All language subtitles for Code.Black.S01E02.We.Plug.Holes.1080p.AMZN.WEB-DL.DD+5.1.x264-ViSUM_track3_[eng]1

[ indistinct chatter ]

I'm confused.

Why am I cleaning up
The mess from last shift?

Because, dr. Savetti,
You're a resident,
And your mama said so.

Dr. Pineda,
Tell him what else I say.

If you want to be part
Of a team...

No job is too big,
No job is too small.

Being an emergency-room
Physician requires humility.

And like a firefighter
Cleans his rig, you clean yours.

This is center stage.

It demands your respect.

Sorry, dr. Lorenson,
But did you want to lay down?

No. Uh, no. I didn't --
I don't want to lay down.

Because if you're tired,

Your mama could read you
A bedtime story.

No. Just there's a lot
Of blood on these sheets.

You know, the buddhists,

They use manual labor
As a way to meditate,

To bring them closer
To the world they inhabit.

Or, as mr. Miyagi said,
"Wax on, wax off."

Who's mr. Miyagi?

"The karate kid"?

It's from the '80s.
Right, christa?

Funny.

Okay, little serious talk
Before our shift starts.

It's saturday night,

Which means we're gonna see some
Things before the sun comes up.

For you first-year residents
Especially,

Remember, the first pulse
You check is always your own.

When it gets rough,
Make sure to breathe.

Remember, oxygen is the first
Drug we give our patients.

Same for you.

Lean on each other.
That's what siblings are for.

Lean on me.
That's what your mama's for.

Leanne: [ chuckles ]

Evening, dr. Rorish.
Evening, mama.

We've got two incoming,
Five minutes out.

Let's clean it up,
Glove it up, and go.

Meet me at the bay doors.

You heard your daddy.

Let's go save
The people of los angeles.

I am making
A formal complaint about this.

Are you sure you want
To do that, mario?

Angus is right.

Last couple years,

Half the residents
Didn't make it.

How do you know so much?

How do you not know this?

Malaya was here
For medical school
And her internship.

Be nice.

Dr. Rorish likes her.

Oh. Then you were here
For dr. Rorish's accident.

Her family.
That's none
Of our business.

Wait, wait, wait, wait. What --
What are you talking about?

Car accident.
Bad one.

Minivan rolled
Down an embankment.

Oh, my god.

Whole family.
[ clicks tongue ]

Man:
Plenty of o-neg.

[ indistinct conversations ]

You get any sleep today?

Yeah.

I know when you're lying.
No, you don't.

You have a tell.

Yeah?
What's my tell?

I'm not giving that up.

Then you'll stop doing it,
I won't know when you're lying.

You think you're so smart.
You're so dumb.

You're the dumbest person
I ever known.

[ sirens wailing ]

Stop talking.
This isn't gossip.

I'm sorry.

I didn't know you two
Were besties now.

Malaya:
I'm with christa.

I don't think
We should talk about it.

You four,
You're gonna continue

To shadow and assist
Me and dr. Hudson

Until that board
Gets to code black,

And then
We're freeballing it.

I'll take the first one.

Dr. Lorenson, dr. Savetti,
Go with dr. Hudson.

And you two, you're with me.

[ indistinct radio chatter ]

Medic: all right. Let's go.
We got it.

All right.
Set her down easy.

What have you got?

Car versus car, head-on.

27-year-old female,
Multiple neck lacerations.

One 6-centimeter in zone three,
Probable arterial source there.

Ebl 400 cc.

What's her name?
Laura halloran.

She's in and out.

Laura, can you hear me?
I'm dr. Hudson.

I'm gonna help you.

Woman: coming in now.

Risa, monitor, o2,
Lac tray with a yankauer.

Start two liters
Of n.S. Wide open.
Risa: copy that.

Leanne: high-speed mvc with
A positive psi, unrestrained.

Significant crepitus throughout
The chest and neck.

On my count.
One, and two, three.

Two, three.
[ grunts ]

Mid-80s on 25 meters,
Gcs 13.

Please.
I can't die.

What's your name, sir?

J-j-jake.
Jake willis.

Jake, jake, I need you
To calm down for me, okay?

Please!

My family,
They cannot get by without me.

My wife, becca,
She takes care of my daughter.

She doesn't --
She doesn't w--

He's out.

All right.
Dr. Pineda, intubate, please.

On it.

Ah.

God, I'm surprised
He was conscious at all.

Look at this.

Okay, I'll need
Bilateral chest tube,

Large bore
In case there's blood.

32 french.
Let's get ready
To roll him.

Christa:
Brisk facial bleeding.
And on my count.

One, two, three, roll.
Glass embedded
Pretty much everywhere.

Okay. We're gonna need
To roll her off the board.

Carefully, she might have
A c-spine injury.

Dr. Lorenson,
I need you to hold that neck

Like it's disconnected.

It might be.
On my count, everybody.

Neal and christa:
One, two, three.

Easy.
Easy.

You got it?
Yeah. Got --

Whoa, whoa.
Whoa, whoa.
Let's go.
Slowly. Slowly.

Thank you.

Spine's good.

Okay.
Down we go.

Dr. Savetti,
What's your next move?

Ultrasound the abdomen,
See if there's any fluid.
Very good.

Dr. Lorenson, we're gonna
Find the artery up here

And tie it off.

Grab a kelly, forceps,
And some 3-0 prolene.

You know what I asked for?
Yes or no?

Yes.
Yes, I just --

The kelly. It's on the tray
Second from the right.
Yes. Yes. I -- yes.

Can't hesitate.
Not ever.

Abdomen's clear.
No fluid.
Very good.

Dr. Rorish will need that
At the next table.

Suction, please.
Let's clear the field.

Malaya:
And...I'm in.

All right.
Okay, bag it up.

Dr. Pineda,
Hand off to dr. Leighton.

I need you down here, please.

[ gasps ]
He's awake.

He's not awake.
Look at his vitals.

It's just a reflex.

We got you, jake.

You hear me now?
Stay with us.

Hey, uh, jesse,
Let's make sure he's down.

Push another 10
Of etomidate, please.

He's not coming up over 80%.
His chest is hardly rising.

All right.

Positive
For pericardial fluid.

Plenty of it.

Dr. Leighton, stop.

Put the bag down.
Okay?

You're decreasing his icp
By hyperventilating him.

Six breaths a minute,
That's all he needs.

Jesse: it's okay.
Just hold it there.

It's okay.
Just slow down.

Uh, we need
To get him upstairs.

Jesse, notify the o.R.
Jesse: okay.

See that?

Christa: the artery.

The maxillary artery,
To be precise.

It branches out
From the external carotid.

It's a real bitch.
But in a couple of seconds...

It's our bitch.
Precisely.

More dependant fluid
In the lungs,

Left worse than right.

He's gonna die
On the elevator.

Likely, yes.

I need a thoracotomy tray.

You're gonna open up
His chest?

You got a better idea?
I could use the assist.

Dr. Savetti, get back here.
You and dr. Lorenson close.

Who can tell me
What we're doing?

Dr. Pineda?

A thoracotomy -- a clamshell,
Right and left chest open.

That's right.

Why?
Dr. Leighton?

Uh, only way to stop
The internal bleeding

Is to go in now.
That's right.

Guys, the thoracotomy is the
Mother of all e.R. Procedures.

Only 5% success rate
In e.R.S nationwide.

Don't need all the facts,
Malaya.

We are
The statistical anomaly.

Jesse, I need, uh,
Six units of o-neg, please,

Through the level-one.
Already here.

All right. Push it through
Both 18s, please.

All right.
Scalpel.

Okay.

All right.

Jesse.

Okay.

We're gonna spread
The ribs now.

Whoa.

Then...Then push the lungs
Aside.

Dr. Leighton,
Take the other side, please.

10 blade, please.

Okay.
Now, watch dr. Hudson.

He's about to reveal
The pericardium,

The sac around the heart.

You've done a lot of these?

No. First one.

That's comforting.

Dr. Hudson
Has done more than most.

He did a surgical residency
Before he moved to e.R.

Opening the pericardium now.

Now, the -- wait, there it is.
There it is.

For those of you who can see,

Look, see that laceration
Right there

Above the proximal aorta?

Cross clamp, please.
Okay,
We're cross-clamping it.

It'll divert the blood
Above the opening to the brain,

Which needs perfusion
The most right now.

No cardiac activity.

Dr. Leighton, can you inject

With intracardiac epinephrine,
Please?

Go ahead.

Dr. Pineda,
Get your hands in here.

Really?
Yeah, get your hands in.

Put them around the heart
Really gently,

And you're gonna massage it.

Oh, my god.
I feel it.

It's beating now.

It's beating without me.

Okay,
You got a rhythm there.

Lab results
For your mva head injury.

Thanks.
Mm-hmm.

That's odd.

Wait, did she say those
Are laura halloran's labs?
Yeah.

What's wrong?

She has a lactate of 4.

Maybe she had too much wine
Last night.

Or it's an early sign
Of organ death.

But, uh,
Question is which organ?

Excuse me, why is this patient
Still in trauma one?

Evening, dr. Taylor.

Oh, sorry,
I forgot my salutation.

How you doing?

Now, why hasn't
She been admitted yet?

'cause, uh,
Something's bothering me.

Well, something's bothering me,
Too.

Hemorrhoids.
My ass is on fire.

Do I get a bed in trauma one
For that?

I can't send the patient
Upstairs

Till I know what's wrong.

Well, what is it
That dr. Rorish always says?

We're the first 10 minutes.

Well, this one is in minute 11.

So let's ship her out.

Hang on.

Something in her
Isn't getting enough blood.

You heard taylor.
He's the director of the e.R.

Yeah.
And this is our patient.

Let's, uh, get her to ct.

I want a pan scan --
Head, neck, chest, ab/pelvis.

You got it.

[ indistinct chatter ]

Mario, you're with me.

Whoa.
That's brian wellborn.

Friend of yours?

Hockey player.
L.A. Rays.

Well, in here,
He's just a patient.

26-year-old male was found
Unconscious at the gym.

He was awake when we arrived,

But initially lethargic
And confused.

Gcs 13, fgs 110.

I wasn't unconscious.

I laid down
For a few minutes,

I woke up
In a freaking ambulance.

Has this happened
To you before?

Nothing happened to me.
Were you listening?

I was.

But given how upset you are,

I'm surprised that you even
Got into the ambulance,

Unless you weren't completely
Lucid at the time.

I've been working out
Like crazy, dieting,

Getting ready
For the new season.

I overdid it.
End of story.

What do you want to do,
Doctor?

Take a history,
Examine him.

Good.
You're not serious.

If your car broke down,

You want to look
Under the hood, right?

Mr. Wellborn,
You're here now.

We can't let you leave

Until we've at least done
A basic exam.

What do you mean
You can't let me leave?

It's the law.

We need to make sure
You're not a danger

To yourself
Or to others.

It's routine.

I need to call
My team doctor.

I left my phone back
In the locker room at the gym.

We'll hook you up
With a phone, buddy.

Evaluate and get back to me.
And remember what I said.

Totally.
Go.

You take care of her
At the nursing home?

She's a nice lady,
But she is confused
And very willful.

You have a nice face.

So do you.

Alzheimer's?
Dementia.

She have a good heart,

But she wanted to go out
For the day,

Like a field trip,

And we don't do that.

But she don't take no
For an answer,

So she swallowed
The money.

What do you mean
She swallowed the money?

She took a bunch of coins
And swallowed them.

They're inside her
Right now.

She ate them
So she'd get out for the day?

$3.80.

We do what we got to do,
Right?

Right as rain.

Why didn't you just give her
A laxative and wait it out?

Now that she's here, she's here
Until she passes them.

The rules say
We can't discharge any patient

With a foreign object
Inside of them.

But you already knew that,
Didn't you?

We have so many patients
And not enough staff.

I can't be taking her to
The toilet every five minutes.

You think we can?

Call us when she's ready
To get picked up, hmm?

[ indistinct radio chatter ]

[ telephone rings ]

Woman: mrs. Perez.
Mrs. Perez, please.

Excuse me.
Can I help you?

I got a call my husband
Was in, uh, an accident?

Jake willis.
Is he okay?

Let me get his doctor
For you.

Oh, god, is he --

Mrs. Willis, please don't
Read into anything I say.

I'm not directly familiar
With the case.

I simply don't know.

If you'll wait,
I'll get dr. Rorish.

Mario:
I was at the edmonton game.

Brian: which one?

Which one?
The no-look backhander.

It was unbelievable.

Are we almost done here?

Open your mouth for me.

What's my mouth
Got to do with anything?

I'm a resident, okay?
I don't check everything out --

Yeah, fine,
You want to look at my mouth?

Here.

Occupational hazard.

Tongue out.

Ah.

You're right.
You didn't pass out.

Told ya.

[ grunts ]
Done here?

You had a seizure.

Whoa, whoa, whoa, whoa.

How'd you come up with seizure,
Huh?

Looking in my mouth?
You believe this guy?

You bit your tongue.

And it looks like
It's happened before.

Am I right?

Becca: so, he's alive?

Leanne: he's alive.

Oh, thank god.

I don't know what we would do
If anything happened to him.

Would you rather
Speak privately?

I can have a nurse come
Watch your daughter. We'll --

No, no, no, no.
Tara needs me around.

She's calm now, but...

Is jake gonna be okay?

The truth is
We don't know yet.

But you said you fixed him.

I said we stabilized him.

Unfortunately, now we...
Just...Have to wait.

Tara's father left
Just after she was diagnosed.

He said it wasn't
What he signed up for.

Can you believe that?

I didn't know what to do.

I tried to work,
But she needed me.

Honestly, I --

[ voice breaking ] I didn't know
If we would make it.

And that's when
I met jake.

Do you know
Where he was going tonight?

He was gonna sign them up
To take dance classes together.

I told him he didn't
Have to do that.

I think I insulted him.
[ sobs ]

And he said,
"No, she's my daughter.

It's what I signed up for."
[ sobs ]

"It's what I signed up for."

[ crying ]

**

I'll let you know
When he's out of surgery.

[ door opens ]

She swallowed them?

How else
Would they get there?

[ indistinct chatter ]

All right, gang.
She leaves when she's empty.

Dr. Leighton, you'll go first.

First for what?

I gave her a mild laxative
About 30 minutes ago.

Mark: eugh.

Looks like the slot machine's
Ready to start paying off.

Nothing.
Maybe you were right.

I trust your hunches
More than mine.

Well,
We can all be wrong.

Leanne,
Do you have a moment?

Oh, don't look.

Gangrenous toe.

Gangrene is my jam.

Is that so?

You needed something?

Sorry.

Yeah, that, uh,
Female mvc has a lactate of 4.

What are you thinking?
Organ ischemia?

Yeah, but the pan scan
Is negative.

Wouldn't ischemia show up?

Not necessarily.

Any evidence of abdominal trauma
From the accident?

No.
Huh.

Then what could've caused it?

Unless...

It wasn't caused
By the accident.

Ohh.

I was on my way here.

You were on your way
To the hospital?

The pain was sudden, and --
And so intense, I threw up.

Appendix?

No, I don't think so.

Risa,
I need the ultrasound.
Flying in.

You think
It's internal bleeding?

Gp won't show up
On ultrasound.

Very good.

But no.
We're not looking for blood.

I have a hunch.

Oh, that's interesting.

You -- you don't have
A right ovary.

No, just -- just a left.

Why?
Is something wrong with it?

Look.

There should be a rainbow

Of flashing colors
Here on the left,

Coursing through
Her left ovary.

But there's nothing.
It's just darkness.

Torsion?

Laura, your ovary is twisted,
Cutting off the blood flow.

It's called a torsion.

Is it dangerous?

I need to know when the pain
Started -- exactly when.

Um...I was --
I was moving

Some -- some boxes
From my basement.

It was around 9:00.

I came straight from there.

An ovary has about six hours
It can survive without oxygen.

That means, if we're lucky,

We have about three hours
To detorse it, or...

I'll lose it?

I'm afraid so, yeah.

Can I ask you what happened
To your other ovary?

[ sighs ]
They said it was a-a teratoma.

Happened a few years ago.

My late husband and I

Had been having some
Fertility problems, and --

Nobody available
Right now from o.B.

Laura, we're gonna need to
Contact your obstetrician, okay?

Um, I've been going
To a clinic in san francisco.

I fly out once a month.

For fertility?

You said it was
Your late husband?

It is.

It's where we froze noah's sperm
Before he got sick.

I can't lose this ovary.
Please.

I would like
To see his chart,

And please let
The e.R. Director know

I'm here and would like
To see him.

Who the hell are you?

Who are you?
A resident.

So, are you the genius

Who diagnosed this man
With seizures?

Again, who are you?

I'm his team doctor.

Oh, I get it.

You get what?
Seizures mean
He can't play.

I didn't have
A damn seizure.

Correct.

In fact, I want it stricken
From his chart right now.

That's against the law, and
A real doctor would know that.

Who do you think
You're talking to?

Edward:
Brian, settle down.

I'm jesse sallander,
Senior e.R. Nurse.

Can I help you?
Yes.

I'm checking my patient out,

But I would like
A chart revision first.

Chart revision?
Yeah,
A chart revision.

Hey, man,
We're trying to help you.

Help me?
Oh, you think I need your help?

Dr. Savetti,
You don't want to do this.

Believe me.

Enough.
Savetti, step out, please.

Come on, me?
Now, son.

Are you the attending?
I'm dr. Edward darius. I'm --

Whoever you think you are,
You have zero authority in here.

I play racquetball

With ed harbert,
C.E.O. Of this hospital.

Did you know only 1% of all
Males can perform auto-fellatio?

You, sir,
Have a serious medical issue,

And it does need
To be addressed,

But this isn't a jail,

And we can't keep you here --
Ah, he's seizing.

He's seizing.
I got him.

Ohh.

Easy. Easy.
I need a face mask
At 25 liters.

2 mgs of ativan, please.

There it is.

Put it on.
Put it on, please.

**

[ indistinct conversations ]

[ door opens ]

[ gurney rattling ]

[ indistinct radio chatter ]

Interested in knowing
How your patient is doing,

The hockey player?

Sure.

Had a pretty rough seizure,

But it's over now,
And he's resting.

And dr. Darius?

Taylor and rorish
Kicked him out.

Glad I'm not the only one
That got booted.

You ever see
"An officer and a gentleman"?

What?

The movie
"An officer and a gentleman"?

No.

Richard gere plays
This guy named mayonnaise.

Mayonnaise?

Yeah, 'cause his last name
Is mayo, and he's white.

Now, mayonnaise joins the navy
To fly jets.

See, he's good
At almost everything.

Fastest runner, best fighter,
Smart, and fearless.

Now, if the movie
Were just called "An officer,"

He'd be just fine.

But it's not.

It's called
"An officer and a gentleman,"

Which means you have
Some things to learn.

Like what?

Humility, patience,
Kindness, charity.

You know, the big ones.

You saying I'm mayonnaise?

Well, you ain't lou gossett.

I know the neighborhood
You come from, bro.

Only thing that gets through
Those walls is a bullet,

Which means the only way out
Is to become a bullet.

You got out.

And you're here now.

You can't be a bullet anymore,
You understand?

I'm out.

[ indistinct chatter ]

Hey.
Person.

Christa.

Really?
I'd have thought susan.

Uh, o.B. Called.
There's an open o.R.

That's great.
That's great news.

Hold your water.

There's no available surgeons.

But that doesn't help me.

I'm not here to help you.

Woman: yeah, was in
A diabetic coma when he came in.

25 cents.
You got off easy.

It was all nickels.

[ coins clink ]

Cough for me?
¿puede toser, por favor?

[ coughs ]
An o.R. Opened up.

But there are
No available surgeons.

For laura halloran.

The torsion?

How much time do we have?

Uh, perdón.
No -- no english.

We have about 90 minutes
Till she loses the ovary.

Do you know how long
She and her husband

Wanted to have children
Together?

20 years.

How is that possible?
She's only 27.

They met in the third grade.

Third grade.
Yeah.

Grab a tissue.
I'm not done.

Dr. Hudson,
Laceration right leg.

Sides east 2.

You think you can handle
That one?

It's a fairy tale, right?

Until he gets diagnosed with
Stage iv lymphoma two years ago.

Dislocated shoulder,
Sides south 1.
Seriously?

We're in code red.
Buckle up.

[ speaking spanish ]

He froze his sperm
Before chemo and radiation.

He died last year, and it's all
She has left of him.

Christa, I sympathize, but with
No one to perform surgery --

That's the thing.
You can do it.

Me?
Yes.

You did a surgical residency.

You must have done
An o.B. Rotation.

I'm not a surgeon.

I don't have
Surgical privileges.

Look, I'm sorry.

But there's really nothing
We can do for her right now.

You have patients.

Mario.

Dr. Rorish, listen,
Sorry about before --

Here.
What's this?

It's wellborn's ct results.

Parenchymal hemorrhages?

Go tell him.
Me?

Can you be professional?

Yes, of course.
Thank you.

Don't thank me.
This isn't a gesture.

We're about
To be in code black.

He's your patient,
Your responsibility.

Go do your job.

Mr. Rocksickler.

Stan.

I'm sorry for the wait
Out there.

It must've been a long night.

Night?
I've been here for 10 hours.

My back's killing me.

Is there anything
You can give me?

How long have you had
The pain?

On and off
The past few months.

Finally got so bad
In the last week,

I couldn't take it anymore.

[ chuckling ] I feel like
It's broken or something.

Eh, it sounds like it worsened
Pretty dramatically.

I'll say.

You work
In construction?
Yeah.

Lot of heavy lifting?

Oh, yeah.

Sounds like
A persistent muscle spasm.

Maybe.

Heart rate 110.

What -- what if it's not
His back?

What if it's his heart?

Dude, that heart rate
Is barely elevated.

This is not a zebra.
It's a plain old horse.

At best, he gets a few percocet
And maybe a ct of his back.

I don't know.

It seems to be that an event

That changes rapidly
Like he's describing

Is not
A musculoskeletal problem.

If it's not cardiac,
Maybe it's vascular.

What do you have?

Patient came in with persistent
Yet worsening back pain.

He had a long wait --
10 hours -- which didn't help.

To me, it sounds like
A muscle spasm,

Or, at worst, a compression
Fracture of the spine.

Which is probably common
In his line of work.

I think a ct of his back would
Be the right precaution.

Sounds right.
Get him scanned.

Let me know what comes back.

Dude, you could've told her
Your theory.

I don't have a theory.
Yes, you do.

But you don't believe me.

Let's get the ct.

Excuse me.
[ sighs ]

Get the hell out of here.

I want the real doctor.

You've had a series
Of parenchymal hemorrhages.

You just learn that word?

They're small bleeds
In your brain

Caused
By multiple concussions.

I hit hard.

Well, the blows to your head
Have created a serious problem.

Darius said
He's got medicine.

The medication
Will mitigate it, yeah.

All right.
So, can I get out of here now?

You need to know

That the medication
Should stop the seizures,

But it won't reverse the damage
That's already been done.

The next concussion
Could kill you.

What?

What are you saying?

I'm saying you can never
Play hockey again.

Not if you want to live.

I'm sorry.
I really am.

They have an open o.R.,
But they have no surgeons.

We still have an hour
To save the ovary.

There's an option.

Dr. Hudson did
A surgical residency --

But he's not a surgeon.

Why is everybody
Saying no to this?

We can help her.

One of the hardest parts
About this job

Is prioritizing
Patient need.

She's esi-2,
Non-life threatening.

As long as there's an esi-1
Patient in front of her,

She has to wait.

What do you got?

14-year-old male.
Climbing accident.

At 2:00 a.M.?

We were doing the annual full
Moon climb at scarbo canyon.

He fell 15 feet.
Face hit the ground hard.

His nose
Hasn't stopped bleeding.

And who are you?
His father.

Persistent epistaxis.
Ebl is north of 200 cc.

Tried anterior packing,
But no luck.

Uh-huh.
He's on coumadin.

Coumadin.

Sir, why is your son
On blood thinners?

He had blood clots
On his retinas when he was 4.

Just roll him.
Okay, hang on.

Ready.
Ready?

And, one, two, three.

Woman: easy.
Mind the board.

I got it. Clear.
Jesse, suction, please.

Careful. We need
To tamponade this bleeding.

Two a/p nasal packs, please.

Flying in.
Come on.

Blood clots on his retinas?
Is he blind?

Not totally.
He sees shapes.

He's blind,
And you took him climbing?

Not our business,
Dr. Lorenson.
I'm sorry.

Okay.

Jesse, prep some pcc
At 50 units per kilogram

And send off coags,
Type and cross stat.

He's gonna be okay, right?

Uh, his blood isn't clotting
Because of the thinners.

Uh, I need more nasal packs,
Please.

Page e.N.T., please.
Woman: paging now.

Let's get six units
In the can.

Hey, jesse, I don't
Know if I can get this
Bleeding under control.

Blood bank out of o-neg. We're
Waiting on more from county.

Okay.
Blood pressure's tanking.

[ monitor beeping rapidly ]
We're gonna need
That blood.

This kid's tank is gonna run dry
Unless we find a way to...

Whoa, whoa!
Whoa, whoa, whoa, whoa.

Get him down.
Get him down.
Get him down.

Okay, get him down.
Get him down.
Get him down.

Watch his head.

Okay, so, even in a significant
Bleed, "A-b-c" applies.

Airway's always first.

Dr. Lorenson, I want you
To clamp open the nares

While jesse suctions inside.

We need to find
The source of the bleed, okay?

If we're lucky,
It'll be in his anterior

And we'll be able to see it.

But if it's posterior,
Which I fear it is, then --

Blood pressure's tanking.

Damn it.
We need that blood.

Unless we find a way to...

[ rapid beeping continues ]

Get me two urinary catheters.

Urinary catheters?
Two folies.
Now, please.

Okay, we're gonna make
A tamponade.

[ chatter continues ]

Dr. Lorenson?
Yeah.

Give me that coffee
Over there.

Jesse:
Right there. Right there.

I need any liquid,
And I need it now, all right?

We just need it to inflate
The balloon inside the nose.

Sorry.

See how the balloon conforms
To the cavity in the nose...
Mm-hmm.

...And packs the bleed.

Blood supply coming up
The ramp now.

About time.
Sorry.

Pressure's stabilizing.
Got it. Got it.

Okay?
A perfect tamponade.

All right?
It's gonna work.

Now we give him more pcc

And, uh,
Reverse the anti-coag,

And -- and we get him
Upstairs.

Phew!

[ monitor beeping ]

[ monitor beeping rapidly ]

[ beeping stops,
Indistinct chatter ]

What's this for?

Well, you're up next, kid.
And you better hurry.

She says she's got a turtle
Sticking its head out.

Excuse me?

She's got thumbelina
In a headlock.

Look, just get moving,
Blondie,

Or we're gonna have
A mudslide in here.

Man: just let me know when the
Anesthesiologist gets here...

Still touch and go...

Oh. Ohh.

Leanne: yeah? All right.

Oh. Coming through.

Sign there.

Do you think
That I'm a terrible father

For taking my blind son
Climbing?

I think harley's lucky

To have a father
Who doesn't have a blind son.

He has a son.

Enjoy every minute.
Trust me.

Okay, just hear me out.
Just hear me out.

I may be personalizing
The torsion -- fine.

But dr. Rorish,
Even if you had just one chance

To get back what you lost,
Anything --

We are not here to fix

The events of our own lives,
Christa.

The last thing you want to do in
This job is make it about you.

I don't believe
A word of that.

Excuse me?

I lost my son,
My husband left me,

And you lost -- you said --

No, I didn't say anything.

You don't know a thing about me,
Dr. Lorenson.

We're not friends.

I-I'm the director
Of the residency program,

You're a resident.

Fine, but I heard what you said
To that kid's father,

And you were right.

Hold onto the people
We love,

Because you never know
When they're gonna slip away.

Neal: what's going on?

She wants you to do
The detorse.

Yeah, she told me.

I'm sorry.

He was the love of her life.
I just want to help her.

Taylor would have to sign off
On it.

Wait. What?

It would have to be fast.

Can you do it
Laparoscopically?

Laparoscope was my jam.

Don't ask taylor.

It's easier
To ask for forgiveness

Than it is permission.

Thank you.
Thank you.
Go.

Clock is ticking.

[ door closes ]

[ police radio chatter ]

You know in high school
When they have career day?

I wasn't there.

I was too busy
Winning state.

Hell am I supposed to do
If I'm not playing hockey?

You know, there's a woman here
Who just became a doctor at 40.

[ scoffs ] oh,
I'm gonna be a doctor now?

You can do anything you want,
You put your mind to it.

Who told you that?

You did.

After edmonton, a reporter asked
If that goal was dumb luck.

You said
It was smart luck.

He asked you
What you meant.

You said, "Smart luck is when
You work your ass off

So when the opportunity
Presents itself,

You don't have to pray
For dumb luck."

[ siren wails ]

You can be anything
You want to be, man.

Trust me.
I'm living proof.

[ siren wails ]

Guys, your patient in ct's
Going sideways.

Rocksickler? The one
With the back problem.

Wait,
What do you mean sideways?

They just said
Get up there stat.

Find dr. Rorish.

[ screaming ]

Oh, no.

Angus, this was your hunch.
You were right.

We don't know that.

Take his pulse
In the right hand.
I'll grab the left.

Ow!

I have a pulse.

I don't.
You know what that means.

It's bounding.
God, you knew it!

Knew what?
What's happening?
We need an attending
In here now!

We have to be sure
We're right.
We ar right.

Guys, he's already
On the scanner.

Run his chest,
Cta down to t10.

We have to make sure
That we're right.

Malaya,
We don't have time for that!

Somebody tell me
What's happening!

We think you're having
An aortic dissection.

The pain in your back
Is actually being caused

By the vertical splitting
Of your aorta,

The main artery
In your heart.

Am I gonna die?

Definitely not.

[ monitor beeping rapidly ]
Oh, god.

[ groaning ]

Get him out of here.
Get him out of here!

Malaya, get in here now!

Get me a paracentesis kit!

It's the harpoon with
The syringe at the end of it.

I know
What a paracentesis kit is!

I just can't believe
This is happening.

Believe it.
This is happening.

He's crumping!
I know!

[ monitor beeping rapidly ]
Stan: [ groaning ]

What the hell
Are you doing?

Neal: elevated white count
Over 18,000 with a left shift.

Let's, uh, get her into
Trendelenburg position, please.

Woman: right away, doctor.

This allows gravity
To move the bowel

Up out of the pelvis
And lower abdomen.

Uh, christa, can you hand me
The veress needle?

[ monitor beeping ]

Okay, stan.

I'm gonna have to put
This needle into your chest

To drain the blood
That is crushing your heart.

We're gonna monitor it
On the ultrasound

To make sure we don't penetrate
The heart wall.

What can I do?
Grab a collection tube.

There could be a liter or more
Of blood in there.

He's unconscious.
Better for him.

Okay, guys, we've got one
Shot at this or he's dead.

Understood?

Together: understood.

All right.
[ inhales sharply ]

I'm putting
The needle in now.

You see what I mean?

That dark, black ribbon
Around the heart?

That's blood,
And lots of it.

There's our needle.

See it?

We're in the tube now.

See that blue color?

That's the tube
Not getting enough blood.

Just like a kinked garden hose.

So let's find
The spot where it's kinked.

There.

That's it.

Now, with this hand,
I'm gonna move the probe

Up to the tip of the ovary
And just flip it over.

Now watch.

The blood should flow
Into the ovary,

And the color will change.

Any second.

[ sighs ]
There you go.

You want to drive?

Come here.

Take the wand.

And the camera.

Gently.

Now you're slowly
Gonna back the camera out.

Okay.
And watch the image.

Why did you ever leave
Surgery?

Ah, long story.

Okay,
Now you're gonna pull it

All the way out
Through the port.

Gentle.

[ sighs ]

Now just ease
The sleeve out.

[ monitor beeping rapidly ]
What's happening?

Step out?
Did I do that?

No. I must've nicked a vessel
When I put the sleeve in.

The sleeve kept the pressure on.

Uh, we're gonna
Have to open her up.

Can we have a surgical tray,
Please?

I'm gonna puncture
The sac now.

Fingers crossed.

There it is.

[ monitor beeping ]

I'm in.

Pull back on the syringe.

[ liquid gurgling ]
Hear that sound?

[ chuckles ]

It's working.

Blood pressure's tanking.

Let's, uh,
Squeeze some fluids into her.

Starting the incision now.

Wait.
What?

Urinary catheter.
What are
You talking about?

It's what dr. Rorish used with
That kid with the nose bleed.

She fed the catheter,
And she filled it with liquid

To put pressure
On the artery.

Can we --
Can do the same thing here?

I believe we can.
Is there a foley on that cart?

[ monitor beeping rapidly ]

Okay.

Okay, let's get it in
Through the port.

Dr. Lorenson...

You're gonna squeeze
The fluids on my mark.

**

Now, please.
Push the fluids in.

Look at her bp.
It's working.

Yeah.
It worked.

[ beeping slows ]
[ chuckles ]

Very well done, doctor.

Very well done.

**

[ indistinct chatter ]

If you're ready to go home,

I'll call them
To come pick you up.

Growing old
Is a swirling toilet bowl.

Best you can do
Is cling to the rim.

Am I right?

Right as rain, kid.

Right as rain.

You got ice cream
In this joint?

I think we can
Make that happen.

[ sighs ]

Dr. Rorish?

It's my fault.

Angus had a feeling

That it was
An aortic dissection.

Why didn't you act on it?

I-I wasn't sure.

I-I guess.

Both of you listen to me
Very closely.

There are certain things
You never, ever want to see

On a ct scan.

An aortic dissection
Is one of them.

Why?

Because if you took the time
To take a picture,

It means you didn't
Act fast enough.

Your instinct has to be sharper
Than your scalpel

And faster
Than any machine.

You ignore those instincts
At your peril and theirs.

**

[ monitor beeping ]

[ telephone rings in distance ]

Did it work?

Yes.

Things got complicated,
But...

[ voice breaking ]
But it worked.

It appears so.

I hope everything
Works out for you.

Thank you, doctor.

[ door opens ]

She's gonna be okay.

[ voice breaking ]
I know.

Then why are you crying?

I'm not.

[ sighs ]

You may be my boss
And my teacher,

And I may be overstepping,

But you and I,
We are in the same club.

[ sighs ]

And this stuff matters
To us.

It matters.

[ siren wails in distance ]

**

Leanne: you have a patient
In real trouble.

Death's door.

You're so panicked that you can
No longer tell the difference

Between instinct and raw fear.

But a voice somewhere
Deep inside you whispers,

"I can still bring him back.

I've got one more move left."

Here's a secret.

If you hear that voice,

It means
You're in the right place,

You're in the right job.

You're home.

24 hours ago,
We had a patient just like that.

We opened up his heart
Right here in this room.

He'd like to meet you.

[ applause ]

Jake:
Thank you so much.

**

Becca: thank you.

Thank you.