Original subtitles

Get ready for intubation.

Yes.

For now, please push this bed.

Hurry, hurry.

Please call Professor Choi In Hyeok!

Give me the syringe!

It's blocked with a blood clot!

Sh*t!

Blade!

Here.

It's changing a little.

Tube.

It should work at first trial... Ah, I'm going crazy...

Give me the Ambu bag.

Episode 21.

What happened?

The airway had been blocked by a blood clot.

Fortunately, it got reopened with intubation.

Use the ventilator.

I understand.

Get the arterial blood test done.

Yes.

Please prepare for it.

Yes, Grandma.

Jae In, have you seen the announcement on the news?

What news?

The Government announced the area for Trauma Center support.

What happened?

By any chance....?

Busan area... is ruled out.

That means...

there is no way to get the government's aid within the next year.

Her pH level is 7.1.

Oxygen saturation level is 76%.

She is even producing carbon dioxide.

It's 74.

Sigh...It's the worst!

The oxygen saturation level is going down to 72%.

Please raise the partial pressure of oxygen to 1.0.

Also take an emergency X-ray.

Yes.

She seems to be having an acute respiratory distress syndrome.

Or it could be accompanied with pulmonary embolism.

Since her chest was compressed while having DIC,

I can also see pulmonary hemorrhage.

So it's acute respiratory distress syndrome.

In this situation, if her lung gets bad as well...

This patient had severe trauma and even received a large amount of blood transfusions.

If she has accute respiratory distress syndrome on top of that,

the possibility of death is over 70% to 80%.

So you are saying the probabilty of survival is less than 20%.

It would not be exaggerating to say it's even less than that.

Septicemia and DIC...

And other organs are failing as well.

But professor, there's got to be some way to help, right?

From now on,

we will reduce the goal for the patient's raspiration.

Turn the ventilator up even tighter and be more aggressive than now.

Reduce the patient's breathing but instead manipulate the PEEP more appropirately

to expand pulmonary alveoli.

That way, we will reduce the oxygen level.

Let's shoot for an oxygen saturation level of 90.

Yes.

90?

That's not very stable...

It would be good to keep it high.

But if you get too greedy, she could get pulmonary fibrosis and

it could be harder to recover.

So, let's sustain the minimum oxygen level.

Even though you may feel anxious, it will bring the survival rate higher.

You don't treat a patient for a doctor to feel comfortable.

Yes, I understand.

Have you received the phone call about Trauma Center being eliminated?

It is not that our hospital has failed but the entire region got eliminated.

So please do not be too concerned about it.

What would be the biggest possible problem

caused by the Trauma Center elimination?

We've run the Trauma Center as a specialized section of the hospital.

The governement's aid was $200,000 and the budget within the hospital was $100,000.

In addition, we have designated an OR

and beds in the ICU.

Within that budget,

we have selected a coordinator and have hired paramedics.

So we were able to hire a few employees.

Did my grandfather, by any chance,

say that he will cut the budget if we get eliminated from the Trauma Center selection?

say that he will cut the budget if we get eliminated from the Trauma Center selection?

No, that wasn't the case.

Whether we receive governmental aid or not,

he believed there should be a hospital that could accept trauma patients

within this region.

That is why he has assgined Professor Choi In Hyeok to the ER.

Then, if we can keep the budget of $300,000 as we've been doing,

it would be possible to keep running the Trauma Center.

Yes.

That is correct theoretically.

As you have just seen,

they will take the OR back.

That would be the biggest problem.

Even if we somehow keep it until the end of the year,

there is no guarantee that we will get an OR next year.

I can understand the other departments' point of view.

Since their OR or the staff is not available, the way it used to be,

they cannot schedule other patients' surgery.

However, there is a bigger problem.

What is it?

Even if $300,000 is budgeted to the Trauma Team like it's always been,

there still is a concern whether that team will be able to maintain.

Why?

Professor Choi In Hyeok is used to disappointments as he's been through something like this so many times.

But without the governmental aid, even the additional staff must be

reduced to the minimum.

By how much do we need to reduce?

Doctor!

If the emergency situation is over,

please write the Certificate of Death for patient Yoo Hee Joon.

A Certificate of Death?

Have you written a Certificate of Death?

No.

For a trauma patient, you need to write many different diagnoses.

However, even a Certificate of Death form

is based on a patient who passed away from a single disease.

For example,

for someone who passed away from myocardial infarction,

all you have to write is, "High Blood Pressure".

However, trauma patients are different.

Yes.

What is the immediate cause of death for the patient Yoo Hee Joon?

Hmm... Could it be hypovolemic shock?

Don't answer a question with another question.

It was hypovolemic shock.

That is correct.

However, to call that the immediate cause is somewhat...

Strange.

You'll have to write it that way, though.

Yes.

What is the antecedent cause of death?

The rupture of inferior vena cava and liver laceration.

That's right.

Although I've been writing Certificates of Death for years,

it is very hard and difficult.

The basis of writing the medical record for trauma patients is

you write all the injuries and conditions,

no matter what.

Okay, I understand.

[Certificate of Death Name: Yoo Hee Joon, Sex: Male, DOB: 04/25/1969]

[Immediate Cause: Hypervolemic shock Antecedent Cause: Traffic accident]

There are times that the family comes back after a funeral,

asking for a Certificate of Death.

But then, you can't even remember what the causes were.

Therefore, write it up in detail ritght after you annouce the death.

Also prepare the Certificate for insurance purposes in advance,

whether needed or not.

To not cause

any unnecessary administrative trouble to the bereaved family.

Become a doctor

who would care and respect until the end.

Yes, I understand.

[Patient was admitted for a TA and underwent an operation for liver laceration & vena cava rupture;]

You mean they are designating 5 hospitals in the country for running trauma centers

but Busan area is totally ruled out already, right?

That is right.

Isn't it better this way that the whole area is ruled out, not just our hospital was not selected?

At least, we'll have another chance one year later.

I doubt it will be possible after a year.

There are hospitals both in Busan and Seoul which had gotten a lot of support from the government already.

Would this affect the succession planning?

Frankly, nothing really is going well.

We aren't designated as a Trauma Center nor did we get the medical helicopters.

Those things have nothing to do with the Acting Chairman Kang Jae In's abilities.

Government changed the distance rule and even the type of the helicopter they are importing...

And for the Trauma Center, the whole Busan area was ruled out...

How could she make those things better?

These could happen,

however, it also will be very important how she handles the situation.

Would an emergency Board of Directors meeting be convened, again?

Well, the Directors will not just sit and watch.

That's what I mean.

If we got the medical helicopter, we could have hopes for the next round of trauma center designation...

Chief Na, you seem to have a lot of interest in the Trauma Center.

What?

Yes, of course. They create havoc in the ER on a daily basis.

And creating chaos for calling in all departments into the ER. Yes, of course. They create havoc in the ER on a daily basis.

And creating chaos for calling in all departments into the ER.

You'd be more interested than I am, once you experience it yourself.

In addition, the Head of the Trauma Center is like a control tower, connecting all specialties.

Then Emergency Medicine will also have to take that core role as well.

What did you say?

I mean, since we're not designated as a government-supported Trauma Center, we won't need a Head.

You don't need to tell us something so obvious.

You don't need to tell us something so obvious.

We've been barking up the wrong tree.

Who becomes a Head of the Center is not a problem. Whether the Trauma Team will survive this is.

Think about it.

We've went through all these in hopes of getting government funding for the Trauma Center.

What are we going to do now that there isn't even one OR time available until the year end?

You two...

Didn't you go home?

We went and came back.

What are you doing here?

Is it just the two of you here?

Where is the ajumma who was with you before?

Did you eat?

Hello.

Ah, yes.

Drink this.

Hurry. You have to drink this at least to stay alive.

Jee Hae, if you drink this, your brother will, too.

Then, this is yours.

What are you going to do about the funeral?

Since they don't have any family.

The hospital says to meet with the social welfare team.

They will be able to help a little with the hospital bill.

Whether we'd cremate him or bury him also needs to be discussed.

If we are going to bury him, we'll need to find a place for the burial.

Doctor, a staff member from the Social Welfare Team is here.

Hello.

First, hospital bill won't cause a big problem finding funds since he didn't stay too long at the ICU.

For the funeral...

I got in contact with the Social Services Team at the City Hall.

I was told that they could use the municipal crematory for free.

There won't be a big problem.

Cremation?

Yes.

We can't support the funeral cost. Most cases involving patients without family are handled that way.

Excuse me for a moment.

I need to go now.

If you need me,

Please call me on this number.

Thank you. I'll be going now.

If you have difficulties or in need any help,

make sure to call me.

-Yes. -Understand?

Also, keep your chin up!

Yes, this is Lee Min Woo.

Oh, where are you taking this patient?

Isn't he the shotgun wound patient?

We're moving him to the general ward.

General ward?

We are going to take CT scan once more in an hour to see if there is any cerebral hemorrhage.

If the patient throws up, has a headache, or the level of consciousness declines, call me right away.

Yes, I understand.

Doctor! Doctor!! Doctor!!!

What?

The patient Lee Sang Yeob was going up to the general ward.

Who?

Ah, the gunshot victim?

Was it really suicide?

That's right, that's right. I knew it.

Then, who shot him?

I heard this from the police.

A shotgun is this long.

But this way, you can shoot yourself.

Even if you tried to shoot using your foot, it's difficult to do.

So, the bride-to-be patient and her fiance...

That's possible, too.

The ex-boyfriend showed up in front of a couple getting married and was causing trouble...

Bang!

It could have happened this way.

The police are investigating right now.

It could be self-defense. It could also be over-reaction.

Wow, this is incredible!

What does patient Lee Sang Yeob say?

He will have the crucial testimony!

He can't remember.

He doesn't remember who shot him?

No, he can't remember anything about dating that woman.

-Oh my gosh. -Oh my gosh. -Oh my gosh.

So, no matter how many times they show a photo,

or ask who is this person,

he says this is the first time seeing her.

He got shot and went through life and death situations for love,

but they are strangers now.

This is why love is vain.

At some point, they must have believed their love is forever.

However, when memories are gone, the whole existence is forgotten as well. That is love.

Gosh, love really means nothing. Nothing.

It brings tears to my eyes.

Aigo, I really feel like it's not just someone else's business.

Hey, Doctor Jo Dong Mi!

Did you hear the news?

What news?

Trauma Center...

Busan region was ruled out for the selection.

Another university hospital received a big funding a few years ago.

I've already anticipated that.

Still...

I need to take responsibility.

What responsibility?

If a Trauma Center is built, the Government's aid 8 million dollars will be given,

so I guaranteed that if we receive that money, we can add more manpower and have more patients.

Anyway, this is how it is.

I need to accept it.

Here, I didn't know you were here. Here's something to drink.

In any case...

Anyway, Nurse Shin, your contract is almost up,

and you will leave anyway, so it's less burdensome.

But the newly added manpower... her contract renewal would be not workable.

Oh, Nurse Shin, how is your new program you have been developing?

As I sort the data of the number of patients and ISS ,

we are the highest top class in Korea in terms of number of patients.

I'm also teaching Hyo Eun how to mark the score and how to calculate the data.

Yes, you should finish that work, as it will become an important data once it's done.

Yes.

Ah, Oxygen saturation?

Yes, I'll be right there. Yes.

I'm going to the ICU.

Work hard.

Now, don't be concerned about here any longer, and leave lightheartedly.

This worked out for the best.

Even if you were going to stay, we couldn't even renew your contract.

How come he never asks me to work together with him?

Well that's...

He's not the only one that's passionate about the Trauma Center.

Since he never asks me to work some more with him,

it makes me feel sad.

Are you sad right now?

Yes.

Not even a mere contract position is firmly secured here,

and he's in uncertain situation if that contract can be renewed or not.

How can he try to hold on to you by asking you to work with him?

But, there should be one remaining Coordinator position, right?

I don't know.

It doesn't concern me since I'm leaving anyway.

But, what about Hyo Yeon, who came in here with high hopes?

She's only worked a few days.

Wouldn't our Chairwoman at least maintain that T.O. position?

What happened with the OR issue?

Not much.

Let's just pretend that it will be available at night.

But, we can't accept Trauma patients during the daytime?

Well, trauma patients come more at night time.

During days, well, we will need to adjust my Anaesthesiology's manpower.

It's possible to perform the surgery in the ER.

But, I don't know if the surgery nurses will be capable of doing so.

That's a mountain we have to cross.

If they were going to do this, they shouldn't have given it to us.

Why do they keep giving and taking it away? This isn't a kid's toy.

But at least while you're here, it will be maintained.

Since it will be here for some time.

Professor.

Yes?

It's not even like the Trauma Center is doing well.

And it's not like there are enough staff members.

Telling me to go enjoy my life in Canada during this time of trouble,

That's a curse.

That's right.

Aish, that bad punk.

Please show me the most recent result of her arterial blood test.

Yes.

I didn't see him like that, but Dae Je oppa doesn't really have a business minded perspective.

In the end, it was Sister-in-law who took care of all the business related issues.

Why?

If he vaguely expected he would be able to get the Government's support,

He's being too naive.

He must have some thought about it.

I don't understand.

You came to see me?

Welcome. Please take a seat.

Ah, yes.

How is the Chairman's condition?

Ah yes.

Yes?

Chairwoman, Chief of Neurosurgery is here.

Please tell him to come in.

Also, Provost Kang Soo Kyeong and Chancellor Kang Dae Hwa are here also.

Should I tell them to wait?

Tell them all to come in.

Yes.

Please come in.

Please take a seat Chief.

Yes.

Please take a seat.

Please take a seat.

We are wondering about the Chairman's condition.

I thought another CT scan was going to be taken.

CT?

Yes. He had Triple H Therapy, and

If he doesn't regain consciousness, we'll take a CT scan,

to verify that he doesn't have hydrocephalus.

What will you do if he has hydrocephalus?

If it's hydrocephalus, as it increases the brain pressure,

We would have to start EVD.

If hydrocephalus is getting worse...

I understand. There's still chance that he'll wake up.

You still need to examine more to determine whether he has hydrocephalus.

Yes, that's correct.

How are you going to resolve the issue about the trauma center?

I'm going to think some more about that issue.

If you think about it, will a solution come?

Our region was already disqualified.

Whether there's a way or not, I need to think some more to figure it out.

My brother would have come up with a way some how.

I need some time to come up with the way.

Ah... the weather is getting cooler...

My heart is restless.

My heart is also restless... My heart is also restless... My heart is restless.

My heart is also restless...

I mean that patient Yoo Hee Joon from Yangsan.

Yeah.

Considering the funeral issues,

What's going to happen to the children?

I feel troubled.

They seem bright and very cute.

Leaving those kids...

Would there have been hope if he came here faster from Yangsan hospital?

The bleeding of the aorta was too severe.

It was different from the previous spleen rupture patient.

Whatever the case is, I...

If Orthopedics doesn't work, I'll just go to Opthalmology or Dermatology.

I can't handle patients dying right in front of my eyes.

Since the Trauma Center was rejected, we probably won't be receiving those patients anyways.

That's true.

What was rejected?

Tra..Trauma Center.

When?

Ah, Hyung, you didn't know.

I knew it was a little strange when you were worrying about those kids instead.

Wait, wh..why? Hey!

What other place accepts patients and treats them like our hospital? Wait, why?

Hyungnim.

There is more shocking news.

What?

The Trauma Center OR... is it next month or next, next month?

We will have to give it up.

Huh?!

Didn't the chairman give that to us?

Hyung, that Chairman is quite sick right now.

Ah, then what about Dr. Jae In?

Did perhaps Dr. Jae In decide on this?

No.

How much power does an Acting Chairperson have right now that she's able to protect our OR?

Hyungnim, are you okay?

I feel like I have no strength to go on.

Who in this group has a designated OR?

The surgery and the neurosurgery departments don't even have one.

The Trauma Center is a special case.

The OR was not created because Dr. Choi In Hyeok is special.

It's an OR created because the patient was so famous.

Of course... because of the patient, Dr. Choi In Hyeok too

rose up to the top.

That's why it's an empty name.

It's not the type of fame that he got by taking it step by step. That's why people don't acknowledge him.

With the fame that he earned that way,

Thinking that no one else but him can handle the Trauma Center.

That's why there are so many enemies against him.

Hello!

I'm sorry but,

can I be alone?

Yes.

Dr. Kang Jae In.

Hello.

It's been awhile.

Are you doing okay?

Yes. Because of you.

It's a relief.

I heard you are the Acting Chairwoman.

I think you're very strong to take on such big responsibility so suddently.

But, I'm not doing very well.

What happened with the OR.

That's not something you can work on by yourself.

Are you really going to Canada?

That's the first question people ask when I see them.

It's because I wonder how Professor Choi In Hyeok will do without you Nurse Shin.

I'm not anything special.

There's no OR. No medical helipcopter.

No Trauma Team either. If Nurse Shin isn't here either.

Professor Choi In Hyeok will have too many things he doesn't have.

My successor, Nurse Seo Hyo Yeon...

is very passionate.

But I don't think she's someone that Dr. Choi In Hyeok will rely on

and trust.

Before you left for Canada, I wanted to meet with you.

Before you leave, let's meet again.

Thank you.

I need you by my side. I need love.

I'm like a sad camel walking on bare ground.

Darkness passes. And even though morning comes,

I'm walking on a path of love called you.

Under an endless road, 2 shadows

Disappears as it meets with darkness

A green paradise turns into a desert. I try to quench the thirst with my tears. I love you, no one but...

I love you. I'm only looking towards you.

Why don't you understand my feelings?

Why do you pretend not to know anything?

My chest, my heart.

Makes me thirsty. It hurts because I have been burned by love.

Don't go away from my sight.

Don't be cruel and leave me alone.

Director,

I'm sorry for calling you this late at night.

The emergency helicopter conference is being held at our hospital, right?

You called for me?

Did you hear about the OR issue?

Yes.

How is it? Are you alright?

I've been working 6 or 7 years like this.

Out of nowhere, all of a sudden... you are getting an OR.

You are getting a Trauma Center. You are getting a medical helicopter.

I knew that this couldn't happen.

I'm fine.

Are you still meeting the National Emergency Management Agency staff nowadays?

Yes, I meet with them sometimes. We hold conferences and discussion forums.

And we hold other meetings as well.

Is our hospital hosting the conference?

Yes.

Is it okay if I put you in charge of that conference?

Chief Na Byeong Gook will be participating as well.

But this time, I would like you to show your active participation for reformation.

Why?

Have you ever read the meeting minutes?

Yes, I read some of it.

I met with the National Emergency Management Agency and had a conference with them.

But, the firefighting helicopter protocol is the same today as it was 10 years ago.

Nothing has changed.

So, you don't even want to attempt it?

It's not like they are giving up on us. They are showing us willpower.

It's not like they are giving up on us. They are showing us willpower.

I understand.

I will do it.

Then, I'll go ahead and meet with the Chairwoman.

We'll talk about the details later.

Yes.

Dr. Choi In Hyeok will be in charge of this firefighting helicopter conference.

He must have been really disappointed. Did he agree to it fairly quickly?

He will do it. He wasn't able to do it because we weren't able to get an emergency helicopter.

But if they do come, he's someone that is willing to be dispatched right away.

That's right. He is like that.

When I talked to the National Emergency Management Agency , they were more willing than I thought.

If the talk with the administration goes smoothly,

we will be able to transfer patients in a helicopter pretty soon.

Even though a helicopter that is used to only put out the fire for the past 10 years,

it is appropriate for transferring patients.

Yes. That's right.

We can easily add the equipment inside the helicopter. But since they are trying to do something

that they've never done for the past 10 years, they won't be used to it and there will be some strong resistance.

At any rate, the Ministry of Health and Welfare has finally done something good.

I know.

Until now, the National Emergency Management Agency

had a monopoly over the budget for purchasing helicopters.

And all of a sudden, the Ministry of Health and Welfare declared that they will get medical helicopters.

So NEMA must have been bewildered.

That is right. Instead of a monopoly, there should be a competition for everything to work correctly.

No matter what the underlying reason is, since NEMA will provide the helicopter for patient transportation,

we should make the best of this opportunity.

Moreover, the City of Busan is planning to help us out.

We can say that there is a higher possibility.

Yes, that's right.

Welcome. I'm Haeundae Sejung Hospital's Director, Oh Gwang Cheol.

-Hello. -Nice to meet you.

It's nice to meet you. -Hello. -Nice to meet you.

It's nice to meet you.

Aigoo, how did the Hospital Director come all the way here...?

I will anticipate good results.

Then, please come this way.

Let's go.

Chief, I don't know why there are so many government official looking people

coming to visit our hospital so frequently recently.

What are those people?

So you're worried?

Of course! I'm very worried!

You don't need to worry about that. Those people will deal with it.

So, quit worrying.

Send a text message to Chief Na.

A text message? What shall I say?

Who is it?

Ah, seriously...

I'll do it.

A reply came right away!

Ah, that's right. It's the National Emergency Management Agency.

National Emergency Management Agency?

It's probably concerning the medical helicopters.

Oh my! Even though there isn't Trauma Center, a helicopter will still be operating.

How naive you are.

In that conference, they've been exchanging the

exactly same conversation 10 years ago, 5 years ago, and 3 years ago.

So Chief Na said not to even bother preparing any materials for that conference.

Ah, I see.

-Let's go. -OK.

We will start the conference regarding helicopters for emergency patient transportation.

Let's start with introduction.

From the Busan Emergency Management Agency,

Manager Kim Woo Soek and Team Leader Kwak Ji Young have come.

From NEMA, Manager Seo Kyu Hyung and and Pilot Lee Myung Hee have come.

Let's begin.

You are living here.

Oh...well...

Since he caused the trouble, he should at least do this much.

Ah, yes.

But what are you doing in the ICU?

We just moved patient Kim Seong Woo, who has had the pelvic surgery, to the general ward.

Ah, that's right.

That was today.

He is so gloomy.

Hey Intern! What's wrong? He is so gloomy.

Hey Intern! What's wrong?

He has survived.

Patient Kim Seong Woo has survived.

He was bleeding so much. If it weren't for you...

Even for me, it was not a common case.

Especially not in Orthopedics.

The matter of patient dying or living...

Ah, yes.

You had taken a very appropriate action.

That's why the patient survived.

I am telling you that I was afraid.

Not that I've done such a great job.

If I were you, I probably wouldn't have been able to go that far.

How did you think to deliver the baby...

Well, because he is an intern, he probably acted foolhardedly.

As if to say to the world, "Come get me now!"

As an intern, how can a "child" deliver a child, without any fear?

Don't blame yourself too much.

There is no one who can definitively say that your decision was wrong.

Ah, yes.

Thank you for your concern.

But you also know that I'm not praising you, right?

Yes.

Let's go.

Since it's late, the cafeteria may be full. Should we eat some pasta today?

Okay.

Assist the professor well in caring for the patient.

Yes. Have a good meal.

Work hard.

Hurry up and come if you want to eat, too.

Haeweudae Sejung Hospital is located within the new suburban area,

so if a helicopter is taking off or landing here,

because of its noise, there will be many civil complaints.

It's like borrowing trouble.

And there must be many critical patients in your hospital as well,

so if a helicopter often takes off or lands near the hospital,

wouldn't it disturb the patients?

Of course, it will be very noisy.

In Korea, there are not any proper emergency medical helicopters,

and all helicopters are for putting out forest fires.

And I'm not sure if transferring patients can be smoothly done, either.

Whenever a helicopter moves,

the amount of dust from it is no joke.

Who would take responsibility for that?

When I served for my military duty,

I once rode a helicopter which landed on a small island's one elementary school.

flowerpots near windows fell inside and broke and what-not,

it was a total mess.

The wind from a helicopter was no joke, was it?

Of course!

In the worst case, a car can be flipped over.

Moreover, what if there is a luxury foreign car near there?

If some gravels fly and scratches that car,

there will be an argument who would pay for that damage and who would take responsibility.

Who would pay for that?

Can we talk later about that after trying it first?

We can try it first and if any problem occurs, we can compensate for it and improve.

Without even trying it,

if we just argue and give up because of trivial civil complaints which aren't existing yet,

I can't understand why you are maintaining those helicopters

while paying a huge amount of insurance costs.

Right.

Everything you said is right.

Going to the accident site urgently and bringing urgent patients back alive,

everything is right to do.

However, do you know how much time and cost it takes to educate and train one doctor?

Can we send a resident doctor?

At least, we should send a specialist doctor.

If something goes wrong with that kind of specialist doctors,

It's a big loss to the society too!

At the end, if there is any emergency patient, a doctor from my Emergency Medicine should go,

but there is no doctor available to go out on a helicopter now!

This is why we're facing the same problems every time.

Even if we want to give a proper treatment to the patients and bring them back by a helicopter,

there are always criticism like "something is wrong", or what-not,

"although we taught you how to do, you're not doing properly"...

So, then we agreed that ER doctors would take a turn

and get calls from accident sites and explain to us

how to do the first aid to emergency patients,

how to do the first aid to emergency patients,

However, with an excuse that you're so busy, you didn't respond to those kind of calls properly, do you?

This is why only the patients are dying!

I will go with you.

My team will go with you.

Although you said "your team",

I heard you're the only specialist.

Can you keep going to the site?

I can.

So, please just send the helicopters.

We have had only meetings for the last 10 years.

With meetings only, nothing can change.

Please stop being bureaucratic,

and please send your helicopter even once,

and then let's discuss again.

We would have to leave 2 or 3 ORs empty all the time,

so that we can treat trauma patients who are suddenly carried to us.

A surgeon who can perform surgeries ontrauma patients,

a number of anaesthesiologists, surgery nurses so that they change the shift,

and ICU beds....

There should be ventilators,

and some experienced ICU nurses are essential too.

And?

Why do you stop talking?

At the end, money is the problem.

As you took 30 minutes, you realized that quite fast.

All important major departments are also under deficit!

Traumatology is the worst of them.

This business is too difficult to be handled by just one hospital or one individual.

Isn't it possible if management has the firm will?

It is possible only if you have money, not the will!

Still, I can't tell you that you're 100% right,

but I hadn't thought through, either.

I guess there is some work which can't be done

if you have only the firm will.

Not long ago, a young male patient in his 30s

had spleen rupture in Kyeong Joo.

If he could come to this hospital without any delay,

his life could've been saved.

But as the administration department delayed the transfer,

he lost his life.

If there was a helicopter so he could be sent from the accident site to here right away,

or if our medical team could go to that hospital,

that life could've been saved.

Professor Choi In Hyeok.

Yes.

Do you know how much cost it takes if a helicopter is used once?

I don't know the exact cost.

It's more than 5 million won.

That's also based on the distance which can be covered by fueling once.

If we use a helicopter whenever there is a trauma patient,

how can you cover that astronomical cost?

It's not going to be paid by any individuals.

Do you know how many meals we can give poor old people with 5 million won?

In terms of efficiency, this is the reason why we can't unconditionally send the helicopter.

Yesterday,

to our hospital,

a 40's male patient who was a truck peddler was transported here.

Again, as the previous hospital delayed the process, it took more than 2 hours to arrive here.

That patient passed away, leaving behind two children who are only elementary school students.

Without their mother,

those two children showed up as his guardian.

If you approach it that emotionally, ...

For the country to dress, feed, support and assist two children,

don't you think it would cost more than 5 million won?

The price of a person's life is by its nature expensive.

Aigo, Provost!

What's going on with those people?

We had a meeting with them regarding using a firefighting helicopter for an emergency transfer.

Firefighting helicopter?

Is the hospital trying to transfer the patients by a firefighting helicopter, not a medical one?

This meeting has been held for last 10 years.

You don't have to be concerned about it.

Oh, I see.

Well, even if the patients are sent here,

if there is no OR or ICU bed available, we can't accept any patient.

The reality isn't that easy, Provost.

I know, right?

As our hospital is so quickly dropped from the Trauma Center program,

I have no face to see you, Chief Na.

Well, this isn't the only opportunity for me, is it?

If you understand me like that, I'm grateful.

Then...

Yes.

Hello, Provost.

I see you often these days.

I know, right?

I also think it would be great if I don't have to come to this hospital often.

I also think it would be great if I don't have to come to this hospital often.

Then...

What are you doing now?

Why are you still here like that?

Is it already the time?

Chief Kim is already waiting outside.

Change quickly and come.

Yes.

Why is the car not coming yet?

Oh, I'm sorry, sorry!

By the way, where is Chief Kim Ho Yeong?

Since he's worried about the Chairman's condition,

he said he can't come with us.

I would've done the same thing if I were him.

By the way, I heard there would be some storm, but would the yacht be okay?

Aigo, By the way, I heard there would be some storm, but would the yacht be okay?

Aigo,

I heard the yacht is 2 million dollar worth. It's a waste if we don't use it.

Well, if we can't go fishing, we can play poker anyway.

Let's go.

Let's go!

Doctor Lee Min Woo.

Yes.

You know, those children of Mr. Yoo Hee Jin.

Yes.

They are sleeping in the hallway now.

What?

Why are you here like this again?

Do you want me to call that Ajumma again?

No.

Since our father is in this hospital now, I want to be here too.

A funeral is originally done like that, right?

The funeral is not done yet,

so don't stay here like this, and...

It's okay.

We want to stay here.

No, you can't sleep here.

Wake your brother up.

Follow me.

Wake up.

Aigo, you're sleepy, aren't you?

Aigo..

Let's go, let's go.

Come, follow me.

Uh? Doctor Min Woo.

Doctor Jae In, push the button for me.

Where are you going now?

They are those children from Yangsan,

and I'm trying to let them sleep in my room.

Careful, careful..

Pillow, pillow.

Anyway, my bed is empty here now, so we can let them sleep here.

You can sleep here.

Sleep tight.

Yes.

Here is much better.

Anyway, our room is smelly.

Kang Jin's foot odor.

Take a rest.

By the way, their mindset that they can't leave the hospital, leaving their father behind,

I can totally understand that.

I think it was when I was around their age.

I mean, when my dad passed away.

In that far away, the U.S., Dad passed away,

and Mom was also severely injured.

There was not a single relative there, either.

Until a person who was sent from Korea came to pick me up,

I heard that I was staying in the hospital, eating nothing.

And even after I came to Korea, I said that I wouldn't go to the house of my grandparents

and that I would live with that Ajussi who brought me back from the U.S.

So, I stayed at his house for several days,

but my grandmother kept coming to visit me...

I remember that later I finally came with Grandma.

That Ajussi's house was so small,

but I tried to sleep with his family.. saying I wouldn't go to my grandparent's place...

Your grandfather would be fine.

He will wake up for sure, so don't worry.

Huh?

I will leave first.

See you later.

I'm going to see you out at the elevator.

Doctor Jang Hyeok Chan!

Come here quickly! Quickly, quickly!

The patient on bed#17, appedicitis is suspected from CT scan.

Yes..

So, call General Surgery.

Yes, I understand.

Good.

Yes, Chief.

Right now, make a space in ER!

Pardon?

It will take about 30~40minutes from here to the hospital.

Keep a resuscitation area empty,

and order blood!

Where are you now?

I'm hanging up now! I will come with you.

I'm a chief of Emergency Medicine Department.

You have an intubation set and an IV set, right?

Please set up a line for IV and loading!

Then, you two, come by a separate car.

I will come with them in this ambulance.

Hey, his abdomen is injured, so General Surgery should come with him!

Aigo, you'd better take care of Chief Hwang!

Please make sure to keep him alive!

Which department will you contact?

Well, Emergency Medicine will take care of it, I guess.

Please be prepared as it's a traffic accident patient.

Yes, I understand.

Who is coming?

I got a phone call from Chief Na Byeong Gook.

He said it's a driver TA patient, so he asked to prepare blood in advance.

Excuse me for a moment.

Yes, Chief.

Contact Thoracic Surgery!

What about Trauma Team?

If they would come anyway, I wouldn't say no,

but call each deparment,

and tell them to come down immediately.

Yes.

What about General Surgery and Orthopedics?

I think Chief Kim Min Joon and Chief Hwang Se Yeong must have already called them.

Ah, yes, I understand.

Okay, contact all quickly!

Patient, patient!

Come to your senses!

Oh, Doctor Song Kyeong Hwa!

Yes, Professor, are you having fun?

Right now, a patient will arrive at ER, named Lee Dong Hyeok who is a junior of Chief Hwang Se Yeong.

Ah, yes.

I will be there soon too,

so hurry to go there and stand by.

Are you also coming, Professor?

And also, you never know,

so, contact Doctor Yim Chan of Liver, Gall Bladder and Pancreas Surgery,

and Professor Park Soo of Large Intestines Surgery.

Pardon?

Ar... ar... arm?

Oh, Doctor Park, it's me.

I had a car accident.

But my junior got injured severely, so Chief Na will arrive with him at ER soon.

Anyway, for emergency surgery, General Surgery and Thoracic Surgery will take care of it,

but you guys too should better be there and standy by.

I'm sorry.

What for?

Chief Na said that I should call Thoracic Surgery.

Why? You said it's a TA patient.

That's right, but it seems there is some reason for that.

Will I submit the order for blood?

Yes, order type O for now.

Yes, I will.

I will warm up IV, then.

Okay.

Oh, Jang Hyeok Chan, arrange OR and tell them to raise the room temperature.

Yes, I understand.

Oh, I should make calls.

Oh, Chief, are you alright?

One, two, three!

You've worked hard!

Patient, patient! Patient!

Why is this room so crowded?

Orthopedics, step outside for a moment.

Connect a ventilator here.

Yes.

Set up a central venous catheter!

Yes, I understand.

Intern, back off!

Pardon?

Yes, I will do it.

Let go, let go!

Did blood packs arrive?

Yes, here.

Set it up!

Yes.

On our way, we gave him IV, and the BP is 60~70.

Since we wouldn't have time to take CT scan,

take portable X-ray.

Yes, I understand.

What about the other Chiefs?

How is he?

Aigo, Professor, are you alright?

Oh, I'm alright.

His right lung is shrunken.

Is it pneumothorax?

If it's pneumothorax or not, it's not certain yet.

For now, shouldn't we insert a chest tube?

I will do it anyway, but it seems that the diaphragm is damaged.

If it's the diaphragm...

Who will perform the surgery, General Surgery or Thoracic Surgery?

Let's insert a chest tube first, and talk later.

- I'm alright. - Are you alright, Chief Kim?

What? His abdomen is also bloating!

Which department will bring him and open?

You said the diaphragm is the problem!

That's right, but the lung also has a problem.

Then, Thoracic Surgery, you can also treat the diaphragm, right?

Then, you can take him and solve the lung issue together!

For diaphragm, opening at the chest is a much bigger surgery than opening at abdomen.

And as the belly is bloating like this,

a laparotomy is anyway unavoidable, isn't it?

Then, General Surgery, you make a decision, quickly!

How about CT scan?

Right now, his BP is around 60,

but how can we take a CT scan?

Since we suspect abdominal hemorrhage,

after opening the abdomen, let's see the diaphragm with Thoracic Surgery together.

And we can see if other organs were damaged.

What's this?

It's dyspnoea!

It will cause arrest!

Move him to the OR immediately!

Whether it's abdomen or chest, let's stop the hemorrhage first!

It's arrest!

Is it arrest?

Do C.. CPR!

- Do whatever! Quickly!! - Yes, I understand.

I will squeeze the Ambu bag.

Give him one epinephrine,

take off the ventilator for now, and squeeze the Ambu bag!

1, 2, 3, 4, 5, 6, 7, 8, 9, 10! 1, 2, 3, 4, 5, 6, 7, 8, 9, 10!

He's not coming back!

1, 2, 3, 4, 5, 6, 7, 8, 9, 10!

Do it properly!

1, 2, 3, 4, 5, 6, 7, 8, 9, 10! 1, 2, 3, 4, 5, 6, 7, 8, 9, 10!

No...

1, 2, 3, 4, 5, 6, 7, 8, 9, 10! 1, 2, 3, 4, 5, 6, 7, 8, 9, 10!

He came back!

Then, move him to the OR now!

Yes, I understand.

Should I call Professor Choi In Hyeok?