1. Previously on ER…Copy !req
2. So, the baby is a girl today.Copy !req
3. You turned me in?Copy !req
4. There's a guy from the medical board here
questioning my competence.Copy !req
5. Minority kids don't have the same access
to academic opportunities.Copy !req
6. You want to address that by
advancing under qualified applicantsCopy !req
7. at the expense of
our integrity and theirs?Copy !req
8. I want him to have an interview.Copy !req
9. Everyone deserves to be
comforted in their darkest hour.Copy !req
10. Too bad you weren't there to
comfort the little girl he killed.Copy !req
11. - I didn't mean to be. God was there.
- Was he?Copy !req
12. Mr. Stewart, can you hear me? Call 911.Copy !req
13. Again.Copy !req
14. It hurts when I breathe.
Could it be my heart?Copy !req
15. Something wrong?Copy !req
16. - Hey.
- What?Copy !req
17. - Is there something wrong with my heart?
- No, probably a bruise to your chest wall.Copy !req
18. We'll get an X-ray to make sure.
You were lucky.Copy !req
19. We'll probably be sifting
through the walking woundedCopy !req
20. until morning, but I think
we're over the hump.Copy !req
21. Carter just brought up the last critical.Copy !req
22. - How many came in?
- Thirty-seven. Five in surgery.Copy !req
23. Only two ER deaths.
That's not too bad, considering.Copy !req
24. If you don't count the DOAs.Copy !req
25. You did a great job.Copy !req
26. You should go home.
We got it from here.Copy !req
27. - The board's backing up.
- We're fine. Go home.Copy !req
28. We'll see you tomorrow.Copy !req
29. Hey. You leaving?Copy !req
30. Uh, no, I thought
I'd check on the bishop.Copy !req
31. - Another critical come in?
- No. That's it.Copy !req
32. Is she stable?Copy !req
33. - Yeah. After three rounds of terbutaline.
- Good.Copy !req
34. - It was scary, though.
- Yeah.Copy !req
35. So are you heading home soon?Copy !req
36. Um…Copy !req
37. I don't know.Copy !req
38. You okay?Copy !req
39. Yeah.Copy !req
40. - Any change?
- He didn't want the breathing mask.Copy !req
41. - Has he been awake?
- Napping on and off.Copy !req
42. What time is it?Copy !req
43. 11:30.Copy !req
44. You're here late.Copy !req
45. You'll have to be intubated soon.Copy !req
46. On a ventilator?Copy !req
47. Your oxygen level is down to 65
on 100% oxygen…Copy !req
48. I've seen what happens
after a ventilator.Copy !req
49. - If it drops below 50…
- Thanks. But no thanks.Copy !req
50. Anyway, my bags are packed.Copy !req
51. Water! I need water.Copy !req
52. - Mr. Martin!
- Oh, it stings!Copy !req
53. Mr. Martin, I told you,
just give it a few seconds.Copy !req
54. No, it stings.Copy !req
55. Give it a few seconds
and the pain will fade.Copy !req
56. - Need some help?
- No.Copy !req
57. I just put in a drop of Alcaine.
Come on.Copy !req
58. Mr. Martin fell asleep
under a tanning lamp.Copy !req
59. I wasn't tanning. I was depressed
due to lack of sunlight.Copy !req
60. Tell me about it. Just got back from lunch
and it was already getting dark.Copy !req
61. UTI in four is gone.Copy !req
62. Did the groundhog see
its shadow this year?Copy !req
63. Seeing his shadow has absolutely nothing
to do with how much sunlight we get.Copy !req
64. Yes, it does.
Six more weeks of winter.Copy !req
65. Seven-year-old with diarrhea
and wheezing.Copy !req
66. Ordered Solu-Medrol
and breathing treatments.Copy !req
67. - Any history of asthma?
- Nope.Copy !req
68. - Fever or cough?
- Nothing.Copy !req
69. - Carter, want to figure this one out?
- Bring it on.Copy !req
70. Okay, that's it. Weaver's on at six.Copy !req
71. Could you tell her
that I'm finished testing tonightCopy !req
72. so she can stop avoiding me?Copy !req
73. How'd your personality test go?Copy !req
74. I scored somewhere between
serial killer and talk-show host.Copy !req
75. - I thought they were memory tests.
- That was Monday.Copy !req
76. What's next, Rorschach? Spelling bee?Copy !req
77. Swimwear competition,
sudden-death Twister.Copy !req
78. Who knows? Maybe a chili cook-off.Copy !req
79. The needle goes in, but you can
squeeze on the owie ball. See that?Copy !req
80. - What's up?
- Won't you hold that for me?Copy !req
81. Kid freaked out when I tried
to start an IV.Copy !req
82. And then the needle comes out…Copy !req
83. - Who's…
- She's a new intern for Pedes.Copy !req
84. …to give you medicine.
And then it won't hurt anymore, okay?Copy !req
85. Hey, Jason. I'm Dr. Carter. I understand
you're having some trouble breathing.Copy !req
86. - You mom?
- Yes.Copy !req
87. - Any history of asthma here?
- No.Copy !req
88. Mrs. Fabrone works
as a cleaning lady at a church.Copy !req
89. She found a bottle of holy water
in the sanctuary and she thoughtCopy !req
90. - it might help with Jason's diarrhea.
- Holy water, huh?Copy !req
91. Only it tasted funny. When Jason started
coughing, she checked. It was lamp oil.Copy !req
92. - He aspirated holy oil?
- I guess so.Copy !req
93. That's the common duct.
We don't cut that. What time is it?Copy !req
94. 4:55.
No. Your interview tomorrow.Copy !req
95. Oh. 10:00 a.m.
Get there by 9:30.Copy !req
96. Right.Copy !req
97. So why do you wanna be a doctor?
What?Copy !req
98. It's a common question
in the interview.Copy !req
99. Oh, yeah.Copy !req
100. Clips. So, what's the answer?Copy !req
101. I wanna help people?
Oh, man.Copy !req
102. No?Copy !req
103. All right. Now we dissect
the gallbladder from the liver.Copy !req
104. What's the right answer?
You tell me.Copy !req
105. The money?Copy !req
106. I wanna be a role model.Copy !req
107. You know what,
if you're not gonna take this seriously…Copy !req
108. I am. I just don't know.Copy !req
109. - I guess I always thought it'd be cool.
- Well, at least that's honest.Copy !req
110. So I should say that?
Of course not.Copy !req
111. Dr. Benton, how much longer
do you have?Copy !req
112. Are you timing me, Shirley?Copy !req
113. Mass-cas called in.
They need you downstairs.Copy !req
114. What happened?
They didn't give me details.Copy !req
115. All right. Let me get some
more suction. I'll be maybe 15 minutes.Copy !req
116. Okay.Copy !req
117. You should hang out.
You never know what you'll see.Copy !req
118. Great job, Jason.
I'll stop by and see you later, okay?Copy !req
119. - You're admitting him?
- Yeah, just for a day.Copy !req
120. Keep him on continuous nebs
and monitor his sats.Copy !req
121. - Where's mom?
- She went to go talk to her priest.Copy !req
122. Could've used you, actually.
She got a little upset after you left.Copy !req
123. About her kid
or because she stole from the church?Copy !req
124. My friend, Tony, he used to lift
communion wine for us.Copy !req
125. He just went to confession.Copy !req
126. - What about you?
- Me? I just got sick.Copy !req
127. - So you're a heathen.
- Protestant.Copy !req
128. Is there a difference?Copy !req
129. - Uh, will you sign this for me?
- What is it?Copy !req
130. It's for my supervisor. If you think
I did a good job with the kid.Copy !req
131. "Child Life Specialist."Copy !req
132. Intern. First day.Copy !req
133. Oh, yeah? Hey, welcome. John Carter.Copy !req
134. Rena Trujillo. Nice to meet you.Copy !req
135. And you.Copy !req
136. - Don't forget your voodoo doll.
- It's a procedure doll.Copy !req
137. They make them life-size
for really big kids?Copy !req
138. - Why, you lonely?
- Yeah. I work a lot.Copy !req
139. That's too bad.Copy !req
140. - John, Luka needs you.
- Abby, this is Rena.Copy !req
141. Hi. A train derailed by Lakeshore.
They're declaring a NBI.Copy !req
142. They need to set up a triage center.Copy !req
143. Excuse me.Copy !req
144. - Any passenger cars?
- It was a commuter train.Copy !req
145. - How many?
- They don't know.Copy !req
146. They're just pulling bodies out.
They need docs on-site.Copy !req
147. Prep the trauma rooms, set up
Curtain two and three for majorsCopy !req
148. and pull everybody in.Copy !req
149. - Carter, let's go.
- Is the chopper already here?Copy !req
150. - Yeah, they'll meet us on the roof.
- We don't have an attending.Copy !req
151. Kerry's due in 15 minutes. Call me
on the chopper if you have any problem.Copy !req
152. Four units of O-neg.Copy !req
153. Move all stable patients into the hall.
Double up the rooms.Copy !req
154. Anyone walking waits in Chairs.Copy !req
155. Put all surgical teams on alert
and notify the O.R.Copy !req
156. - Already did. We're low on vents.
- Well, then grab some from the ICU.Copy !req
157. - Found it.
- Randi, call the nursing supervisorCopy !req
158. - and float some nurses from the unit.
- They'll need them up there.Copy !req
159. - Get them from Med-Surg.
- Oh, my God.Copy !req
160. Captain Davis, incident commander.Copy !req
161. We were evacuating the first batch
of the car when it rolled.Copy !req
162. I got a man crushed underneath.
His legs are pinned.Copy !req
163. Fourteen DOAs so far,
we're still pulling them out.Copy !req
164. - Two middle cars are the worst.
- What happened?Copy !req
165. An automobile stalled
on the tracks.Copy !req
166. We think the brakes on the back passenger
cars failed when the train tried to stop.Copy !req
167. Blunt chest trauma over here,
dropping his pressure!Copy !req
168. I've got it.
You take the crush injury.Copy !req
169. - What's on the monitor?
- Sinus tach.Copy !req
170. - Vitals?
- BP, 90/60. Pulse is 120.Copy !req
171. I was supposed to fly.
My damn flight was canceled.Copy !req
172. Okay. Rales on the left.Copy !req
173. My chest.
Feels like something tore inside.Copy !req
174. Try a 14-gauge and bolus
a liter of saline.Copy !req
175. Mitch! Mitch, I'm sorry, man!Copy !req
176. Don't apologize to me.Copy !req
177. I didn't know it was gonna
tip over like that.Copy !req
178. BP, 85/60. Pulse, 110.Copy !req
179. Doc, I need something more
for the pain. This doesn't work.Copy !req
180. - What did you give him?
- Ten of morphine.Copy !req
181. I had to hold off
when he dropped his pressure.Copy !req
182. I'll give him five more,
but after the liter.Copy !req
183. - How long till you can get him out?
- We couldn't lift it with the jacks.Copy !req
184. - We're bringing him out…
- How long?Copy !req
185. How long do you have?Copy !req
186. Get a jack on this.
That's not gonna hold.Copy !req
187. - She conscious?
- Yeah.Copy !req
188. - I'm Dr. Kovac. What's your name?
- I couldn't get out.Copy !req
189. - Your name? Do you know your name?
- Shannon.Copy !req
190. Okay. Does your neck hurt?Copy !req
191. - No.
- Hey, Luka!Copy !req
192. - What?
- We may need a surgeon.Copy !req
193. Call it in.Copy !req
194. We might not be able to get him out.
I need a surgeonCopy !req
195. - with a field amputation kit.
- He's on stand-by.Copy !req
196. No, not on stand-by. Here now.
He's losing a lot of blood.Copy !req
197. Help.Copy !req
198. - Ma'am, has someone examined you?
- They're looking for my son.Copy !req
199. He wanted to go to the bathroom
by himself.Copy !req
200. - Okay, let's get you out.
- I can't move my legs.Copy !req
201. - Does your neck hurt?
- Please, you have to find my son.Copy !req
202. - Okay, lean forward.
- I can't!Copy !req
203. Doris!Copy !req
204. Are you allergic
to any medicines?Copy !req
205. - No.
- He's wearing a blue sweater.Copy !req
206. - Doris!
- In a sec!Copy !req
207. I need a line and a set of vitals!Copy !req
208. He's seven.Copy !req
209. He wanted to go
to the bathroom by himself.Copy !req
210. Saline, wide open. Nasal O-2,
and get me if she's hypotensive.Copy !req
211. Please, you have to find him!Copy !req
212. - Are you looking for a little boy?
- He's pinned.Copy !req
213. - We have to cut him free.
- Can you get a BP?Copy !req
214. No room. Pulse is thready.Copy !req
215. - How do I get in there?
- The roof.Copy !req
216. Systolic's 95.Copy !req
217. Make it two liters. Radio the IC.
I need the metal cut before we transport.Copy !req
218. - Did they find him?
- I think so.Copy !req
219. - Is he okay?
- I don't know yet.Copy !req
220. - What's his name?
- Myles.Copy !req
221. - Where is he?
- Over here.Copy !req
222. - Got an airway?
- Breathing on his own.Copy !req
223. We're waiting on a circular saw.Copy !req
224. Myles? Myles, can you hear me?Copy !req
225. Pupils are poorly reactive.
Looks like a closed head injury.Copy !req
226. - We need to get him out.
- I told you,Copy !req
227. - equipment's on its way.
- Get it here, now!Copy !req
228. She's throwing PVCs.
Do you want us to treat?Copy !req
229. - What?
- Ectopic beats. Can we give lidocaine?Copy !req
230. - What's the injury?
- Train hit her car.Copy !req
231. - Possible pubic ramus fracture.
- No, not at her age.Copy !req
232. Just get her to County.
Where's the amputation?Copy !req
233. - I don't know.
- Over here.Copy !req
234. We've got a crush injury to the legs.
BP's 90/65 with fluids.Copy !req
235. I don't know how much longer
we can keep it that way.Copy !req
236. - They can't get him out?
- They're trying to, but…Copy !req
237. - You all right? You okay?
- Damn it.Copy !req
238. Ah, I'm fine. I'm fine.Copy !req
239. - What's his name?
- Who?Copy !req
240. - The firefighter.
- Lorcan.Copy !req
241. I had to inflate two BP cuffs to use
as tourniquets. Watch your step.Copy !req
242. Right.Copy !req
243. You okay?
Yes.Copy !req
244. Lorcan, I'm Elizabeth Corday.
I'm a surgeon.Copy !req
245. You gonna cut them off?Copy !req
246. Only if I have to. Now, listen.Copy !req
247. We can't give you more pain medication,
because we need to keepCopy !req
248. your blood pressure up. So I'm going
to give you a nerve block. Okay?Copy !req
249. Do it fast.Copy !req
250. Prep the groin area. Betadine.Copy !req
251. - How much fluid in?
- Three liters saline, two of O-neg.Copy !req
252. Twenty-gauge for the injection.Copy !req
253. These cuffs aren't holding.Copy !req
254. I'm gonna reinflate them
and then clamp them.Copy !req
255. - Lorcan, you want me to call Patty?
- No!Copy !req
256. - You sure?
- I'm not dying, man.Copy !req
257. - All right, buddy.
- Who's Patty?Copy !req
258. Patty's my ex-wife.Copy !req
259. Guys and I were going out after the shift
to celebrate my divorce going through.Copy !req
260. Okay, everybody, get back.
We're gonna hammer through this concrete.Copy !req
261. - Just a second!
- Come on, let's do this!Copy !req
262. Hold on, Lorcan.
Get me out!Copy !req
263. Got it?Copy !req
264. - Done.
- Thanks.Copy !req
265. That's it!Copy !req
266. Okay, on three.
One, two, three…Copy !req
267. Where's the backboard?
Paramedics are bringing it in.Copy !req
268. All right.Copy !req
269. Is he still breathing?Copy !req
270. Yes. Good air entry.Copy !req
271. How many did you say we could take?Copy !req
272. I didn't. They're transporting
all over the city.Copy !req
273. We're two docs down
and a surgeon in the field.Copy !req
274. - You want me to page Dr. Greene?
- He's at his competency testing.Copy !req
275. Okay, find out how many
they're sending us.Copy !req
276. Malucci's on his way down
with the first air-evac.Copy !req
277. Possible aortic rupture.Copy !req
278. - Peter, you're up first.
- Got it.Copy !req
279. No, elevator. Call CT.Copy !req
280. Have them cancel all elective cases.
I don't want them jamming up on us.Copy !req
281. Stay close to me.
If you have any questions, ask.Copy !req
282. I might not be able
to answer it immediately.Copy !req
283. Also don't be surprised if the nurses push
you out of the way. It's their job.Copy !req
284. Just try not to knock anything over, okay?Copy !req
285. - I don't need to stay?
- Only if you want to.Copy !req
286. Blunt chest trauma, asymmetric BPs.Copy !req
287. Dropped his pressure en route.
60 palp. Tachy at 120.Copy !req
288. - Sir, do you know where you are?
- I was taking a plane.Copy !req
289. - Oriented times one only.
- Marked tachypnea. Pulse ox, 88.Copy !req
290. - Heart sounds are muffled.
- What's that mean?Copy !req
291. - He trashed his aorta.
- It's the major artery from the heart.Copy !req
292. - Neck veins are distended.
- He's in tamponade.Copy !req
293. Have the O.R. prime bypass.Copy !req
294. - You our new third-year?
- No, I'm just applying.Copy !req
295. Come on. Get over here.Copy !req
296. - Move!
- Prep for pericardiocentesis.Copy !req
297. Too late. Lost the pulse.Copy !req
298. Don't worry. Thoracotomy tray.
You better put on a gown.Copy !req
299. It's gonna get bloody in here.Copy !req
300. - What do you got?
- We got abdominal wound.Copy !req
301. BP's 120/90.
We're taking her to Lakeshore.Copy !req
302. What are you kidding me?
She needs a trauma center.Copy !req
303. All right. Reroute to County.
Give her ten more of MS.Copy !req
304. - Do it!
- We're supposed to rotate…Copy !req
305. Doc! Doc!
Yeah?Copy !req
306. Tracheal shift to the left.
I need to stick him.Copy !req
307. - What's his pulse ox?
- Eighty-eight on high-flow O-2.Copy !req
308. I can't hear anything with all this noise.Copy !req
309. Did you get it?Copy !req
310. I don't know.Copy !req
311. - Are these all ours?
- No, it's the damn news.Copy !req
312. Okay, he's moving air.
Take him to County.Copy !req
313. Not Lakeshore. County. Tell them
he needs a chest tube, maybe a vent.Copy !req
314. Oh!
Stop! Stop!Copy !req
315. - I told you to stop!
- You okay?Copy !req
316. I think I may have strained my back.Copy !req
317. Come on! Keep digging!Copy !req
318. We can't. We keep digging,
the weight of the trainCopy !req
319. - will shift on you.
- Is that crane coming?Copy !req
320. - From Indiana.
- What?Copy !req
321. - It's on its way, Lorcan.
- What's his pressure?Copy !req
322. Eighty-five palp. Pulse 110.
Four units in.Copy !req
323. - Can you assist?
- Yeah. I can start.Copy !req
324. Lorcan, listen to me. I'm gonna have
to proceed with amputating both your legs.Copy !req
325. No! I've had people trapped
for hours before we got them out!Copy !req
326. I appreciate that.
But you've lost too much blood.Copy !req
327. If I don't amputate and control
the bleeding, you're going to die.Copy !req
328. Okay, then. I'm gonna start.Copy !req
329. Do you understand? I have to start now.Copy !req
330. Prep the area.Copy !req
331. Ten blade.Copy !req
332. Can you tell my fortune with these?Copy !req
333. Pick up each card from your pileCopy !req
334. and put it under the card
to which it belongs.Copy !req
335. Is that the death card?Copy !req
336. I'll tell you if you're right or wrong.
Are you ready to begin?Copy !req
337. - Hit me.
- Begin.Copy !req
338. No. No, just try the next card.Copy !req
339. No.Copy !req
340. - Yes.
- Third one's a charm.Copy !req
341. Yes.Copy !req
342. Yes.Copy !req
343. - Yes.
- Look, two hands.Copy !req
344. Yes.Copy !req
345. - No.
- No?Copy !req
346. No.Copy !req
347. No.Copy !req
348. Do you ever say anything
besides yes or no?Copy !req
349. No.Copy !req
350. I've isolated the femoral artery.
Retract distally.Copy !req
351. Got some oozing from the SFA.
Mitch?Copy !req
352. Can't do much about that
in the field.Copy !req
353. Mitch!Copy !req
354. - I'm right here, buddy.
- I think maybe you should get Patty.Copy !req
355. - You got it.
- I need to dissect this vessel.Copy !req
356. Metz.Copy !req
357. - What? What is it?
- Carter, quick. Clamp that. Clamp it.Copy !req
358. - What, what, what, what?
- Medial to the muscle bed. Clamp it now.Copy !req
359. - Is it your back?
- It's coming and going.Copy !req
360. - Intermittent pain?
- Yes.Copy !req
361. - How often?
- Ah!Copy !req
362. What's her pressure?
Dropping. 80 palp.Copy !req
363. - Myles.
- Start her on dopamine. Titrate to 100.Copy !req
364. Save him, please.Copy !req
365. - How long till you are through?
- I don't know. Ten minutes, maybe.Copy !req
366. Pupils are still sluggish.Copy !req
367. Okay. 0.3 of atropine.
Do you have any mannitol?Copy !req
368. On board.
Hang 40 grams.Copy !req
369. - He's hypertensive and bradying down.
- I know.Copy !req
370. He could have a bleed.
You're not coming with us?Copy !req
371. Okay, load him. I'll be right back.Copy !req
372. Carter, I have to take this boy in.
There is a woman back there impaledCopy !req
373. with spinal shock. And I want
you to stay with… What is it?Copy !req
374. - She's having contractions.
- What?Copy !req
375. - She's having contractions at 25 weeks.
- I need tocolytics and a fetal monitor.Copy !req
376. I can keep on going
if I can just get them to stop.Copy !req
377. - You have any terbutaline?
- No.Copy !req
378. - In the rig?
- We don't carry it.Copy !req
379. Okay, you should fly back with us.Copy !req
380. Carter, take the mother.
The woman down there.Copy !req
381. What about him?
We just opened the interior compartment.Copy !req
382. - Call another surgeon!
- We're out of O-neg.Copy !req
383. We have to finish him now.Copy !req
384. If we put you on the chopper, could you
monitor this boy on the flight back?Copy !req
385. Yes. But he could exsanguinate
from his left leg.Copy !req
386. - You were a surgical resident, yeah?
- Interned. For a year.Copy !req
387. Trauma panel in chest
and palp is getting HemoCue.Copy !req
388. Sinus, rate of 95.Copy !req
389. - Any chest pain?
- No.Copy !req
390. Mild guarding. No rebound.
Set her up for a CT and put in a Foley.Copy !req
391. - Is that man from the train?
- Yeah.Copy !req
392. - Is he dying?
- I don't know.Copy !req
393. Abby, could you shut the doors, please?
Type and cross for four. Dip a urine.Copy !req
394. More O-neg on the infuser.
The heart's not filling.Copy !req
395. Unit seven going up.
Got it. Cut.Copy !req
396. Okay, come on, you're done.
We gotta shock him.Copy !req
397. Hold on. Couple more sutures.Copy !req
398. Dr. Benton, Dr. Finch needs you.
Bad leg injury.Copy !req
399. Got it.Copy !req
400. Clear!Copy !req
401. All right, Dr. Malucci, he's all yours.
If you get a rhythm, send him up.Copy !req
402. - White, you're coming with me. Go.
- Still in V-fib.Copy !req
403. Another amp of epi.
Stand by with lidocaine. Clear.Copy !req
404. Peter, I have a right orbital trauma
with loss of vision.Copy !req
405. Set up the slit lamp, tetracaine
and fluorescein. I'll be right there.Copy !req
406. Dr. Benton, blunt abdominal trauma.
Possible liver injury.Copy !req
407. - What's the crit?
- Thirty-four, but he's pretty tender.Copy !req
408. - Do an ultrasound. If you see fluid…
- Chuny, I need vitals now.Copy !req
409. - Coming.
- Traumatic extrusion of the tibia.Copy !req
410. - You call Ortho?
- Yes, but he's looking pretty dusky.Copy !req
411. Hold on, that's my bone!Copy !req
412. All right. All the major vessels
seem intact. Just try to get him up.Copy !req
413. Peter, Carter is on the radio
and needs to talk to you.Copy !req
414. Not now!Copy !req
415. He's performing a double
amputation by himself.Copy !req
416. - What? Don't worry.
- A guy pinned under a train.Copy !req
417. - Don't worry. That can be reattached.
- Give another 20 MS.Copy !req
418. Okay, he's on Bravo Three.Copy !req
419. - Carter, what are you doing?
- Left anterior thigh.Copy !req
420. I've incised through the fascia
and muscle planes.Copy !req
421. I need to isolate
the neurovascular bundle.Copy !req
422. - Hold on! I thought Corday went with you.
- She did.Copy !req
423. What is she doing?Copy !req
424. We've got to control his airway.Copy !req
425. BP's rocketing, 240/120.
Pulse, down to 30.Copy !req
426. Another mig of atropine
and mix Nipride.Copy !req
427. - He's in respiratory distress.
- I'll intubate. 6.5 ET tube.Copy !req
428. - Should we stay on the ground?
- No, let's go.Copy !req
429. - Fifty of lido, one of Pavulon, 50 of sux.
- You okay?Copy !req
430. No.Copy !req
431. Using the dull edge of the MetzCopy !req
432. let your finger continue blunt dissection
of the arteryCopy !req
433. from the neurovascular bundle.Copy !req
434. - What?
- Blunt dissection…Copy !req
435. You're gonna have to shout.
I can barely hear you.Copy !req
436. Do you know what you're doing?
Does anybody know what they're doing?Copy !req
437. - What's he down to now?
- 190/100. Pulse, 44 after two migs.Copy !req
438. - Try 80 of Lasix.
- Let them take him downstairs.Copy !req
439. Go! Go straight to CT.Copy !req
440. `There's a case on the table.Copy !req
441. - He probably has an epidural.
- I'll tell him.Copy !req
442. - How often you been having back pain?
- Every four or five minutes.Copy !req
443. When's the last time
you felt the baby move?Copy !req
444. I don't know. I haven't.Copy !req
445. Okay.Copy !req
446. Got it!Copy !req
447. Can you call on the radio
and see how he is?Copy !req
448. - We'll be there soon.
- BP, 95/65. Pulse is 110.Copy !req
449. - Am I gonna die? Am I?
- We'll get you out.Copy !req
450. If I die before I get there, you have
to make sure they take care of Myles.Copy !req
451. - They will.
- He's seven.Copy !req
452. I know.Copy !req
453. His father's in Kansas City on business.
We were coming back from visiting him.Copy !req
454. I thought it'd be fun
for Myles to take the train.Copy !req
455. What about the sciatic nerve?Copy !req
456. Pull it down as far as possible,
then apply an Ochsner clamp.Copy !req
457. That one. Third to the right.Copy !req
458. - Okay. I got it. Now what?
- Right.Copy !req
459. Put a second clamp
five millimeters distally.Copy !req
460. We're gonna get you through this,
all right, Lorcan?Copy !req
461. We're gonna get you through.
You're gonna be all right. Okay?Copy !req
462. Remove the proximal clamp
and ligate the crushed area.Copy !req
463. - 0-Vicryl?
- No, no, no. Nonabsorbable.Copy !req
464. Peter, we need you.
This boy's herniating.Copy !req
465. Use silk if you've got it.Copy !req
466. - Okay. Done that. Now what?
- Peter, we've got to drain the hematoma.Copy !req
467. You know what, Carter, I've gotta go.
Call me on your cell phone.Copy !req
468. I don't have it. It's in my locker.Copy !req
469. - Well, find one.
- Peter, now.Copy !req
470. - Keep bagging him.
- What do I do about this nerve?Copy !req
471. Step off in the parietal region.Copy !req
472. Dr. Benton?
Pulse ox is dropping.Copy !req
473. Dr. Benton!Copy !req
474. - What is it?
- You have a cell phone?Copy !req
475. - No.
- Do you?Copy !req
476. No.Copy !req
477. - Terbutaline's on board.
- I'll repeat in another hour.Copy !req
478. - You sure McLucas hasn't answered?
- We just paged her. Give her a second.Copy !req
479. - What about Mark?
- He's on his way.Copy !req
480. Okay. You're about 25% effaced.
But dimpled, not dilated.Copy !req
481. - Okay? We can control that.
- You think so?Copy !req
482. - An OB resident's on his way.
- I don't want a resident!Copy !req
483. Elizabeth, you have to calm down.
And focus, okay?Copy !req
484. - Give the terbutaline a chance to work.
- Mark's on the phone.Copy !req
485. - What line?
- Three.Copy !req
486. - Climbing again, 220/115.
- Blown right pupil.Copy !req
487. All right, he needs a burr hole.
Now, where's your perforating drill?Copy !req
488. - Haleh! Is one open?
- Yeah. Malucci's calling it.Copy !req
489. Connect the chisel bit. Let's keep
hyperventilating. Let's move!Copy !req
490. - Coming through!
- Hold on. I gotta move this guy.Copy !req
491. No, no, no. Shove him up
against the wall. Move!Copy !req
492. All right. Let somebody shave his head.
Give me 8.5 gloves.Copy !req
493. Let's move, people.
Sit him up to 30 degrees.Copy !req
494. Peter, Carter's on line three.
He needs to talk to you.Copy !req
495. White, get over here and hold
the phone up to my ear. Ten blade.Copy !req
496. - Pressure's to the roof. 260/140.
- Not good. Up the Nipride to three mics.Copy !req
497. Come on, put my glasses down.
Carter, talk to me. Where are you?Copy !req
498. - Sciatic nerve.
- All right, good. Cut proximallyCopy !req
499. and let the muscle retract
into the muscle belly.Copy !req
500. Lorcan, they found Patty.
They're gonna send a truckCopy !req
501. - to take her straight to the hospital.
- No, no. Forget it.Copy !req
502. Okay. Cutting now.Copy !req
503. Okay. Good. Now, make sure you use
a scalpel instead of scissors.Copy !req
504. - Otherwise you'll get a neuroma.
- Listen, she's already on her way.Copy !req
505. Okay? She wants to come.Copy !req
506. - No! No! Not now!
- Would you please hold him still!Copy !req
507. - Okay, now what?
- Fine, now, take two KellysCopy !req
508. and clamp the femoral artery
and vein together.Copy !req
509. - I don't want her to see me like this!
- Can you give him something?Copy !req
510. - Whoa, whoa, whoa. He's seizing!
- Five of Ativan.Copy !req
511. Five of Valium.
Put the phone right here.Copy !req
512. I don't want her to see me!Copy !req
513. You gotta hold him still
until it kicks in.Copy !req
514. - You're almost free.
- All right, is that two clamps eachCopy !req
515. - or two clamps altogether?
- Two clamps altogether!Copy !req
516. - Two of Ativan?
- Five.Copy !req
517. Am I clamping the vein
and the artery separately?Copy !req
518. Carter, clamp the vessels
as one unit at both ends.Copy !req
519. Ativan's on board. Still seizing.Copy !req
520. All right. You know what?
I gotta go in. Just reparalyze him.Copy !req
521. - Wait, both proximally…
- Don't do it!Copy !req
522. - and distally or one proximally…
- Carter, just clamp the damn vessels!Copy !req
523. All right? Go.Copy !req
524. - How many liters in?
- Two and a half. Lost a pulse.Copy !req
525. - She's in V-fib. Charge to 200.
- Do you want to run her inside?Copy !req
526. No, here. Paddles.Copy !req
527. Charging.Copy !req
528. Clear!Copy !req
529. - Still in V-fib.
- Charge to 300. Clear.Copy !req
530. Mark, penetrating back injury.
Needs to go straight to the O.R.Copy !req
531. All right, I'll tell Randi.Copy !req
532. Mark.Copy !req
533. - You feeling any more contractions?
- I'm sorry.Copy !req
534. Don't be.Copy !req
535. I slipped and fell.
I thought it was just backache.Copy !req
536. - Did you give her terbutaline?
- Ten minutes ago.Copy !req
537. Fetal heart tones?Copy !req
538. - One fifty-five. No decels.
- Well, that's good.Copy !req
539. - They haven't stopped.
- You gotta give it some time to work.Copy !req
540. Or maybe we should try magnesium.Copy !req
541. We will if we have to. Okay?
Let's just wait and see.Copy !req
542. It's okay. It's okay.
No, no, no. It's okay.Copy !req
543. - Irrigate.
- More Ativan?Copy !req
544. No. Stopped seizing once he relieved
intercranial pressure.Copy !req
545. Suction catheter.
Carter, are you through the tibia yet?Copy !req
546. Done. Almost there, Lorcan.Copy !req
547. Good. Use the rongeur
to bevel the anterior apex.Copy !req
548. Where is that?Copy !req
549. It's the sharp edge
at the end of the bone.Copy !req
550. - What's his pressure?
- Down to 170/60.Copy !req
551. They're all sharp! Damn it!Copy !req
552. It's the anterior surface
that you care about.Copy !req
553. Dr. Weaver, I need you in here.Copy !req
554. - What patient?
- The girl whose car got hit by the train.Copy !req
555. - I'm sorry. What?
- The anterior surface.Copy !req
556. - Get him upstairs. Peter, let's go.
- Carter, you're almost there.Copy !req
557. When you're done,
use the rongeur to crack the fibula.Copy !req
558. Wait, wait, wait!
Hold on! Hold on!Copy !req
559. Dr. Benton!Copy !req
560. Dr. Benton!Copy !req
561. Good luck.Copy !req
562. BP's a little low. Want me to put
the dopamine back on?Copy !req
563. - Hold the elevator!
- No. This one goes in to the O.R.Copy !req
564. No, this one goes straight up.
Status, post-cardiac arrest.Copy !req
565. I just opened up this kid's head.Copy !req
566. Did you evacuate the clot?Copy !req
567. Yeah, but there's still
active bleeding at the site.Copy !req
568. She's in shock.
He's lucky to get her back the first time.Copy !req
569. All right, go.Copy !req
570. No. Take the boy first.Copy !req
571. Call Neurosurg, tell them
we're on our way up.Copy !req
572. I need two units of FFP
and an ICP monitor.Copy !req
573. Eighty-five palp.Copy !req
574. Start the dopamine.Copy !req
575. - What is it?
- I wanted to ask you something.Copy !req
576. He die?Copy !req
577. - Who?
- That man.Copy !req
578. They cut open his chest,
but he died.Copy !req
579. - Yes. He had a fatal injury.
- What about the boy?Copy !req
580. He went up to surgery.Copy !req
581. - Is he going to die?
- I don't know.Copy !req
582. Is there someone we can call for you?
Your mom or dad?Copy !req
583. They won't understand.Copy !req
584. Won't understand what?Copy !req
585. I thought it would be painless.
The train would hit my car,Copy !req
586. I'd just be gone.Copy !req
587. Yeah, don't talk to me about saturated.
You haven't seen saturated.Copy !req
588. Chuny, I need a trauma panel.
What's open?Copy !req
589. I don't care. I'm admitting them!Copy !req
590. Carter, they're holding O.R. six for you.Copy !req
591. - You go straight up.
- I was just up there.Copy !req
592. - There's no surgeon up there.
- Is he stable?Copy !req
593. Yeah, he's BP's stable by 100Copy !req
594. but I had to sedate him
with ten of Valium.Copy !req
595. - Dr. Carter, are you deaf?
- What?Copy !req
596. I keep shouting, you keep
getting on the elevator?Copy !req
597. - I'm sorry.
- Is this the pre-op amputation?Copy !req
598. No.
This is the post-op amputation.Copy !req
599. - What, in the field?
- Yeah. He was trapped in…Copy !req
600. What did they use, a chain saw?Copy !req
601. - Dr. Benton talked me through it.
- You did this?Copy !req
602. - There was nobody else to do it so I…
- Oh, well, no one else could do it.Copy !req
603. Well, by all means then,
let's get whoever's available.Copy !req
604. - Well, you ought to try it next time.
- Maybe if you'd respond to your page…Copy !req
605. I can't wear my pager in the dojo.Copy !req
606. Brenda knew where I was.
You should have called her. Let's go.Copy !req
607. - What the hell happened anyway? You…
- Dr. Weaver…Copy !req
608. Dr. Weaver, flail chest in four
just dropped his pulse ox down to 81.Copy !req
609. Carter, can you take this?Copy !req
610. Oh, yeah, why don't you just give himCopy !req
611. - another surgical procedure.
- Maybe I should have just let him die.Copy !req
612. Stop crying, I'll clean up after you.Copy !req
613. - Good work, Carter.
- I know.Copy !req
614. Really. He was lucky
that you were out there.Copy !req
615. - Thank you. I'm coming!
- Carter!Copy !req
616. Kerry?
Yeah.Copy !req
617. - You have a suicidal ideation?
- Young girl in Trauma two.Copy !req
618. - Does she have a plan?
- Parked her car in front of a train.Copy !req
619. Oh, I suppose that qualifies.
She's also in a major depression.Copy !req
620. - Flat affect?
- No real remorse.Copy !req
621. - About the suicide attempt?
- For the train wreck.Copy !req
622. Oh, my.Copy !req
623. D you think you're gonna get off
before 12?Copy !req
624. - No, probably not.
- Okay.Copy !req
625. - Uh, I'll try to be quiet.
- No. Wake me.Copy !req
626. Something wrong?Copy !req
627. Hey.Copy !req
628. - What?
- Is there something wrong with my heart?Copy !req
629. No. Probably a bruise to your chest wall.
We'll get an X-ray to make sure.Copy !req
630. - You were lucky.
- We're still sifting throughCopy !req
631. the walking wounded,
but I think we're over the hump.Copy !req
632. - Carter just took the last critical.
- How many came in?Copy !req
633. Thirty-seven. Five up in surgery.
Only two ER deaths.Copy !req
634. - That's not bad, considering.
- If you don't count the DOAs.Copy !req
635. You did great work today.
You should go home. We got it from here.Copy !req
636. - Board's backing up.
- That's all right.Copy !req
637. We got it. Go home.
See you tomorrow.Copy !req
638. - Shirley called for you.
- What?Copy !req
639. O.R. nurse. You asked her to call
when the mom and son came out of surgery.Copy !req
640. - Did they?
- Yeah. They're in recovery.Copy !req
641. The mom's got sensation in her legs,
and the kid's neurologically intact.Copy !req
642. - That's good, right?
- Yeah. That's good.Copy !req
643. Ah, you still here, huh?Copy !req
644. The nurses put me to work,
thought I was a volunteer or something.Copy !req
645. Good.Copy !req
646. Now you've got an experience
to talk about in your interview.Copy !req
647. - I don't know.
- It's yours. You might as well use it.Copy !req
648. - I mean, I don't know if I want to.
- Want to what?Copy !req
649. What I saw tonight.Copy !req
650. Most people go their whole lives
without seeing stuff like that.Copy !req
651. Drilling into a little boy's head.
Guys having their legs cut off.Copy !req
652. - People dying right in front of you.
- You get used to it.Copy !req
653. Yeah. That's what I'm afraid of.Copy !req
654. - But thanks for helping me find out early.
- Go to the interview.Copy !req
655. - Dr. Benton…
- Go to the interview.Copy !req
656. You may feel differently in a few days.Copy !req
657. - I know, but…
- Hey, give yourself options.Copy !req
658. Anything?Copy !req
659. No contractions
since the third round.Copy !req
660. Fetal heart rate looks good.Copy !req
661. - So it's over.
- Aside from bed rest.Copy !req
662. How long do you think?Copy !req
663. You can catch me up on my soaps.Copy !req
664. It'll be okay.Copy !req
665. When I felt the baby move before,
obviously I knew it was in there, butCopy !req
666. - suddenly this feels real, you know?
- Yes, Mom.Copy !req
667. OB's waiting, and Transpo promises
they'll be down soon to take you up.Copy !req
668. - Thanks, Abby.
- The monitor stays onCopy !req
669. - for at least 24 hours.
- I'll keep it on until I give birth.Copy !req
670. You just have to slow down.
No more helicopters.Copy !req
671. Right.Copy !req
672. - Hey.
- Hey.Copy !req
673. - You leaving?
- Uh, no.Copy !req
674. I thought I'd check on the bishop.Copy !req
675. - Another critical come in?
- No. That's it.Copy !req
676. Is she stable?Copy !req
677. Yeah. After three rounds of terbutaline.Copy !req
678. - Good.
- Yeah. It was scary, though.Copy !req
679. Yeah.Copy !req
680. You heading home soon?Copy !req
681. Um, I don't know.Copy !req
682. - Are you okay?
- Yeah.Copy !req
683. Any change?Copy !req
684. He didn't want the breathing mask.Copy !req
685. Has he been awake?
Napping on and off.Copy !req
686. What time is it?Copy !req
687. - 11:30.
- You're here late.Copy !req
688. - You'll have to be intubated soon.
- On a ventilator?Copy !req
689. No.Copy !req
690. Your oxygen level is down to 65
on 100% oxygen.Copy !req
691. I've seen what happens
after the ventilator.Copy !req
692. - If it drops below 50…
- Thanks, but no thanks.Copy !req
693. Anyway…Copy !req
694. My bags are packed.Copy !req
695. How long do I have?Copy !req
696. Maybe hours.Copy !req
697. - Then I'd better hear it now.
- Hear what?Copy !req
698. - Your confession.
- Bishop, I don't think…Copy !req
699. That's what you came up here for,
isn't it?Copy !req
700. - I wanted to check on you.
- You're searching for your faith.Copy !req
701. You think you lost it
but you only buried it.Copy !req
702. It's never left you.Copy !req
703. In the name of the Father, of the Son
and of the Holy Spirit.Copy !req
704. Amen.Copy !req
705. May God, who enlightens every heartCopy !req
706. help you to know your sins
and trust in his mercy.Copy !req
707. - Father, I can't…
- Luka.Copy !req
708. Your heart is burdened, Luka.Copy !req
709. Talk to me.
Let me take that burden with me.Copy !req
710. I don't know. I, uh…Copy !req
711. Lost my family.Copy !req
712. Danijela, my wife, she, uh…Copy !req
713. Wanted to move out of Vukovar.
But I had to finish my internship.Copy !req
714. And soon, it was too late.
It wasn't safe to move.Copy !req
715. I was gonna get some supplies and…Copy !req
716. I made them stay behind.Copy !req
717. I was just crossing the street when the…Copy !req
718. Mortar shell hit the apartment building.Copy !req
719. Go on.Copy !req
720. I ran inside.Copy !req
721. There were my neighbors. Hurt.
Bleeding. Dying. But I passed them by.Copy !req
722. I had to get to my family.Copy !req
723. Danijela!Copy !req
724. Danijela!Copy !req
725. Danijela!Copy !req
726. Danijela!Copy !req
727. Luka.Copy !req
728. Luka…Copy !req
729. Marko…Copy !req
730. A piece of shrapnel had torn
into Danijela's spleenCopy !req
731. and she was bleeding to death.Copy !req
732. When I turned back to my daughter,
she wasn't breathing.Copy !req
733. I lost her pulse.Copy !req
734. But as long as I kept doing CPR
and breathing for my daughter,Copy !req
735. I thought she had a chance.Copy !req
736. I could only pray that someone
would get there to help.Copy !req
737. If I had picked up Danijela
at that momentCopy !req
738. and gotten her to the hospital,
she could have had surgery.Copy !req
739. You know, she could have lived.Copy !req
740. But I couldn't leave my little girl.Copy !req
741. I waited and prayed.Copy !req
742. I prayed someone would come.Copy !req
743. And no one came.Copy !req
744. No one came.Copy !req
745. Jasna. Jasna.Copy !req
746. I called out for hours
as I stayed there,Copy !req
747. breathing for her, doing CPR.Copy !req
748. I finally had to stop from exhaustion.Copy !req
749. I lost them all.Copy !req
750. You couldn't sacrifice the one
to save the other.Copy !req
751. Even if you had,
you'd still blame yourself.Copy !req
752. These things can't be explained.Copy !req
753. Why it happens.Copy !req
754. The providence of God
and the mysteries of life and deathCopy !req
755. are the very fiber of our faith.Copy !req
756. They were gifts of love and life.Copy !req
757. You are a gift of love and life.Copy !req
758. Don't turn your back on them.Copy !req
759. God, father of all mercies,Copy !req
760. through the death and resurrection
of your only begotten Son…Copy !req
761. Was reconciled himself to the worldCopy !req
762. and sent the Holy Spirit among us
for the forgiveness of sins.Copy !req
763. Through the ministry of Holy Church,Copy !req
764. may God give you pardon and peace.Copy !req
765. And I absolve you of all your sinsCopy !req
766. in the name of the Father
and of the SonCopy !req
767. and of the Holy Spirit.Copy !req
768. Amen.Copy !req