Original subtitles

Episode 3

Suction!

It's V-fib!

Give one epinephrine!

Keep the gauze here!

Take off the surgical sheet!

Defibrillator!

Turn the patient over!

What will happen to that patient?

It's arrest now.

If he doesn't come back, unfortunately he will die.

Even if he comes back, in that condition, do you think he will be able to bear the surgery?

It's so regretful.

If it was found even a little earlier, it wouldn't have been a difficult surgery at all.

Start the massage.

Charge!

Clear!

1, 2, 3.

What are you doing? Keep massaging!

Call for thoracic surgery quickly!

Now the main artery is torn, but what can he do with interns?

Clear!

1, 2, 3!

I said to keep massaging!

At the moment, you need just one person to take responsibility.

You don't need too many cooks now.

Ok, his pulse is back!

Change the gloves!

New gloves!

Hey, he's bleeding too much! It's impossible to approach the bleeding spot itself!

If you don't stop the bleeding, there will be another arrest.

Prepare a Coda balloon.

You,

prepare the disinfection! Yes!

Scissors!

Give it to me.

What are you doing? Disinfect the site!

Yes.

Remove!

Throw it away!

Needle.

C-arm is going in!

C-arm is going in!

What's wrong with you? Move aside!

3 D.

Will start the shooting.

1, 2...

Move aside from the monitor!

Hold it!

Change the position of the patient.

Move the equipment.

This is just a temporary measure.

If it's delayed, the blood stream to the intestines will drop so the intestines will be injured.

Take out the gauze.

Yes.

Deaver!

Intern, hold it well. Do not pull it too hard.

Yes.

You, hold the scissors.

Yes.

Gauze!

More gauze! Gauze more! Hurry! Hurry! Hurry!

Do it quickly! Do it quickly! More gauze! Gauze more! Hurry! Hurry! Hurry!

Do it quickly!

Meister! Tie it!

Irrigation!

Suction!

Irrigation.

Suction!

Oh, with that, the bleeding has reduced a lot.

Hold it!

Tie it!

Are you a non-medical staff?

Sorry...

How can you call yourself a doctor if you turn away from blood?

Once you turn away, that's the end!

Forceps!

Because you tried to avoid the blood, I lost focus. Because of that, I lost my view.

While we try to secure the view again, he will bleed more.

If there is more blood, it's harder to find the bleeding spot.

That's what you just did.

What does an intern know? Don't give him a hard time.

Hold it.

Yes. Tie!

Sorry.

We have to find the origin of hemorrhage. If we don't he might get a cardiac arrest, then it is all over!

You could receive forgiveness for what you did because you were ignorant

only while you were in kindergarten.

Yes, I get it.

Cut!

Cut.

Cut.

Tie.

Off.

The location the blood is spurting from is the point which is bleeding.

That's not something you should run away from, but you should grab it.

Until when do you think you can avoid the opponent which you should be catching?

Cut.

Shorter.

The thread is also a foreign substance.

There will be no good to leave more of it in the patient's abdomen.

I got it.

Forceps.

Cut.

Huh, really!

Sorry.

Really,

Today, you guys are doing a variety of stupid things.

Meister.

The length of tie should be less than 1mm.

I will fix it. Sorry.

You hold it.

Yes.

Tie.

Off.

Cut.

It's still long.

Yes.

Suction!

Suction.

I can see the hole on the main artery.

The real work starts from now.

--Yes. --Yes.

Cut.

Flushing needle.

I guess I got it.

Why the artery of the spine?

I think it was damaged.

Remove the T-bow.

Remove the suction.

We will finish up.

We have to get out quickly so let's do it together.

Yes.

Professor, I have a question.

Why did the artery get damaged if spinal surgery was performed?

Did the screw puncture the artery?

Watch your mouth! What are we a carpeter? Why would we puncture the aorta with a screw?

To drill the artery with a screw?

Because we have to put a screw along the spine,

There should be a artery near by.

Oh, yes.

While he was doing that,

I guess the vessel wall was damaged.

It's called a thoracic aneurysm.

After a few hours, the damaged artery

burst from the pressure.

Cut.

You saved his life.

Make him straight.

Yes.

You worked hard!

You worked hard too.

Professor?

Is the reason I see his abdomen is distended compared to when we started the surgery

because we infused a large amount of blood and the aqueous solution?

I'm a little sensitive to the waist size.

I am quick in visual learning also...

Why is his abdomen so hard?

Feels like I'm touching a rock!

What is his urine output?

It's scant from the time the surgery began.

How about the BP?

It's declining.

Exchange the gloves.

Disinfect.

Professor, what are you going to do?

Abdominal compartment syndrome.

[Post surgical severe accumulation of fluid in the peritoneal space]

Are you going to open the abdomen again?

That's not the part that he operated on.,, Maybe we should take a CT first?

When? After he is dead?

Hurry!

I will do it.

What is he doing now?

It is abdominal compartmental syndrome.

Cutting him open will be easy.

I didn't even touch the abdomen!

You sure about this?

How can you just do a surgery without the confirmation? No CT?

How about CT?

If he has another arrest, there will be no way.

Who's going to be responsible for the patient if he has a complication?

There.. That guy.

Intern, change the position.

Yes.

The bomb is going to be passed to the hand of Choi In Hyeok now.

It is no longer your responsibility regardless of what happens.

Scalpel!

Prepare gauze and forceps.

Ahh.. He opened him up!

Without any confirming diagnosis.

Congratulations.

I'm going.

Good job everyone!

Worked hard.

Everyone worked hard.

Good work guys!

Good job.

Worked hard.

Why is the patient's abdomen not closed all the way?

We can't close the abdomen when his intestine is so swollen up like this!

Your assignmet is to figure out why I didn't close the abdomen.

Yeah.. yes!

Send him to the ICU

Yes. I will.

Good work!

Good work.

Good night!

It looks like you guys did all the work.

What the hell are you doing?

I'm taking a picture.

What makes you think that you deserve to take a picture here?

Well, it's my first surgery.

You!

You still feel like taking a picture after he slapped you like that?

Well.. that is a history haha. I want to record what happened just now!

Record?

Can we all gather together and take a group picture?

What?

This is my first surgery. I really appreciate it if we can take a picture together.

You would go nuts if you do an appendectomy.

If I do an appendectomy before I finish training, I will take you guys out!

Where?

Charcoal grilled intestine restaurant!

Well, your father is very old, so..

Then, will there be no problem to not close the cut on his stomach?

- Ah.. - Of course, there will be.

However, when we close it, its problem will be more serious.

Because of massive transfusion and IV fluid,

his intestines are now swollen, so if we try to close it by force,

the abdominal pressure will be increased and it will cause tissue necrosis.

What are you doing now?

Pardon?

I'm doing my homework.

If it's not closed, what will happen?

Then, will his life be alright?

No.

In the middle of the ocean, a ship is broken.

Do you think that it can be repaired perfectly there?

This patient just received first aid and now entered the port.

Then, what are you saying about his condition?

Because of massive hemorrhage, he went into shock.

and now in his body, there is none of his own blood.

From the massive transfusion, there can be blood clotting disturbance.

Lung function deterioration, kidney function deterioration, and so on.

There are still a lot of obstacles waiting for us.

Moreover, the patient's age is 70's.

His blood pressure was also high.

Ah, that bastard, why did he talk in that way?

He could've just said that he would try his best.

This problem happened right after the surgery.

How could you not check about the surgical site so that you made the problem even bigger?

Are you a god, Chief Hwang?

Even monkeys fall from trees sometimes.

What?

What is this?! this person..really!

- Are you trying to rub salt in the wound? - Ah.. it's hot.

About the body temperature of this patient, please pay extra attention to it.

Yes.

Ah, Professor. Is there anything you want me to do?

There isn't.

Okay.

Then.. I will leave.

Good job!

Pardon?

Thank you!

Where are you going?

I'm going to have some cup noodle.

Really?

Shall we go together?

Call!

Call!

This is going to be a lawsuit case.

Even if the hospital will try to stop it, he will use many skillful lawyers.

How will you handle it?

When the intern found it,

I heard that you slapped him because he suggested you check the surgical site.

These days, who would beat interns in hospitals?

Aigo, but Orthopedics still have lots of applicants at least.

Seriously, you...!

Are you done talking?

You know who Chairman Shin is.

He asked me to recommend an excellent doctor,

so I recommended you, bragging about you. Now, what can I do?

If the patient dies, who would take the responsibility for it?

Ah, stop there.

Hello.

Is that him?

Over there!

Yes?

What's your name?

I am Intern Lee Min Woo.

Did you find it first?

Yes, that's correct.

When you were on duty, did you check him properly?

Pardon?

Didn't he find the issue too late?

Hmmph.

Your name, what is it?

I am Intern Kang Jae In.

Now, a Chief was talking, but an intern is snorting about it?

I'm sorry.

I didn't mean that.

It's okay, it's okay.

A person just needs to take the responsibility about what he/she did.

You need to take the responsibility about that laugh.

If you see the medical record and nursing record,

it will be clearly revealed when the intern on duty found the problem, I think.

Look at her..

She's talking back so boldly looking at the eyes of the staffs.

In ER, how did they teach interns so that you guys are like this?

Your loud voice is heard even over there.

I'm sorry, Head Director.

We were educating the interns.

Is that education done?

Ah, yes.

You can go.

Well, you're leaving quite late.

Did the patient die?

Pardon?

Did those interns kill a patient?

Ah, no, it's not that.

If it's not a matter like that, why is the staff lecturing interns?

I'm sorry. I hadn't thought through.

How well the hospital is running now!

Ah, you, shouting too loud..

Even if you were angry...

Seriously...

Ah, it's hot, too hot!

Oh, yummy.

What are you doing?

I'm catching the bleeding spot.

Well, if you see some Chinese martial arts,

a master catches a fly with chopsticks. Just like that.

Wow, it was really amazing.

Going into the stomach without hesitance,

he caught the spot with forceps, exactly!

Catching Kimchi too, EXACTLY!

Not everyone can do this, you know.

How can he be so fast like that? Exactly on the spot!

Exactly!

EXACTLY!!

Exactly!

Huh!

Exactly!

What are you two doing now?

We're catching the bleeding spot.

The surgery must have been quite impressive.

Totally!

We're not kidding, really!

Oh, really?

Our fellow was also quite shocked.

I heard that he just cut the stomach without any single test.

In orthopedics, the surgery starts only after going through all kinds of tests.

How could we go to the CT room in that situation?

He touched the belly, and then just opened the stomach in a second based on his hunch!

What if there is any issue risen?

"I can handle whatever happens after that!" He was full of that kind of aura.

He was quite awesome, wasn't he?

Ah, when Min Woo caught that bleeding spot..

I'm getting improved day by day. I'm actually a kind of genius!

He caught one mouse. A cow was stepping back.

Oh, what cow now? You were praising me, then keep doing it.

We're in a same team, but you're treating me too badly.

Eat a lot.

Aigo, why didn't you change the clothes? What is that?

Oh my gosh!

If someone else sees you, he or she would think you two did all of the surgery!

I'm not going to wash my feet today.

What?

Are you telling me that you will come in our room with these feet?

Hul! Epic..

Hyung, Hyung!

Why? Will you take a photo of my feet too?

Oh my...

Ok, I will allow you. Take a photo!

Anyway, I really hope that patient survives.

If something goes wrong with him, would I not be accepted in the orthopedics program?

Of course not.

I think they will drop me, saying I'm unlucky.

Sure, they will.

If you fail, what other department will you go?

The second choice....

I haven't thought about it...

No, no, no.

No matter what, I like orthopedics anyway.

That patient must survive!

What was his name? Kim Bok Nam? Nam..?

Shin Bok Man, Shin Bok Man.

Right, Shin Bok Man.

Whatever your reason is, since you're praying for the patient's life, you look that same as us. What a relief!

Ah, there was a delivery for you. Did you see?

how is it? is it pretty?

What is it? What is it?

One-piece dress!

- Is it tacky? What about this Orange color? - It looks good.

Ah, Professor, hello!

Hello.

Hi! What is this dress? It's so pretty. Let me see.

Let me see!!

Ah~!

How can its size so poor?

Originally, men don't like a poor size.

Oh, whose is this?

It's pretty, right?

What is going on here? Are you two dating?

What?

No! Never!

Well, don't be shy! I heard you applied to this hospital following Jae In.

Who said so?

On the interview day, the rumor already spread out.

I heard that too.

I heard that you were idling like a playboy,

but because of a woman, you were changed and came here.

Wasn't that woman her?

No, it's not like that! Who.. who said so?

No, why would I come to this hospital because of a woman?

I'm already taken. Didn't that rumor spread out?

Usually, a girl who's not good at dating

tries to appeal with presents.

How long have you dated with that guy?

It has been more than 90 days. Let me see... As of today, the 94th day!

Then, is that gift for his birthday?

It's just a gift without reason.

What a pathetic girl you are!

Come over here.

You, sit down here. You, come here.

Let's sit down.

Originally, the dating is all about timing and skills.

If it's the 94th day, at this timing,

some skill with tension MUST be shown.

Skill?

Omo? It's the time I should go to the operating room.

Oh, yes.

Fine! I feel you.

I will teach you just one thing. Sit down again.

Listen carefully. Men naturally like women who play hard to get.

So, if he calls you three times, you only answer once.

If you are going to give a gift like this, you should've received a brand-name bag at least.

What did you receive from him?

Ah! A hair band.

A hair band?

It's so funny! She said she got a hair band!

Ha, isn't it funny or what?

What are you going to do with him?

As a girl whom he doesn't have to spend money or efforts,

your initial positioning is already completed, I think.

In that way, sooner or later, just like old worn-out shoes, Pheeew!

You will get dumped.

The relationship between a man and a woman, naturally,

is all about initial positioning.

Well, it's a bit too late, but... Return this necktie first right now! Got it?

Professor Song, you surely know a lot.

Of course!!

Of course!

I naturally know about men

and dating quite a lot.

I'll leave!

Cha cha cha!

Professor, have a good night!

Have you heard of the rumor about Professor Song Kyeong Hwa?

What is it?

She is a "born-to-be-solo"! People say that she learned about dating from books!

I knew it! She sounded like that!

I thought there was only a person who learned medical skills from TV dramas, but now I see there is a person who learned about dating from books.

Who, who? Hyung?

I can see that you and she were similar.

Ah, I worried about nothing. This was a sold-out item, so it was so hard to buy it.

- Well, but it's pretty anyway. - Isn't it?

Please put this in the box.

hyung, where are you going?

Me?

To the patient Shin Bok Man.

What would you, an intern, know even if you see the patient?

I just want to see him!

Mmm, it's so pretty.

Are you still here?

Huh?

Ah, Doctor, are you on night duty tonight? Oh, Professor!

How much urine came out?

There was 30cc for one hour.

There was no more blood oozing out of the gauze, right?

Yes.

Why are you here at this hour?

Pardon?

Ah, I was so curious about the patient's condition.

Because he was the first surgical patient for me.

Aren't you working tomorrow at ER?

Yes, I am.

Sleep when you can.

After you stay up all night although you weren't asked to do that,

if you make any mistake, who would take care of that?

if you make any mistake, who would take care of that?

Yes, I understand. Then,

I will leave first, Professor.

Well, I will stay here.

Because of massive hemorrhage, it's possible to have multiple organ dysfunction syndrome

as well as infection.

But, still...

I know you are an excellent fellow with good grades,

but you must have no experience to take care of this kind of critical patient in orthopedics.

Yes, that's right.

You can leave. I will do it.

In the next blood test, test about ABGA as well.

Let's see the saturation data for lactic acid.

You worked hard.

Don't mention it.

Don't worry too much. You called on time.

If we scanned him right away, he wouldn't have been in this critical state.

However, interns shouldn't act up too much.

it's because we don't want brilliant interns.

We just need interns who don't make trouble and don't miss any assigned tasks.

Yes...

And... don't talk back to Professors.

I'm telling you these for your own sake.

Yes, I will correct my way.

What will you choose for your major? Are you interested in orthopedics?

What will you choose for your major? Are you interested in orthopedics?

What? Ah...

I haven't thought about my major program. I'm just trying to complete internship first.

Is that so?

Ok, see you later.

Yes.

Go safely.

Hyung....

Hyung...

I got it, I got it, I got it. Be quiet!

Doctor! Do something!

If I count three, it will go in.

1, 2, 3

What are you doing? The kid is in pain!!!

Parents, don't get too excited! His shoulder has the tapes attached, so..

One more time.

1, 2, 3!

Don't get too upset!

- Arm, arm! - Don't get too excited.

The child will panic!

Oh, it will be ok, ok.

1, 2..

What are you doing?

Ok, raise your arm.

Not that hand but this one.

All right! What a good boy!

- Don't cry. - Son, are you alright?

Aigo, Doctor, thank you!

Doctor, thank you!

What are you? Are you a quack?

I'll never come to this hospital again!

I did it at least half of it.

What are you saying now!??

Aigo, our son! Good boy!

He will be discharged, so please wait for a moment.

Yes.

Thank you. I am really grateful.

Thank you!

It hurt a lot, right?

Are you ok? Aigo, you're fine now!

Wow, this jerk has such a good life now!

Aigo, you scared me!

What?

Arm!

Min Woo!

Yes?

Did you do something bad to me?

Me?

No way!

Your eyes look like a boyfriend feeling guilty himself for cheating on his girl friend.

Me? Why?

Not at all!

Well, that's right, What bad thing could you do to me?

That's what I'm saying!

By the way, are you in touch with Seon Woo Oppa?

Doctor, thank you so much!

Aigo, Doctor, thank you! Thanks to you, my son got ttreated well!

He's ok now.

Be careful with his arm.

Yes, I understand.

Take care! Bye!

The infection is getting worse.

It's not easy at all.

It seems that the vicious cycle started.

Ah, what are you doing, not going home?

You act as if I always go home on time

If you have any time, I have something for you to review.

Let's see it then.

Let's go.

This person, she looks ok, right?

That's not important. How much she can endure is important.

She looks like that she would hang in well.

Also she has some experience at ICU.

Isn't she too young?

Aigo, people in their 20's also need to be trained to become an experienced worker.

People quit because the work is hard, not because of me.

What about this one? She's in her 30's.

About her previous experience, she had worked in a gastrofiberscope lab for 3 years...

Is it a joke?

Did she apply for the job, clearly understanding what would she do here?

Do you seriously want to find a replacement or not?

Let's do it next time.

Next time when?

The date when I leave for Canada is approaching!

I should do at least the change-over before I leave.

Am I rushing too much?

How long would our Trauma center be kept?

Right now, it's running as Trauma center, even if it's just a name.

Its manpower is just you, Nurse Shin, who is a contract worker,

me, a paramedic and a trainee.

The government...

announced that it would support Trauma Centers.

Soon, you will be able to add more manpower.

That promise... well...

every one made that, taking the turn.

But,

it's stuck somewhere in the middle, I guess.

For these three people, I will set the date and time for interviews.

Don't forget that.

Postpone it.

Are you worried if you wouldn't be able to go to Canada?

Your character,

it's really difficult, you know that, right?

Well, that must be because the situation here is really difficult.

Is it too hard for you because of me?

Yes.

I'm sorry, then.

If it were someone else, not you, he wouldn't have been so stubborn like you in this situation.

There is neither manpower nor OR. Then, you should send the patient to another hospital.

Thanks to you, Professor, I'm working on administration during the day,

and since you don't have any resident doctor, I'm assisting you in OR every night.

In the dawn, after finishing the surgeries, I'm working on documents and stats.

If you have to go to your classes,

since you performed surgeries all night,

worrying if you would make a car accident due to fatigue, I become a driver for you.

Making your materials for symposium, finding photos...

How can normal people adopt all these? You should give some time at least.

But while I was talking about this,

I realized I really do a lot of work.

No, I'm not trying to blame you, Professor.

I'm just saying that the situation here is like that.

You have a text message.

Dong Gyu : Today's plan is still valid, right ^^?

I'm blowing away the date plans all the time, too!

Do I have to give more excuses?

Do you know how many years it has been

since I came back from training abroad?

You said you went there in 2008 and came back in 2009.

So, about three years?

Four? What's about that?

Where are you going?

I'm going to the morbidity and mortality conference.

Shim Bong Man, 75years old, male patient.

He fell at the bathroom 3 days ago and he had the fracture of the lumbar vertebrae so operated him.

He fell at the bathroom 3 days ago and he had the fracture of the lumbar vertebrae so operated him.

Today is the 7th day of his operation.

According to CT adn MRI, there was no damage on his spine.

The heart and his lung function were normal.

His BP had decreased 5 hours later after the operation, so we did a test.

we found the artery hemorrhege and did the emergency operation.

It was the abdominal compartment syndrome so we performed laparotomy. But he hasn't recovered yet.

He is still unconscious and

we gave him a ventilator because of the acute respiratory distress syndrome.

And by the heart failure, he is under the dialysis.

Ha has had 38C high fever since 2 days ago.

That's it.

which department takes care of him now?

He is under the Emergendy Medicine department.

Why does he have fever? Is it pneumonia?

Dr.Kyung Ki Uk, Have you examined him?

Yes. they requested the consultance, I examined him.

On top of acute respiratory distress symdrome, there is also pulmonary insufficiency,

so the condition is bad but he doesn't have pneumonia yet.

Why did you performed laparotomy even thought it was not the operated spot.

There was a chance he could die because of organ dysfunction syndrome by the pressure of the inside stomach.

How about CT?

If I took him to the CT room, he would have arrest and there wasn't anything we could save him.

And my diagnosis was correct in the operation room.

Diagnosis?

Then what about the fever?

Dr. Park, what happen to the germiculture test?

Ah, yes. In blood, sputum and urine, no bacteria was detected,

but found only in abdominal drainge.

Its exact kind isn't confirmed yet.

Then, it's peritonitis anyway!

But in any cases, within one week, the kidney function should've come to normal.

Doctor Choi In Hyeok.

You said you opened the stomach to make the blood stream to intestines work well.

It doesn't seem that it worked well.

Ah, since the abdomen is opened, how can it avoid the infection?

His unconsciousness,

his respiratory distress,

and the lack of urine, and so on.

Everything must be caused by the infection.

Don't you think so, Dr.Kyung Ki Uk?

Well, that can be one of important causes.

Let me clearly tell you here. If I didn't open the patient's abdomen at that time,

the patient must have died now.

Are you certain?

When you decide the treatment, it's important to let the patient survive,

but you should consider its side effects after the treatment!

I see your spirit,

but your decision was impulsive

and your method was extreme!

Let me tell you again!

If I didn't perform laparotomy at that time,

he couldn't have survived until now.

The patient should survive today,

so that he can have tomorrow.

HEY!!!

Enough! That's enough. Sit down, please.

Professor Choi, come over here.

He's the founder of Mi Rae Finance Group.

And he's the father of its current Chairman.

To such an important patient, you made a hole on his main artery during the spine surgery,

and you opened his abdomen without any firm test results which caused the infection.

It's not an easy matter to cover by not accepting any fee.

In his age of 70's, if he gets hematosepsis by any chance,

he will die right away.

In any case, he doesn't survive, who would take responsibility for all those lawsuits?

Will you, Chief Hwang Se Heon?

Or you, Doctor Choi In Hyeok?

If laparotomy becomes the problem,

I will take the responsibility about that.

Are you saying you would submit your resignation?

If this leaks to the media,

see what will happen to the image of the hospital.

As you said you would take its responsibility, ok, let's see how it goes.

All professors, stay here and talk with me.

Today's conference is done now.

It's not a joke, really.

Such a witch-hunt.

Does it make sense?

What's not making sense, then?

Who caused all this issue?

Well, if he didn't cut the abdomen and just left, it would've been all Chief Hwang's fault.

Or Professor Choi could've done at least CT scan.

You, make sure to go to Orthopedics!

Of course!

Isn't there any banana left?

- Is it all gone? - Yes, all gone.

Hyung, you are the one in charge of groceries. Make some orders!

Bananas.. Cup noodles?

What kind of bread do you want?

- Soy milk, too! -Coffee, coffee!!

What's wrong? Did you already use up all team fund?

Does Professor Choi like to live in this way?

Well, he must have studied well and gone to the medical school.

Sure, he must have.

But then, he dose a surgery that others avoid, and now takes all hits.

To save a patient, he has to ask a favors to everybody and fight for it.

Well, he didn't go to the medical school to live like that.

Would his parents know that he's having a rough time after all hard working on study?

They shouldn't know,

if they knew they would be really sad.

Why would a doctor work on Trauma center if he wanted to live a comfortable life with money?

He's running with only the sense of mission to save the patients.

That looks cool, yes, cool. It's cool, but!

It's tough, working hard all days and nights, no one to take his turn, no applicants either.

I thought over and over, but his life is too tiring.

Aigo, our hyung finally realizes what's the reality.

Right, it's so tiring.

What do you want to say, Chief Na?

Ah, yes, it's about the position of Doctor Choi In Hyeok.

If you want to keep him in this hospital, I hope you move him to one of surgery departments.

Emergency Medicine department has only 4 positions,

but giving one of them to a surgeon is quite burdensome.

From the new semester on, Emergency Medicine department will accept a new specialist.

General surgery, will you take him back?

Well, since he'd been burdensome for General surgery, he was sent to ER, wasn't he?

It was a scheme of the previous dean.

His skills were too good for the hospital to lose, but he wasa trouble at the surgery departments.

To let him do surgeries which he likes to do, as many as he want...

Thanks to that, other surgeons didn't have to receive phone calls in the middle of a night.

So, the surgery department enjoyed for many reasons.

With the opening of other department.

Do you have any position at General surgery?

No, we don't.

Even if we do, since he's disturbing the team work, it's a bit difficult to take him in...

Then, since we're talking about this, regarding to applying for Trauma Cener subsidiary,

what do you think of that?

For the hospital to keep growing, Trauma center is actually essential.

Now, it says of 8 million dollars of investment,

if we succeed to have this investment, we can keep getting more investments.

For that, having experienced traumatology surgeons is important.

But General surgery says it doesn't have any opening,

and Emergency medicine department asks to take him back.

Who will be the head of the trauma centre?

Would it be Choi In hyuk or other staff

Well, there is no rule that it must be Choi In Hyeok.

You're so hot-tempered.

Right now, we don't know yet if it will go well or not.

This is the project that all departments in this hospital should cooperate to each other to get it.

But in that position, will Choi In Hyeok be appointed?

in that case I am against it

Why are you taking sides so conclusively?

Everyone here has same idea, doesn't he?

Is it only me?

Trauma center needs to be a control tower which connects all departments.

Do you want to give its remote control to Choi In Hyeok?

And, in case of trauma patients, they usually have fracture.

Our orthopedics is not 911,

but he will call us no matter when it is!

He won't care about our mortality rate at all!

Is he the only doctor here?

Then, who will receive the call of ER?

Will your doctors on night duty receive that, General surgery?

Well, we will have to....

Can you do that?

Then, when a doctor who can't perform a surgery for liver/pancreas/gall bladder is on night duty, then what will you do?

We should send the patients to other hospitals, just like we did in the past.

Or you can just keep them

Don't make any scene like coming to my room, fighting and arguing.

You two Chiefs, make sure of it.

Ah, yes, of course.

If we call you, come immediately.

Don't leave the patients in ER

or let Emergency Medicine department only suffer.

Aigo, frankly speaking, if we have money, why couldn't we have more surgeons?

Do you know how many surgeons want to stay in University hospital? Only money is the problem.

And, the trauma surgery that Choi In Hyeok performs is not that high level surgery.

Oh, is that so?

Then, you can do it. Do it, that surgery.

Over here!

His BP is dropping and pelvic fracture is suspected.

What happened?

I don't know either.....

Paragliding?

No. While he was watching another accident, his car hit a street tree.

When did that accident happen?

One hour ago.

Nurse Kang! Over here!

Yes, I'm coming!

One-Two-Three.

One-Two-Three.

This patient hit a tree while he was paragliding.

He's unconscious now, but his BP is relatively stable.

- Is he? - Yes. Please work on him.

What about his guardian?

We don't know any contact either...

Will you raise your leg once?

Yes.

Where did you say come from?

I'm from Chilpo, Pohang...

Ah, yes, Chilpo, Pohang...

Well, you said your car hit a tree when you were watching paragliding, right?

A patient who wore this kind of suit, where is he now?

Oh, thank you!

Please check his vital signs, and give him IV quickly.

Hyung!

Seon Woo.

Do you know this person?

Does he have any consciousness?

There isn't any.

Was he unconscious when you found him first?

Yes.

When people at the landing point ran to him, he was already unconscious.

Wasn't there someone else who paraglided with him?

She was carried to Pohang.

But how did you know...?

Please prepare intubation,

give him Hartman solution 1 liter,

as well as normal saline solution.

Yes.

Where is Doctor Kang Jae In?

She's in charge of seclusion room today, so now she's watching the patients there.

Yes. All right.

How are his vital signs?

They aren't good.

Step aside.

Oh, Doctor! How is his consciousness?

He doesn't have any.

Did you prepare intubation?

Yes.

Doctor Lee Min Woo, try it.

Ah, the patient is Doctor Lee's friend.

All right.

Then, Dr. Jang, do it.

Yes. Give me the set.

You should raise his chin higher.

Yes.

Nurse, please bring the CT scan of his neck.

Quickly! Bring it now, please!

Bring that CT scan.

Okay.

Give me the tube please.

It's in now.

There's air in the stomach.

What are you doing?!

It went into esophagus, you moron!

Take it out!

Okay.

Do you want to do it?

Doctor. Doctor, can you do it? He's a close... hyung of mine.

Get out of the way.

Thank you.

Done.

What is the blood pressure?

Bp of 70/40.

Doctor, shall I call Professor Choi In Hyeok?

Hey, where is wrong with the patient,

the Emergency Medicine department needs to confirm it first

and then we should call him.

Are you always calling Professor Choi, no matter what?

Yes, I understand.

Teacher, this shirt looks expensive, should I cut it?

There is possibly some fracture.

Is the shirt the problem?

Here give it to me, he has a lot of expensive clothes. I will do it.

- Doctor Lee Min Woo. - Yes?

These are the belongings of the patient Bang Seon Woo.

-Oh it is? -Yes.

Please work hard!

[Bo Ra]

Oh, Jae In, didn't you eat?

Yes I did.

Min Woo, did you eat?

Yes...I ate too.

Oh, right. Earlier, there were many people in ER. What kind of patients were there?

Oh, the patient fell to the ground while paragliding.

How is the patient's state now? All right?

Yes, while falling to the ground, he hit the tree.

But still he shows some reactions on legs and arms.

That's good, see you later.

Oh, Jae In...

Don't be surprised and listen to me.

Doctor.

Did you contact a guardian of the patient, Bang Seon Woo?

Bang Seon Woo is a patient?

Seon Woo Oppa?

He's still unconscious, but his BP is maintained after giving him IV.

I've already requested more blood for him.

His head is a little injured,

but luckily it doesn't seem like brain hemorrhage.

Won't he have emergency surgery right away?

Did orthopedics come?

What about neurosurgery?

It's a fall accident from paragliding.

The laceration on his face is longer than 10cm.

Please come down here and examine him.

What?

A conference?

When does it end?

The pancreas has a rupture, but it's not clear if the liver is also hurt, so please come here and examine.

What? Why are you having a team meal in broad daylight?

Okay.

He's unconscious right now.

I sent the CT scan now, so you can see it too.

Brain hemorrhage is suspected, but you should come down here and examine him.

I'm Kang Jae In from ER.

What? Me?

I'm an intern.

Hello? Hello? Hello?

Why isn't Professor Choi coming?

Hey, Kang Jae In! Listen carefully.

The patients who came to ER

are first taken care of by ER.

We call Professor Choi In Hyeok only when we need surgery. Got it?

Last time, we missed a patient who had abdominal hemorrhage too.

If Professor Choi is needed, I will call him.

Doctor, if your wife was hurt who would you call?

Hey, is he your husband?

He's my boyfriend.

Oh, this is why you are like this?

You might make some trouble today.

Take her away.

And! I'm single.

Doctor, you're too inconsiderate now.

I know your feelings,

but we will save your boyfriend.

Don't bother me anymore. That will be helping me.

Doctor.

What!

If something happens to him, are you going to take responsibility?

Hey, if you are a doctor why are you saying that?

Hey, if you are a doctor why are you saying that?

Are you going to take responsibility?

What kind of doctor will assure that?

That's why I'm going to take care of my man.

What are you doing?

The ice would melt, hurry!

What is this?

Hello! I'm an intern of ER, Kang Jae In.

And?

A moment ago, a patient, Bang Seon Woo, who is my boy friend, was sent to ER.

He has a face laceration with about 10cm length,

so I called for plastic surgery to examine him.

so I called for plastic surgery to examine him.

Hello.

Hey, you guys go there and see him.

Okay. Hey, you guys go there and see him.

Okay.

NO YOU CAN'T!

Chief Resident, I hope YOU can examine him.

While I'm working in ER,

I have been deeply respecting your medical skills,

and your artistic suture skill

stole my entire heart although I have a boy friend.

I've been dreaming to enter neurosurgery since I was born, ...

Hold.

Go over there.

Okay.

Isn't she crazy?

I'm not crazy.

i'm not crazy.

Respectful Chief Resident, if you can personally come down and examine him,

I think the concern in my mind would be melt down like snow melting down.

Where do you think you are now?

I'm sorry.

You were the intern who cut the tie in the OR a couple of days ago, right?

I cut the 4th tie as accurate as a computer does.

I am Intern Kang Jae In.

I'll go there.

No, I will go.

It's ok, I will go. You guys, just drink it.

She bought them, so it would be a waste if you don't drink.

Thank you.

What's that?

Ah, yes... that patient... he's close... very close to me, too. A close hyung..

What is this, a love triangle?

What?

Doctor, since you will examine my boy friend, I will let it slide this time.

Let's go.

Show me the chart

Thank you for caring for him.

Thank you. Thank you.

It's Coma.

For now, since there is no open fracture,

I will immobilize all fracture sites with splints.

After all of his vital signs are stable

and all other departments' surgeries are done, orthopedic surgery will be started then.

There is a facial laceration, but...

I can't say that his BP dropping is caused by this wound.

Neurosurgery must step in here.

The brain is a bit swollen,

but this state needs to be watched while giving some medicine.

It's a bit vague to perform the surgery.

My department is not a main one in this case, right?

What are you talking about?

There is some hemorrhage in abdominal cavity,

but its amount is small, so we need to wait for the test result.

It's vague for us, General surgery as well, to perform the surgery right away.

- Isn't it? It's too vague.

Yes.

Wait a moment!!

If something goes wrong with him,

which department will take responsibility?

Emergency medicine department.

- Sure. - Emergency medicine department.

Thank you for your coffee!

Wait....

See? What did I tell you!?

Now, do you feel better?

- Hey, Lee Min Woo. - Yes.

She looks quite agitated now.

Since she might make some trouble,

you need to watch her well.

Yes, I understand.

Every order that Doctor Kang Jae In gives you from now on,

check carefully, one by one,

and call me if there is anything strange.

That's all!

What brought you here?

You know why I applied to this hospital.

You said it's because of that guy.

He's now in our ER because of a paragliding accident.

Is he in critical state?

Facial laceration, brain edema, fracture, intraperitoneal bleeding.

He's unconscious and his BP is fluctuating,

but even if I called each department and begged for help,

they came down to see him and after taking a note, all slipped out.

Looking at you calming down, he won't die.

Not yet.

But while doing nothing for 3 to 4 hours, he will be in danger.

How on earth do you think this is normal?

I think that the current Emergency Medical system has a lot of problems.

Take a seat.

Hey, where is she?

Is there any more department she can go to with coffee?

She went to 15th floor.

15th floor? What is on 15th floor?

Ah, the library.

Is that so?

There is the office for the Head Director.

No, no way.

Of course not, that won't be it.

If it's that, it would be a relief.

If nobody takes care of him, it seems that she would even jump off from the rooftop.

2 or more operation rooms must be ready always so that we can accept some sudden trauma patients.

Surgeons who can perform surgery for trauma patients,

anaesthetists who can take turns, OR nurses,

and ICU spaces..

There must be ventilators,

and skilled ICU nurses are essential too.

And?

Why are you stopping there?

At the end, money is the problem.

It took 30 minutes for you to realize that. That's not too bad.

All other major departments are marking deficits too!

Especially more deficits for Trauma center.

This matter is too difficult for one individual or one hospital to solve.

Isn't it possible if the top management has a strong will?

Not strong will,

but only money can make it possible.

Grandfather, do you think I'm in the mood now to debate about the Korean medical trauma system?

I'm working one day per week in this hospital.

There are piles of work I have to process.

Should I waste that precious time to listen to one immature intern's whine?

Grandfather!!

My boy friend is hurt!!

That kind of raw and sentimental approach doesn't interest me.

Bring me the official report.

GRANDPA!!!

What? That old man told you so?

Right now, Seon Woo Oppa doesn't get any treatment, waiting.

That old crock! Ah, does he have lots of granddaughters? You're the only one!

What's the good use even if he owns 5 or 6 hospitals?

Ah, seriously!!! Grandfather is driving me crazy!!

He told me to bring an official report.

Wh.. wh... what report?

Ah, that crock must have dementia!!

How can I have time to write that?

I don't know how many more hours Seon Woo oppa can bear now.

If something goes wrong with Seon Woo oppa,

I will never see Grandfather again in my life!!

Grandma, when is your trial?

The first week of August.

Get a lot of alimony from him.

I'm at your side! You know that, right?

Hey, you know that crock is so stingy.

That's why there is no affection left toward him

Prepare all documents well,

and don't concede for anything!

Don't worry.

Many people know who made that hospital big.

It was made by my lobbying.

Of course! Otherwise, he would've run just a two-story General surgery hospital in Ban Po.

Aigo, although you're young, you know everything.

Hey, what departments do you need?

Neurosurgery, orthopedics, plastic surgery, and thoracic surgery.

And what else?

Oh my god... I'm hanging up, Grandma!

What's going on...? Why is it like that?

Why is it like that?

Calm down, Kang Jae In.

Kang Jae In, calm down!

Please call Dr. Kim Do Hyeong.

He's with another urgent patient.

1, 2, 3, 4...

Tension pneumothorax?

Tension pneumothrax -- Air is trapped in the space around the lungs, causing the collapse of the lungs.

There was no pneumothorax before.

Hey, Jang Hyeok Chan! Change the hands with Min Woo!

I can't hear.

Give me an angio needle.

What size?

The thickest one in this hospital.

Prepare a chest tube insertion kit.

Please call Professor Choi In Hyeok, and where is Doctor Lee Min Woo?

Let's do this, for now.

It should be the second space...

Oh, what are you doing now?

What are you doing?

What is it now??

You interns! What did you do now!!??

Are you trying to kill the patient?

Let go of me!

Scram, you bad jerk.

I heard that Choi In Hyeok stepped down without any fuss.

What could he do if he didn't?

Oh, you're quite bold now.

Ah, what did I do wrong?

Who knows where Kang Jae In is now? Who can contact her?

This patient fell down to ground from 5th floor!

Gave seline and went to the closet hospital, but..

Bring more blood!

That boy friend was a two-timer.

This surgery, I will do it.

In any patient's case, when a surgery is needed,

the surgery... will be performed by only specialist surgeons

or staffs on duty of the Surgery departments.

Ah.. serioiusly...