Original subtitles

Previously on Code Blue

Please cure him, Dear!

Save Kenichi...

Don't you feel that you've torn apart his skill as a surgeon?

I've ruined Dr. Kuroda's life!

If you run away from here, you won't be able to come back.

Just to let you know, I won't let you quit.

Did you tell Kenichi-kun that you're his father?

No.

Your family?

Just my mother and me.

Are you going to come back to Japan?

Are you okay? Just the two of you.

Before coming to this hospital I never once hesitated.

But...

All I do now is hesitate.

Right now...

I can't look you in the eyes.

Doctor.

What does it mean to be an excellent doctor?

The answer to that

can probably be found while on location only.

Multiple collisions on a highway.

Casualties unknown.

We'll have doctors go on touch-and-go.

Rescue!

Can you understand me?

Code Blue Final Episode

is brought to you by Querbeet. Translators: seri & suketeru

Timings Provider: SAKURA-MOCHI QC: qnhu

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Are you okay?

Do you understand me?

Did you confirm safety inside the tunnel?

Yes.

Performing Triage.

Transport by helicopter the red-tagged only.

We can leave the yellow and green to the DMAT medical team.

Dr. Aizawa, Triage inside the tunnel.

Got it.

- Saejima-san, go with him. - Yes.

I leave it to you.

The others examine the patients here.

Okay.

I'm Hiyama from Shohoku Lifesaving Center.

Consciousness?

Level 30.

Vitals?

Blood pressure 100/60, shock.

- Come here first. - Wait, please.

Wait a little, please. I'll examine you right away.

Please.

The doctor is going by order.

[Rib fracture]

Doctor, over here!

This way.

Are you okay?

Do you know where you are?

Grasp this, please.

Open.

Okay. I'll be attaching this tag to you.

Other doctors will come by soon.

Can you hear me?

How does she look?

Unconscious.

Red tag.

- Let's just intubate. - Yes.

Rescue!

- Stretcher, please. - Right away.

- Take care of her. - Okay.

It's dangerous.

Let's sit down.

Someone...

- Someone, help. - Yes.

The doctor will examine you right away.

Not me!

Dr. Aizawa!

- I'll intubate. - Okay.

- 7.5 tube, please. - Yes.

- And rapid transfusion. - Okay.

- Excuse me. - My husband and...

My husband and son are still inside.

My husband

is wearing a light blue checkered shirt.

M-my son is wearing a polo shirt and short pants.

Don't worry.

It was our wedding anniversary.

We shouldn't have gone on this trip.

- Echo. - Yes.

Mom!

Thank God!

Where's your dad?

I don't know.

Internal bleeding in the abdominal cavity.

- Transport her by helicopter. - Okay.

If you don't get treated immediately your condition will worsen.

You accept going to the hospital by helicopter, right?

Does it hurt somewhere? Are you injured?

Your son can't ride with you.

Why...?

22-year-old male.

Rescue is extracting him, but

it seems it will take some time, so Dr. Aizawa is starting treatment.

Okay.

I'll send Shiraishi over there.

Dr. Shiraishi!

Yes.

- Light, please. - Right away.

Roger. Patient coming in!

- Okay. - I'll prepare for transfusion.

Operation for internal bleeding in abdominal cavity.

- Ask for assistance from the Abdomen Surgical Department. - Yes.

- Okay. - I'll contact them.

- How are things going on location? - It seems the helicopter will become a piston.

We have more red tags than expected.

Okay.

We'll transport her right now.

On the way back, send over transfusion preparation and O-type blood, please.

Please let me stay here just a little longer.

I...!

My husband...

Get her on, quick.

Yes.

It'll be fine.

He will be found for sure.

I'll hang on to this, okay?

Take off, please.

Okay!

Taniguchi-san, are you okay?

Can you understand me?

Rescue will relieve you now.

Hang in there a little longer.

How is it?

The broken hood is piercing through his chest.

Vitals look bad. Drowsiness.

Left breathing sound is weak.

Might be hemothorax.

Situation?

His leg is trapped by the bike, he can't move.

We can't wait for rescue.

I'll insert a chest tube right here.

The girl over there is injured. Take care of her.

- Okay. - Saejima.

- Scissors, please. - Yes!

Here?

Sorry.

Do you remember the situation at the time of the accident?

Busy all summer...

...couldn't go anywhere, and

the last fireworks display was in Niigata.

Suguru-kun...

That's why, by motorbike...

There's a possibility you've fractured your arm.

Leave him to us, there are other doctors outside the tunnel.

Yes, please.

- Scalpel. - Here.

Patient information:

Sawano Yoshie-san, 39 years old.

She was riding on the passenger seat and got involved in the multiple collisions.

There's internal bleeding in the abdominal cavity.

Blood pressure 100.

Sawano-san?

What's wrong?

Heart rate sprung up to 126.

Did the bleeding increase?

No, it didn't.

Blood pressure 75.

Shock advancing.

What about subcutaneous emphysema?

None.

- Try to listen to the chest. - Okay.

No use!

I can't hear because of the helicopter noise.

Blood pressure 50.

There's over-swelling of the jugular vein.

Perhaps it's cardiac tamponade.

How long till you get here?

How long?

Six minutes.

Six minutes?

She won't make it.

Hiyama.

Have you ever done a pericardium puncture?

When I was an intern.

With echo and guide wire.

But even without those, we have no other option but to do it, right?

Exactly.

Can't measure blood pressure.

Give me instructions, please.

Put her upper body in a 30-degree semi-sitting position.

Okay.

- Connect me to the helicopter. - Okay.

It's become difficult to measure blood pressure.

Closer.

Okay.

This is bad.

It's a hemothorax as I thought.

Shiraishi! Give a hand, please!

Got it.

I'll get one line, too.

Do we have blood transfusion?

We have six units of RCC.

Insert two units for now.

- Suguru-kun! - It'll be okay.

Taniguchi-san.

Taniguchi-san, can you understand me?

Your girlfriend is safe.

She has an arm fracture only. She'll be fine.

Can I be saved?

You'll be fine.

Hang in there!

Thank you.

Inserted two units of RCC.

Blood pressure isn't rising.

Does rescue need more time?

It does.

- Taniguchi-san? - Level has dropped.

- Do you understand me? Taniguchi-san. - Can't feel the carotid artery.

Let's do a thoracotomy and stop the bleeding.

- Here? - We don't have time.

- Disinfection. - Yes.

Get the instruments, and prepare for intubation.

Okay!

Hiyama, can you hear me?

Yes.

I'm ready.

Puncture needle?

16G.

No blood pressure.

There's little time.

Looking at the skin, put the needle at a 45-degree angle into the ensiform catilage.

Position the needle 45 degrees to the left.

Pierce in that direction.

Sorry, some wind came up.

Be careful.

Done.

You can't confirm depth with an echo.

If you push too deep, the heart will be pierced.

Carefully push the needle in further with little pressure.

You'll reach the pericardium in 4-5 cm.

Is there resistance?

Yes.

Hiyama?

It's fine.

It got stuck in something.

It's the pericardium.

Pierce through it.

Okay.

Don't go too deep!

If you injure the heart muscle she's done for.

If you can extract the blood you'd have succeeded.

How is it?

The blood isn't coming out.

Can't measure blood pressure.

I'll try to

go in a little deeper.

Blood is coming out.

Pulse perceived.

She's regaining consciousness.

That's good.

You did well!

- Withdraw the bumper. - Yes!

- Light up closer, I can't see a thing. - Yes.

He's got a stone heart.

- Epinephrine. - Yes.

I can't tell the degree of hemorrhage.

Add more RCC units, please!

There aren't any more units.

I'll pump albumin.

Okay.

The stone heart isn't improving.

I'll try to clamp the aorta.

- Artery forceps. - Yes.

It's not working.

It won't stop.

What's the matter?

The narrow part in the aorta is ruptured.

There's no way we can save him.

It has come off! We're taking it out!

1, 2, 3!

Calm down. It's over.

This is no time to be sad.

We'll save the patients that can be saved.

My husband...

What's the matter?

My husband...

What happened to him?

Inside the car...

He...

It was our anniversary.

He was reluctant in going.

That's enough.

Don't talk, please.

That's why...

Like this...

If we part like this...

He'll be found.

Is he alive?

Is my husband

alive?

Say!

Is he alive?

For now...

Think about your own body, please.

I...

...will definitely locate him.

Over there, two units of RCC. Do blood transfusion.

This is the last blood we have.

Okay.

Transport the person at that end first!

Both ambulance and helicopter aren't available.

That bus...

Let's use it for transportation.

Get as many yellow and green tagged people as possible on that bus.

Okay.

Hello?

- Removing the stretcher. - Please.

The OR is full.

Vitals are stable. Monitor her at ICU and wait for the OR.

Okay.

You've arrived, you'll be fine.

There's shortage of people on location.

There's also shortage of blood, equipment and material. Moreover, red tags keep showing up.

Many patients will be transported here soon.

Please allow me to go.

20 units of RCC, albumin, and bicarbonate.

Take all we have and go.

Yes!

It's horrible on location!

I know!

Might be compartment syndrome.

Needs relaxation incision.

Here?

If we make a minimal incision and open the fascia only,

we can avoid amputation.

Dr. Morimoto taught me how.

Okay.

Oh, excuse me!

Yes.

And, I'll be making a crash cocktail, so

prepare sodium bicarbonate and saline solution, please.

- Okay. - Local anesthesia, and #10 scalpel.

Okay.

With this ABC is okay!

This person is tagged red.

- Transportation priority. - Okay.

Can you walk?

Aid will be here soon.

With this respiration should ease down.

Transport him on the next helicopter trip.

- Get the line. - Okay.

- Prepare for IV. - Okay.

- Open IV fully. - Okay.

Circulation is stable.

I'll leave it to you.

Let's go.

If you weren't here, we may not have been able to transport the patients to other hospitals...

What's left...

...is over there.

- Thank you. - No problem.

My husband was wearing a light blue checkered shirt...

[Husband]

Hello?

Shiraishi?

Dr. Hiyama?

What are you doing? Why?

The cellphone of the patient I'm currently examining started ringing...

Is he alive?

We're at the cargo truck inside.

Get transfusion and five units of RCC and come here immediately.

I'll be right there.

He was looking for his son and got pinned under here.

Didn't notice him because of the truck shadow.

He had bradycardia for a moment, but

he managed to recover after administration of atropine and transfusion.

I'll increase the line.

- Turning the monitor on. - I'll do the FAST.

Saejima-san. Attach the IV.

- Open it fully. - Thank you.

Just a little longer. Hang in there.

Once the load is removed, we'll transport you to the hospital on the helicopter.

My wife...

And son...

You're Sawano-san, right?

Both your wife and son have already been transported to the hospital.

They're undergoing treatment now.

They can be saved, right?

Your wife was very worried about you.

Thank you.

Thank God.

Excuse me.

How much longer?

About 20 minutes.

- Where is it leaking from? - Let's check.

- Is it confirmed? - Yes.

Rescue!

Something wrong?

Doctors, take shelter, please.

Gasoline is leaking from the truck.

It might catch fire at any moment,

so please go outside till we confirm safety.

- Check the situation again. - Yes!

Evacuate, please!

Hurry up!

Hurry up, please!

This is the accident location.

Relaying information just received.

An order of evacuation of the tunnel has been given.

The tunnel is filling up with gasoline leakage,

explosion and fire wouldn't be unexpected.

- Take care of the rest. - Okay.

Transportation of the majority of the injured has ended, but

several casualties,

fire fighters

and doctors are still inside.

Please.

It's Kumada Takeshi-san.

- Take care of the mother. - Yes!

Hurry up, please! We don't have time!

Everybody, evacuate!

Everybody, take refuge!

Check the interior again!

It's inevitable.

Let's temporarily evacuate.

Wait, please!

After the safety check is done...

By us coming back here,

will there be anything left for us to do?

No one's answering the PHS.

They're perhaps on location. Go bring them back.

Don't let anyone die!

Got it!

Those idiots!

The heart that had stopped is beating now.

It's desperately trying to live!

If we do it now, we can save Sawano-san.

But...

That might not be the case once we come back.

I won't leave him behind.

How many more minutes till rescue?

Fifteen minutes... Wait, we will try in ten.

- Prepare a stretcher. - Okay.

Let's try for another ten minutes.

We'll evacuate immediately once rescue is over.

Okay.

Open fracture of the left foot.

- Look for the hemorrhage point. - Okay.

Have they evacuated?

No.

They're continuing treatment.

What?!

They...

...don't seem to want to quit.

No matter what,

they want to save him.

They're just like you!

Give them ten more minutes.

If it's no use by then,

even if I have to knock them all out,

I'll drag them out.

Doctor...

Yes?

The stuff

on my left hand...

Could you remove it, please?

Can you feel this?

And this?

No... nothing.

It's hemiplegia.

Sawano-san.

Sawano-san?

There's phonetic disorder, too.

Hematoma and traces of injury to the neck area.

Also, signs of Horner's syndrome.

Perhaps there's damage to the carotid artery.

With that there's no guarantee of sufficient blood flow into the brain.

He won't last ten minutes.

Let's cut open his neck now.

He won't last if we don't do it immediately.

Scalpel.

Here.

Shiraishi and Hiyama, take care of the open fracture hemorrhage.

- Yes. - Okay.

- Watch out for the muscle. - Okay.

- Pean clamp. - Here.

Found it.

It's an intravascular thrombus.

Let's get instructions from Dr. Kuroda.

He's on the phone.

Thank you.

Rescue of the last injured person is difficult.

The fire department and a team of doctors is doing the rescue.

Do a bypass.

It's impossible to mend a blood vessel there.

Get the blood flowing into the brain, then transport him by helicopter.

Okay.

Let's use the IV tube as an artificial blood vessel,

and bypass the heart and brain.

Exactly.

This connecting tubule will do, right?

- Keep it long. - Okay.

I'll cut one side and use it.

I think it will bleed considerably.

You're right.

Found it.

It's coming from here.

- Bulldog forceps. - Yes.

- I'll tie it together. - Please do.

Here I go.

Just a little more...

Sawano-san.

Sawano-san?

Doc... tors.

Thank...

...you.

Remission of paralysis.

Fixate the tube, and then intubate.

- Yes! - Yes!

We'll be able to move the container in a moment!

You report the information.

This is Shohoku Doctor Heli.

Relaying patient information.

Currently, blood pressure 85.

Pulse 115.

Saturation with intubation 100.

Vitals are stable.

Also,

all the doctors are safe.

Roger that.

Preparing for receival.

Shall we go then?

Preparations for your operation are ready.

Dear.

Daddy, Daddy!

Daddy, Daddy!

Daddy!

The operation on the blood vessel has safely ended.

His throat is still swelling, so he won't be able to talk.

As there is paralysis in the left side of his body,

he'll require rehabilitation even if he recovers.

We're still unsure as to what extent,

but paralysis is likely to remain.

It's okay.

It's okay.

As long as he's alive and with me.

You pulled through for me.

Your husband wrote this.

[I'm in your care from now on as well]

Dear...

Please take care of this.

[Nanso expressway multi-accident Deaths 12 Serious injuries 6 Minor injuries 42]

Mom.

Yes?

I...

rode the helicopter today.

Really?

That's great.

Congratulations.

But...

I couldn't save many.

I see.

I don't remember anything apart from not being able to save them.

Really?

It must have been tough.

You worked hard.

Mom.

Yes?

Nothing.

What's wrong?

About that feedback letter...

Thank you.

Tomorrow, Kenichi-kun will be changing hospitals.

He's progressing well.

Yeah.

You're not regretting it?

Not telling him you're his father.

I'm not qualified to do that.

You're considerate of other people's feelings.

However,

it's not a very complicated or worrying matter, is it?

Kenichi-kun is level-headed.

Even if he learned that his father is arrogant and good-for-nothing,

he might not take it to heart.

Translators: suketeru & seri Timings Provider: SAKURA-MOCHI / QC: qnhu

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Father.

Next time, come and see my...

...basketball match.

Okay?

Sure. I'll come.

Really?

It's in America!

It's impossible.

There's no way he would.

No,

I'll come.

You better don't make promises you can't keep.

It's fine.

I'll wait without anticipation.

And also...

Also?

No,

we'll talk after you come.

There're many things, that I want to talk about.

Okay.

See you...

Father!

Sorry.

I told him without consulting you.

Yeah.

Isn't Kenichi a good boy?

Yeah.

Take care of yourself.

You, too. Take care of yourselves.

Thank you.

Did they not ignore the commands of the rescue team, and continue with treatment?

This is a very big problem!

If a second disaster had striked, what would have happened to them?

You are right.

But, thanks to the efforts of the Fellowship members,

it is a fact that one more patient was rescued.

However...

Whether an accident or disaster, a doctor will go on location.

That Doctor Heli doesn't avoid danger,

is also a fact.

What should we do

to operate Doctor Heli more safely?

That's what I want to discuss further with everyone.

Rather than abandon it, its continuation should be the premise.

Shouldn't a punishment be imposed on the Fellowship?

What is necessary for them is not a punishment,

but re-training, is it not?

Tomorrow...

I don't know whether or not I'll want to come.

However,

I felt that I wanted to come today.

Your face...

I wanted to see it.

How selfish.

You're the worst.

But I'm happy.

You aren't feeling anxious anymore.

Even if you quit, my arm won't come back.

Rather, if you continue being a doctor,

there's at least one or two more lives you can save.

Ride the helicopter more than anyone else.

Yes.

[On Duty 9/14 Mitsui, Aizawa 9/15 Morimoto, Fujikawa]

[Duty Diary]

Good work.

Good work.

I'll go on duty for you on the 14th.

What?

It's your son's birthday, right?

I heard from Makabe-san.

This year,

go home early and celebrate with him.

One day, suddenly,

there are families who experience separation.

On such an important day,

please spend it with your family.

I never thought I'd be getting your opinion.

Thank you.

You're after this, right?

[Resignation Request]

Is it possible for me to continue here for a little longer?

I look forward to working with you again.

I heard that...

Yesterday, you were very dependable.

Please... become a strong doctor!

Yes!

Did you find the answer?

I didn't.

In that case, fly again tomorrow.

Becoming an excellent doctor is a hard task.

In the first place,

was there even an answer?

Yesterday, the number of people we saved was six.

In comparison,

twelve people died.

We...

...couldn't handle it.

In the end, even the people we saved,

we don't know whether they'll be able to return back to normal or not.

People will definitely die someday.

Ultimately, are doctors only capable of

merely extending

the time before a person's death?

Exactly that.

It may only be ten minutes.

An hour, a day, or maybe a year.

However,

that small amount of time

can sometimes change the meaning of life.

For that sake, we improve our skills.

I feel that this is by no means wrong.

It doesn't mean that's all there is to it, though.

The one who cut my arm...

I'm glad it was you.

I...

...could live

and was able to see my son.

On duty? Today?

Yep.

I swapped with the Fellowship.

Cause I think that they're still fatigued from yesterday.

You're so free, Dr. Morimoto.

What?

That's not right.

You should be saying "You're so kind, Dr. Morimoto" instead!

You know,

I broke up...

...with Nickson.

Nickson?

That American?

I knew it wouldn't work out.

A man with a wife and kids.

Nickson has a wife and kids?

So tonight, I was thinking of going out.

How disappointing.

I guess I'll go invite Anzai-san.

Wait, it's not.

Say, go with me, let's go. Hey!

I'm on duty today!

Damn Fellowship!!

Shiraishi.

When we were performing Sawano-san's treatment on location,

did you feel anything?

I did.

Heat...

Like the warmth... of a person's heartbeat.

You felt it, too, right?

Yeah.

I felt it.

That kind of heat,

I want to be a doctor who can feel it forever.

JL6790.

This is Shohoku CS.

AMI uncertain.

1, 2, 3!

Hurry with the 12-lead cardiogram!

TROP T, please.

Do you understand? This is the hospital.

You're going to be fine.

No smoking! I've said it many times, haven't I?

How many times do I have to say it for you to understand?

I'm going to take a look inside your mouth,

so please open your mouth.

Look at me.

Okay.

Let's remove the lump on the artery, Coopers.

Grandma.

I bought this for you.

It's still sunny outside.

Put it on and let's go for a walk.

Let's go for a walk outside together.

Doctor Heli, engine start!

Doctor Heli, engine start!

Ending Theme: Mr. Children - HANABI

Thinking too much, I'm at a loss for words

I hate my clumsiness

When out of the blue I act skillfully

I hate that even more

Whether laughing or crying

Time passes evenly

The future is calling out for us

Is that voice now audible to you, too?

That farewell would eventually head our way

Even though we knew it all along

One more time, one more time

One more time, one more time

I thank you from the bottom of my heart

Water constantly tumbling and flowing,

Transparent and never settling

If my heart could be like that...

At all these times I wanted to see you

At all these those times I missed you

One more time, one more time

One more time, one more time

I want to imprint you firmly into my memory

Everyone has problems

But is hoping for a wonderful tomorrow

A world gushed by cowardice

And inclined to conflicts

I wonder how much they'll be able to love it

One more time, one more time

One more time, one more time

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Code Blue Doctor Heli Emergency Lifesaving Special

Code Blue Doctor Heli Emergency Lifesaving Special: 2009 New Year Broadcast decided