1 00:00:10,135 --> 00:00:11,552 Hey, Jake, it's Robby. 2 00:00:11,553 --> 00:00:15,514 Listen, man, just call me or text me the second that you get this message, OK? 3 00:00:15,515 --> 00:00:16,515 OK. 4 00:00:16,516 --> 00:00:18,350 I can't reach Jake. 5 00:00:18,351 --> 00:00:19,810 I'm sure he's OK. 6 00:00:19,811 --> 00:00:21,645 - Active shooter at PittFest. - We heard. 7 00:00:21,646 --> 00:00:25,733 Code Triage, Emergency Department now. 8 00:00:25,734 --> 00:00:27,276 What's that mean? Has that happened before? 9 00:00:27,277 --> 00:00:28,902 We're locking down the hospital 10 00:00:28,903 --> 00:00:30,779 and setting up a command center in Administration. 11 00:00:30,780 --> 00:00:32,906 We'll coordinate logistics, supplies, communication. 12 00:00:32,907 --> 00:00:34,324 How many casualties? 13 00:00:34,325 --> 00:00:36,535 Unclear, but initial reports are not good. 14 00:00:36,536 --> 00:00:38,078 OK. 15 00:00:38,079 --> 00:00:40,622 The night shift is gonna be here soon, but we are gonna need more help, 16 00:00:40,623 --> 00:00:42,332 especially from Surgery and Anesthesiology. 17 00:00:42,333 --> 00:00:44,376 MCI group text and email went out to everyone, 18 00:00:44,377 --> 00:00:46,545 including Transport and Environmental Services. 19 00:00:46,546 --> 00:00:48,047 OK, good. 20 00:00:48,048 --> 00:00:50,299 Hey, everyone's gonna want to come in to help. 21 00:00:50,300 --> 00:00:51,592 Keep enough in reserve. 22 00:00:51,593 --> 00:00:53,844 Tell them to come in eight hours later to give us a break. 23 00:00:53,845 --> 00:00:55,805 - And can you try and reach Jake? - Of course. 24 00:00:56,890 --> 00:00:58,307 Surgery's got to call in the cavalry. 25 00:00:58,308 --> 00:01:00,309 - We're gonna need all 25 ORs. - Ahead of you. 26 00:01:00,310 --> 00:01:01,935 Four ORs are prepped and staffed, 27 00:01:01,936 --> 00:01:03,771 and we're working on getting the rest up and running. 28 00:01:03,772 --> 00:01:05,523 - What about disaster supplies? - On their way. 29 00:01:07,400 --> 00:01:09,318 Every patient in the ER needs to go up. 30 00:01:09,319 --> 00:01:11,111 Beds or no beds, they'll get better care 31 00:01:11,112 --> 00:01:12,780 in an upstairs hallway than ignored down here. 32 00:01:12,781 --> 00:01:13,865 Agreed. 33 00:01:14,616 --> 00:01:17,326 There's a whole wing that's empty on the eighth floor. 34 00:01:17,327 --> 00:01:20,038 - I don't know if that's-- - But no nurses to staff it. 35 00:01:20,830 --> 00:01:21,997 No comment on that one. 36 00:01:21,998 --> 00:01:24,249 Waiting room and Triage can go to Family Medicine Urgent Care. 37 00:01:24,250 --> 00:01:25,584 And we should turn off the TVs. 38 00:01:25,585 --> 00:01:27,878 - We don't need to cause any extra panic. - Will do. 39 00:01:27,879 --> 00:01:30,130 The cafeteria will handle the family members and survivors. 40 00:01:30,131 --> 00:01:31,382 What else do you need? 41 00:01:33,301 --> 00:01:34,843 Prayers wouldn't hurt. 42 00:01:34,844 --> 00:01:36,345 Amen to that. 43 00:01:36,346 --> 00:01:38,639 - Keep the press out of here. - Gladly. 44 00:01:38,640 --> 00:01:40,349 Call me directly if you need anything else. 45 00:01:40,350 --> 00:01:41,558 OK, will do. Thank you. 46 00:01:41,559 --> 00:01:44,144 - Hey, what's going on? - Mass casualty at PittFest. 47 00:01:44,145 --> 00:01:45,604 How many victims? 48 00:01:45,605 --> 00:01:47,023 We don't know. Expect the worst. 49 00:01:47,565 --> 00:01:49,192 Did the police find David? 50 00:01:50,485 --> 00:01:52,070 OK, everybody listen up. 51 00:01:54,572 --> 00:01:56,907 There is an active shooter at PittFest. 52 00:01:56,908 --> 00:01:58,617 As the nearest trauma center, 53 00:01:58,618 --> 00:02:00,786 we are going to be getting the majority of the victims. 54 00:02:00,787 --> 00:02:02,788 We don't know yet how many we are getting, 55 00:02:02,789 --> 00:02:06,084 but we are instituting hospital-wide emergency protocols. 56 00:02:06,626 --> 00:02:09,628 We need to move every patient out of here. 57 00:02:09,629 --> 00:02:12,799 They either go home, they go upstairs, or they go to Family Medicine. 58 00:02:13,883 --> 00:02:15,801 Call your loved ones now if you need to. 59 00:02:15,802 --> 00:02:19,263 I can guarantee you cell service will soon be overwhelmed. 60 00:02:19,264 --> 00:02:20,681 Eat something. Stay hydrated. 61 00:02:20,682 --> 00:02:22,349 Use the bathroom while there's time 62 00:02:22,350 --> 00:02:24,393 and meet back here for a full briefing in five minutes. 63 00:02:24,394 --> 00:02:27,187 - Brother, I'm so fucking glad to see you. - Heard it on the police scanner. 64 00:02:27,188 --> 00:02:30,732 - How many we expecting? - I don't know, but it doesn't sound good. 65 00:02:30,733 --> 00:02:33,152 Let's go to the back first in order. 66 00:02:33,153 --> 00:02:34,779 Those guys got to get out of there. 67 00:02:37,365 --> 00:02:39,325 How many patients can you take? 68 00:02:45,498 --> 00:02:47,040 Where do we put the disaster bins? 69 00:02:47,041 --> 00:02:49,418 Behavioral Health. That's now our central supply. 70 00:02:49,419 --> 00:02:50,503 Let's go. 71 00:02:51,796 --> 00:02:53,506 We got more bins coming. 72 00:02:55,049 --> 00:02:56,466 OK. 73 00:02:56,467 --> 00:02:57,885 Right side. 74 00:02:57,886 --> 00:02:59,678 Left side. 75 00:02:59,679 --> 00:03:02,055 I'm gonna need you to grab folding tables from facilities 76 00:03:02,056 --> 00:03:03,640 - to organize all this stuff. - Copy that. 77 00:03:03,641 --> 00:03:05,017 Go. Thank you. 78 00:03:05,018 --> 00:03:09,856 Code Triage, Emergency Department now. 79 00:03:11,733 --> 00:03:16,196 Blood Bank, call 7113. 80 00:03:18,239 --> 00:03:20,532 Thank you for your cooperation and understanding 81 00:03:20,533 --> 00:03:23,410 as we prepare for a mass-casualty event. 82 00:03:23,411 --> 00:03:27,122 Your medical records will be available to urgent care and Family Medicine. 83 00:03:27,123 --> 00:03:28,875 They know you're coming. 84 00:03:30,710 --> 00:03:34,004 OK, please make sure to take all your personal belongings with you. 85 00:03:34,005 --> 00:03:35,339 This is stupid. 86 00:03:35,340 --> 00:03:37,841 Sorry for any inconvenience, sir, but this is an emergency. 87 00:03:37,842 --> 00:03:40,719 This is an emergency room. It's fucking stupid. 88 00:03:40,720 --> 00:03:43,680 Olsen, get back here as soon as the waiting room is cleared. 89 00:03:43,681 --> 00:03:44,766 Copy that. 90 00:03:45,516 --> 00:03:46,517 Telemetry. 91 00:03:47,393 --> 00:03:48,810 OB/GYN. 92 00:03:48,811 --> 00:03:50,896 CCU. ICU. 93 00:03:50,897 --> 00:03:53,148 - Ortho. - MCI protocols. 94 00:03:53,149 --> 00:03:55,108 Make sure you bring all these gurneys and wheelchairs back. 95 00:03:55,109 --> 00:03:56,276 They're going to the ambulance bay. 96 00:03:56,277 --> 00:03:57,861 We need as many as we can get our hands on. 97 00:03:57,862 --> 00:03:58,862 What's next, Cap? 98 00:03:58,863 --> 00:04:00,364 Pharmacy needs to come down and open the PDS. 99 00:04:00,365 --> 00:04:01,949 They also need to bring up all the narcotics, 100 00:04:01,950 --> 00:04:03,700 paralytics, and sedatives that they can. 101 00:04:03,701 --> 00:04:05,369 - Consider it done. - Jake? 102 00:04:05,370 --> 00:04:08,038 Not yet, but you know teenagers. I'll keep trying. 103 00:04:08,039 --> 00:04:09,289 OK, maybe try his mom, Janey. 104 00:04:09,290 --> 00:04:11,333 She's in my phone. Tell her what's going on. 105 00:04:11,334 --> 00:04:14,002 And try Collins. See if you can get her to come back. 106 00:04:14,003 --> 00:04:15,295 Will do. 107 00:04:15,296 --> 00:04:16,672 OK, let's go. Let's go. 108 00:04:16,673 --> 00:04:18,298 Bring all these gurneys and wheelchairs back. 109 00:04:18,299 --> 00:04:20,093 They're all going to the ambulance bay. 110 00:04:22,011 --> 00:04:23,512 Hi. Can you just tell my sister, Becca, 111 00:04:23,513 --> 00:04:26,015 that I'm gonna be a little late picking her up? 112 00:04:29,394 --> 00:04:30,852 I don't know. 113 00:04:30,853 --> 00:04:33,939 Hey. Hey, Mom, I need you or Dad to come to the hospital right now 114 00:04:33,940 --> 00:04:36,650 to pick up Harrison, or he's gonna be stuck here for hours. 115 00:04:36,651 --> 00:04:38,652 I know, I'll explain when you get here, OK? 116 00:04:38,653 --> 00:04:39,821 Love you. Bye. 117 00:04:40,571 --> 00:04:41,863 Hey. 118 00:04:41,864 --> 00:04:43,658 Can we leave yet? 119 00:04:45,868 --> 00:04:47,327 I can't, 120 00:04:47,328 --> 00:04:49,955 but Grandma and Grandpa are gonna come pick you up. 121 00:04:49,956 --> 00:04:52,333 And in the meantime, you can play some games. 122 00:04:53,042 --> 00:04:55,086 Can I watch a movie? 123 00:04:55,628 --> 00:04:57,255 Yes, but nothing scary. 124 00:04:58,256 --> 00:04:59,881 I mean it. 125 00:04:59,882 --> 00:05:02,259 And don't leave this room until I come get you, OK? 126 00:05:02,260 --> 00:05:03,427 OK, Mom. 127 00:05:03,428 --> 00:05:04,845 - Love you. - Bye. 128 00:05:04,846 --> 00:05:07,180 We're gonna be putting four gurneys in each of these trauma rooms, 129 00:05:07,181 --> 00:05:09,766 so make sure you stock both rooms to handle the additional patients. 130 00:05:09,767 --> 00:05:10,851 Not a problem. 131 00:05:10,852 --> 00:05:13,520 And let's broom all these WOWs, ultrasounds out of here. 132 00:05:13,521 --> 00:05:15,647 We're not gonna have time or space for anything but gurneys. 133 00:05:15,648 --> 00:05:16,732 OK. 134 00:05:16,733 --> 00:05:19,401 - Any word on what we're expecting? - Not yet. How's it looking upstairs? 135 00:05:19,402 --> 00:05:21,528 Should have all 25 ORs running within the hour. 136 00:05:21,529 --> 00:05:22,904 We could be buried by then. 137 00:05:22,905 --> 00:05:24,906 Everyone's rolling in as fast as they can. 138 00:05:24,907 --> 00:05:27,200 Surgery is ready. We're here. We're ready. 139 00:05:27,201 --> 00:05:29,202 - I am taking Primary ER. - Have at it. 140 00:05:29,203 --> 00:05:31,247 Who's taking Primary Surgery? 141 00:05:32,874 --> 00:05:34,291 Heavy is the head that wears the crown. 142 00:05:34,292 --> 00:05:35,500 Dr. Walsh. 143 00:05:35,501 --> 00:05:37,210 - Anesthesiology? - Gladden will be down. 144 00:05:37,211 --> 00:05:38,962 He's got four in place, more on the way. 145 00:05:38,963 --> 00:05:40,464 OK, this is yours. 146 00:05:40,465 --> 00:05:42,007 Thank you. What you got in there? 147 00:05:42,008 --> 00:05:45,218 A couple of CAT tourniquets, hemostatic dressings, LMAs. 148 00:05:45,219 --> 00:05:46,595 We got plenty of that stuff. 149 00:05:46,596 --> 00:05:49,598 Butterfly ultrasound works off a cell phone. 150 00:05:49,599 --> 00:05:50,682 - That's cool. - Yeah. 151 00:05:50,683 --> 00:05:53,602 But we're gonna send all the unstable chest and belly straight up to the OR. 152 00:05:53,603 --> 00:05:57,022 OK, everybody listen up. This is how it's going to work. 153 00:05:57,023 --> 00:05:59,649 Our ambulance bay is now our Triage. 154 00:05:59,650 --> 00:06:01,610 EMS will be overwhelmed. 155 00:06:01,611 --> 00:06:05,197 Most will probably arrive by car, several victims per vehicle. 156 00:06:05,198 --> 00:06:08,867 For all you newbies that don't know, Dr. Shen is our night shift attending. 157 00:06:08,868 --> 00:06:11,036 - John, I'm gonna put you on Point Triage. - Cool. 158 00:06:11,037 --> 00:06:14,039 Triage will decide who goes where depending on their injury. 159 00:06:14,040 --> 00:06:18,085 Every department will have a designated primary who will oversee their staff. 160 00:06:18,086 --> 00:06:20,253 If you need someone, look for the vest. 161 00:06:20,254 --> 00:06:24,174 We're all gonna have walkies. We can get you whatever you need. 162 00:06:24,175 --> 00:06:27,427 No patient goes into a room unless it's a trauma bay, 163 00:06:27,428 --> 00:06:29,012 and they will have four patients each. 164 00:06:29,013 --> 00:06:32,974 We need to keep everybody out in the open so we can keep an eye on everything, OK? 165 00:06:32,975 --> 00:06:36,436 Triage is gonna assess and assign every patient 166 00:06:36,437 --> 00:06:39,856 to a specific zone with a colored slap band. 167 00:06:39,857 --> 00:06:43,276 Patient who comes in with a red slap band goes to the Red Zone, 168 00:06:43,277 --> 00:06:45,445 which is the trauma rooms, with overflow out here. 169 00:06:45,446 --> 00:06:49,032 These are the most critical patients who will die without immediate attention. 170 00:06:49,033 --> 00:06:50,325 Samira, where are you? 171 00:06:50,326 --> 00:06:52,244 You are here with Dr. Abbot and me. 172 00:06:52,245 --> 00:06:53,912 Jack's gonna run traffic. 173 00:06:53,913 --> 00:06:56,123 We have five minutes to try and stabilize the reds. 174 00:06:56,124 --> 00:06:58,792 After that, it's OR, ICU, or morgue. 175 00:06:58,793 --> 00:07:01,670 The south and central common area over there will be the Pink Zone. 176 00:07:01,671 --> 00:07:04,714 That is for patients who will die in under an hour without treatment. 177 00:07:04,715 --> 00:07:06,758 McKay and Javadi, you are over there, 178 00:07:06,759 --> 00:07:09,428 with help from incoming night shift and surgical staff. 179 00:07:09,429 --> 00:07:11,471 Yellow Zone is the North Corridor. 180 00:07:11,472 --> 00:07:15,100 Those are gonna be mostly extremity wounds--good vitals, talking. 181 00:07:15,101 --> 00:07:18,396 Mel, you're gonna run point there with Santos and Whitaker. 182 00:07:19,564 --> 00:07:22,024 What if there's a pulseless extremity? 183 00:07:23,568 --> 00:07:26,486 If you can't feel a pulse, check for Doppler flow with this. 184 00:07:26,487 --> 00:07:27,904 It's a mini-ultrasound. 185 00:07:27,905 --> 00:07:29,698 Follow the screen prompts. 186 00:07:29,699 --> 00:07:31,700 But a yellow can change to a red if they go south. 187 00:07:31,701 --> 00:07:33,785 You got to stay on top of them, even if they seem stable. 188 00:07:33,786 --> 00:07:35,328 - OK, yeah. - You got this, Dr. King. 189 00:07:35,329 --> 00:07:37,914 Green--minor lacs and sprains. They go to Family Medicine. 190 00:07:37,915 --> 00:07:39,916 Black and white bands are DOA, imminent death. 191 00:07:39,917 --> 00:07:41,668 Pedes is now our morgue. 192 00:07:41,669 --> 00:07:44,337 Let's hope we don't get too many of these. 193 00:07:44,338 --> 00:07:46,047 We're a MASH unit now. 194 00:07:46,048 --> 00:07:50,051 There's no charting, no electronic medical records, no board. 195 00:07:50,052 --> 00:07:52,262 How do we document treatment? 196 00:07:52,263 --> 00:07:53,513 You'll all get Sharpies, 197 00:07:53,514 --> 00:07:56,349 and every patient has a wrist chart to document treatment and procedures. 198 00:07:56,350 --> 00:07:58,894 You run out of room, write on the patient's forehead. 199 00:07:58,895 --> 00:08:00,520 - Really? - Yeah, really. 200 00:08:00,521 --> 00:08:01,771 Each wrist chart has 201 00:08:01,772 --> 00:08:04,858 a unique mass-casualty-incident barcode and patient number. 202 00:08:04,859 --> 00:08:06,610 That's how the patients are gonna get identified. 203 00:08:06,611 --> 00:08:09,988 This is no-frills combat-zone medicine. 204 00:08:09,989 --> 00:08:13,033 No ultrasound, no X-rays, no CT, no labs. 205 00:08:13,034 --> 00:08:16,703 Assess based on mental status and pulse strength. 206 00:08:16,704 --> 00:08:19,873 Every critical patient gets an IO, intubation, 207 00:08:19,874 --> 00:08:22,042 a unit of blood, and chest tube if needed. 208 00:08:22,043 --> 00:08:24,377 Everything you need-- blood, drugs, bandages-- 209 00:08:24,378 --> 00:08:26,546 everything will be in the Behavioral Health rooms. 210 00:08:26,547 --> 00:08:28,424 That's our supply depot. 211 00:08:30,051 --> 00:08:32,677 Keep a couple of 11 blades in your pocket. 212 00:08:32,678 --> 00:08:36,473 Goal is to resuscitate ASAP so they'll make it upstairs for definitive care. 213 00:08:36,474 --> 00:08:38,183 Trauma surgery and neurosurgery 214 00:08:38,184 --> 00:08:40,018 will decide who goes up to the OR immediately 215 00:08:40,019 --> 00:08:43,314 and who goes to the ICU for further treatment and evaluation. 216 00:08:45,149 --> 00:08:46,608 Communicate. 217 00:08:46,609 --> 00:08:48,902 Ask for help if you need it. 218 00:08:48,903 --> 00:08:50,362 Trust your attendings. 219 00:08:50,363 --> 00:08:51,988 We will get through this together. 220 00:08:51,989 --> 00:08:53,406 Damn right we will. 221 00:08:53,407 --> 00:08:54,867 OK, you three, I want to talk to you. 222 00:08:57,703 --> 00:09:00,997 I need you three to raid Central Supply and bring back all the chest tubes, 223 00:09:00,998 --> 00:09:03,416 ET tubes, thora-seals, normal saline-- 224 00:09:03,417 --> 00:09:04,584 I thought that was all in Behavioral Health. 225 00:09:04,585 --> 00:09:06,044 We can burn through all that in the first hour. 226 00:09:06,045 --> 00:09:07,796 West basement, just past nuclear medicine. 227 00:09:07,797 --> 00:09:09,214 - West basement. Got it. - Wait, wait, wait, wait, wait. 228 00:09:09,215 --> 00:09:10,423 Take one of these empty disaster bins 229 00:09:10,424 --> 00:09:12,008 so you can grab everything you get your hands on. 230 00:09:12,009 --> 00:09:14,177 - What's a disaster bin? - Empty plastic boxes right there. 231 00:09:14,178 --> 00:09:16,179 - You can't miss them. - Where's Collins? 232 00:09:16,180 --> 00:09:19,599 She went home, but Dana is calling her now. 233 00:09:19,600 --> 00:09:21,810 Don't worry. It's OK. We got plenty of people coming in. 234 00:09:21,811 --> 00:09:23,688 Just follow Dr. Abbot's lead. 235 00:09:24,522 --> 00:09:26,231 John, I'm gonna help you get started in Triage. 236 00:09:26,232 --> 00:09:27,816 Sounds good. 237 00:09:27,817 --> 00:09:29,776 Dana. What do you need? 238 00:09:29,777 --> 00:09:31,528 Prep the Yellow Zone for extremity wounds. 239 00:09:31,529 --> 00:09:33,446 We need a shitload of bandages, tourniquets, 240 00:09:33,447 --> 00:09:34,948 splint slings, and IV antibiotics. 241 00:09:34,949 --> 00:09:36,325 - I'm on it. - Yep. 242 00:09:37,535 --> 00:09:38,828 Myrna. 243 00:09:40,705 --> 00:09:42,080 Where the hell did Mryna go? 244 00:09:42,081 --> 00:09:43,832 Antoine, did you take the cuffs off Myrna? 245 00:09:43,833 --> 00:09:45,959 Hell, no. That woman scares the shit out of me. 246 00:09:45,960 --> 00:09:47,460 She keeps trying to bite me. 247 00:09:47,461 --> 00:09:49,422 Son of a bitch. 248 00:09:55,928 --> 00:09:57,470 That's a lot of wrist charts. 249 00:09:57,471 --> 00:09:58,639 300. 250 00:09:59,473 --> 00:10:01,099 Let's hope we don't need them all. 251 00:10:01,100 --> 00:10:04,269 Were you at the last mass-casualty faculty meeting? 252 00:10:04,270 --> 00:10:06,731 No. I was still a resident three months ago. 253 00:10:08,441 --> 00:10:09,442 Right. 254 00:10:11,694 --> 00:10:14,821 Well, one patient at a time, right? 255 00:10:14,822 --> 00:10:17,907 The goal is to triage each patient in ten seconds. 256 00:10:17,908 --> 00:10:19,743 Ten seconds, got it. 257 00:10:19,744 --> 00:10:21,036 Mental status is AVPU. 258 00:10:21,037 --> 00:10:24,372 Alert, response to verbal, response to pain, unresponsive. 259 00:10:24,373 --> 00:10:25,582 Yep. 260 00:10:25,583 --> 00:10:27,417 Next, do they have a pulse? 261 00:10:27,418 --> 00:10:30,003 Radial, carotid, or femoral tells you where to send them. 262 00:10:30,004 --> 00:10:31,589 - That's it. - OK. 263 00:10:32,798 --> 00:10:34,174 Cool. 264 00:10:34,175 --> 00:10:36,385 Oh, I heard it might rain today. 265 00:10:37,762 --> 00:10:39,512 - John? - Yeah, man. 266 00:10:39,513 --> 00:10:42,641 Mental status and pulse gives you everything you need. 267 00:10:42,642 --> 00:10:43,975 Cool. 268 00:10:43,976 --> 00:10:46,895 Unresponsive with no pulses, slap a black and white band on them, 269 00:10:46,896 --> 00:10:48,189 send them to the morgue. 270 00:10:49,607 --> 00:10:53,361 Responds to pain with a faint groan, weak femoral pulse, no radial? 271 00:10:53,986 --> 00:10:55,070 - Red. - Right. 272 00:10:55,071 --> 00:10:56,738 Slap a red band on them, send them back. 273 00:10:56,739 --> 00:10:58,783 Awake, alert with strong radial? 274 00:10:59,617 --> 00:11:00,533 Trick question. 275 00:11:00,534 --> 00:11:02,911 Could be green, Family Medicine for scrapes or sprains, 276 00:11:02,912 --> 00:11:05,288 but stable, penetrating extremity wounds go to yellow. 277 00:11:05,289 --> 00:11:07,540 - Perfect. - Dude, relax. 278 00:11:07,541 --> 00:11:09,960 I got the front door. You worry about the back. 279 00:11:14,340 --> 00:11:17,300 Hey, Paolo, everybody, let's put the heads of these gurneys up 30 degrees 280 00:11:17,301 --> 00:11:19,052 so they all roll in the right way. 281 00:11:19,053 --> 00:11:21,304 - Dr. Robby. - Did you talk to your son? 282 00:11:21,305 --> 00:11:23,890 No, but I have the form to put him on a psychiatric hold. 283 00:11:23,891 --> 00:11:25,850 A social worker signed it. 284 00:11:25,851 --> 00:11:27,727 - I just need you. - OK. 285 00:11:27,728 --> 00:11:29,604 You should probably go home, Theresa. 286 00:11:29,605 --> 00:11:31,398 This hospital is essentially closed. 287 00:11:31,399 --> 00:11:33,358 David wouldn't do this. 288 00:11:33,359 --> 00:11:34,943 I really hope you're right. 289 00:11:34,944 --> 00:11:36,570 I got four shooting victims. 290 00:11:37,655 --> 00:11:39,030 What's your name? 291 00:11:39,031 --> 00:11:40,115 Duncan. 292 00:11:40,116 --> 00:11:41,991 Show me. 293 00:11:41,992 --> 00:11:44,703 Right chest, strong radial. Pink. 294 00:11:44,704 --> 00:11:45,954 What's this? 295 00:11:45,955 --> 00:11:48,164 That's priority boarding. You're gonna be OK. 296 00:11:48,165 --> 00:11:50,418 Back wound is red. Shoulder is yellow. Neck wound is red. 297 00:11:51,252 --> 00:11:53,211 OK. Let's check out this van. 298 00:11:53,212 --> 00:11:54,296 Yeah. 299 00:11:57,675 --> 00:11:59,217 Hey. See that woman over there? 300 00:11:59,218 --> 00:12:00,719 - You need to speak to her. - Why? 301 00:12:00,720 --> 00:12:02,345 Her son had something to do with the shooting. 302 00:12:02,346 --> 00:12:04,264 I'm not sure for certain, but you need to talk to her. 303 00:12:04,265 --> 00:12:06,058 Shit. OK. 304 00:12:10,229 --> 00:12:12,147 - What's your name? - I'm Sylvia. 305 00:12:12,148 --> 00:12:13,398 This is my son, Omar. 306 00:12:13,399 --> 00:12:14,983 Omar, can you open your eyes for me? 307 00:12:14,984 --> 00:12:16,234 He's deaf. 308 00:12:16,235 --> 00:12:17,569 Gurney! 309 00:12:17,570 --> 00:12:19,279 Sir, can you hear me? 310 00:12:19,280 --> 00:12:20,865 Black and white, Pedes. 311 00:12:23,784 --> 00:12:24,785 Red zone. 312 00:12:25,703 --> 00:12:27,537 You need to let go now. One, two, three. 313 00:12:27,538 --> 00:12:28,997 I want to stay with my son. 314 00:12:28,998 --> 00:12:31,083 He will be very close by, I promise. 315 00:12:32,501 --> 00:12:33,793 What happened to your leg? 316 00:12:33,794 --> 00:12:35,628 I got hit by a car when we were wheeling him in. 317 00:12:35,629 --> 00:12:37,548 OK, we'll see you inside, too. 318 00:12:41,844 --> 00:12:43,219 You got this? I'll check back in a minute. 319 00:12:43,220 --> 00:12:44,471 No problema. 320 00:12:44,472 --> 00:12:46,014 Dr. Ellis, thanks for coming in early. 321 00:12:46,015 --> 00:12:48,141 - Put me in, Coach. - You're on Triage with Shen. 322 00:12:48,142 --> 00:12:49,642 - Ten seconds a patient, right? - You got it. 323 00:12:49,643 --> 00:12:52,521 - Let me know if you need any help. - Help. 324 00:12:56,317 --> 00:12:58,110 Behind you. Coming through. 325 00:13:00,863 --> 00:13:02,447 I'm in. 326 00:13:02,448 --> 00:13:04,533 - Bag her. - O-neg's pouring in. 327 00:13:05,659 --> 00:13:07,744 Stronger pulse. I'll take her up. 328 00:13:07,745 --> 00:13:10,955 Dr. Mohan, that kid came in with his mom. She says he's deaf. 329 00:13:10,956 --> 00:13:13,249 - Ready to go with the O-neg. - Wait, wait. Stop. 330 00:13:13,250 --> 00:13:15,460 O positive for males over 13, women over 55. 331 00:13:15,461 --> 00:13:16,921 O-neg for everybody else. 332 00:13:18,422 --> 00:13:19,673 Hook me up. 333 00:13:23,928 --> 00:13:25,887 - It's really pouring out. - Squeeze in two units. 334 00:13:25,888 --> 00:13:27,555 1500 out buys him a trip to the OR. 335 00:13:27,556 --> 00:13:30,141 If he stabilizes, surgical ICU instead. 336 00:13:30,142 --> 00:13:31,726 I'm gonna see who needs help. 337 00:13:31,727 --> 00:13:32,812 Yeah. 338 00:13:34,730 --> 00:13:36,482 IO's in. Go with O pos. 339 00:13:37,441 --> 00:13:40,361 When there's no time, bone marrow infusion is as good as an IV. 340 00:13:41,570 --> 00:13:43,405 Robby, stabilize for the flip. 341 00:13:46,534 --> 00:13:47,952 - Go. - OK. 342 00:13:48,953 --> 00:13:51,246 He's got a wound on both sides. He's gonna need two chest tubes. 343 00:13:51,247 --> 00:13:52,497 - Yeah. - Need a hand? 344 00:13:52,498 --> 00:13:53,999 Hell, no. I got two hands. 345 00:13:57,086 --> 00:13:58,087 Roll. 346 00:13:58,879 --> 00:14:01,590 OK, quick IO, Etomidate and sux, prep for the intubation. 347 00:14:09,390 --> 00:14:11,058 Got another one for yellow. 348 00:14:12,351 --> 00:14:13,936 Document the tourniquet time. 349 00:14:14,478 --> 00:14:16,187 Mark the arm. Mark the chart. 350 00:14:16,188 --> 00:14:17,856 Let it down briefly once an hour. 351 00:14:17,857 --> 00:14:20,567 - OK. - Four of morphine. Repeat if needed. 352 00:14:20,568 --> 00:14:22,318 Mel, this is Sylvia. 353 00:14:22,319 --> 00:14:24,113 Hi, Sylvia. I'm Dr. King. 354 00:14:26,240 --> 00:14:28,074 Looks like closed tib-fib fractures. 355 00:14:28,075 --> 00:14:30,869 Strong pedal pulses, great flow with the butterfly. 356 00:14:30,870 --> 00:14:33,788 - Great. - OK, I got separated from my son, Omar. 357 00:14:33,789 --> 00:14:35,665 He got shot in the chest. 358 00:14:35,666 --> 00:14:38,585 OK, I'll let you know as soon as I find out anything. 359 00:14:38,586 --> 00:14:41,170 He is deaf, ASL only. They need to know that. 360 00:14:41,171 --> 00:14:43,548 OK. I'll make sure it's in his chart. 361 00:14:43,549 --> 00:14:45,508 She needs X-rays--AP and lateral. 362 00:14:45,509 --> 00:14:47,760 Well, Radiology's gonna be closed for hours. 363 00:14:47,761 --> 00:14:49,971 Put her in a long CAM boot and pain meds. 364 00:14:49,972 --> 00:14:52,433 - We're just gonna make you comfortable. - Thank you. 365 00:14:56,562 --> 00:14:58,062 Coming in with clamps now. 366 00:14:58,063 --> 00:15:01,941 Environmental service manager to the ER. 367 00:15:01,942 --> 00:15:03,776 OK. Pressure dressing on this. 368 00:15:03,777 --> 00:15:04,862 OK. 369 00:15:06,572 --> 00:15:09,158 - What if he dropped a lung? - Then I'll throw in a pigtail. 370 00:15:11,285 --> 00:15:13,161 - Who needs help? - Everyone. 371 00:15:13,162 --> 00:15:15,163 Pinks are supposed to be stable for the next hour. 372 00:15:15,164 --> 00:15:16,581 If you think they need the OR sooner, 373 00:15:16,582 --> 00:15:18,459 - send them to the red zone. - Will do. 374 00:15:19,668 --> 00:15:22,421 I got this. Go with your mom-- I mean, Dr. Shamsi. 375 00:15:27,968 --> 00:15:29,385 How we doing in here? 376 00:15:29,386 --> 00:15:32,055 So far, so good. Blood's primed and ready. 377 00:15:32,056 --> 00:15:33,848 1500 CCs. Time for the OR now? 378 00:15:33,849 --> 00:15:35,476 Definitely. Move him up. 379 00:15:40,064 --> 00:15:41,856 17-year-old with a right chest wound? 380 00:15:41,857 --> 00:15:43,275 Going up to the OR now. 381 00:15:44,276 --> 00:15:45,486 Hold on one second. 382 00:15:46,904 --> 00:15:48,906 They need to know he's deaf when he wakes up. 383 00:15:50,449 --> 00:15:53,660 - Not a lot of test tube output here. - Looks like this one's renal. 384 00:15:53,661 --> 00:15:55,704 Golden ticket--directly to surgery. 385 00:15:58,499 --> 00:15:59,832 That's 3 out of 4 ORs down. 386 00:15:59,833 --> 00:16:03,252 Another 4 about to open, and all 25 will be ready by the time we need them. 387 00:16:03,253 --> 00:16:05,463 - We could be buried by then. - No, you won't. 388 00:16:05,464 --> 00:16:08,883 We'll blast through these, tying off bleeders and slapping on vacuum dressings. 389 00:16:08,884 --> 00:16:11,095 We'll finish the job in a day or two when the dust settles. 390 00:16:12,096 --> 00:16:14,013 Unresponsive, had a weak femoral, lost it. 391 00:16:14,014 --> 00:16:16,432 Two units of blood. If there's no response, call it. 392 00:16:16,433 --> 00:16:17,934 No pulse, no OR. 393 00:16:17,935 --> 00:16:19,602 Gunshot to the head. 394 00:16:19,603 --> 00:16:21,854 - Through and through? - Yeah, we still got a strong pulse. 395 00:16:21,855 --> 00:16:23,648 This one can make it because the intracranial bleed 396 00:16:23,649 --> 00:16:25,024 can decompress through the bullet holes. 397 00:16:25,025 --> 00:16:26,859 Walsh, neurosurgery in house? 398 00:16:26,860 --> 00:16:29,613 Yes, send him to the neurocrit ICU. They'll triage from there. 399 00:16:31,740 --> 00:16:34,075 - OK, you guys good in here? You got this? - We got this. 400 00:16:34,076 --> 00:16:35,911 Bring me a few more before I get bored. 401 00:16:36,996 --> 00:16:38,538 ER immediately. 402 00:16:38,539 --> 00:16:41,332 All available transport to the ER immediately. 403 00:16:41,333 --> 00:16:42,875 Through and through? 404 00:16:42,876 --> 00:16:44,460 It doesn't look like it. 405 00:16:44,461 --> 00:16:46,338 Getting backed up out there. 406 00:16:53,971 --> 00:16:55,263 Good view of the chords. 407 00:16:55,264 --> 00:16:56,889 Easy peasy, I'm in. 408 00:16:56,890 --> 00:16:58,307 Bag her up. 409 00:16:58,308 --> 00:17:00,059 We have more ambulances coming. 410 00:17:00,060 --> 00:17:01,519 End tidal CO2 looking good. 411 00:17:01,520 --> 00:17:02,979 20 French on a kelly. 412 00:17:02,980 --> 00:17:04,564 What the fuck are you doing? 413 00:17:04,565 --> 00:17:06,315 - I'm saving lives. - You should not be here. 414 00:17:06,316 --> 00:17:07,609 None of these people should be here. 415 00:17:09,695 --> 00:17:10,820 Larry, Larry! 416 00:17:10,821 --> 00:17:12,405 Head wounds don't go to yellow. 417 00:17:12,406 --> 00:17:14,365 - Wait, what? - Triage says yellow. 418 00:17:14,366 --> 00:17:15,908 - Hold on. - Go. 419 00:17:15,909 --> 00:17:18,619 I've got this. Trust me. 420 00:17:18,620 --> 00:17:20,164 Oh, we're a little late for that. 421 00:17:21,290 --> 00:17:25,918 Any available transport to the ER now. 422 00:17:25,919 --> 00:17:28,963 This is Grayson Cooper, 68. Bullet grazed his scalp. 423 00:17:28,964 --> 00:17:30,506 I got lucky. Dude just clipped me. 424 00:17:30,507 --> 00:17:31,758 Let me see. Got a headache? 425 00:17:31,759 --> 00:17:33,342 Not really. A little burning. 426 00:17:33,343 --> 00:17:34,927 - Good for yellow. - Been to a million concerts. 427 00:17:34,928 --> 00:17:36,763 Whatever happened to peace and love, man? 428 00:17:36,764 --> 00:17:38,390 That's a great question. 429 00:17:40,267 --> 00:17:41,267 It should be numb. 430 00:17:41,268 --> 00:17:43,269 Israeli bandage starts with hemostatic gauze 431 00:17:43,270 --> 00:17:45,521 then turns into a pressure dressing. 432 00:17:45,522 --> 00:17:47,899 - Is that arterial? - No, but it's bleeding pretty briskly. 433 00:17:47,900 --> 00:17:50,693 OK, change it to a tourniquet only if it soaks through. 434 00:17:50,694 --> 00:17:52,779 I got a superficial scalp wound. 435 00:17:52,780 --> 00:17:54,697 Wrap it tight with frequent neuro checks. 436 00:17:54,698 --> 00:17:56,532 - I need to assess your injury. - I'm fine. 437 00:17:56,533 --> 00:17:59,118 Help the others first, please. I'm fine. 438 00:17:59,119 --> 00:18:02,330 - Sir, are you taking any medication? - Just medicinal marijuana. 439 00:18:02,331 --> 00:18:04,041 Yeah? What do you take that for? 440 00:18:04,625 --> 00:18:05,833 Everything. 441 00:18:05,834 --> 00:18:08,837 - IVs on everyone. - I need some help over here. 442 00:18:09,671 --> 00:18:10,839 How is my son? 443 00:18:11,548 --> 00:18:14,342 Omar. He was shot in the chest. We were in the plumber van. 444 00:18:14,343 --> 00:18:16,719 He is upstairs with the surgeons in the OR. 445 00:18:16,720 --> 00:18:18,388 I will come and find you when I know more. 446 00:18:19,389 --> 00:18:20,641 Coming through! 447 00:18:33,112 --> 00:18:35,072 Jesse, hang a unit, then right up to the OR. 448 00:18:37,282 --> 00:18:39,784 - She shot? - No, looks like she got trampled. 449 00:18:39,785 --> 00:18:41,870 Unresponsive in the field. Three more in the rig. 450 00:18:42,871 --> 00:18:43,913 Hey, Javadi! 451 00:18:43,914 --> 00:18:46,499 Got a possible blunt head trauma here. 452 00:18:46,500 --> 00:18:47,876 Pupils are good. 453 00:18:49,253 --> 00:18:50,253 Strong pulses. 454 00:18:50,254 --> 00:18:52,088 OK, assess for blunt head, chest, belly. 455 00:18:52,089 --> 00:18:54,048 - With who? - Anybody. 456 00:18:54,049 --> 00:18:56,384 - How are we doing? - Heads above water so far. 457 00:18:56,385 --> 00:18:57,593 Anything about the shooter? 458 00:18:57,594 --> 00:18:59,595 Haven't heard, but I'll try and get an update. 459 00:18:59,596 --> 00:19:01,681 - I see Langdon's back. - Yeah, not by choice. 460 00:19:01,682 --> 00:19:03,391 I'll deal with that when this shift is over. 461 00:19:03,392 --> 00:19:05,060 - Collins? - Not answering. 462 00:19:05,686 --> 00:19:07,728 I told her to turn off her fucking phone. 463 00:19:07,729 --> 00:19:09,480 Keep trying her. Jake? 464 00:19:09,481 --> 00:19:10,648 No. 465 00:19:10,649 --> 00:19:12,024 But I got his mom on the landline. 466 00:19:12,025 --> 00:19:14,026 Told her to call both of us when she reaches him. 467 00:19:14,027 --> 00:19:15,069 - OK. - Yep. 468 00:19:15,070 --> 00:19:17,405 Environmental services manager to the ER. 469 00:19:17,406 --> 00:19:19,031 One for pink and one for green. 470 00:19:19,032 --> 00:19:20,366 - On it. - I'm sorry. 471 00:19:20,367 --> 00:19:22,201 All press needs to stay in the waiting room. 472 00:19:22,202 --> 00:19:24,370 Come on, man, two minutes. The public needs to know what's going on. 473 00:19:24,371 --> 00:19:25,913 Front of the hospital! 474 00:19:25,914 --> 00:19:27,916 Pedestrian entrance. I'm not telling you again. 475 00:19:30,669 --> 00:19:31,919 What's this? 476 00:19:31,920 --> 00:19:33,421 Responds to pain only, thready pulse, 477 00:19:33,422 --> 00:19:35,047 chest wall contusions with boot prints on his shirt. 478 00:19:35,048 --> 00:19:36,924 - Yellow here, a wheelchair. - OK, sounds good. 479 00:19:36,925 --> 00:19:38,217 Do you need anything? 480 00:19:38,218 --> 00:19:41,096 Well, I was hoping for Thanksgiving and Christmas off this year. 481 00:19:42,097 --> 00:19:43,599 But we can talk about it later. 482 00:19:45,309 --> 00:19:47,101 For proper chest tube placement, 483 00:19:47,102 --> 00:19:49,061 keep going until the last fenestration is intrathoracic. 484 00:19:49,062 --> 00:19:51,022 - OK, stop. - What? 485 00:19:51,023 --> 00:19:52,857 I don't need you teaching me right now. 486 00:19:52,858 --> 00:19:55,861 - You're already an expert? - Read the fucking room, Mom! 487 00:19:58,280 --> 00:19:59,363 3-0 silk. 488 00:19:59,364 --> 00:20:02,326 I'm about to place a horizontal mattress, in case you're wondering. 489 00:20:05,954 --> 00:20:07,539 Looks like you've got this. 490 00:20:09,583 --> 00:20:11,543 This one should go to yellow. 491 00:20:13,420 --> 00:20:15,214 Hey, could you help me? 492 00:20:17,633 --> 00:20:19,551 Soaked through his pressure dressing. 493 00:20:20,260 --> 00:20:22,345 OK, yeah, we can fix that with Raney Clips. 494 00:20:22,346 --> 00:20:23,679 What are those? 495 00:20:23,680 --> 00:20:25,514 They use them in neurosurgery to clamp off the scalp 496 00:20:25,515 --> 00:20:27,058 - before opening the skull. - All right. 497 00:20:27,059 --> 00:20:28,684 I'll be right back. Santos, keep pressure. 498 00:20:28,685 --> 00:20:30,686 You guys are swamped. I got this. 499 00:20:30,687 --> 00:20:32,189 It takes a village. 500 00:20:34,650 --> 00:20:36,442 Sylvia. Sylvia? 501 00:20:36,443 --> 00:20:38,277 Whitaker! Sylvia. 502 00:20:38,278 --> 00:20:41,906 Sylvia, can you hear me? 503 00:20:41,907 --> 00:20:44,033 - I lost her radial pulse. - From a broken leg? 504 00:20:44,034 --> 00:20:46,118 - Well, what did we miss? - I don't know. Heart attack? 505 00:20:46,119 --> 00:20:47,536 Another injury from the car crash? 506 00:20:47,537 --> 00:20:49,790 - That's for pulses. - It has an EFAST mode. 507 00:20:54,711 --> 00:20:57,713 Diagnosis made. Blood in Morrison's, liver laceration. 508 00:20:57,714 --> 00:21:00,549 Car hit the belly. Leg was a distracting injury. 509 00:21:00,550 --> 00:21:03,178 Drill in an IO. I'm gonna get some blood, and then we'll move her to pink. 510 00:21:07,641 --> 00:21:09,308 Just sent another up to the OR. 511 00:21:09,309 --> 00:21:11,102 - I got room for one more red. - On it. 512 00:21:11,103 --> 00:21:12,395 Didn't make it. Going to Pedes. 513 00:21:12,396 --> 00:21:13,729 Another red in Trauma One. 514 00:21:13,730 --> 00:21:15,023 Copy that. 515 00:21:17,651 --> 00:21:20,027 - Dana, if I-- - Careful, kid. 516 00:21:20,028 --> 00:21:22,697 I need Raney Clips and a unit of O-neg. 517 00:21:22,698 --> 00:21:24,323 Raneys will have to come down from the OR. 518 00:21:24,324 --> 00:21:25,741 - I need them now. - OK. 519 00:21:25,742 --> 00:21:26,951 OK, I'll get them. 520 00:21:26,952 --> 00:21:28,036 O-neg here. 521 00:21:29,913 --> 00:21:31,580 - There you go. - Thanks. 522 00:21:31,581 --> 00:21:33,374 We need EVS with a mop. 523 00:21:33,375 --> 00:21:35,251 Not much blood, but a big rush of air. 524 00:21:35,252 --> 00:21:37,753 Got trampled. Collapsed his lung. Tension pneumo. 525 00:21:37,754 --> 00:21:39,171 - Who intubated? - I did. 526 00:21:39,172 --> 00:21:40,673 Mohan is on fire. 527 00:21:40,674 --> 00:21:41,966 - Pulse is coming up. - OK, great. 528 00:21:41,967 --> 00:21:43,426 Slide to pink as soon as there's room. 529 00:21:43,427 --> 00:21:44,927 Got it. 530 00:21:44,928 --> 00:21:47,638 Hey, how many ORs available? 531 00:21:47,639 --> 00:21:49,724 One now. Two more in less than five. 532 00:21:49,725 --> 00:21:51,809 Can you take a belly and one more chest in pre? 533 00:21:51,810 --> 00:21:52,893 No problem. 534 00:21:52,894 --> 00:21:55,271 MCI 21 is going to ICU. I'll be back. 535 00:21:55,272 --> 00:21:56,522 Got it. 536 00:21:56,523 --> 00:21:57,857 Red Zone, Red Zone. 537 00:21:57,858 --> 00:21:59,567 Environmental service manager to the ER. 538 00:21:59,568 --> 00:22:01,653 Three West is full. Take them to Two South. 539 00:22:02,654 --> 00:22:05,448 I need Xeroform, cut 4x4s, and elastoplast tape. 540 00:22:05,449 --> 00:22:07,325 You're here! 541 00:22:07,326 --> 00:22:09,328 In the flesh. What do you got? 542 00:22:10,078 --> 00:22:11,245 Auto versus ped. 543 00:22:11,246 --> 00:22:13,122 We thought it was just a tib-fib fracture. 544 00:22:13,123 --> 00:22:15,041 Then we found an occult liver laceration. 545 00:22:15,042 --> 00:22:16,542 Leg is low priority right now. 546 00:22:16,543 --> 00:22:19,086 If she stabilizes with blood, she can wait an hour for the OR. 547 00:22:19,087 --> 00:22:20,755 - And if not? - Front of the line, baby. 548 00:22:20,756 --> 00:22:22,340 Her son's in the OR with a GSW to the chest. 549 00:22:22,341 --> 00:22:24,467 Sweet. Family reunion in post-op. 550 00:22:24,468 --> 00:22:27,803 Whitaker, I'll be right back once this unit's in. 551 00:22:27,804 --> 00:22:28,889 Hey! 552 00:22:29,598 --> 00:22:30,848 Good catch, you two. 553 00:22:30,849 --> 00:22:33,851 Hey, Langdon, we're out of Xeroform. I'll try to find some. 554 00:22:33,852 --> 00:22:35,103 Come on, Sylvia. 555 00:22:38,106 --> 00:22:40,149 Oh, I'm sorry, sir. The ER is closed. 556 00:22:40,150 --> 00:22:41,817 You'll have to exit out the pedestrian entrance. 557 00:22:41,818 --> 00:22:43,027 I'm a patient. 558 00:22:43,028 --> 00:22:44,820 Then you need to go to Family Medicine in Building 8. 559 00:22:44,821 --> 00:22:46,572 No, I'm waiting for surgery on the fourth floor. 560 00:22:46,573 --> 00:22:48,199 OK, well, then go back to your bed. 561 00:22:48,200 --> 00:22:49,784 My son is down here. 562 00:22:49,785 --> 00:22:52,537 I'm sorry, sir, but no one's in and out unless they're on a gurney. 563 00:22:54,498 --> 00:22:59,251 OK, look, my wife is an ER doc, Dr. McKay. 564 00:22:59,252 --> 00:23:01,963 She needs me to get our son home. He's in the staff lounge. 565 00:23:04,341 --> 00:23:06,134 - All right, make it quick. - Thank you. 566 00:23:07,844 --> 00:23:09,845 But, hey... 567 00:23:09,846 --> 00:23:11,514 I am timing you. 568 00:23:11,515 --> 00:23:13,474 If you're not back in five, I'm coming after you. 569 00:23:13,475 --> 00:23:14,725 - Yeah. - Got it? 570 00:23:14,726 --> 00:23:16,353 - Yeah, OK. - Yeah, OK. 571 00:23:18,980 --> 00:23:21,149 - I need a tourniquet now! - Need some help over here. 572 00:23:22,526 --> 00:23:24,443 Back looks good. No exit wounds. 573 00:23:24,444 --> 00:23:26,112 Red Zone! 574 00:23:26,113 --> 00:23:27,948 OK, I'll be right back. 575 00:23:30,826 --> 00:23:32,285 - Javadi, IO. - Yeah. 576 00:23:34,162 --> 00:23:35,246 Here too. 577 00:23:35,247 --> 00:23:36,872 Sux is on board. 578 00:23:36,873 --> 00:23:39,167 - She's not breathing. - I got it. 579 00:23:43,380 --> 00:23:44,548 I'm in. Bag her. 580 00:23:46,174 --> 00:23:47,925 Chad, what are you doing here? 581 00:23:47,926 --> 00:23:50,636 They postponed my surgery. 582 00:23:50,637 --> 00:23:52,096 You can't be in here. 583 00:23:52,097 --> 00:23:54,723 Go sit with Harrison in the staff lounge! 584 00:23:54,724 --> 00:23:56,810 - OK. OK. - Now! 585 00:24:02,190 --> 00:24:03,482 I got it! I'm trying! 586 00:24:03,483 --> 00:24:05,777 Another one for the morgue. Heading to Pedes. 587 00:24:20,959 --> 00:24:22,210 Hey, buddy. 588 00:24:23,378 --> 00:24:25,087 Did you have your surgery? 589 00:24:25,088 --> 00:24:26,798 No, it got delayed. 590 00:24:27,799 --> 00:24:29,300 Ready to go home? 591 00:24:29,301 --> 00:24:31,927 Mom said that Grandma and Grandpa McKay were picking me up. 592 00:24:31,928 --> 00:24:35,139 Yeah, I'm not sure they can get here right now, and neither can Chloe. 593 00:24:35,140 --> 00:24:37,726 But, you know, we can Uber to my place. 594 00:24:39,019 --> 00:24:41,563 I'd rather go home with Mom if that's OK. 595 00:24:43,607 --> 00:24:47,067 Your mom's got her hands full, dude, and I think she's gonna be here pretty late. 596 00:24:47,068 --> 00:24:48,487 I can wait. 597 00:24:50,238 --> 00:24:51,239 OK. 598 00:24:52,240 --> 00:24:53,450 Yeah, OK. 599 00:25:03,460 --> 00:25:05,544 - Should we watch something? - You want to watch a movie? 600 00:25:05,545 --> 00:25:07,087 Yeah, sure. 601 00:25:07,088 --> 00:25:08,797 What do you got on there? 602 00:25:08,798 --> 00:25:10,591 Not much. 603 00:25:10,592 --> 00:25:12,426 That's one unit in. 604 00:25:12,427 --> 00:25:14,386 Her pulse is stronger, but she needs more blood. 605 00:25:14,387 --> 00:25:16,805 Not today. Only one unit if the pulse picks up. 606 00:25:16,806 --> 00:25:18,390 We're already rationing our blood supply. 607 00:25:18,391 --> 00:25:20,518 - What if we run out? - Who wanted Raney Clips? 608 00:25:20,519 --> 00:25:22,144 Oh, me! Thank you. 609 00:25:22,145 --> 00:25:25,105 - I thought you left. - All hands on deck, right? 610 00:25:25,106 --> 00:25:26,524 Is there any word on Omar? 611 00:25:26,525 --> 00:25:29,276 He's this woman's deaf son. Teenage boy shot in the chest? 612 00:25:29,277 --> 00:25:31,904 Kid got lucky. Missed the aorta. He should pull through. 613 00:25:31,905 --> 00:25:33,864 That's amazing. Well, her name is Sylvia. 614 00:25:33,865 --> 00:25:36,283 Would you please tell her about her son when she wakes up? 615 00:25:36,284 --> 00:25:37,661 What are you using to-- 616 00:25:39,287 --> 00:25:42,082 Mateo, MCI-29 goes to the OR... 617 00:25:45,085 --> 00:25:47,419 - What's this? - Unresponsive even to pain. 618 00:25:47,420 --> 00:25:48,504 No GSW. 619 00:25:48,505 --> 00:25:51,006 Strong pulse, but tachycardic and diaphoretic. 620 00:25:51,007 --> 00:25:53,051 Looking for internal hemorrhage. 621 00:25:53,927 --> 00:25:55,719 - FAST negative. - Help me roll her. 622 00:25:55,720 --> 00:25:58,222 All transport to the ER immediately. 623 00:25:58,223 --> 00:25:59,306 - Tim! - Yeah. 624 00:25:59,307 --> 00:26:00,599 - Amp of D50, now. - Got it. 625 00:26:00,600 --> 00:26:02,601 - Seriously? - Look--glucose monitor. 626 00:26:02,602 --> 00:26:04,228 She's diabetic and probably hypoglycemic. 627 00:26:04,229 --> 00:26:06,021 - So check the blood sugar. - No time for that. 628 00:26:06,022 --> 00:26:08,232 Still could be head trauma. If it's DKA, you're making it worse. 629 00:26:08,233 --> 00:26:10,442 My Spidey sense is telling me she took her morning insulin, 630 00:26:10,443 --> 00:26:11,610 but she skipped lunch. 631 00:26:11,611 --> 00:26:13,821 She's in a coma from low blood sugar. 632 00:26:13,822 --> 00:26:16,490 Will you look at that? These are healing hands. 633 00:26:16,491 --> 00:26:18,033 Too bad they're so tiny. 634 00:26:18,034 --> 00:26:19,952 Hello. What's your name? 635 00:26:19,953 --> 00:26:21,245 Dawn. 636 00:26:21,246 --> 00:26:23,831 - Where am I? - Pittsburgh Trauma Medical Center. 637 00:26:23,832 --> 00:26:25,833 You dropped your blood sugar, but you're gonna be OK. 638 00:26:25,834 --> 00:26:28,044 Guess you don't need me here. Don't even say it. 639 00:26:29,254 --> 00:26:30,547 Let's get her to yellow. 640 00:26:31,423 --> 00:26:33,048 What happened? 641 00:26:33,049 --> 00:26:35,050 There was a shooting at PittFest. 642 00:26:35,051 --> 00:26:36,969 But you're safe now. 643 00:26:36,970 --> 00:26:38,846 Whatever you can spare. Thanks. 644 00:26:38,847 --> 00:26:41,725 MCI-33 to yellow for monitoring. 645 00:26:42,559 --> 00:26:43,726 What are you doing? 646 00:26:43,727 --> 00:26:46,061 Ran out of laryngoscopes. No time to autoclave. 647 00:26:46,062 --> 00:26:47,146 Oh, man. 648 00:26:47,147 --> 00:26:50,274 Almost out of chest tubes, too. More coming from Presby. 649 00:26:50,275 --> 00:26:51,692 We're running very low on O-neg. 650 00:26:51,693 --> 00:26:54,195 - Perfect storm. - Yeah. 651 00:26:55,947 --> 00:26:57,991 I got a pink coming in! 652 00:26:59,242 --> 00:27:00,868 Do you feel anything, Grayson? 653 00:27:00,869 --> 00:27:02,161 No pain. 654 00:27:02,162 --> 00:27:04,413 Just a lot of sadness for the world we live in. 655 00:27:04,414 --> 00:27:06,582 - I hear you. - Any room at the inn? 656 00:27:06,583 --> 00:27:07,916 What's her story? 657 00:27:07,917 --> 00:27:11,337 This is Dawn, no trauma, insulin reaction, responded to D50. 658 00:27:11,338 --> 00:27:13,297 - D10 at 100 an hour? - Perfect. 659 00:27:13,298 --> 00:27:15,799 And I borrowed your butterfly. It's on the gurney. 660 00:27:15,800 --> 00:27:17,343 - So just like that. - Yep. 661 00:27:17,344 --> 00:27:19,638 - What are you doing? - Treating the patient. 662 00:27:20,597 --> 00:27:21,805 Raney Clips. 663 00:27:21,806 --> 00:27:24,099 Clamping off a bunch of sub-Q bleeders. 664 00:27:24,100 --> 00:27:26,061 Good work. Keep it up. 665 00:27:27,896 --> 00:27:29,521 Yep, perfect. That's it. 666 00:27:29,522 --> 00:27:31,191 Room for another pink. 667 00:27:32,984 --> 00:27:34,735 - I need suction! - We don't have any. 668 00:27:34,736 --> 00:27:36,612 Too many secretions. I can't see shit. 669 00:27:36,613 --> 00:27:38,113 Here, wipe it out with 4x4s. 670 00:27:38,114 --> 00:27:39,323 Are you kidding me? 671 00:27:39,324 --> 00:27:41,116 You guys have a fiberoptic laryngoscope? 672 00:27:41,117 --> 00:27:43,035 - Nope, just a rigid Glidescope. - That'll do. 673 00:27:43,036 --> 00:27:44,703 Except we don't have any room for it, so just pull out, 674 00:27:44,704 --> 00:27:46,247 and we'll bag for a minute. 675 00:27:47,415 --> 00:27:48,540 When did this guy last eat? 676 00:27:48,541 --> 00:27:50,542 We never know down here. Let me get in there. 677 00:27:50,543 --> 00:27:53,087 I'll keep cricoid pressure. If he vomits, we're fucked. 678 00:27:53,088 --> 00:27:54,296 Doctor. 679 00:27:54,297 --> 00:27:55,589 We may need a surgical airway. 680 00:27:55,590 --> 00:27:56,882 Hold on, hold on, hold on, hold on. 681 00:27:56,883 --> 00:27:58,426 Oh, yeah. This is a tough one. 682 00:27:59,135 --> 00:28:01,387 Oh, yeah, this one looks tough. 683 00:28:01,388 --> 00:28:03,222 - No shit. Prep the neck? - Hold on. 684 00:28:03,223 --> 00:28:04,306 - McKay? - Yeah. 685 00:28:04,307 --> 00:28:06,058 Come over here and just give me a chest compression. 686 00:28:06,059 --> 00:28:07,518 CPR? Did we lose the pulse? 687 00:28:07,519 --> 00:28:09,228 No, just give me one good push. 688 00:28:09,229 --> 00:28:10,729 Yep. OK, two. 689 00:28:10,730 --> 00:28:12,232 And do it again. 690 00:28:15,902 --> 00:28:16,944 OK. 691 00:28:16,945 --> 00:28:18,654 I think I am in. 692 00:28:18,655 --> 00:28:20,448 - Bag him. - Check the end tidal. 693 00:28:21,574 --> 00:28:23,492 - Yellow. We're good. - How'd you do that? 694 00:28:23,493 --> 00:28:24,576 Bubble intubation. 695 00:28:24,577 --> 00:28:26,745 You gave the compression, I followed the air bubbles up. 696 00:28:26,746 --> 00:28:28,372 More than one way to tube a cat. 697 00:28:28,373 --> 00:28:29,623 Coming through. 698 00:28:29,624 --> 00:28:31,083 Robby! 699 00:28:31,084 --> 00:28:32,543 Now, please! 700 00:28:32,544 --> 00:28:33,628 Imagine that. 701 00:28:35,255 --> 00:28:36,588 Anything from Jake? 702 00:28:36,589 --> 00:28:38,215 How much room do we have in pink? 703 00:28:38,216 --> 00:28:41,677 Intubated chest tube, but massive subcutaneous emphysema. 704 00:28:41,678 --> 00:28:43,971 Air from the chest is leaking under the skin. 705 00:28:43,972 --> 00:28:45,681 - Losing the pulse. - What do you think? 706 00:28:45,682 --> 00:28:47,307 Tamponade from pneumomediastinum. 707 00:28:47,308 --> 00:28:49,143 About to cut blowhole incisions to release the air? 708 00:28:49,144 --> 00:28:51,271 Do it. Infraclavicular. 709 00:28:52,063 --> 00:28:53,064 Yep. 710 00:29:01,406 --> 00:29:03,073 Pulse is coming up. Nicely done. 711 00:29:03,074 --> 00:29:05,285 OK, send him to cardiothoracic ICU. 712 00:29:11,499 --> 00:29:14,085 We'll get you pain medicine. A nurse will be by soon. 713 00:29:17,589 --> 00:29:19,548 - Hey, where'd this guy go? - Which patient? 714 00:29:19,549 --> 00:29:22,634 MCI-28, arm injury who refused treatment? 715 00:29:22,635 --> 00:29:24,052 Maybe he left? 716 00:29:24,053 --> 00:29:25,722 With a gunshot wound? 717 00:29:30,894 --> 00:29:32,144 Hey! 718 00:29:32,145 --> 00:29:35,022 - Hey, what the hell are you doing? - I'm fine. Leave me alone. 719 00:29:35,023 --> 00:29:36,733 - You can't do that. - Back off. 720 00:29:40,320 --> 00:29:41,738 I need security in here! 721 00:29:43,948 --> 00:29:45,200 Hey! 722 00:29:50,622 --> 00:29:51,956 Nice move, Slick. 723 00:29:52,540 --> 00:29:53,541 What happened? 724 00:29:56,002 --> 00:29:57,128 Fucker! 725 00:29:58,171 --> 00:30:00,839 I think this guy stole a victim's hoodie and faked an injury to get inside. 726 00:30:00,840 --> 00:30:02,424 He's probably a fucking reporter. 727 00:30:02,425 --> 00:30:03,759 - Asshole. - What? 728 00:30:03,760 --> 00:30:06,137 Hey! Hey, wake up, you faker! 729 00:30:07,972 --> 00:30:09,723 Yep, he responds to pain. 730 00:30:09,724 --> 00:30:11,725 Perlah, blunt head trauma goes to pink. 731 00:30:11,726 --> 00:30:14,145 Soft restraints, six hours observation. 732 00:30:14,646 --> 00:30:16,271 - Gurney to the hub. - Be right back. 733 00:30:16,272 --> 00:30:17,815 I'm fine. 734 00:30:17,816 --> 00:30:19,983 Yeah, great, you can give a statement to the cops. 735 00:30:19,984 --> 00:30:21,068 - Get him out of here. - Yeah. 736 00:30:21,069 --> 00:30:22,529 Where's my phone? 737 00:30:24,447 --> 00:30:25,782 My bad. 738 00:30:30,954 --> 00:30:32,079 Chest tube, please. 739 00:30:32,080 --> 00:30:34,039 - We're out of chest tubes. - What the hell? 740 00:30:34,040 --> 00:30:36,041 You could have told me that before we started. 741 00:30:36,042 --> 00:30:37,501 - Well, I didn't know. - I already made the incision. 742 00:30:37,502 --> 00:30:39,003 Now what am I supposed to do? 743 00:30:39,796 --> 00:30:42,464 - What about this? - An ET tube? 744 00:30:42,465 --> 00:30:43,549 A tube's a tube. 745 00:30:43,550 --> 00:30:45,717 And if you inflate the balloon, it won't pull out. 746 00:30:45,718 --> 00:30:47,177 Fine. Set up a Thoraseal. 747 00:30:47,178 --> 00:30:49,304 - Out of those, too. - For the love of God! 748 00:30:49,305 --> 00:30:50,556 Urine bag? 749 00:30:50,557 --> 00:30:52,015 How am I supposed to connect to that? 750 00:30:52,016 --> 00:30:54,227 Christmas tree adapter. It'll work. 751 00:30:55,603 --> 00:30:57,604 This is all very unconventional. 752 00:30:57,605 --> 00:30:59,816 No. This is genius. 753 00:31:03,278 --> 00:31:05,320 Oh, and four of Ancef. 754 00:31:05,321 --> 00:31:07,197 Sorry, I forgot the Ancef. 755 00:31:07,198 --> 00:31:08,408 Thank you. 756 00:31:12,996 --> 00:31:15,831 Mel! Mel, I need you to reassess, please, now. 757 00:31:15,832 --> 00:31:17,208 Sylvia? 758 00:31:19,043 --> 00:31:20,419 Sylvia. 759 00:31:20,420 --> 00:31:22,087 Her pulse is weak and thready. 760 00:31:22,088 --> 00:31:23,839 She's bleeding out from her liver lac. 761 00:31:23,840 --> 00:31:25,716 - I need O-neg! - O-neg's gone, honey. 762 00:31:25,717 --> 00:31:27,175 Gloria's got more flying in. 763 00:31:27,176 --> 00:31:29,219 Incident Command, what's the ETA on our blood? 764 00:31:29,220 --> 00:31:30,554 Eight to ten minutes. 765 00:31:30,555 --> 00:31:32,764 The patient's gonna have to get by with a liter of saline. 766 00:31:32,765 --> 00:31:35,893 No, no, she needs blood, not crystalloid. Can she go to surgery? 767 00:31:35,894 --> 00:31:38,520 All right, she's next to go, as soon as we get an open OR. 768 00:31:38,521 --> 00:31:40,272 She's not gonna last that long. 769 00:31:40,273 --> 00:31:42,357 Dr. Robby. Dr. Robby! 770 00:31:42,358 --> 00:31:45,152 Dr. Robby, we're out of O-neg, but I'm O-neg. Can I donate? 771 00:31:45,153 --> 00:31:46,570 Gloria's got more blood flying in. 772 00:31:46,571 --> 00:31:49,114 - But I need it now. - What is our blood status? 773 00:31:49,115 --> 00:31:50,949 Just used the last units of O-neg and O-pos. 774 00:31:50,950 --> 00:31:52,159 - More flying in. - ETA? 775 00:31:52,160 --> 00:31:53,243 Less than 10. 776 00:31:53,244 --> 00:31:54,786 Some patients are not gonna last that long. 777 00:31:54,787 --> 00:31:58,373 And I'm sure there are other O-neg donors that probably work here, so... 778 00:31:58,374 --> 00:32:00,375 It would take hours to screen for HIV and hepatitis. 779 00:32:00,376 --> 00:32:02,837 Well, I have neither, and I donate all the time. 780 00:32:04,088 --> 00:32:05,089 Please. 781 00:32:06,215 --> 00:32:07,215 Fuck it. 782 00:32:07,216 --> 00:32:09,217 If the patient's gonna die before they get to the OR, 783 00:32:09,218 --> 00:32:11,386 - then the benefits outweigh the risks. - My man. 784 00:32:11,387 --> 00:32:13,639 All right, kid, roll up your sleeve. I'll meet you in 7. 785 00:32:13,640 --> 00:32:15,223 Listen up. 786 00:32:15,224 --> 00:32:18,185 Central 7, 8, 9 is now the blood donor center. 787 00:32:18,186 --> 00:32:21,521 Anyone who's O-neg or O-pos, we need you to donate now. 788 00:32:21,522 --> 00:32:22,899 Hands where I can see them. 789 00:32:24,692 --> 00:32:27,153 OK, let's do this. 790 00:32:30,490 --> 00:32:32,824 - You two work here, right? - Yes. 791 00:32:32,825 --> 00:32:36,620 Can you tell me how my mom is? Her name is Patricia Gregory--or Trish. 792 00:32:36,621 --> 00:32:38,664 She was shot in her arm. 793 00:32:38,665 --> 00:32:41,501 We're here to help. One second. Bear with us. 794 00:32:48,091 --> 00:32:50,801 Hello? Can I have your attention, please? 795 00:32:50,802 --> 00:32:52,594 My name is Kiara Alfaro. 796 00:32:52,595 --> 00:32:54,972 I'm an emergency-department social worker. 797 00:32:54,973 --> 00:32:58,016 This is Lupe Perez, one of our ward clerks. 798 00:32:58,017 --> 00:33:01,436 I know you all want information about your friends and family. 799 00:33:01,437 --> 00:33:04,231 In order to help you, we have a QR code 800 00:33:04,232 --> 00:33:07,609 you can scan for our patient-identification website. 801 00:33:07,610 --> 00:33:12,197 Cell phones are down, but you can log on to the hospital guest Wi-Fi. 802 00:33:12,198 --> 00:33:15,659 That information is on these papers we'll distribute around the room. 803 00:33:15,660 --> 00:33:18,954 Once you log on, send us the name and birth date 804 00:33:18,955 --> 00:33:20,747 of whomever you're concerned about. 805 00:33:20,748 --> 00:33:22,666 If you could tell us what they were wearing, 806 00:33:22,667 --> 00:33:26,169 upload photos, pictures of tattoos, piercings, 807 00:33:26,170 --> 00:33:28,630 anything to help identify them would be useful. 808 00:33:28,631 --> 00:33:30,424 If we get a match, we'll let you know. 809 00:33:30,425 --> 00:33:34,011 We're setting up phone chargers, water, snacks. 810 00:33:34,012 --> 00:33:37,139 And if anyone needs to change clothes, we've got paper scrubs coming. 811 00:33:37,140 --> 00:33:38,223 Give us some time. 812 00:33:38,224 --> 00:33:42,270 We're doing everything we can to help get you the information you need. 813 00:33:52,155 --> 00:33:53,364 OK, I'm done. 814 00:33:54,365 --> 00:33:56,742 OK, give me the Coban. Come on, come on, come on. 815 00:33:56,743 --> 00:33:58,702 I got this. Here you go. 816 00:33:58,703 --> 00:34:00,245 Here you go. There you go. 817 00:34:00,246 --> 00:34:01,330 Next! 818 00:34:02,165 --> 00:34:04,916 - How's she doing? - We have 500 of saline in. 819 00:34:04,917 --> 00:34:06,501 She's just barely with us, Mel. 820 00:34:06,502 --> 00:34:10,297 OK, well, this unit of whole blood should help. 821 00:34:10,298 --> 00:34:12,591 Yeah, see if you can find a pressure bag. 822 00:34:12,592 --> 00:34:15,178 No, no. Much faster if I just squeeze it in myself. 823 00:34:21,392 --> 00:34:22,977 Need some help with an airway! 824 00:34:26,105 --> 00:34:27,314 What is it? 825 00:34:27,315 --> 00:34:29,149 GSW to the neck with expanding hematoma 826 00:34:29,150 --> 00:34:31,401 and distorted anatomy-- can't intubate him. 827 00:34:31,402 --> 00:34:34,071 - Probably hit the carotid. - OK. I'll do the airway. 828 00:34:34,072 --> 00:34:36,281 Give me a 6.5 and a bougie. 829 00:34:36,282 --> 00:34:37,616 I got the bleeder. 830 00:34:37,617 --> 00:34:40,327 Foley catheter with a 30 cc balloon. 831 00:34:40,328 --> 00:34:42,789 - Are you donating? - O-neg, yeah. 832 00:34:45,083 --> 00:34:46,708 Coming through! 833 00:34:46,709 --> 00:34:48,335 It's too bloody to see a bougie. 834 00:34:48,336 --> 00:34:49,961 Not for this. Three-step process. 835 00:34:49,962 --> 00:34:51,880 Step one, scalpel. 836 00:34:51,881 --> 00:34:55,134 Step two, finger. Step three, bougie. 837 00:34:58,846 --> 00:35:00,598 OK, railroad in the tube. 838 00:35:02,308 --> 00:35:04,309 I'm doing all I can to stop it! 839 00:35:04,310 --> 00:35:06,771 Good, that's far enough. OK, bag him. 840 00:35:07,647 --> 00:35:09,440 Dressing off. 841 00:35:10,733 --> 00:35:13,402 Foley's in. Blow up a balloon. 842 00:35:15,655 --> 00:35:17,364 30 cc's in. 843 00:35:17,365 --> 00:35:18,950 Clamping. 844 00:35:19,659 --> 00:35:20,952 Look at that. 845 00:35:21,869 --> 00:35:24,037 Dry as a bone. 846 00:35:24,038 --> 00:35:25,372 Room for another red. 847 00:35:25,373 --> 00:35:27,749 Dr. Walsh, you have an OR for a head-and-neck case? 848 00:35:27,750 --> 00:35:29,042 MCI-48. 849 00:35:29,043 --> 00:35:32,003 We've got 16 ORs up and running. We've got room for one more. 850 00:35:32,004 --> 00:35:35,090 Liver lac came back after a second unit, needs an ex-lap. 851 00:35:35,091 --> 00:35:37,677 Turning over two ORs now. Send them up. 852 00:35:38,469 --> 00:35:39,678 Where the hell did Mel go? 853 00:35:39,679 --> 00:35:41,847 I don't know, but she needs to get back to yellow. 854 00:35:41,848 --> 00:35:43,598 That's 2 grams of Ancef. 855 00:35:43,599 --> 00:35:44,684 Great. 856 00:35:45,893 --> 00:35:47,478 Let's take a look at your dressing. 857 00:35:48,271 --> 00:35:50,564 All right, that looks good. The bleeding stopped. 858 00:35:50,565 --> 00:35:52,275 Can you wiggle your fingers? 859 00:35:53,526 --> 00:35:56,279 Ma'am? Ma'am, can you move your fingers for me? 860 00:35:57,697 --> 00:36:00,031 OK, does it feel the same on both sides? 861 00:36:00,032 --> 00:36:01,492 Great. How's the pain? 862 00:36:06,164 --> 00:36:09,666 Well, the bullet probably went through the two forearm bones, 863 00:36:09,667 --> 00:36:12,210 but there's no damage to the nerves or arteries, 864 00:36:12,211 --> 00:36:13,713 so that's a good sign. 865 00:36:17,133 --> 00:36:18,259 You're gonna be OK. 866 00:36:21,137 --> 00:36:23,139 I'll find you some tissues. 867 00:36:27,727 --> 00:36:29,352 Robby, blood's arrived. 868 00:36:29,353 --> 00:36:30,521 Oh, right on. 869 00:36:31,272 --> 00:36:34,191 Eviscerated bowel, fresh ABD and saline. 870 00:36:34,192 --> 00:36:35,318 OK, bag for a sec? 871 00:36:36,694 --> 00:36:38,904 3.375 Zosyn and a sterile dressing. 872 00:36:38,905 --> 00:36:42,240 I can't believe I'm saying this-- another Christmas tree and Foley bag. 873 00:36:42,241 --> 00:36:44,160 How did we run out of chest tubes? 874 00:36:45,953 --> 00:36:48,205 Less than 500 cc's out. Surgical ICU can take him. 875 00:36:48,206 --> 00:36:49,664 ET tubes in the chest-- they're gonna wonder 876 00:36:49,665 --> 00:36:51,791 what the hell we're doing down here, but it was a great save. 877 00:36:51,792 --> 00:36:53,501 Hey, Javadi, I need you to find Whitaker 878 00:36:53,502 --> 00:36:55,253 and go up to the helipad-- we got blood flying in. 879 00:36:55,254 --> 00:36:56,463 - OK. - Stay behind the yellow line 880 00:36:56,464 --> 00:36:58,089 between 10:00 and 2:00 so the pilot 881 00:36:58,090 --> 00:36:59,299 - can see you the whole time. - OK. 882 00:36:59,300 --> 00:37:00,508 You got this? 883 00:37:00,509 --> 00:37:02,219 Moving him up as fast as we can. 884 00:37:02,220 --> 00:37:03,678 This one's going to yellow. 885 00:37:03,679 --> 00:37:05,138 More chest tubes, courtesy of Presby. 886 00:37:05,139 --> 00:37:06,848 Awesome. I'm gonna go check on Triage. 887 00:37:06,849 --> 00:37:08,184 Copy that. 888 00:37:10,353 --> 00:37:12,312 - They find the shooter yet? - Not yet, but we'll find him. 889 00:37:12,313 --> 00:37:14,689 - Half the county is looking. - What about with her? 890 00:37:14,690 --> 00:37:16,858 - Waiting for the FBI to get here. - They find her son? 891 00:37:16,859 --> 00:37:19,486 No, but they pinged his cell phone to the area of the shooting. 892 00:37:19,487 --> 00:37:20,695 Fuck. Does she know that yet? 893 00:37:20,696 --> 00:37:22,697 - She's about to find out. - OK. Thanks. 894 00:37:22,698 --> 00:37:24,241 What's with all these bloody handprints? 895 00:37:24,242 --> 00:37:26,117 That's when people were trying to stop us to get a ride in, 896 00:37:26,118 --> 00:37:27,661 but we were already packed. 897 00:37:27,662 --> 00:37:28,995 Chest, belly, arm, and leg. 898 00:37:28,996 --> 00:37:30,747 Red, pink, yellow, and a lucky green. 899 00:37:30,748 --> 00:37:32,625 Two gurneys, two wheelchairs. 900 00:37:34,835 --> 00:37:36,670 - My partner's in bad shape. - What's his name? 901 00:37:36,671 --> 00:37:38,129 Rich. Rich Stefano. 902 00:37:38,130 --> 00:37:39,965 Hey, Rich. How you doing? 903 00:37:39,966 --> 00:37:41,508 Shit. 904 00:37:41,509 --> 00:37:43,051 He got shot in the face? 905 00:37:43,052 --> 00:37:45,929 No, entrance is on the other side-- neck, above his vest. 906 00:37:45,930 --> 00:37:47,347 - Cheek is the exit wound. - OK. 907 00:37:47,348 --> 00:37:49,307 Come on, Red Zone. He needs an airway. 908 00:37:49,308 --> 00:37:51,309 Come with me. Come with me. 909 00:37:51,310 --> 00:37:53,396 I got you. We'll get you fixed up. 910 00:37:55,815 --> 00:37:56,816 Take him. 911 00:37:59,360 --> 00:38:00,986 Hey, what's up with the SWAT team? 912 00:38:00,987 --> 00:38:03,781 It's just a precaution in case the shooter heads this way. 913 00:38:04,407 --> 00:38:06,534 - Is that a possibility? - There was some chatter. 914 00:38:07,243 --> 00:38:09,160 Well, are we gonna be safe out here? 915 00:38:09,161 --> 00:38:10,745 - Should be now. - Focus on the patients. 916 00:38:10,746 --> 00:38:12,247 Focus on the patients. 917 00:38:12,248 --> 00:38:14,124 Only way out is through. 918 00:38:14,125 --> 00:38:15,875 Any idea how many more are coming? 919 00:38:15,876 --> 00:38:18,128 Incident Command is sending all these ambulances 920 00:38:18,129 --> 00:38:19,379 back to the scene for more victims. 921 00:38:19,380 --> 00:38:21,881 We may not even be halfway through yet. 922 00:38:21,882 --> 00:38:23,049 Jesus. 923 00:38:23,050 --> 00:38:24,468 When is this gonna end? 924 00:38:31,058 --> 00:38:32,268 Fuck.