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As
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a human...
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and a doctor...
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Surgeon Park Min Gook of Geosan Hospital.
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"Beautiful Doctor Award"
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I have never been embarrassed
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or disappointed in myself.
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The duodenum and...
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And my principle
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that I should save more people
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instead of gaining money and fame
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has never been shaken either.
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But...
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the accident of that day...
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shook everything apart.
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In shock and fear,
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my weakness persevered
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harder than any form of life.
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My cowardly desire to live was
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stronger than any principles I held onto.
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The oil is leaking!
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You need to hurry! - Come out!
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So I
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ran away to live.
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And he...
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remained there to save.
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She's in arrest!
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I'm here, Doctor Kim.
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Doctor Kim!
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Can you take from above?
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Doctor Kim.
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Doctor Kim, are you all right?
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I'll switch hands with you.
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How's his condition?
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His breathing is weak,
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and his heart rate is rather slow.
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Doctor Kim!
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His vein is quite swollen.
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The umbrella in his chest is
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stopping the blood flow
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and causing pressure in his heart.
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Woo Jin, did you bring the emergency kit?
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I did.
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Then open it!
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There should be something
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you can use to put into his chest.
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His right chest is stuck under the bar.
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It's impossible to insert the tube.
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The bus needs to be lifted up first.
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Mr Heo, is the crane here?
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It already arrived.
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They should be working on this.
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Okay.
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Help me.
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My legs are...
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When did they get into the accident?
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About 30 to 40 minutes ago.
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If his legs were stuck for 30, 40 minutes,
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he might have crush syndrome.
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He may go into arrest
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if you lift up the bus too quickly.
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You need to lift it up slowly
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after we put him on fluid with an IV.
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It's minus 10 degrees right now.
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It may be dangerous to delay the process.
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If you lift it up right now,
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he might go into cardiac arrest!
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If we do not lift it up right now,
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this patient will be expired!
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"Expire: To die"
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An Adequate Amount of Anxiety
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Let's prepare more lines for later.
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Ms Oh.
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Any news from the scene?
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No, the rescue is taking a while.
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There are three doctors out there.
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Why are you so worried?
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Aren't you going to get ready for surgery?
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I'll manage my own business.
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You don't have to mind me.
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Doctor Yoon!
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Yes? - Come here.
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Yes.
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I brought blankets!
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Give me a neck protector!
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I'll put her on the neck protector.
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The patient is in arrest.
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Take her to the ER
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and perform CPR first. Okay?
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Yes, sir.
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Let's move her!
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One, two, three.
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Be careful.
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She's secured.
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We're moving the patient.
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Patient coming!
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Be careful.
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Take your time!
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Doc... Doctor.
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I can't feel my legs.
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Do you see bicarbonate there?
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"Sodium bicarbonate"
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I don't see any.
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Then let's put him on fluid through an IV.
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Are you going to give up on this patient?
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We can't save both of them.
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We need to make a choice.
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And this patient is still conscious.
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Mr Heo.
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How long will it take to lift up this bus?
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How long will it take to lift it up?
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We're all ready!
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Just give us a go sign.
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Let's wrap his leg with EB,
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then lift up the bus.
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Give me some EB.
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Are you insane?
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Then he'll fall into crush syndrome.
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He may fall into it,
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and he may not.
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You're willing to take a risk
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over something you aren't sure of?
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Should we give up on someone who's alive
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over something you aren't sure of?
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They both may end up dead!
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They're both still alive.
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And I will save...
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both of them. Happy now?
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Doctor Kim!
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His blood pressure is dropping!
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Please help me.
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I thought he was one or the other.
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That he's either insane
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or an awful liar.
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But he's...
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Mr Heo.
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Get the crane ready.
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And as soon as I give you a sign,
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let's lift it up by just 50cm.
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Is the crane ready?
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There are people inside. Is it all right?
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Yes, when I give you a sign,
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please lift it by just 50cm.
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All right!
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Eun Jae! - Yes.
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You're in charge of his chest tube.
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Can you do it?
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Yes, I can do it.
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Okay.
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If anything goes wrong with him,
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the blood is on your hands.
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Please...
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I'm all ready, sir.
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Lift up the bus!
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Lift up the bus!
156
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Okay, good.
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Mr Heo.
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Give me an IV set for him.
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Yes.
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We have a patient!
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Doctor Yoon, look after the patients.
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Let me know if something happens!
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Yes!
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Can you bring him over here?
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Nurse Park and Nurse Um,
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please assist Doctor Yoon.
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Yes, Ms Oh.
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Let's move the patient. One, two, three.
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One, two, three.
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How long has she been in arrest?
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The rescue and transfer took
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about 15 minutes in total.
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Keep compressing her heart.
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We'll check her pulse on the monitor.
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Give her one millilitre of epinephrine
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every three minutes into her IV.
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Yes.
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Bring an intubation set too!
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Yes.
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She's on the monitor.
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Let's check her rhythm.
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Asystole.
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Ms Oh, pull her womb
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as much to the left as you can.
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Yes.
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She's well over 36 weeks, isn't she?
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Her Fundal height is about 36cm.
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Her baby passed the limit of viability.
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Let's check if the baby is still alive.
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Fix the tube at 20cm.
191
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The sonograph.
192
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Please cut her shirt.
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The baby is alive.
194
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But the heart rate is way too slow.
195
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We need a C-section.
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A C-section?
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We need to conduct PMCD.
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Yes.
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Are we doing it here?
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The baby is in foetal distress.
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Even if you keep compressing her chest,
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the placenta doesn't get
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enough blood flow.
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If we don't deliver the baby now,
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they'll both fall in danger.
206
00:11:06,073 --> 00:11:08,200
Ms Oh, what about the infant emergency kit
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and the NICU?
208
00:11:09,034 --> 00:11:10,289
The infant emergency kit is ready,
209
00:11:10,289 --> 00:11:12,247
and there's a bed in Jungil's NICU.
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Nurse Joo will transfer the baby.
211
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Get ready to revive the baby.
212
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As soon as we deliver the baby,
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keep doing CPR, and run to the ambulance.
214
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Yes.
215
00:11:20,567 --> 00:11:21,692
Who's going to operate?
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I will.
217
00:11:23,109 --> 00:11:24,026
Then I'll be the assistant.
218
00:11:24,442 --> 00:11:26,692
Nurse Joo, please get the surgery kit.
219
00:11:26,817 --> 00:11:27,692
Yes, Ms Oh.
220
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You can stay here. Or just go home.
221
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Let's switch hands!
222
00:11:35,151 --> 00:11:36,026
Yes.
223
00:11:41,430 --> 00:11:42,307
I'm all finished!
224
00:11:43,765 --> 00:11:45,556
Get the patient to the hospital!
225
00:11:46,192 --> 00:11:47,984
We need to move this patient!
226
00:11:50,859 --> 00:11:52,609
His heart rate dropped to 60 beats.
227
00:11:53,234 --> 00:11:54,192
The weather is too cold,
228
00:11:54,399 --> 00:11:55,942
so his blood vessels are constricted.
229
00:11:56,192 --> 00:11:57,984
Give me a 20 gauge angio needle.
230
00:11:58,067 --> 00:11:58,900
Yes.
231
00:12:01,318 --> 00:12:02,859
You're going into his external jugular?
232
00:12:02,942 --> 00:12:05,276
"External jugular vein"
233
00:12:06,859 --> 00:12:08,817
His heart rate dropped even more.
234
00:12:10,151 --> 00:12:11,483
"Alcohol swab"
235
00:12:13,567 --> 00:12:14,859
He's in hyperkalemia.
236
00:12:15,442 --> 00:12:16,567
What are you going to do now?
237
00:12:16,650 --> 00:12:17,525
"Hyperkalemia: Elevated potassium level"
238
00:12:25,650 --> 00:12:26,567
Doctor Kim.
239
00:12:33,817 --> 00:12:34,775
Got it.
240
00:12:34,859 --> 00:12:36,151
Hey, let's work on him.
241
00:12:36,442 --> 00:12:37,399
Yes.
242
00:12:40,500 --> 00:12:41,500
Drop the IV at full speed!
243
00:12:41,667 --> 00:12:42,583
Yes.
244
00:12:43,500 --> 00:12:46,126
Okay. And this isn't warm saline,
245
00:12:46,500 --> 00:12:47,834
so keep his body temperature,
246
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and get him to the hospital.
247
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Yes.
248
00:12:50,850 --> 00:12:52,600
We have another patient here!
249
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Over here.
250
00:13:06,309 --> 00:13:07,184
Oops.
251
00:13:08,101 --> 00:13:09,101
He made it.
252
00:13:12,892 --> 00:13:13,767
Let's move him.
253
00:13:14,767 --> 00:13:16,184
One, two, three.
254
00:13:35,267 --> 00:13:36,474
Do not stop compressing her chest.
255
00:13:37,850 --> 00:13:38,725
Scalpel.
256
00:13:39,267 --> 00:13:40,558
She has been on CPR for 19 minutes.
257
00:13:40,767 --> 00:13:41,642
We'll cut her skin vertically,
258
00:13:41,725 --> 00:13:43,159
then make a transverse cut on her uterus.
259
00:13:43,184 --> 00:13:44,309
"Transverse: Horizontal"
260
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Cutting. Gauze pleae.
261
00:13:52,968 --> 00:13:53,968
I'm in her abdomen.
262
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Hold this. - Okay.
263
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One, two, three.
264
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I see the womb.
265
00:13:58,492 --> 00:13:59,659
Richardson retractors, please.
266
00:14:04,225 --> 00:14:05,434
I'll cut her uterus.
267
00:14:10,767 --> 00:14:11,767
You can remove the retractors.
268
00:14:16,259 --> 00:14:17,301
Push, please. - Yes.
269
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I can see the baby's head.
270
00:14:22,910 --> 00:14:23,826
The baby is coming out.
271
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Baby out at 19:25.
272
00:14:37,401 --> 00:14:38,276
Kelly clamps.
273
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Scissors.
274
00:14:52,384 --> 00:14:53,384
You can keep going.
275
00:14:59,551 --> 00:15:00,509
Keep compressing her heart.
276
00:15:04,426 --> 00:15:05,467
The placenta is coming out.
277
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I'll wrap up. Suture, please.
278
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Please, please!
279
00:15:21,892 --> 00:15:22,809
Please, please!
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00:15:24,100 --> 00:15:24,975
Please!
281
00:15:25,434 --> 00:15:26,309
Please, please!
282
00:15:27,100 --> 00:15:28,309
Please, please...
283
00:15:29,100 --> 00:15:30,017
Please.
284
00:15:30,683 --> 00:15:32,017
Please. Please...
285
00:15:40,059 --> 00:15:40,934
Cut.
286
00:15:45,975 --> 00:15:46,892
Ms Oh?
287
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Right, yes.
288
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This isn't good. Intubation.
289
00:16:31,017 --> 00:16:32,600
"Seo Se Young"
290
00:16:48,912 --> 00:16:49,829
I'm so relieved.
291
00:16:56,476 --> 00:16:57,934
The ambulance is outside.
292
00:16:58,599 --> 00:17:00,184
It's a 20-minute drive to Jungil Hospital.
293
00:17:00,267 --> 00:17:01,142
Nurse Joo.
294
00:17:02,100 --> 00:17:02,934
Don't worry.
295
00:17:03,017 --> 00:17:04,392
I'll get the baby there safely, Ms Oh.
296
00:17:06,725 --> 00:17:07,600
Wait.
297
00:17:17,798 --> 00:17:18,673
ROSC.
298
00:17:19,309 --> 00:17:20,142
She's back.
299
00:17:20,622 --> 00:17:21,623
The mother came back.
300
00:17:34,917 --> 00:17:35,750
Give me the central line.
301
00:17:35,750 --> 00:17:36,624
I'll put her on norepinephrine.
302
00:17:39,334 --> 00:17:40,834
We'll transfer them together.
303
00:17:41,568 --> 00:17:42,443
Yes.
304
00:17:43,875 --> 00:17:44,875
The mother...
305
00:17:46,593 --> 00:17:48,345
must have heard her baby cry.
306
00:17:57,959 --> 00:17:58,959
Patient coming out!
307
00:17:59,750 --> 00:18:00,667
Please make room!
308
00:18:07,917 --> 00:18:09,292
Great work, Ms Oh.
309
00:18:13,417 --> 00:18:14,292
Doctor Yoon.
310
00:18:15,209 --> 00:18:16,792
Can you and Ms Oh come with me?
311
00:18:28,543 --> 00:18:29,625
The paramedics said
312
00:18:29,625 --> 00:18:30,793
she was found on the road
313
00:18:30,793 --> 00:18:31,809
near the bus accident.
314
00:18:32,417 --> 00:18:33,917
But she doesn't seem like a TA patient.
315
00:18:50,292 --> 00:18:51,834
We should call the police first.
316
00:18:53,042 --> 00:18:53,875
She is, isn't she?
317
00:18:53,951 --> 00:18:54,826
Yes.
318
00:18:54,992 --> 00:18:57,159
I think she's a raped patient, Ms Oh.
319
00:18:57,251 --> 00:18:58,084
"Raped patient: A victim of rape"
320
00:19:05,125 --> 00:19:06,459
"Jungil Hospital"
321
00:19:14,750 --> 00:19:15,667
Be careful.
322
00:19:17,417 --> 00:19:18,426
Can you manage this alone?
323
00:19:18,426 --> 00:19:19,675
Yes, don't worry.
324
00:19:20,518 --> 00:19:21,642
I'll go with you.
325
00:19:23,809 --> 00:19:25,254
My youngest sister was born late,
326
00:19:25,254 --> 00:19:27,034
and she was born a month earlier.
327
00:19:27,574 --> 00:19:29,574
My experience from that time may help.
328
00:19:30,476 --> 00:19:31,518
May I go with you?
329
00:19:34,501 --> 00:19:35,376
Thank you.
330
00:19:39,792 --> 00:19:40,750
Please close the door.
331
00:19:46,875 --> 00:19:48,084
"Doldam Hospital"
332
00:19:52,167 --> 00:19:53,624
"119 Rescue Services"
333
00:20:02,125 --> 00:20:03,042
Oh, my gosh.
334
00:20:11,125 --> 00:20:12,418
Eun Jae. - Yes?
335
00:20:12,917 --> 00:20:14,738
Run his op lab on the move
336
00:20:14,738 --> 00:20:15,992
and put him in the OR immediately.
337
00:20:15,992 --> 00:20:16,825
"Op lab: Operation laboratory test"
338
00:20:16,909 --> 00:20:18,700
And get the chest portable on the way.
339
00:20:19,093 --> 00:20:20,468
His right arm is crushed
340
00:20:20,468 --> 00:20:21,550
and needs to be amputated,
341
00:20:22,217 --> 00:20:24,842
so take an X-ray, call Doctor Bae,
342
00:20:25,217 --> 00:20:26,426
and ask him if he can
343
00:20:26,493 --> 00:20:27,909
operate on him immediately. Okay?
344
00:20:28,009 --> 00:20:28,842
Yes, sir.
345
00:20:28,925 --> 00:20:29,800
Good. Hurry up and go.
346
00:20:33,426 --> 00:20:34,301
What's his condition?
347
00:20:34,426 --> 00:20:36,009
His legs were stuck under the bar.
348
00:20:36,651 --> 00:20:37,734
He's in crush syndrome
349
00:20:37,734 --> 00:20:38,740
due to decompression
350
00:20:38,740 --> 00:20:40,059
caused when the bus was lifted.
351
00:20:40,059 --> 00:20:42,267
His heart rate has been dropping.
352
00:20:42,690 --> 00:20:44,191
It looks like hyperkalemia.
353
00:20:45,309 --> 00:20:47,517
We put in almost a litre of the IV,
354
00:20:48,142 --> 00:20:49,309
so get his BGA first.
355
00:20:49,393 --> 00:20:50,267
Yes, sir.
356
00:20:50,476 --> 00:20:51,309
What are his vitals?
357
00:20:51,309 --> 00:20:52,309
100 over 70, 60 beats.
358
00:21:00,066 --> 00:21:01,393
Doctor Kim, are you okay?
359
00:21:02,092 --> 00:21:03,092
I'm fine.
360
00:21:04,259 --> 00:21:06,050
Can you tell Doctor Bae
361
00:21:06,725 --> 00:21:08,683
to stop by my office for a second?
362
00:21:09,059 --> 00:21:10,518
Yes, let's go inside. It's cold.
363
00:21:10,683 --> 00:21:11,600
Okay.
364
00:21:12,767 --> 00:21:14,351
"Emergency Medical Centre"
21294
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