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Good morning.
Nancy.
It has come to my attention that I keep pulling Glenn as my EMT. The kid is
going to start thinking that he's my partner.
Good, because he is.
What?
Baz, come on. Look, I'd rather use mystery meat. I don't need a partner
right now. Why? What's wrong with Glenn?
He's too new. He's too...
Good looking.
No attachments keeps me fast. I don't need a probie just now, okay? I don't
need you fast.
Just good.
Glenn's all right. He can learn a lot from you.
Can't put him with Boone. He's spoken for. And the other EMTs will eat him
alive. Last time I checked, you still had a heart.
So do a good deed.
Do I have a choice?
If you really don't want him, I'll see if I can't rotate him with somebody
else.
So one more thing.
What's the over and under on how long until I sleep with him?
Seventeen days.
I'm gonna make sure you lose that bet. I already did.
I had three days.
taking Wilson to the doctor, Garcia to the vet, and finishing the Logan Berry
Preserve. And Scooters, no help. We should fire him.
Wilson, softer.
So, you're in Massachusetts and I'm here alone.
Oh, thank God.
Control, this is Angel Rescue 2 on route to rural route 2243 for treatment of
medevac. Copy.
How
long since
you hit her head? I don't know, 15 minutes? She's still down.
Hey, are the cops coming?
Don't know, should they? No, well, I'm just wondering.
Dude, I'm holding.
Awesome, but I gotta work.
Okay, okay, we got a blunt head injury, GCS is three, blown pupil, possible
brain hemorrhage. This is load and go. Marissa, I could use your hands in here.
She's all right, though.
Yeah, she's gonna be fine.
Um, I could use your help to get the kid and the dog out of here.
The side.
What's your name?
Um, Wilson.
Wilson.
Back!
Oh.
Tongue's blocked the airway. Marissa, drop an NPA.
Drop an NPA.
I can't do that. Oh, you're kidding me.
Old C-spine, Nick. Can you do that? Hold her head.
All right, kid, your mom's going to be okay, okay? We're just going to buckle
you in.
Your mom is going to take a ride to the hospital, all right?
Don't cry, all right?
Yeah, you want to listen to some of that?
That's my own. What do you think of that, huh?
How about that?
You like that?
All right. I've got a kid.
I hate kids.
Seriously, dude, that's your second. It's not even 11 o'clock. You see the
bulletins? It says, do not down energy drinks. They can dehydrate you. I don't
read bulletins, my guy.
And if I collapse, I got an awesome paramedic. Regular coffee not good
enough for you?
Come on, girl.
Come on, babe. Roll with me after school.
Roll with you?
Where'd you get that from? A video?
You even got a car?
I can get one.
You can get one. Listen to you.
Hold up. I think that's my boy D-Rock. No, you hold up.
You want to be with me, be with me. Not your boys.
Yeah, tell the truth.
They ain't my boys.
How far away is PD?
Five minutes.
Now we wait for the cops.
I'm done, man.
I'm done.
Hey, what's going on?
Are you just sitting?
We got a brother over here dying.
Hey,
what's up, cop?
The cops.
They'll be here in a minute. I'm getting out of the ring.
Boom. You go, I go. No, you stay here, man.
White cop to hold your hand.
You're done. Y'all gonna take your sweet time in here.
Come on, hurry up. You're gonna be a guy.
Yes, come on, man. Grab something off your back, man. Don't worry, it's not
life threatening.
Man, hurry up, man.
Man.
Just calm down.
Where do you think you're going?
Where do you think you're going? He's just bleak.
Hey, man.
Come on, get back there and help him.
Man, you think you're gonna help him up on the lake? You damn... Your boy is
just bleak. I know he's bleak. I should get back over there and help him. I do
not care about her.
I told you I don't care about her. Get back over there and help my boy.
I told you, man. He just bleeped.
What you want? Okay, don't shoot the white guy. You need to get back over
there, man. Yeah?
Get back over there. Get on the ground. Get on the ground right
now.
On your stomach.
Now.
Okay, baby.
Palms on the ground.
You're supposed to wait for us. Tell him that, man. Tell her that.
She's in shock.
She gonna make it?
Probably not.
How about him? What you gonna do about my foot?
Most likely.
Grab some restraints You
doing
that all by yourself
I gotta go to this council. It's now on shift.
Now I gotta show up bloody.
Bad enough. The only thing worse than being bloody is being married to you.
Listen, I gotta show you something.
Oh, great audience.
What's this rabbit one you didn't know about? Yeah, hilarious. Look, his mother
fell, hit her head. She's now in surgery, stable, and will be fine. Thank
you very much. And, uh, well, I guess Wilson here, uh, he likes me.
Rabbit! Uh, Wilson, I gotta go, all right? I just gotta get to work.
Don't go, rabbit. No, I gotta go, kid. Come on, Wilson, let Mr. Collin go.
Look, I gotta go.
I gotta go, kid.
Here you go.
On the right.
Thanks.
Other one.
Other rights. These are actually better than the ones you can get in Rome, you
know that?
Really?
I don't know what else to say.
Classic.
What?
I didn't know he had a kid. He doesn't. That's why it's funny.
Oh. I guess you have to know him.
So if you don't mind me asking, what's the deal with you and him?
Uh-uh.
You ask whatever you want about the job, not about me.
Hey, Dominic. Hey, Dominic. Hey, Dominic.
Hey, hey, Dominic. Dominic, you okay?
Medic 114, respond to code 3 to Macchiarini steps for chest pains and
shortness of breath.
Reported as 75-year-old white male with cardiac history and hypertension.
Okay, message received. Medic 114 going to Macchiarini steps, code 3.
I'm going to need you to back up, guys. Sir?
Sir, can you tell me when this happened and when the pain is?
Sir, where's your pain? Is it radiating? It's down my arm. It's shooting down my
arm. Okay, I got it. Okay, well, then it's yours. I'm going to go get it.
Is he going to be okay? Sir,
I need you to get back. If you want me to help your buddy, just stand back.
All right, stay calm, all right?
Let's see what's going on.
I want you to breathe steadily. I'm just going to...
Check some things out, see what's going on here.
I know.
Hold on a second.
Nancy, I think we better get this guy a little morphine. Yeah, I'm just getting
it.
Nancy, this guy needs morphine. Yeah, I've got it.
Hold on, sir.
He's in B-fib.
Listen, the monitor's doing all this weird stuff. Is that B-pac? Look at it.
What the hell was that?
Okay, sir, I don't know if you can hear me, but we believe you're having a heart
attack. We're going to give you some morphine.
But in the meantime, I want to try this experimental drug. It's a gas. It's
called Oxygenion 415.
Okay? It has a 25% chance that it might actually stop your heart.
Smoking, opiate addiction, alcoholism, all make it worse.
Sir, I'm only trying to help you. Really?
Okay. I'm okay.
No, really. I'm fine. All right, no ride for you today, my friend. I can't blame
a guy for trying.
Yeah, we're going to have to try and get your drugs elsewhere, okay? Get out of
here.
Oxygen? Really?
Yeah, never stopped a heart yet.
Hey, come on, don't feel bad, you know? You did everything perfectly.
This guy is an expert.
Well, what the hell was that? Why was it reading like that? Well, he was screwing
around with elites, so it changes the reading on the monitor.
What a jerk.
Yeah, well, there's thousands of them in this city.
You know, they use us for rides or drugs.
Sometimes it gets nasty. They spit, they steal, they try to kick our asses. You
know, we use Oxygenium-4 and 5 to try and save time and trouble.
Welcome to San Francisco.
There you are. I was looking for you. Awesome. Let's get out of here. Tell me
it's a good one, though. No kids or dogs.
Where's your little friend?
I want to talk to you outside now.
Okay.
Jeff. Oh, Diana Van Dyne.
My favorite intern.
Good morning. Good morning.
It's afternoon, Rabbit.
Nice job on the head trauma.
Thank you. I try.
Don't do that when I'm around.
What? What?
Good morning.
Good morning. Hey, look, I don't want to make a big deal out of this, but do you
have your EMT certificate?
Yeah, of course I do.
All medevac pilots have to. So why are you so crappy at doing basic life
support?
I'm not. No, no, no. I mean, really. I asked you to drop an NPA. You can hardly
hold a C-spine. What's going on? Come on. I know you're not queasy. I fly
them. You patch them up. We're all good. No, we're not.
We're not all good.
I have to know what you can and cannot do. Bottom line.
Okay. You want to know what I can do?
Yeah. You fire up any one of these cars, I can tell you exactly what's wrong with
it. If it's got a foul plug, if the fan belt's about to tear off. I can fly
Apaches, Blackhawks. I can burp the alphabet backwards.
Look, that's really cute.
I don't have time for this.
People are messy.
They don't do what you expect them to do.
Especially the hurt people.
Flesh is fallible, so?
Flesh is fallible?
When you say stuff like that, it makes me want to punch you.
I am certified and qualified to do this job, and I can do what needs to be done.
I just don't like it. Oh, you don't like it? Well, maybe you got the wrong job.
Do you think about that?
You have no idea where I've been, okay?
What you call a rush, I call retirement.
Don't doubt me.
Look, I'm... I'm sorry.
But, um, I feel like the bad guy in my own house, and that's the problem. But
you were just fine and dandy before you got caught. No, I never said that. You
didn't say a lot of things.
How much more am I supposed to be punished?
I'm already living under suspicion. Cameron, you don't get it, do you?
This isn't about you.
Do you think I'm never tempted?
Do you think no one ever comes on to me?
But I made a commitment to you and to our family, and I honored that
commitment. I am committed. I mean, how much more do you want me to do? I don't
know. I really don't know.
Cameron, this back and forth isn't going to help anybody.
First, can you both agree that we will continue counseling?
Yes.
Good. Now, let's cut to the chase.
Are either of you seriously considering a separation?
I don't know if I can do this one.
Oh!
Oh, I don't know what's wrong with me today. Come on. Put some more money on
the table.
Oh!
Can I do it again?
Oh!
Get out.
This is a frat party.
Since when do you wait out calls here?
Well, you know, California's broke.
They're on to us to save gas.
Where's Marissa?
Copter? Now, she seems like a well-trained, responsible professional.
Maybe you should be with her.
Will do.
Hey. Hey.
Tell me how you just show up.
I could say the same thing about you.
Except I work here.
Hmm, true.
Don't you have something borderline stupid to do?
I've got a few ideas.
I just walked into that, didn't I? Uh-huh.
Mm-hmm.
And is this the part where I go with you to the physical therapy room?
What? Girls talk.
Which ones?
All of them.
Why don't you try asking me out on a proper date sometime?
Oh.
Dates with me?
They're not usually proper.
That's not gonna work.
Sorry.
Wait.
Oh, wait, wait, wait, wait. I could maybe.
Grab it.
Get to work.
Sure. Get to work. Yes, sir. Work.
Got it. I think it's love.
I think it's love.
I think it's love. I don't know what happens. Oh, boy.
What's going on, boy?
Walk in the spirit, brother.
Not in the flesh.
Hey. Hey, hey, hey.
Thanks for covering for me.
Of course.
Of course, it's been pretty quiet. Yeah? Not a lot happening.
So, uh, how'd it go?
Pretty freaking awful.
How's that?
Yeah? You need a place to stay?
No, not that awful.
Not yet.
That's good. That's like cup.
half full type of view of it.
That looks pretty big.
Alright,
Mom, listen.
It's true that most rock climbing accidents happen on artificial walls.
They're nowhere near as bad as what happens on real rock.
Go on. I'm going to look at the shirts. I'll come in a bit. Okay, thanks.
Hi, how are you?
Let me see the purple shirt.
Matt, I love that you are making these. I've been dreaming about them all day.
Well, you can take the boy out of Oklahoma, but you cannot take the okie
out of the boy. How many do you want? Two.
All right. With jelly. You got it. How many calories are in one of these
things, anyway? No calories whatsoever.
Hey, give me three, then.
You got it.
and we're first on site, so I'm acting icy until the white hats get here. You
know how to do triage?
Huh? Do you know how to do triage? Then do it.
All right, all right, listen.
Everyone that can walk, I want you to go over and stand near the ambulance. If
you're not sure, just stay put.
Everyone else, just stay clear.
Control, this is Medic 114. We got red alert at Embarcadero on 3rd Street. This
is Paramedic Carnahan acting as medical command. We need eight more ambulances,
SFFD rescue squad, aeromedical copter, two engine stations, and a SFPD code 3
for crowd control. Sir?
Sir, do you know where you are?
Embarcadero Street Fair.
He didn't stop.
Sir, do you know your name?
Nancy I need you over here
Hang in there. Oh, they're here. They're here. All right, sir.
Yeah. Sir, do you know your name? Yeah, Matt.
Matt. Matt. Yeah. OK, Matt, I'm Boone. This is Tyler. OK.
I'm going to be cutting your clothes.
OK. All right? Help me. All right.
All right, I'm sorry.
All right, I need an air medevac. I got an open femur
fracture. No pulse, master.
OK, Boone. Two minutes away. Two and a half. Okay, Boone. We're 2.5 minutes
away. Hey, step back. What do we have?
He started out dazed, nonverbal, non-alert. Then he just went downhill. I
mean, he doesn't smell like alcohol.
That's because he's not drunk.
Okay, we need to transport him in now.
You got him? I got him. Okay. I need you to put some pressure on his legs.
We're coming.
Okay, Matt.
I'm trying to help you.
Come on, Matt.
Matt, just hold on, Matt.
All right.
All right, I need the tourniquet.
Okay, Matt, listen.
The broken bone in your leg has cut a major artery, okay? We're going to have
to put a tourniquet on it. It's going to hurt bad, all right?
We've already lost too much blood for us to give you the pain medication.
Just listen to the sound of my voice, all right? Let's put his leg up. You
ready? Okay, one, two, three.
Doing great, Matt. Just listen to my voice.
Matt, I need you to work with me. On the count of three. Ready?
Okay, there you go.
Okay,
Matt, good job.
Fantastic. All right.
Andrew, rescue two on scene and ready for a medium medevac by priority.
Get him to the chopper. Come on, guys. Let's go.
All right, this is Matt. We got an open cream refractor. Matt is bleeding.
Attorney, get the stops of bleeding.
Rocket, congratulations, Matt.
Reverse flight.
I have air metal back with an arterial bleed and an open fracture. Call a man
open in the city. They're prepped and waiting for you.
Hold on there, Rabbit, okay? I have a massive stroke here.
There's another chopper four minutes out. Nah, his BP's a hundred pounds.
The station started up dazed and now he has no pain response. He's crashing.
Okay, hey, stroke those.
Matt, you give us five, your copter's on its way.
Dancing. You're in a stroke.
Meet us here at landing.
Got it?
Hey, Rabbit, I think you should know that, uh...
Our patient is the guy that drove through the crowd.
Bring him to the copter, Nancy.
Tell your puppy dog to stop barking.
Hang in there, Matt.
I'll see you at city.
It seems to me that the stroke happened before the accident.
Okay, good to know.
Watch your head, please.
Uh-huh.
Clear. Okay.
All right?
Hey,
Glenn, we do medical triage, not moral, okay?
So whatever someone's done or you think they've done means nothing. You got it?
Yeah, I... Don't ever tell me anything about a patient except their vitals and
seat.
Don't forget, you're a probie, all right?
I sure as hell won't.
Can you help my mom? Sure, show me where she is.
Miss!
Miss, can you hear me?
What's your name?
Clear it out.
Boone, I need an extra set of hands and I need it now.
Okay, no distracting injuries.
Okay, C-spine's good?
Okay, show up the way. Give me the line.
All right, and airway's clear.
I got flushed. All right, we got a head trauma, possible internal injury. Okay,
TKO it. We got broken ribs, shallow breathing.
I got palpable depression.
Okay, how's her eyes?
Pupils are responsive.
All right, we got a very weak pulse.
Bone.
Tension pneumothorax.
I got... You got the needle? Yeah, here.
Hey, Mom.
It's me.
It's gonna be okay.
Everything's gonna be okay.
Joe, Spice is normal.
He just came back.
Everything's stable. We got a rate of 100 BP, 180 over 100.
Rhythm's good.
Nice work.
I did nothing. I mean, it just happened.
Yeah, people.
Unpredictable. You sure are.
Needle.
I think she needs a new bag.
Get her a new bag.
And I need the adhesive.
You want to be a doctor when you grow up?
Yeah. What you guys do is amazing.
You guys get grades?
Yeah.
Let's start.
His blood pressure was still elevated and his neuro was stabilized.
Also,
cops are probably going to want to talk to him if he regains consciousness.
He's the driver?
Yeah. Hey, Matt.
There you are He
coded in the copter on the way in the tourniquet held
You okay?
Me? Peachy. Why?
Oh, you know, made a life and death decision.
One lives, one died.
Tell them both how I feel about it.
See who cares, huh?
That's a big day.
Don't spin yet.
Nothing happens when I squeeze her hand!
I know, buddy.
Oh, no way. No piss.
Not today.
He's talking about it so am I.
All right. All on board. Over there. Over there, kid.
I'm there.
One, two, three. Watch that monitor, baby.
There. Monitor.
Got it?
Don't get too wrapped up in this one, okay?
Great job, man.
Hey, thanks, man. I appreciate it. Now let's talk to the kid.
We're in the air now.
It won't be long. Joey, we're in. We're down with a comatose female, multiple
crush trauma.
Pulse?
108, acidotic. BP?
140 over 90.
Has had thoracostomy, suspect internal injuries.
Dr. Carnahan?
Oh, I'm not a doctor, Rudy.
Okay, well, is my mom going to be all right?
Yeah.
Yeah, Rudy, your mom is going to live.
Yeah, but is she going to be okay?
Rudy.
Rudy, your mom is... She's going to be fine, okay?
Seriously. You're doing good.
Hang in there.
I got a skull fracture loading off the copter now.
It's bad. She's unconscious.
How soon can you be here?
See you back.
Rudy! Dad!
Oh, my God.
He's gonna be okay, Dad. You ready for surgery?
Dad, I'll be out to talk to you as soon as I know anything, all right?
Hey, can I go?
Hey, Rudy, we gotta let the doctors do their thing now, okay?
Aren't you gonna go with her?
Sure.
I'll take care of her.
You and Marion are like best friends.
Yeah.
He's a good kid.
Looking good out there, boom.
All right. No love?
What?
Man, I feel like such a dick, man.
You just figuring that out right now? No, that thing earlier with Selah.
You know, I was pissed off because it was so quiet.
It's like I was just waiting for a call, man.
It's messed up.
Dude, I feel like that all the time.
Okay. All right.
Let's see what other kind of fun we can get into.
I'm hungry.
You hungry?
Noodles?
Cerebral edema, lack of sulci, no uncle herniation, and no blood in the
ventricles.
Yeah, the outcome does not look good.
But there is neurologic activity.
Joe, when exactly did you start inviting ambulance drivers into surgery?
She's right. There is activity, though.
Probably just the brain's version of white noise.
The extent of the injury will take 24 hours to show itself.
I'm not saying it's outside the realm of possibility that she'll recover.
I mean, if she shows some signs of responding, a word, voluntary
motor function, it'd be a good sign.
I've seen this before many, many times.
Most likely outcome, nonverbal, nonmotor, no memory.
I'll let them know that they've just become caregivers.
Doctor, would you mind if I did that? Yeah, well, this really is a physician's
responsibility. I'll take care of it.
As you wish.
Take it easy, Jill. See you next rotation.
You see, that's why I never went into practice.
Because a-holes like that would become my colleagues.
I can talk to the boy, too. You don't have to.
No, I do.
Dad, may I speak to you for a moment?
You are really something else out there.
She's not going to be okay, is she?
Woody, you did everything you could for your mom out there.
Everything.
We all did.
Is there anyone smart enough to help her?
It's not about being smart.
Look, you just keep on doing everything that you're doing, okay?
And I'm going to be working tomorrow, so I'm going to make sure that Dr. Joe...
Keeps me up to date on everything, okay?
And if you need anything at all, you call me.
Yeah?
Okay.
I am so sorry.
Thank you.
Hey, Rabbit, can I get a lift?
Tyler? Yeah?
Four out of five we got to today made it. That's not bad, huh?
Yeah, well, unless you're the fifth.
Yo, Glenn.
It gets better.
Trust me.
Everybody's a dick to the new guy at first.
Yeah, for how long?
Till he turns into a dick, too.
Peace.
Your name's Marion Phillips.
You live on Hayes Avenue, and you really like daffodils.
Your favorite color's green, but you sometimes say you like blue better.
You like to take early morning walks on the beach.
When the fog rolls in, it always makes you smile.
You say it's like a cozy blanket on the city.
Hey.
You did the right thing with the arterial bleed.
Yeah, I know.
Still sucks, though.
Worse for him than for us.
What you doing tonight?
I'm going home, Rabbit.
Okay. Cool.
All right.
What? What are you doing tonight?
Nothing. Why?
I want to show you something.
Okay, but if you touch me, I'll shoot you.
All right.
This is a NPA.
Nasal pharyngeal airway. Okay.
And this is how you drop it in your patient.
A little lube.
Like that.
Mm-hmm. That's gross.
Not so.
My trick is to twist it.
Like that.
What is wrong with you?
Now your turn.
Is it gonna hurt?
Like you wouldn't believe, so you gotta do it right.
Hey, look.
I get it.
I saw Glenn out there today.
He is seriously green.
I'll see if I can't put him with somebody else. Actually, I was coming by
to say, can I keep him?
Why?
What changed your mind?
I don't know. We've all got to start somewhere.
I didn't know you were such a sweetheart.
Yeah, nor did I.
Turns out I've got a big heart.
See ya.
Yeah. You have gardens in the backyard.
Sometimes you cook.
It's usually not that great, but you make fantastic grilled cheese.
And I love you a lot.
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