1 00:00:10,385 --> 00:00:11,469 Hey, Jake, it's Robby. 2 00:00:11,594 --> 00:00:14,431 Call or text me if you hear this message. 3 00:00:14,556 --> 00:00:15,906 TWELVE HOURS 6:00 PM - 7:00 PM 4 00:00:17,058 --> 00:00:18,226 I can't reach Jake. 5 00:00:18,351 --> 00:00:19,853 He's probably fine. 6 00:00:19,978 --> 00:00:21,688 Shooter at PittFest. - We know. 7 00:00:21,813 --> 00:00:25,400 Code triage. First aid. Now. 8 00:00:25,525 --> 00:00:27,319 What does that mean? Has it happened before? 9 00:00:27,444 --> 00:00:28,653 Lock down the hospital. 10 00:00:28,778 --> 00:00:30,655 I'm setting up a command center. 11 00:00:30,780 --> 00:00:32,782 We organize supplies, communications. 12 00:00:32,907 --> 00:00:34,200 How many victims? 13 00:00:34,325 --> 00:00:36,369 Unclear, but not good. 14 00:00:38,204 --> 00:00:40,373 The night shift is coming soon. We need more help... 15 00:00:40,498 --> 00:00:42,208 of Surgery and Anesthesiology. 16 00:00:42,333 --> 00:00:44,377 The app and email are sent to everyone... 17 00:00:44,502 --> 00:00:46,630 also to Transport and Environment. 18 00:00:46,755 --> 00:00:47,881 Good. 19 00:00:48,006 --> 00:00:51,468 Everyone will want to help. Keep enough in reserve. 20 00:00:51,593 --> 00:00:53,762 Tell them to come eight hours later. 21 00:00:53,887 --> 00:00:55,764 Can you call Jake? - Yes. 22 00:00:56,848 --> 00:00:59,726 Surgery should help. We need all the ORs. 23 00:00:59,851 --> 00:01:01,728 Four operating theaters have already been prepared. 24 00:01:01,853 --> 00:01:03,772 We're working on the rest. 25 00:01:03,897 --> 00:01:05,523 Disaster stock? - En route. 26 00:01:07,525 --> 00:01:10,153 Every patient in the ER must go upstairs. Beds or not. 27 00:01:10,278 --> 00:01:12,072 They receive more care upstairs in a hallway... 28 00:01:12,197 --> 00:01:13,823 then here. - Agreed. 29 00:01:14,657 --> 00:01:17,202 There is an empty wing on the eighth floor. 30 00:01:17,327 --> 00:01:19,996 I don't know... - Not enough nurses. 31 00:01:20,955 --> 00:01:21,998 No comment. 32 00:01:22,123 --> 00:01:24,417 The waiting room and triage go to Medicine. 33 00:01:24,542 --> 00:01:25,585 Turn off the TVs. 34 00:01:25,710 --> 00:01:27,754 Don't panic. - Good. 35 00:01:27,879 --> 00:01:30,006 The canteen accommodates family members. 36 00:01:30,131 --> 00:01:31,431 What else? 37 00:01:33,343 --> 00:01:36,221 There is no harm in praying. -Amen. 38 00:01:36,346 --> 00:01:38,515 Keep the press out. - Please. 39 00:01:38,640 --> 00:01:41,309 Call me if there's anything else. - I will. Thank you. 40 00:01:41,434 --> 00:01:43,812 What is? - Many injured at PittFest. 41 00:01:44,771 --> 00:01:47,021 How many? - We don't know. Expect the worst. 42 00:01:47,649 --> 00:01:49,249 Have the police found David? 43 00:01:50,485 --> 00:01:51,861 People, listen. 44 00:01:54,405 --> 00:01:56,407 There's a shooter at PittFest. 45 00:01:57,200 --> 00:02:00,620 We get the most victims. 46 00:02:00,745 --> 00:02:02,872 We don't know yet how much... 47 00:02:02,997 --> 00:02:05,959 but we are implementing emergency protocols. 48 00:02:06,084 --> 00:02:09,504 All patients here have to leave. 49 00:02:09,629 --> 00:02:12,757 They go home, upstairs or to General Practice. 50 00:02:13,842 --> 00:02:15,802 Call your loved ones if you have to. 51 00:02:15,927 --> 00:02:19,305 Soon that will no longer be possible. 52 00:02:19,430 --> 00:02:22,225 Eat something, drink, go to the toilet while you still can... 53 00:02:22,350 --> 00:02:24,394 and I'll see you in five minutes. 54 00:02:24,519 --> 00:02:27,063 Glad you're here. - I heard the police scanner. 55 00:02:27,188 --> 00:02:30,733 How many do we expect? - No idea. It doesn't sound good. 56 00:02:31,109 --> 00:02:32,444 Backwards first. 57 00:02:32,569 --> 00:02:34,362 They have to get out of here. 58 00:02:37,574 --> 00:02:39,325 How many patients can you handle? 59 00:02:39,868 --> 00:02:42,120 MASS CASUALTY INCIDENT PHARMACY and IV 60 00:02:45,582 --> 00:02:47,500 Where do we... - Behavioral health. 61 00:02:47,625 --> 00:02:50,503 That is now the central source. - Come on. 62 00:02:51,629 --> 00:02:53,006 More are coming. 63 00:02:56,968 --> 00:02:58,845 Right, then left. 64 00:02:59,804 --> 00:03:03,308 Get folding tables for this. 65 00:03:03,433 --> 00:03:04,642 Okay. - Thank you. 66 00:03:04,767 --> 00:03:09,355 Code triage, emergency room. 67 00:03:11,816 --> 00:03:15,695 Blood bank, 7113. 68 00:03:18,281 --> 00:03:20,909 Thank you for your cooperation and understanding. 69 00:03:21,034 --> 00:03:23,203 We are preparing for many injured people. 70 00:03:23,328 --> 00:03:26,998 Your medical records are available at General Practice. 71 00:03:27,123 --> 00:03:28,833 They know you're coming. 72 00:03:30,835 --> 00:03:33,880 Take all your belongings with you. 73 00:03:34,005 --> 00:03:34,798 This is stupid. 74 00:03:34,923 --> 00:03:37,717 Sorry, but this is an emergency. 75 00:03:37,842 --> 00:03:40,595 This is the first aid. It's stupid. 76 00:03:40,720 --> 00:03:43,640 Olsen, come back as soon as the waiting room is empty. 77 00:03:43,765 --> 00:03:45,065 Understood. 78 00:03:45,516 --> 00:03:47,518 Telemetry. 79 00:03:47,685 --> 00:03:48,686 Obstetrics. 80 00:03:48,811 --> 00:03:51,898 Cardiac monitoring, ICU, Orthopedics. 81 00:03:52,023 --> 00:03:53,066 MCI protocol. 82 00:03:53,191 --> 00:03:54,818 Bring back stretchers and wheelchairs. 83 00:03:54,943 --> 00:03:57,904 They go to the ambulance ramp. We need them. 84 00:03:58,029 --> 00:04:00,240 What now? - The pharmacy must open. 85 00:04:00,365 --> 00:04:01,991 They have to remove all narcotics... 86 00:04:02,116 --> 00:04:03,576 and tranquilizers. 87 00:04:03,701 --> 00:04:04,577 Organized. 88 00:04:04,702 --> 00:04:06,788 Jake? - No, but you know teenagers. 89 00:04:06,913 --> 00:04:08,790 I'll keep trying. - Call his mother. 90 00:04:08,915 --> 00:04:11,543 Janey. In my section. Tell her what's happening. 91 00:04:11,668 --> 00:04:13,878 And call Collins. Make sure she comes. 92 00:04:14,003 --> 00:04:15,303 I do. 93 00:04:15,672 --> 00:04:18,091 Please return all stretchers and wheelchairs. 94 00:04:18,216 --> 00:04:20,051 To the ambulance ramp. 95 00:04:21,928 --> 00:04:23,471 Can you tell my sister Becca... 96 00:04:23,596 --> 00:04:26,224 that I pick her up a little later? 97 00:04:29,018 --> 00:04:30,318 Don't know. 98 00:04:30,853 --> 00:04:33,815 Mom, Dad and you have to... 99 00:04:33,940 --> 00:04:36,568 Pick up Harrison. Otherwise he'll be here for hours. 100 00:04:36,693 --> 00:04:39,737 I'll explain when you get here, okay? Day. 101 00:04:40,571 --> 00:04:43,616 Hey. -Can we leave yet? 102 00:04:46,077 --> 00:04:47,377 Not me. 103 00:04:47,537 --> 00:04:49,914 But grandma and grandpa are coming to pick you up. 104 00:04:50,039 --> 00:04:52,292 In the meantime you can play games. 105 00:04:52,959 --> 00:04:54,585 Can I watch a movie? 106 00:04:55,670 --> 00:04:57,213 Yes, but nothing scary. 107 00:04:58,214 --> 00:05:02,135 I mean it. Stay here until I come get you. 108 00:05:02,260 --> 00:05:03,219 Okay, Mom. 109 00:05:03,344 --> 00:05:04,762 I love you. - Bye. 110 00:05:04,887 --> 00:05:07,223 Four stretchers in each trauma room. 111 00:05:07,348 --> 00:05:09,559 Stock them for additional patients. 112 00:05:09,684 --> 00:05:10,476 No problem. 113 00:05:10,601 --> 00:05:13,479 Get the devices out of here. 114 00:05:13,604 --> 00:05:14,731 We only have room... 115 00:05:14,856 --> 00:05:16,065 for stretchers. - Okay. 116 00:05:16,190 --> 00:05:19,110 Do we know what to expect? - No. How are things upstairs? 117 00:05:19,235 --> 00:05:21,321 All 25 ORs are running within an hour. 118 00:05:21,446 --> 00:05:22,780 Then we are already buried. 119 00:05:22,905 --> 00:05:24,657 Everyone works as quickly as possible. 120 00:05:24,782 --> 00:05:27,243 Surgery is done. We are ready. 121 00:05:27,368 --> 00:05:29,120 I take first ER. - Good. 122 00:05:29,245 --> 00:05:31,205 Who Takes Surgery? 123 00:05:32,915 --> 00:05:35,376 The crown weighs heavily. -Dr. Walsh. 124 00:05:35,501 --> 00:05:37,170 Anesthesiology? - Gladden downstairs. 125 00:05:37,295 --> 00:05:38,880 Four on the spot. More on the way. 126 00:05:39,005 --> 00:05:41,883 This one is yours. - What's in it? 127 00:05:42,008 --> 00:05:44,552 CAT tourniquets, hemostatic bandages... 128 00:05:44,677 --> 00:05:46,596 LMAs. - We have enough. 129 00:05:46,721 --> 00:05:49,682 Butterfly echo. Works with a phone. 130 00:05:49,807 --> 00:05:52,393 Cool. All chest and stomach problems... 131 00:05:52,518 --> 00:05:55,104 go to the OR. Listen. 132 00:05:55,229 --> 00:05:59,525 This is how it works. The ambulance ramp is our triage. 133 00:05:59,650 --> 00:06:01,402 ER is overwhelmed. 134 00:06:01,527 --> 00:06:05,156 Most come by car with multiple victims. 135 00:06:05,281 --> 00:06:09,118 For those who don't know, Dr. Shen is our night shift doctor. 136 00:06:09,243 --> 00:06:11,037 John, I'm putting you in triage. - Okay. 137 00:06:11,162 --> 00:06:13,831 The triage determines who goes where. 138 00:06:13,956 --> 00:06:15,291 Each department has... 139 00:06:15,416 --> 00:06:17,919 a head who supervises the staff. 140 00:06:18,044 --> 00:06:20,338 If you're looking for someone, look for the vest. 141 00:06:20,463 --> 00:06:24,300 We get walkie-talkies. We can give you everything. 142 00:06:24,425 --> 00:06:27,220 Patients go to trauma rooms... 143 00:06:27,345 --> 00:06:28,930 with four patients each. 144 00:06:29,055 --> 00:06:32,850 We have to be able to keep an eye on everything. 145 00:06:32,975 --> 00:06:36,229 Okay? Triage will... 146 00:06:36,354 --> 00:06:39,816 send to a zone with a colored band. 147 00:06:39,941 --> 00:06:43,194 Patient with a red band goes to the Red zone... 148 00:06:43,319 --> 00:06:45,738 the trauma rooms, and flows through them. 149 00:06:45,863 --> 00:06:48,950 The most critical patients who die without attention. 150 00:06:49,075 --> 00:06:50,201 Samira, where are you? 151 00:06:50,326 --> 00:06:53,788 You're here with Dr. Abbot and me. Jack directs traffic. 152 00:06:53,913 --> 00:06:56,249 Five minutes to stabilize Red patients. 153 00:06:56,374 --> 00:06:58,710 Then the OR, ICU or the morgue. 154 00:06:58,835 --> 00:07:01,546 The southern and central part is the Pink zone... 155 00:07:01,671 --> 00:07:04,716 for patients who can die within an hour. 156 00:07:04,841 --> 00:07:05,675 McKay and Javadi... 157 00:07:05,800 --> 00:07:09,304 are here with the help of the night shift and surgical staff. 158 00:07:09,429 --> 00:07:11,639 Yellow zone is the northern corridor. 159 00:07:11,764 --> 00:07:15,018 These are mainly limb wounds. Good values, talk. 160 00:07:15,143 --> 00:07:18,146 Mel, you with Santos and Whitaker. 161 00:07:19,230 --> 00:07:21,983 What if there is a pulseless limb? 162 00:07:23,067 --> 00:07:24,610 If you don't feel a pulse... 163 00:07:24,735 --> 00:07:27,864 then check for Doppler flow with this. A mini ultrasound. 164 00:07:27,989 --> 00:07:29,289 Follow the screen. 165 00:07:29,782 --> 00:07:32,702 But Yellow can become Red. If they deteriorate, stay with them... 166 00:07:32,827 --> 00:07:34,203 although they seem stable. 167 00:07:34,328 --> 00:07:35,204 You can do this. 168 00:07:35,329 --> 00:07:37,790 Green, small wounds, sprains. To Medicine. 169 00:07:37,915 --> 00:07:39,876 Black and white band is dead on arrival. 170 00:07:40,001 --> 00:07:44,130 Pediatrics is our mortuary. Hopefully we don't get many. 171 00:07:44,255 --> 00:07:45,590 We are a MASH unit. 172 00:07:46,215 --> 00:07:49,886 No cards, no electronic ones medical records, no sign. 173 00:07:50,011 --> 00:07:52,138 How do we document the treatment? 174 00:07:52,263 --> 00:07:54,640 Every patient has a risk card... 175 00:07:54,765 --> 00:07:56,351 to document treatments. 176 00:07:56,476 --> 00:07:58,770 When it is full, write on the forehead. 177 00:07:58,895 --> 00:08:00,355 Real? - Yes. 178 00:08:00,480 --> 00:08:01,981 Each band has a unique... 179 00:08:02,106 --> 00:08:04,567 barcode and patient number. 180 00:08:04,692 --> 00:08:06,527 This is how they are identified. 181 00:08:06,652 --> 00:08:09,864 This is combat zone medicine. 182 00:08:09,989 --> 00:08:12,950 No ultrasound, no x-ray, no CT, no lab. 183 00:08:13,075 --> 00:08:16,871 Rate based of mental status and heart rate. 184 00:08:16,996 --> 00:08:19,749 Every critical patient gets an IO, intubation... 185 00:08:19,874 --> 00:08:21,959 a unit of blood and chest tube. 186 00:08:22,084 --> 00:08:24,295 Everything it takes, blood, medicine, bandages... 187 00:08:24,420 --> 00:08:28,382 is on Behavioral Health That is our stock depot. 188 00:08:30,134 --> 00:08:34,305 Keep a scalpel in your pocket. Resuscitate as quickly as possible... 189 00:08:34,430 --> 00:08:36,349 so that they can receive care upstairs. 190 00:08:36,474 --> 00:08:39,936 Trauma surgery and neurosurgery determine who goes to the OR... 191 00:08:40,061 --> 00:08:43,272 and who goes to the ICU for treatment and evaluation. 192 00:08:45,399 --> 00:08:48,402 Communicate. Ask for help if you need to. 193 00:08:49,195 --> 00:08:50,488 Trust your doctors. 194 00:08:50,613 --> 00:08:53,199 We'll make it together. - Certainly. 195 00:08:53,324 --> 00:08:54,825 I want to speak to you three. 196 00:08:57,828 --> 00:09:00,915 Go to the supplies and get all the chest drains... 197 00:09:01,040 --> 00:09:03,793 ET tubes, Torah Seals, saline. - That's it... 198 00:09:03,918 --> 00:09:05,920 That could be gone in an hour. 199 00:09:06,045 --> 00:09:07,672 Western basement, after Nuclear. 200 00:09:07,797 --> 00:09:09,090 Okay. - Guard. 201 00:09:09,215 --> 00:09:11,801 Take one empty disaster bin, so you can grab everything. 202 00:09:11,926 --> 00:09:15,012 Disaster? -Those plastic bins there. 203 00:09:15,137 --> 00:09:16,055 Where's Collins? 204 00:09:16,180 --> 00:09:19,684 She's home. But Dana is calling her now. 205 00:09:19,809 --> 00:09:22,186 No problem. Plenty of people are coming. 206 00:09:22,311 --> 00:09:23,646 Follow Dr. Abbot. 207 00:09:24,438 --> 00:09:26,190 John, I'll help you with the triage. 208 00:09:26,315 --> 00:09:27,615 Good. 209 00:09:28,067 --> 00:09:29,694 Dana, what do you need? 210 00:09:29,819 --> 00:09:31,404 Prepare the Yellow zone. 211 00:09:31,529 --> 00:09:32,697 We have a lot of connections... 212 00:09:32,822 --> 00:09:34,866 tourniquets and antibiotics required. 213 00:09:34,991 --> 00:09:36,291 I'm already going. 214 00:09:37,827 --> 00:09:39,127 Myrna. 215 00:09:40,913 --> 00:09:43,499 Where is Myrna? Antoine, did you take off her cuffs? 216 00:09:43,624 --> 00:09:45,793 No way. That woman scares me to death. 217 00:09:45,918 --> 00:09:47,461 She wants to bite me. 218 00:09:47,587 --> 00:09:48,887 Damn. 219 00:09:55,845 --> 00:09:58,055 That's a lot of cards. - Three hundred. 220 00:09:59,765 --> 00:10:00,975 Hopefully they are not necessary. 221 00:10:01,100 --> 00:10:04,228 Were you at the last meeting? about mass casualty? 222 00:10:04,353 --> 00:10:06,689 No. That was three months ago. 223 00:10:08,524 --> 00:10:09,824 Correct. 224 00:10:11,777 --> 00:10:13,988 One patient at a time, right? 225 00:10:15,072 --> 00:10:17,617 A triage in ten seconds. 226 00:10:18,284 --> 00:10:19,619 Ten seconds. Understood. 227 00:10:19,744 --> 00:10:20,995 Condition is an AVPU. 228 00:10:21,120 --> 00:10:24,040 Alert, verbal, pain, unresponsive. 229 00:10:25,833 --> 00:10:27,293 Then: is there a heartbeat? 230 00:10:27,418 --> 00:10:30,004 Radial, carotid or femoral. 231 00:10:30,129 --> 00:10:31,589 That's it. - Okay. 232 00:10:34,800 --> 00:10:36,218 It's going to rain. 233 00:10:39,680 --> 00:10:42,683 Mental state and heart rate. Everything you need. 234 00:10:44,101 --> 00:10:45,561 Unconscious, no heartbeat... 235 00:10:45,686 --> 00:10:48,731 a black and white band and to the morgue. 236 00:10:49,774 --> 00:10:53,277 Responds to pain with a weak pulse? 237 00:10:53,402 --> 00:10:54,987 Red. - Correct. 238 00:10:55,112 --> 00:10:56,656 A red band and send it back. 239 00:10:56,781 --> 00:10:58,783 Awake, alert with strong radial? 240 00:10:59,617 --> 00:11:00,618 Tough question. 241 00:11:00,743 --> 00:11:02,995 That could be green. Medicine for treatment... 242 00:11:03,120 --> 00:11:05,164 but stable, deep wounds to Yellow. 243 00:11:05,289 --> 00:11:07,416 Perfect. - Calm. 244 00:11:07,541 --> 00:11:09,877 I'll handle the front door. You the rest. 245 00:11:14,382 --> 00:11:17,218 Paolo, put the headboards of the stretchers at 30 degrees... 246 00:11:17,343 --> 00:11:19,345 so that they drive well. 247 00:11:20,554 --> 00:11:22,723 Have you spoken to your son? - I have the forms... 248 00:11:22,848 --> 00:11:24,600 for a forced admission. 249 00:11:24,725 --> 00:11:27,019 They are signed. Now you. 250 00:11:27,144 --> 00:11:31,315 Go home, Theresa. This hospital is closed. 251 00:11:31,440 --> 00:11:33,401 David wouldn't do this. 252 00:11:33,526 --> 00:11:34,819 Hopefully you're right. 253 00:11:34,944 --> 00:11:37,029 I have four victims. 254 00:11:37,613 --> 00:11:38,913 What's your name? 255 00:11:39,532 --> 00:11:41,075 Duncan. - Show me. 256 00:11:42,076 --> 00:11:44,078 Right chest, strong radial. Pink. 257 00:11:45,287 --> 00:11:46,664 What is this? - Priority. 258 00:11:46,789 --> 00:11:48,124 It'll be fine. 259 00:11:48,249 --> 00:11:50,418 Back wound is Red, shoulder Yellow, neck Red. 260 00:11:51,168 --> 00:11:53,254 We'll look inside that bus. 261 00:11:57,800 --> 00:11:59,302 Do you see that woman there? 262 00:11:59,427 --> 00:12:00,469 Talk to her. - Why? 263 00:12:00,594 --> 00:12:03,180 Her son must have something to do with it with the shooting. 264 00:12:03,305 --> 00:12:05,224 Talk to her. - Okay. 265 00:12:10,354 --> 00:12:11,397 What's your name? 266 00:12:11,522 --> 00:12:13,149 Sylvia. This is my son Omar. 267 00:12:13,274 --> 00:12:14,859 Can you open your eyes? 268 00:12:14,984 --> 00:12:16,986 He's deaf. - Stretcher. 269 00:12:17,611 --> 00:12:20,614 Can you hear me? Black and white. Pediatrics. 270 00:12:24,201 --> 00:12:25,501 Red zone. 271 00:12:25,911 --> 00:12:28,414 Let go. - I want to stay with my son. 272 00:12:29,081 --> 00:12:30,958 He will be very close. 273 00:12:32,501 --> 00:12:35,504 What's wrong with your leg? - I got hit by a car. 274 00:12:35,629 --> 00:12:37,506 We'll check you in. 275 00:12:41,844 --> 00:12:43,471 Does it work? I'll be right back. 276 00:12:44,138 --> 00:12:45,681 Dr. Ellis, thanks for being here. 277 00:12:45,806 --> 00:12:46,599 Share me. 278 00:12:46,724 --> 00:12:47,975 Triage with Shen. 279 00:12:48,100 --> 00:12:49,018 Ten seconds? 280 00:12:49,143 --> 00:12:50,978 Yes. Speak up if you need help. 281 00:12:51,645 --> 00:12:52,945 Help. 282 00:12:56,442 --> 00:12:58,110 Behind you. 283 00:13:01,071 --> 00:13:02,371 I'm in it. 284 00:13:02,740 --> 00:13:04,283 Drip. - She gets O negative. 285 00:13:05,201 --> 00:13:07,244 Stronger pulse. Upwards. 286 00:13:07,828 --> 00:13:10,915 Mohan, he came with his mother. He's deaf. 287 00:13:11,040 --> 00:13:12,083 Ready for O negative. 288 00:13:12,208 --> 00:13:16,921 O-positive for men over 13, women over 55. The rest O-negative. 289 00:13:18,464 --> 00:13:19,764 Arrange it. 290 00:13:23,928 --> 00:13:25,680 It flows out. - Two units. 291 00:13:25,805 --> 00:13:30,017 The OR. When he stabilizes, go to the ICU. 292 00:13:30,142 --> 00:13:31,894 I see who needs help. 293 00:13:34,730 --> 00:13:36,440 IO is included. Give O positive. 294 00:13:37,191 --> 00:13:40,861 If there's no time, bone marrow infusion is also good. 295 00:13:41,779 --> 00:13:43,322 Robby, ready to roll. 296 00:13:46,826 --> 00:13:48,126 Go ahead. 297 00:13:49,036 --> 00:13:51,622 On both sides. Two chest drains are required. 298 00:13:51,747 --> 00:13:53,999 Need help? - No, I have two hands. 299 00:13:57,336 --> 00:13:58,636 Turn around. 300 00:13:59,004 --> 00:14:01,298 Fast IO and sux. Prepare intubation. 301 00:14:09,223 --> 00:14:10,724 Another one for Yellow. 302 00:14:12,434 --> 00:14:15,271 Record the turnstile time, mark the arm... 303 00:14:15,396 --> 00:14:17,898 the map. Lower it once every hour. 304 00:14:18,899 --> 00:14:20,651 Four morphine. Repeat if necessary. 305 00:14:20,776 --> 00:14:22,076 This is Sylvia. 306 00:14:22,236 --> 00:14:23,571 Hi. I'm Dr. King. 307 00:14:26,282 --> 00:14:28,075 Broken bones. 308 00:14:28,200 --> 00:14:30,244 Heartbeat strong. Good flow with the Butterfly. 309 00:14:30,369 --> 00:14:31,203 Nice. 310 00:14:31,328 --> 00:14:35,541 I am divorced from my son, Omar. He was shot in the chest. 311 00:14:35,666 --> 00:14:38,461 I'll let you know as soon as I discover anything. 312 00:14:38,586 --> 00:14:41,046 He's deaf. They need to know that. 313 00:14:41,171 --> 00:14:43,549 I'll put it in his file. 314 00:14:43,674 --> 00:14:45,426 X-rays, AP and lateral. 315 00:14:45,551 --> 00:14:49,889 Radiology is closed. Give her a boot and painkillers. 316 00:14:50,014 --> 00:14:52,308 So that you are comfortable. - Thank you. 317 00:14:52,433 --> 00:14:54,435 Can I have a chest tube? 318 00:14:57,605 --> 00:15:01,358 Environmental manager, to the ER. 319 00:15:01,483 --> 00:15:03,652 Okay, pressure bandage here. 320 00:15:04,236 --> 00:15:06,030 I have a Pink. 321 00:15:06,155 --> 00:15:09,116 If his lung collapses? - A catheter. 322 00:15:11,285 --> 00:15:12,077 Who wants help? 323 00:15:12,202 --> 00:15:15,164 Everyone. The Pink ones have to be stable for the next hour. 324 00:15:15,289 --> 00:15:16,707 If they have to go to the OR earlier... 325 00:15:16,832 --> 00:15:18,959 they go to the Red zone. - Okay. 326 00:15:19,793 --> 00:15:22,421 I do this. Go with your mother... Dr. Shamsi along. 327 00:15:27,927 --> 00:15:29,386 How are things going here? 328 00:15:29,511 --> 00:15:31,639 So far so good. The blood is ready. 329 00:15:31,764 --> 00:15:34,892 1500 cc. Time for the OR? - Yes, upstairs. 330 00:15:39,605 --> 00:15:41,732 A 17 year old with a chest wound? 331 00:15:41,857 --> 00:15:44,985 Now going to the OR. - Wait a minute. 332 00:15:46,987 --> 00:15:48,906 They need to know he's deaf. 333 00:15:50,741 --> 00:15:53,160 Little drainage. - This one is renal. 334 00:15:53,702 --> 00:15:55,496 Straight to surgery. 335 00:15:58,540 --> 00:15:59,792 Three of the four ORs occupied. 336 00:15:59,917 --> 00:16:00,876 Four will open... 337 00:16:01,001 --> 00:16:02,753 and all 25 are almost done. 338 00:16:03,170 --> 00:16:05,256 We could already be buried. 339 00:16:05,381 --> 00:16:08,759 No. We quickly tie off bleeding. 340 00:16:08,884 --> 00:16:11,929 We'll finish the job in two days. 341 00:16:12,054 --> 00:16:13,889 Unconscious, weak femoral. 342 00:16:14,014 --> 00:16:15,057 Two units of blood. 343 00:16:15,182 --> 00:16:17,810 No response, done. No heartbeat, no OK. 344 00:16:17,935 --> 00:16:19,235 Gunshot wound to the head. 345 00:16:19,979 --> 00:16:21,647 Through. - Strong heartbeat. 346 00:16:21,772 --> 00:16:23,399 This one saves it. The bleeding... 347 00:16:23,524 --> 00:16:24,900 decompresses through the holes. 348 00:16:25,025 --> 00:16:26,944 Walsh, neurosurgery? 349 00:16:27,069 --> 00:16:29,655 Send him to the neuro-ICU. There's triage. 350 00:16:31,907 --> 00:16:33,617 Does this work? - Yes. 351 00:16:33,742 --> 00:16:36,203 Just a few more before I get bored. 352 00:16:36,328 --> 00:16:41,500 All transport now to the ER. 353 00:16:41,625 --> 00:16:43,043 Through it? 354 00:16:43,168 --> 00:16:44,461 It doesn't seem like that. 355 00:16:44,586 --> 00:16:46,213 Help is coming. 356 00:16:53,971 --> 00:16:56,724 Good. Comfortable. I'm in it. 357 00:16:56,849 --> 00:16:58,149 Breathe. 358 00:16:58,517 --> 00:17:00,102 More ambulances are coming. 359 00:17:00,227 --> 00:17:01,603 Oxygen looks good. 360 00:17:01,729 --> 00:17:02,730 A 20 French catheter. 361 00:17:02,855 --> 00:17:03,939 What are you doing? 362 00:17:04,064 --> 00:17:06,191 I save lives. - You're not supposed to be here. 363 00:17:06,316 --> 00:17:08,027 No one should be here. 364 00:17:09,695 --> 00:17:10,696 Larry. 365 00:17:10,821 --> 00:17:12,281 Head wounds do not go to Yellow. 366 00:17:12,406 --> 00:17:14,241 What? Traige says Yellow. 367 00:17:14,366 --> 00:17:15,784 Wait a minute. - Come on. 368 00:17:15,909 --> 00:17:18,495 I can do this. Trust me. 369 00:17:18,620 --> 00:17:20,164 It's too late for that. 370 00:17:21,290 --> 00:17:25,836 Available transport to ER. 371 00:17:25,961 --> 00:17:27,713 This is Grayson Cooper, 68. 372 00:17:27,838 --> 00:17:30,549 The bullet grazed his head. - I was lucky. 373 00:17:30,966 --> 00:17:31,842 Headache? 374 00:17:31,967 --> 00:17:33,886 Not really. It burns. - Good for Yellow. 375 00:17:34,011 --> 00:17:36,639 So many concerts. Where have peace and love gone? 376 00:17:36,764 --> 00:17:38,140 A good question. 377 00:17:39,767 --> 00:17:40,726 It's numb. 378 00:17:40,851 --> 00:17:43,145 Israeli bandage First hemostatic gauze... 379 00:17:43,270 --> 00:17:45,064 then a pressure bandage. 380 00:17:45,189 --> 00:17:47,775 Artery? - No, but he's bleeding a lot. 381 00:17:47,900 --> 00:17:50,861 A tourniquet if it soaks. 382 00:17:50,986 --> 00:17:54,865 A superficial head wound. Tight connections, frequent neuro checks. 383 00:17:54,990 --> 00:17:56,075 I'm assessing your wound. 384 00:17:56,200 --> 00:17:58,827 I'm fine. Help the others first. 385 00:17:58,952 --> 00:18:00,788 Are you taking medication? 386 00:18:00,913 --> 00:18:02,331 Medical marijuana only. 387 00:18:02,456 --> 00:18:05,501 What do you take that for? - For everything. 388 00:18:06,418 --> 00:18:07,878 IVs for everyone. 389 00:18:09,671 --> 00:18:10,971 How is my son? 390 00:18:11,757 --> 00:18:13,092 Omar. Shot in the chest. 391 00:18:13,217 --> 00:18:14,259 We were in the van. 392 00:18:14,384 --> 00:18:16,387 He's upstairs with the surgeons. 393 00:18:16,512 --> 00:18:18,430 I'll come back when I know more. 394 00:18:19,431 --> 00:18:20,731 We'll pass by. 395 00:18:33,112 --> 00:18:35,531 Jesse, hang up a unit and get to the OR. 396 00:18:37,407 --> 00:18:39,702 Shot? - No. She has been trampled. 397 00:18:39,827 --> 00:18:42,454 Unconscious on the spot. Three more in the car. 398 00:18:42,955 --> 00:18:46,375 Javadi. We have a head injury. 399 00:18:46,500 --> 00:18:48,168 Pupils are good. 400 00:18:49,169 --> 00:18:52,006 Strong heartbeat. Assess head wound. Chest, abdomen. 401 00:18:52,131 --> 00:18:53,799 With whom? - Whoever. 402 00:18:54,466 --> 00:18:56,010 How are you? - Okay, so far. 403 00:18:56,135 --> 00:18:57,469 News on the shooter? 404 00:18:57,594 --> 00:18:59,930 No, but I'm trying to get an update. 405 00:19:00,055 --> 00:19:01,724 Langdon is back. - Not my choice. 406 00:19:01,849 --> 00:19:03,434 I'll arrange that after the service. 407 00:19:03,559 --> 00:19:05,018 Collins? - Not answering. 408 00:19:05,727 --> 00:19:09,064 I made her turn off her phone. Keep calling. 409 00:19:09,189 --> 00:19:10,607 Jake? - No. 410 00:19:10,732 --> 00:19:12,026 But his mother did. 411 00:19:12,151 --> 00:19:14,528 She'll call us back when she finds him. 412 00:19:14,653 --> 00:19:17,281 Environmental manager to the ER. 413 00:19:17,406 --> 00:19:19,658 One for Pink, one for Green. - Okay. 414 00:19:19,783 --> 00:19:22,536 The press must remain in the waiting room. 415 00:19:22,661 --> 00:19:24,913 The public needs to know what is happening. 416 00:19:25,038 --> 00:19:28,292 Away from the hospital. I won't say it again. 417 00:19:30,919 --> 00:19:31,754 What is this? 418 00:19:31,879 --> 00:19:34,923 Pain, weak pulse, boot prints in chest. 419 00:19:35,048 --> 00:19:37,134 Yellow, wheelchair. - Good. 420 00:19:37,259 --> 00:19:38,260 Do you need anything? 421 00:19:38,385 --> 00:19:41,680 I hoped to be free at Thanksgiving and Christmas. 422 00:19:42,181 --> 00:19:43,599 We'll discuss that later. 423 00:19:45,350 --> 00:19:46,852 For proper placement... 424 00:19:46,977 --> 00:19:49,063 continue until the last window... 425 00:19:49,188 --> 00:19:50,898 Stop it. - What? 426 00:19:51,023 --> 00:19:53,692 Don't teach me anything now. - Are you an expert? 427 00:19:53,817 --> 00:19:55,694 Look around you, mom. 428 00:19:58,238 --> 00:19:59,490 Side 3-0. 429 00:19:59,615 --> 00:20:02,951 I'm doing a mattress stitch. 430 00:20:06,163 --> 00:20:07,497 Looks like you can do this. 431 00:20:17,633 --> 00:20:19,676 His pressure bandage is soaked. 432 00:20:20,552 --> 00:20:23,555 We solve it with Raney clips. - What are they? 433 00:20:23,680 --> 00:20:26,683 In neurosurgery we clamp the skull with it. 434 00:20:26,808 --> 00:20:28,560 I'll be right back. Keep pressing. 435 00:20:28,685 --> 00:20:31,605 You guys are busy. I'll do it. 436 00:20:37,653 --> 00:20:39,655 Sylvia. Can you hear me? 437 00:20:42,032 --> 00:20:43,992 No heartbeat. - Because of a broken leg? 438 00:20:44,117 --> 00:20:45,452 What are we missing? - No idea. 439 00:20:45,577 --> 00:20:47,454 Heart attack, an injury from the collision. 440 00:20:47,579 --> 00:20:49,790 That's for heart rate. - With an E-FAST mode. 441 00:20:54,878 --> 00:20:57,506 Diagnosis. Blood in Morrison's, liver wound. 442 00:20:57,631 --> 00:21:00,425 The car hit the abdomen. The leg was distracting. 443 00:21:00,550 --> 00:21:03,136 I'll get some blood and then she goes to Roze. 444 00:21:08,141 --> 00:21:09,268 Another to the OR. 445 00:21:09,393 --> 00:21:10,978 I have room for one more Red. - Okay. 446 00:21:11,103 --> 00:21:12,271 Not saved. Pediatrics. 447 00:21:12,396 --> 00:21:14,731 Another Red in trauma 1. - Understood. 448 00:21:17,651 --> 00:21:20,112 Dana... - Careful. 449 00:21:20,237 --> 00:21:22,573 I need Raney clips and O negative. 450 00:21:22,698 --> 00:21:24,283 They come from the OR. 451 00:21:24,408 --> 00:21:28,036 I need them now. - I'll get them. O negative. 452 00:21:30,122 --> 00:21:31,456 Please. - Thank you. 453 00:21:31,581 --> 00:21:33,709 Have someone come and mop. 454 00:21:33,834 --> 00:21:35,252 Little blood, lots of air. 455 00:21:35,377 --> 00:21:36,795 His lung has collapsed. 456 00:21:36,920 --> 00:21:38,547 Collapsed lung. - Who intubated? 457 00:21:38,672 --> 00:21:40,549 I. - Mohan is doing well. 458 00:21:40,674 --> 00:21:41,758 Heart rate up. - Nice. 459 00:21:41,883 --> 00:21:44,511 To Pink as soon as there is room. - Okay. 460 00:21:44,636 --> 00:21:47,848 How many ORs are available? 461 00:21:47,973 --> 00:21:49,725 One now. Two more in five minutes. 462 00:21:49,850 --> 00:21:51,894 Do you take a stomach and chest in pre-op? 463 00:21:52,019 --> 00:21:52,811 Good. 464 00:21:52,936 --> 00:21:56,231 MCI 21 goes to the ICU. I'll be right back. - Understood. 465 00:21:56,356 --> 00:21:58,108 Red zone. 466 00:21:59,359 --> 00:22:01,695 West 3 is full. Take them to South 2. 467 00:22:03,030 --> 00:22:05,616 I need xeroform, 4/4's and tape. 468 00:22:05,741 --> 00:22:06,742 You're here. 469 00:22:06,867 --> 00:22:07,618 I have a Pink. 470 00:22:07,743 --> 00:22:09,286 In the flesh. What do you have? 471 00:22:10,037 --> 00:22:11,121 Collision. 472 00:22:11,246 --> 00:22:12,915 We thought it was a broken leg. 473 00:22:13,040 --> 00:22:15,083 But we found an occult liver wound. 474 00:22:15,208 --> 00:22:16,501 Leg isn't important now. 475 00:22:16,626 --> 00:22:19,087 When she stabilizes with blood, she waits in the operating room. 476 00:22:19,212 --> 00:22:20,380 And if not? - In front. 477 00:22:20,505 --> 00:22:22,257 Her son is in the OR with a gunshot wound. 478 00:22:22,382 --> 00:22:24,509 Nice, family reunion after surgery. 479 00:22:24,634 --> 00:22:27,763 Whitaker, I'll be right back if it is in there. 480 00:22:29,890 --> 00:22:31,016 Well seen. 481 00:22:31,141 --> 00:22:33,352 Xeroform is gone. I'm going to get something. 482 00:22:33,477 --> 00:22:35,103 Come on, Sylvia. 483 00:22:38,398 --> 00:22:40,067 Sorry, the ER is closed. 484 00:22:40,192 --> 00:22:42,778 Via the pedestrian entrance. - I'm a patient. 485 00:22:42,903 --> 00:22:44,655 Go to Medicine in building 8. 486 00:22:44,780 --> 00:22:46,448 I'm waiting for surgery. 487 00:22:46,573 --> 00:22:48,242 Then go back to bed. 488 00:22:48,367 --> 00:22:49,826 My son is here. 489 00:22:49,951 --> 00:22:53,163 Sorry, but you come in here alone on a stretcher. 490 00:22:54,456 --> 00:22:58,668 My wife is a doctor. Dr. McKay. 491 00:22:59,503 --> 00:23:01,922 Our son has to go home. In the staff room. 492 00:23:04,508 --> 00:23:06,760 Okay, quick. - Thank you. 493 00:23:08,053 --> 00:23:11,348 But I'm taking my time. 494 00:23:11,473 --> 00:23:14,393 I'll come look for you in five minutes. 495 00:23:19,689 --> 00:23:21,066 I need help. 496 00:23:22,234 --> 00:23:24,361 That looks good. No exit wound. 497 00:23:24,486 --> 00:23:26,071 Red zone. 498 00:23:26,196 --> 00:23:27,989 I'll be right back. 499 00:23:30,826 --> 00:23:32,244 Javadi, IO. 500 00:23:34,538 --> 00:23:36,206 Here too. - Sux is in it. 501 00:23:36,331 --> 00:23:38,417 She's not breathing. - I'll take care of it. 502 00:23:43,505 --> 00:23:44,805 I'm in it. Oxygen. 503 00:23:45,966 --> 00:23:47,467 Chad, what are you doing here? 504 00:23:48,301 --> 00:23:50,637 They postponed my surgery. 505 00:23:50,762 --> 00:23:51,972 You're not supposed to be here. 506 00:23:52,097 --> 00:23:54,599 Go to Harrison. 507 00:23:54,724 --> 00:23:56,024 Okay. - Now. 508 00:24:03,316 --> 00:24:05,466 Another one for the morgue. To Pediatrics. 509 00:24:21,209 --> 00:24:22,509 Hey, kid. 510 00:24:23,462 --> 00:24:26,506 Have you had surgery? - No, postponed. 511 00:24:27,799 --> 00:24:28,717 Are we going home? 512 00:24:28,842 --> 00:24:31,803 Mom said Grandma and Grandpa McKay came to pick me up. 513 00:24:31,928 --> 00:24:35,057 They probably can't get here and neither does Chloe... 514 00:24:35,182 --> 00:24:37,726 but we take an Uber to my house. 515 00:24:39,186 --> 00:24:41,521 I'd rather go home with Mom. Okay? 516 00:24:43,899 --> 00:24:46,943 Your mother is very busy and is here until late. 517 00:24:47,068 --> 00:24:48,368 I'll wait. 518 00:25:03,585 --> 00:25:05,629 Are we watching something? - A movie? 519 00:25:05,754 --> 00:25:08,673 Yes. What do you have? 520 00:25:08,798 --> 00:25:10,098 Not much. 521 00:25:10,675 --> 00:25:12,302 One unit is in it. 522 00:25:12,469 --> 00:25:14,221 She needs more blood. 523 00:25:14,346 --> 00:25:16,681 Not now. One bag if heart rate improves. 524 00:25:16,806 --> 00:25:18,392 We ration the blood. 525 00:25:18,517 --> 00:25:20,394 What if it runs out? - Who wanted Raney clips? 526 00:25:20,519 --> 00:25:21,819 I. Thank you. 527 00:25:22,646 --> 00:25:24,981 Weren't you gone? - All hands on deck. 528 00:25:25,106 --> 00:25:27,692 Is there any news about Omar? Her deaf son? 529 00:25:27,817 --> 00:25:29,236 The teen with the gunshot wound? 530 00:25:29,361 --> 00:25:30,904 He was lucky. No vein hit. 531 00:25:31,029 --> 00:25:33,115 He'll be fine. - Great. 532 00:25:33,240 --> 00:25:35,826 Tell Sylvia about her son when she comes to. 533 00:25:35,951 --> 00:25:37,285 Certainly. - What... 534 00:25:39,496 --> 00:25:41,998 Mateo, MCI 29 to the OR. 535 00:25:45,085 --> 00:25:45,877 What is this? 536 00:25:46,002 --> 00:25:48,422 Does not respond to pain. No gunshot wound. 537 00:25:48,547 --> 00:25:51,216 Strong heartbeat, but tachycardia and diaphoresis. 538 00:25:51,341 --> 00:25:53,176 I'm looking for internal bleeding. 539 00:25:54,135 --> 00:25:55,735 FAST negative. - Help me turn. 540 00:25:58,431 --> 00:25:59,141 Tim. - Yes. 541 00:25:59,266 --> 00:26:00,600 Ampoule D50. - Okay. 542 00:26:00,725 --> 00:26:02,519 Serious? - A glucose monitor. 543 00:26:02,644 --> 00:26:04,521 Diabetic and hypoglycemic. 544 00:26:04,646 --> 00:26:06,148 Check blood sugar. - No time. 545 00:26:06,273 --> 00:26:08,316 It could be a head injury. You're making it worse. 546 00:26:08,441 --> 00:26:11,486 She took insulin in the morning, but not after lunch. 547 00:26:11,611 --> 00:26:13,864 She is in a coma due to low blood sugar. 548 00:26:13,989 --> 00:26:16,366 Look. Healing hands. 549 00:26:16,491 --> 00:26:18,034 Too bad they are so small. 550 00:26:18,159 --> 00:26:19,459 Hello, what's your name? 551 00:26:20,161 --> 00:26:21,288 Dawn. 552 00:26:21,413 --> 00:26:23,707 Where am I? -Pittsburgh Trauma Medical Center. 553 00:26:23,832 --> 00:26:25,876 Your blood sugar has dropped, but it will be fine. 554 00:26:26,001 --> 00:26:28,003 I'm not needed. Don't say anything. 555 00:26:29,254 --> 00:26:30,554 She has to go to Yellow. 556 00:26:31,423 --> 00:26:32,549 What happened? 557 00:26:32,674 --> 00:26:35,969 A shooting at PittFest, but you are safe. 558 00:26:37,262 --> 00:26:38,972 Whatever you can spare. 559 00:26:39,097 --> 00:26:41,349 MCI 33 to Yellow for control. 560 00:26:43,393 --> 00:26:44,895 What are you doing? - No laryngoscopes. 561 00:26:45,020 --> 00:26:46,855 No time for autoclave. 562 00:26:46,980 --> 00:26:50,317 Chest drains are also running low. Presby sends them. 563 00:26:50,442 --> 00:26:53,111 We have little O negative. - Doomsday scenario. 564 00:26:56,114 --> 00:26:57,532 I have a Pink. 565 00:26:59,409 --> 00:27:01,495 Do you feel anything, Grayson? - No pain. 566 00:27:01,620 --> 00:27:04,289 Only sadness for our world. 567 00:27:04,414 --> 00:27:06,374 I get it. - Is there room? 568 00:27:06,499 --> 00:27:08,460 And her? - This is Dawn. 569 00:27:08,585 --> 00:27:10,003 No trauma. Insulin response. 570 00:27:10,128 --> 00:27:12,672 Responds to D50. - D10 at 100 per hour? 571 00:27:12,797 --> 00:27:15,717 And I lent you Butterfly. On the stretcher. 572 00:27:15,842 --> 00:27:17,719 Like this. - What are you doing? 573 00:27:17,844 --> 00:27:19,638 I treat the patient. 574 00:27:20,847 --> 00:27:21,681 Raney Clips. 575 00:27:21,806 --> 00:27:23,808 I clamp off subcutaneous bleeding. 576 00:27:23,933 --> 00:27:25,602 Well done. Keep it up. 577 00:27:27,812 --> 00:27:29,397 Perfect. Like this. 578 00:27:29,522 --> 00:27:30,822 Room for a Pink. 579 00:27:32,984 --> 00:27:34,611 Suction. - We don't have it. 580 00:27:34,736 --> 00:27:36,404 Too much separation. I don't see anything. 581 00:27:36,529 --> 00:27:37,948 Wipe it away with 4/4's. 582 00:27:38,073 --> 00:27:39,199 Are you serious? 583 00:27:39,324 --> 00:27:40,992 Do you have a fiber optic laryngoscope? 584 00:27:41,117 --> 00:27:42,953 Only a GlideScope. - Good. 585 00:27:43,078 --> 00:27:46,414 But we don't have room. We breathe for a moment. 586 00:27:47,457 --> 00:27:48,583 When did he eat? 587 00:27:48,708 --> 00:27:50,752 We don't know that. Leave it to me. 588 00:27:50,877 --> 00:27:52,671 Keep pressing. He mustn't throw up. 589 00:27:52,796 --> 00:27:54,096 Doctor. 590 00:27:54,547 --> 00:27:57,008 Guard. 591 00:27:57,133 --> 00:27:58,551 This is a tricky one. 592 00:27:59,803 --> 00:28:01,388 This one seems tricky. 593 00:28:01,513 --> 00:28:02,597 Nothing. The neck is done. 594 00:28:02,722 --> 00:28:04,099 Wait a minute. - Yes. 595 00:28:04,224 --> 00:28:06,017 Give me pressure on the chest. 596 00:28:06,142 --> 00:28:08,603 CPR? No heartbeat? - Give me a push. 597 00:28:08,728 --> 00:28:12,232 Yes. Again. 598 00:28:17,028 --> 00:28:18,530 I'm in it. 599 00:28:18,655 --> 00:28:20,305 Breathe for him. - Check oxygen. 600 00:28:21,449 --> 00:28:22,284 Yellow. It's okay. 601 00:28:22,409 --> 00:28:23,577 How did you do that? 602 00:28:23,702 --> 00:28:25,453 Bubble intubation. You pressed... 603 00:28:25,578 --> 00:28:28,623 I followed the bubbles. There is more than one way. 604 00:28:29,749 --> 00:28:32,085 Robby, now, please? 605 00:28:32,627 --> 00:28:34,212 Imagine. 606 00:28:35,296 --> 00:28:36,131 Something from Jake? 607 00:28:36,256 --> 00:28:38,091 How much space is there in Roze? 608 00:28:38,216 --> 00:28:41,553 Chest drain, but massive emphysema. 609 00:28:41,678 --> 00:28:43,847 Air leaks under the skin. 610 00:28:43,972 --> 00:28:45,640 No heartbeat. - What do you think? 611 00:28:45,765 --> 00:28:48,893 Tamponade of pneumo media sinem releases air? 612 00:28:49,018 --> 00:28:49,978 Do it. 613 00:28:50,103 --> 00:28:52,605 Infraclavicular. 614 00:29:01,406 --> 00:29:02,991 Heartbeat comes back. Well done. 615 00:29:03,116 --> 00:29:05,577 Send him to Cardiothoracic ICU. - Okay. 616 00:29:08,705 --> 00:29:10,206 I still have a yellow one. 617 00:29:11,624 --> 00:29:14,085 We give painkillers. The nurse will be here soon. 618 00:29:17,797 --> 00:29:19,424 Where is he? - Who? 619 00:29:19,549 --> 00:29:22,510 MCI 28 arm injury, who refused treatment? 620 00:29:22,635 --> 00:29:25,305 Left? - With a gunshot wound? 621 00:29:31,102 --> 00:29:33,563 What are you doing? 622 00:29:33,688 --> 00:29:34,814 I'm fine. Let me. 623 00:29:34,939 --> 00:29:36,483 That's not allowed. - Fuck off. 624 00:29:40,278 --> 00:29:41,738 Security. 625 00:29:50,955 --> 00:29:52,499 On the right track. 626 00:29:52,624 --> 00:29:53,924 What happened? 627 00:29:56,127 --> 00:29:57,427 Son of a bitch. 628 00:29:58,171 --> 00:30:00,882 He stole a victim's sweater and pretended to be injured. 629 00:30:01,007 --> 00:30:03,760 He must be a journalist. - Jerk. 630 00:30:03,885 --> 00:30:06,262 Wake up, fake. 631 00:30:08,056 --> 00:30:09,683 He responds to pain. 632 00:30:09,808 --> 00:30:11,643 Head injury, goes to Pink. 633 00:30:11,768 --> 00:30:14,437 Cuffs, six hours of observation. 634 00:30:14,562 --> 00:30:16,648 With a stretcher. - I'll be right back. 635 00:30:16,773 --> 00:30:17,691 I'm fine. 636 00:30:17,816 --> 00:30:20,944 You can make a statement to the police. Away with him. 637 00:30:21,069 --> 00:30:22,369 My phone? 638 00:30:22,946 --> 00:30:25,114 Oops, my bad. 639 00:30:30,954 --> 00:30:31,788 Chest drain. 640 00:30:31,913 --> 00:30:33,915 They're gone. - What? 641 00:30:34,040 --> 00:30:35,667 Should have said that before. 642 00:30:35,792 --> 00:30:37,502 I didn't know. - The incision has been made. 643 00:30:37,627 --> 00:30:40,588 What should I do? - And this? 644 00:30:40,713 --> 00:30:42,382 Tracheal tube? 645 00:30:42,507 --> 00:30:45,593 A tube. When you blow up the balloon, he can't figure it out. 646 00:30:45,718 --> 00:30:47,887 Fine. Torah seal. - Also up. 647 00:30:48,012 --> 00:30:50,598 Jesus. - Urine bag? 648 00:30:50,723 --> 00:30:54,227 How should I connect them? - Christmas tree adapter. 649 00:30:55,603 --> 00:30:57,647 This is all unusual. 650 00:30:58,189 --> 00:30:59,607 No, this is genius. 651 00:31:04,237 --> 00:31:06,406 And celebrate Ancef. I forgot the Ancef. 652 00:31:13,329 --> 00:31:15,123 You need to reassess. 653 00:31:15,248 --> 00:31:16,708 Now? - Sylvia? 654 00:31:20,879 --> 00:31:23,715 Her pulse is weak. She's bleeding from the liver wound. 655 00:31:23,840 --> 00:31:25,717 I want O negative. - It's gone. 656 00:31:25,842 --> 00:31:27,051 Gloria keeps more coming. 657 00:31:27,176 --> 00:31:29,387 Commando, what time does our blood arrive? 658 00:31:29,512 --> 00:31:30,430 Ten minutes. 659 00:31:30,555 --> 00:31:32,640 She has to make do with saline. 660 00:31:32,765 --> 00:31:35,769 No, she needs blood. Can she go to surgery? 661 00:31:35,894 --> 00:31:38,188 She'll go as soon as there's an OR available. 662 00:31:38,313 --> 00:31:39,856 She won't make it that long. 663 00:31:39,981 --> 00:31:44,903 Dr. Robby, we're out of O negative, but I'm O negative. Can I donate? 664 00:31:45,028 --> 00:31:46,529 Gloria sends for more blood. 665 00:31:46,654 --> 00:31:48,990 I need it now. - How many do we have? 666 00:31:49,115 --> 00:31:51,534 The last units have been used. There's more to come. 667 00:31:51,659 --> 00:31:53,077 Time? - In ten minutes. 668 00:31:53,202 --> 00:31:55,163 Some patients don't make it... 669 00:31:55,288 --> 00:31:58,208 and there are probably donors with O negative... 670 00:31:58,333 --> 00:32:00,210 Screening for HIV and hepatitis takes a long time. 671 00:32:00,335 --> 00:32:02,795 I don't have one and I donate constantly. 672 00:32:04,047 --> 00:32:05,347 Please? 673 00:32:06,382 --> 00:32:07,091 Check it out. 674 00:32:07,216 --> 00:32:09,385 If the patient dies in front of the operating room... 675 00:32:09,510 --> 00:32:11,346 the benefits are greater. 676 00:32:11,471 --> 00:32:14,766 Roll up your sleeve. I'll see you at Central 7. Listen. 677 00:32:15,308 --> 00:32:18,144 Central 7, 8 and 9 are now blood donor centers. 678 00:32:18,269 --> 00:32:20,146 Who is O negative or positive? 679 00:32:20,271 --> 00:32:23,066 Donate now. Show your hands. 680 00:32:24,817 --> 00:32:27,111 We're going to do it. 681 00:32:30,490 --> 00:32:31,908 You work here, right? 682 00:32:32,033 --> 00:32:33,910 Yes. - How is my mother? 683 00:32:34,035 --> 00:32:38,122 Her name is Patricia Gregory or Trish. Shot in the arm. 684 00:32:38,915 --> 00:32:41,084 We'll help you. Be patient. 685 00:32:48,341 --> 00:32:50,677 Can I have your attention for a moment? 686 00:32:50,802 --> 00:32:54,848 I'm Kiara Alfaro. I am a social worker. 687 00:32:54,973 --> 00:32:57,892 This is Lupe Perez, from administration. 688 00:32:58,017 --> 00:33:01,479 You want information about friends and family. 689 00:33:01,604 --> 00:33:05,066 To help you, we have a QR code that you can scan... 690 00:33:05,191 --> 00:33:07,485 for our identification website. 691 00:33:07,610 --> 00:33:12,115 Cell phones don't work but log in to the guest WiFi. 692 00:33:12,240 --> 00:33:15,535 That information is there on the papers we hand out. 693 00:33:15,660 --> 00:33:18,955 When you log in, you send us the name and date of birth... 694 00:33:19,080 --> 00:33:20,832 of that person. 695 00:33:20,957 --> 00:33:24,085 If you know what they were wearing or have photos... 696 00:33:24,210 --> 00:33:26,129 from tattoos, piercings... 697 00:33:26,254 --> 00:33:28,590 that can help identify them. 698 00:33:28,715 --> 00:33:30,425 If there is a match, you will hear about it. 699 00:33:30,967 --> 00:33:33,928 We install phone chargers, water, snacks. 700 00:33:34,053 --> 00:33:37,015 If anyone wants to dress up, is there surgical clothing. 701 00:33:37,140 --> 00:33:38,099 Give us time. 702 00:33:38,224 --> 00:33:42,228 We do everything we can for you provide the necessary information. 703 00:33:52,196 --> 00:33:53,614 I'm done. 704 00:33:54,407 --> 00:33:56,701 Give me the Coban. Come on. 705 00:33:56,826 --> 00:34:01,372 Please. Next. 706 00:34:02,457 --> 00:34:03,416 How is she? 707 00:34:03,541 --> 00:34:06,336 Five hundred saline solution. She's barely there anymore. 708 00:34:06,461 --> 00:34:09,505 This unit of blood must help. 709 00:34:10,715 --> 00:34:12,050 Find a pressure bag. 710 00:34:12,175 --> 00:34:15,261 It goes faster if I squeeze myself. 711 00:34:21,434 --> 00:34:22,977 I need help. 712 00:34:26,355 --> 00:34:27,231 What is? 713 00:34:27,356 --> 00:34:30,193 Gunshot wound to the neck. Spinal hematoma. Deformed anatomy. 714 00:34:30,318 --> 00:34:32,904 When I intubate, I hit the carotid artery. 715 00:34:33,029 --> 00:34:34,030 I do the airway. 716 00:34:34,155 --> 00:34:36,157 Give me a 6.5 and an intubation bougie. 717 00:34:36,282 --> 00:34:37,617 I have the bleeding. 718 00:34:38,242 --> 00:34:40,203 Catheter with a 30 cc balloon. 719 00:34:40,328 --> 00:34:42,789 Do you donate? - O negative. Yes. 720 00:34:46,793 --> 00:34:49,837 Too much blood for the spark plug. - Not for this trial. 721 00:34:49,962 --> 00:34:51,464 Step one, scalpel. 722 00:34:52,090 --> 00:34:54,801 Step two, finger. Step three, spark plug. 723 00:34:58,888 --> 00:35:00,598 The tube. 724 00:35:04,393 --> 00:35:06,813 Good. Far enough. Breathe for him. 725 00:35:07,730 --> 00:35:09,398 Bandage off. 726 00:35:10,775 --> 00:35:11,609 Foley's in it. 727 00:35:11,734 --> 00:35:13,034 Blow up. 728 00:35:15,655 --> 00:35:16,955 Thirty cc in it. 729 00:35:17,782 --> 00:35:19,082 Clamps. 730 00:35:19,784 --> 00:35:21,084 Look. 731 00:35:21,869 --> 00:35:23,538 As dry as anything. 732 00:35:23,663 --> 00:35:24,963 Room for another Red. 733 00:35:25,581 --> 00:35:29,085 Dr. Walsh, do you have an OK? for head and neck case? 734 00:35:29,210 --> 00:35:31,879 There are 16 operating theaters open. There is room. 735 00:35:32,004 --> 00:35:34,966 The liver wound is back after a second unit. Keyhole surgery. 736 00:35:35,091 --> 00:35:37,677 There are two operating rooms. Send upstairs. 737 00:35:38,511 --> 00:35:39,637 Where has Mel gone? 738 00:35:39,762 --> 00:35:42,265 No idea, but she has to go to Geel. 739 00:35:42,390 --> 00:35:44,433 That's two grams of Ancef. - Nice. 740 00:35:46,144 --> 00:35:47,478 I'm checking your bandages. 741 00:35:48,813 --> 00:35:52,150 Looks good. No more bleeding. Can you move your fingers? 742 00:35:53,526 --> 00:35:56,279 Can you move your fingers? 743 00:35:57,738 --> 00:36:00,158 Does it feel the same on both sides? 744 00:36:00,283 --> 00:36:01,583 How is the pain? 745 00:36:06,455 --> 00:36:09,542 The bullet probably went through the forearm bones... 746 00:36:09,667 --> 00:36:13,254 but the nerves or arteries are not damaged. 747 00:36:17,175 --> 00:36:18,475 It'll be fine. 748 00:36:21,179 --> 00:36:22,597 I'll get some tissues. 749 00:36:27,685 --> 00:36:30,313 The blood is there. - Just in time. 750 00:36:31,480 --> 00:36:34,859 Open intestines. ABD and saline. - Breathe for a moment. 751 00:36:36,611 --> 00:36:39,197 3.375 Zosyn and a sterile bandage. 752 00:36:39,363 --> 00:36:41,616 That I say this. Another Christmas tree. 753 00:36:41,741 --> 00:36:43,868 Why are we out of chest drains? 754 00:36:45,870 --> 00:36:48,081 Less than 500 cc. The ICU can take him. 755 00:36:48,206 --> 00:36:50,458 They'll wonder what we're doing here. 756 00:36:50,583 --> 00:36:51,459 But good rescue. 757 00:36:51,584 --> 00:36:54,087 Find Whitaker and go to the helicopter. 758 00:36:54,212 --> 00:36:55,338 There's blood coming. 759 00:36:55,463 --> 00:36:57,548 Stay behind the yellow line so that... 760 00:36:57,673 --> 00:36:58,674 the pilot you see. 761 00:36:58,799 --> 00:37:00,134 Okay. - Will this work? 762 00:37:00,259 --> 00:37:01,928 He goes upstairs immediately. 763 00:37:03,804 --> 00:37:05,139 More chest tubes. From Presby. 764 00:37:05,264 --> 00:37:08,184 Nice. I'm going to triage. - Good. 765 00:37:10,269 --> 00:37:11,187 Do they have the shooter? 766 00:37:11,312 --> 00:37:13,439 Not yet, but we'll find him. 767 00:37:13,564 --> 00:37:14,649 And her? 768 00:37:14,774 --> 00:37:16,734 She's waiting for the FBI. - Do they have her son? 769 00:37:16,859 --> 00:37:18,653 No, but his phone was right there. 770 00:37:18,778 --> 00:37:20,279 Shit. Does she know that? 771 00:37:20,404 --> 00:37:22,365 She hears it that way. - Thank you. 772 00:37:22,490 --> 00:37:24,033 Why all that blood? 773 00:37:24,158 --> 00:37:25,993 From people who want to get in. 774 00:37:26,118 --> 00:37:27,453 But we were already full. 775 00:37:27,578 --> 00:37:30,665 Chest, abdomen, arm, leg. Red, Pink, Yellow and Green. 776 00:37:30,790 --> 00:37:32,583 Two stretchers, two wheelchairs. 777 00:37:34,835 --> 00:37:36,921 My partner is in bad shape. - His name? 778 00:37:37,046 --> 00:37:39,590 Rich Stefano. - Hi, Rich. How are you? 779 00:37:41,759 --> 00:37:42,927 Shot in the face? 780 00:37:43,052 --> 00:37:45,930 Entry wound on the other side. Neck. Above his jacket. 781 00:37:46,055 --> 00:37:47,223 Cheek is the exit wound. 782 00:37:47,348 --> 00:37:49,267 Red zone. He needs an airway. 783 00:37:49,392 --> 00:37:51,936 Come along. I'll help you. 784 00:37:52,061 --> 00:37:53,604 We'll patch you up. 785 00:37:55,690 --> 00:37:56,990 Take him with you. 786 00:37:59,694 --> 00:38:01,195 And the SWAT team? 787 00:38:01,320 --> 00:38:04,240 As a precaution. In case the shooter comes. 788 00:38:04,365 --> 00:38:06,492 Is that possible? - There was talk. 789 00:38:07,368 --> 00:38:09,912 Are we safe here? - Well, now. 790 00:38:10,037 --> 00:38:11,622 Focus on the patients. 791 00:38:12,665 --> 00:38:13,958 You have to go through it. 792 00:38:14,083 --> 00:38:15,751 How many more are coming? 793 00:38:15,876 --> 00:38:18,004 All those ambulances... 794 00:38:18,129 --> 00:38:22,008 go back to the place. We're not even halfway there yet. 795 00:38:22,133 --> 00:38:24,385 When will this end? 796 00:38:26,762 --> 00:38:29,181 JAKE Everything okay? 797 00:39:51,138 --> 00:39:53,140 Translation: AC