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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:05,396 --> 00:00:06,832 Sean's being paroled. 2 00:00:06,832 --> 00:00:08,051 That's great. 3 00:00:08,051 --> 00:00:09,618 I just want him to have a fair shot. 4 00:00:09,618 --> 00:00:12,099 I want to do it right this time, Dad. 5 00:00:12,099 --> 00:00:14,449 And I've tasked Dr. Grace Song here 6 00:00:14,449 --> 00:00:16,929 with finding ways to make your jobs more efficient. 7 00:00:16,929 --> 00:00:19,932 We're deciding how to use tech so that it's empowering. 8 00:00:19,932 --> 00:00:22,674 I wonder if you might train me on that new EMR program. 9 00:00:24,850 --> 00:00:26,417 The longer we don't talk, 10 00:00:26,417 --> 00:00:28,158 the bigger the divide between us becomes. 11 00:00:28,158 --> 00:00:29,507 Maggie, you lied to me. 12 00:00:29,507 --> 00:00:32,249 I'm not gonna give up on us. 13 00:00:35,644 --> 00:00:37,559 Hi. You've reached Ben Campbell. 14 00:00:37,559 --> 00:00:39,126 Leave a message after the beep. 15 00:00:39,126 --> 00:00:41,345 Hey. 16 00:00:41,345 --> 00:00:44,827 I know this is the third message that I'm leaving. 17 00:00:44,827 --> 00:00:47,134 And I really want to respect the space that you ask for, 18 00:00:47,134 --> 00:00:51,660 but if you can text me and let me know that you're all right, 19 00:00:51,660 --> 00:00:53,401 it's getting pretty brutal out there. 20 00:00:53,401 --> 00:00:55,794 And... OK. 21 00:00:55,794 --> 00:00:59,711 Uh, love you. Bye. 22 00:01:00,669 --> 00:01:02,627 You hurt? 23 00:01:02,627 --> 00:01:04,542 Injured? - Mm-mm. 24 00:01:04,542 --> 00:01:06,283 Stay to the right and settle in. 25 00:01:06,283 --> 00:01:09,156 Someone will swing by with a blanket soon. 26 00:01:09,156 --> 00:01:11,941 - Hey. What's our count? - Pushing 60. 27 00:01:11,941 --> 00:01:14,422 60? And it's not even 10:00. 28 00:01:18,078 --> 00:01:20,471 Hey. How long are we supposed to keep letting people in? 29 00:01:20,471 --> 00:01:22,691 Well, the worst of the storm is still ahead of us. 30 00:01:22,691 --> 00:01:26,390 The weather center is expecting 70-mile-an-hour winds 31 00:01:26,390 --> 00:01:28,392 and at least ten inches of ice. 32 00:01:28,392 --> 00:01:30,568 If we don't open our doors, 33 00:01:30,568 --> 00:01:32,831 most of these people won't survive the night. 34 00:01:32,831 --> 00:01:34,181 I understand, but, look, pretty soon 35 00:01:34,181 --> 00:01:35,791 we're just gonna be standing room only here. 36 00:01:35,791 --> 00:01:38,794 Well, we're setting up cots and the entryway 37 00:01:38,794 --> 00:01:39,925 for the overflow. 38 00:01:39,925 --> 00:01:41,275 What about our patients? 39 00:01:41,275 --> 00:01:43,277 I'm short doctors, and everyone I do have 40 00:01:43,277 --> 00:01:44,800 is coming off a double with no end in sight. 41 00:01:44,800 --> 00:01:47,324 Well, I just got word from the governor's office. 42 00:01:47,324 --> 00:01:49,587 The National Guard will be making runs, 43 00:01:49,587 --> 00:01:52,764 picking up essential medical personnel who can't make it in. 44 00:01:52,764 --> 00:01:55,332 Look, I know this isn't easy, Dr. Archer, 45 00:01:55,332 --> 00:01:57,987 but I promise, reinforcements are coming. 46 00:01:57,987 --> 00:02:00,381 All right. 47 00:02:00,381 --> 00:02:04,298 Well, I guess, if you don't believe in omens. 48 00:02:04,298 --> 00:02:06,213 Hey, Mags, let me know when my OR is ready. 49 00:02:06,213 --> 00:02:07,475 I'm gonna grab a coffee. 50 00:02:07,475 --> 00:02:09,564 You've been on your feet for 72 hours now. 51 00:02:09,564 --> 00:02:10,869 Might want to make it a double. 52 00:02:10,869 --> 00:02:12,567 Tell me about it. 53 00:02:12,567 --> 00:02:15,352 Dr. Halstead, we've got incoming. 54 00:02:15,352 --> 00:02:18,964 You're going to Baghdad. Can you give Dr. Song a hand? 55 00:02:18,964 --> 00:02:20,052 I'll see what I can do. 56 00:02:20,052 --> 00:02:21,619 Thank you. 57 00:02:23,230 --> 00:02:24,535 So Dayton's got you in the trenches 58 00:02:24,535 --> 00:02:26,320 with us grunts tonight, huh? 59 00:02:26,320 --> 00:02:28,713 He's concerned you're running out of ammo, yeah. 60 00:02:30,628 --> 00:02:32,891 We're going to Baghdad. Where's the ambo? 61 00:02:32,891 --> 00:02:35,285 The tires started spinning out in the driveway. 62 00:02:35,285 --> 00:02:37,113 Nina Simonds, 53 years old. 63 00:02:37,113 --> 00:02:39,855 Carbon monoxide exposure from lighting an old gas stove. 64 00:02:39,855 --> 00:02:42,466 Fell from a third-story window trying to vent the apartment. 65 00:02:42,466 --> 00:02:44,251 That's her nephew, Lucas. No complaints. 66 00:02:44,251 --> 00:02:46,253 Tubed in the ambo for GCS of 5. 67 00:02:46,253 --> 00:02:48,385 Gross deformities on the left arm and leg. 68 00:02:48,385 --> 00:02:49,778 18-gauge in each arm. 69 00:02:49,778 --> 00:02:51,562 Total of 500 milliliters of normal saline. 70 00:02:51,562 --> 00:02:53,999 Heart rate 120, BP 104/78. 71 00:02:53,999 --> 00:02:56,480 - She's hypotensive. - She's bleeding somewhere. 72 00:02:56,480 --> 00:02:58,221 Two units of blood on the rapid transfuser 73 00:02:58,221 --> 00:03:00,005 and an X-ray, chest and pelvis. 74 00:03:00,005 --> 00:03:02,660 On my count. One, two, three. 75 00:03:08,405 --> 00:03:09,841 Thanks, guys. 76 00:03:11,800 --> 00:03:14,803 OK? - Yep. 77 00:03:14,803 --> 00:03:16,283 We were getting dizzy. 78 00:03:16,283 --> 00:03:18,676 She was just trying to let in some fresh air. 79 00:03:18,676 --> 00:03:21,375 OK. Good to know, Lucas. Don't worry. 80 00:03:21,375 --> 00:03:23,333 We're gonna take good care of your aunt, all right? 81 00:03:23,333 --> 00:03:24,595 Doris? - Hey. 82 00:03:24,595 --> 00:03:27,250 Let's get you looked at, OK? 83 00:03:27,250 --> 00:03:28,947 Lungs are clear bilaterally, 84 00:03:28,947 --> 00:03:31,298 but pressure's fallen to 90 systolic. 85 00:03:31,298 --> 00:03:33,213 OK. Let's get an ABG, 2 grams of TXA. 86 00:03:33,213 --> 00:03:36,390 And, Dr. Song, fast her. - On it. 87 00:03:46,922 --> 00:03:48,793 I don't see any fluid. 88 00:03:48,793 --> 00:03:50,969 Me neither. 89 00:03:50,969 --> 00:03:52,275 That's weird. 90 00:03:52,275 --> 00:03:54,059 She's already sucked down two units of blood, 91 00:03:54,059 --> 00:03:55,670 and her pressure hasn't budged. 92 00:03:55,670 --> 00:03:57,237 X-ray. 93 00:04:04,244 --> 00:04:05,288 Chest looks good. 94 00:04:05,288 --> 00:04:06,942 Mike, get her pelvis quickly. 95 00:04:09,597 --> 00:04:12,252 Open-book pelvic fracture. It's completely shattered. 96 00:04:12,252 --> 00:04:13,383 - She's falling. - OK. 97 00:04:13,383 --> 00:04:14,906 Let's get a binder on her pelvis now. 98 00:04:14,906 --> 00:04:17,300 We need to lock it down before she bleeds out. 99 00:04:17,300 --> 00:04:19,433 Let's go. 100 00:04:30,226 --> 00:04:33,011 You set? - Don't wait for me. 101 00:04:33,011 --> 00:04:34,709 Tighten it. 102 00:04:36,319 --> 00:04:37,712 Looks closed. 103 00:04:37,712 --> 00:04:41,498 Pressure's coming up. 104 00:04:41,498 --> 00:04:45,110 Let's get another X-ray and keep pushing blood. 105 00:04:45,110 --> 00:04:46,982 That was close. 106 00:05:09,439 --> 00:05:10,832 So it looks like 107 00:05:10,832 --> 00:05:13,661 the storm took out the West Loop substation. 108 00:05:13,661 --> 00:05:15,793 Anyone experience disruptions 109 00:05:15,793 --> 00:05:18,143 to ventilators, monitoring equipment? 110 00:05:18,143 --> 00:05:20,972 No, no, no, everything kicked over to emergency backup. 111 00:05:20,972 --> 00:05:22,800 All right, good. Let's all get back to work. 112 00:05:22,800 --> 00:05:25,237 I'll keep you informed as we get updates. 113 00:05:25,237 --> 00:05:28,328 Maggie, let's start getting everyone who's stable 114 00:05:28,328 --> 00:05:29,764 into the entryway. 115 00:05:29,764 --> 00:05:31,505 They can hunker down there for the night. 116 00:05:31,505 --> 00:05:33,376 All right. 117 00:05:33,376 --> 00:05:36,858 1979, You remember that one? God, I remember that one. 118 00:05:36,858 --> 00:05:39,861 4 degrees, 22 3/4 inches. 119 00:05:39,861 --> 00:05:40,862 - Wow. - Yeah. 120 00:05:40,862 --> 00:05:42,211 But then there was 2012. 121 00:05:42,211 --> 00:05:45,345 16 1/4 inches, 10 below zero. 122 00:05:45,345 --> 00:05:47,695 Cold, very cold. But tonight is much colder. 123 00:05:47,695 --> 00:05:49,044 You know what then? 124 00:05:49,044 --> 00:05:50,698 It's really good that you came in when you did. 125 00:05:50,698 --> 00:05:52,439 Yeah, good. No, good for sure. 126 00:05:52,439 --> 00:05:54,179 Felix, tell me how are you doing with your lithium? 127 00:05:54,179 --> 00:05:55,398 Are you taking it regularly? 128 00:05:55,398 --> 00:05:57,531 Yeah, pretty much. 129 00:05:57,531 --> 00:05:59,794 Pretty much? 130 00:05:59,794 --> 00:06:01,709 OK. Well, then, let me ask you. 131 00:06:01,709 --> 00:06:02,971 How are you dealing with the change of seasons? 132 00:06:02,971 --> 00:06:04,755 You know, the shorter days, the darker days? 133 00:06:04,755 --> 00:06:07,062 Are you holding up OK? - It's never easy. 134 00:06:07,062 --> 00:06:08,759 I try, but-- 135 00:06:08,759 --> 00:06:10,065 Hi. - Hey there, Felix. 136 00:06:10,065 --> 00:06:11,632 How are those toes feeling? 137 00:06:11,632 --> 00:06:13,373 Slowly but surely getting better, as the saying goes. 138 00:06:13,373 --> 00:06:15,505 Slowly but surely. - Great. Great. 139 00:06:15,505 --> 00:06:17,986 Dr. Charles, can I speak with you for a moment? 140 00:06:17,986 --> 00:06:19,944 - Be right back. - Yeah. 141 00:06:23,383 --> 00:06:25,733 I've got a cot ready for him in the entryway. 142 00:06:25,733 --> 00:06:26,951 He's already got a bed. 143 00:06:26,951 --> 00:06:28,736 I can't tie up a room all night 144 00:06:28,736 --> 00:06:31,042 for some frostnipped toes. 145 00:06:31,042 --> 00:06:33,262 Thing is, though, Mags, Felix is bipolar II 146 00:06:33,262 --> 00:06:35,090 with history of noncompliance. 147 00:06:35,090 --> 00:06:36,831 I just don't think that's an ideal situation 148 00:06:36,831 --> 00:06:38,049 for him out there. 149 00:06:38,049 --> 00:06:39,311 Well, we don't really have a choice. 150 00:06:39,311 --> 00:06:41,313 We have patients with greater need. 151 00:06:41,313 --> 00:06:42,314 OK. 152 00:06:48,146 --> 00:06:50,279 - Excuse me, Dr. Archer. - Yeah? 153 00:06:50,279 --> 00:06:52,586 26-year-old male with an eye injury, 154 00:06:52,586 --> 00:06:54,109 possible orbital fracture. 155 00:06:54,109 --> 00:06:55,458 I can put in the orders, 156 00:06:55,458 --> 00:06:57,329 but I thought you might want to see this one. 157 00:06:57,329 --> 00:06:59,462 What? Why? 158 00:07:03,988 --> 00:07:05,816 Sean? - Oh. Hey, Dad. 159 00:07:05,816 --> 00:07:07,339 - Hey. Are you hurt? - No, I'm fine. 160 00:07:07,339 --> 00:07:09,472 It's Clint, my roommate from the reentry center. 161 00:07:09,472 --> 00:07:11,909 I heard a lot about you, Mr. Archer. 162 00:07:11,909 --> 00:07:14,608 - It's Doctor. - Right. 163 00:07:14,608 --> 00:07:15,913 So what happened? 164 00:07:15,913 --> 00:07:17,480 I was picking up some essentials 165 00:07:17,480 --> 00:07:18,655 before the storm hit-- 166 00:07:18,655 --> 00:07:21,353 you know, eggs, milk, and such. 167 00:07:21,353 --> 00:07:24,182 Got jumped leaving the Mariano's over on Wabash. 168 00:07:24,182 --> 00:07:25,662 - Is that right? - Yeah. 169 00:07:25,662 --> 00:07:28,012 It must have been, like, ten dudes. 170 00:07:28,012 --> 00:07:30,058 Didn't have a chance. 171 00:07:30,058 --> 00:07:32,495 Sean was nice enough to pick me up in his four-by. 172 00:07:32,495 --> 00:07:35,237 Well, that's my boy. 173 00:07:35,237 --> 00:07:36,891 Let's see what's going on. 174 00:07:39,197 --> 00:07:41,983 - Can you see out of it? - Yeah, but kind of blurry. 175 00:07:41,983 --> 00:07:44,072 It's really swollen. 176 00:07:44,072 --> 00:07:46,814 All right, well, keep ice on it and get a CT. 177 00:07:46,814 --> 00:07:48,598 Can I talk to you for a minute? 178 00:07:50,644 --> 00:07:54,517 OK. What are you doing? City's on lockdown. 179 00:07:54,517 --> 00:07:55,866 He needed help. 180 00:07:55,866 --> 00:07:57,346 Well, then get somebody else to bail them out. 181 00:07:57,346 --> 00:07:59,174 You got no business driving around in an ice storm, 182 00:07:59,174 --> 00:08:00,305 especially after curfew. 183 00:08:00,305 --> 00:08:02,003 All it'll take is one violation 184 00:08:02,003 --> 00:08:03,395 to land you back in county. 185 00:08:03,395 --> 00:08:04,701 He's my friend. 186 00:08:04,701 --> 00:08:05,702 I couldn't just leave him out there to freeze. 187 00:08:05,702 --> 00:08:06,921 - Sean-- - Dr. Archer. 188 00:08:06,921 --> 00:08:09,184 You have an OB patient in treatment six. 189 00:08:09,184 --> 00:08:10,664 Where's Dr. Asher? 190 00:08:10,664 --> 00:08:12,970 She couldn't get her car out of the garage. 191 00:08:15,930 --> 00:08:19,063 Don't go anywhere. 192 00:08:19,063 --> 00:08:21,936 Let's add a tox screen to those labs. 193 00:08:23,328 --> 00:08:25,592 Hi. You must be Katie? - Uh-huh. 194 00:08:25,592 --> 00:08:28,246 Hi. I'm Dr. Archer. This is Dr. Hudgins. 195 00:08:28,246 --> 00:08:30,771 I see you're experiencing mild contractions 196 00:08:30,771 --> 00:08:32,076 and some dizziness. 197 00:08:32,076 --> 00:08:33,382 I almost fell off the ladder 198 00:08:33,382 --> 00:08:34,818 undressing my Christmas tree. 199 00:08:34,818 --> 00:08:36,211 Mm. 200 00:08:36,211 --> 00:08:38,169 Well, I like the festive spirit, Katie, 201 00:08:38,169 --> 00:08:40,868 but Christmas in February? 202 00:08:40,868 --> 00:08:43,218 I know. I'm a little behind schedule. 203 00:08:43,218 --> 00:08:45,176 I've been a bit preoccupied. 204 00:08:45,176 --> 00:08:46,395 When is your due date? 205 00:08:46,395 --> 00:08:48,571 Not for another seven weeks. 206 00:08:48,571 --> 00:08:50,573 I was hoping he'd hold off long enough 207 00:08:50,573 --> 00:08:52,706 for my husband to get back from Auckland. 208 00:08:52,706 --> 00:08:56,274 Your contractions could just be Braxton-Hicks. 209 00:08:56,274 --> 00:08:57,798 So there's nothing to worry about. 210 00:08:57,798 --> 00:09:00,540 But I see that your blood pressure is slightly elevated. 211 00:09:00,540 --> 00:09:02,150 What does that mean? 212 00:09:02,150 --> 00:09:04,413 Hopefully, it's just a response to the pain. 213 00:09:04,413 --> 00:09:06,720 But we could be looking at preeclampsia. 214 00:09:06,720 --> 00:09:07,982 Oh, God. 215 00:09:07,982 --> 00:09:09,984 Well, hang tight. Stay warm. 216 00:09:09,984 --> 00:09:12,290 Before anybody jumps to conclusions, 217 00:09:12,290 --> 00:09:14,771 I'm gonna have lab work done and OB weigh in. 218 00:09:14,771 --> 00:09:17,252 Thank you. 219 00:09:25,434 --> 00:09:27,436 Nina Simonds' latest scans. 220 00:09:27,436 --> 00:09:30,308 As you can see, binder's holding pressure on her pelvis, 221 00:09:30,308 --> 00:09:32,136 but she's still leaking blood from the left iliac artery. 222 00:09:32,136 --> 00:09:34,443 - So she needs surgery. - Ideally, yes. 223 00:09:34,443 --> 00:09:37,446 But the second we open her up, we'd release the pressure. 224 00:09:37,446 --> 00:09:39,622 And she'll bleed out and likely die on the table. 225 00:09:39,622 --> 00:09:41,624 So we take her to IR, embolize the vessel. 226 00:09:41,624 --> 00:09:43,626 OK. But even if we can reach the artery-- 227 00:09:43,626 --> 00:09:46,237 and that's a big if-- the second we do, 228 00:09:46,237 --> 00:09:48,892 she'd go into hypotensive shock. 229 00:09:48,892 --> 00:09:50,590 So we give blood and resuscitate. 230 00:09:50,590 --> 00:09:53,897 Which would require continued use of massive blood products. 231 00:09:53,897 --> 00:09:55,464 We'd gut our supply. 232 00:09:55,464 --> 00:09:57,640 Until the storm blows through, there's no telling 233 00:09:57,640 --> 00:09:59,990 how long it'll be until we get re-upped again. 234 00:09:59,990 --> 00:10:01,296 So how about we cut to the point 235 00:10:01,296 --> 00:10:03,646 where you're recommending a course of action? 236 00:10:03,646 --> 00:10:07,389 Look, I don't want to be a downer here, but... 237 00:10:07,389 --> 00:10:09,565 I ran an algorithmic simulation 238 00:10:09,565 --> 00:10:11,480 with inputs from patients with a similar trauma profile. 239 00:10:11,480 --> 00:10:15,266 It puts Nina's odds of survival at 7%. 240 00:10:15,266 --> 00:10:16,790 So what are we gonna do? 241 00:10:16,790 --> 00:10:18,792 Honestly, nothing. 242 00:10:18,792 --> 00:10:23,187 My recommendation would be to transfer her to ICU 243 00:10:23,187 --> 00:10:24,667 and make her comfortable. 244 00:10:24,667 --> 00:10:26,147 You're kidding. 245 00:10:26,147 --> 00:10:28,192 If it was any other day, I'd say go for it, 246 00:10:28,192 --> 00:10:31,805 but we have an obligation to prioritize blood products 247 00:10:31,805 --> 00:10:33,241 and other precious resources 248 00:10:33,241 --> 00:10:36,026 for patients who have the most favorable outcome. 249 00:10:36,026 --> 00:10:39,769 And unfortunately, that's not her. 250 00:10:39,769 --> 00:10:42,685 That kid lost both his parents in a car accident. 251 00:10:42,685 --> 00:10:43,991 His aunt's all he's got left now. 252 00:10:43,991 --> 00:10:45,688 I feel you. 253 00:10:45,688 --> 00:10:47,472 But it's not clinically relevant, is it? 254 00:10:47,472 --> 00:10:48,430 I just thought you should know 255 00:10:48,430 --> 00:10:50,301 before we orphan him again. 256 00:10:52,303 --> 00:10:53,653 I'm taking her to IR. 257 00:10:53,653 --> 00:10:55,132 And if you don't want to help, that's fine. 258 00:10:55,132 --> 00:10:56,568 I'll find somebody else. 259 00:11:00,485 --> 00:11:02,662 I've been trying to reach Ben. 260 00:11:02,662 --> 00:11:05,186 It's his bowling night, and I'm worried 261 00:11:05,186 --> 00:11:07,710 that he's out there in the storm. 262 00:11:07,710 --> 00:11:10,017 I never thought that it would take him this long 263 00:11:10,017 --> 00:11:11,496 to come around. 264 00:11:11,496 --> 00:11:13,281 I'm starting to think that it's never going to. 265 00:11:13,281 --> 00:11:14,761 Well, you know what they say. 266 00:11:14,761 --> 00:11:17,415 Absence makes the heart grow fonder. 267 00:11:17,415 --> 00:11:19,548 Just give it some time. 268 00:11:19,548 --> 00:11:22,638 Felix, how are those frostnipped toes? 269 00:11:22,638 --> 00:11:24,248 Here. 270 00:11:27,774 --> 00:11:33,257 Felix? 271 00:11:34,911 --> 00:11:37,044 Felix? 272 00:11:39,176 --> 00:11:40,787 He's been stabbed. 273 00:11:49,491 --> 00:11:51,885 Stay with me, Felix. 274 00:11:51,885 --> 00:11:54,757 OK, I got three clean points of entry 275 00:11:54,757 --> 00:11:55,932 to the lower right quadrant. 276 00:11:55,932 --> 00:11:57,934 I'm gonna fast him. - I don't get it. 277 00:11:57,934 --> 00:11:59,066 Why was this guy moved to the entryway? 278 00:11:59,066 --> 00:12:00,676 He was being treated for frostbite. 279 00:12:00,676 --> 00:12:02,460 It was frostnip. 280 00:12:02,460 --> 00:12:04,724 And we needed the room. 281 00:12:04,724 --> 00:12:05,986 What the hell's wrong with this thing? 282 00:12:05,986 --> 00:12:07,727 - I'll take a look. - No, no, no, forget it. 283 00:12:07,727 --> 00:12:09,076 We gotta get him up to CT anyway. 284 00:12:09,076 --> 00:12:10,686 Let's get him upstairs. - All right, let's go. 285 00:12:10,686 --> 00:12:11,774 Let's move. Let's move. 286 00:12:11,774 --> 00:12:13,036 Thank you. 287 00:12:14,821 --> 00:12:17,171 Hey. I heard Felix got stabbed. 288 00:12:17,171 --> 00:12:18,825 What happened? 289 00:12:22,698 --> 00:12:24,265 CPD's been notified, 290 00:12:24,265 --> 00:12:26,746 but their entire department is underwater. 291 00:12:26,746 --> 00:12:30,837 So it's going to be a few hours before they can even get here. 292 00:12:30,837 --> 00:12:32,273 Jack. - Yeah? 293 00:12:32,273 --> 00:12:34,492 What are you still doing here? 294 00:12:34,492 --> 00:12:37,495 We got delayed finishing up the OR 2.0 sensory upgrades, 295 00:12:37,495 --> 00:12:39,019 and then I couldn't get the helicopter launched 296 00:12:39,019 --> 00:12:40,803 before the storm hit. 297 00:12:40,803 --> 00:12:43,632 So I, um--I was told there was a stabbing. 298 00:12:43,632 --> 00:12:44,807 It seems awfully calm. 299 00:12:44,807 --> 00:12:46,504 Well, we're trying to keep it quiet. 300 00:12:46,504 --> 00:12:50,030 As far as anyone is concerned, we had a medical emergency. 301 00:12:50,030 --> 00:12:52,597 - OK. Then what happens now? - My team is pulling 302 00:12:52,597 --> 00:12:53,990 the surveillance footage as we speak. 303 00:12:53,990 --> 00:12:58,125 But in the event this is an active situation, 304 00:12:58,125 --> 00:12:59,953 I think we have to call a code silver, 305 00:12:59,953 --> 00:13:01,911 evacuate the building before anybody else gets hurt. 306 00:13:01,911 --> 00:13:04,261 I'd really prefer not to do that. 307 00:13:04,261 --> 00:13:07,961 A code silver would require us to lock down the hospital 308 00:13:07,961 --> 00:13:11,660 and kick all of these people back out onto the streets. 309 00:13:11,660 --> 00:13:12,792 Then what are we supposed to do? 310 00:13:12,792 --> 00:13:14,924 Well, we can start by quietly 311 00:13:14,924 --> 00:13:17,318 notifying essential staff of the threat. 312 00:13:17,318 --> 00:13:21,148 And if everyone could have just a little situational awareness, 313 00:13:21,148 --> 00:13:23,367 we'd give Chief Madsen and his team time 314 00:13:23,367 --> 00:13:27,937 to review the surveillance footage and ID a suspect. 315 00:13:27,937 --> 00:13:29,243 I don't know, Sharon. 316 00:13:29,243 --> 00:13:32,159 We might have a lunatic loose in our hospital. 317 00:13:32,159 --> 00:13:33,508 I think we should call the code. 318 00:13:33,508 --> 00:13:36,250 Jack, these people don't have anywhere to go. 319 00:13:36,250 --> 00:13:38,600 I get it, but I'm not gonna have this whole thing 320 00:13:38,600 --> 00:13:40,645 blowing up in my face. 321 00:13:40,645 --> 00:13:43,387 Shut it down. 322 00:13:46,216 --> 00:13:49,698 I am not letting you send people out there. 323 00:13:49,698 --> 00:13:51,265 And that's it. 324 00:13:56,270 --> 00:13:57,793 Yeah, we've got a couple more pickups, 325 00:13:57,793 --> 00:14:01,057 and the roads are a mess, so I'd say about an hour or so? 326 00:14:01,057 --> 00:14:04,060 What are her liver and kidney function numbers? 327 00:14:04,060 --> 00:14:07,847 Creatinine at 1. PC ratio of 200. 328 00:14:07,847 --> 00:14:09,936 Mild contractions, and her blood pressure's 329 00:14:09,936 --> 00:14:12,329 persistently higher than 140/90. 330 00:14:12,329 --> 00:14:13,940 OK, she could be preeclamptic, 331 00:14:13,940 --> 00:14:15,898 but we're a bit shy of where we'd want 332 00:14:15,898 --> 00:14:18,248 to induce right away-- 33 weeks. 333 00:14:18,248 --> 00:14:19,902 Admittedly, I'm a little out of my depth, 334 00:14:19,902 --> 00:14:21,599 but I am open to ideas. 335 00:14:21,599 --> 00:14:22,905 Give her a shot of betamethasone 336 00:14:22,905 --> 00:14:24,907 to help mature the baby's lungs 337 00:14:24,907 --> 00:14:26,996 and magnesium to prevent seizures 338 00:14:26,996 --> 00:14:29,259 in case we are dealing with preeclampsia. 339 00:14:29,259 --> 00:14:31,261 I'll be there as soon as I can. 340 00:14:31,261 --> 00:14:32,654 OK. Got it. 341 00:14:32,654 --> 00:14:35,483 And, Hannah, be safe out there. 342 00:14:35,483 --> 00:14:38,399 I'll be there before you know it. 343 00:14:40,314 --> 00:14:42,142 We got Clint's imaging results, 344 00:14:42,142 --> 00:14:43,926 which confirmed an orbital fracture. 345 00:14:43,926 --> 00:14:47,016 I'm just waiting until ophtho can get down and do a consult. 346 00:14:47,016 --> 00:14:50,628 OK, yeah. So is there anything else? 347 00:14:50,628 --> 00:14:53,805 Yeah. Um... 348 00:14:53,805 --> 00:14:55,503 his lab results. 349 00:14:58,985 --> 00:15:01,335 All right. 350 00:15:06,340 --> 00:15:08,864 Hey, with me now. 351 00:15:14,478 --> 00:15:17,394 So do you mind telling me what's really going on here? 352 00:15:17,394 --> 00:15:19,701 - What? I don't know-- - Clint's lab work. 353 00:15:19,701 --> 00:15:22,399 Amphetamines, benzos, opioids. 354 00:15:22,399 --> 00:15:24,358 I mean, that guy's got an entire pharmacy 355 00:15:24,358 --> 00:15:25,925 in his bloodstream. - OK. OK. 356 00:15:25,925 --> 00:15:28,144 Look, Clint called me for a ride 357 00:15:28,144 --> 00:15:29,972 because he relapsed and he got into some trouble. 358 00:15:29,972 --> 00:15:31,669 - Are you using again? - No! 359 00:15:31,669 --> 00:15:33,323 No, tell me the truth. 360 00:15:33,323 --> 00:15:35,325 You know, this is exactly why I didn't tell you the truth 361 00:15:35,325 --> 00:15:37,501 about why we were here in the first place. 362 00:15:37,501 --> 00:15:39,155 When are you ever gonna have some trust in me? 363 00:15:39,155 --> 00:15:40,983 When you stop making bad decisions. 364 00:15:40,983 --> 00:15:42,289 That's when. 365 00:15:44,465 --> 00:15:47,990 I swear I'm clean. 366 00:15:47,990 --> 00:15:49,687 You don't believe me, give me a drug test. 367 00:15:49,687 --> 00:15:52,168 Maybe I will. 368 00:15:59,219 --> 00:16:01,221 Advancing the catheter. 369 00:16:07,531 --> 00:16:09,359 I'm barely keeping her pressure up. 370 00:16:09,359 --> 00:16:12,188 I'm working as fast as I can. Having some issues. 371 00:16:12,188 --> 00:16:13,929 All right, give an amp of calcium and bicarb. 372 00:16:13,929 --> 00:16:16,236 And keep going with the blood products. 373 00:16:17,889 --> 00:16:19,543 Lost pulse. She's arresting. 374 00:16:19,543 --> 00:16:22,068 Starting compressions. Push a milligram of epi. 375 00:16:25,288 --> 00:16:26,420 Push it. 376 00:16:26,420 --> 00:16:27,725 Epi's in. 377 00:16:29,379 --> 00:16:32,208 Pulse is back. I have ROSC. 378 00:16:33,209 --> 00:16:35,690 All right. Let's keep going. 379 00:16:35,690 --> 00:16:37,779 No. I think we're done here. 380 00:16:37,779 --> 00:16:39,737 - What? - I tried. 381 00:16:39,737 --> 00:16:42,175 The pelvic binder's in the way, and the hematoma is too big. 382 00:16:42,175 --> 00:16:44,655 It's distorting the anatomy. I can't pass the wire. 383 00:16:44,655 --> 00:16:47,223 - What if we loosen the binder? - No way. 384 00:16:47,223 --> 00:16:48,268 As soon as you remove the pressure, 385 00:16:48,268 --> 00:16:49,573 she'll bleed out on the table. 386 00:16:49,573 --> 00:16:51,445 Well, come on. We have to think of another way. 387 00:16:51,445 --> 00:16:54,970 Gave it our best shot. Sorry, Will. 388 00:16:58,974 --> 00:17:00,280 Security's still investigating. 389 00:17:00,280 --> 00:17:02,325 In the meantime, we're just telling people, 390 00:17:02,325 --> 00:17:04,980 you know, just keep an eye out for anything suspicious. 391 00:17:04,980 --> 00:17:07,591 Wow, a stabbing. OK, will do. 392 00:17:07,591 --> 00:17:10,290 Dr. Charles, can you confirm this pharmacy dosage, please? 393 00:17:12,118 --> 00:17:14,250 Thank you. 394 00:17:14,250 --> 00:17:15,860 Dr. Marcel. - Yeah? 395 00:17:15,860 --> 00:17:18,428 - So? - Not good. 396 00:17:18,428 --> 00:17:20,952 A CT scan showed that part of the knife broke off 397 00:17:20,952 --> 00:17:23,955 and is lodged somewhere in the middle of his liver. 398 00:17:23,955 --> 00:17:25,435 So he's gonna need surgery? 399 00:17:25,435 --> 00:17:28,221 Yeah, but he has three tracts in the liver. 400 00:17:28,221 --> 00:17:30,266 From the surface, it'll be challenging 401 00:17:30,266 --> 00:17:32,268 to know which one has the retained blade. 402 00:17:32,268 --> 00:17:33,574 And, well, if we go in blindly, 403 00:17:33,574 --> 00:17:37,012 then he could bleed excessively. 404 00:17:37,012 --> 00:17:40,015 So I'm-- I'd like to go up to 2.0. 405 00:17:40,015 --> 00:17:42,365 I'm hoping the enhanced imaging 406 00:17:42,365 --> 00:17:45,107 will give us the roadmap we need 407 00:17:45,107 --> 00:17:49,068 to, uh--to make the repair. 408 00:17:49,068 --> 00:17:50,591 OK. 409 00:17:50,591 --> 00:17:52,114 Um, I'll call upstairs 410 00:17:52,114 --> 00:17:53,594 and let them know that you're on your way. 411 00:17:53,594 --> 00:17:57,380 You get another cup of coffee. - Yeah. 412 00:18:03,082 --> 00:18:05,780 Liver injuries are brutal. 413 00:18:05,780 --> 00:18:08,043 Poor Felix. 414 00:18:08,043 --> 00:18:09,305 I know it's chaotic tonight, 415 00:18:09,305 --> 00:18:10,915 but how does something like this happen? 416 00:18:10,915 --> 00:18:14,136 Doris, please. 417 00:18:14,136 --> 00:18:16,095 This is not helpful. 418 00:18:25,669 --> 00:18:27,932 What happened? 419 00:18:27,932 --> 00:18:28,933 Pressure is falling. 420 00:18:28,933 --> 00:18:30,196 Oh, man. 421 00:18:30,196 --> 00:18:31,675 Hang with me. Hang with me, Katie. 422 00:18:31,675 --> 00:18:34,113 All right. 423 00:18:34,113 --> 00:18:37,333 Reflexes close to absent. 424 00:18:37,333 --> 00:18:39,161 Diminished urine output. 425 00:18:39,161 --> 00:18:40,684 All right. Let's hold the magnesium. 426 00:18:40,684 --> 00:18:43,818 Give 500 cc fluid bolus of lactated ringers. 427 00:18:43,818 --> 00:18:46,473 And let's repeat all her labs, including a mag level. 428 00:18:46,473 --> 00:18:47,822 Copy. 429 00:18:47,822 --> 00:18:48,779 Where the hell is Hannah? 430 00:19:03,620 --> 00:19:05,492 This doesn't look good. 431 00:19:05,492 --> 00:19:07,102 No, we gotta get him out of there. 432 00:19:07,102 --> 00:19:08,408 Yeah. 433 00:19:14,109 --> 00:19:16,416 Hey. - Hey. 434 00:19:16,416 --> 00:19:18,853 What's your name? - Paul. 435 00:19:18,853 --> 00:19:22,335 Paul, take a few deep breaths for me. 436 00:19:22,335 --> 00:19:25,773 OK. Are you OK? Are you in pain? 437 00:19:25,773 --> 00:19:27,340 - No. - No? 438 00:19:27,340 --> 00:19:30,212 No? Do you think you can walk, Paul? 439 00:19:30,212 --> 00:19:31,648 - I think so. - OK. 440 00:19:31,648 --> 00:19:33,084 Good, 'cause we're gonna get you out of here. 441 00:19:33,084 --> 00:19:34,303 Grab an arm. - Yep. 442 00:19:34,303 --> 00:19:36,914 On three. One, two, three. 443 00:19:36,914 --> 00:19:39,352 Here we go. 444 00:19:39,352 --> 00:19:41,267 - We gotcha. - Gotcha. 445 00:19:42,485 --> 00:19:44,400 I'm dizzy. I gotta stop for a sec. 446 00:19:44,400 --> 00:19:46,750 - OK, let's put him down. - Yeah. 447 00:19:48,709 --> 00:19:50,319 I think there's a blanket in the back seat. 448 00:19:50,319 --> 00:19:51,581 Stay with him. Keep him on his side. 449 00:19:51,581 --> 00:19:53,757 Watch his neck. - Will do. 450 00:19:53,757 --> 00:19:55,368 We gotcha. 451 00:20:24,223 --> 00:20:27,008 Hey, Paul? 452 00:20:27,008 --> 00:20:28,139 Hey. 453 00:20:28,139 --> 00:20:30,403 Did you get hit? 454 00:20:30,403 --> 00:20:31,491 I don't think so. 455 00:20:31,491 --> 00:20:34,320 OK, good. 456 00:20:34,320 --> 00:20:37,627 Hang tight for a beat. I'll be right back. 457 00:20:37,627 --> 00:20:39,412 I think I took some shrapnel. 458 00:20:39,412 --> 00:20:41,022 Oh, let me see. 459 00:20:41,022 --> 00:20:43,372 We got to stop the bleeding. 460 00:20:43,372 --> 00:20:45,896 I have a tourniquet in my vest. 461 00:20:50,292 --> 00:20:51,815 Hold pressure. 462 00:20:51,815 --> 00:20:53,252 Watch your hand. 463 00:20:59,997 --> 00:21:01,999 That should do. 464 00:21:01,999 --> 00:21:04,480 I'm gonna get you to the hospital. 465 00:21:04,480 --> 00:21:06,090 None in that, you're not. 466 00:21:06,090 --> 00:21:07,962 What? 467 00:21:16,927 --> 00:21:19,234 Where are you taking her? 468 00:21:19,234 --> 00:21:20,453 Up to the ICU. 469 00:21:20,453 --> 00:21:22,324 Dr. Davis couldn't access the vessels, 470 00:21:22,324 --> 00:21:23,456 just like you said. 471 00:21:23,456 --> 00:21:25,371 I'm sorry, Will. 472 00:21:25,371 --> 00:21:26,589 Auntie N! 473 00:21:26,589 --> 00:21:28,765 Oh, easy, buddy. 474 00:21:28,765 --> 00:21:31,855 Auntie N? Is she gonna get better? 475 00:21:31,855 --> 00:21:34,205 We're gonna do everything we can for her. 476 00:21:34,205 --> 00:21:36,947 It's my fault. 477 00:21:36,947 --> 00:21:38,862 Lucas, why would you say that? 478 00:21:38,862 --> 00:21:40,908 She was lighting the stove 'cause of me. 479 00:21:40,908 --> 00:21:43,345 I was cold. That's why she fell. 480 00:21:44,912 --> 00:21:46,522 Lucas, there you are. 481 00:21:46,522 --> 00:21:48,437 Let's go back to the doctor's lounge, OK? 482 00:21:48,437 --> 00:21:51,440 I'm so sorry. It's all my fault. 483 00:21:56,793 --> 00:21:59,361 Will, wait a sec. 484 00:21:59,361 --> 00:22:01,189 What if we take her back to the hybrid room? 485 00:22:01,189 --> 00:22:03,670 And if we can loosen the pelvic binder, 486 00:22:03,670 --> 00:22:05,062 maybe we can find the vessels. 487 00:22:05,062 --> 00:22:09,415 I thought of that. Dr. Davis was not on board. 488 00:22:12,592 --> 00:22:14,333 Then I'll do it myself. 489 00:22:17,901 --> 00:22:19,947 One person said they saw a guy 490 00:22:19,947 --> 00:22:22,036 in a red T-shirt leaving the area. 491 00:22:22,036 --> 00:22:24,038 But there were some inconsistencies 492 00:22:24,038 --> 00:22:25,082 with their account. 493 00:22:25,082 --> 00:22:26,388 How about security footage? 494 00:22:26,388 --> 00:22:27,998 Cameras never came back online 495 00:22:27,998 --> 00:22:29,826 after we shifted over to the backup generator. 496 00:22:29,826 --> 00:22:32,742 Remind me to jump down IT's throats over that, please. 497 00:22:32,742 --> 00:22:34,309 But what can we do now? 498 00:22:34,309 --> 00:22:36,180 We need to find out who did this Felix. 499 00:22:36,180 --> 00:22:38,705 If I had to hazard a guess, I'd say whoever did this 500 00:22:38,705 --> 00:22:39,923 already exited the hospital. 501 00:22:39,923 --> 00:22:42,230 At the moment, our top priority 502 00:22:42,230 --> 00:22:45,581 needs to be ensuring the safety of our patients and staff. 503 00:22:45,581 --> 00:22:48,802 Were you able to get in any extra security personnel? 504 00:22:48,802 --> 00:22:50,325 They're trickling in. 505 00:22:50,325 --> 00:22:52,283 I wanted to talk to you about how best to deploy them. 506 00:22:52,283 --> 00:22:54,068 Why don't we do a walkthrough? 507 00:22:54,068 --> 00:22:57,506 I'll fill you in if I get any more information. 508 00:22:58,812 --> 00:23:01,641 - This is unacceptable. - It is. 509 00:23:01,641 --> 00:23:04,339 But, look, we're gonna have to accept the possibility 510 00:23:04,339 --> 00:23:06,210 that we might never find out who did this. 511 00:23:06,210 --> 00:23:07,995 Yeah, but Felix wouldn't even have been in the entryway 512 00:23:07,995 --> 00:23:10,650 had I not insisted on turfing him. 513 00:23:10,650 --> 00:23:13,435 Look, you've been on your feet for, what, 20 hours? 514 00:23:13,435 --> 00:23:15,481 What do you say let me pass the brick off to Doris 515 00:23:15,481 --> 00:23:16,395 and you get some rest? 516 00:23:16,395 --> 00:23:17,918 No, I'm gonna power through. 517 00:23:17,918 --> 00:23:20,094 - Doctor's orders, then. - Daniel. 518 00:23:20,094 --> 00:23:22,488 Margaret, I'm not messing around here. 519 00:23:22,488 --> 00:23:25,447 I'm worried about you. You need some sleep. 520 00:23:30,713 --> 00:23:32,236 Thank you. 521 00:23:44,553 --> 00:23:48,035 Still can't tell where the retained fragment is. 522 00:23:48,035 --> 00:23:49,558 2.0, rotate the image 523 00:23:49,558 --> 00:23:51,908 to feature the right hepatic lobe. 524 00:23:55,695 --> 00:23:57,218 What's this? 525 00:23:57,218 --> 00:24:00,351 Intentional motions are at 74% efficiency 526 00:24:00,351 --> 00:24:01,962 compared to your normal metrics. 527 00:24:01,962 --> 00:24:03,398 What are you talking about? 528 00:24:03,398 --> 00:24:06,009 You're too fatigued to continue operating. 529 00:24:06,009 --> 00:24:07,837 You're kidding, right? 530 00:24:07,837 --> 00:24:10,405 I've done hundreds of cases far more exhausted than this. 531 00:24:10,405 --> 00:24:12,538 It's recommended you have another surgeon 532 00:24:12,538 --> 00:24:13,669 complete the operation. 533 00:24:13,669 --> 00:24:14,627 There is no other surgeon. 534 00:24:14,627 --> 00:24:16,019 I can take over. 535 00:24:16,019 --> 00:24:17,499 I just started my shift a few of hours ago. 536 00:24:17,499 --> 00:24:18,892 I'm plenty rested. 537 00:24:18,892 --> 00:24:20,415 You're not qualified. You're a junior resident. 538 00:24:20,415 --> 00:24:22,896 I need you to override the system and give me my image. 539 00:24:22,896 --> 00:24:24,288 I can't. 540 00:24:24,288 --> 00:24:26,073 Mr. Dayton upgraded the code 541 00:24:26,073 --> 00:24:27,466 to make it impossible to override. 542 00:24:27,466 --> 00:24:29,163 Then get Jack up here to do it. 543 00:24:29,163 --> 00:24:30,817 You're wasting your breath. 544 00:24:30,817 --> 00:24:32,296 He doesn't want anyone operating 545 00:24:32,296 --> 00:24:34,255 at a capacity below the system's threshold. 546 00:24:34,255 --> 00:24:37,171 This is ridiculous! I-I feel fine! 547 00:24:37,171 --> 00:24:38,477 I can do it. 548 00:24:40,957 --> 00:24:43,133 Damn it. 549 00:24:43,133 --> 00:24:45,396 Under your supervision, of course. 550 00:24:49,618 --> 00:24:53,274 2.0, transfer primary surgeon to Dr. Tanaka-Reed. 551 00:24:53,274 --> 00:24:55,363 Focus on the right lower lobe. 552 00:24:59,759 --> 00:25:01,630 Your show. 553 00:25:09,464 --> 00:25:11,901 Katie's platelet count dropped to 70,000. 554 00:25:11,901 --> 00:25:14,164 And her LFTs doubled. Mag level was 7. 555 00:25:14,164 --> 00:25:16,079 All right, we're gonna need to induce labor. 556 00:25:16,079 --> 00:25:17,559 All right, start her on oxytocin 557 00:25:17,559 --> 00:25:19,518 and restart the mag at 1 gram an hour 558 00:25:19,518 --> 00:25:22,433 as long as she's doing better and her reflexes are back. 559 00:25:22,433 --> 00:25:24,697 Oh, any ETA yet on Dr. Asher? 560 00:25:24,697 --> 00:25:26,612 Just got off with OEMC. 561 00:25:26,612 --> 00:25:28,701 Seems she encountered a trauma in the field. 562 00:25:28,701 --> 00:25:31,312 - What kind of trauma? - He didn't have any details. 563 00:25:31,312 --> 00:25:32,922 Only that the guard vehicle was disabled 564 00:25:32,922 --> 00:25:35,185 and they were having difficulty finding transport. 565 00:25:35,185 --> 00:25:36,578 Thought it might be another hour. 566 00:25:36,578 --> 00:25:38,885 An hour? How is she gonna survive out there 567 00:25:38,885 --> 00:25:41,365 for that long in this cold? 568 00:25:41,365 --> 00:25:43,324 All right, you know what? I'm gonna pick her up myself. 569 00:25:43,324 --> 00:25:45,544 Where'd they say she was at? - Canal and Lumber. 570 00:25:47,284 --> 00:25:49,504 I'm sorry, Dr. Archer, but Katie's delivering. 571 00:25:49,504 --> 00:25:53,029 Right now? She's only one centimeter dilated. 572 00:25:54,465 --> 00:25:55,815 I want you staying on this guy 573 00:25:55,815 --> 00:25:58,121 until Hannah gets back here safe and sound. 574 00:25:58,121 --> 00:25:59,688 All right. You got it. 575 00:26:06,913 --> 00:26:09,350 You think this is serious? 576 00:26:09,350 --> 00:26:11,657 Why? You got big weekend plans? 577 00:26:11,657 --> 00:26:13,615 Actually, I do. 578 00:26:13,615 --> 00:26:17,227 My fiancée and I are supposed to have cake tasting. 579 00:26:17,227 --> 00:26:18,838 I'm getting married next month. 580 00:26:18,838 --> 00:26:21,362 - Is that right? - Yeah. 581 00:26:21,362 --> 00:26:23,190 Well, don't worry. 582 00:26:23,190 --> 00:26:24,365 I'll make sure you're fixed up in time 583 00:26:24,365 --> 00:26:27,237 to walk down that aisle. 584 00:26:28,543 --> 00:26:30,197 How you doing back there, Paul? 585 00:26:30,197 --> 00:26:31,720 I don't know. 586 00:26:31,720 --> 00:26:33,679 It hurts pretty bad when I breathe. 587 00:26:33,679 --> 00:26:37,030 OK, let me take a look at you. 588 00:26:37,030 --> 00:26:39,032 OK. 589 00:26:39,032 --> 00:26:41,034 Where's the pain? - My side. 590 00:26:41,034 --> 00:26:43,819 Your side? Give me your flashlight. 591 00:26:50,173 --> 00:26:51,610 I'm gonna lift up your shirt. 592 00:26:51,610 --> 00:26:53,133 Uh-huh. 593 00:26:53,133 --> 00:26:55,526 OK, it looks like the shrapnel 594 00:26:55,526 --> 00:26:56,919 might have penetrated your chest well. 595 00:26:56,919 --> 00:26:58,617 Hold that for me. 596 00:26:58,617 --> 00:27:00,314 Do you have any medical supplies? 597 00:27:00,314 --> 00:27:04,623 Uh, no, but there's a toolbox under your seat. 598 00:27:17,244 --> 00:27:19,725 Hey, that--that bag, hand it to me. 599 00:27:21,117 --> 00:27:23,598 OK, here. 600 00:27:23,598 --> 00:27:25,339 All right, Paul. 601 00:27:25,339 --> 00:27:27,689 You have a hole in your lung. 602 00:27:27,689 --> 00:27:29,082 I'm gonna stabilize your breathing 603 00:27:29,082 --> 00:27:31,258 with an airtight patch. 604 00:27:31,258 --> 00:27:34,609 - That's your patch? - Yes. 605 00:27:34,609 --> 00:27:36,655 Here we go. 606 00:27:36,655 --> 00:27:39,701 It's going to conform to your body contour 607 00:27:39,701 --> 00:27:42,530 to create a better seal. 608 00:27:42,530 --> 00:27:44,314 All right. 609 00:27:44,314 --> 00:27:46,839 Now take a big inhale for me. 610 00:27:46,839 --> 00:27:48,318 - That better? - Mm-hmm. 611 00:27:48,318 --> 00:27:50,277 OK, good. Good. 612 00:27:50,277 --> 00:27:51,974 Good, good, good. 613 00:27:51,974 --> 00:27:54,411 There we go. 614 00:27:54,411 --> 00:27:56,239 The cavalry better get here soon. 615 00:27:56,239 --> 00:27:57,545 Yeah. 616 00:28:03,159 --> 00:28:05,118 This is all the blood we have left. 617 00:28:06,946 --> 00:28:10,819 Do you think we should use it? 618 00:28:10,819 --> 00:28:13,866 We don't have a choice. 619 00:28:13,866 --> 00:28:14,910 All right. 620 00:28:17,173 --> 00:28:18,522 A-line pressure's down. 621 00:28:18,522 --> 00:28:20,481 I don't think we're gonna make it. 622 00:28:20,481 --> 00:28:22,657 I only need another 30 seconds. 623 00:28:22,657 --> 00:28:25,007 I'm almost there. 624 00:28:25,007 --> 00:28:27,053 All right. Come on. Come on. 625 00:28:27,053 --> 00:28:30,447 Come on, Nina. 626 00:28:30,447 --> 00:28:31,797 I'm in. 627 00:28:31,797 --> 00:28:34,060 Launching the coil. 628 00:28:42,721 --> 00:28:44,287 Pressure's coming up. 629 00:28:46,594 --> 00:28:47,813 All right. 630 00:28:47,813 --> 00:28:50,250 Let's get her up to the ICU. 631 00:28:52,513 --> 00:28:54,428 Hi. You've reached Ben Campbell. 632 00:28:54,428 --> 00:28:56,212 Leave a message after the beep. 633 00:28:56,212 --> 00:28:59,041 I, um... 634 00:29:13,099 --> 00:29:14,578 Are you all right? 635 00:29:14,578 --> 00:29:16,406 It is so cold. 636 00:29:16,406 --> 00:29:19,279 - What happened? - I slipped on the ice. 637 00:29:19,279 --> 00:29:21,803 OK. Come on. Let's get you inside. 638 00:29:24,632 --> 00:29:26,808 OK. Oh, my God. 639 00:29:26,808 --> 00:29:28,897 You're frozen. 640 00:29:28,897 --> 00:29:30,333 How long were you out there for? 641 00:29:30,333 --> 00:29:32,466 I don't know, a couple of hours maybe. 642 00:29:32,466 --> 00:29:35,599 OK, stay right there. Stay right there. 643 00:29:40,691 --> 00:29:42,215 Let me take a look at your ankle. 644 00:29:42,215 --> 00:29:43,782 - No! - OK. 645 00:29:43,782 --> 00:29:45,305 I'm gonna go get a wheelchair, 646 00:29:45,305 --> 00:29:48,177 and we're gonna get your ankle all fixed up, OK? 647 00:29:48,177 --> 00:29:50,136 OK, stay right here. 648 00:29:53,661 --> 00:29:56,577 It feels like there's a boulder on my chest. 649 00:29:56,577 --> 00:29:59,798 OK. 650 00:29:59,798 --> 00:30:03,018 All right, when you feel that pressure building up, 651 00:30:03,018 --> 00:30:05,891 I want you to just pull that flap back, OK? 652 00:30:05,891 --> 00:30:08,241 Try that for me. 653 00:30:10,025 --> 00:30:11,592 - OK? - Uh-huh. 654 00:30:11,592 --> 00:30:12,593 Good. 655 00:30:16,118 --> 00:30:18,207 Hey. Is that EMS? 656 00:30:24,257 --> 00:30:26,389 Looks like a civilian. 657 00:30:36,704 --> 00:30:39,489 Sorry. I got here as soon as I could. 658 00:30:39,489 --> 00:30:41,230 Were you looking for us? 659 00:30:41,230 --> 00:30:42,841 I was in the ED with a friend of mine 660 00:30:42,841 --> 00:30:45,278 when I heard you needed a lift. 661 00:30:45,278 --> 00:30:49,195 I'm Sean. Sean Archer. 662 00:30:49,195 --> 00:30:52,502 - Wait. Dean's son? - That's right. 663 00:30:52,502 --> 00:30:55,723 Huh. OK. 664 00:30:55,723 --> 00:30:59,466 Well, let's get these guys in your truck. 665 00:30:59,466 --> 00:31:01,729 OK. 666 00:31:01,729 --> 00:31:05,298 Katie, I know delivery didn't go exactly as you'd planned, 667 00:31:05,298 --> 00:31:08,040 but, uh, your baby looks healthy and strong. 668 00:31:08,040 --> 00:31:10,825 Isn't he? Hmm? 669 00:31:10,825 --> 00:31:12,566 I was so worried. 670 00:31:12,566 --> 00:31:14,046 Because he was born prematurely, 671 00:31:14,046 --> 00:31:17,397 we're gonna have to have him evaluated up in the NICU. 672 00:31:17,397 --> 00:31:18,746 It's a perfectly normal protocol. 673 00:31:18,746 --> 00:31:22,097 Nothing to be concerned about. - OK. 674 00:31:28,408 --> 00:31:30,889 And what about the preeclampsia? 675 00:31:30,889 --> 00:31:33,848 Well, in most cases, it's resolved by giving birth. 676 00:31:33,848 --> 00:31:35,763 We'll keep an eye on that, but in the meantime, 677 00:31:35,763 --> 00:31:37,199 I'll have you transferred upstairs 678 00:31:37,199 --> 00:31:39,245 where you'll be a lot more comfortable. 679 00:31:39,245 --> 00:31:40,768 Thank you. Thank you both. 680 00:31:40,768 --> 00:31:41,856 Sure. 681 00:31:47,818 --> 00:31:50,299 Can you believe it? That was my first delivery. 682 00:31:50,299 --> 00:31:51,387 I can, actually. 683 00:31:51,387 --> 00:31:52,606 - It's such a rush. - Yeah. 684 00:31:52,606 --> 00:31:54,390 Dr. Archer, just spoke to OEMC. 685 00:31:54,390 --> 00:31:55,565 Hannah's on her way in. 686 00:31:55,565 --> 00:31:56,958 She should be about 15 minutes out. 687 00:31:56,958 --> 00:31:59,352 - Thank you, Doris. - And I also need a consult, 688 00:31:59,352 --> 00:32:00,962 Dr. Archer, for treatment five. 689 00:32:00,962 --> 00:32:02,964 Patient's name is Heidi. She fell and twisted her ankle 690 00:32:02,964 --> 00:32:05,097 trying to enter the hospital over on Polk Street. 691 00:32:05,097 --> 00:32:06,446 Who do you have? 692 00:32:06,446 --> 00:32:07,969 Dr. Hudgins here would be happy to help. 693 00:32:07,969 --> 00:32:08,970 - Great. - Absolutely. 694 00:32:08,970 --> 00:32:09,971 Let's get an X-ray. 695 00:32:09,971 --> 00:32:11,494 That's Kathleen. 696 00:32:15,107 --> 00:32:16,456 Hi. 697 00:32:16,456 --> 00:32:17,631 We're gonna get you all patched up 698 00:32:17,631 --> 00:32:18,806 and back on your feet, Heidi. 699 00:32:18,806 --> 00:32:20,416 I promise. 700 00:32:20,416 --> 00:32:22,418 Stop smiling so much. 701 00:32:22,418 --> 00:32:23,767 It's creeping me out. 702 00:32:27,684 --> 00:32:28,772 X-ray. 703 00:32:32,820 --> 00:32:36,693 OK, Heidi. Unfortunately, it is broken. 704 00:32:36,693 --> 00:32:38,521 I don't think you'll need surgery, 705 00:32:38,521 --> 00:32:42,308 but I'll inject a numbing agent until ortho can weigh in. 706 00:32:42,308 --> 00:32:43,962 In the meantime, let's get you out 707 00:32:43,962 --> 00:32:46,355 of this parka and under some warm blankets, OK? 708 00:32:46,355 --> 00:32:48,314 Oh, no! Stop! Stop handling me! 709 00:32:48,314 --> 00:32:51,665 I-I can do it myself. - OK. 710 00:32:51,665 --> 00:32:55,930 Everybody, all night, just hovering over me, 711 00:32:55,930 --> 00:32:58,063 just crowding my space. 712 00:32:58,063 --> 00:33:01,022 Zach, can you, um, come out here for a second? 713 00:33:01,022 --> 00:33:03,503 Yeah, one second. I just gotta draw this up. 714 00:33:03,503 --> 00:33:05,984 - Zach. - Get away from me! 715 00:33:05,984 --> 00:33:06,985 Get away from me! - Ow! 716 00:33:06,985 --> 00:33:08,421 No! No! Let go of me! 717 00:33:08,421 --> 00:33:09,857 Can I get some help over here? 718 00:33:09,857 --> 00:33:12,512 Patient armed! 719 00:33:12,512 --> 00:33:14,296 - OK, sweetie. - Pushing 5 of haldol. 720 00:33:14,296 --> 00:33:16,342 - Right here. - No. 721 00:33:17,821 --> 00:33:19,736 OK, sweetie. 722 00:33:19,736 --> 00:33:21,912 Why won't anyone leave me alone? 723 00:33:21,912 --> 00:33:25,133 OK. OK. 724 00:33:34,969 --> 00:33:37,928 Daniel, do we know why she stabbed Felix? 725 00:33:37,928 --> 00:33:39,669 Because he was talking too much 726 00:33:39,669 --> 00:33:41,367 and in her personal space. 727 00:33:41,367 --> 00:33:43,586 What, she stabbed a guy for being a close talker? 728 00:33:43,586 --> 00:33:45,762 She's a seriously ill person. 729 00:33:45,762 --> 00:33:47,677 Diagnosed with paranoid schizophrenia 730 00:33:47,677 --> 00:33:49,157 when she was a young woman. 731 00:33:49,157 --> 00:33:51,203 Last time she was here, she was on thorazine, 732 00:33:51,203 --> 00:33:52,856 but that's, like, ten years ago. 733 00:33:52,856 --> 00:33:54,075 I'm pretty sure she has not had 734 00:33:54,075 --> 00:33:55,946 any kind of consistent care since. 735 00:33:55,946 --> 00:33:58,601 Without her meds, she's gonna be very volatile. 736 00:33:58,601 --> 00:34:00,603 Well, hopefully, she'll get the kind of help she needs 737 00:34:00,603 --> 00:34:01,996 moving forward. 738 00:34:01,996 --> 00:34:04,259 In a prison-affiliated psych ward? 739 00:34:04,259 --> 00:34:06,305 I wouldn't count on it. - Hey, Jack. 740 00:34:06,305 --> 00:34:07,828 - Hmm? - You got a minute? 741 00:34:07,828 --> 00:34:09,438 Yeah, of course. Excuse me. 742 00:34:12,833 --> 00:34:14,269 Look, we need to-- 743 00:34:14,269 --> 00:34:16,619 we need to talk about 2.0. - Yeah, let's. 744 00:34:16,619 --> 00:34:19,187 Now, I'm told that it delivered another tremendous success. 745 00:34:19,187 --> 00:34:20,884 - Success? - Yeah. 746 00:34:20,884 --> 00:34:22,843 2.0 walked an inexperienced surgeon 747 00:34:22,843 --> 00:34:24,279 through a complicated procedure. 748 00:34:24,279 --> 00:34:25,976 Yeah, I'd chalk that up as a win. 749 00:34:25,976 --> 00:34:27,848 Sure, the patient had a good outcome, 750 00:34:27,848 --> 00:34:30,981 but 2.0 glitched again, Jack, big-time. 751 00:34:30,981 --> 00:34:32,374 Well, come walk with me. 752 00:34:32,374 --> 00:34:33,636 Now, I'm listening, though, sir. 753 00:34:33,636 --> 00:34:35,116 Keep talking. 754 00:34:35,116 --> 00:34:39,294 Well, this new feature, locking surgeons out 755 00:34:39,294 --> 00:34:43,646 because of some preprogrammed metric of fitness, 756 00:34:43,646 --> 00:34:45,170 it's got to go. 757 00:34:45,170 --> 00:34:48,086 2.0 is a tool that was designed to help surgeons, 758 00:34:48,086 --> 00:34:51,219 not keep them from doing their job. 759 00:34:51,219 --> 00:34:52,438 I think it needs to be disabled. 760 00:34:52,438 --> 00:34:54,353 Listen, I gotta disagree with you there. 761 00:34:54,353 --> 00:34:57,138 Now, look, I was told that you had some difficulty 762 00:34:57,138 --> 00:35:00,359 with this thing earlier, yeah? 763 00:35:00,359 --> 00:35:03,449 Uh, I couldn't get it to work. 764 00:35:03,449 --> 00:35:05,190 Yeah. - Mm-hmm. 765 00:35:05,190 --> 00:35:08,323 Well, maintenance took a look at it, and... 766 00:35:08,323 --> 00:35:12,632 yeah, it turns out that it was working just fine. 767 00:35:16,114 --> 00:35:18,072 Well, it wasn't working when I tried it. 768 00:35:18,072 --> 00:35:20,770 Look, regardless, it was an emergent situation. 769 00:35:20,770 --> 00:35:22,163 I was in a rush. - Or could it be 770 00:35:22,163 --> 00:35:26,036 that maybe you were more fatigued than you realized? 771 00:35:26,036 --> 00:35:27,342 Now look, it's common for all of us, 772 00:35:27,342 --> 00:35:30,258 maybe even top surgeons, to underestimate 773 00:35:30,258 --> 00:35:32,869 the effects of fatigue on our reflexes and judgment. 774 00:35:32,869 --> 00:35:35,307 But isn't it great to have a tool 775 00:35:35,307 --> 00:35:37,918 that can take all the guesswork out of it? 776 00:35:43,489 --> 00:35:46,144 OK, 40-year-old male involved in a motor vehicle crash. 777 00:35:46,144 --> 00:35:48,189 Blunt trauma. Possible head injury. 778 00:35:48,189 --> 00:35:50,191 Penetrative wound to the left flank. 779 00:35:50,191 --> 00:35:51,323 Applied an occlusive dressing. - All right. 780 00:35:51,323 --> 00:35:52,889 Take him to Baghdad. - This way, guys. 781 00:35:52,889 --> 00:35:54,108 This is Corporal Parker. 782 00:35:54,108 --> 00:35:55,631 28 years old. National Guardsman. 783 00:35:55,631 --> 00:35:57,633 Isolated arterial hemorrhage to the right leg. 784 00:35:57,633 --> 00:35:59,592 Applied a tourniquet about 90 minutes ago. 785 00:35:59,592 --> 00:36:01,246 Vascular surgeon is waiting upstairs. 786 00:36:01,246 --> 00:36:03,161 OK. 787 00:36:03,161 --> 00:36:05,163 How you feeling? - Good. 788 00:36:05,163 --> 00:36:07,121 Yeah, much better 789 00:36:07,121 --> 00:36:09,515 now that my patients are stable and in hospital. 790 00:36:09,515 --> 00:36:11,734 How did you get here? I was worried about you. 791 00:36:11,734 --> 00:36:13,475 Hey, Dad. 792 00:36:13,475 --> 00:36:15,216 Sean. 793 00:36:15,216 --> 00:36:17,087 I gotta move my truck. 794 00:36:17,087 --> 00:36:18,611 All right. 795 00:36:22,136 --> 00:36:23,529 I'm not sure we would have made it 796 00:36:23,529 --> 00:36:26,314 if he didn't show up when he did. 797 00:36:26,314 --> 00:36:28,098 Did you know that he spent a year in Alaska 798 00:36:28,098 --> 00:36:30,753 driving a snowplow? 799 00:36:30,753 --> 00:36:33,408 No, I didn't know. 800 00:36:35,236 --> 00:36:37,412 You got a good kid there, Dean. 801 00:36:45,855 --> 00:36:48,118 Nina, can you hear me? 802 00:36:52,427 --> 00:36:54,821 Hi, Nina. I'm Dr. Halstead. 803 00:36:54,821 --> 00:36:58,390 Can you hear me OK? 804 00:36:58,390 --> 00:36:59,869 Good. 805 00:37:02,307 --> 00:37:04,352 Come on. Come on in. 806 00:37:04,352 --> 00:37:06,963 Auntie N, you're all better now. 807 00:37:06,963 --> 00:37:08,965 You're gonna be OK. 808 00:37:08,965 --> 00:37:10,706 I'll give you two a moment. 809 00:37:16,277 --> 00:37:18,627 Which one of you two drongos is responsible 810 00:37:18,627 --> 00:37:20,890 for blowing through our entire blood supply? 811 00:37:20,890 --> 00:37:22,544 I'm sorry. Who are you? 812 00:37:22,544 --> 00:37:24,285 The surgeon who just performed 813 00:37:24,285 --> 00:37:27,245 a miracle cardiac bypass with only two units of blood. 814 00:37:27,245 --> 00:37:28,507 Justin, take it easy. 815 00:37:28,507 --> 00:37:30,160 Hey, we were all strapped today. 816 00:37:30,160 --> 00:37:33,120 You ate through 40 units on a single trauma. 817 00:37:33,120 --> 00:37:36,732 Now, if my patient wakes up with deficits because of this, 818 00:37:36,732 --> 00:37:38,343 that's on you. 819 00:37:43,696 --> 00:37:46,176 Don't worry about him. He's a prick. 820 00:37:46,176 --> 00:37:49,397 No, he's right. It was a bad call. 821 00:37:49,397 --> 00:37:52,182 How can you say that? 822 00:37:52,182 --> 00:37:53,532 I mean, look what we did for that kid. 823 00:37:53,532 --> 00:37:55,360 That's my point. I shouldn't have 824 00:37:55,360 --> 00:37:58,232 let my decision-making be influenced by this kid 825 00:37:58,232 --> 00:38:00,756 or anyone else. 826 00:38:00,756 --> 00:38:03,324 I should have followed the data like I always do. 827 00:38:03,324 --> 00:38:05,500 Doesn't sound very compassionate. 828 00:38:05,500 --> 00:38:08,503 I mean, remember, we're treating real people here. 829 00:38:08,503 --> 00:38:10,331 Sticking to the data, remaining objective, 830 00:38:10,331 --> 00:38:12,638 that's how we save the most lives. 831 00:38:12,638 --> 00:38:17,599 That's what makes us objective and compassionate. 832 00:38:26,913 --> 00:38:29,611 Hey. 833 00:38:29,611 --> 00:38:30,917 How's Paul doing? 834 00:38:30,917 --> 00:38:32,701 Ah, he's making a full recovery. 835 00:38:32,701 --> 00:38:34,964 And Corporal Parker? 836 00:38:34,964 --> 00:38:36,836 He's just out of surgery, and he'll be up and around 837 00:38:36,836 --> 00:38:38,098 and walking in no time. 838 00:38:40,318 --> 00:38:43,712 Listen, uh, about earlier, I-- 839 00:38:43,712 --> 00:38:45,105 Oh, no. 840 00:38:46,889 --> 00:38:50,284 I'm guessing the roads are pretty ugly out there, huh? 841 00:38:50,284 --> 00:38:52,199 Well, I've seen worse, 842 00:38:52,199 --> 00:38:54,897 but... yeah. 843 00:38:54,897 --> 00:38:58,553 Well, in that case, I haven't put my snow tires on yet, 844 00:38:58,553 --> 00:39:03,384 and I was wondering if I can get a lift home. 845 00:39:10,957 --> 00:39:12,262 Hey. 846 00:39:12,262 --> 00:39:14,395 Pretty impressive sleuthing there, Maggie. 847 00:39:14,395 --> 00:39:17,920 Not to mention stepping in before Zach got hurt. 848 00:39:17,920 --> 00:39:19,879 Is your arm OK? 849 00:39:19,879 --> 00:39:22,360 Yeah. 850 00:39:22,360 --> 00:39:23,491 And guess what? 851 00:39:23,491 --> 00:39:26,451 Felix is no longer critical. 852 00:39:26,451 --> 00:39:29,236 Crockett is confident he's gonna be OK. 853 00:39:29,236 --> 00:39:31,194 That's good news. 854 00:39:31,194 --> 00:39:33,371 Yeah, it is. 855 00:39:35,677 --> 00:39:37,810 Isn't it? 856 00:39:37,810 --> 00:39:39,638 Yeah. Um... 857 00:39:42,902 --> 00:39:46,427 Things haven't been that great between Ben and I. 858 00:39:46,427 --> 00:39:49,865 Oh. Sorry to hear that. 859 00:39:49,865 --> 00:39:51,650 You want to, uh-- 860 00:39:51,650 --> 00:39:54,479 you want to go get a quick coffee or something? 861 00:39:54,479 --> 00:39:56,089 No. 862 00:39:56,089 --> 00:39:58,483 Actually, no. 863 00:39:58,483 --> 00:40:03,357 I just want to go home and crawl into bed. 864 00:40:03,357 --> 00:40:05,446 I hear that. 865 00:40:07,405 --> 00:40:08,797 Thank you. 866 00:40:08,797 --> 00:40:11,104 Of course. 867 00:40:11,104 --> 00:40:12,714 Yeah. 868 00:40:31,646 --> 00:40:32,865 Ben? 869 00:40:37,173 --> 00:40:38,610 Maggie. 870 00:40:41,526 --> 00:40:44,006 I'm sorry it took me so long. 62579

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