1 00:00:10,135 --> 00:00:11,553 Hey, Jake, it's Robby. 2 00:00:11,636 --> 00:00:15,515 Listen, man, just call me or text me the second that you get this message, OK? 3 00:00:15,598 --> 00:00:16,584 OK. 4 00:00:16,599 --> 00:00:18,351 I can't reach Jake. 5 00:00:18,435 --> 00:00:19,811 I'm sure he's OK. 6 00:00:19,894 --> 00:00:21,646 - Active shooter at PittFest. - We heard. 7 00:00:21,730 --> 00:00:23,690 Code Triage, Emergency Department now. 8 00:00:23,773 --> 00:00:25,734 Code Triage, Emergency Department now. 9 00:00:25,817 --> 00:00:27,277 What's that mean? Has that happened before? 10 00:00:27,360 --> 00:00:28,903 We're locking down the hospital 11 00:00:28,987 --> 00:00:30,780 and setting up a command center in Administration. 12 00:00:30,864 --> 00:00:32,907 We'll coordinate logistics, supplies, communication. 13 00:00:32,991 --> 00:00:34,325 How many casualties? 14 00:00:34,409 --> 00:00:36,536 Unclear, but initial reports are not good. 15 00:00:36,619 --> 00:00:38,079 OK. 16 00:00:38,163 --> 00:00:40,623 The night shift is gonna be here soon, but we are gonna need more help, 17 00:00:40,707 --> 00:00:42,333 especially from Surgery and Anesthesiology. 18 00:00:42,417 --> 00:00:44,377 MCI group text and email went out to everyone, 19 00:00:44,461 --> 00:00:46,546 including Transport and Environmental Services. 20 00:00:46,629 --> 00:00:48,048 OK, good. 21 00:00:48,131 --> 00:00:50,300 Hey, everyone's gonna want to come in to help. 22 00:00:50,383 --> 00:00:51,593 Keep enough in reserve. 23 00:00:51,676 --> 00:00:53,845 Tell them to come in eight hours later to give us a break. 24 00:00:53,928 --> 00:00:55,805 - And can you try and reach Jake? - Of course. 25 00:00:56,890 --> 00:00:58,308 Surgery's got to call in the cavalry. 26 00:00:58,391 --> 00:01:00,310 - We're gonna need all 25 ORs. - Ahead of you. 27 00:01:00,393 --> 00:01:01,936 Four ORs are prepped and staffed, 28 00:01:02,020 --> 00:01:03,772 and we're working on getting the rest up and running. 29 00:01:03,855 --> 00:01:05,523 - What about disaster supplies? - On their way. 30 00:01:07,400 --> 00:01:09,319 Every patient in the ER needs to go up. 31 00:01:09,402 --> 00:01:11,112 Beds or no beds, they'll get better care 32 00:01:11,196 --> 00:01:12,781 in an upstairs hallway than ignored down here. 33 00:01:12,864 --> 00:01:13,865 Agreed. 34 00:01:14,616 --> 00:01:17,327 There's a whole wing that's empty on the eighth floor. 35 00:01:17,410 --> 00:01:20,038 - I don't know if that's… - But no nurses to staff it. 36 00:01:20,830 --> 00:01:21,998 No comment on that one. 37 00:01:22,082 --> 00:01:24,250 Waiting room and Triage can go to Family Medicine Urgent Care. 38 00:01:24,334 --> 00:01:25,585 And we should turn off the TVs. 39 00:01:25,668 --> 00:01:27,879 - We don't need to cause any extra panic. - Will do. 40 00:01:27,962 --> 00:01:30,131 The cafeteria will handle the family members and survivors. 41 00:01:30,215 --> 00:01:31,382 What else do you need? 42 00:01:33,301 --> 00:01:34,844 Prayers wouldn't hurt. 43 00:01:34,928 --> 00:01:36,346 Amen to that. 44 00:01:36,429 --> 00:01:38,640 - Keep the press out of here. - Gladly. 45 00:01:38,723 --> 00:01:40,350 Call me directly if you need anything else. 46 00:01:40,433 --> 00:01:41,559 OK, will do. Thank you. 47 00:01:41,643 --> 00:01:44,145 - Hey, what's going on? - Mass casualty at PittFest. 48 00:01:44,229 --> 00:01:45,605 How many victims? 49 00:01:45,688 --> 00:01:47,023 We don't know. Expect the worst. 50 00:01:47,565 --> 00:01:49,192 Did the police find David? 51 00:01:50,485 --> 00:01:52,070 OK, everybody listen up. 52 00:01:54,572 --> 00:01:56,908 There is an active shooter at PittFest. 53 00:01:56,991 --> 00:01:58,618 As the nearest trauma center, 54 00:01:58,701 --> 00:02:00,787 we are going to be getting the majority of the victims. 55 00:02:00,870 --> 00:02:02,789 We don't know yet how many we are getting, 56 00:02:02,872 --> 00:02:06,084 but we are instituting hospital-wide emergency protocols. 57 00:02:06,626 --> 00:02:09,629 We need to move every patient out of here. 58 00:02:09,712 --> 00:02:12,799 They either go home, they go upstairs, or they go to Family Medicine. 59 00:02:13,883 --> 00:02:15,802 Call your loved ones now if you need to. 60 00:02:15,885 --> 00:02:19,264 I can guarantee you cell service will soon be overwhelmed. 61 00:02:19,347 --> 00:02:20,682 Eat something. Stay hydrated. 62 00:02:20,765 --> 00:02:22,350 Use the bathroom while there's time 63 00:02:22,433 --> 00:02:24,394 and meet back here for a full briefing in five minutes. 64 00:02:24,477 --> 00:02:27,188 - Brother, I'm so fucking glad to see you. - Heard it on the police scanner. 65 00:02:27,272 --> 00:02:30,733 - How many we expecting? - I don't know, but it doesn't sound good. 66 00:02:30,817 --> 00:02:33,153 Let's go to the back first in order. 67 00:02:33,236 --> 00:02:34,779 Those guys got to get out of there. 68 00:02:37,365 --> 00:02:39,325 How many patients can you take? 69 00:02:45,498 --> 00:02:47,041 Where do we put the disaster bins? 70 00:02:47,125 --> 00:02:49,419 Behavioral Health. That's now our central supply. 71 00:02:49,502 --> 00:02:50,503 Let's go. 72 00:02:51,796 --> 00:02:53,506 We got more bins coming. 73 00:02:55,049 --> 00:02:56,467 OK. 74 00:02:56,551 --> 00:02:57,886 Right side. 75 00:02:57,969 --> 00:02:59,679 Left side. 76 00:02:59,762 --> 00:03:02,056 I'm gonna need you to grab folding tables from facilities 77 00:03:02,140 --> 00:03:03,641 - to organize all this stuff. - Copy that. 78 00:03:03,725 --> 00:03:05,018 Go. Thank you. 79 00:03:05,101 --> 00:03:07,228 Code Triage, Emergency Department now. 80 00:03:07,312 --> 00:03:09,856 Code Triage, Emergency Department now. 81 00:03:11,733 --> 00:03:13,651 Blood Bank, call 7113. 82 00:03:13,735 --> 00:03:16,196 Blood Bank, call 7113. 83 00:03:18,239 --> 00:03:20,533 Thank you for your cooperation and understanding 84 00:03:20,617 --> 00:03:23,411 as we prepare for a mass-casualty event. 85 00:03:23,494 --> 00:03:27,123 Your medical records will be available to urgent care and Family Medicine. 86 00:03:27,207 --> 00:03:28,875 They know you're coming. 87 00:03:30,710 --> 00:03:34,005 OK, please make sure to take all your personal belongings with you. 88 00:03:34,088 --> 00:03:35,340 This is stupid. 89 00:03:35,423 --> 00:03:37,842 Sorry for any inconvenience, sir, but this is an emergency. 90 00:03:37,926 --> 00:03:40,720 This is an emergency room. It's fucking stupid. 91 00:03:40,803 --> 00:03:43,681 Olsen, get back here as soon as the waiting room is cleared. 92 00:03:43,765 --> 00:03:44,766 Copy that. 93 00:03:45,516 --> 00:03:46,517 Telemetry. 94 00:03:47,393 --> 00:03:48,811 OB/GYN. 95 00:03:48,895 --> 00:03:50,897 CCU. ICU. 96 00:03:50,980 --> 00:03:53,149 - Ortho. - MCI protocols. 97 00:03:53,233 --> 00:03:55,109 Make sure you bring all these gurneys and wheelchairs back. 98 00:03:55,193 --> 00:03:56,277 They're going to the ambulance bay. 99 00:03:56,361 --> 00:03:57,862 We need as many as we can get our hands on. 100 00:03:57,946 --> 00:03:58,932 What's next, Cap? 101 00:03:58,947 --> 00:04:00,365 Pharmacy needs to come down and open the PDS. 102 00:04:00,448 --> 00:04:01,950 They also need to bring up all the narcotics, 103 00:04:02,033 --> 00:04:03,701 paralytics, and sedatives that they can. 104 00:04:03,785 --> 00:04:05,370 - Consider it done. - Jake? 105 00:04:05,453 --> 00:04:08,039 Not yet, but you know teenagers. I'll keep trying. 106 00:04:08,122 --> 00:04:09,290 OK, maybe try his mom, Janey. 107 00:04:09,374 --> 00:04:11,334 She's in my phone. Tell her what's going on. 108 00:04:11,417 --> 00:04:14,003 And try Collins. See if you can get her to come back. 109 00:04:14,087 --> 00:04:15,296 Will do. 110 00:04:15,380 --> 00:04:16,673 OK, let's go. Let's go. 111 00:04:16,756 --> 00:04:18,299 Bring all these gurneys and wheelchairs back. 112 00:04:18,383 --> 00:04:20,093 They're all going to the ambulance bay. 113 00:04:22,011 --> 00:04:23,513 Hi. Can you just tell my sister, Becca, 114 00:04:23,596 --> 00:04:26,015 that I'm gonna be a little late picking her up? 115 00:04:29,394 --> 00:04:30,853 I don't know. 116 00:04:30,937 --> 00:04:33,940 Hey. Hey, Mom, I need you or Dad to come to the hospital right now 117 00:04:34,023 --> 00:04:36,651 to pick up Harrison, or he's gonna be stuck here for hours. 118 00:04:36,734 --> 00:04:38,653 I know, I'll explain when you get here, OK? 119 00:04:38,736 --> 00:04:39,821 Love you. Bye. 120 00:04:40,571 --> 00:04:41,864 Hey. 121 00:04:41,948 --> 00:04:43,658 Can we leave yet? 122 00:04:45,868 --> 00:04:47,328 I can't, 123 00:04:47,412 --> 00:04:49,956 but Grandma and Grandpa are gonna come pick you up. 124 00:04:50,039 --> 00:04:52,333 And in the meantime, you can play some games. 125 00:04:53,042 --> 00:04:55,086 Can I watch a movie? 126 00:04:55,628 --> 00:04:57,255 Yes, but nothing scary. 127 00:04:58,256 --> 00:04:59,882 I mean it. 128 00:04:59,966 --> 00:05:02,260 And don't leave this room until I come get you, OK? 129 00:05:02,343 --> 00:05:03,428 OK, Mom. 130 00:05:03,511 --> 00:05:04,846 - Love you. - Bye. 131 00:05:04,929 --> 00:05:07,181 We're gonna be putting four gurneys in each of these trauma rooms, 132 00:05:07,265 --> 00:05:09,767 so make sure you stock both rooms to handle the additional patients. 133 00:05:09,851 --> 00:05:10,852 Not a problem. 134 00:05:10,935 --> 00:05:13,521 And let's broom all these WOWs, ultrasounds out of here. 135 00:05:13,604 --> 00:05:15,648 We're not gonna have time or space for anything but gurneys. 136 00:05:15,732 --> 00:05:16,733 OK. 137 00:05:16,816 --> 00:05:19,402 - Any word on what we're expecting? - Not yet. How's it looking upstairs? 138 00:05:19,485 --> 00:05:21,529 Should have all 25 ORs running within the hour. 139 00:05:21,612 --> 00:05:22,905 We could be buried by then. 140 00:05:22,989 --> 00:05:24,907 Everyone's rolling in as fast as they can. 141 00:05:24,991 --> 00:05:27,201 Surgery is ready. We're here. We're ready. 142 00:05:27,285 --> 00:05:29,203 - I am taking Primary ER. - Have at it. 143 00:05:29,287 --> 00:05:31,247 Who's taking Primary Surgery? 144 00:05:32,874 --> 00:05:34,292 Heavy is the head that wears the crown. 145 00:05:34,375 --> 00:05:35,501 Dr. Walsh. 146 00:05:35,585 --> 00:05:37,211 - Anesthesiology? - Gladden will be down. 147 00:05:37,295 --> 00:05:38,963 He's got four in place, more on the way. 148 00:05:39,047 --> 00:05:40,465 OK, this is yours. 149 00:05:40,548 --> 00:05:42,008 Thank you. What you got in there? 150 00:05:42,091 --> 00:05:45,219 A couple of CAT tourniquets, hemostatic dressings, LMAs. 151 00:05:45,303 --> 00:05:46,596 We got plenty of that stuff. 152 00:05:46,679 --> 00:05:49,599 Butterfly ultrasound works off a cell phone. 153 00:05:49,682 --> 00:05:50,683 - That's cool. - Yeah. 154 00:05:50,767 --> 00:05:53,603 But we're gonna send all the unstable chest and belly straight up to the OR. 155 00:05:53,686 --> 00:05:57,023 OK, everybody listen up. This is how it's going to work. 156 00:05:57,106 --> 00:05:59,650 Our ambulance bay is now our Triage. 157 00:05:59,734 --> 00:06:01,611 EMS will be overwhelmed. 158 00:06:01,694 --> 00:06:05,198 Most will probably arrive by car, several victims per vehicle. 159 00:06:05,281 --> 00:06:08,868 For all you newbies that don't know, Dr. Shen is our night shift attending. 160 00:06:08,951 --> 00:06:11,037 - John, I'm gonna put you on Point Triage. - Cool. 161 00:06:11,120 --> 00:06:14,040 Triage will decide who goes where depending on their injury. 162 00:06:14,123 --> 00:06:18,086 Every department will have a designated primary who will oversee their staff. 163 00:06:18,169 --> 00:06:20,254 If you need someone, look for the vest. 164 00:06:20,338 --> 00:06:24,175 We're all gonna have walkies. We can get you whatever you need. 165 00:06:24,258 --> 00:06:27,428 No patient goes into a room unless it's a trauma bay, 166 00:06:27,512 --> 00:06:29,013 and they will have four patients each. 167 00:06:29,097 --> 00:06:32,975 We need to keep everybody out in the open so we can keep an eye on everything, OK? 168 00:06:33,059 --> 00:06:36,437 Triage is gonna assess and assign every patient 169 00:06:36,521 --> 00:06:39,857 to a specific zone with a colored slap band. 170 00:06:39,941 --> 00:06:43,277 Patient who comes in with a red slap band goes to the Red Zone, 171 00:06:43,361 --> 00:06:45,446 which is the trauma rooms, with overflow out here. 172 00:06:45,530 --> 00:06:49,033 These are the most critical patients who will die without immediate attention. 173 00:06:49,117 --> 00:06:50,326 Samira, where are you? 174 00:06:50,410 --> 00:06:52,245 You are here with Dr. Abbot and me. 175 00:06:52,328 --> 00:06:53,913 Jack's gonna run traffic. 176 00:06:53,996 --> 00:06:56,124 We have five minutes to try and stabilize the reds. 177 00:06:56,207 --> 00:06:58,793 After that, it's OR, ICU, or morgue. 178 00:06:58,876 --> 00:07:01,671 The south and central common area over there will be the Pink Zone. 179 00:07:01,754 --> 00:07:04,715 That is for patients who will die in under an hour without treatment. 180 00:07:04,799 --> 00:07:06,759 McKay and Javadi, you are over there, 181 00:07:06,843 --> 00:07:09,429 with help from incoming night shift and surgical staff. 182 00:07:09,512 --> 00:07:11,472 Yellow Zone is the North Corridor. 183 00:07:11,556 --> 00:07:15,101 Those are gonna be mostly extremity wounds…good vitals, talking. 184 00:07:15,184 --> 00:07:18,396 Mel, you're gonna run point there with Santos and Whitaker. 185 00:07:19,564 --> 00:07:22,024 What if there's a pulseless extremity? 186 00:07:23,568 --> 00:07:26,487 If you can't feel a pulse, check for Doppler flow with this. 187 00:07:26,571 --> 00:07:27,905 It's a mini-ultrasound. 188 00:07:27,989 --> 00:07:29,699 Follow the screen prompts. 189 00:07:29,782 --> 00:07:31,701 But a yellow can change to a red if they go south. 190 00:07:31,784 --> 00:07:33,786 You got to stay on top of them, even if they seem stable. 191 00:07:33,870 --> 00:07:35,329 - OK, yeah. - You got this, Dr. King. 192 00:07:35,413 --> 00:07:37,915 Green…minor lacs and sprains. They go to Family Medicine. 193 00:07:37,999 --> 00:07:39,917 Black and white bands are DOA, imminent death. 194 00:07:40,001 --> 00:07:41,669 Pedes is now our morgue. 195 00:07:41,752 --> 00:07:44,338 Let's hope we don't get too many of these. 196 00:07:44,422 --> 00:07:46,048 We're a MASH unit now. 197 00:07:46,132 --> 00:07:50,052 There's no charting, no electronic medical records, no board. 198 00:07:50,136 --> 00:07:52,263 How do we document treatment? 199 00:07:52,346 --> 00:07:53,514 You'll all get Sharpies, 200 00:07:53,598 --> 00:07:56,350 and every patient has a wrist chart to document treatment and procedures. 201 00:07:56,434 --> 00:07:58,895 You run out of room, write on the patient's forehead. 202 00:07:58,978 --> 00:08:00,521 - Really? - Yeah, really. 203 00:08:00,605 --> 00:08:01,772 Each wrist chart has 204 00:08:01,856 --> 00:08:04,859 a unique mass-casualty-incident barcode and patient number. 205 00:08:04,942 --> 00:08:06,611 That's how the patients are gonna get identified. 206 00:08:06,694 --> 00:08:09,989 This is no-frills combat-zone medicine. 207 00:08:10,072 --> 00:08:13,034 No ultrasound, no X-rays, no CT, no labs. 208 00:08:13,117 --> 00:08:16,704 Assess based on mental status and pulse strength. 209 00:08:16,787 --> 00:08:19,874 Every critical patient gets an IO, intubation, 210 00:08:19,957 --> 00:08:22,043 a unit of blood, and chest tube if needed. 211 00:08:22,126 --> 00:08:24,378 Everything you need… blood, drugs, bandages… 212 00:08:24,462 --> 00:08:26,547 everything will be in the Behavioral Health rooms. 213 00:08:26,631 --> 00:08:28,424 That's our supply depot. 214 00:08:30,051 --> 00:08:32,678 Keep a couple of 11 blades in your pocket. 215 00:08:32,762 --> 00:08:36,474 Goal is to resuscitate ASAP so they'll make it upstairs for definitive care. 216 00:08:36,557 --> 00:08:38,184 Trauma surgery and neurosurgery 217 00:08:38,267 --> 00:08:40,019 will decide who goes up to the OR immediately 218 00:08:40,102 --> 00:08:43,314 and who goes to the ICU for further treatment and evaluation. 219 00:08:45,149 --> 00:08:46,609 Communicate. 220 00:08:46,692 --> 00:08:48,903 Ask for help if you need it. 221 00:08:48,986 --> 00:08:50,363 Trust your attendings. 222 00:08:50,446 --> 00:08:51,989 We will get through this together. 223 00:08:52,073 --> 00:08:53,407 Damn right we will. 224 00:08:53,491 --> 00:08:54,867 OK, you three, I want to talk to you. 225 00:08:57,703 --> 00:09:00,998 I need you three to raid Central Supply and bring back all the chest tubes, 226 00:09:01,082 --> 00:09:03,417 ET tubes, thora-seals, normal saline… 227 00:09:03,501 --> 00:09:04,585 I thought that was all in Behavioral Health. 228 00:09:04,669 --> 00:09:06,045 We can burn through all that in the first hour. 229 00:09:06,128 --> 00:09:07,797 West basement, just past nuclear medicine. 230 00:09:07,880 --> 00:09:09,215 - West basement. Got it. - Wait, wait, wait, wait, wait. 231 00:09:09,298 --> 00:09:10,424 Take one of these empty disaster bins 232 00:09:10,508 --> 00:09:12,009 so you can grab everything you get your hands on. 233 00:09:12,093 --> 00:09:14,178 - What's a disaster bin? - Empty plastic boxes right there. 234 00:09:14,262 --> 00:09:16,180 - You can't miss them. - Where's Collins? 235 00:09:16,264 --> 00:09:19,600 She went home, but Dana is calling her now. 236 00:09:19,684 --> 00:09:21,811 Don't worry. It's OK. We got plenty of people coming in. 237 00:09:21,894 --> 00:09:23,688 Just follow Dr. Abbot's lead. 238 00:09:24,522 --> 00:09:26,232 John, I'm gonna help you get started in Triage. 239 00:09:26,315 --> 00:09:27,817 Sounds good. 240 00:09:27,900 --> 00:09:29,777 Dana. What do you need? 241 00:09:29,860 --> 00:09:31,529 Prep the Yellow Zone for extremity wounds. 242 00:09:31,612 --> 00:09:33,447 We need a shitload of bandages, tourniquets, 243 00:09:33,531 --> 00:09:34,949 splint slings, and IV antibiotics. 244 00:09:35,032 --> 00:09:36,325 - I'm on it. - Yep. 245 00:09:37,535 --> 00:09:38,828 Myrna. 246 00:09:40,705 --> 00:09:42,081 Where the hell did Mryna go? 247 00:09:42,164 --> 00:09:43,833 Antoine, did you take the cuffs off Myrna? 248 00:09:43,916 --> 00:09:45,960 Hell, no. That woman scares the shit out of me. 249 00:09:46,043 --> 00:09:47,461 She keeps trying to bite me. 250 00:09:47,545 --> 00:09:49,422 Son of a bitch. 251 00:09:55,928 --> 00:09:57,471 That's a lot of wrist charts. 252 00:09:57,555 --> 00:09:58,639 300. 253 00:09:59,473 --> 00:10:01,100 Let's hope we don't need them all. 254 00:10:01,183 --> 00:10:04,270 Were you at the last mass-casualty faculty meeting? 255 00:10:04,353 --> 00:10:06,731 No. I was still a resident three months ago. 256 00:10:08,441 --> 00:10:09,442 Right. 257 00:10:11,694 --> 00:10:14,822 Well, one patient at a time, right? 258 00:10:14,905 --> 00:10:17,908 The goal is to triage each patient in ten seconds. 259 00:10:17,992 --> 00:10:19,744 Ten seconds, got it. 260 00:10:19,827 --> 00:10:21,037 Mental status is AVPU. 261 00:10:21,120 --> 00:10:24,373 Alert, response to verbal, response to pain, unresponsive. 262 00:10:24,457 --> 00:10:25,583 Yep. 263 00:10:25,666 --> 00:10:27,418 Next, do they have a pulse? 264 00:10:27,501 --> 00:10:30,004 Radial, carotid, or femoral tells you where to send them. 265 00:10:30,087 --> 00:10:31,589 - That's it. - OK. 266 00:10:32,798 --> 00:10:34,175 Cool. 267 00:10:34,258 --> 00:10:36,385 Oh, I heard it might rain today. 268 00:10:37,762 --> 00:10:39,513 - John? - Yeah, man. 269 00:10:39,597 --> 00:10:42,642 Mental status and pulse gives you everything you need. 270 00:10:42,725 --> 00:10:43,976 Cool. 271 00:10:44,060 --> 00:10:46,896 Unresponsive with no pulses, slap a black and white band on them, 272 00:10:46,979 --> 00:10:48,189 send them to the morgue. 273 00:10:49,607 --> 00:10:53,361 Responds to pain with a faint groan, weak femoral pulse, no radial? 274 00:10:53,986 --> 00:10:55,071 - Red. - Right. 275 00:10:55,154 --> 00:10:56,739 Slap a red band on them, send them back. 276 00:10:56,822 --> 00:10:58,783 Awake, alert with strong radial? 277 00:10:59,617 --> 00:11:00,603 Trick question. 278 00:11:00,618 --> 00:11:02,912 Could be green, Family Medicine for scrapes or sprains, 279 00:11:02,995 --> 00:11:05,289 but stable, penetrating extremity wounds go to yellow. 280 00:11:05,373 --> 00:11:07,541 - Perfect. - Dude, relax. 281 00:11:07,625 --> 00:11:09,960 I got the front door. You worry about the back. 282 00:11:14,340 --> 00:11:17,301 Hey, Paolo, everybody, let's put the heads of these gurneys up 30 degrees 283 00:11:17,385 --> 00:11:19,053 so they all roll in the right way. 284 00:11:19,136 --> 00:11:21,305 - Dr. Robby. - Did you talk to your son? 285 00:11:21,389 --> 00:11:23,891 No, but I have the form to put him on a psychiatric hold. 286 00:11:23,974 --> 00:11:25,851 A social worker signed it. 287 00:11:25,935 --> 00:11:27,728 - I just need you. - OK. 288 00:11:27,812 --> 00:11:29,605 You should probably go home, Theresa. 289 00:11:29,689 --> 00:11:31,399 This hospital is essentially closed. 290 00:11:31,482 --> 00:11:33,359 David wouldn't do this. 291 00:11:33,442 --> 00:11:34,944 I really hope you're right. 292 00:11:35,027 --> 00:11:36,570 I got four shooting victims. 293 00:11:37,655 --> 00:11:39,031 What's your name? 294 00:11:39,115 --> 00:11:40,116 Duncan. 295 00:11:40,199 --> 00:11:41,992 Show me. 296 00:11:42,076 --> 00:11:44,704 Right chest, strong radial. Pink. 297 00:11:44,787 --> 00:11:45,955 What's this? 298 00:11:46,038 --> 00:11:48,165 That's priority boarding. You're gonna be OK. 299 00:11:48,249 --> 00:11:50,418 Back wound is red. Shoulder is yellow. Neck wound is red. 300 00:11:51,252 --> 00:11:53,212 OK. Let's check out this van. 301 00:11:53,295 --> 00:11:54,296 Yeah. 302 00:11:57,675 --> 00:11:59,218 Hey. See that woman over there? 303 00:11:59,301 --> 00:12:00,720 - You need to speak to her. - Why? 304 00:12:00,803 --> 00:12:02,346 Her son had something to do with the shooting. 305 00:12:02,430 --> 00:12:04,265 I'm not sure for certain, but you need to talk to her. 306 00:12:04,348 --> 00:12:06,058 Shit. OK. 307 00:12:10,229 --> 00:12:12,148 - What's your name? - I'm Sylvia. 308 00:12:12,231 --> 00:12:13,399 This is my son, Omar. 309 00:12:13,482 --> 00:12:14,984 Omar, can you open your eyes for me? 310 00:12:15,067 --> 00:12:16,235 He's deaf. 311 00:12:16,318 --> 00:12:17,570 Gurney! 312 00:12:17,653 --> 00:12:19,280 Sir, can you hear me? 313 00:12:19,363 --> 00:12:20,865 Black and white, Pedes. 314 00:12:23,784 --> 00:12:24,785 Red zone. 315 00:12:25,703 --> 00:12:27,538 You need to let go now. One, two, three. 316 00:12:27,621 --> 00:12:28,998 I want to stay with my son. 317 00:12:29,081 --> 00:12:31,083 He will be very close by, I promise. 318 00:12:32,501 --> 00:12:33,794 What happened to your leg? 319 00:12:33,878 --> 00:12:35,629 I got hit by a car when we were wheeling him in. 320 00:12:35,713 --> 00:12:37,548 OK, we'll see you inside, too. 321 00:12:41,844 --> 00:12:43,220 You got this? I'll check back in a minute. 322 00:12:43,304 --> 00:12:44,472 No problema. 323 00:12:44,555 --> 00:12:46,015 Dr. Ellis, thanks for coming in early. 324 00:12:46,098 --> 00:12:48,142 - Put me in, Coach. - You're on Triage with Shen. 325 00:12:48,225 --> 00:12:49,643 - Ten seconds a patient, right? - You got it. 326 00:12:49,727 --> 00:12:52,521 - Let me know if you need any help. - Help. 327 00:12:56,317 --> 00:12:58,110 Behind you. Coming through. 328 00:13:00,863 --> 00:13:02,448 I'm in. 329 00:13:02,531 --> 00:13:04,533 - Bag her. - O-neg's pouring in. 330 00:13:05,659 --> 00:13:07,745 Stronger pulse. I'll take her up. 331 00:13:07,828 --> 00:13:10,956 Dr. Mohan, that kid came in with his mom. She says he's deaf. 332 00:13:11,040 --> 00:13:13,250 - Ready to go with the O-neg. - Wait, wait. Stop. 333 00:13:13,334 --> 00:13:15,461 O positive for males over 13, women over 55. 334 00:13:15,544 --> 00:13:16,921 O-neg for everybody else. 335 00:13:18,422 --> 00:13:19,673 Hook me up. 336 00:13:23,928 --> 00:13:25,888 - It's really pouring out. - Squeeze in two units. 337 00:13:25,971 --> 00:13:27,556 1500 out buys him a trip to the OR. 338 00:13:27,640 --> 00:13:30,142 If he stabilizes, surgical ICU instead. 339 00:13:30,226 --> 00:13:31,727 I'm gonna see who needs help. 340 00:13:31,811 --> 00:13:32,812 Yeah. 341 00:13:34,730 --> 00:13:36,482 IO's in. Go with O pos. 342 00:13:37,441 --> 00:13:40,361 When there's no time, bone marrow infusion is as good as an IV. 343 00:13:41,570 --> 00:13:43,405 Robby, stabilize for the flip. 344 00:13:46,534 --> 00:13:47,952 - Go. - OK. 345 00:13:48,953 --> 00:13:51,247 He's got a wound on both sides. He's gonna need two chest tubes. 346 00:13:51,330 --> 00:13:52,498 - Yeah. - Need a hand? 347 00:13:52,581 --> 00:13:53,999 Hell, no. I got two hands. 348 00:13:57,086 --> 00:13:58,087 Roll. 349 00:13:58,879 --> 00:14:01,590 OK, quick IO, Etomidate and sux, prep for the intubation. 350 00:14:09,390 --> 00:14:11,058 Got another one for yellow. 351 00:14:12,351 --> 00:14:13,936 Document the tourniquet time. 352 00:14:14,478 --> 00:14:16,188 Mark the arm. Mark the chart. 353 00:14:16,272 --> 00:14:17,857 Let it down briefly once an hour. 354 00:14:17,940 --> 00:14:20,568 - OK. - Four of morphine. Repeat if needed. 355 00:14:20,651 --> 00:14:22,319 Mel, this is Sylvia. 356 00:14:22,403 --> 00:14:24,113 Hi, Sylvia. I'm Dr. King. 357 00:14:26,240 --> 00:14:28,075 Looks like closed tib-fib fractures. 358 00:14:28,158 --> 00:14:30,870 Strong pedal pulses, great flow with the butterfly. 359 00:14:30,953 --> 00:14:33,789 - Great. - OK, I got separated from my son, Omar. 360 00:14:33,873 --> 00:14:35,666 He got shot in the chest. 361 00:14:35,749 --> 00:14:38,586 OK, I'll let you know as soon as I find out anything. 362 00:14:38,669 --> 00:14:41,171 He is deaf, ASL only. They need to know that. 363 00:14:41,255 --> 00:14:43,549 OK. I'll make sure it's in his chart. 364 00:14:43,632 --> 00:14:45,509 She needs X-rays…AP and lateral. 365 00:14:45,593 --> 00:14:47,761 Well, Radiology's gonna be closed for hours. 366 00:14:47,845 --> 00:14:49,972 Put her in a long CAM boot and pain meds. 367 00:14:50,055 --> 00:14:52,433 - We're just gonna make you comfortable. - Thank you. 368 00:14:56,562 --> 00:14:58,063 Coming in with clamps now. 369 00:14:58,147 --> 00:15:00,149 Environmental service manager to the ER. 370 00:15:00,232 --> 00:15:01,942 Environmental service manager to the ER. 371 00:15:02,026 --> 00:15:03,777 OK. Pressure dressing on this. 372 00:15:03,861 --> 00:15:04,862 OK. 373 00:15:06,572 --> 00:15:09,158 - What if he dropped a lung? - Then I'll throw in a pigtail. 374 00:15:11,285 --> 00:15:13,162 - Who needs help? - Everyone. 375 00:15:13,245 --> 00:15:15,164 Pinks are supposed to be stable for the next hour. 376 00:15:15,247 --> 00:15:16,582 If you think they need the OR sooner, 377 00:15:16,665 --> 00:15:18,459 - send them to the red zone. - Will do. 378 00:15:19,668 --> 00:15:22,421 I got this. Go with your mom… I mean, Dr. Shamsi. 379 00:15:27,968 --> 00:15:29,386 How we doing in here? 380 00:15:29,470 --> 00:15:32,056 So far, so good. Blood's primed and ready. 381 00:15:32,139 --> 00:15:33,849 1500 CCs. Time for the OR now? 382 00:15:33,933 --> 00:15:35,476 Definitely. Move him up. 383 00:15:40,064 --> 00:15:41,857 17-year-old with a right chest wound? 384 00:15:41,941 --> 00:15:43,275 Going up to the OR now. 385 00:15:44,276 --> 00:15:45,486 Hold on one second. 386 00:15:46,904 --> 00:15:48,906 They need to know he's deaf when he wakes up. 387 00:15:50,449 --> 00:15:53,661 - Not a lot of test tube output here. - Looks like this one's renal. 388 00:15:53,744 --> 00:15:55,704 Golden ticket…directly to surgery. 389 00:15:58,499 --> 00:15:59,833 That's 3 out of 4 ORs down. 390 00:15:59,917 --> 00:16:03,253 Another 4 about to open, and all 25 will be ready by the time we need them. 391 00:16:03,337 --> 00:16:05,464 - We could be buried by then. - No, you won't. 392 00:16:05,547 --> 00:16:08,884 We'll blast through these, tying off bleeders and slapping on vacuum dressings. 393 00:16:08,968 --> 00:16:11,095 We'll finish the job in a day or two when the dust settles. 394 00:16:12,096 --> 00:16:14,014 Unresponsive, had a weak femoral, lost it. 395 00:16:14,098 --> 00:16:16,433 Two units of blood. If there's no response, call it. 396 00:16:16,517 --> 00:16:17,935 No pulse, no OR. 397 00:16:18,018 --> 00:16:19,603 Gunshot to the head. 398 00:16:19,687 --> 00:16:21,855 - Through and through? - Yeah, we still got a strong pulse. 399 00:16:21,939 --> 00:16:23,649 This one can make it because the intracranial bleed 400 00:16:23,732 --> 00:16:25,025 can decompress through the bullet holes. 401 00:16:25,109 --> 00:16:26,860 Walsh, neurosurgery in house? 402 00:16:26,944 --> 00:16:29,613 Yes, send him to the neurocrit ICU. They'll triage from there. 403 00:16:31,740 --> 00:16:34,076 - OK, you guys good in here? You got this? - We got this. 404 00:16:34,159 --> 00:16:35,911 Bring me a few more before I get bored. 405 00:16:36,996 --> 00:16:38,539 ER immediately. 406 00:16:38,622 --> 00:16:41,333 All available transport to the ER immediately. 407 00:16:41,417 --> 00:16:42,876 Through and through? 408 00:16:42,960 --> 00:16:44,461 It doesn't look like it. 409 00:16:44,545 --> 00:16:46,338 Getting backed up out there. 410 00:16:53,971 --> 00:16:55,264 Good view of the chords. 411 00:16:55,347 --> 00:16:56,890 Easy peasy, I'm in. 412 00:16:56,974 --> 00:16:58,308 Bag her up. 413 00:16:58,392 --> 00:17:00,060 We have more ambulances coming. 414 00:17:00,144 --> 00:17:01,520 End tidal CO2 looking good. 415 00:17:01,603 --> 00:17:02,980 20 French on a kelly. 416 00:17:03,063 --> 00:17:04,565 What the fuck are you doing? 417 00:17:04,648 --> 00:17:06,316 - I'm saving lives. - You should not be here. 418 00:17:06,400 --> 00:17:07,609 None of these people should be here. 419 00:17:09,695 --> 00:17:10,821 Larry, Larry! 420 00:17:10,904 --> 00:17:12,406 Head wounds don't go to yellow. 421 00:17:12,489 --> 00:17:14,366 - Wait, what? - Triage says yellow. 422 00:17:14,450 --> 00:17:15,909 - Hold on. - Go. 423 00:17:15,993 --> 00:17:18,620 I've got this. Trust me. 424 00:17:18,704 --> 00:17:20,164 Oh, we're a little late for that. 425 00:17:21,290 --> 00:17:23,417 Any available transport to the ER now. 426 00:17:23,500 --> 00:17:25,919 Any available transport to the ER now. 427 00:17:26,003 --> 00:17:28,964 This is Grayson Cooper, 68. Bullet grazed his scalp. 428 00:17:29,048 --> 00:17:30,507 I got lucky. Dude just clipped me. 429 00:17:30,591 --> 00:17:31,759 Let me see. Got a headache? 430 00:17:31,842 --> 00:17:33,343 Not really. A little burning. 431 00:17:33,427 --> 00:17:34,928 - Good for yellow. - Been to a million concerts. 432 00:17:35,012 --> 00:17:36,764 Whatever happened to peace and love, man? 433 00:17:36,847 --> 00:17:38,390 That's a great question. 434 00:17:40,267 --> 00:17:41,268 It should be numb. 435 00:17:41,351 --> 00:17:43,270 Israeli bandage starts with hemostatic gauze 436 00:17:43,353 --> 00:17:45,522 then turns into a pressure dressing. 437 00:17:45,606 --> 00:17:47,900 - Is that arterial? - No, but it's bleeding pretty briskly. 438 00:17:47,983 --> 00:17:50,694 OK, change it to a tourniquet only if it soaks through. 439 00:17:50,778 --> 00:17:52,780 I got a superficial scalp wound. 440 00:17:52,863 --> 00:17:54,698 Wrap it tight with frequent neuro checks. 441 00:17:54,782 --> 00:17:56,533 - I need to assess your injury. - I'm fine. 442 00:17:56,617 --> 00:17:59,119 Help the others first, please. I'm fine. 443 00:17:59,203 --> 00:18:02,331 - Sir, are you taking any medication? - Just medicinal marijuana. 444 00:18:02,414 --> 00:18:04,041 Yeah? What do you take that for? 445 00:18:04,625 --> 00:18:05,834 Everything. 446 00:18:05,918 --> 00:18:08,837 - IVs on everyone. - I need some help over here. 447 00:18:09,671 --> 00:18:10,839 How is my son? 448 00:18:11,548 --> 00:18:14,343 Omar. He was shot in the chest. We were in the plumber van. 449 00:18:14,426 --> 00:18:16,720 He is upstairs with the surgeons in the OR. 450 00:18:16,804 --> 00:18:18,388 I will come and find you when I know more. 451 00:18:19,389 --> 00:18:20,641 Coming through! 452 00:18:33,112 --> 00:18:35,072 Jesse, hang a unit, then right up to the OR. 453 00:18:37,282 --> 00:18:39,785 - She shot? - No, looks like she got trampled. 454 00:18:39,868 --> 00:18:41,870 Unresponsive in the field. Three more in the rig. 455 00:18:42,871 --> 00:18:43,914 Hey, Javadi! 456 00:18:43,997 --> 00:18:46,500 Got a possible blunt head trauma here. 457 00:18:46,583 --> 00:18:47,876 Pupils are good. 458 00:18:49,253 --> 00:18:50,254 Strong pulses. 459 00:18:50,337 --> 00:18:52,089 OK, assess for blunt head, chest, belly. 460 00:18:52,172 --> 00:18:54,049 - With who? - Anybody. 461 00:18:54,133 --> 00:18:56,385 - How are we doing? - Heads above water so far. 462 00:18:56,468 --> 00:18:57,594 Anything about the shooter? 463 00:18:57,678 --> 00:18:59,596 Haven't heard, but I'll try and get an update. 464 00:18:59,680 --> 00:19:01,682 - I see Langdon's back. - Yeah, not by choice. 465 00:19:01,765 --> 00:19:03,392 I'll deal with that when this shift is over. 466 00:19:03,475 --> 00:19:05,060 - Collins? - Not answering. 467 00:19:05,686 --> 00:19:07,729 I told her to turn off her fucking phone. 468 00:19:07,813 --> 00:19:09,481 Keep trying her. Jake? 469 00:19:09,565 --> 00:19:10,649 No. 470 00:19:10,732 --> 00:19:12,025 But I got his mom on the landline. 471 00:19:12,109 --> 00:19:14,027 Told her to call both of us when she reaches him. 472 00:19:14,111 --> 00:19:15,111 - OK. - Yep. 473 00:19:15,154 --> 00:19:17,406 Environmental services manager to the ER. 474 00:19:17,489 --> 00:19:19,032 One for pink and one for green. 475 00:19:19,116 --> 00:19:20,367 - On it. - I'm sorry. 476 00:19:20,450 --> 00:19:22,202 All press needs to stay in the waiting room. 477 00:19:22,286 --> 00:19:24,371 Come on, man, two minutes. The public needs to know what's going on. 478 00:19:24,454 --> 00:19:25,914 Front of the hospital! 479 00:19:25,998 --> 00:19:27,916 Pedestrian entrance. I'm not telling you again. 480 00:19:30,669 --> 00:19:31,920 What's this? 481 00:19:32,004 --> 00:19:33,422 Responds to pain only, thready pulse, 482 00:19:33,505 --> 00:19:35,048 chest wall contusions with boot prints on his shirt. 483 00:19:35,132 --> 00:19:36,925 - Yellow here, a wheelchair. - OK, sounds good. 484 00:19:37,009 --> 00:19:38,218 Do you need anything? 485 00:19:38,302 --> 00:19:41,096 Well, I was hoping for Thanksgiving and Christmas off this year. 486 00:19:42,097 --> 00:19:43,599 But we can talk about it later. 487 00:19:45,309 --> 00:19:47,102 For proper chest tube placement, 488 00:19:47,186 --> 00:19:49,062 keep going until the last fenestration is intrathoracic. 489 00:19:49,146 --> 00:19:51,023 - OK, stop. - What? 490 00:19:51,106 --> 00:19:52,858 I don't need you teaching me right now. 491 00:19:52,941 --> 00:19:55,861 - You're already an expert? - Read the fucking room, Mom! 492 00:19:58,280 --> 00:19:59,364 3-0 silk. 493 00:19:59,448 --> 00:20:02,326 I'm about to place a horizontal mattress, in case you're wondering. 494 00:20:05,954 --> 00:20:07,539 Looks like you've got this. 495 00:20:09,583 --> 00:20:11,543 This one should go to yellow. 496 00:20:13,420 --> 00:20:15,214 Hey, could you help me? 497 00:20:17,633 --> 00:20:19,551 Soaked through his pressure dressing. 498 00:20:20,260 --> 00:20:22,346 OK, yeah, we can fix that with Raney Clips. 499 00:20:22,429 --> 00:20:23,680 What are those? 500 00:20:23,764 --> 00:20:25,515 They use them in neurosurgery to clamp off the scalp 501 00:20:25,599 --> 00:20:27,059 - before opening the skull. - All right. 502 00:20:27,142 --> 00:20:28,685 I'll be right back. Santos, keep pressure. 503 00:20:28,769 --> 00:20:30,687 You guys are swamped. I got this. 504 00:20:30,771 --> 00:20:32,189 It takes a village. 505 00:20:34,650 --> 00:20:36,443 Sylvia. Sylvia? 506 00:20:36,526 --> 00:20:38,278 Whitaker! Sylvia. 507 00:20:38,362 --> 00:20:39,655 Sylvia, can you hear me? 508 00:20:39,738 --> 00:20:41,907 Sylvia, can you hear me? 509 00:20:41,990 --> 00:20:44,034 - I lost her radial pulse. - From a broken leg? 510 00:20:44,117 --> 00:20:46,119 - Well, what did we miss? - I don't know. Heart attack? 511 00:20:46,203 --> 00:20:47,537 Another injury from the car crash? 512 00:20:47,621 --> 00:20:49,790 - That's for pulses. - It has an EFAST mode. 513 00:20:54,711 --> 00:20:57,714 Diagnosis made. Blood in Morrison's, liver laceration. 514 00:20:57,798 --> 00:21:00,550 Car hit the belly. Leg was a distracting injury. 515 00:21:00,634 --> 00:21:03,178 Drill in an IO. I'm gonna get some blood, and then we'll move her to pink. 516 00:21:07,641 --> 00:21:09,309 Just sent another up to the OR. 517 00:21:09,393 --> 00:21:11,103 - I got room for one more red. - On it. 518 00:21:11,186 --> 00:21:12,396 Didn't make it. Going to Pedes. 519 00:21:12,479 --> 00:21:13,730 Another red in Trauma One. 520 00:21:13,814 --> 00:21:15,023 Copy that. 521 00:21:17,651 --> 00:21:20,028 - Dana, if I… - Careful, kid. 522 00:21:20,112 --> 00:21:22,698 I need Raney Clips and a unit of O-neg. 523 00:21:22,781 --> 00:21:24,324 Raneys will have to come down from the OR. 524 00:21:24,408 --> 00:21:25,742 - I need them now. - OK. 525 00:21:25,826 --> 00:21:26,952 OK, I'll get them. 526 00:21:27,035 --> 00:21:28,036 O-neg here. 527 00:21:29,913 --> 00:21:31,581 - There you go. - Thanks. 528 00:21:31,665 --> 00:21:33,375 We need EVS with a mop. 529 00:21:33,458 --> 00:21:35,252 Not much blood, but a big rush of air. 530 00:21:35,335 --> 00:21:37,754 Got trampled. Collapsed his lung. Tension pneumo. 531 00:21:37,838 --> 00:21:39,172 - Who intubated? - I did. 532 00:21:39,256 --> 00:21:40,674 Mohan is on fire. 533 00:21:40,757 --> 00:21:41,967 - Pulse is coming up. - OK, great. 534 00:21:42,050 --> 00:21:43,427 Slide to pink as soon as there's room. 535 00:21:43,510 --> 00:21:44,928 Got it. 536 00:21:45,012 --> 00:21:47,639 Hey, how many ORs available? 537 00:21:47,723 --> 00:21:49,725 One now. Two more in less than five. 538 00:21:49,808 --> 00:21:51,810 Can you take a belly and one more chest in pre? 539 00:21:51,893 --> 00:21:52,894 No problem. 540 00:21:52,978 --> 00:21:55,272 MCI 21 is going to ICU. I'll be back. 541 00:21:55,355 --> 00:21:56,523 Got it. 542 00:21:56,606 --> 00:21:57,858 Red Zone, Red Zone. 543 00:21:57,941 --> 00:21:59,568 Environmental service manager to the ER. 544 00:21:59,651 --> 00:22:01,653 Three West is full. Take them to Two South. 545 00:22:02,654 --> 00:22:05,449 I need Xeroform, cut 4x4s, and elastoplast tape. 546 00:22:05,532 --> 00:22:07,326 You're here! 547 00:22:07,409 --> 00:22:09,328 In the flesh. What do you got? 548 00:22:10,078 --> 00:22:11,246 Auto versus ped. 549 00:22:11,330 --> 00:22:13,123 We thought it was just a tib-fib fracture. 550 00:22:13,206 --> 00:22:15,042 Then we found an occult liver laceration. 551 00:22:15,125 --> 00:22:16,543 Leg is low priority right now. 552 00:22:16,626 --> 00:22:19,087 If she stabilizes with blood, she can wait an hour for the OR. 553 00:22:19,171 --> 00:22:20,756 - And if not? - Front of the line, baby. 554 00:22:20,839 --> 00:22:22,341 Her son's in the OR with a GSW to the chest. 555 00:22:22,424 --> 00:22:24,468 Sweet. Family reunion in post-op. 556 00:22:24,551 --> 00:22:27,804 Whitaker, I'll be right back once this unit's in. 557 00:22:27,888 --> 00:22:28,889 Hey! 558 00:22:29,598 --> 00:22:30,849 Good catch, you two. 559 00:22:30,932 --> 00:22:33,852 Hey, Langdon, we're out of Xeroform. I'll try to find some. 560 00:22:33,935 --> 00:22:35,103 Come on, Sylvia. 561 00:22:38,106 --> 00:22:40,150 Oh, I'm sorry, sir. The ER is closed. 562 00:22:40,233 --> 00:22:41,818 You'll have to exit out the pedestrian entrance. 563 00:22:41,902 --> 00:22:43,028 I'm a patient. 564 00:22:43,111 --> 00:22:44,821 Then you need to go to Family Medicine in Building 8. 565 00:22:44,905 --> 00:22:46,573 No, I'm waiting for surgery on the fourth floor. 566 00:22:46,656 --> 00:22:48,200 OK, well, then go back to your bed. 567 00:22:48,283 --> 00:22:49,785 My son is down here. 568 00:22:49,868 --> 00:22:52,537 I'm sorry, sir, but no one's in and out unless they're on a gurney. 569 00:22:54,498 --> 00:22:59,252 OK, look, my wife is an ER doc, Dr. McKay. 570 00:22:59,336 --> 00:23:01,963 She needs me to get our son home. He's in the staff lounge. 571 00:23:04,341 --> 00:23:06,134 - All right, make it quick. - Thank you. 572 00:23:07,844 --> 00:23:09,846 But, hey… 573 00:23:09,930 --> 00:23:11,515 I am timing you. 574 00:23:11,598 --> 00:23:13,475 If you're not back in five, I'm coming after you. 575 00:23:13,558 --> 00:23:14,726 - Yeah. - Got it? 576 00:23:14,810 --> 00:23:16,353 - Yeah, OK. - Yeah, OK. 577 00:23:18,980 --> 00:23:21,149 - I need a tourniquet now! - Need some help over here. 578 00:23:22,526 --> 00:23:24,444 Back looks good. No exit wounds. 579 00:23:24,528 --> 00:23:26,113 Red Zone! 580 00:23:26,196 --> 00:23:27,948 OK, I'll be right back. 581 00:23:30,826 --> 00:23:32,285 - Javadi, IO. - Yeah. 582 00:23:34,162 --> 00:23:35,247 Here too. 583 00:23:35,330 --> 00:23:36,873 Sux is on board. 584 00:23:36,957 --> 00:23:39,167 - She's not breathing. - I got it. 585 00:23:43,380 --> 00:23:44,548 I'm in. Bag her. 586 00:23:46,174 --> 00:23:47,926 Chad, what are you doing here? 587 00:23:48,009 --> 00:23:50,637 They postponed my surgery. 588 00:23:50,720 --> 00:23:52,097 You can't be in here. 589 00:23:52,180 --> 00:23:54,724 Go sit with Harrison in the staff lounge! 590 00:23:54,808 --> 00:23:56,810 - OK. OK. - Now! 591 00:24:02,190 --> 00:24:03,483 I got it! I'm trying! 592 00:24:03,567 --> 00:24:05,777 Another one for the morgue. Heading to Pedes. 593 00:24:20,959 --> 00:24:22,210 Hey, buddy. 594 00:24:23,378 --> 00:24:25,088 Did you have your surgery? 595 00:24:25,172 --> 00:24:26,798 No, it got delayed. 596 00:24:27,799 --> 00:24:29,301 Ready to go home? 597 00:24:29,384 --> 00:24:31,928 Mom said that Grandma and Grandpa McKay were picking me up. 598 00:24:32,012 --> 00:24:35,140 Yeah, I'm not sure they can get here right now, and neither can Chloe. 599 00:24:35,223 --> 00:24:37,726 But, you know, we can Uber to my place. 600 00:24:39,019 --> 00:24:41,563 I'd rather go home with Mom if that's OK. 601 00:24:43,607 --> 00:24:47,068 Your mom's got her hands full, dude, and I think she's gonna be here pretty late. 602 00:24:47,152 --> 00:24:48,487 I can wait. 603 00:24:50,238 --> 00:24:51,239 OK. 604 00:24:52,240 --> 00:24:53,450 Yeah, OK. 605 00:25:03,460 --> 00:25:05,545 - Should we watch something? - You want to watch a movie? 606 00:25:05,629 --> 00:25:07,088 Yeah, sure. 607 00:25:07,172 --> 00:25:08,798 What do you got on there? 608 00:25:08,882 --> 00:25:10,592 Not much. 609 00:25:10,675 --> 00:25:12,427 That's one unit in. 610 00:25:12,511 --> 00:25:14,387 Her pulse is stronger, but she needs more blood. 611 00:25:14,471 --> 00:25:16,806 Not today. Only one unit if the pulse picks up. 612 00:25:16,890 --> 00:25:18,391 We're already rationing our blood supply. 613 00:25:18,475 --> 00:25:20,519 - What if we run out? - Who wanted Raney Clips? 614 00:25:20,602 --> 00:25:22,145 Oh, me! Thank you. 615 00:25:22,229 --> 00:25:25,106 - I thought you left. - All hands on deck, right? 616 00:25:25,190 --> 00:25:26,525 Is there any word on Omar? 617 00:25:26,608 --> 00:25:29,277 He's this woman's deaf son. Teenage boy shot in the chest? 618 00:25:29,361 --> 00:25:31,905 Kid got lucky. Missed the aorta. He should pull through. 619 00:25:31,988 --> 00:25:33,865 That's amazing. Well, her name is Sylvia. 620 00:25:33,949 --> 00:25:36,284 Would you please tell her about her son when she wakes up? 621 00:25:36,368 --> 00:25:37,661 What are you using to… 622 00:25:39,287 --> 00:25:42,082 Mateo, MCI-29 goes to the OR… 623 00:25:45,085 --> 00:25:47,420 - What's this? - Unresponsive even to pain. 624 00:25:47,504 --> 00:25:48,505 No GSW. 625 00:25:48,588 --> 00:25:51,007 Strong pulse, but tachycardic and diaphoretic. 626 00:25:51,091 --> 00:25:53,051 Looking for internal hemorrhage. 627 00:25:53,927 --> 00:25:55,720 - FAST negative. - Help me roll her. 628 00:25:55,804 --> 00:25:58,223 All transport to the ER immediately. 629 00:25:58,306 --> 00:25:59,307 - Tim! - Yeah. 630 00:25:59,391 --> 00:26:00,600 - Amp of D50, now. - Got it. 631 00:26:00,684 --> 00:26:02,602 - Seriously? - Look…glucose monitor. 632 00:26:02,686 --> 00:26:04,229 She's diabetic and probably hypoglycemic. 633 00:26:04,312 --> 00:26:06,022 - So check the blood sugar. - No time for that. 634 00:26:06,106 --> 00:26:08,233 Still could be head trauma. If it's DKA, you're making it worse. 635 00:26:08,316 --> 00:26:10,443 My Spidey sense is telling me she took her morning insulin, 636 00:26:10,527 --> 00:26:11,611 but she skipped lunch. 637 00:26:11,695 --> 00:26:13,822 She's in a coma from low blood sugar. 638 00:26:13,905 --> 00:26:16,491 Will you look at that? These are healing hands. 639 00:26:16,575 --> 00:26:18,034 Too bad they're so tiny. 640 00:26:18,118 --> 00:26:19,953 Hello. What's your name? 641 00:26:20,036 --> 00:26:21,246 Dawn. 642 00:26:21,329 --> 00:26:23,832 - Where am I? - Pittsburgh Trauma Medical Center. 643 00:26:23,915 --> 00:26:25,834 You dropped your blood sugar, but you're gonna be OK. 644 00:26:25,917 --> 00:26:28,044 Guess you don't need me here. Don't even say it. 645 00:26:29,254 --> 00:26:30,547 Let's get her to yellow. 646 00:26:31,423 --> 00:26:33,049 What happened? 647 00:26:33,133 --> 00:26:35,051 There was a shooting at PittFest. 648 00:26:35,135 --> 00:26:36,970 But you're safe now. 649 00:26:37,053 --> 00:26:38,847 Whatever you can spare. Thanks. 650 00:26:38,930 --> 00:26:41,725 MCI-33 to yellow for monitoring. 651 00:26:42,559 --> 00:26:43,727 What are you doing? 652 00:26:43,810 --> 00:26:46,062 Ran out of laryngoscopes. No time to autoclave. 653 00:26:46,146 --> 00:26:47,147 Oh, man. 654 00:26:47,230 --> 00:26:50,275 Almost out of chest tubes, too. More coming from Presby. 655 00:26:50,358 --> 00:26:51,693 We're running very low on O-neg. 656 00:26:51,776 --> 00:26:54,195 - Perfect storm. - Yeah. 657 00:26:55,947 --> 00:26:57,991 I got a pink coming in! 658 00:26:59,242 --> 00:27:00,869 Do you feel anything, Grayson? 659 00:27:00,952 --> 00:27:02,162 No pain. 660 00:27:02,245 --> 00:27:04,414 Just a lot of sadness for the world we live in. 661 00:27:04,497 --> 00:27:06,583 - I hear you. - Any room at the inn? 662 00:27:06,666 --> 00:27:07,917 What's her story? 663 00:27:08,001 --> 00:27:11,338 This is Dawn, no trauma, insulin reaction, responded to D50. 664 00:27:11,421 --> 00:27:13,298 - D10 at 100 an hour? - Perfect. 665 00:27:13,381 --> 00:27:15,800 And I borrowed your butterfly. It's on the gurney. 666 00:27:15,884 --> 00:27:17,344 - So just like that. - Yep. 667 00:27:17,427 --> 00:27:19,638 - What are you doing? - Treating the patient. 668 00:27:20,597 --> 00:27:21,806 Raney Clips. 669 00:27:21,890 --> 00:27:24,100 Clamping off a bunch of sub-Q bleeders. 670 00:27:24,184 --> 00:27:26,061 Good work. Keep it up. 671 00:27:27,896 --> 00:27:29,522 Yep, perfect. That's it. 672 00:27:29,606 --> 00:27:31,191 Room for another pink. 673 00:27:32,984 --> 00:27:34,736 - I need suction! - We don't have any. 674 00:27:34,819 --> 00:27:36,613 Too many secretions. I can't see shit. 675 00:27:36,696 --> 00:27:38,114 Here, wipe it out with 4x4s. 676 00:27:38,198 --> 00:27:39,324 Are you kidding me? 677 00:27:39,407 --> 00:27:41,117 You guys have a fiberoptic laryngoscope? 678 00:27:41,201 --> 00:27:43,036 - Nope, just a rigid Glidescope. - That'll do. 679 00:27:43,119 --> 00:27:44,704 Except we don't have any room for it, so just pull out, 680 00:27:44,788 --> 00:27:46,247 and we'll bag for a minute. 681 00:27:47,415 --> 00:27:48,541 When did this guy last eat? 682 00:27:48,625 --> 00:27:50,543 We never know down here. Let me get in there. 683 00:27:50,627 --> 00:27:53,088 I'll keep cricoid pressure. If he vomits, we're fucked. 684 00:27:53,171 --> 00:27:54,297 Doctor. 685 00:27:54,381 --> 00:27:55,590 We may need a surgical airway. 686 00:27:55,674 --> 00:27:56,883 Hold on, hold on, hold on, hold on. 687 00:27:56,966 --> 00:27:58,426 Oh, yeah. This is a tough one. 688 00:27:59,135 --> 00:28:01,388 Oh, yeah, this one looks tough. 689 00:28:01,471 --> 00:28:03,223 - No shit. Prep the neck? - Hold on. 690 00:28:03,306 --> 00:28:04,307 - McKay? - Yeah. 691 00:28:04,391 --> 00:28:06,059 Come over here and just give me a chest compression. 692 00:28:06,142 --> 00:28:07,519 CPR? Did we lose the pulse? 693 00:28:07,602 --> 00:28:09,229 No, just give me one good push. 694 00:28:09,312 --> 00:28:10,730 Yep. OK, two. 695 00:28:10,814 --> 00:28:12,232 And do it again. 696 00:28:15,902 --> 00:28:16,945 OK. 697 00:28:17,028 --> 00:28:18,655 I think I am in. 698 00:28:18,738 --> 00:28:20,448 - Bag him. - Check the end tidal. 699 00:28:21,574 --> 00:28:23,493 - Yellow. We're good. - How'd you do that? 700 00:28:23,576 --> 00:28:24,577 Bubble intubation. 701 00:28:24,661 --> 00:28:26,746 You gave the compression, I followed the air bubbles up. 702 00:28:26,830 --> 00:28:28,373 More than one way to tube a cat. 703 00:28:28,456 --> 00:28:29,624 Coming through. 704 00:28:29,708 --> 00:28:31,084 Robby! 705 00:28:31,167 --> 00:28:32,544 Now, please! 706 00:28:32,627 --> 00:28:33,628 Imagine that. 707 00:28:35,255 --> 00:28:36,589 Anything from Jake? 708 00:28:36,673 --> 00:28:38,216 How much room do we have in pink? 709 00:28:38,299 --> 00:28:41,678 Intubated chest tube, but massive subcutaneous emphysema. 710 00:28:41,761 --> 00:28:43,972 Air from the chest is leaking under the skin. 711 00:28:44,055 --> 00:28:45,682 - Losing the pulse. - What do you think? 712 00:28:45,765 --> 00:28:47,308 Tamponade from pneumomediastinum. 713 00:28:47,392 --> 00:28:49,144 About to cut blowhole incisions to release the air? 714 00:28:49,227 --> 00:28:51,271 Do it. Infraclavicular. 715 00:28:52,063 --> 00:28:53,064 Yep. 716 00:29:01,406 --> 00:29:03,074 Pulse is coming up. Nicely done. 717 00:29:03,158 --> 00:29:05,285 OK, send him to cardiothoracic ICU. 718 00:29:11,499 --> 00:29:14,085 We'll get you pain medicine. A nurse will be by soon. 719 00:29:17,589 --> 00:29:19,549 - Hey, where'd this guy go? - Which patient? 720 00:29:19,632 --> 00:29:22,635 MCI-28, arm injury who refused treatment? 721 00:29:22,719 --> 00:29:24,053 Maybe he left? 722 00:29:24,137 --> 00:29:25,722 With a gunshot wound? 723 00:29:30,894 --> 00:29:32,145 Hey! 724 00:29:32,228 --> 00:29:35,023 - Hey, what the hell are you doing? - I'm fine. Leave me alone. 725 00:29:35,106 --> 00:29:36,733 - You can't do that. - Back off. 726 00:29:40,320 --> 00:29:41,738 I need security in here! 727 00:29:43,948 --> 00:29:45,200 Hey! 728 00:29:50,622 --> 00:29:51,956 Nice move, Slick. 729 00:29:52,540 --> 00:29:53,541 What happened? 730 00:29:56,002 --> 00:29:57,128 Fucker! 731 00:29:58,171 --> 00:30:00,840 I think this guy stole a victim's hoodie and faked an injury to get inside. 732 00:30:00,924 --> 00:30:02,425 He's probably a fucking reporter. 733 00:30:02,509 --> 00:30:03,760 - Asshole. - What? 734 00:30:03,843 --> 00:30:06,137 Hey! Hey, wake up, you faker! 735 00:30:07,972 --> 00:30:09,724 Yep, he responds to pain. 736 00:30:09,808 --> 00:30:11,726 Perlah, blunt head trauma goes to pink. 737 00:30:11,810 --> 00:30:14,145 Soft restraints, six hours observation. 738 00:30:14,646 --> 00:30:16,272 - Gurney to the hub. - Be right back. 739 00:30:16,356 --> 00:30:17,816 I'm fine. 740 00:30:17,899 --> 00:30:19,984 Yeah, great, you can give a statement to the cops. 741 00:30:20,068 --> 00:30:21,069 - Get him out of here. - Yeah. 742 00:30:21,152 --> 00:30:22,529 Where's my phone? 743 00:30:24,447 --> 00:30:25,782 My bad. 744 00:30:30,954 --> 00:30:32,080 Chest tube, please. 745 00:30:32,163 --> 00:30:34,040 - We're out of chest tubes. - What the hell? 746 00:30:34,123 --> 00:30:36,042 You could have told me that before we started. 747 00:30:36,125 --> 00:30:37,502 - Well, I didn't know. - I already made the incision. 748 00:30:37,585 --> 00:30:39,003 Now what am I supposed to do? 749 00:30:39,796 --> 00:30:42,465 - What about this? - An ET tube? 750 00:30:42,549 --> 00:30:43,550 A tube's a tube. 751 00:30:43,633 --> 00:30:45,718 And if you inflate the balloon, it won't pull out. 752 00:30:45,802 --> 00:30:47,178 Fine. Set up a Thoraseal. 753 00:30:47,262 --> 00:30:49,305 - Out of those, too. - For the love of God! 754 00:30:49,389 --> 00:30:50,557 Urine bag? 755 00:30:50,640 --> 00:30:52,016 How am I supposed to connect to that? 756 00:30:52,100 --> 00:30:54,227 Christmas tree adapter. It'll work. 757 00:30:55,603 --> 00:30:57,605 This is all very unconventional. 758 00:30:57,689 --> 00:30:59,816 No. This is genius. 759 00:31:03,278 --> 00:31:05,321 Oh, and four of Ancef. 760 00:31:05,405 --> 00:31:07,198 Sorry, I forgot the Ancef. 761 00:31:07,282 --> 00:31:08,408 Thank you. 762 00:31:12,996 --> 00:31:15,832 Mel! Mel, I need you to reassess, please, now. 763 00:31:15,915 --> 00:31:17,208 Sylvia? 764 00:31:19,043 --> 00:31:20,420 Sylvia. 765 00:31:20,503 --> 00:31:22,088 Her pulse is weak and thready. 766 00:31:22,171 --> 00:31:23,840 She's bleeding out from her liver lac. 767 00:31:23,923 --> 00:31:25,717 - I need O-neg! - O-neg's gone, honey. 768 00:31:25,800 --> 00:31:27,176 Gloria's got more flying in. 769 00:31:27,260 --> 00:31:29,220 Incident Command, what's the ETA on our blood? 770 00:31:29,304 --> 00:31:30,555 Eight to ten minutes. 771 00:31:30,638 --> 00:31:32,765 The patient's gonna have to get by with a liter of saline. 772 00:31:32,849 --> 00:31:35,894 No, no, she needs blood, not crystalloid. Can she go to surgery? 773 00:31:35,977 --> 00:31:38,521 All right, she's next to go, as soon as we get an open OR. 774 00:31:38,605 --> 00:31:40,273 She's not gonna last that long. 775 00:31:40,356 --> 00:31:42,358 Dr. Robby. Dr. Robby! 776 00:31:42,442 --> 00:31:45,153 Dr. Robby, we're out of O-neg, but I'm O-neg. Can I donate? 777 00:31:45,236 --> 00:31:46,571 Gloria's got more blood flying in. 778 00:31:46,654 --> 00:31:49,115 - But I need it now. - What is our blood status? 779 00:31:49,198 --> 00:31:50,950 Just used the last units of O-neg and O-pos. 780 00:31:51,034 --> 00:31:52,160 - More flying in. - ETA? 781 00:31:52,243 --> 00:31:53,244 Less than 10. 782 00:31:53,328 --> 00:31:54,787 Some patients are not gonna last that long. 783 00:31:54,871 --> 00:31:58,374 And I'm sure there are other O-neg donors that probably work here, so… 784 00:31:58,458 --> 00:32:00,376 It would take hours to screen for HIV and hepatitis. 785 00:32:00,460 --> 00:32:02,837 Well, I have neither, and I donate all the time. 786 00:32:04,088 --> 00:32:05,089 Please. 787 00:32:06,215 --> 00:32:07,216 Fuck it. 788 00:32:07,300 --> 00:32:09,218 If the patient's gonna die before they get to the OR, 789 00:32:09,302 --> 00:32:11,387 - then the benefits outweigh the risks. - My man. 790 00:32:11,471 --> 00:32:13,640 All right, kid, roll up your sleeve. I'll meet you in 7. 791 00:32:13,723 --> 00:32:15,224 Listen up. 792 00:32:15,308 --> 00:32:18,186 Central 7, 8, 9 is now the blood donor center. 793 00:32:18,269 --> 00:32:21,522 Anyone who's O-neg or O-pos, we need you to donate now. 794 00:32:21,606 --> 00:32:22,899 Hands where I can see them. 795 00:32:24,692 --> 00:32:27,153 OK, let's do this. 796 00:32:30,490 --> 00:32:32,825 - You two work here, right? - Yes. 797 00:32:32,909 --> 00:32:36,621 Can you tell me how my mom is? Her name is Patricia Gregory…or Trish. 798 00:32:36,704 --> 00:32:38,665 She was shot in her arm. 799 00:32:38,748 --> 00:32:41,501 We're here to help. One second. Bear with us. 800 00:32:48,091 --> 00:32:50,802 Hello? Can I have your attention, please? 801 00:32:50,885 --> 00:32:52,595 My name is Kiara Alfaro. 802 00:32:52,679 --> 00:32:54,973 I'm an emergency-department social worker. 803 00:32:55,056 --> 00:32:58,017 This is Lupe Perez, one of our ward clerks. 804 00:32:58,101 --> 00:33:01,437 I know you all want information about your friends and family. 805 00:33:01,521 --> 00:33:04,232 In order to help you, we have a QR code 806 00:33:04,315 --> 00:33:07,610 you can scan for our patient-identification website. 807 00:33:07,694 --> 00:33:12,198 Cell phones are down, but you can log on to the hospital guest Wi-Fi. 808 00:33:12,281 --> 00:33:15,660 That information is on these papers we'll distribute around the room. 809 00:33:15,743 --> 00:33:18,955 Once you log on, send us the name and birth date 810 00:33:19,038 --> 00:33:20,748 of whomever you're concerned about. 811 00:33:20,832 --> 00:33:22,667 If you could tell us what they were wearing, 812 00:33:22,750 --> 00:33:26,170 upload photos, pictures of tattoos, piercings, 813 00:33:26,254 --> 00:33:28,631 anything to help identify them would be useful. 814 00:33:28,715 --> 00:33:30,425 If we get a match, we'll let you know. 815 00:33:30,508 --> 00:33:34,012 We're setting up phone chargers, water, snacks. 816 00:33:34,095 --> 00:33:37,140 And if anyone needs to change clothes, we've got paper scrubs coming. 817 00:33:37,223 --> 00:33:38,224 Give us some time. 818 00:33:38,307 --> 00:33:42,270 We're doing everything we can to help get you the information you need. 819 00:33:52,155 --> 00:33:53,364 OK, I'm done. 820 00:33:54,365 --> 00:33:56,743 OK, give me the Coban. Come on, come on, come on. 821 00:33:56,826 --> 00:33:58,703 I got this. Here you go. 822 00:33:58,786 --> 00:34:00,246 Here you go. There you go. 823 00:34:00,329 --> 00:34:01,330 Next! 824 00:34:02,165 --> 00:34:04,917 - How's she doing? - We have 500 of saline in. 825 00:34:05,001 --> 00:34:06,502 She's just barely with us, Mel. 826 00:34:06,586 --> 00:34:10,298 OK, well, this unit of whole blood should help. 827 00:34:10,381 --> 00:34:12,592 Yeah, see if you can find a pressure bag. 828 00:34:12,675 --> 00:34:15,178 No, no. Much faster if I just squeeze it in myself. 829 00:34:21,392 --> 00:34:22,977 Need some help with an airway! 830 00:34:26,105 --> 00:34:27,315 What is it? 831 00:34:27,398 --> 00:34:29,150 GSW to the neck with expanding hematoma 832 00:34:29,233 --> 00:34:31,402 and distorted anatomy… can't intubate him. 833 00:34:31,486 --> 00:34:34,072 - Probably hit the carotid. - OK. I'll do the airway. 834 00:34:34,155 --> 00:34:36,282 Give me a 6.5 and a bougie. 835 00:34:36,365 --> 00:34:37,617 I got the bleeder. 836 00:34:37,700 --> 00:34:40,328 Foley catheter with a 30 cc balloon. 837 00:34:40,411 --> 00:34:42,789 - Are you donating? - O-neg, yeah. 838 00:34:45,083 --> 00:34:46,709 Coming through! 839 00:34:46,793 --> 00:34:48,336 It's too bloody to see a bougie. 840 00:34:48,419 --> 00:34:49,962 Not for this. Three-step process. 841 00:34:50,046 --> 00:34:51,881 Step one, scalpel. 842 00:34:51,964 --> 00:34:55,134 Step two, finger. Step three, bougie. 843 00:34:58,846 --> 00:35:00,598 OK, railroad in the tube. 844 00:35:02,308 --> 00:35:04,310 I'm doing all I can to stop it! 845 00:35:04,393 --> 00:35:06,771 Good, that's far enough. OK, bag him. 846 00:35:07,647 --> 00:35:09,440 Dressing off. 847 00:35:10,733 --> 00:35:13,402 Foley's in. Blow up a balloon. 848 00:35:15,655 --> 00:35:17,365 30 cc's in. 849 00:35:17,448 --> 00:35:18,950 Clamping. 850 00:35:19,659 --> 00:35:20,952 Look at that. 851 00:35:21,869 --> 00:35:24,038 Dry as a bone. 852 00:35:24,122 --> 00:35:25,373 Room for another red. 853 00:35:25,456 --> 00:35:27,750 Dr. Walsh, you have an OR for a head-and-neck case? 854 00:35:27,834 --> 00:35:29,043 MCI-48. 855 00:35:29,127 --> 00:35:32,004 We've got 16 ORs up and running. We've got room for one more. 856 00:35:32,088 --> 00:35:35,091 Liver lac came back after a second unit, needs an ex-lap. 857 00:35:35,174 --> 00:35:37,677 Turning over two ORs now. Send them up. 858 00:35:38,469 --> 00:35:39,679 Where the hell did Mel go? 859 00:35:39,762 --> 00:35:41,848 I don't know, but she needs to get back to yellow. 860 00:35:41,931 --> 00:35:43,599 That's 2 grams of Ancef. 861 00:35:43,683 --> 00:35:44,684 Great. 862 00:35:45,893 --> 00:35:47,478 Let's take a look at your dressing. 863 00:35:48,271 --> 00:35:50,565 All right, that looks good. The bleeding stopped. 864 00:35:50,648 --> 00:35:52,275 Can you wiggle your fingers? 865 00:35:53,526 --> 00:35:56,279 Ma'am? Ma'am, can you move your fingers for me? 866 00:35:57,697 --> 00:36:00,032 OK, does it feel the same on both sides? 867 00:36:00,116 --> 00:36:01,492 Great. How's the pain? 868 00:36:06,164 --> 00:36:09,667 Well, the bullet probably went through the two forearm bones, 869 00:36:09,750 --> 00:36:12,211 but there's no damage to the nerves or arteries, 870 00:36:12,295 --> 00:36:13,713 so that's a good sign. 871 00:36:17,133 --> 00:36:18,259 You're gonna be OK. 872 00:36:21,137 --> 00:36:23,139 I'll find you some tissues. 873 00:36:27,727 --> 00:36:29,353 Robby, blood's arrived. 874 00:36:29,437 --> 00:36:30,521 Oh, right on. 875 00:36:31,272 --> 00:36:34,192 Eviscerated bowel, fresh ABD and saline. 876 00:36:34,275 --> 00:36:35,318 OK, bag for a sec? 877 00:36:36,694 --> 00:36:38,905 3.375 Zosyn and a sterile dressing. 878 00:36:38,988 --> 00:36:42,241 I can't believe I'm saying this… another Christmas tree and Foley bag. 879 00:36:42,325 --> 00:36:44,160 How did we run out of chest tubes? 880 00:36:45,953 --> 00:36:48,206 Less than 500 cc's out. Surgical ICU can take him. 881 00:36:48,289 --> 00:36:49,665 ET tubes in the chest… they're gonna wonder 882 00:36:49,749 --> 00:36:51,792 what the hell we're doing down here, but it was a great save. 883 00:36:51,876 --> 00:36:53,502 Hey, Javadi, I need you to find Whitaker 884 00:36:53,586 --> 00:36:55,254 and go up to the helipad… we got blood flying in. 885 00:36:55,338 --> 00:36:56,464 - OK. - Stay behind the yellow line 886 00:36:56,547 --> 00:36:58,090 between 10:00 and 2:00 so the pilot 887 00:36:58,174 --> 00:36:59,300 - can see you the whole time. - OK. 888 00:36:59,383 --> 00:37:00,509 You got this? 889 00:37:00,593 --> 00:37:02,220 Moving him up as fast as we can. 890 00:37:02,303 --> 00:37:03,679 This one's going to yellow. 891 00:37:03,763 --> 00:37:05,139 More chest tubes, courtesy of Presby. 892 00:37:05,223 --> 00:37:06,849 Awesome. I'm gonna go check on Triage. 893 00:37:06,933 --> 00:37:08,184 Copy that. 894 00:37:10,353 --> 00:37:12,313 - They find the shooter yet? - Not yet, but we'll find him. 895 00:37:12,396 --> 00:37:14,690 - Half the county is looking. - What about with her? 896 00:37:14,774 --> 00:37:16,859 - Waiting for the FBI to get here. - They find her son? 897 00:37:16,943 --> 00:37:19,487 No, but they pinged his cell phone to the area of the shooting. 898 00:37:19,570 --> 00:37:20,696 Fuck. Does she know that yet? 899 00:37:20,780 --> 00:37:22,698 - She's about to find out. - OK. Thanks. 900 00:37:22,782 --> 00:37:24,242 What's with all these bloody handprints? 901 00:37:24,325 --> 00:37:26,118 That's when people were trying to stop us to get a ride in, 902 00:37:26,202 --> 00:37:27,662 but we were already packed. 903 00:37:27,745 --> 00:37:28,996 Chest, belly, arm, and leg. 904 00:37:29,080 --> 00:37:30,748 Red, pink, yellow, and a lucky green. 905 00:37:30,831 --> 00:37:32,625 Two gurneys, two wheelchairs. 906 00:37:34,835 --> 00:37:36,671 - My partner's in bad shape. - What's his name? 907 00:37:36,754 --> 00:37:38,130 Rich. Rich Stefano. 908 00:37:38,214 --> 00:37:39,966 Hey, Rich. How you doing? 909 00:37:40,049 --> 00:37:41,509 Shit. 910 00:37:41,592 --> 00:37:43,052 He got shot in the face? 911 00:37:43,135 --> 00:37:45,930 No, entrance is on the other side… neck, above his vest. 912 00:37:46,013 --> 00:37:47,348 - Cheek is the exit wound. - OK. 913 00:37:47,431 --> 00:37:49,308 Come on, Red Zone. He needs an airway. 914 00:37:49,392 --> 00:37:51,310 Come with me. Come with me. 915 00:37:51,394 --> 00:37:53,396 I got you. We'll get you fixed up. 916 00:37:55,815 --> 00:37:56,816 Take him. 917 00:37:59,360 --> 00:38:00,987 Hey, what's up with the SWAT team? 918 00:38:01,070 --> 00:38:03,781 It's just a precaution in case the shooter heads this way. 919 00:38:04,407 --> 00:38:06,534 - Is that a possibility? - There was some chatter. 920 00:38:07,243 --> 00:38:09,161 Well, are we gonna be safe out here? 921 00:38:09,245 --> 00:38:10,746 - Should be now. - Focus on the patients. 922 00:38:10,830 --> 00:38:12,248 Focus on the patients. 923 00:38:12,331 --> 00:38:14,125 Only way out is through. 924 00:38:14,208 --> 00:38:15,876 Any idea how many more are coming? 925 00:38:15,960 --> 00:38:18,129 Incident Command is sending all these ambulances 926 00:38:18,212 --> 00:38:19,380 back to the scene for more victims. 927 00:38:19,463 --> 00:38:21,882 We may not even be halfway through yet. 928 00:38:21,966 --> 00:38:23,050 Jesus. 929 00:38:23,134 --> 00:38:24,468 When is this gonna end? 930 00:38:31,058 --> 00:38:32,268 Fuck.