Original subtitles

What room asked for an order before?

Room #13.

Thanks.

I've put up the order.

Episode 7

What kind of patient is he?

It looks like he was stabbed by a knife.

A knife?

Yes.

It's not just on one part of his body!

What about his blood pressure?

110/80. His pulse is 120 bpm.

His blood pressure is better than I've expected.

Yes.

He's here, over here!

Are you his guardian? What is your relation to him?

I'm his friend.

While we were drinking, a fight broke out. So we came out.

While we were drinking, a fight broke out. So we came out.

But some guy suddenly took a knife out and just stabbed him!

I don't know how many times he stabbed him. He was crazy!

I understand. Please wait a second!

Patient, where do you hurt the most?

Can't you just tell by looking at him?! It's his stomach, his stomach!

Okay.

I'm going to conduct a small test to see how deeply he was stabbed.

If you're going to do a test just do it quickly, please!

Check the depth of the wound.

Patient! This will hurt, but please bear it!

It's okay!

Aigo, why does it hurt so much?!!!

We have to make sure your intestines aren't coming out.

Just for a little bit.

Wait, just a second.

I'm not touching his intestines. It doesn't seem like it came in over here.

What are you doing right now? Call a doctor and tell him to do it!

I am a doctor!

Then, call a proper doctor!

What is the depth of the wound?

It seems like the peritoneum is lacerated here.

Quickly get a portable x-ray.

All right.

It will hurt a little.

I will give you painkillers.

Endure it just a little longer.

Patient, please bear it for a just a little while.

It's okay.

It seems like the peritoneum is open. Forceps!

The wound is too small in the brachial bones, so I can't tell.

Don't arteries run through the brachial bones?

The wound doesn't seem that deep.

First let's take an x-ray and see if he has hemothorax or pneumothorax.

After we check the status of his condition, we will get a CT scan.

-Yes, I understand. -Hurry up and come!

Yes!

Take the x-ray quickly.

1, 2, 3!

-We're lowering you down. -Just a second, one second.

Patient, take a deep breath and hold still. I am taking the x-ray.

1, 2!

The x-ray is over.

Thank you!

1, 2, 3! Slowly, slowly, lift him slowly!

Here.

Thank you.

Thank you.

He doesn't have hemothorax.

He doesn't have pneumothorax either.

I know right.

Should I go take a CT Scan?

Yea.

Doctor Kim, come look at the picture.

Did the CT scan arrive?

Alright, let's see...

Call the surgery dept. What about his blood pressure?

Just a moment ago, it was 111/70. His hemoglobin count was 14.0

It doesn't look like it's bleeding that much.

Should I call the cardiothoracic surgery dept?

Do that. Either way, the chest wound is the most urgent.

I understand.

Yes, I'm intern Lee Min Woo of the emergency department.

Tell the intern to come here.

Yes.

Go ahead.

Okay.

Dr. Song Gyeong Hwa, you go. And you, come over to this side.

Why do I go again?

It's an emergency case. It'll be solved faster if an expert goes there.

And if it's an emergency, quickly arrange a surgery.

Yes, I understand.

Give it to me, yes.

Come back soon.

It's all over. Prepare for EEA.

I'm Intern Lee Min Woo of the Emergency Department.

You are the expert doctor of the Cardiothoracic surgery dept, right?

We have a patient with a stab wound

right underneath the brachial bone on the right side.

Yes.

The wound is about 1 centimeter. I'm not sure about the depth.

The patient kept complaining that it was hurting too much,

so we weren't able to check that.

There's nothing wrong in the picture... What about his vital signs?

His vitals are steady at 110/70.

I got it. Then I'll come down there.

Yes, I understand!

Ah, what happened here?

Ah, Doctor. Why did you come personally instead of sending down a resident?

It's the Chief's orders.

Alright, I'll take a quick look.

He seems good. Give me the stethoscope.

Give me the forceps.

It will hurt for a minute.

Yes, yes, yes.

Please endure it a little.

Ah, yes, yes.

It seems like the peritoneum is open right now.

I think we'll have to perform surgery.

Yes, yes. Director, it's me.

Out of the 6 wounds, 2 of them seem like the peritoneum was lacerated.

And there is a little bit of blood.

But luckily, the liver and the kidney seem fine.

Anyway, in this case, we'll have to open him up to verify it.

Yes, yes, I undertand, Director.

The Director will do this patient's surgery as soon as he finishes his current one, so prepare him quickly.

Yes, yes.

Excuse me, in order to receive consent to perform surgery,

we need his guardian approva. Who is coming right now?

The hyungnim is coming right now. He said that he's on the expressway.

Please let me talk to him on the phone.

Intern Lee, send the admission form to the Chief of Surgery.

Yes, yes, I understand.

Yes, yes, this is the hospital.

The patient's current condition... in the abdominal area, he has 1, 2, 3, 4, 5, 6 wounds.

And on one shoulder, he was hit.

Yes, don't worry and please come over. Yes, yes.

Let's take a look. Is this the patient?

Yes, yes.

Let's take a look.

Alright.

Ah, it's on the brachial bone.

There aren't any big problems.

There shouldn't be any issues, but if a problem arises,

Tell the Surgery dept to consult with the Cardiothoracic surgery dept.

Yes, I understand.

I'm leaving.

Since we had that problem,

they are working like well-oiled machine.

I know right.

-Right? -Yes.

Doctor Lee Min Woo.

Yes?

I heard that you did it again.

Pardon?

You were voted as the kindest employee.

Excuse me?

I? W-why?

Ah, that enterobrosia patient wrote compliments about you on the home page.

There will be a awards ceremony later on, so just know that.

Ah, you never know when the Director might see you. So, dress well.

And put on a necktie.

Ye- yes...

Hyeok Chan, I'm going to borrow your clothes.

- Wear it. - Why don't I have anything nice to wear?

Hey, Gang Jin.

-You have a necktie, don't you? -No.

-Lend it to me just for today. -I don't have one.

He's getting an award today.

I really don't have one!

Hyung, if I get caught not being dressed properly, I won't get into Orthopedic surgery.

Didn't you already fail that?

Patient Shin Bong Man is waking up!

There's hope for me now.

Ah, you have one. Why are you being so cheap?

Aigo, you can't!

It's not like you will be wearing this during work hour.

Ah, really.

Oh, woah! Woah, woah.

You already stained it.

What did I spill? It was already there. When did I spill it?

Ah, you guys are disturbing me.

Right, right?

Hyung said he's borrowing it because he's receiving an award and he's already put a stain on it.

That disturbs me even more.

I went there with him, but why is Intern Lee Min Woo only being awarded?

That's all up to the patient.

Hey, you just don't know about it. But, it was no joke!

It was really scary. In order to save that patient, the thug...

A thug? A thug?

...so I had to make an emotional speech in front of the people...

that's how I had to put her in the ambulance...

Hey, hey!

You're lying, aren't you?

He's lying, isn't he?

That's right. He's lying, isn't he?

That's right.

Wow.

Wow, if you didn't say "Bully", I wouldn't have been beaten up by that thug.

Well, that's true. Congrats.

Congratulations, Doctor!

Hey, enough with the congratulations.

Tell her not to let her stomach ache.

It's not like she is the enterobrosia patient.

He told you not to let your stomach ache.

Wait, I'll lend you one.

Lend me what? Huh?

Lend what? Hey, take this off.

Doctor Min Woo!

What is this?

Hey, isn't this a present? Bang Seon...

No, how could I? I'm not going to wear it.

Just do it. Congrats.

Wait, how could I?

Hey, what are you going to buy me when you get your prize money?

They also have prize money?

How much is it?

How much are they offering?

Some people say, "Just $8 Million?

If you are going to divide up that $8M into that many ways,

Don't even get us started." However...

How many kimbabs can you buy with the award money?

How about hoe instead?

Let's talk later once I receive that award money.

Call! Call!

That would only cover,

initial expenses and salaries for the doctors.

It doesn't include any salaries for

ER or OR nurses.

We also need to have the ORs on standby.

It would incur bigger expenses than initially projected.

It would cost a lot to run.

You're right.

There are reasons that bigger hospitals in Seoul are not interested in setting up a trauma center.

It requires a lot energy, but doesn't make much money.

Those hospitals are always busy.

Without having a trauma center.

That is correct.

Cancer Center, Cardiovascular Center or transplantations...

All of them are the best hospitals in the country.

Do we have ANY advantage on one of those?

Are we going to be the "just ok" hospital forever?

It's not like we're making big profit here by running it as a successful business.

We need a "brand", something that's uniquely us!

At least, we have an unused ward building.

Excuse me?

If we receive the funds,

the government wants us to use it on the operating expense, not on the construction cost.

We already have the building!

That is correct...

Do we have anything that's better than other hospitals?

We're good at liver and kidney transplantations.

Compared to the Seoul Sejung Hospital, it's not much, but...

Our Spine and Joint Center is famous around here in Busan.

What's the worth if you are famous only in Busan?

Don't you want be the hospital that people want to come to from all over the country?

We need to make a name for ourselves!

Go straight in.

Hurry up!

Is he going to be ok?

Didn't you explain to them that there's a possiblity of side effects and complications?

I did.

He got stabbed six times, right?

More often than not,

stabbing wounds are more serious once you open up the patient.

But please don't worry.

We'll do our best.

Thank you, doctor.

Thank you!

Thank you.

Don't worry too much.

Suction.

How is it?

You came.

Damages are not as bad as expected.

You can take care of this kind of operation yourself, right?

Run the hemoglobin test.

Even so, I'd like your help a bit.

It's a small intestine that people say won't leak even if you suture with your feet.

I understand.

Forceps.

Suture.

beep beep beep

Like this...

You find and stop the bleeding first.

Aha...

- Can you do this next time? - Yes!

If I watch you a couple more times, I will be able to do it.

His bleeding isn't as bad as expected.

That was easy.

It's all done when you stop the bleeding.

You can simply suture the perforations.

Cut!

Yes, sir!

You are the best, Professor!

Realizing that just now?

The bleeding stopped?

I stopped the bleeding.

Are you sure you stopped it?

Why?

Then why does his hemoglobin level keep going down?

Is that so?

How much IV did we adminster?

About 7,000cc.

That is a lot.

Probably because his blood got diluted by the IV.

His lactic acid is low as well..

You can close him up, right?

Yes!

I don't think I can wake him up like this.

You should know that I'll leave him as is.

Huh?

Why leave him under anesthesia?

Is his condition that bad?

Something's not quite right.

I double-checked it and there was no bleeding.

Even though he had multiple stab wounds, I closed him up clean. Why leave him like this?

It was just perforation of the intestine and he wasn't bleeding much.

Why are you asking ME?

His lactic acid level is rising,

He's hemoglobin level keeps dropping, even considering the IV.

Anyway, I'll keep him under anesthesia. You have received notice.

Ask the ER if they have a ventilator.

Yes, sir.

I'll explain this to the guardian.

Let's do irrigation quickly

and finish up.

Irrigation!

Give it to me quick. Quickly, quickly!

Connect the ventilator first.

Why are you connecting the ventilator when he got out of the OR just now?

You don't have to worry about it.

Even though his hemoglobin level was low, the operation went well. Nothing happened.

Doctor! The patient's blood pressure is falling. It's only at 80.

What did you say?

What is happening?

This is weird.

We stopped the abdominal bleeding,

during the operation.

Chief Kim Min Joon checked it twice.

Did you check his chest?

Yes.

Xray didn't show anything special,

and the Thoracic Surgery told us there isn't any problem.

His wounds weren't that deep, either.

Dang, what is the problem?

Connect one more line and adminster normal saline

Yes.

What are you doing?

What, what?

I saw blood on the Xray panel earlier I, I... saw that...

I'm going to go crazy!

How could you miss that?

You, call _____!

Quick!

Yes!

Yes.

Call Thoracic Surgery.

Yes.

Come out, come out, come out quick! This is driving me crazy!

It's up!

There's hemothorax!

Oh my! What should we do?

Did you call Thoracic Surgery?

Yes, they are coming down right now.

The Chief is coming.

Oh, you came.

Where is my brother?

Can I talk to you for a second? Something happened.

What is this?

It's hemothorax! You!

You!

What did you miss?

You told me the operation went well.

What did you miss?

Well, the General Surgery operation went well.

However, it seems like the second operation is needed.

What?

The doctor in charge of him will explain that to you.

You are the one who operated on him.

What do you mean by his doctor?

You can wait for us in that corner.

Intern, please escort him away.

Go, go!

Doctor, wait a second!

Wait a moment!

I need to know!

What you meant!

We can discuss this outside...

What is hemothorax?

Well, it's blood being collected in the chest.

What's with the chest?

I was told you were operating on his abdomen!

Why does he have a blood collected in his chest, all of sudden?

Yes, that's why they went in for the surgery on his abdomen first...

Because he had also been stabbed on the chest...

Oh well, the patient got stabbed.

The stab wounds need to be examined with open surgery.

And the blood vessels which looked ok at first,

may quickly get worse during an operation.

Yes.

Why is the boold collecting in the chest?

You surely told me that it's the lung!

You tell me!

You tell me looking straight in my eyes!

Over there, you said,

You missed something!

What did you miss?

What did you miss that my brother's in that status?

No, no, that's not that...

Intern, go see the patient! Call the security!

Call the security!

You changed your words!

What is this?

You bring back my brother!

What is going on here?!?

The patient has hemothorax, and the family heard it by accident.

You can't do this here!

Bring back my baby brother!

If you can't save him,

I'll wreck havoc with you and this hospital!

Bring him back!

Is intubation ready?

If you don't save my brother, I'll kill you all!

I'm dying here!

What is the security doing?

It's cardiac arrest!

Arrest! Arrest!

Did my brother just die?

Is that the case?!

Let me go! Let me go!

You want to save your brother, don't you?

Let go of me!

The medical staff...

cannot work on your brother right now.

As they are trying to calm you down.

This isn't helping your brother!

Please,

have faith in us.

Bring some more blood!

Administer one more epinephrine.

He's resuscitated!

Get your hands off him.

What are you doing? Take him up to the OR!

Yes!

Let's go, go! Hurry!

Good work, Dr. Jae In.

You worked hard, Hyung.

Who's going to be reponsible if the patient dies on my operating table?

People will say that patients are dying

because Prof. Choi In-Hyeok left.

I was wondering why he was like that when there was nothing wrong with his stomach.

What about the Thoracic Surgery Dept?

Whether it was the Thoracic Surgery or the Emergency Medicine, they should have verified it.

How can General Surgey perform surgeries on trauma patient like this?

Our job is...

to make sure that the patients are alive when we transfer them to each department.

Get it? Then, you take care of your own problems.

General Surgery has done our best to fix this issue.

In order to make sure that there isn't any backfiring problems,

Make sure that the ER settles this issue well!

Do it well!

Why do we always have to face these issues?

In truth, we are not the only ones at fault!

Only if Dr. Choi In Hyeok was here, we wouldn't be here like this.

Choi In Hyeok. Choi In Hyeok.

Ah, Doctor Lee Min Woo.

What are you doing here not heading to the auditorium? They're having the awards ceremony.

Chief, I'm sorry but,

I can't accept the award.

What?

If they say to accept it, you should accept it. How can you say you won't accept it?

I'm sorry.

Chief, he's not in his right mind now so he couldn't accept the award.

He almost got beaten to death by the guardian.

What should we do then?

I'll accept it.

Professor! I'll accept it!

I'm sorry.

I'll buy a new one.

I'm the one who cut it.

I was going to throw it away anyway.

But, where would you borrow another from?

Forget it.

I told them I won't accept the award.

I think the necktie is unlucky.

Hurry up and take it off.

I thought the color of the tie was so cool.

Are you okay?

No, I'm not.

You have some guts.

How do you, a woman, have no fear?

I happened to have the scissors in my pocket.

Cheer up.

When we're done with ER,

we won't have to face the patient's family like that.

It was blood on the Xray film....

I saw it, but...

Once again, a patient almost died because of me.

That patient is alive.

Now isn't the time to blame yourself but,

Instead, it's time to pray that the patient will have a successful surgery.

Plus, you didn't miss it all by yourself.

We are just mere interns.

Yes, it was the mere intern who saw the blood on the Xray film first.

Nurse Eun Ah told me that

Prof. Choi In Hyeok often emphasized about checking the back, since it is easy to miss.

There are reasons that all the people missed it.

Patient's life and death is depending on a mistake.

On top of that, fighting with the guardian makes it more difficult.

I get to raise a fundamental question,

whether this is something I can deal with.

My mom asked me a question when I was in the 10th grade.

Are you going to choose Liberal Arts or Science?

I didn't have anything planned,

I didn't have anything planned,

but since I liked playing piano,

I was planning on studying Arts.

She asked me again.

"I'll make this easy for you."

"Will you go to a medical school or a law school?"

Ha, that is easy.

So then?

How could a 16-year-old know...

what a doctor really is,

what kind of responsibilities one has?

Isn't that right?

The adults are always saying this.

If you become a doctor, you can live an easy and peaceful life.

That's right.

That's why I went to medical school.

I didn't have this kind of doubt when I was working for the oriental medicine clinic.

I fell for your saying "making efforts is easier".

Gosh, I was crazy.

Oops, my bad.

Why did you go to medical school?

-Me? -Yeah.

Because it's a familiar territory.

We have many doctors in the family.

I would like to become a good mother and a good wife.

Doctor is a good profession for a woman with family.

Huh?

I knew you wouldn't believe me.

I don't have any ambition to become a successful medical specialist.

I'd like to be a doctor who does what she needs to do.

Taking care of the patients without big mistakes.

Then, when I have kids, I'd like to take a break and put them as my priorities.

For that, it would be nice to have a medical profession.

That's how you came to be here.

Yeah.

Since I'm here already,

even though my boyfriend left me,

I'll finish up my internship well.

It's a call from the ER.

[Job opening for a hospital in Saudi Arabia]

Who is there?

It's me, Han Goo.

What's going on?

You look much better now that you don't work.

Having somthing delicious?

What? A military agency?

Are you crazy?

What will you do if you get sent to Iraq?

Isn't it a war zone where surgeons are really needed?

Wow, they pay really well.

What brought you here?

Are you up for billiards?

Loser buys Jajangmyeon?

Okay.

Use the rail cushions! Rail cushions!

I'm going to hit them directly.

Did you see THAT?

You're going to miss that.

Why would I miss that?

There!

That's how you play!

- Nice! - Darn!

- 4 points? - 2!

THREE!

Your skill has improved.

You've gotten all rusty.

You haven't touched your cue for a couple of years, have you?

Ajumma, is my jajangmyeon coming?

Hey, I'm betting this one as well.

They are applying for a Trauma Center fund. They seemd to be quite enthusiastic.

Be sure to answer when they call!

What could be different?

If you are thinking about going to a war zone,

what stops you from going to another hospital?

A warzone needs a real surgeon.

They say they need one, too!

I'm not talking about them needing one for a political reason.

I'm talking about a place where a real surgeon is needed.

- Two points?

One!

Why are you trying to shoot directly? You can always use the rail cushions!

You're so stubborn!

That's how you play!

Who ordered jajangmyeon?

Over here!

Let's eat first.

Dubmplings are on the house.

Free dumplings with just two orders of jajangmyeon?

Thanks.

Bon Appetit.

Stop playing and let's eat!

Get in, I'll give you a lift.

It's just around the corner.

You'd better practice more. Let's play again even when you get a new job.

Get lost.

Hey, if they call, answer it.

Go already.

Gosh.

Oh my!

Sir, open your eyes.

Has anyone called 119?

Yes, I've contacted the police.

Could somebody hold this here?

Yes, it's alright.

Hold it tightly!

Yes.

There's no pulse on the dorsalis pedis artery.

The popliteal artery has been severed.

I have to stop the bleeding.

Please move out of the way!

Did you disturbed the accident scene?

I only checked the patient's condition. I am a doctor.

The popliteal artery is severed.

If left untreated the bleeding will become excessive.

The left and right pupils are different sizes, the patient is unconscious, and the pulse is thready.

There's a possiblity of cervical vertebrae injury. Also there's massive bleeding in the head.

Both his pulse and breathing are weak,

it's possible that he will have a cardiac arrest on the way.

I'll come with you. He's a trauma patient.

Is Sejung Hospital the closest one?

They are usually more welcoming than other hospitals.

I heard they recently keep refusing the patients.

- Let's go to Sajik Hospital. - That is a Level 2 hospital and futher away.

But they do have an ER.

Let's go to Sejung Hospital.

He doesn't have an ID.

This is Sejung Hospital ER.

This is Choi In Hyeok.

A motocycle accident patient is coming in. He got injured all over his body.

All are very serious.

Call General Surgery, Neurosurgery, and Orthopedics.

And arrange an OR as an emergency operation is needed.

Also, prepare plenty of blood bags.

I understand, Professor.

What's up? A trauma patient?

It's Professor Choi. He's bringing in a emergency patient.

Oh. What?

It's me. Arrange an OR for me.

What are you guys doing?

Dr. Kim Do Hyeong. Professor Choi In Hyeok is now...

I heard that he got a new job and resigned from here. Satisfied now?

It's not that. He's bringing in a patient in 10 minutes.

He asked to call Neurosurgery and General Surgery, and order blood.

What???

Pick up the phone!

I'll call the blood bank. Please call the General Surgery.

General Surgery? At least he doesn't plan on operating himself.

OK, call General Surgery and ask them to come down for sure!

Yes, this is Intern Kang Jae In

We need as much Type O blood as possible.

Patient registration? That... The patient hasn't arrived yet.

The patient will arrive shortly.

This is emergency. Is there anything you could...

Hello??

They can't give us blood until the patient is registered. What do I do?

I'll try.

- I'll come with you. - Follow me.

There's no room. This drives me nuts!

Doctor! Should I "push"?

Move the #8 bed up to the ward, or...

Or move the a patient to the quarantine room?

Ok, do something! Anything!

Ah, I'll do the push. You go and arrange an OR and a room at the ICU.

Before they transfer the patient. Hurry!

Yes, I understand.

I'm going nuts!

We don't know the identity of the patient. If we don't, we can't get the blood?

We need to give him blood until his guardian arrives.

If so, just put him down as John Doe.

A male without ID?

Yes.

Thank you.

I'll leave first.

Okay.

John Doe is registered.

Is this the Blood Bank? This is Sejung Hospital ER.

Send us all the Type O blood you have.

I've been waiting here for a long time.

What are you talking about?

The CT room is empty now. Why can't they run it?

A very urgent patient is coming in right now.

Please understand the situation.

He's not even here yet. Why can't we use it until then?

Oh, well... That is...

Hey you, what are you doing here?

Do you have exclusive rights to the CT room?

It's not that. A very urgent patient is coming in right now.

He's arriving in 2-3 minutes. We need to run a CT scan as soon as he arrives. So....

Even so... Do you think other patients are here for fun?

Why are you going overboard like this?

No, it's not that. He is super urgent patient.

Professor Choi In Hyeok found him on the street

and asked us to prepare as much blood as possible.

Who?

Professor Choi In Hyeok.

Professor Choi In Hyeok is bringing in the patient?

Yes.

What about me?

My stomach hurts so much that I could die here,

But you want me to wait here forever?

No, that's not what I want, but....

The patient has broken head, broken legs and hurt all over.

If he can't go up to the OR right away, he'll die.

Please understand just this once, will you?

Hey, is this your mother?

Pardon? Why...

Well, he's my BROTHER!

Please just this once. Please!

Hey, Lee Min Woo!

Doctor, let it slide just this time, please! This is a super urgent patient.

Doctors, it'd only take 10 minutes.

Just once, just this time, please!

Please. Please!

Doctor, doctor, doctor!

A very urgent patient is coming in.

Please, please arrange an OR for us.

I checked the operation schedule, and I see an operation that's going to end soon.

Is this Choi In Hyeok's patient?

Yes.

How do you already know?

Stop over reacting!

It's #13 operating room.

Oh, yes.

You said #13?

Thank you.

How did it go?

We registered him, so the blood should come in soon.

Let's move him. One, two and three!

Be careful.

It's done.

Give him the IV.

Intubation is ready.

Professor!

The blood is here.

Insert endotracheal tube.

Yes.

Intubation is ready.

Professor!

What about CT?

Yes, it is reserved. We can send him up as soon as the intubation is done.

His BP is 75/40 and the pulse is 120p.

Use a Video Scope as there's a possiblity of a cervical vertebrae injury.

- Yes. - Yes.

His abdomen area is also very serious.

- Insert the tube. - Professor.

Send him for the CT.

I got it.

Professor!

What is going on?

Good you are here. Let's look at the scan together.

Oh, this is the worst.

Skull fracture and subdural hemorrhage.

There are several broken ribs as well.

There is a lumbar vertebrae fracture and the abdomen is filled with blood.

Intestines are ruptured. Oh my gosh...

I'm administering the contrast agent now.

I'm administering the contrast agent now.

The liver is torn, too.

The pancreas is also messed up.

His hip is broken as well.

The popliteal artery is also severed.

So what are you going to do?

What do you mean what to do? Who is on duty today?

It's me.

But there is no room in ICU...

If we send this patient elsewhere, he will die en route.

Find out if there's a patient who can be moved.

Contact the hepatobiliary department.

You cannot take care of it.

Yes, I'll try.

I'll go up to the OR with this patient. Call the appropriate departments as soon as you can.

Neurosurgery needs to go in right after.

Also call Vascular Surgery.

We need to save the leg, too.

Well....

You will help, right?

Yes, I will.

Call the patient's family using his cell phone.

He only got 4 contacts in the phone?

Hello?

Hello?

By any chance, is there an adult?

No there isn't.

Do you happen to know the phone number,

010-636-9751?

I don't know.

Oh, alright!

Ahjussi?

Ah, do you know this person?

Who is this?

How do you know the owner of this phone number?

That's Park Won Gook ahjussi's phone.

Who is this?

I'm calling from Haeundae Sejung Hospital ER.

Ahjussi has gotten into an accident.

That's why I'm trying to contact his family.

Well. Ok.

Is he hurt a lot?

He's in an operation right now.

We'd know when he gets out.

Don't worry too much.

Anyway, is his name Park Won Gook?

Yes.

Hello, this is Jangangdong Jajang.

Hi, do you happen to know Mr. Park Won Gook?

Yes, why are you looking for Won Gook?

Oh, is he OK?

Dr.Choi In Hyeok, What are you doing now?

Did you come?

This is an emergency patient.

Dr. Choi Han Goo.

Since when is Sejung Hospital OR like this?

Is this a place you can leave and come back whenever you want?

I didn't think anesthesiology department is that way,

but you handle the OR with personal relationships!

Without checking the ICU, what can you do with the OR?

Do you know there is no bed in ICU?

Until they have a empty bed,

you can keep him in the recovery room.

We don;t have time to do this.

" One rotten apple spoils the barrel"

If you want to behave like a first responder,

you should deliver the patient in front of the entrance and go back!

You violated the protocols of the company,

and resigned.

Do we look that trivial to you?

Chief.

And why does the Surgery department make problems so big?

If liver and pancreas are torn a part, no one can handle it?

Do we have to look at the person who has resigned coming and walikng around?

Don't you have two hepatobiliary specialists?

Where are they now?

Call Dr. Lee Young Hak and tell him there is a emergency patient, so come quickly.

That is...

I already called them but...

they have an organ transplant operation.

So, one went to the Thoracic department to remove the organ from a brain-dead patient,

The other is preparing the organ recipient for the surgery. So he can't come here.

Aissi!

While we are doing this, he will have an arrest!

What are you doing? Take him quickly.

Whoever does the operation, you have to be ready for that!

Hey?

Why are you doing this? You already resigned!

It's not like he died as soon as he arrived at the emergency room.

If he comes in the OR and then just dies, then

does anesthesiology department have the responsibility?

Which department will take the responsibility?

We will go in.

Let's go.

First I will control the bleeding

and call you.

I think the next operation should be by the neurosurgery department.

After you check the CT and decide please.

I will start. Do you have enough blood?

I collected all of the blood type O in our hospital. 10 packs.

Deaver.

Scalpel.

Scissors.

Professor. What about bovie?

We don't have time.,

What are you doing!

There is lots of blood. It's not easy. It looks like the intestine is busted!

Irrigation!

Irrigation! Clean it all up!

I'm cleaning it already.

What happened in his abdomen!

The key point of this operation is the speed!

There are too many areas needing repair. We need to do the head too.

We have to find the artery in his leg.

Everything needs speed.

Yes, I got it.

Irrigation.

Gauze.

Tie no, give me a c..clip.

Oh man!

There are too many perforations...

It's hard to control it.

Vitals are in danger and I have only one pack of blood.

The blood test result must be come out, why don't you give it to him?

This patient has blood type O.

I ordered from the Red Cross blood bank,

it will take more than 30 minutes.

30 minutes.

Prepare for the Cell saver

Hey, are you crazy?

Doctor!

There is no other way!

Keep the blood.

Yes!

Even if there is no other way,

how can we use cell saver on the patient whose intestine has been ruptured?

Give me your hand.

Hold it firmly.

You also.

Professor,

Sorry but if we use the machine,

will the blood infected with bacteria go inside the patient again?

You're right.

Then, why?

If, as you said, we use the machine, it could be dangerous if the paitent gets an infection.

Yes.

But if we use the antibiotic, he might be able to endure it.

At least he won't die in here.

If the antiboitic works fine, there will be a hope.

Thats right.

what If we don't give him blood right now?

He will die here.

Get the cell saver ready.

Alright.

Gauze.

Hip also...

packing with gauze and finish.

Keep pressing it.

Got it.

Please prepare for GIA, a few of them.

Yes.

No matter how rushed we are, we need to close all the perforations in the intestine.

And then use the Cell Saver.

It's ready.

Hold it.

Yes.

First close the rperforated part of the intestines,

and cut out the dead part.

Is it okay to make the intestine into several pieces?

It won't become necrotic because the mesenterium will send blood to it.

We can connect these at a second operation.

If we connect there now, we have to give up his head and leg.

You guys?

Can you remember the location of the intestine?

Yes?

Are you recording?

Yes, it is.

Yes, it is.

Here. Watch closely.

Here ..

Here. It was injured here. Next time you have to connect here and here.

If you make a mistake, the mesenterium can be twisted.

It will be in the operation record but remember it well.

Yes.

If I write it down as soon as I get out, I won't have any problem remembering them.

If I have to, I will try.

Yes, you guys pick things up quickly,

I am relying on you this time.

Yes.

The second operation will be performed

by someone other than me.

No matter how good a surgeon he is, it is not easy to reconnect the swollen intestine.

So, if someone who participated in the operation can tell him, it will be great.

They haven't seen the inside of an abdomen many times. How can these kids remember that?

You must remember it.

Yes, I understand.

The success of this patient's second operation

will be in your hands. Do you understand?

Yes, we got it.

You remember small intestine, I will remember the rest.

The Cell Saver is ready.

Thanks.

Now,

let's start again.

Yes.

Suction.

Suction.

I also, at this moment, am afraid to use this machine

in this situation.

RIght now, it's not a choice between a good or a bad method but,

a choice between a bad or a worse method.

This is a difficult decision for a doctor.

That is the decision.

Since the blooding has stopped,

Let's take a look.

Ah.

2 parts of pancreas,

and the duodenum also were torn.

We also have to do the Whipple.

Prepare 2 of the silk suturing threads,

I will use the same type of thread for connecting the intestines.

So pay attention to the threads.

I understand.

How does it feel to perform surgery at someone else's hospital?

So what are you going to do now?

You are not planning on staying here, using that patient as an excuse.

You are not planning on staying here, using that patient as an excuse.

What are you doing?

To see you off...

Are you dating me?

See me off for what?

Go back in now. Patients are coming.