one who's more
concerned about the rules

than he is about the life
on the table in front of him.

I see.
They want you, not me.

No. You're the doctor
they want.

I'm the doctor they need.

Fun stuff, but I just got a text

that 40 people just checked in

while we were having
this little m�nage,

so if nobody's
taking their clothes off,

I need you both
back down on the floor now.

Neal, your patient.

You were a little rough on him?

We're not their friend,
their family, or their shrink.

We're their doctor.
He gets confused.

He's not confused.

He cares...
About you, about them.

And for that,
you have only yourself to blame.

Fall off your board?

The rail was sketchy.
I think it's broken.

I can feel bones
crunching around in there.

You high right now?

Why? You want some?

Cute. Come on.

You're only as good
as your wait time out here.

You want to love your patients,
fine... thank you...

But you better love
the ones out here just as much,

because they may need you more.

Angus Leighton.

Malaya Pineda.

Wait. You're
Mike Leighton's brother?

He talked about you.

You know him?

I was just a med student
when he was a resident,

but everyone knew Mike.

He's a superstar.

He crapped his bed
in summer camp.

He was 12, but it counts.

We separate them into
three categories of acuity...

E.S.I.-1, 2, and 3.

E.S.I.-1 is critical.

Bullet wound, heart attack.

The 2 is rough,
but it's not death's door...

Pneumonia, blood clot.

E.S.I.-3... meh.

The flu, migraine,
minor laceration.

Are we gonna be seeing
our own patients today?

For now,
you'll be taking light cases

and assisting the attendings

unless that board says
"code black,"

in which case,
half of L.A. is in this room,

and then all bets are off.

Doctors.
75-year-old male.

Started speaking gibberish
at dinner.

Bay number 4.

He's gonna need t.P.A.

Dr. Leighton.

T.P.A.
I think he needs t.P.A.

I didn't ask, but I'm sure
Dr. Guthrie will be thrilled.

Follow him
and try not to kill anyone.

Dr. Rorish, I'd really like
to observe that case, too.

How nice for you.

Waiting for a formal invitation?
Go... now.

I'm gonna need you at dispatch.

I got two coming in,
one critical.

Dr. Hudson's on his way down now
to meet you.

You and you...
Follow me.

Jesse, find something
for Dr. Pineda.

Why is she ignoring me?

Because you're the only one
who went to school here.

It's their first day around her.

You need to relax.

I'm not here to relax.

I want...
I know.

This is your big

"I'm a doctor now" moment?

Kinda, yeah.

Good, good,
'cause I need a hero.

In fact, I'm holding out
for a hero

till the end of the night.

Don't get shy now.

Come on.

Come on. Let's go find you
an attending to annoy.

Someone who...

looking for a hero.

Leanne?

Dr. Hudson. Say hello
to doctors savetti and lorenson.

Neal Hudson. Congratulations
on matching to angels.

You're learning from the best.

I didn't mean
what I said before.

I don't think
those things about you.

Yes, you do.

Well, we just have
different philosophies.

We didn't always, leanne.

What you got?

36-year-old male.
Airbag malfunction.

Nonresponsive, head injury,
multiple lacs.

Pulse 65,
b.P. 120 over 90.

Ariel... multiple lacs to
the face, head, and upper body,

with glass embedded
just about everywhere.

She is highly agitated.

Daddy! Daddy!

Hey!
Whoa, whoa, whoa.

No, no, no, no, no!
Darling, please!

Let go of me!

No.
Is he gonna die?

No way.

Do you want it straight
or do you want doctor talk?

I want it straight.

What's your name?
Ariel.

Ariel, I'm Dr. Rorish,
and the truth is

we don't know why
your father's unconscious,

and I can't learn anything
out here in the dark.

So, with your permission,
i want to take him inside,

and I promise you I will
tell you everything I know

as soon as I know it.

Okay?
Okay.

Okay.

You.

Don't ever lie
to a patient again.

She may be young,
but she's entitled to the truth.

One, two, three.
And careful.

All right. And great.
Back down easy now.

There we go.

Pulse is thready.
B.P. 60 over 30.

All right, I need central lines
prepped for pressors, please.

Norepinephrine?

Yes, please.

Somebody
call X-Ray, please.

I'm on it.

Thank you.

What's your evaluation, doctor?

Patient unconscious,
low b.P., warm extremities.

He's in spinal shock.

No additional examination?

It's pretty textbook.

Pretty textbook?
Yeah.

Okay, what about you, doctor?
Textbook?

Here you go, needle.

Thank you. Got it.

Wire.

Wire.

Is he 1-1-1?

Yes.
Then say so.

Trepidation is a deadly quality
in this place.

Let me out.

Life lesson.

When asked if you want to
examine your patient some more,

it's like being asked
if you want a breath mint.

The only answer is "yes."

Okay, we're in.

What the hell is a 1-1-1?

I assumed she was referring
to the g.C.S. Scale.

6-5-4 is
normal brain function.

1-1-1 is the lowest.

He's brain-dead.

That poor kid.

You know, Ariel, I think
it's time you called your aunt.

She can't get a flight
until tomorrow.

I can't talk to her
until I know my dad's okay.

She didn't handle my mom dying
very well.

How did you handle it?

I was only 8, so...

Is that lady doctor
coming in soon?

The one taking care of my dad.

I'll check.

Meantime, here's my cellphone.

You call your aunt.

She'll feel better
hearing your voice.

He was confused
that I didn't understand him.

Yes.

Called expressive aphasia.

It's word salad.

Sounds right to him,

but the words come out
all tossed around.

Activate the stroke team,
please.

Young squire.
I heard you mention t.P.A.

Is that what you're thinking?

sides, north 4.

8:55 P.M.

Yes.

The symptom profile suggests
m.C.A. Distribution.

I think so, too.

Fingers crossed.

Okay,
Mr. and Mrs. Cleery,

t.P.A. Is a kind of miracle drug
that has the potential

to bust the clot up
and reverse the stroke,

but only if there's no actual
bleeding yet in the brain.

We're gonna need a scan
to know for sure.

Doesn't take 12 people
to run a scan.

Come on, folks.
It's friday night.

Let's divide and conquer.

Young squire, would you check in
at the nursing station,

see where you can be useful?

When they're done
x-raying him,

take him down to sides
and put a cast on him.

Are you good?

A cast? That's it?

This one.

You got it.

Wait.
Where is X-Ray?

Let's just keep that
between us, okay?

He's brain-dead.

God.

And she's all alone
till tomorrow.

Has someone called
child and family services

to come get her?

Yeah, but you know how
that goes. It could be hours.

It gets worse.

He's an organ donor.

Transplant team's on the way.

Then we can't wait for cfs.
I have to tell her.

Neal.

Neal.

I should do it.

Why?
She's my patient.

I gave her my word.

I don't think it's a good idea.
It won't be pretty.

Are you protecting me or her?

He was under my care.

Let's do it together.

Is he awake?

Ariel, your father came in
with some terrible injuries,

most of which
we couldn't see at first.

What are you...

What are you saying?

There is no g...

good way to say this.

I'm sorry.

For what?

We couldn't save him.

I-i don't understand.

Your father died, Ariel.

Well, technically...

Technically,
it's a-a brain death.

So he's not dead?
No, no. That's...

What I mean is,

machines are keeping his body
in a state of...

What are you saying?

I'm trying to explain to you.

No, you're not! What happened to
just giving it to me straight?

I'm giving it to you straight.

So he's dead, but technically,
not really, right?

No, I want to go see him.
I want to see him.

I have to see him!

Please, sit down.
Please sit.

Listen.
No.

Ariel, your father
chose to be an organ donor.

That's why we have machines
keeping his organs functioning.

You have to understand...
He's never going to wake up.

He's gone, sweetheart.

I'm terribly sorry.

No.

No.

No.

Ariel.

No.

No, I know.

No, no, no.

You can't have his organs.

I'm his daughter,
and I'm saying no.

Well, unfortunately, that's not
your decision to make.

It's your father's,
and he made it a long time ago.

No, you don't care
about my father,

and you don't care about me.

You just want to cut him up.

That is not true.

Shut up! Shut up.

Sorry.

I'm...

I'm so sorry.

Got bleeding, I've got bleeding!

Transplant team's en route.

I want to tell you
how fabulous you look right now.

I do?

No. I want to tell you that,
but then it'd be a lie.

You look like you've been
strapped to the bow of a ship.

Is that so?

No, no. Don't do that.

You don't need any more
laugh lines, believe me.

Me? Have you looked at yourself
in the mirror lately?

I love you so much,
i want to break you in half.

I love you so much,
i want to punch your face in.

All right, back to work.

We might hit code black tonight.

You got that, boss.

Well, you qualify for t.P.A.,
and we're still

inside the window
for it to be effective.

What are the complications?

Only 7% experience the miracle.

However,
the same number experience

catastrophic bleeding
somewhere else in the body.

We wouldn't know where
until it was actually happening,

and we might not
be able to stop it.

And if we do nothing?

What you see now.

And possibly worse.

Hey, Hannah?
Who's next?

26 year old...

Pregnant, u.R.I.,
fever.

Parked her in triage.

Sounds like the flu.

Evaluate, then come find me.

Should I go...
Evaluate and find me.

Next.

How do you know so much?

Believe me, I don't.

We both went to medical school,
we both did an internship.

You pulling second residency?

What do you mean?

I mean, were you already an m.D.
And then went back

to try a different specialty
or something?

No. I was too busy
being a wife and a mom.

Wife and a mom?
You sure you're ready for this?

How old do you think I am?

All I'm saying is,
there's no tougher place to work

in all of E.R. medicine than
trauma-1 at angels memorial.

This place is hard enough for...

The young.

For the unattached.

Stop being threatened
by me, okay?

Is that what you think,
that I'm threatened?

I think we should
examine this patient together.

Maybe we'll both
learn something.

Why not?

The worst part is the headache.

I live above the boiler room
in my building,

and the noise just keeps
cracking my head open.

Is there anything
you can give me for that?

You're nine months pregnant.

There's not a whole lot we can
do other than give you Tylenol.

I've tried that.
Doesn't work.

Using again?

Excuse me?
Mario.

The scars on the inside
of your arm...

They're old track marks, right?

None of your damn business.

Who the hell
do you think you are?

Just a doctor trying to figure
out what's wrong with a patient.

You're a jackass.
I don't have to listen to this.

Take it easy.
Take it easy.

It's okay.
He's leaving.

Can I talk to you for a second?

What was that about?

She's a seeker.

Heroin withdrawals
often mimic flu symptoms.

You don't know that for a fact.

Where's the fever?

If it was the flu, would've
hit her like a freight train.

You got a lot of experience
with drug withdrawals?

No. I'm sorry. I just don't
think that woman is using.

I know a little bit more
about this than you do.

It was a long time ago.
I'm not ashamed.

I pulled myself out,
and I'm fine now.

What, do you two just not have
enough to do?

We're having a disagreement
about a patient.

Yeah? Which one?

The pregnant u.R.I.

I think we should run
a tox screen,

rule out heroin withdrawals.

And you?

I don't know.
Something's not right.

I don't think it's the flu,
i don't think it's heroin.

If I just had a little bit
more time, I could...

Well, you don't have time,
and a positive tox screen

doesn't change
the management of the case.

Even if she has
an addiction problem,

there is nothing
we can do for her in the E.R.

Recommend a social worker,
ship her out.

You make a good point
about the fever,

but I don't think it's heroin.

Doesn't matter.
You heard what she said.

Doesn't change
the management of the case.

Yeah, but we need to know.
We should run a tox screen.

There's no "we" here.
You heard what Rorish said.

She also said
trepidation is a deadly quality.

I'm already on her bad side.
There's nothing in this for me.

Except maybe
saving a patient's life.

Malaya, whatever you're doing,
log out, follow me.

You're gonna love this.

Sounds exciting.

Clearly, you don't speak the
native tongue of my people...

Sarcasm. Come on.

Hey, come on.
Hold your arm up just like this.

Angus.
Yep?

Guthrie wants you.
He's with the stroke patient.

Malaya can finish the cast.

Wait. Guthrie's gonna let him
administer the t.P.A.?

And I'm gonna do a nurse's job?

A nurse's job?

I didn't mean it.

You want to be
part of a team, Malaya,

no job is too big,
no job is too small.

Dr. Leighton,
go now, please.

Yep.

Arm up. Come on.

I won't go, either.

That's ridiculous.

I didn't mean it.
Of course I'm going.

Wait. What's up
with skater boy?

He's...

Just sleeping it off.

Great.

Go. T.P.A. Has
a short window.

How soon will we know
if it worked?

Just takes a few seconds...
When it works.

Come on, baby.

Show us the magic.

Mr. cleery.

I want you to try and speak.

Love you.

Yes.

Abracadabra.

That's why we're here,
young squire.

Never forget that.

Take it easy! Take it easy!
No! No! No!

10-year-old male,
breathing labored,

possible allergic reaction.

He didn't eat or drink
anything out of the ordinary.

Where are you from?

Norway.

Center stage.

Your son has a collapsed lung.
We're gonna help.

How could you know that?

If a Norwegian kid can't
breathe, it's a pneumothorax.

It's a genetic predisposition.

Can someone run another I.V.
For me, please?

I'm all out of nurses.

I got it!
My girl.

Okay, watch his head.

Ready?

Back him up, back him up.

What's your son's name?

Basti...
Short for "Sebastian."

Okay, basti.

I need you to look at me.

Need a mask.

Step it out.
Step it out.

You're gonna be all right.

We just need to let a little air
out of your chest.

You're gonna feel better
right away.

It's okay.

Leanne, transplant team

just took Ariel's father
upstairs.

Understood.

We're gonna put a tube
into basti's chest

to relieve the pressure.

This is very routine.
We can do it right here.

She asked to talk to you.

Me? Why?

She connected with you.

No, she didn't.

Nurse.

Angus, you're gonna do
the chest tube.

Me?

Yes.

What are you doing?

I'm looking for my diploma

to make sure
it's really my name on it.

I'm prepping a tray for you.

You're going to be making
an incision.

I need some more local.

Leanne, i can take this case.

Go and talk to her for a minute.

Look, if you want me to be
a social worker,

you pick the patient who should
die in the waiting room.

She's a patient, too, leanne.
Go and talk to her for a minute.

Look around you, doctor!
We're about to be in code black.

I have eczema,
itches like crazy.

You don't care, right?

These people here, they don't
care about your problems either.

All right, Sebastian,

I want you to slow
your breathing down, okay?

Can you do that?

We're going to help you.

What's that kid doing in here?

Is he okay?
Whose patient is this?

Mine.

Hey. Focus.

Whoa!

This kid has a head injury!

I need a gurney.

I'm out of gurneys.

Guys, guys, can I get
a wheelchair? Come on.

A wheelchair or something.

I got to pull somebody
out of here.

I.V. Tubing.

We are officially in code black.

God help us.

Yeah, exactly. That's what
we need... a neurosurgeon.

Yeah, of course we're gonna
get a C.T. scan, Natalie,

as soon as the room frees.

No, I know it is,

but I need a neurosurgeon
down here right now.

I think it's
an internal bleed, Natalie!

We're slammed up here!
Hold on a second!

Listen.

I'm checking. It's going to
take a few minutes.

Wait! Wait, Natalie!

C.T. scan is ready.

All right, great.
Let's move him.

Jesse.
Simple chest tube, right?

Yeah, yeah.
About to start the incision.

Wait. Wait. You're gonna move...
You're leaving?

This patient needs an m.D.,
and we're in code black.

I think you can handle it.

Let's go, let's go.
Let's go, Jesse.

Go, go.
Mama's in the kitchen.

Hey. Focus.

You can do this.

Out of my way!
Come on!

See you. Thanks.

Blood pressure.

Great. Hurry up.

Stabilized, let me know
when he's ready.

Got it.
Tube is in.

Vitals are dropping.
Doesn't make sense.

Hang in there, pal, okay?

Why isn't it working?

What is happening, please?

Might be a bad chest tube.

I'm gonna need
another chest tube.

I-it's... it's not the tube.
This one's just stuck.

Please do something!
He's not breathing!

Angus!

It's stuck in
the fascia of his back.

Get him out of the way!
Grab the tube!

You need to pull!

We need to get
the doctor in here!

I'm a doctor.

And you are, too.
Listen.

Listen to my voice, okay?
Okay.

Do you feel it?
Yes.

Just stuck in the fatty tissue.
Okay.

So we just pull gently.

Okay. Okay.

Good job, Dr. Pineda.

Your little boy's gonna be okay.

Good job.

I need a 3 of nylon.

Pick this up.

Someone put up some dressings.

Thank you, thank you.

All right.

Rorish is looking for you.

She canceled the tox screen
on your pregger.

Patient left anyway.

Sorry.

Which is showing a hyper
dense increased attenuation

in an elliptical pattern,

which is consistent
with an epidural hematoma.

No, do not put me on hold again!

Dr. Rorish,
i know you're angry...

You deliberately ignored
direct instructions

from your supervising physician.

You said trepidation is
a deadly quality.

I thought I was acting in
the best interest of my patient.

You don't have patients.

You're a first-year...
A first-day resident,

which means every patient
you see is my patient.

If I can't trust you here,
i can't have you here.

Goodbye, Christa.

Wait. What?

Go home. It's over.

Yes, yes, yes, I'm here.

No, well, someone's gonna
have to drill a hole, then,

because the blood
has to go somewhere!

She fired me.

Did you tell her I knew?

No, Mario,
but thanks for the concern.

Look, I'm sorry, but while you
were busy picking up preschools,

I paid for medical school
driving a truck,

choking on diesel fumes.

Wait, wait, wait.

Diesel fumes!

My God!
What?

What if it's carbon monoxide?

Carbon monoxide poisoning
can mimic flu symptoms.

She said she lived
above a boiler room, right?

My God, Mario, i could kiss you.

But not really.

Come on, come on, come on,
come on, come on, come on.

Let's move, people.

I.V. And foley are in.

Truck ran right over his leg,
broke in at least four places.

Big mid-femur deformity
from the crush.

What's your name, sir?

Wayne. I just can't
feel my leg, doc.

Bone's pinching a nerve.
We're gonna help you.

I.V., fluids,
20 milligrams morphine stat.

Flying it.

What's that for?

Renovating the suture room.

You're drilling a burr hole?

Foot cold.
There's no pulse down here.

We got to get this leg straight.

He's gonna need that gurney.

Got it.
Bring it in.

You can't put a hole in that
kid's skull in the E.R., leanne.

You need a neurosurgeon.

It's an epidural bleed.
He's out cold.

I got to drain it.

Line him up.
One, two, three.

Sometimes you just got to be
a cowboy, Neal.

Hey, you're gonna need some help
if you're gonna yank that.

Mario, get over here.

Okay, Wayne, this is gonna help
with the pain.

Phone the cath lab.

Tell them we're on our way.

Dr. Rorish,

you might not be surprised
by this,

but one of your residents
is calling you

from the back of an ambulance
on the 101 freeway.

What?! Who?

Blondie. I got to go.
Christa?

Dr. Rorish, it's definitely
carbon monoxide.

They had to break
all the windows.

She's still unconscious.
We're giving her oxygen.

I'm sitting here...

Christa, deep breath.
Give me vitals.

Pulse faint at 120,
b.P. 60 over palp.

Her patient's crashing.

She's pregnant.
You need to get her back here.

She needs a hyperbaric chamber.

Christa,
what's your e.T.A.?

Not soon.

You're not gonna like this,
Neal, but...

She has to perform a c-section
on the rig.

Sometimes you got to be
a cowboy, right?

Let's do this.

Wait, Christa's gonna do
a c-section?

Mario, focus. I need you up by his
shoulders to give me leverage.

I'm gonna try and save his leg.

Christa, listen.

I need you to tell the medic

to prepare
an emergency surgical kit.

Wait, wait, wait, wait.
I can't do this.

Yes, you can.

You've done
an o.B. Rotation.

You've witnessed
plenty of these.

Take a deep breath for me, sir.

Christa, make sure
the patient stays unconscious.

No danger there.

Okay.

Get ortho ready to go.

Our friend Wayne here is
gonna need an O.R. right after.

After what?

Susie, I need you on his pelvis.
Make sure he doesn't slide.

Jesse. Need you over here
for a sec.

Whoa, whoa, whoa, whoa!
B.P. Dropping!

I need Jesse back, damn it.

Okay. You got that?

Everybody ready?

Ready for what?

Hold him.

One, two, three.

Pulse is dropping.

Okay, then we got to move fast.

To still have a chance
to save both of them.

Christa, I need you to start
with an abdominal incision

beginning at the umbilicus

and straight down
to the pubic symphysis.

Whoa! I need a clean
up in aisle 3.

You need to cut through
all five layers

of the abdominal wall,
including the peritoneum.

I've got this.

What is that noise?

Ignore it. Vitals?

Pressure dropping.
Pulse... 30.

It's okay.
Stay focused.

Start your incision now.

Christa, right under
the abdominal wall,

you're gonna see
something shiny.

That's not the uterus.

It's the bladder.

Careful not to Nick it.

You're gonna want
to reflect it distally,

get it out of your way.

Okay, vitals are dropping.

Yeah, I'm almost there.

Leanne?
Almost there.

Okay.
Pulse is dropping.

Leanne, he's herniating!

I know. Almost.

Uterus is exposed.

Hang on.
"Hang on"?!

Almost got it.

Is he draining yet?

Come on. Come on.
Almost there.

I got it!

Okay, get it in.

Heart rate normalizing.

Pupils...

Reactive.

All right, Christa,

time to make the vertical
incision in the uterus.

Watch the lateral vessels.

God.

Okay.

Now, this is gonna happen
very quickly.

I want you to reach your hand
inside as fast as you can,

carefully feel for the baby.

When?

Have you made the cut yet? Yes.

Now!
Now!

All right,
i think I can feel it.

Okay.

I got it.

I got her!

She's so beautiful!

I got her.

My gosh.

Okay, kids,
we got one open in O.R.

Mine's stable.
You should go.

All right, let's move him.

Gurney.

Get him up.

Okay, guys, let's go!
Go, go!

Move it, move it.
Move aside.

You think Dr. Rorish ignores you
because she doesn't trust you?

It's just the opposite.
She knows you're good.

She's testing the rest of us.

And I don't think
I'm gonna pass that test.

What are you talking about?

You know your stuff, dude.

You just...
Need confidence.

You asked how I got in.

Our dad is
on the hospital board.

My brother never told anyone.

He thought people wouldn't
take him seriously.

Wouldn't matter anyway.

He was born for this.

I am not like him, though.

Then what are you doing here?

I hated psych.

Hated it.

I wanted something
more exciting.

I wanted what Mike had.

So when my dad said he could
get me in here, I jumped at it.

Big mistake.

Did you know that they opened
this place up in 1932?

Light bulbs weren't
bright enough back then,

so they put in
all these big windows

so they could see
what they were doing.

Imagine that.

Hell of a night for you two.

Started off saving a life,
ended up almost killing someone.

Two people, actually.

I missed an epidural hematoma.

I missed it, too.

Know what that sounds like
to me?

A typical night in this joint.

You did good.

So did you.

We've got her mom
in the hyperbaric chamber,

oxygenated her.

She's gonna make it.

Thank God.

Can I ask you
something personal?

Why are you here?

Pardon?

Med school, internship,

and now the most punishing
residency in the country.

Most people do that
in their 20s.

What made you decide...

My son died.

Stage 4 glio.

You learn a lot
when your kid gets sick.

So I thought maybe
i should make it official.

I got into med school...

and here I am.

In my experience,

tragedy either softens you
or hardens you.

For me, it was the former.

For you,

I suspect...
It was the latter.

You spend enough time
in group therapy sessions,

you start to recognize it.

Who'd you lose?

Everyone.

You better go home
and get some sleep.

You've got a shift tonight.

I do?

Hi, Ariel.

Hi.

And you must be aunt Linda.

So nice to meet you in person.

Thank you for this.

You ready?

I'll wait for you right here.

Thank you.

Hi.

I'm Vanessa.

I'm Ariel.

I like your room.

Thanks.

You can come closer if you want.

It's okay.

Can you hear it?

Yeah.

I can hear it.

I hear you, daddy.

I hear you.

You got to be kidding me.

Every ventilator
i.C.U. Can spare.

Got an apartment fire.
We got 22 in so far.

Burns, smoke inhalation,
broken bones,

and a heart attack.
Got it.

Yeah, we're gonna need
a barrel of morphine.