Original subtitles

(Akatsuka) TOKYO MER It is a medical organization under the direct control of the governor of Tokyo→

Their mission is he only one →

It's about not letting anyone die (Kitami) I'm just waiting

A life that can't be helped because there is

(Natsuume) Those people I will never give up on life

(Fuyuki) Patients in the operating room It's the anesthesiologist's job to protect

(Tokumaru) Saving lives Not just doctors and nurses

(Ming) Human life and orders Which one is more important?

(Hina) It is impossible to operate here. (Otowa) You're a doctor

So save lives with all your might Why can't someone like me be useless

I guess you put it in the MER

I guess you put it in the MER

Why I Became a Doctor Because I want to save people's lives

I think there are surprisingly few

just pure human life A doctor who just wants to save

dating her on the premise of marriage Could you please

please!

Kitami is hard eh…

Heavy marriage premise

just to celebrate my birthday Let's do it

No, this kind of thing is someone I have to force it

No, this kind of thing is someone I have to force it

of marriage aunt do what you say

What can I say? You should clean up your room before that

it's okay Well, she's done with this

Also, it's Governor Akatsuka, not me. i think i should practice

What you call a woman a training ground As might be expected…

me too it doesn't feel good

she's sorry I asked for something

Governor Akatsuka she was just kicked out

soon Are you going back to the Ministry of Health, Labor and Welfare?

By then she's a spy over here Think I'll hold you

In place of Mr. Otowa

In place of Mr. Otowa

new second doctor Have you decided?

not yet

what to do No way, immediately after finishing the training

Mr. Hina Are you going to make it second?

who is she? nothing yet

But Mr. Takanawa

Dr. Hina is an excellent heart surgeon she said she would

Dr. Takanawa, the results of her echocardiogram are also good.

Dr. Takanawa, the results of the echocardiogram are also good.

Roentgen too There was no problem

(Takanawa) Kurumi-chan, if she goes on like this

She will be discharged from the hospital next week. (Maki) Good for you, walnut

This year she will carry the omikoshi

(Fukasawa) What happened? ah…

This girl loves Hina-sensei →

It seems like it's sad to say goodbye

teacher

Kurumi-chan will leave the hospital in good health I'm happiest

Kurumi-chan will leave the hospital in good health I'm happiest

Because we can meet again anytime

Hey

(Tokumaru/Min) A proposal?

Eh, Chief Kitami To Mr. Takanawa?

Governor Akatsuka I feel like I'm being pushed

But you've been divorced once.

Is it possible? As for Mr. Takanawa

well she hates me that much I don't think so

Chief Kitami I want to

you know vaguely

you know vaguely

isn't it good

After Suzuka died →

About Chief Kitami who supported me

For some reason it was Takanawa-sensei

Or rather, Natsume-san How do you know so much?

From Chief Kitami What do you think Takanawa sensei thinks?

she asked me to find something Asked

'Cause she's not in middle school anymore

Chief Kitami It seems that you are not good at that kind of thing

(Meguro) Reported from the Tokyo Metropolitan Government Crisis Management Office

At a theater in Koto Ward Special effects device for stage explodes

At a theater in Koto Ward Special effects device for stage explodes

It seems that there are injured people Minor Medical Cases and Accreditation

Request dispatch of TOKYO MER

Mr. Hina

MER understand, dispatched

(cell phone call)

It's Takanawa I'm Kitami

I know it's time to go

☎Hina-sensei said she's already gone sorry

oh happy birthday

(call hangs up)

don't change

don't change

(Kiyokawa) Number of injured Only 8 people have been confirmed

It seems that seriously injured people are also included

(Meguro) The panicked audience Fall down the stairs, injured

seems to be increasing Rescue work still going on

Komaba for medium-sized medical cases raise the danger level

to nearby hospitals submit a request for medical cooperation

MER OK Coming soon

(Kiyokawa) By an outburst Damaged lighting equipment

A fire caused by a short circuit in the building To prevent emergency lights only

Rescue work delayed

Rescue work delayed

Mr. Fuyuki, Mr. Natsume and Mr. Tokumaru

of the patient being transported Please treat and transport

roger that I see a patient inside

Ms. Min, please follow her. roger that

let's go It's MER

Let me check you out OK?

It's MER (Meguro) number of injured

likely to increase (Akatsuka) What is the situation?

(Komaba) TO1 arrives medical activity has begun

Tsurumaki-sensei is the on-site chief. Chief Kitami and General Manager Otowa

I'm heading to the scene late

The number of injured people has increased, and it has become a medium-sized medical case. leveled up

Mr. Tsurumaki alone Medium size is...

Mr. Tsurumaki alone Medium size is...

It is the first time

(Impact sound)

(Ming) Are you okay? Mr. Hina fine

Patient to TO1 what up?

(Meguro) Because there is no video of the inside of the site I do not understand

Woman in her 30s with abdominal stab wound A patient resuscitated from cardiac arrest

remove protrusions repair damaged blood vessels

perform laparotomy

Mr. Fuyuki V-sheath from the right internal neck with whole hemp

(Fuyuki) Understood. Mr. Natsume is two suckers

Preparation for laparotomy set Tokumaru has a stretcher in front of the building

(Tokumaru) Understood. please

(Tokumaru) Understood. please

Hina-sensei, what about that injury? during first aid

lighting equipment fell

it's okay let's go

From MER to Crisis Management Office The patient needs emergency surgery

Tsurumaki-sensei injured her arm

What doctors are available? Support is not yet. Send to an ambulance.

then it won't be in time carry to TO1

It has entered

straight straight

Stopping bleeding is fine roger that

Stopping bleeding is fine roger that

(Komaba) Mr. Tsurumaki can you do it?

Mr. Hina After all, it's impossible with those arms

(Fuyuki) Dr. Hina, it's a difficult operation.

Cut off the aorta with a catheter let's go to transport

(Komaba) Mr. Tsurumaki

already in the abdominal cavity I am bleeding profusely

in transit cardiac arrest may occur

I have to do it

TO1 open

A V-sheath has been placed in the right jugular vein. fixed substitute

please in a traumatic incident

Perform laparotomy Hemostasis Scalpel

female

Mr. Min, please suck (min) yes

Blood pressure dropped to 76 retractor

retractor gauze

yes her gauze Forceps to stop bleeding in the mesentery

forceps

Mosquito Mosquito

I stopped bleeding Mr. Min, please take it out slowly.

yes unplug I will follow

yes unplug I will follow

pulled out receive

(Min) please

(Tokumaru) I'm bleeding more aspirate

reaches the abdominal aorta

Blood pressure dropped to 36 of 68

Blood loss exceeded 4000 Mr. Min, please apply pressure to stop the bleeding.

yes The left retroperitoneum is abolished with Matox

open the aorta Repair Denmesu

electric scalpel

electric scalpel

Mr. Hina fine

Tokumaru-san O plus dark red

AB plus FFP add 20 credits

roger that Hina-sensei From around the V-sheath →

started bleeding Two shots of calcium gluconate

roger that Mr. Tokumaru also warmed infusion

please reinforce roger that

Ms. Min, raise her up here, her more right yes

Blood pressure drop 56 of 30 (Tokumaru) The amount of bleeding is 5000

Stop bleeding in the aorta, Kelly. Kelly

Stop bleeding in the aorta, Kelly. Kelly

Mr. Hina

Kelly

Kelly

will be replaced Chief Kitami

Mr. Fuyuki (Fuyuki) Due to abdominal aorta injury

with heavy bleeding unable to maintain circulation

Infrarenal aortic injury

I'm just below the diaphragm Cut off and repair the aorta

Dr. Otowa Cut off by exfoliating the periphery

Fuyuki-sensei and Min-san Continuation of massive transfusion protocol

Fuyuki-sensei and Min-san Continuation of massive transfusion protocol

roger that Tokumaru-kun, return the blood with the cell saver

roger that Natsume-san 3-0 Prolin

Please keep ready electric scalpel

electric scalpel thank you i will remove it

Satinski Peripheral blockade

understand please bend (summer plum) typhoid

bake please

Suture 3-0 3-0

forceps (Natsuume) Yes Forceps

please

sutured take off the satin skis

3 at the same time go slowly

1 2 3

opened

opened

(Min) The bleeding has stopped (Fuyuki) blood pressure 82 of 58 →

rising further

Then put on an inside drape Temporarily close the abdomen and transport

(min) yes

(Kiyokawa) Rescuing and transporting the injured it's all over

This dispatch 15 lightly injured 3 seriously injured

The dead...

is zero

When Otowa-sensei leaves Tsurumaki-sensei got injured

When Otowa-sensei leaves Tsurumaki-sensei got injured

It's bad

It looks like the old man from the Ministry of Health, Labor and Welfare will fill it

if we don't come the patient had died

in that injury decided that the operation was impossible

Cut off the aorta with a catheter I think it's better to send it to transportation

Didn't you think? It was my fault

I want to know Hina-sensei's condition. make sure

I should have argued more strongly

no

As a doctor in charge of the site

If it is an operation to stop bleeding in the abdominal cavity, judged

If it is an operation to stop bleeding in the abdominal cavity, judged

but up to the abdominal aorta because it was damaged

no longer available

The old Hina-sensei I should have given up from the beginning.

now have the courage trying to help the patient

Like reckless courage without strength nothing dangerous

How to say that... Because Hina-sensei worked hard →

the patient helped Kitami Chief

Mr. Hina's judgment this time What do you think?

Open the aortic injury

control of bleeding what you can't do

Based on the amount of blood aspirated and the course could have predicted

The doctor in charge of the scene to overlook it

not allowed

The one who forced the operation on his injured arm was Hina-sensei's mistake in judgment

Excuse me

After Hina-sensei finished her training period,

She went into cardiovascular surgery i think she should go

this is from me she's leaving this team her last advice

(Hospital Director) Accident At the disaster site A rushing doctor becomes a secondary disaster

most likely to be involved she has to avoid

(Deputy Director) And Tsurumaki-sensei with his injured arm →

trying to operate Patient's life →

She was dangerous, wasn't she? (Hospital Director) Regarding this situation

Professor Kitami what does she think

everything is It's my responsibility to keep the team

sorry to bother you very sorry

Perhaps Mr. Tsurumaki

he could have lost his life I can't do it→

he could have lost his life I can't do it→

perform such dangerous medical activities to the team

She's no more than a trainee in our department cannot be rented

Mr. Tsurumaki will soon Her initial clinical training is over, isn't she?

yes

As expected in the future

Learn specialized medicine in cardiovascular surgery Are you sure about that?

Cardiovascular Surgery under Dr. Takanawa

Cardiovascular Surgery under Dr. Takanawa

I would like to study The feeling has not changed

I understand And Mr. Kitami

Mr. Otowa To concentrate on the work of MER director →

from the team soon she seems to be completely gone

Well, a new second doctor you have to decide

(Director of a hospital) what are you going to do

a…

who Those who want to be a second doctor

Is _____ in?

(Hospital Director) Originally, our hospital was It cannot be said that there is enough human resources

Adequate medical system if you can't build

After consulting with Governor Akatsuka To university hospitals, etc.

Better to move looks good

no wait Then the current members...

(Hospital Director) They were originally Medical staff of our hospital→

The current team disbanded At the next medical institution→

new staff from scratch I have no choice but to collect

(Akatsuka) Minister Kamata, who we will meet from now on,

To the former Shirokane Minister Because he's a habit that's as good as winning

even if something is set he never rides

do you hate it? That Minister Kamata

don't you hate

hate

he only thinks about money I'm old money

(Kamata) Apart from TOKYO MER under the direct control of the governor of Tokyo

The Ministry of Health, Labor and Welfare becomes an ordinance-designated city nationwide

Plans to deploy MER to finally start

Plans to deploy MER to finally start

You know that, right? yeah he is

but i'm worried

The successor of the second doctor to replace Otowa-kun not decided

you must be in trouble

thank you for your concern thank you

I called you today nothing else

To save the crisis of TOKYO MER at the Ministry of Health, Labor and Welfare

excellent human resources I would like to introduce

Mr. Aoto

(Aoto) General Affairs Division, Health Policy Bureau, Ministry of Health, Labor and Welfare I'm Tatsuya Aoto

(Kugayama) Aoto is my subordinate. Just like Otowa →

I am a licensed medical technician.

If you don't mind How about becoming a second doctor?

Just with Governor Akatsuka It's Kitami-san's decision.

Thank you very much for your suggestion What does it mean to be a medical technician?

From practical medicine for a while Have you been away?

Don't worry, I'm a mid-career hire

Don't worry, I'm a mid-career hire

I was a hospital doctor until eight years ago. 8 years ago...

Even after entering the ministry, for medical support in the event of a disaster I have participated

More than anything

If Otowa could do it i can do it too

Um... excuse me Why a medical license?

human life of course because I wanted to save

human life of course because I wanted to save

I understand

So he as a support doctor can you help me

Kitami-kun! thank you

Chief Kitami Thank you very much, Mr. Aoto

(Kamata) I'm glad that you were able to help

Then, Aoto-kun, immediately with Chief Kitami

About the future please talk

To live up to the expectations of Minister Kamata do my best

let's go Excuse me

Excuse me

Excuse me

Why Aoto-san? I know what you mean

Aoto graduated from a third-rate university Useless in hospital

I ran into my house through my parents' connections. It's junk

The parent also lost in the previous election. Zero utility value

So... It's okay because it's a piece of junk

I'm hoping for Aoto's mistake Do you mean?

Before expanding MER nationwide, Minister Kamata

TOKYO MER under the direct control of the Governor of Tokyo I'm going to dismantle

TOKYO MER under the direct control of the Governor of Tokyo I'm going to dismantle

(Kamata) If that happens, the Ministry of Health, Labor and Welfare will lead the MER →

everything from scratch can be rebuilt

You, who manages MER all over the country

you can be free

Director Kugayama Participate in MER's national rollout plan

of medical device manufacturers Have you finished your list?

Here you will What's your number?

(Kugayama) at 10%

you can do it

As expected of Shirokane-san There are things only for men

As expected of Shirokane-san There are things only for men

(Kugayama) Excuse me. Are you changing your business?

Companies with which we are currently associated Familiarity with MER operation

know-how the longer the relationship

adhesion is produced

I have to put in new blood

I haven't heard of any change of business partners

(Kugayama) It was decided by Minister Kamata.

What are the benefits of changing There is nothing

If we make the most of our know-how More suitable for emergency medical care

ER car can be manufactured what are you saying

you know

you know

New entrants 10% of profit in exchange for rebate

In the political group of Minister Kamata give as a donation

Leak to the media?

Nationwide deployment of MER stalled

you too, the governor you're going to be blown away

just beautiful things I can't live up to my ideals

What's the difference? Are you a bureaucrat

Thank you very much for your help

this is his shop

when you come near Please come and eat if you don't mind

to service thank you

Is this Kurumi-chan's name?

It's Asakusa I will definitely go eat

thank you

(Walnut) Hina-sensei this

eh thank you

I will treasure it

Hina-sensei bye-bye bye bye

thank you

thank you

You made the right choice by choosing cardiovascular surgery. eh?

Tsurumaki Gasa I worked hard at MER

Of course I know

I studied there not in vain

in cardiovascular surgery I wonder if I should let you live

That's true

(Fukasawa) Yeah

officially from today Became a member of TOKYO MER

I'm Tatsuya Aoto

I'm Tatsuya Aoto

From the medical field for a while I was far away

In the days when I faced patients Skills and knowledge learned

I don't forget so easily

with you I want to save many lives

thank you

Then, from today onwards, as an official member From Mr. Aoto

locker name engraving ceremony please

(Tokumaru) Please!

(applause)

(applause)

thank you Mr. Aoto

I'm glad you're a bright person yes

No, I heard he was a medical technician. like Otowa-sensei

What should he do if he is a difficult person? shhh

(Fuyuki) Ah, I'm sorry... Hina Tsurumaki, a medical intern?

yes After graduating from MER

I think I'll go see a cardiologist. good work

(Aoto) It must have been difficult. Even though I'm a trainee who doesn't know right or left

For dangerous on-site medical care to engage

When I was a medical intern I remember

When I was a medical intern I remember

After all, from such a dangerous job

choose cardiovascular surgery

(Aoto) what has happened to him so far?

Chief Kitami yes

About Mr. Hina Is it really okay to stay like this?

Cardiovascular Surgery Completely in Hospital I'm supposed to go

Hurry up and stop now

Hmm...

Hmm...

Mr. Aoto I will introduce the materials for the staff room.

(Aoto) Please Syringe pump left and right

It's infusion related...

ran away

so so so so I have my own intentions

we are as ever for the patient

Work together as a team

yes...

eh?

Otowa-sensei, thank you for your hard work

thank you for your hard work

What is? if you have something to say please tell me quickly

Originally like Mr. Takanawa

becoming a heart surgeon it was a dream

When I was assigned to MER by matching the number of people i really hated it

When I was assigned to MER by matching the number of people i really hated it

A doctor enters a dangerous scene to do medical

I couldn't believe it

《It is impossible for me as an intern I might make a mistake again.”

"Stop making excuses! You are a doctor

《Then save lives with all your might》

But if I wait, I can't help I learned that there is life

Even I like this maybe something can be done

I could feel

"I'm glad Hina-sensei was here. thank you"

with everyone While experiencing the field

with everyone While experiencing the field

to work for MER I started to take pride in

Just like this, with her MER friends

wanted to work

but…

The more you know the scene, the more I'm getting scared

if it stays like this

myself eventually become a second doctor

myself eventually become a second doctor

At that time, supporting Chief Kitami

I can take Otowa-sensei's place

she can't imagine

in short does that mean she's lost?

To me

MER's second doctor is is it impossible

what answer to me I don't know if you're looking for

For people who lack confidence there is no way

At the MER site If the doctor hesitates even for a moment

the patient dies

(emergency alarm)

(Meguro) Reported from the Tokyo Metropolitan Government Crisis Management Office

A houseboat sailing on the Sumida River Collision with a large water bus

There is a fire in the houseboat kitchen Reports of many injured on board

There is a fire in the houseboat kitchen Reports of many injured on board

Major Medical Cases and Recognition Request dispatch of TOKYO MER

MER understand, dispatched

Ms. Natsume Ms. Min Airway burns and Incision suture set for trauma

Oxygen and warm IV fluids let's bring more

roger that Mr. Fuyuki and Mr. Tokumaru

Please set up the operating room. roger that

Blood transfusion and operating supplies I will bring more

please Massive medical case?

Dr. Aoto intubation set Shall we bring more

oh yes she is... This one

Ah…

I will go too Hina-sensei's arm hasn't healed

stay in the hospital let's go

stay in the hospital let's go

(All) Yes!

(Meguro) Yakatabune does not stop the engine heading towards the river mouth

Currently passing Komagata Bridge Move toward Kuramaebashi

According to a report from an onboard employee, Wheelhouse damaged due to fire

The ship remains out of control looks like it's running wild

MER OK. Heading further downstream.

Go ahead to Ryogoku Bridge check once

What is the status of rescue operations? (Kiyokawa) Rinko Fire Station of the Fire and Disaster Management Agency →

What is the status of rescue operations? (Kiyokawa) Rinko Fire Station of the Fire and Disaster Management Agency →

Fire boat dispatched from Nihonbashi Fire Department

by fire fighting The fire seems to have ended

because you can't stop the ship Rescue work for the injured on board→

I'm having trouble

I'll take a look

This is Kitami Confirm the ship in front of Ryogoku Bridge

What's the situation inside?

(Meguro) Details are still unknown

(Meguro) Details are still unknown

45 passengers and crew captain injured

with an unconscious body I have a report

(Kiyokawa) Last night's heavy rain upstream By overlapping at the time of low tide

the speed of the ship is increasing Many panicked passengers overboard

On the ship that is currently dispatched Because I can't come alongside

Rescue work not done

Hey hey won't you bump into me?

Mr. Komaba says that she is just like this hit the girder

Mr. Komaba, at this rate hit the girder

What about rescue boats? (Meguro) Difficult to come alongside →

not in time to respond

Kitami Chief The hull is damaged. likely to sink

that many water rescuers will come out Assuming and setting up a medical system

roger that As soon as the people drowning in the river are rescued

Treatment will be performed at the foot of Ryogoku Bridge Selection of first-aid space and

from surrounding medical institutions call for support

hang on

Mr. Senju (Senju) This is the Immediate Response Senju Corps

Board a houseboat Attempting collision avoidance by towing

Don't embark!

don't jump off the boat

help me!

Good to come aboard! (Senju) Get in

(All the rescue team) Understood!

It's the rescue team. You're safe now. please help me fast

Control the ship first. Fix the bow with a rope

be towed by a fireboat roger that!

roger that! throwback drop

roger that! throwback drop

Drop the throwback!

Hurry up, the bridge is approaching!

Good ending! Completed Harumi Towing Start

roger that!

good flow

(Komaba) Hurry up, the bridge is approaching!

(Komaba) Hurry up, the bridge is approaching!

it will shake a little

This is Senju Passing Ryogoku Bridge

This is Kitami TO1, chasing the ship going downstream

rendezvous point with rescuers please give instructions

(Komaba) Understood. Rescue team

(Komaba) Understood. Rescue team

I will rescue you from now on so that everyone can leave immediately

to the front of the ship

Have the rescuer wear a life jacket beware of falling

roger that (Komaba) What is the situation in Senju?

Smoke drifts inside the ship and visibility is poor

Smoke is...

Still spouting from the bottom of the ship

inside the hull it looks like there's a fire

What if there's a fire on the bottom of the ship? Usually non-combustible structure

I can't think of anything combustible →

may have been misplaced I can't

Injuries include burns, trauma, etc. 10 or more people as far as I can see

Injuries include burns, trauma, etc. 10 or more people as far as I can see

Explosion in rear kitchen

Looks like the gas cylinder caught fire

The adjacent wheelhouse was damaged. out of control

(Komaba) Can the engine be stopped? (Senju) Who is the engine room?

under that floor thank you

Do you have the key? only the captain knows

Captain are you okay?

Captain are you okay?

to stop the engine seems difficult

What about fire? Where the fire started

hull engine room and can be considered

Direct fire extinguishing is difficult with a large amount of water pumping water into the bottom of the ship

The only way to extinguish the fire the ship is likely to sink

I have to evacuate the rescuer you can't

But... There is a fuel tank on the bottom of the ship.

But... There is a fuel tank on the bottom of the ship.

yes

This ship will eventually explode for her

Docking a ship that doesn't stop You can't with rescue boats and lifeboats

all passengers and crew Evacuate to the riverbank, can she do it?

I'll do it! 2 km downstream

Hakozakicho Disaster Prevention Wharf Specify destination

Hakozakicho Disaster Prevention Wharf Specify destination

shared with the fire department and the police stand by for emergency vehicles

(Staff) Understood!

oh! this is the most important thing

Minister Kamata for nationwide deployment of MER

It's an inspection. It's an inspection.

oh well never mind

What about clankers? dispatched

This is a sight to see

I'll transfer to the next person slowly

I'll transfer to the next person slowly

Mr. Senju, I'm Kitami. Pictures inside the ship

can you send it over here because every moment counts

Triage with video Do you get it

(Meguro) Share the video thank you

The woman in yellow clothes by the wall there

How's your pulse and breathing? (Tatsumi) Deformation and swelling in her right knee→

consciousness and breathing Although it is clear

her pulse is weak it's a red tag

without external bleeding Lower right leg fixed with a splint

Both legs slightly raised please transport

(Tatsumi) Understood. next person please

(Tatsumi) Understood. next person please

lying there Patient with soot on face

If you have burns on your face or respiratory tract May be airway burn

Raise your upper body to suffocate Please note her tag is yellow

Have plenty of infusions ready I will also add scene

shirt men I'm holding my stomach

Bruises on the abdomen Will there be?

(Minato) I will raise it. Please make the tag yellow

because it can get worse don't let me walk

it's a yellow tag I am having a panic attack

Let me breathe slowly and deeply please calm down

It's a red tag Regularly Let's check the situation next door

It's a red tag Regularly Let's check the situation next door

are you friends I hope you will continue to speak out

Please tell

(Senju) This person is the captain. Can you see the pulse and breathing?

(Minato) due to right head injury coma→

He had a laceration from his right ear to his neck. Heavy bleeding from nose

Weakened pulse and breathing It is in a dangerous state with a red tag

First from this captain give priority to transportation

of right head and neck trauma at TO1 to operate

Take care to protect the cervical vertebrae during transportation Do you get it

next person please

Mr. Senju! Please show me that parent and child

Mr. Senju! Please show me that parent and child

This parent and child Natsume-san...

Kurumi-chan and mother?

Do you know each other?

(Natsume) Kurumi-chan I am Dr. Takanawa's patient.

Pulmonary artery occlusion with ventricular septal defect→

I had lastelli surgery she just got out of the hospital

Are you conscious? her mother's name

I'm Maki Kyobashi Rescue team

Maki-san Kurumi-chan OK?

Maki-san Kurumi-chan OK?

Maki-san Maki-san OK?

daughter...

(Senju) Maki-san, Maki-san!

It's Tsurumaki, Kurumi-chan's video Please share with the staff room

(Kiyokawa) I will share.

Mr. Senju Do you have bleeding in your chest?

(Senju) I'm bleeding Do not move!

from artificial blood vessels you may be bleeding

Mr. Hina and Mr. Takanawa in operation

Mr. Hina and Mr. Takanawa in operation

wire needle holder can you bring it over here?

I'll be heading there soon

What should I do? Rupture of blood vessels

because it can spread don't move

The mother also had a severe head injury. there is no consciousness

Aggravation of paralysis due to high cervical spinal cord injury Because of the risk of respiratory arrest

leave it alone But she's still...

i will go there

what are you saying That ship will explode

Chief Kitami I can't save you if you don't go

Chief Kitami I can't save you if you don't go

Carry Chief Kitami to the ship

Senju, a lifeboat ready to respond →

Hit the Hakozaki-cho Disaster Prevention Wharf (Senju) Understood.

upon arrival I'm heading to the houseboat

Min-san and Aoto-sensei Please transport the captain to TO1.

yes Just Otowa-sensei and Aoto-sensei

For right head and neck trauma surgery Mr. Natsume out of the instrument

Mr. Fuyuki Preparation of all hemp (Fuyuki) Understood.

Mr. Tokumaru Please keep SL1 on standby

Mr. Tokumaru Please keep SL1 on standby

(Tokumaru) Understood. Otowa-sensei, I'll leave the rest to you.

(Meguro) Arrive at MER Hakozakicho

Mr. Aoto, please start from the bottom. yes

Take your child to the shore first...

mom please wait for her

I'm scared, but it's okay

Kitami-sensei, over here! Mr. Tatsumi

Good to board Stern OK Bow OK

(Voice) Take off!

Captain, here he is! yes yes

1 2 3 please

(person falls)

OK? OK! ?

What's wrong? OK?

Mr. Otowa, apart from the captain

Suspected chest injury I have a patient

There is a bruise on the left front chest

Consciousness is clouded I am in shock

Consciousness is clouded I am in shock

I understand I'm going to the medical tent

this patient take me to the medical tent

Yes, please! Mr. Aoto

captain man Please take me to TO1

please

oh... ok

Grab it!

What about Kurumi-chan and her mother? Come here

the rest of the passengers were evacuated

the rest of the passengers were evacuated

Minato-san, Kosuge-san, give them oxygen (Minato/Kosuge) Understood!

I'm Kitami, a doctor. you see?

Kurumi-chan, do you understand?

mother! Do you understand, Maki-san?

Excuse me for a minute how are you?

Kurumi-chan is Possible bleeding around her heart

Mother due to cervical spinal cord injury Suspected respiratory depression

On this occasion she was intubated and Protect the cervical vertebrae and transport

help me give me instructions Okay, please turn on the monitor.

(spoken) Understood Let's do our best, Kurumi-chan

I'll do my best together

I'll do my best together

(Min) Dr. Otowa I have an arrhythmia.

blood pressure 76 of 42 (Aoto) Otowa

Ready for operation at TO1 come back soon

I can't let go

Please ligate the facial artery but…

What can save the patient now

Aoto-san is the only girlfriend

eh…

TO1 open

Than this Start operation for right head and neck trauma

Dr. Fuyuki under general anesthesia yes

Natsume is out of the instrument yes

Mr. Tokumaru set up the electric scalpel yes

Eh, I suddenly made Aoto the surgeon. Governor Akatsuka

Eh, I suddenly made Aoto the surgeon. Governor Akatsuka

It's an emergency I can't help it

No he but he is in the medical field I'm against it

if something goes wrong i don't know

As long as TOKYO MER is under the direct control of the Governor of Tokyo it's all my fault

female female

Ah… Aoto sensei gauze

Oh Oh

I also use suction. yes

Do you think you can stop the bleeding?

can't see well

Do you open the other side?

please

Blood pressure dropped from 60 to 42

Blood pressure dropped from 60 to 42

Hemostasis by applying pressure to the operative field

cell saver ready

Mr. Aoto Identify source of bleeding

I understand

Isn't it more junk than you imagined?

yes

Dr. Aoto, the source of the bleeding

Blood pressure further decreased 54 of 38

Blood pressure further decreased 54 of 38

Mr. Aoto

Mr. Aoto!

That's impossible

suddenly he's like this

I can't

I can't

identify the source of the bleeding Stop the arteries!

be a doctor Only Aoto-sensei can do him!

Mr. Aoto!

electric scalpel

will be replaced

External carotid bleeding

in severe hemorrhagic shock there is a risk of cardiac arrest

Mr. Natsume with lower right jaw incision Cut off the external carotid artery at the root

I understand. please

Mr. Tokumaru, heat the blood transfusion with SL1 switch to rapid administration

roger that Fuyuki-sensei, can you maintain circulation?

It also corrects the coagulation system please

artery visible hemostatic clip yes

I got

I shut it off. What's your blood pressure?

50 of 72 is going up

50 of 72 is going up

Peripherally ligate the facial artery

Natsume-san Mosquito Mosquito

3-0 silk thread (Natsuume) 3-0

(Fuyuki) Blood pressure rises further It's 56 of 84 It's stable

(clicks tongue)

It's Kitami Mother's condition stabilized

(Komaba) The amount of smoke is increasing, she should escape immediately.

Kurumi-chan is It must be after the bleeding has stopped

I can't move. It's a little cold.

Hina-sensei, where are you now?

Joined TO1 roger that

Joined TO1 roger that

Kurumi-chan in the pericardium bleeding can be seen

on second thoughts It's no good if you don't open your chest here

I need a wire needle holder and portable oxygen

From the bridge ahead to the ship Can you drop the medical supplies

Immediate catches Komaba

Toyomi Ohashi Bridge Set as the pick-up point

(Meguro) Share location information

this is ok so

Hina-sensei, please go. yes

TO3 for emergency movement I'll send it because I had it carried

then i

then i

I am good at driving a motorcycle

please

(Meguro) Yakatabune Passing Kachidoki Bridge

white smoke is blowing

please

I'm Tsurumaki. I've arrived at the bridge. Understood As it is...

I'm Tsurumaki. I've arrived at the bridge. Understood As it is...

(cough)

for those who are ready please drop the material

(Senju) What happened?

hey i'm cramping Maki

I will examine your chest What's wrong?

Maki cardiogenic shock and cyanosis

(cough)

It's bright

(alarm sounds)

monitor AV block

I'll do my best, Maki-san!

Walnut-chan! oh walnut

Kurumi-chan, what happened to her?

Kurumi-chan, what happened to her?

cardiac arrest Thank you Senju-san

Kurumi-chan Kurumi-chan will be back!

Do your best, Kurumi-chan!

Maki Kurumi-chan is also doing her best

(Senju) Kurumi-chan, can you hear me? monitor check

how is it? (Senju) I won't go back

Mr. Tsurumaki is here!

I'll do my best, Maki-san. Throw it!

(Senju) Kurumi-chan! Maki

Kurumi-chan is also doing her best

Senju-san, add adrenaline.

Maki I'll give you some medicine now

Maki I'll give you some medicine now

walnut-chan let's get back together

(Senju) Come back

Mr. Maki! (Shinju) It's okay

Kurumi-chan, can you hear me?

(cough)

A little longer… Do your best

I'll do my best, Maki-san!

Walnut-chan!

(Aoto) Hina-sensei!

Mr. Hina!

(Komaba) What happened?

Mr. Tsurumaki jumped off the bridge onto the boat

Are you safe?

Kurumi-chan It's a little while

keep it up

(footsteps)

Kitami Chief!

Mr. Hina Kitami Chief Senju Oxygen

receive please smoke

OK? king

Kurumi-chan's response Hina-sensei life jacket

Minato-san Kosuge-san her Ambu roger that

Hemostasis and heart massage directly by opening the chest

to the patient in front of us let's focus cooper

to the patient in front of us let's focus cooper

yes I do it all at once until I open the sternum

Mr. Senju hold your body

it hurts a little

I put disconnect the wire

oxygen

removed the wire

Bleeding from an artificial blood vessel

hold me tight

Do your best Kurumi-chan, do your best

Do your best Kurumi-chan, do your best

please give me her ambu

Maki

Do your best Kurumi-chan, do your best

Mr. Maki! Block disappeared Stable blood pressure

pulsation I'm back What's your monitor?

blood pressure also returned

You did your best, Kurumi-chan

you did your best Mr. Senju

I can move this

Preparing to escape Backboard ready

(spoken) Understood monitor please

This is Kitami Kurumi-chan from the right ventricular pulmonary artery conduit

Bleeding requiring emergency surgery

Because I want to shorten the time to move as much as possible

TO1 on the river bank you have to wait

This is the transport of the TO1 captain done, can move

It's Komaba. The meeting point is Make Sea Forest Water Stadium→

Patients on the sea of ​​Odaiba Transfer to rescue boat and transport to her TO1

TO1 OK Immediate response

TO1 OK Immediate response

Governor Akatsuka to Japan Coast Guard please ask for cooperation

Because there is a danger that the houseboat will explode

The sea near Daiba I want you to block it temporarily.

should be on its way

1 2 3

secure an escape route OK Got it

Senju-san and others, please breathe oxygen too. Will help

Senju-san and others, please breathe oxygen too. Will help

I don't care about us, you guys think only of the patient

please Dr. Hina's bleeding is under pressure as she is

Prevent the tracheal tube from slipping during transportation Please confirm fixed

Okay, just a little more. Good luck.

(Komaba) There is a risk of explosion

The rescue boat to be towed is from a houseboat

keep a safe distance This is her Harumi

here Japan Coast Guard patrol boat Yamabuki

Near Daiba Naval blockade complete No ships in the vicinity

MER has arrived!

Boat dock here yes

Boat dock here yes

because it is a continuous operation There is a risk of contact droplet infection

Thorough cleaning and disinfection (unanimously) yes

(door opens)

(Tokumaru) Mr. Aoto disinfection

To me Because this is all she can do

Please, Mr. Aoto

I do all the dirty work

Everyone prepare for the next

Mr. Otowa Please rest for the operation

softly watch your step

Dr. Fuyuki for mass transfusion protocol with whole hemp please prepare

(Fuyuki) Understood. Injured, immobilize them.

(Komaba) Leave at full speed

Kitami-kun! Senju Answer me!

This is Senju

everyone is safe

1 2 3 Artificial respiration Continue with pure oxygen

Please give me a drip at 200 hours. roger that

let's go I asked

(cough)

Mr. Senju! (Ming) Are you okay?

bring oxygen Go ahead!

This is Kitami I'll be there soon

This is Kitami I'll be there soon

TO1 open

i'm waiting in the vestibule please

Perform right ventricular pulmonary artery duct repair

Re-operation of the pediatric heart Delicate adhesion exfoliation is required

The most advanced operation ever

everyone I think I'm tired from consecutive operations

But I'll stay focused and do my best (All) Yes

Dr. Hina knows more about patients

i will go to help

Usually a full-pump heart-lung machine There are difficult sutures required

Usually a full-pump heart-lung machine There are difficult sutures required

Hina-sensei, can you do it with that arm?

I can do it

Enter ECMO will be replaced

Fuyuki-sensei, how are your pupils? There is light reflection

Understood, ECMO why can't you return the blood Keep bleeding to a minimum

electric scalpel It's electric female 20

Debaky This is also Debaiki

ECMO Established please turn

yes

Dr. Otowa Pressure on the bleeding area and

Dr. Otowa Pressure on the bleeding area and

please suck yes

I detached, first from the pulmonary artery side

Let's cut off right angle forceps (Natsuume) right angle forceps

vascular tape it's red

Blood pressure is 60 of 85 bleeding is 250

satin ski yes

blocked Are you getting full flow?

I got it at 3000 rpm 2.5 liters is spinning

Let's go to the heart side yes

Kurumi-chan has an abnormality in the course of the coronary arteries. I can see you, so be careful

Understood Denmesu electric scalpel

(Fuyuki) Decrease in blood pressure →

(Fuyuki) Decrease in blood pressure →

21 of 45 The right ventricular and ductal sutures are torn

I bled 5-0 proline 5-0

Tokumaru, what about the flow? Only 50% of the flow can be taken

with a balloon catheter How is he to stop the bleeding?

Let's do it Mr. Otowa assist

10 fr please Natsume-san 5-0

put it on both ends yes balloon catheter 10 frames

Syringe Dr. Hina yes

I'm going to insert the balloon.

add 5cc Please sew with a drawstring

5-0 proline 5-0

drop the needle cooper

remove the water please

remove the water please

Remove with balloon 3 I got it

1 2 3 close

pulled out this has stopped

Then Detachment on the heart side will resume Electrosurgical unit

electric scalpel right angle forceps

vascular tape I'll take it when I get it

yes Secured, satin key please

Suturing the laceration of the artificial blood vessel 5-0 proline

5-0 Remove the pulmonary artery side

please

removed heart side remove

please I took it off.

no bleeding Successful suture hemostasis

no bleeding Successful suture hemostasis

(Kiyokawa) Rescuing and transporting the injured it's all over

This time, 34 people were slightly injured.

6 seriously injured The dead are...

Zero! Yay!

good work

(clicks tongue)

(Akatsuka) Minister Kamata, are you on your way home?

I have an important meeting.

Thanks to Mr. Aoto's activities

Safely with zero deaths was able to finish

Minister Kamata Thanks for introducing me

thank you

Thank you for your help

Thank you for your help

from now on TOKYO MER under the direct control of the Governor of Tokyo

Thank you yes!

Alright! Ah…

Thank you for your hard work Senju-san and others please say hello

(Aoto) Thank you for your hard work oh good job

Good work If you don't mind, this

Good work If you don't mind, this

(unanimously) oh thank you

Excuse me I'll take this

thank you for your hard work ah…

you guys she's amazing

to save lives for all

I'm doing my best

really amazing

Especially Mr. Tsurumaki

He was sorry for treating me as an intern

no i

no i

Not at all

If the operation just now was also Dr. Otowa

Faster She should have been able to do adhesion detachment

I agree

Dr. Otowa also sutures hemostasis

She should have been able to do it more smoothly

well but

Hina-sensei All by herself

need to carry I don't think so

Dr. Otowa stopped the bleeding with pressure.

Dr. Otowa stopped the bleeding with pressure.

Whole body management by Mr. Fuyuki

Natsume takes out the instrument

Ms. Min replenishes materials

Mr. Tokumaru Because you managed ECMO

Kurumi-chan's operation I succeeded

Not only that

Mr. Senju and the fire department

to the rescue Japan Coast Guard, Police, Tokyo Metropolitan Government

Mr. Komaba and Without Governor Akatsuka's help

to save everyone couldn't have

to save everyone couldn't have

It's not just the power of doctors

we he ever just like that

with everyone's power I saved my life

What is MER That's the kind of team

then everyone Thank you for your hard work today

(spoken) Thank you

thank you for your hard work

thank you for your hard work

Hina-sensei You jumped off a bridge

oh she's amazing oh hey

Kurumi-chan She's done with that story

(Maki) Hina-sensei You're a walnut hero

(Walnut) Yeah No, she's such a big deal...

(Walnut) It was really cool

you know her determination

i didn't think there was

It was a hot topic in the ministry.

The crap was hiding its fangs

The crap was hiding its fangs

That money minister When I hit it, it was full of dust

The MER plan should not be harmed.

Please spread this organization all over the country.

What are you going to do now?

back to hometown start over as a trainee

until now I was half-hearted no matter what I did

I wanted to be a doctor after all

I wanted to be a doctor after all

The next time we meet on site I'm becoming a reliable doctor

(Hospital Director) Dr. Otowa left.

Aoto-sensei, the newcomer she seems to be gone

the next second doctor what should we do

(Vice-president) Candidates are already decided

(Vice-president) Candidates are already decided

Excuse me that she still does

(Everyone murmuring)

that Somebody, MER's second doctor

person who accepts isn't there

Transfer to another hospital

you better think looks good

No she no no she eh...

(Director of a hospital) What's wrong? Mr. Tsurumaki

to me

The second doctor of TOKYO MER could you leave it to me

(Deputy Director) You are a cardiovascular surgeon. weren't you going?

Professor Kitami

What do you think?

What do you think?

Tsurumaki-sensei and MER Do you serve as a second doctor?

Mr. Tsurumaki himself rather than me don't you think

to me now

It's impossible to replace Otowa-sensei

but

MER has We have reliable staff

among those members if you keep working

someday she will surely

I should be able to catch up with Otowa-sensei

Surely someday

Surpass Otowa-sensei

I will become a doctor

I will become a doctor

(Doctors laughing)

A newly trained doctor it's not that sweet

I just got injured

I'm a woman and it's dangerous

gender and career It doesn't matter →

me as a doctor

Respect Tsurumaki-sensei

I trust you

but she still she she just finished her training

but she still she she just finished her training

For the past year, Mr. Tsurumaki She has experience in the field of MER

she's here she's more than anyone

I know MER

In addition to Mr. Tsurumaki

Otowa-sensei's replacement I don't think there is a doctor to serve

she has been directly instructed Mr. Takanawa, how about her?

I'm sorry she

If Tsurumaki-sensei decided that she was

i support

the knowledge we learned

Please make use of it as a first aid

thank you

Mr. Tsurumaki

I would like to thank her from now on

yes

the second doctor Became Hina-sensei

is that so

How many times to Mr. Otowa i don't know if i helped

《Gas is accumulated at the bottom Stand up and breathe

"If I let you die I'm in trouble because it affects my appraisal.』

"If I let you die I'm in trouble because it affects my appraisal.』

《Otowa-sensei, you are a doctor》

"What is more important than human life? He doesn't exist in this world

《Don't lose, stay alive》

《(Fuyuki) Heart Rate Recovery》

"(cry)"

《(Natsuume) Chief Kitami! 》

《Don't be silly Pull it in at will

《Is this the end? Come back! 》

《Medical procedures that are life-threatening Please don't do it again

"king"

Because Otowa-sensei was there

I am I always messed up

I am I always messed up

you are strong

was the best of friends

me as a doctor I was just doing the obvious

Kitami chief risk-free way

I didn't admit it

The MER that will spread nationwide from now on

Create an organization that emphasizes safety

If Otowa-sensei spreads MER

more than ever you can save a lot of lives

more than ever you can save a lot of lives

as the same companion

let's cooperate

The new MER is

not friends in tokyo may be rivals

the second doctor

I think Hina-sensei is the right person

I think Hina-sensei is suitable for her.

TOKYO MER will continue

thank you

(Heavy breath)

(footsteps)

This guy Is it the ultimate form of ER car you pursued?

25% larger operating room volume Newly equipped with X-ray fluoroscopy and DSA

so far it has been impossible Catheterization can also be performed

so far it has been impossible Catheterization can also be performed

the question is who will use it

I heard you just arrived in Japan

of Yokohama chief doctor

you too can't put it in the corner

It's rumored

your old

It must have been this

Chief Kamoi is an excellent doctor

Request dispatch of TOKYO MER

MER understand, dispatched

The flames spread all at once to the upper floors

193 people on the observation floor are completely

will be isolated let me go

health care workers should not risk

(Kamoi) A doctor must put his own life first. must protect

(Kugayama) MER under the direct control of the Ministry of Health, Labor and Welfare I am planning to deploy

This is Kamoi from YOKOHAMA MER

gathered by the minister I heard it's an elite group

(Ryogoku) the highest When medical staff gather

(Ryogoku) the highest When medical staff gather

Get better results than Tokyo

the medical situation in the building i think you should fix it

you don't have to

just waiting There are lives that cannot be saved

i have to wait Even the lives that can be saved can no longer be saved

Natsume-san and I are on the observation floor

at 9 months pregnant Premature birth is also possible

I will rise from now on (Shiomi) It's dangerous to get close!

you lose the ability to make calm decisions

we also go more people →

I'm going to save you

I am Chiaki's husband

♫～

♫～

the patient

Uh, carry the patient first.

Uh, carry the patient first.

it takes time when i'm with you

definitely come back

♫～

♫～

(groans)

(groans)