1 00:00:15,308 --> 00:00:16,309 Prep to intubate. 2 00:00:16,392 --> 00:00:17,476 Ketamine and Roc on board. 3 00:00:17,560 --> 00:00:18,769 Chest tube is in. Hook me up. 4 00:00:19,604 --> 00:00:22,231 Yellow zone, we are running out of everything. 5 00:00:22,315 --> 00:00:25,318 Only change bandages that are completely bled through. 6 00:00:27,486 --> 00:00:29,280 Overheard a nurse say the shooter's here. 7 00:00:29,363 --> 00:00:30,364 Holy shit. 8 00:00:30,448 --> 00:00:31,449 Oh, my God. 9 00:00:31,532 --> 00:00:32,533 Sorry. 10 00:00:32,617 --> 00:00:34,827 He's handcuffed, but he's in a room. 11 00:00:34,911 --> 00:00:37,788 He gets a room while the rest of us are stacked up like firewood. 12 00:00:37,872 --> 00:00:39,206 Sorry to interrupt. 13 00:00:39,290 --> 00:00:40,625 Anything you could tell us about the shooter? 14 00:00:40,708 --> 00:00:42,418 - Is he here? - Where'd you hear that? 15 00:00:42,501 --> 00:00:43,794 Nurses be talking. 16 00:00:43,878 --> 00:00:45,463 I don't know anything about that. 17 00:00:45,546 --> 00:00:47,173 Yeah, let's keep the rumor mill in check. 18 00:00:47,256 --> 00:00:50,051 The cops will alert us when they know something. 19 00:00:50,134 --> 00:00:52,762 Okay. Dawn, how are you doing? Do you need anything? 20 00:00:52,845 --> 00:00:54,472 I'm better. Kind of hungry, though. 21 00:00:54,555 --> 00:00:56,891 Well, we can discontinue your IV, 22 00:00:56,974 --> 00:00:58,684 give you a sandwich so your sugar doesn't tank, 23 00:00:58,768 --> 00:00:59,936 - and then you can go home. - Thanks. 24 00:01:00,019 --> 00:01:02,271 But my phone died at PittFest, so I wasn't getting 25 00:01:02,355 --> 00:01:04,023 any alerts from my glucose monitor. 26 00:01:04,106 --> 00:01:05,191 What about me? 27 00:01:05,274 --> 00:01:06,525 Can I go home? 28 00:01:06,609 --> 00:01:09,278 Since you OD'd, we need to keep you here for a couple more hours, 29 00:01:09,362 --> 00:01:10,988 make sure you don't need any more Narcan. 30 00:01:11,072 --> 00:01:12,531 How's your pain doing, Buster? 31 00:01:12,615 --> 00:01:14,075 I mean, my arm still hurts pretty bad. 32 00:01:14,158 --> 00:01:15,910 Hey, can I get a sandwich, too? 33 00:01:15,993 --> 00:01:17,370 We can up your pain meds, 34 00:01:17,453 --> 00:01:20,915 but you're on the list for the OR, so we need to keep you NPO. 35 00:01:20,998 --> 00:01:22,708 - Meaning? - Nothing more to eat. 36 00:01:22,792 --> 00:01:24,794 We'll keep you hydrated with IV fluids. 37 00:01:24,877 --> 00:01:27,880 Can I at least get a blanket? It's so cold in here. 38 00:01:27,964 --> 00:01:29,507 Yeah… 39 00:01:29,590 --> 00:01:31,384 All the blankets are in Pedes… 40 00:01:32,510 --> 00:01:33,719 The morgue. 41 00:01:35,096 --> 00:01:36,764 Rock Paper Scissors? 42 00:01:40,726 --> 00:01:42,019 Shit. 43 00:01:43,020 --> 00:01:45,356 - Dawn, I can charge your phone for you. - Thank you. 44 00:01:45,439 --> 00:01:48,401 Fucking circus. 45 00:01:48,484 --> 00:01:51,195 - Robby here? - No. Check trauma rooms. 46 00:01:57,868 --> 00:02:00,329 - 500 cc's from the chest tube already. - We're out of O-neg again. 47 00:02:00,413 --> 00:02:02,415 Hang the cell saver for autotransfusion. 48 00:02:02,498 --> 00:02:03,958 - This is weird. - What? 49 00:02:04,041 --> 00:02:06,961 Shot in the chest, but nothing out of the thoracostomy tube. 50 00:02:07,044 --> 00:02:08,504 You got through the pleura okay? 51 00:02:08,587 --> 00:02:10,381 Yeah, I definitely felt the lung with my finger. 52 00:02:10,464 --> 00:02:12,341 I lost the radial pulse. I got a femoral. 53 00:02:12,425 --> 00:02:14,593 This guy's bleeding out. Probably tore through the spleen. 54 00:02:14,677 --> 00:02:15,678 How? 55 00:02:15,761 --> 00:02:17,346 Okay, nipples to navel is no man's land. 56 00:02:17,430 --> 00:02:21,517 If he got shot while exhaling, the bullet possibly passed below the diaphragm. 57 00:02:21,600 --> 00:02:24,395 Start a second IO, transfuse two units O-positive. 58 00:02:24,478 --> 00:02:27,064 Where's Robby? Let's find him and call Walsh. 59 00:02:27,148 --> 00:02:30,359 This guy needs the next OR immediately. 60 00:02:30,443 --> 00:02:31,777 - Dana! - Yeah? 61 00:02:31,861 --> 00:02:34,780 - Have you seen Robby? - I was about to ask you the same thing. 62 00:02:34,864 --> 00:02:36,365 - McKay! - Yeah? 63 00:02:36,449 --> 00:02:37,658 You seen Robby? 64 00:02:38,659 --> 00:02:40,453 No, not in Pink. 65 00:02:42,705 --> 00:02:45,750 I was at the festival 66 00:02:45,833 --> 00:02:48,210 with my husband and my daughter. 67 00:02:49,378 --> 00:02:53,090 My husband is in a wheelchair from MS. 68 00:02:53,966 --> 00:02:57,011 I did my best to protect him. 69 00:02:57,094 --> 00:02:59,889 A bullet went through my arm and through his head. 70 00:03:07,855 --> 00:03:10,483 The medics declared him dead. 71 00:03:10,566 --> 00:03:12,318 What about your daughter? 72 00:03:12,401 --> 00:03:13,694 What's her name? 73 00:03:15,112 --> 00:03:16,113 Morgan. 74 00:03:17,031 --> 00:03:19,784 Some family members are meeting in the cafeteria. 75 00:03:19,867 --> 00:03:21,577 I can see if she's there. 76 00:03:23,287 --> 00:03:26,082 How do you deal with all this death and carnage? 77 00:03:29,668 --> 00:03:30,920 I don't… 78 00:03:31,003 --> 00:03:32,129 I don't know. 79 00:03:32,838 --> 00:03:34,340 Any more Pleur-evacs in Pink? 80 00:03:34,423 --> 00:03:35,841 - Maybe. - What do you need? 81 00:03:35,925 --> 00:03:37,635 - A couple units of blood. - Good luck. 82 00:03:37,718 --> 00:03:39,053 Princess. 83 00:03:58,322 --> 00:03:59,490 Dr. Robby? 84 00:04:01,158 --> 00:04:02,535 Dr. Robby, you okay? 85 00:04:28,477 --> 00:04:31,689 You have to go. You have to go. They need you out there. 86 00:04:31,772 --> 00:04:34,108 We need you out there. 87 00:04:40,406 --> 00:04:42,199 Okay, come on, give me your hand. 88 00:04:44,160 --> 00:04:45,703 I can't. 89 00:04:45,786 --> 00:04:47,204 You have to… 90 00:04:48,247 --> 00:04:51,000 Because if you don't, we're fucked. 91 00:05:16,609 --> 00:05:17,610 Okay. 92 00:05:18,360 --> 00:05:19,904 See you out there, Captain. 93 00:05:35,502 --> 00:05:37,087 Once your phone is charged and able to monitor 94 00:05:37,171 --> 00:05:39,632 - your blood sugar, we'll let you go. - Thank you. 95 00:05:41,217 --> 00:05:44,553 - Any update on the guy who did this? - Nothing yet. 96 00:05:44,637 --> 00:05:47,181 I'm kind of glad I was out of it when the shit went down. 97 00:05:47,264 --> 00:05:48,849 You OD'd. You could have died. 98 00:05:49,850 --> 00:05:51,852 - You okay, Huckleberry? - Yeah. 99 00:05:52,853 --> 00:05:55,397 You sure? I know it's tough in there with all the bodies. 100 00:05:55,481 --> 00:05:56,482 Yeah. 101 00:05:56,565 --> 00:05:58,484 Can I get help with a pressure dressing here? 102 00:05:58,567 --> 00:05:59,568 Yeah, I'm on it. 103 00:05:59,652 --> 00:06:01,946 2 grams of Ancef primed for your leg guy. 104 00:06:02,029 --> 00:06:03,280 With pleasure. 105 00:06:08,661 --> 00:06:10,537 You okay, Dr. Robby? 106 00:06:10,621 --> 00:06:12,831 Do you need something to eat or drink? 107 00:06:15,084 --> 00:06:16,919 No, no. I'm good. Thank you. 108 00:06:17,002 --> 00:06:18,796 Thank you, Esme. 109 00:06:18,879 --> 00:06:22,007 Your team's doing a great job staying on top of all this. 110 00:06:22,091 --> 00:06:23,676 I need another four of morphine here. 111 00:06:23,759 --> 00:06:25,094 Yeah, coming right up. 112 00:06:26,553 --> 00:06:27,554 Yeah, that's two. 113 00:06:27,638 --> 00:06:29,890 Tourniquet's down on MCI-9, looks dry. 114 00:06:30,724 --> 00:06:32,559 Good job, Whitaker, Donahue. 115 00:06:38,190 --> 00:06:39,692 Dr. King, keep it up. 116 00:06:45,864 --> 00:06:49,410 All right, maintenance fluids at 125 an hour for all NPOs. 117 00:06:49,493 --> 00:06:51,287 - Heard. - Turn them down. 118 00:06:51,370 --> 00:06:53,622 Well, it looks like you have everyone tucked in, Huckleberry. 119 00:06:53,706 --> 00:06:55,040 Yeah, we're getting there. 120 00:06:55,124 --> 00:06:57,042 Well, I'm going to leave you in charge of the boring Yellow stuff. 121 00:06:57,126 --> 00:06:58,168 Where are you going? 122 00:06:58,252 --> 00:06:59,837 Get in on the Red Zone action. 123 00:07:04,216 --> 00:07:06,844 Robby, are you okay? 124 00:07:07,928 --> 00:07:10,639 Right. Well, I got some good news. 125 00:07:10,723 --> 00:07:13,267 County Public Health is sending out a truckload of supplies 126 00:07:13,350 --> 00:07:14,852 from Magee-Womens and Mercy. 127 00:07:14,935 --> 00:07:16,895 Gloria, are we gonna have to call in more blood donors? 128 00:07:16,979 --> 00:07:18,522 - Already done. - Donated. 129 00:07:19,523 --> 00:07:20,733 I don't… 130 00:07:21,734 --> 00:07:23,152 My blood, needles… 131 00:07:23,235 --> 00:07:27,072 Choppers are coming from blood banks in Erie and Youngstown. 132 00:07:27,156 --> 00:07:28,490 Oh, thank God. 133 00:07:28,574 --> 00:07:30,826 I appreciate the way you've handled logistics today. 134 00:07:30,909 --> 00:07:35,664 Wait, hold on. What does she mean, more blood donors? 135 00:07:35,748 --> 00:07:38,959 You didn't use unscreened blood donations, did you? 136 00:07:39,043 --> 00:07:40,878 We did what we had to do to save as many people as we could. 137 00:07:40,961 --> 00:07:42,171 You're killing me, Robinavitch. 138 00:07:42,254 --> 00:07:44,089 And for the love of God, can you tell me 139 00:07:44,173 --> 00:07:47,176 that you didn't know about a shooter's hit list, 140 00:07:47,259 --> 00:07:48,677 and then you let him go this morning? 141 00:07:48,761 --> 00:07:49,845 He didn't do it. 142 00:07:49,928 --> 00:07:51,930 - Police confirmation? - No. 143 00:07:52,014 --> 00:07:53,640 Then this nightmare… 144 00:07:53,724 --> 00:07:55,851 Jesus, Gloria! 145 00:07:55,934 --> 00:07:57,269 The police are still looking. 146 00:07:57,353 --> 00:07:59,313 Why don't you go back to your micro-managerial ivory tower 147 00:07:59,396 --> 00:08:00,814 and let us get the fuck back to work? 148 00:08:06,820 --> 00:08:09,406 Robby, get some air, brother. 149 00:08:09,490 --> 00:08:11,200 Check on triage. 150 00:08:12,576 --> 00:08:16,789 Dr. Abbot, I got your carotid bypass guy up to the OR. 151 00:08:16,872 --> 00:08:19,583 Vascular surgery says to give you mad props. 152 00:08:21,210 --> 00:08:22,211 Okay. 153 00:08:23,379 --> 00:08:25,714 You think he told Jake his girlfriend died? 154 00:08:25,798 --> 00:08:27,591 - Yeah. - Fuck. 155 00:08:36,934 --> 00:08:39,436 Hey. Hey. 156 00:08:49,405 --> 00:08:51,490 - How's it going out here? - Good. 157 00:08:51,573 --> 00:08:54,493 - 12 minutes since the last pink or red. - I think it's quieting. 158 00:08:54,576 --> 00:08:56,078 - Jesus! - What? 159 00:08:56,161 --> 00:08:57,579 Don't say that. 160 00:08:57,663 --> 00:09:00,165 Come on, don't tell me you believe in that superstitious shit. 161 00:09:00,249 --> 00:09:02,543 It's like saying "Macbeth" in the theater. 162 00:09:02,626 --> 00:09:04,169 And you call yourself a person of science. 163 00:09:04,253 --> 00:09:05,587 Watch out! 164 00:09:10,843 --> 00:09:11,843 Hands up! 165 00:09:11,885 --> 00:09:12,871 Any weapons? 166 00:09:12,886 --> 00:09:13,929 Everyone stand back! 167 00:09:14,012 --> 00:09:15,556 No, no weapons. 168 00:09:15,639 --> 00:09:16,640 All clear! 169 00:09:18,934 --> 00:09:20,519 - Are you okay, sir? - Yeah, I'm good. 170 00:09:20,602 --> 00:09:21,937 Guy in the back needs help. 171 00:09:22,020 --> 00:09:24,481 Sorry about the parking job. Getting a little woozy. 172 00:09:24,565 --> 00:09:25,941 Okay, what happened? 173 00:09:26,024 --> 00:09:27,776 I found him in the festival parking lot. 174 00:09:27,860 --> 00:09:29,778 Gave him Narcan from my kit, but he didn't respond. 175 00:09:29,862 --> 00:09:32,239 - Might be benzos…I don't know. - You a medical worker? 176 00:09:32,322 --> 00:09:34,783 Navy corpsman. I'm okay. 177 00:09:34,867 --> 00:09:36,493 Your leg does not look okay. 178 00:09:36,577 --> 00:09:38,537 I got shot through and through. 179 00:09:38,620 --> 00:09:40,247 I stayed to help as long as I could. 180 00:09:40,330 --> 00:09:42,374 Bullets flying everywhere. It was a fucking nightmare. 181 00:09:42,458 --> 00:09:43,834 Hey, Ellis. How's the passenger? 182 00:09:43,917 --> 00:09:45,919 No sign of trauma, but he's pretty cyanotic. 183 00:09:46,003 --> 00:09:48,964 Needs oxygen. Let's move him in. 184 00:09:49,047 --> 00:09:50,340 Grabbing a gurney. 185 00:09:50,424 --> 00:09:53,760 Any headache, neck pain, chest pain, belly pain? 186 00:09:53,844 --> 00:09:55,179 Sir! 187 00:09:55,262 --> 00:09:56,430 No, I'm good. 188 00:09:56,513 --> 00:09:59,099 I'm gonna get a wheelchair. Do not try to walk. 189 00:10:01,727 --> 00:10:04,104 Must have missed the bone because I could… 190 00:10:04,897 --> 00:10:07,649 - Cancel the wheelchair. Bring a gurney. - Gurney! 191 00:10:09,276 --> 00:10:10,736 Any new customers for the OR? 192 00:10:10,819 --> 00:10:11,820 - Yes. - Yeah. 193 00:10:11,904 --> 00:10:13,780 This one looked like chest, but it was intra-abdominal. 194 00:10:13,864 --> 00:10:15,699 Nipples to navel is no man's land. 195 00:10:15,782 --> 00:10:18,327 Am I the only one who missed that day in medical school? 196 00:10:21,538 --> 00:10:24,541 I need high-flow O2, maybe BiPAP for this guy. 197 00:10:24,625 --> 00:10:26,627 - Trauma rooms open? - No, still getting cleaned. 198 00:10:26,710 --> 00:10:28,962 - South 15 is avail. - Okay, South 15 it is. 199 00:10:29,046 --> 00:10:31,048 Find out if the ICU is ready for her. 200 00:10:31,131 --> 00:10:33,842 All right, get me a tech and an RT, and we'll take him up. 201 00:10:33,926 --> 00:10:35,093 Yeah, I'm on it. 202 00:10:36,553 --> 00:10:37,679 Hey, McKay. 203 00:10:37,763 --> 00:10:39,556 +There's someone from Allegheny County Courthouse 204 00:10:39,640 --> 00:10:40,933 - on the line. - Not now! 205 00:10:42,309 --> 00:10:43,769 I'm in. Bag her. 206 00:10:43,852 --> 00:10:46,480 - Dr. McKay, you have a visitor. - I said not now! 207 00:10:46,563 --> 00:10:48,065 Jesus Christ. 208 00:10:48,148 --> 00:10:49,900 Sorry, Dad. Hey. 209 00:10:49,983 --> 00:10:52,069 Thank you so much for coming in to pick up Harrison. 210 00:10:52,152 --> 00:10:53,445 Are you okay? 211 00:10:53,529 --> 00:10:57,157 I mean, relatively speaking, I'm fan-fucking-tastic. 212 00:10:58,367 --> 00:10:59,368 Good. 213 00:10:59,451 --> 00:11:01,578 Hey, Dr. Abbot, can you keep an eye on this one? 214 00:11:01,662 --> 00:11:05,249 - Stable after 1 unit pRBCs. - No problem. 215 00:11:05,332 --> 00:11:07,668 Ellis, get him started. Holler if you need me. 216 00:11:07,751 --> 00:11:08,752 Copy. 217 00:11:11,213 --> 00:11:13,632 Dana, hypotensive and altered. 218 00:11:13,715 --> 00:11:15,509 Untreated GSW to the thigh. 219 00:11:15,592 --> 00:11:17,886 Perfect timing. Trauma One's open, but be careful. 220 00:11:17,970 --> 00:11:19,096 Floor's probably still wet. 221 00:11:19,179 --> 00:11:20,973 - Mohan, you're on this. - Okay. 222 00:11:27,354 --> 00:11:29,606 Dr. Abbot, you need anything? 223 00:11:30,232 --> 00:11:31,984 Check with Ellis in South 15. 224 00:11:37,322 --> 00:11:38,532 - What do we got? - What do we got? 225 00:11:38,615 --> 00:11:40,909 Pulse ox is low, 85 on room air. 226 00:11:40,993 --> 00:11:42,661 100% non-rebreather mask. 227 00:11:42,744 --> 00:11:44,621 This guy needs a major workup. 228 00:11:50,669 --> 00:11:52,004 Everyone in Yellow is stable. 229 00:11:52,087 --> 00:11:55,090 - Okay. Check in with Robby. - Holy shit. 230 00:11:55,173 --> 00:11:57,593 See where he can use another set of hands. 231 00:11:57,676 --> 00:11:59,011 Okay, great. Thanks. 232 00:11:59,845 --> 00:12:01,680 Trauma One, I know that guy. 233 00:12:01,763 --> 00:12:04,516 His sister's in the cafeteria. Her husband was shot and killed today. 234 00:12:04,600 --> 00:12:05,892 Oh, sweet Jesus. 235 00:12:05,976 --> 00:12:08,770 Do you think I can bring the lady in to see her brother? 236 00:12:09,813 --> 00:12:12,274 Robby, lady in the cafeteria, dead husband, 237 00:12:12,357 --> 00:12:14,443 brother in Trauma One, can we bring her back? 238 00:12:14,526 --> 00:12:16,486 It seems like it's slowing down around here. Go ahead. 239 00:12:16,570 --> 00:12:18,739 I have a patient in Central 9. 240 00:12:18,822 --> 00:12:21,366 She was shot trying to protect her husband, who died. 241 00:12:21,450 --> 00:12:23,327 But her daughter is in the cafeteria. 242 00:12:23,410 --> 00:12:25,203 I don't think I can spare any doctors right now. 243 00:12:25,287 --> 00:12:27,331 In fact, why don't you go cover triage 244 00:12:27,414 --> 00:12:29,750 - until Shen and Ellis get back? - Okay. 245 00:12:29,833 --> 00:12:31,752 Give me her name. I'll find her. 246 00:12:31,835 --> 00:12:33,170 Oh, thank you so much. 247 00:12:33,253 --> 00:12:36,673 Her name is Morgan. Her mom is Trish Gregory. 248 00:12:38,842 --> 00:12:40,552 Okay if we bring her up here, too? 249 00:12:40,636 --> 00:12:42,471 Sure. Why not? 250 00:12:44,348 --> 00:12:46,183 Pulse ox is still 85 on high-flow oxygen. 251 00:12:46,266 --> 00:12:47,559 BP is borderline. 252 00:12:47,643 --> 00:12:50,687 Dr. Santos, differential diagnosis of cyanosis? 253 00:12:50,771 --> 00:12:53,774 Hypoxia, low oxygen from lung disease… 254 00:12:53,857 --> 00:12:55,692 pneumonia, PE, asthma. 255 00:12:55,776 --> 00:12:57,694 Good breath sounds, no crackles, no wheezing. 256 00:12:57,778 --> 00:12:59,613 Pulmonary problems should improve with O2. 257 00:12:59,696 --> 00:13:02,407 - What else? - Heart disease, heart failure. 258 00:13:02,491 --> 00:13:04,284 - No B line. - Right to left shunt? 259 00:13:04,368 --> 00:13:05,952 That's usually in congenital heart disease. 260 00:13:06,036 --> 00:13:08,205 PDA, Tetralogy of Fallot. 261 00:13:08,288 --> 00:13:10,082 Cardiac ECHO looks good. 262 00:13:10,165 --> 00:13:13,418 Normal ejection fraction, no valvular disease. 263 00:13:13,502 --> 00:13:15,170 What else could it be? 264 00:13:15,253 --> 00:13:17,547 Okay, is Dr. Ellis running this resuscitation, or are you? 265 00:13:17,631 --> 00:13:19,800 Because last time I checked, you're not supposed to be here. 266 00:13:19,883 --> 00:13:21,051 We both are. 267 00:13:21,134 --> 00:13:23,261 The senior resident's job is to teach. 268 00:13:23,345 --> 00:13:25,263 What else, Dr. Santos? 269 00:13:25,347 --> 00:13:26,723 Hemoglobinopathies? 270 00:13:26,807 --> 00:13:27,849 Excellent. 271 00:13:27,933 --> 00:13:29,309 Blood is chocolate brown. 272 00:13:31,061 --> 00:13:32,229 Santos? 273 00:13:32,312 --> 00:13:33,647 Methemoglobinemia? 274 00:13:33,730 --> 00:13:34,731 Bingo. 275 00:13:34,815 --> 00:13:36,149 Put him on BiPAP. 276 00:13:36,233 --> 00:13:38,026 Send off a blood gas. Order methylene blue. 277 00:13:38,110 --> 00:13:39,111 Etiology? 278 00:13:39,194 --> 00:13:40,487 Drugs, toxins. 279 00:13:40,570 --> 00:13:44,032 Smart money is poppers, amyl nitrates, partied a little too hard at PittFest. 280 00:13:44,116 --> 00:13:45,534 Langdon, got a sec? 281 00:13:46,326 --> 00:13:47,828 Yep. 282 00:13:47,911 --> 00:13:49,329 Keep me posted. 283 00:13:49,996 --> 00:13:52,666 - Can I do the intubation? - Not necessary yet. 284 00:13:52,749 --> 00:13:55,043 But his pulse ox is low. He's altered. 285 00:13:55,127 --> 00:13:57,337 All the oxygen in the world won't fix that. 286 00:13:57,421 --> 00:14:00,632 His methemoglobin level is sky-high. Nothing but methylene blue will help. 287 00:14:00,716 --> 00:14:02,050 I'll run the blood gas up to the lab, 288 00:14:02,134 --> 00:14:03,844 see if they're caught up on all the traumas yet. 289 00:14:03,927 --> 00:14:05,470 First day? 290 00:14:05,554 --> 00:14:07,055 Yeah. 291 00:14:07,139 --> 00:14:08,765 What's the beef with Langdon? 292 00:14:10,767 --> 00:14:11,935 Are you good here? 293 00:14:12,018 --> 00:14:14,980 Yeah, methemoglobinemia, ordered methylene blue. 294 00:14:15,063 --> 00:14:16,982 Perfect. Keep it up. 295 00:14:18,567 --> 00:14:20,068 Will do. 296 00:14:21,153 --> 00:14:22,279 And here he is. 297 00:14:22,362 --> 00:14:24,489 - Hey. - Grandpa! 298 00:14:24,573 --> 00:14:27,492 How's my favorite grandchild? 299 00:14:27,576 --> 00:14:29,286 I'm your only grandchild. 300 00:14:31,079 --> 00:14:35,167 Chadwick Harrison Ashcroft III. 301 00:14:35,250 --> 00:14:36,752 Please don't call me that. 302 00:14:36,835 --> 00:14:38,962 Douchebag name for a douchebag guy. 303 00:14:39,045 --> 00:14:40,589 - Dad! - Are you ready? 304 00:14:40,672 --> 00:14:43,675 'Cause Grandma is making your favorite… 305 00:14:43,759 --> 00:14:45,260 carbonara. 306 00:14:45,343 --> 00:14:46,803 Thanks for taking him, Dad. 307 00:14:46,887 --> 00:14:49,389 Will you save some pasta for me? 308 00:14:49,473 --> 00:14:50,640 Okay. 309 00:14:55,395 --> 00:14:56,521 Tapping in. 310 00:14:56,605 --> 00:14:57,731 - Thanks, brother. - Yeah. 311 00:14:57,814 --> 00:14:58,815 EFAST normal. 312 00:14:58,899 --> 00:15:01,193 No abdominal hemorrhage, no tamponade. 313 00:15:01,985 --> 00:15:04,988 Pulse ox borderline, 89% on 15 liters. 314 00:15:05,071 --> 00:15:07,407 BP's only 95 over 58. 315 00:15:07,491 --> 00:15:10,702 Vinny Rivera…is he here? 316 00:15:10,786 --> 00:15:12,204 I'm not sure, man. 317 00:15:12,287 --> 00:15:13,997 I'm so sleepy. 318 00:15:14,080 --> 00:15:16,917 Were you tired right after you got shot? 319 00:15:17,000 --> 00:15:18,210 No. 320 00:15:18,293 --> 00:15:20,879 I helped move 20, 30 people. 321 00:15:20,962 --> 00:15:22,798 What's causing his oxygen levels to tank? 322 00:15:22,881 --> 00:15:24,007 Up the oxygen. 323 00:15:24,090 --> 00:15:25,842 15's as high as it goes. 324 00:15:25,926 --> 00:15:29,221 Gauge only goes to 15. Keep cranking. You can get to 50. 325 00:15:29,304 --> 00:15:30,847 Brian? 326 00:15:32,015 --> 00:15:33,892 Vinny got shot. 327 00:15:33,975 --> 00:15:36,019 I sent him with the first car I saw. 328 00:15:36,102 --> 00:15:37,479 Is he okay? 329 00:15:40,065 --> 00:15:42,776 You fight, Brian, okay? 330 00:15:42,859 --> 00:15:45,862 You fight like the stubborn bastard you are. 331 00:15:45,946 --> 00:15:47,781 I tried, Whit. 332 00:15:47,864 --> 00:15:49,032 I tried. 333 00:15:58,458 --> 00:16:00,377 - Oh, no, thanks. - It's not coffee. 334 00:16:00,460 --> 00:16:01,461 It's bourbon. 335 00:16:02,671 --> 00:16:03,880 That was a joke. 336 00:16:05,924 --> 00:16:09,970 Robby did everything he could to save your girlfriend. 337 00:16:10,679 --> 00:16:13,473 If he couldn't save her, nobody could. 338 00:16:23,275 --> 00:16:25,610 Wait, wait, wait. What do you mean, neutralized? 339 00:16:25,694 --> 00:16:26,695 Means he's dead. 340 00:16:26,778 --> 00:16:29,489 Wait. I thought the kid in BH-2 was the shooter. 341 00:16:30,323 --> 00:16:31,491 What's going on? 342 00:16:32,868 --> 00:16:34,786 SWAT found the shooter. 343 00:16:34,870 --> 00:16:37,706 Self-inflicted gunshot to the head. 344 00:16:38,665 --> 00:16:40,584 He had a duffel bag full of ammo. 345 00:16:40,667 --> 00:16:43,670 He was in some bushes down by the river 346 00:16:43,753 --> 00:16:46,089 with his AR-15. 347 00:16:48,508 --> 00:16:50,385 Do we know why he did it? 348 00:16:50,468 --> 00:16:51,803 Does it matter? 349 00:16:51,887 --> 00:16:53,930 Are we expecting any more victims? 350 00:16:55,599 --> 00:16:59,311 SWAT cleared the festival grounds. Probably no more coming our way. 351 00:17:00,312 --> 00:17:02,272 What you've done down here… 352 00:17:03,732 --> 00:17:05,859 All the lives you've saved… 353 00:17:06,735 --> 00:17:08,194 There aren't adequate words. 354 00:17:10,322 --> 00:17:11,656 Thank you. 355 00:17:15,327 --> 00:17:17,662 We need to prep to open back up to the public. 356 00:17:17,746 --> 00:17:19,122 Walk-ins only. 357 00:17:19,205 --> 00:17:22,667 No traumas until we get word from surgery that a few ORs have cleared. 358 00:17:22,751 --> 00:17:24,127 That could be hours. 359 00:17:25,962 --> 00:17:27,672 Blood Bank, pick up line two. 360 00:17:27,756 --> 00:17:29,549 Blood Bank, pick up line two. 361 00:17:30,842 --> 00:17:32,969 Everybody seems to know exactly what to do. 362 00:17:33,053 --> 00:17:35,055 - Is this kind of thing normal? - Thankfully, no. 363 00:17:35,138 --> 00:17:38,058 But preparing for the worst and hoping for the best, 364 00:17:38,141 --> 00:17:39,559 that's what we do. 365 00:17:51,321 --> 00:17:53,698 - Hey, is Dr. King still outside? - Yep. 366 00:17:53,782 --> 00:17:55,492 We don't need a doctor covering triage. 367 00:17:55,575 --> 00:17:56,868 - We can bring her back in. - Yeah. 368 00:17:58,161 --> 00:18:02,248 And, everybody else, let's process these remaining patients 369 00:18:02,332 --> 00:18:04,250 so my day shift can finally go home. 370 00:18:04,334 --> 00:18:05,919 On it, Cap. 371 00:18:19,599 --> 00:18:21,309 You hear that? 372 00:18:21,393 --> 00:18:23,728 - Hear what? - It's quiet. 373 00:18:23,812 --> 00:18:24,813 It's over. 374 00:18:27,816 --> 00:18:29,609 Oh, son of a… 375 00:18:33,697 --> 00:18:35,782 Hey, we're closed. 376 00:18:35,865 --> 00:18:38,785 We're way over capacity. Take them to West Penn. 377 00:18:38,868 --> 00:18:41,329 Kid in extremis. You were the closest EDAP. 378 00:18:41,413 --> 00:18:44,124 13-year-old hypoxic and hypertensive. 379 00:18:44,207 --> 00:18:46,209 He looks pale and tachypneic. 380 00:18:46,292 --> 00:18:48,294 Flynn Edwards, home alone with his little sister. 381 00:18:48,378 --> 00:18:50,422 Cough, fever, rash, altered. 382 00:18:50,505 --> 00:18:53,758 Tachy at 150, BP 80 over 55, breathing at 36, 383 00:18:53,842 --> 00:18:56,094 and satting low 80s on the face mask. 384 00:19:00,515 --> 00:19:01,516 Hi. 385 00:19:01,599 --> 00:19:03,768 - What's your name? - Georgia. 386 00:19:03,852 --> 00:19:05,687 Hi, Georgia. I'm Mel. 387 00:19:08,231 --> 00:19:09,357 Oh, yeah. That's scary. 388 00:19:09,441 --> 00:19:10,817 Yep. 389 00:19:16,406 --> 00:19:19,993 - Georgia, where are your parents? - At the movies. 390 00:19:20,076 --> 00:19:22,287 - Did you try calling them? - I texted. 391 00:19:22,370 --> 00:19:23,788 Can you give us their numbers? 392 00:19:23,872 --> 00:19:25,999 Do you remember what happened before you called 911? 393 00:19:26,082 --> 00:19:28,376 Flynn was talking weird. 394 00:19:28,460 --> 00:19:29,627 Okay. 395 00:19:29,711 --> 00:19:31,379 And then after he was talking weird? 396 00:19:31,463 --> 00:19:34,466 He got super sleepy, and then I couldn't wake him up. 397 00:19:37,093 --> 00:19:38,386 This is Princess. 398 00:19:38,470 --> 00:19:41,181 I have to go help your brother now, but Princess is going to get you a snack. 399 00:19:41,264 --> 00:19:43,975 - I already brushed my teeth. - Then maybe just a glass of water? 400 00:19:50,565 --> 00:19:52,901 My count, one, two, three. 401 00:19:56,905 --> 00:19:59,282 Flynn, open your eyes, buddy. 402 00:20:01,534 --> 00:20:03,828 Start a second line. 2 liters of Ringer's wide open. 403 00:20:03,912 --> 00:20:05,413 100% non-rebreather. 404 00:20:07,832 --> 00:20:09,125 Crackles bilaterally. 405 00:20:09,209 --> 00:20:11,628 Temp 101, O2 sat only up to 82. 406 00:20:11,711 --> 00:20:13,880 Shit. It's code sepsis. 407 00:20:13,963 --> 00:20:17,425 Blood cultures, labs, portable chest, gram of ceftriaxone. 408 00:20:17,509 --> 00:20:19,844 Dr. King, what are you thinking? 409 00:20:19,928 --> 00:20:22,972 Well, rash, altered with sepsis… 410 00:20:23,056 --> 00:20:27,227 could be meningococcus, Strep pneumo, 411 00:20:27,310 --> 00:20:31,231 something viral like disseminated HSV, encephalitis? 412 00:20:31,314 --> 00:20:32,899 BP's 82 over 49. 413 00:20:32,982 --> 00:20:34,359 Sat up to 87. 414 00:20:34,442 --> 00:20:35,735 What about the rash? 415 00:20:35,819 --> 00:20:38,863 It's more prominent on the lower body, not much on the face. 416 00:20:38,947 --> 00:20:40,073 There's no vesicles. 417 00:20:40,156 --> 00:20:43,785 It doesn't look like chicken pox or typical Lyme rash. 418 00:20:43,868 --> 00:20:44,869 Agreed. 419 00:20:44,953 --> 00:20:46,621 Do you know what this is? 420 00:20:46,704 --> 00:20:47,705 Nope. 421 00:20:47,789 --> 00:20:49,749 Resuscitate first, diagnose later. 422 00:20:50,500 --> 00:20:52,085 We're moving patients from the Yellow Zone 423 00:20:52,168 --> 00:20:54,963 into real rooms along the South and Central Corridors. 424 00:20:55,046 --> 00:20:57,257 Till now, all these patients have just been numbers to us. 425 00:20:57,340 --> 00:20:58,883 Time to ask them their names. 426 00:20:58,967 --> 00:21:01,636 So we scan their wristbands and put them into the big board. 427 00:21:01,719 --> 00:21:04,722 Yeah, and then Dana and I will assign rooms based on medical priority. 428 00:21:04,806 --> 00:21:07,016 Ortho extremity wounds go get X-rays. 429 00:21:09,352 --> 00:21:12,856 Dr. McKay, can you finish up whatever it is you're doing 430 00:21:12,939 --> 00:21:14,899 and come meet me in BH-2? 431 00:21:16,985 --> 00:21:18,778 Yeah, sure. 432 00:21:19,988 --> 00:21:21,781 I told you he didn't do it. 433 00:21:22,448 --> 00:21:23,867 I know. 434 00:21:23,950 --> 00:21:26,327 But you said yourself his threats were serious. 435 00:21:26,411 --> 00:21:28,121 At least now we're nipping it in the bud. 436 00:21:28,204 --> 00:21:29,914 You think this is that easy? 437 00:21:29,998 --> 00:21:31,374 Think again. 438 00:21:35,211 --> 00:21:38,464 He's on 100% oxygen. His pulse ox is still only 88. 439 00:21:38,548 --> 00:21:42,010 - How's it going upstairs? - Regular spa day at the OR. 440 00:21:42,093 --> 00:21:45,180 - 42 ex-laps and thoracotomies. - Impressive. 441 00:21:45,263 --> 00:21:46,472 What do you got? 442 00:21:46,556 --> 00:21:50,685 GSW through and through the thigh, not arterial, now hypotensive and hypoxic. 443 00:21:50,768 --> 00:21:52,687 - Sounds like blood loss. - No. 444 00:21:52,770 --> 00:21:54,397 Hemoglobin times 2 is stable. 445 00:21:54,480 --> 00:21:56,733 Vena cava is plump. It would be flat with hemorrhage. 446 00:21:56,816 --> 00:21:59,861 It's actually a little too plump. Let me see the phased array probe. 447 00:21:59,944 --> 00:22:01,654 Any history of heart disease? 448 00:22:01,738 --> 00:22:04,282 Not sure, but he's a strong guy. 449 00:22:04,365 --> 00:22:06,743 Got shot, strapped a T-shirt and a belt around his thigh 450 00:22:06,826 --> 00:22:08,745 and ran around helping people for a few hours. 451 00:22:08,828 --> 00:22:09,996 Holy shit. 452 00:22:10,079 --> 00:22:12,248 Check out the four chamber apical view. 453 00:22:13,124 --> 00:22:15,501 Dilated right atrium and right ventricle. 454 00:22:15,585 --> 00:22:17,337 Right-sided strain with bowing of the septum. 455 00:22:17,420 --> 00:22:19,756 Sounds like a PE. He throw a clot from having the tourniquet on? 456 00:22:19,839 --> 00:22:21,341 Way too soon for a DVT. 457 00:22:21,424 --> 00:22:23,968 Okay, let's get him in left lateral decubitus. 458 00:22:24,052 --> 00:22:25,053 One, two. 459 00:22:26,054 --> 00:22:27,764 Trendelenburg ASAP. 460 00:22:27,847 --> 00:22:30,225 - What for? - Intracardiac air embolism. 461 00:22:30,308 --> 00:22:31,559 All that running around introduced air 462 00:22:31,643 --> 00:22:33,186 into the femoral vein right up to the heart. 463 00:22:33,269 --> 00:22:34,854 Now it's blocking blood flow to the lungs. 464 00:22:34,938 --> 00:22:36,231 Need a CT to confirm. 465 00:22:36,314 --> 00:22:37,607 They're still backed up with other patients. 466 00:22:37,690 --> 00:22:39,984 Well, maybe the cath lab can take him. They have fluoro. 467 00:22:40,068 --> 00:22:42,862 - I'll go check. - Yeah, good luck with that. 468 00:22:44,948 --> 00:22:48,117 I need a central line kit and a 5 French pigtail catheter. 469 00:22:48,201 --> 00:22:50,453 - I got it. - He doesn't have a collapsed lung. 470 00:22:50,536 --> 00:22:53,331 - Yeah? - So what are you going to do? 471 00:22:53,414 --> 00:22:56,125 I'm not gonna do anything. You are. 472 00:23:04,968 --> 00:23:06,177 Thank you, Casey. 473 00:23:06,261 --> 00:23:08,096 Hey, David. How you doing? 474 00:23:09,097 --> 00:23:10,765 Hi, David. 475 00:23:13,476 --> 00:23:15,478 I didn't shoot anybody. 476 00:23:17,105 --> 00:23:18,982 I wouldn't do that. 477 00:23:19,065 --> 00:23:20,108 I know. 478 00:23:26,030 --> 00:23:29,659 Did you make a list of girls you wanted to hurt? 479 00:23:31,244 --> 00:23:33,454 - Where's my mom? - Did you make a list? 480 00:23:33,538 --> 00:23:35,331 I want to go home. 481 00:23:35,415 --> 00:23:37,208 You're gonna get to go home. 482 00:23:37,292 --> 00:23:40,628 But, first, we have to keep you here for a mandatory 72-hour hold. 483 00:23:40,712 --> 00:23:43,798 What? Why? I didn't do anything. 484 00:23:43,881 --> 00:23:45,633 I know you're upset. 485 00:23:45,717 --> 00:23:48,011 We're only doing what we think is in your best interest. 486 00:23:48,094 --> 00:23:50,138 No, fuck you! You don't know me! 487 00:23:50,930 --> 00:23:52,807 You don't know anything about me! 488 00:23:55,518 --> 00:23:57,061 Look, I know it's a lot to process, but… 489 00:23:57,145 --> 00:23:58,271 No, no! 490 00:23:58,354 --> 00:23:59,731 I want to see my mom. 491 00:24:00,940 --> 00:24:03,026 Where is she? Is she out there? 492 00:24:03,109 --> 00:24:04,527 Mom! 493 00:24:04,610 --> 00:24:05,611 Mom! 494 00:24:06,404 --> 00:24:09,866 - This is not helping your case, David. - Mom! Mom! 495 00:24:09,949 --> 00:24:12,160 - This is not helping your case… - Oh, fuck you! 496 00:24:13,995 --> 00:24:15,496 Let's go outside. 497 00:24:15,580 --> 00:24:20,043 I just want to see my mom, please! 498 00:24:21,502 --> 00:24:24,130 Please, I just want to see my mom. 499 00:24:25,923 --> 00:24:28,092 Mom! 500 00:24:28,176 --> 00:24:29,969 Mom! 501 00:24:30,053 --> 00:24:32,472 BP's 92 over 60 after 2 liters. 502 00:24:32,555 --> 00:24:33,806 Still tachy. 503 00:24:33,890 --> 00:24:36,684 Sats are way down at 84 on the non-rebreather. 504 00:24:36,768 --> 00:24:39,479 Flynn, open your eyes. How you doing, bud? 505 00:24:39,562 --> 00:24:41,647 He's still having trouble breathing. 506 00:24:41,731 --> 00:24:43,649 He's more lethargic than before. 507 00:24:43,733 --> 00:24:45,318 Let's give him a third liter and prep for intubation. 508 00:24:45,401 --> 00:24:47,904 - Can we do that without parental consent? - We wait, he dies. 509 00:24:47,987 --> 00:24:50,239 Tech is here for a portable chest. 510 00:24:50,323 --> 00:24:51,824 Dr. King, what are your intubation meds? 511 00:24:51,908 --> 00:24:53,910 - Etomidate and Roc. - Great. 512 00:24:53,993 --> 00:24:55,870 Gather up everything you need. What size tube? 513 00:24:55,953 --> 00:24:58,164 Age divided by 4 plus 3 514 00:24:58,247 --> 00:25:00,875 would be 6.5 cuffed. 515 00:25:00,958 --> 00:25:02,085 Let's do it. 516 00:25:02,168 --> 00:25:03,503 - And find his parents. - Okay. 517 00:25:03,586 --> 00:25:04,587 Prep these. 518 00:25:10,802 --> 00:25:12,720 What time you start today? 519 00:25:12,804 --> 00:25:14,013 7:00 a.m. 520 00:25:16,015 --> 00:25:17,934 - Thanks. - Can I get one of those? 521 00:25:18,017 --> 00:25:19,143 I'm starving. 522 00:25:19,227 --> 00:25:20,728 No can do. 523 00:25:20,812 --> 00:25:22,563 But I'm hungry. 524 00:25:22,647 --> 00:25:25,274 We can't give you any food in case you need surgery. 525 00:25:25,358 --> 00:25:27,026 You might aspirate. 526 00:25:28,528 --> 00:25:30,530 You need to work on your bedside manner. 527 00:25:30,613 --> 00:25:31,948 Asshole reporter. 528 00:25:32,031 --> 00:25:34,117 - ABG back on the blue man? - Not yet. 529 00:25:34,200 --> 00:25:36,035 Should we just give him the methylene blue? 530 00:25:36,119 --> 00:25:38,913 Pulse ox holding at 85. We can wait a little. 531 00:25:43,418 --> 00:25:44,836 Dr. Santos… 532 00:25:45,628 --> 00:25:49,340 How do we evaluate methemoglobinemia and determine a treatment plan? 533 00:25:56,848 --> 00:25:57,849 Tired? 534 00:25:58,641 --> 00:26:00,059 Yeah. 535 00:26:00,143 --> 00:26:01,602 Feet hurt? 536 00:26:01,686 --> 00:26:03,396 Brain feeling like mush? 537 00:26:03,479 --> 00:26:04,689 Absolutely. 538 00:26:05,690 --> 00:26:07,608 That patient doesn't give a shit. 539 00:26:08,734 --> 00:26:10,069 He needs you. 540 00:26:10,695 --> 00:26:13,364 Methemoglobinemia. 541 00:26:13,448 --> 00:26:15,283 Let's go. 542 00:26:22,665 --> 00:26:23,749 Robby? 543 00:26:23,833 --> 00:26:25,209 Hey, Janey. 544 00:26:25,293 --> 00:26:26,836 Where's Jake? 545 00:26:26,919 --> 00:26:29,213 I got here as fast as I could, but there were street closures… 546 00:26:29,297 --> 00:26:31,007 He's okay. He's okay. 547 00:26:31,090 --> 00:26:33,801 He had some minor injuries that are going to need to be treated, but he's okay. 548 00:26:33,885 --> 00:26:36,888 - He's gonna go home tonight. - Oh, thank God. 549 00:26:39,515 --> 00:26:40,892 Leah didn't make it. 550 00:26:42,518 --> 00:26:43,895 She's dead? 551 00:26:45,855 --> 00:26:47,523 Oh, my God. 552 00:26:47,607 --> 00:26:51,903 He is kind of blaming me for not saving her. 553 00:26:52,695 --> 00:26:54,697 Robby, he's just a kid. 554 00:26:55,698 --> 00:26:56,741 So was she. 555 00:26:58,117 --> 00:26:59,911 Don't do that to yourself. 556 00:27:00,703 --> 00:27:02,330 Hey, look at me. 557 00:27:05,124 --> 00:27:06,918 Jake loves you, okay? 558 00:27:09,545 --> 00:27:11,339 - Where is he? - Hey, Dana. 559 00:27:11,923 --> 00:27:13,633 - You remember Janey? - Of course. 560 00:27:13,716 --> 00:27:15,635 - Thank you for calling me. - Do you mind taking her to go find Jake? 561 00:27:15,718 --> 00:27:17,345 Yeah, no problem. Come on. 562 00:27:24,310 --> 00:27:25,353 Tube's in. 563 00:27:25,937 --> 00:27:27,146 Good color change. 564 00:27:28,314 --> 00:27:29,482 Nicely done. 565 00:27:29,565 --> 00:27:30,566 Present. 566 00:27:31,359 --> 00:27:33,861 We have a septic 13-year-old with pneumonia. 567 00:27:33,945 --> 00:27:36,739 I just intubated, and ceftriaxone is on board. 568 00:27:36,822 --> 00:27:38,783 Patchy consolidation, maybe some nodules. 569 00:27:38,866 --> 00:27:42,078 It could be viral pneumonia with or without bacterial superinfection. 570 00:27:42,161 --> 00:27:43,579 Kid's got a weird rash, too. 571 00:27:44,205 --> 00:27:46,457 Oh, and it's maculopapular on the legs. 572 00:27:48,584 --> 00:27:51,587 Pretty faded on the neck and chest. 573 00:27:51,671 --> 00:27:53,172 Starting to desquamate. 574 00:27:56,175 --> 00:27:58,052 You ever seen anything like this before? 575 00:27:58,135 --> 00:27:59,178 - Nope. - Me neither. 576 00:28:00,179 --> 00:28:02,139 Well, that just goes to show you how old I am. 577 00:28:02,223 --> 00:28:03,516 This looks like measles. 578 00:28:03,599 --> 00:28:04,892 - "Measles"? - Holy shit. 579 00:28:04,976 --> 00:28:06,185 Any travel history? 580 00:28:07,061 --> 00:28:08,896 He wasn't able to talk before we intubated. 581 00:28:08,980 --> 00:28:10,189 Measles is super contagious. 582 00:28:10,273 --> 00:28:11,899 It's not contagious if it's resolving. 583 00:28:11,983 --> 00:28:13,109 We need more history. 584 00:28:13,192 --> 00:28:14,944 - Where are the parents? - Oh, they're at the movies. 585 00:28:15,027 --> 00:28:16,404 I'm sure their phone's off. 586 00:28:16,487 --> 00:28:19,115 But he came in with his little sister. We can talk to her. 587 00:28:19,198 --> 00:28:21,534 - What theater? - I don't know. 588 00:28:21,617 --> 00:28:23,536 Shen, try every theater. 589 00:28:23,619 --> 00:28:24,912 There's got to be over a dozen in Pittsburgh. 590 00:28:24,996 --> 00:28:26,122 Start with the ones closest to where they live. 591 00:28:26,205 --> 00:28:28,332 We need to find those parents. And call Public Health. 592 00:28:28,416 --> 00:28:30,209 Tell them we might have a measles outbreak. 593 00:28:32,670 --> 00:28:34,505 We get blood gas results back? 594 00:28:34,589 --> 00:28:35,923 I just got them. 595 00:28:36,007 --> 00:28:39,427 Methemoglobin level of 42%, enough for cyanosis and lethargy. 596 00:28:39,510 --> 00:28:40,928 Party on, Wayne. 597 00:28:41,012 --> 00:28:43,139 Okay, let's go ahead and start methylene blue. 598 00:28:43,222 --> 00:28:45,266 1 mg per kg, slow IV push over five minutes. 599 00:28:45,349 --> 00:28:46,350 On it. 600 00:28:46,434 --> 00:28:48,853 Gonna need somebody to stand bedside, push it with a syringe. 601 00:28:48,936 --> 00:28:50,813 Santos, tag, you're it. 602 00:28:52,023 --> 00:28:54,900 How long until his cyanosis resolves? 603 00:28:54,984 --> 00:28:57,028 Five minutes, bright spark. 604 00:28:58,654 --> 00:29:01,365 Oh, you two definitely got beef. 605 00:29:07,580 --> 00:29:08,956 Hi, Georgia. 606 00:29:09,040 --> 00:29:10,791 This is Dr. Robby. 607 00:29:10,875 --> 00:29:13,169 He's gonna ask you some questions so we can help Flynn. 608 00:29:13,252 --> 00:29:14,503 Is that okay? 609 00:29:15,546 --> 00:29:16,589 Hi, Georgia. 610 00:29:16,672 --> 00:29:19,634 Can you tell me when your brother first got sick? 611 00:29:19,717 --> 00:29:21,177 A week ago. 612 00:29:21,260 --> 00:29:23,304 I was already getting better. 613 00:29:23,387 --> 00:29:24,847 You were sick, too? 614 00:29:25,556 --> 00:29:27,266 Fever, rash like Flynn? 615 00:29:27,850 --> 00:29:31,854 Has your family traveled anywhere recently on an airplane or to another state? 616 00:29:32,772 --> 00:29:36,817 Orlando for a dance competition a couple of weeks ago. 617 00:29:36,901 --> 00:29:39,779 And where on your body did the rash start? 618 00:29:40,446 --> 00:29:41,697 On my face. 619 00:29:42,365 --> 00:29:44,492 Then it went down to my legs. 620 00:29:46,494 --> 00:29:48,621 Okay. Thank you, Georgia. 621 00:29:48,704 --> 00:29:51,916 - Is Flynn gonna be okay? - Oh, well, yeah. 622 00:29:51,999 --> 00:29:53,876 We're gonna do everything we can to help him. 623 00:29:57,505 --> 00:29:59,006 The story is consistent with measles. 624 00:29:59,090 --> 00:30:01,008 Plenty of opportunity for exposure in Orlando 625 00:30:01,092 --> 00:30:02,635 with all the international travelers. 626 00:30:02,718 --> 00:30:05,012 - Isolation? - No, 'cause you're only infectious 627 00:30:05,096 --> 00:30:07,640 for four days after the rash starts, so we're past that point. 628 00:30:07,723 --> 00:30:11,811 But the altered mental status, he's in the right time frame for ADEM. 629 00:30:11,894 --> 00:30:13,020 ADEM? 630 00:30:13,104 --> 00:30:16,816 Acute Disseminated Encephalomyelitis, post-infection immune response. 631 00:30:16,899 --> 00:30:19,652 - So a head CT and an LP? - Afraid so. 632 00:30:19,735 --> 00:30:21,529 It has a 20% death rate. 633 00:30:22,530 --> 00:30:26,200 - Dr. King, this is Morgan. - Trish Gregory's daughter. 634 00:30:26,283 --> 00:30:29,662 - Is my mom okay? - Oh, yeah, she's fine. 635 00:30:29,745 --> 00:30:31,831 Dr. Robby, do you mind if I show Morgan to her mom? 636 00:30:31,914 --> 00:30:33,999 No, go ahead. I'm going to send Flynn for a head CT 637 00:30:34,083 --> 00:30:35,459 and get Shen to prep the LP. 638 00:30:35,543 --> 00:30:38,462 - What about the parents? - I think he's still trying to find them. 639 00:30:38,546 --> 00:30:41,298 - I can help. Go. We got this. - Thanks, Lupe. 640 00:30:41,382 --> 00:30:42,466 Just this way. 641 00:30:42,550 --> 00:30:45,344 So she's gonna need surgery, but she's… 642 00:30:46,679 --> 00:30:48,848 - Take a seat. - What? 643 00:30:50,307 --> 00:30:51,809 Why? 644 00:30:51,892 --> 00:30:54,145 Adrenaline crash after a big event. 645 00:30:56,939 --> 00:30:59,108 A juice box? Thanks. 646 00:31:00,735 --> 00:31:03,571 What happened here today, it's not normal. 647 00:31:04,488 --> 00:31:06,490 But you… 648 00:31:06,574 --> 00:31:08,367 You were a rock star, Victoria. 649 00:31:14,707 --> 00:31:16,375 He knows my name. 650 00:31:19,712 --> 00:31:21,172 Got the IJ. 651 00:31:21,797 --> 00:31:24,091 Okay, back to business as usual, thank God. 652 00:31:24,175 --> 00:31:27,511 - Guidewire and introducer. - What the hell are you doing? 653 00:31:27,595 --> 00:31:29,680 Dr. Mohan is about to pull air from the right atrium 654 00:31:29,764 --> 00:31:31,515 - and right ventricle. - With what? 655 00:31:31,599 --> 00:31:34,101 - 5 French pigtail catheter. - Inside his heart? 656 00:31:34,185 --> 00:31:36,187 Multiple side-holes gives you a better shot 657 00:31:36,270 --> 00:31:37,897 at sucking out all the air. 658 00:31:37,980 --> 00:31:40,399 Dr. Abbot showed me a case report from South Korea. 659 00:31:40,483 --> 00:31:41,525 What the actual fuck? 660 00:31:41,609 --> 00:31:43,694 I just talked to cardiology. They want a CT scan. 661 00:31:43,778 --> 00:31:45,529 If it's showing air, then you need to dive him 662 00:31:45,613 --> 00:31:47,448 - in the hyperbaric chamber. - He'll be dead by then. 663 00:31:47,531 --> 00:31:49,742 Not if you kill him first with this banana-pants procedure. 664 00:31:49,825 --> 00:31:52,244 We don't have time to wait for your fancy-pants machine. 665 00:31:52,328 --> 00:31:54,538 If we don't get the air out of his heart, he'll die. 666 00:31:54,622 --> 00:31:56,540 - This is not the standard of care. - Oh, fuck standard of care. 667 00:31:56,624 --> 00:31:58,042 If we want to save him, we go in now. 668 00:31:58,834 --> 00:32:01,337 - Maybe I should… - Thread in the pigtail? 669 00:32:01,420 --> 00:32:03,589 Excellent idea, Dr. Mohan. 670 00:32:11,222 --> 00:32:14,725 Go down to 24 centimeters, and then we'll confirm with X-ray. 671 00:32:14,809 --> 00:32:16,060 Good. 672 00:32:16,143 --> 00:32:18,354 Think I'll stick around in case you need another set of hands 673 00:32:18,437 --> 00:32:20,648 to resuscitate your patient when he crashes. 674 00:32:27,071 --> 00:32:28,781 Oh, my God. You're bleeding. What… 675 00:32:28,864 --> 00:32:30,658 - Are you okay? - Mom, I'm fine. 676 00:32:32,451 --> 00:32:33,994 You got to get me out of here. 677 00:32:34,078 --> 00:32:36,163 Well, they just want to help you. We all do. 678 00:32:36,247 --> 00:32:37,790 I don't need help. I just want to go, okay? 679 00:32:37,873 --> 00:32:42,670 David, you haven't called me back or texted me all day. 680 00:32:42,753 --> 00:32:44,046 Mom. 681 00:32:44,129 --> 00:32:45,673 You didn't go to school. 682 00:32:46,882 --> 00:32:50,052 I saw the Instagram post you made. 683 00:32:51,220 --> 00:32:53,973 And I found the list about all the girls. 684 00:32:56,851 --> 00:32:58,811 You went through my stuff? 685 00:32:58,894 --> 00:33:00,187 - I love you. - No, Mom, Mom. 686 00:33:00,271 --> 00:33:01,814 - And I don't… - Those are my things. 687 00:33:01,897 --> 00:33:03,858 Can I just say that we all have scary thoughts? 688 00:33:03,941 --> 00:33:05,818 It does not make you a bad person. 689 00:33:05,901 --> 00:33:09,280 And dealing with those feelings can be hard. 690 00:33:10,072 --> 00:33:11,615 Talking to somebody can really help. 691 00:33:11,699 --> 00:33:12,992 Oh, my God, just shut up. 692 00:33:13,075 --> 00:33:16,078 I'm not gonna fucking talk to anyone, okay? 693 00:33:16,161 --> 00:33:17,288 You can't make me. 694 00:33:23,085 --> 00:33:25,379 David, I signed a petition. 695 00:33:27,673 --> 00:33:28,924 What the fuck? 696 00:33:30,301 --> 00:33:32,219 What, you signed some paper to get me locked up? 697 00:33:32,303 --> 00:33:34,305 I signed a petition to get you help. 698 00:33:36,390 --> 00:33:38,142 This is fucking bullshit. 699 00:33:38,934 --> 00:33:40,936 Seeing all those people come in here today… 700 00:33:41,812 --> 00:33:45,316 All those hurt people and the death and the blood… 701 00:33:46,650 --> 00:33:51,530 I was so afraid of you being that sad and angry. 702 00:33:54,533 --> 00:33:56,744 I cannot bear to lose you. 703 00:33:58,871 --> 00:34:01,457 I would never do something like that. 704 00:34:01,540 --> 00:34:02,875 There's nothing wrong with me. 705 00:34:02,958 --> 00:34:05,544 It's me, Mom. You know I'd never hurt someone like that. 706 00:34:06,337 --> 00:34:08,047 Please, don't do this to me. 707 00:34:08,130 --> 00:34:09,673 Why are you doing this? 708 00:34:09,757 --> 00:34:13,135 All we're asking is that you speak with a professional. 709 00:34:14,219 --> 00:34:17,556 It's important to talk to somebody about how you're feeling. 710 00:34:18,349 --> 00:34:20,351 You think you might be open to that? 711 00:34:23,312 --> 00:34:24,355 Fuck you. 712 00:34:25,731 --> 00:34:27,358 Fuck all of you. 713 00:34:27,983 --> 00:34:29,360 Can you just get out? 714 00:34:30,778 --> 00:34:31,987 Get out! 715 00:34:37,117 --> 00:34:41,080 Hey, Perlah, can you take Theresa to go find a cup of tea? 716 00:34:41,163 --> 00:34:42,373 Yeah, of course. 717 00:34:44,249 --> 00:34:45,960 Jesus. 718 00:34:46,043 --> 00:34:47,378 What now? 719 00:34:48,587 --> 00:34:50,339 Well, I suggested a better way, 720 00:34:50,422 --> 00:34:52,716 but you had him taken down by the police, handcuffed, 721 00:34:52,800 --> 00:34:54,009 and dragged in here. 722 00:34:55,386 --> 00:34:57,805 You made this fucking mess. You're gonna have to fix it. 723 00:35:05,562 --> 00:35:07,481 Pigtail's in the right atrium, good position. 724 00:35:07,564 --> 00:35:09,400 Aspirate, see what you get. 725 00:35:09,483 --> 00:35:11,485 Pulling back blood from the heart… 726 00:35:15,447 --> 00:35:16,615 Along with some air. 727 00:35:16,699 --> 00:35:18,075 How about that? 728 00:35:18,158 --> 00:35:20,244 BP's still only 85 systolic. 729 00:35:20,327 --> 00:35:21,954 No improvement. 730 00:35:22,037 --> 00:35:23,539 Advance slowly into the right ventricle. 731 00:35:23,622 --> 00:35:25,249 - How do I know when I'm… - PVCs. 732 00:35:25,332 --> 00:35:27,334 That's how you know. Aspirate again. 733 00:35:27,418 --> 00:35:28,794 Run of three. 734 00:35:29,753 --> 00:35:31,130 More blood and air coming out. 735 00:35:31,213 --> 00:35:32,756 - Run of five. - Non-sustained V tach. 736 00:35:32,840 --> 00:35:35,342 - Charge to 200 for when he deteriorates. - Mainly blood now. 737 00:35:35,426 --> 00:35:37,094 Pull the pigtail back to the RA. 738 00:35:37,177 --> 00:35:38,971 - Step aside. - Pull the pigtail, Dr. Mohan. 739 00:35:39,054 --> 00:35:40,764 - Step aside! - You got this. 740 00:35:43,642 --> 00:35:45,561 Normal sinus rhythm, 92. 741 00:35:45,644 --> 00:35:49,064 Pulse ox is improving. BP's 112 over 84. 742 00:35:55,320 --> 00:35:57,573 Not too shabby, huh, Dr. Walsh? 743 00:35:57,656 --> 00:35:59,575 I think we can admit him to General Surgery now. 744 00:35:59,658 --> 00:36:00,784 Hell, no. 745 00:36:00,868 --> 00:36:03,537 - He's a gunshot victim. - Admit him to the cardiac ICU. 746 00:36:03,620 --> 00:36:04,872 We'll consult from there. 747 00:36:04,955 --> 00:36:08,667 Well, you can admit him yourself, with Cardiology consulting. 748 00:36:08,751 --> 00:36:10,794 I thought you liked flying the plane. 749 00:36:10,878 --> 00:36:12,671 Not when it's gonna crash. 750 00:36:17,676 --> 00:36:19,178 Solid work. 751 00:36:19,261 --> 00:36:21,388 That was your save, not mine. 752 00:36:21,472 --> 00:36:23,098 Take the win, Dr. Mohan. 753 00:36:24,475 --> 00:36:25,476 Thanks. 754 00:36:26,351 --> 00:36:29,480 Besides, it was a little too risky for me to do myself. 755 00:36:30,814 --> 00:36:32,274 - What? - Suture. 756 00:36:37,279 --> 00:36:39,114 This is so cool. 757 00:36:39,198 --> 00:36:40,991 Blue plus blue equals pink. 758 00:36:43,077 --> 00:36:44,703 Can you tell us your name? 759 00:36:45,370 --> 00:36:46,789 Max. 760 00:36:46,872 --> 00:36:49,124 Max, can you tell us what you took? 761 00:36:49,208 --> 00:36:50,959 Sleep. 762 00:36:51,043 --> 00:36:53,212 Yeah, he might need a second dose of methylene blue 763 00:36:53,295 --> 00:36:55,881 if his methemoglobin level stays above 30. 764 00:36:55,964 --> 00:36:57,549 This definitely wasn't poppers. 765 00:36:57,633 --> 00:37:00,010 He would have had to have sniffed, like, a gallon of it. 766 00:37:00,094 --> 00:37:02,012 So what caused the overdose? 767 00:37:03,138 --> 00:37:05,933 Got to wait for him to wake up so we can get more answers. 768 00:37:09,103 --> 00:37:10,854 Trish… 769 00:37:10,938 --> 00:37:12,397 I have a special visitor for you. 770 00:37:12,481 --> 00:37:15,234 Mom, are you okay? 771 00:37:15,317 --> 00:37:16,944 Yeah, I'm fine. 772 00:37:19,154 --> 00:37:21,073 Okay. I was so scared. 773 00:37:21,156 --> 00:37:23,742 - I know. - And Dad. 774 00:37:33,127 --> 00:37:34,169 You okay? 775 00:37:35,337 --> 00:37:37,965 Just…my patient hasn't seen her daughter, 776 00:37:38,048 --> 00:37:40,717 and it won't happen again. 777 00:37:40,801 --> 00:37:43,804 Never apologize for feeling something for your patients. 778 00:37:44,763 --> 00:37:46,765 Today was chaos. 779 00:37:47,933 --> 00:37:49,351 You were awesome. 780 00:37:50,352 --> 00:37:52,354 I'm really glad you're with us, Dr. King. 781 00:37:53,397 --> 00:37:56,608 Robby, Flynn's parents are here, the measles kid. 782 00:37:56,692 --> 00:37:58,569 You should go home. 783 00:38:02,322 --> 00:38:04,283 How did Flynn get measles? 784 00:38:04,366 --> 00:38:06,493 From his sister. Hi. I'm Dr. Robby. 785 00:38:06,577 --> 00:38:08,704 Georgia is fine. She's in our staff room. 786 00:38:08,787 --> 00:38:12,791 She's the one who actually called 911 and probably saved her brother's life. 787 00:38:12,875 --> 00:38:15,043 Georgia was sick, but she got better on her own quickly. 788 00:38:15,127 --> 00:38:17,504 Yeah, many people get better on their own, like Georgia. 789 00:38:17,588 --> 00:38:19,798 However, as many as 1 in 20 kids that get measles 790 00:38:19,882 --> 00:38:22,134 get pneumonia, like your son. 791 00:38:22,217 --> 00:38:24,303 Are your children vaccinated against measles? 792 00:38:24,386 --> 00:38:25,929 No. 793 00:38:26,013 --> 00:38:28,682 The MMR vaccine is perfectly safe. 794 00:38:28,765 --> 00:38:30,350 Measles is not. 795 00:38:30,434 --> 00:38:32,311 We're concerned about inflammation 796 00:38:32,394 --> 00:38:35,022 and possible damage to Flynn's brain and spinal cord. 797 00:38:35,105 --> 00:38:36,523 The measles got to his brain? 798 00:38:36,607 --> 00:38:38,317 Well, his head CT was normal, 799 00:38:38,400 --> 00:38:41,403 but the only way to find out if he's okay is to perform a lumbar puncture. 800 00:38:42,029 --> 00:38:43,447 A spinal tap? 801 00:38:43,530 --> 00:38:46,200 I've read about kids who've been paralyzed from a spinal tap. 802 00:38:46,283 --> 00:38:47,951 There is zero risk of paralysis. 803 00:38:48,035 --> 00:38:49,828 What about bleeding or infection? 804 00:38:49,912 --> 00:38:51,955 It's a perfectly safe procedure. We do it every day. 805 00:38:52,039 --> 00:38:56,501 We need spinal fluid to see if Flynn has acute disseminated encephalomyelitis. 806 00:38:56,585 --> 00:38:57,836 And if he does? 807 00:38:57,920 --> 00:39:00,214 We treat with high-dose steroids to decrease the risk 808 00:39:00,297 --> 00:39:04,718 of blindness, deafness, intellectual disability, even death. 809 00:39:04,801 --> 00:39:05,844 He could die from this? 810 00:39:05,928 --> 00:39:08,430 The death rate from ADEM is high, one in five. 811 00:39:08,513 --> 00:39:10,015 Do the spinal tap. 812 00:39:10,098 --> 00:39:11,266 No! 813 00:39:12,392 --> 00:39:15,229 Can't you just give him steroids without the spinal tap? 814 00:39:15,312 --> 00:39:18,357 If there's no ADEM, the steroids could suppress his immune system, 815 00:39:18,440 --> 00:39:19,900 making it harder to fight off the pneumonia. 816 00:39:19,983 --> 00:39:21,235 But it says here that… 817 00:39:21,318 --> 00:39:23,153 Can you put your damn phone away? 818 00:39:24,112 --> 00:39:25,572 Your son is critically ill. 819 00:39:25,656 --> 00:39:28,492 The longer that we wait, the higher the risk of permanent brain damage. 820 00:39:28,575 --> 00:39:29,701 What is not clear here? 821 00:39:30,661 --> 00:39:33,580 Hillary, he has a tube down his throat. He can't breathe on his own. 822 00:39:33,664 --> 00:39:36,291 They're not poking holes in my son's spine! 823 00:39:36,375 --> 00:39:38,085 Wow. Okay. 824 00:39:39,461 --> 00:39:41,922 Let's just wait and see if he gets better. 825 00:39:42,005 --> 00:39:44,675 Dr. King, could you please take Flynn's parents to see their daughter? 826 00:39:44,758 --> 00:39:45,884 No problem. 827 00:39:47,552 --> 00:39:49,596 They are going to see their daughter. 828 00:39:49,680 --> 00:39:51,223 Fucking Dr. Google bullshit. 829 00:39:51,306 --> 00:39:53,225 They want medical treatment, but they don't want medical advice. 830 00:39:53,308 --> 00:39:56,603 - What the actual fuck are we doing? - Yeah, I know, and we'll keep trying. 831 00:39:56,687 --> 00:39:58,855 - Hey, you okay, boss? - Yes. 832 00:39:58,939 --> 00:40:00,065 Hey, Whitaker. 833 00:40:00,148 --> 00:40:02,943 - You got a minute? - Yeah, yeah. 834 00:40:03,026 --> 00:40:06,613 I just wanted to say thank you 835 00:40:06,697 --> 00:40:08,907 for earlier when I was… 836 00:40:10,117 --> 00:40:13,537 Oh, your brief moment of silent reflection? 837 00:40:13,620 --> 00:40:15,706 Yeah. You didn't mention that to anybody? 838 00:40:15,789 --> 00:40:18,000 - No, no. God, no. No. - I don't know what that was. 839 00:40:18,083 --> 00:40:20,585 I was just…felt like I was drowning. 840 00:40:22,379 --> 00:40:24,756 What was that you were reciting? 841 00:40:25,716 --> 00:40:29,136 It's called the Shema prayer. It's a declaration of faith in God. 842 00:40:29,928 --> 00:40:32,848 I lived with my grandmother when I was little, 843 00:40:32,931 --> 00:40:36,059 and she and I used to recite it every morning. 844 00:40:36,143 --> 00:40:40,856 "Even youths grow tired and weary, and young men stumble and fall. 845 00:40:40,939 --> 00:40:44,651 But those who hold hope in the Lord 846 00:40:44,735 --> 00:40:48,947 will renew their strength and soar on wings like eagles." 847 00:40:50,365 --> 00:40:52,576 It's Isaiah 40. 848 00:40:52,659 --> 00:40:54,745 I was an undergrad theology major. 849 00:40:55,704 --> 00:40:57,414 I don't know why I said that. 850 00:40:58,874 --> 00:41:02,753 I don't know if I actually believe in God, especially on days like today. 851 00:41:04,880 --> 00:41:09,259 A wise man once told me that you learn to live with it, 852 00:41:09,343 --> 00:41:11,470 learn to accept it, 853 00:41:11,553 --> 00:41:14,222 and find balance if you can. 854 00:41:16,475 --> 00:41:18,185 I hope we all do. 855 00:41:31,406 --> 00:41:32,699 Only one pink left. 856 00:41:32,783 --> 00:41:34,701 The rest all went up. 857 00:41:34,785 --> 00:41:35,911 Hey. 858 00:41:35,994 --> 00:41:37,913 You guys need any help with new patients, or… 859 00:41:37,996 --> 00:41:40,499 No, no, no. We're good. It's quick and easy stuff. Go home. 860 00:41:40,582 --> 00:41:41,583 - Yeah? - Yeah. 861 00:41:41,666 --> 00:41:43,126 - Hey, you got a second? - Yeah. 862 00:41:46,338 --> 00:41:47,714 What is up with Robby? 863 00:41:47,798 --> 00:41:49,049 He's been better. 864 00:41:49,132 --> 00:41:50,675 I'm really worried about him. 865 00:41:50,759 --> 00:41:52,719 I've never seen him like this. Have you? 866 00:41:52,803 --> 00:41:54,012 No. 867 00:41:55,222 --> 00:41:56,807 How about you, slugger? 868 00:41:57,849 --> 00:41:59,142 Been better. 869 00:41:59,226 --> 00:42:00,602 - Preach. - Yeah. 870 00:42:03,313 --> 00:42:04,815 Sorry to interrupt. 871 00:42:05,440 --> 00:42:08,068 Oh, if you guys are looking for Officer Stefano, 872 00:42:08,151 --> 00:42:11,446 - he went up to surgery about an hour ago. - We're looking for Dr. Cassie McKay. 873 00:42:13,448 --> 00:42:14,699 Yeah, that's me. 874 00:42:14,783 --> 00:42:17,285 We were alerted about your ankle monitor being tampered with. 875 00:42:18,036 --> 00:42:20,539 County probation called to check in earlier, but you never responded. 876 00:42:20,622 --> 00:42:24,167 Yeah, it was beeping and giving an error message. 877 00:42:24,251 --> 00:42:27,129 And we were in the middle of a mass casualty from PittFest. 878 00:42:27,212 --> 00:42:29,464 Did you tamper with your ankle monitor? 879 00:42:33,218 --> 00:42:37,431 Yeah, I might have drilled a hole in it. 880 00:42:37,514 --> 00:42:39,516 Officers, look around. She was saving lives. 881 00:42:39,599 --> 00:42:42,602 - Put your hands behind your head. - Hang on a second. 882 00:42:42,686 --> 00:42:45,272 - Are you joking? - Officers, wait a second. 883 00:42:45,355 --> 00:42:46,648 You're under arrest. 884 00:42:49,651 --> 00:42:50,652 Great.