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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:24,687 --> 00:00:26,882 Montana to Rice! 2 00:00:28,390 --> 00:00:30,152 - They're on different teams. - Since when? 3 00:00:30,359 --> 00:00:32,053 When I watched their last game at Carol's. 4 00:00:32,261 --> 00:00:34,125 - But that was way back. - I'll say. 5 00:00:34,563 --> 00:00:36,120 - Go long. - Me go long? 6 00:00:36,332 --> 00:00:39,233 - I'm out of shape. You go long. - I'll go long. 7 00:00:42,103 --> 00:00:44,367 - Too far for the lvy League arm? - Car! 8 00:00:49,477 --> 00:00:50,535 Hey, you butthead! 9 00:00:50,844 --> 00:00:52,812 What are you, out of your mind? 10 00:00:53,248 --> 00:00:54,771 Not another one! 11 00:00:54,982 --> 00:00:56,973 Go get a gurney, Doug. 12 00:00:57,551 --> 00:00:59,849 I'm not playing catch with you anymore. 13 00:01:01,255 --> 00:01:03,416 - Nice of them to drop him off. - What are friends for? 14 00:01:03,624 --> 00:01:06,023 Three-month-old seizing in 1. Temp's 105. 15 00:01:06,226 --> 00:01:09,252 - I got him, Doug. Go! - Is Dr. Benton...? 16 00:01:11,131 --> 00:01:13,156 - Give her three more of morphine. - Five. 17 00:01:13,367 --> 00:01:16,494 - Call X-ray down here, stat. - Susan, I need you in here. 18 00:01:16,702 --> 00:01:18,761 - What x-rays do you want? - Move, Carter. 19 00:01:19,072 --> 00:01:20,766 Please, Petey. Oh, it hurts! 20 00:01:20,973 --> 00:01:22,963 Okay, Ma, okay. Listen, all right? 21 00:01:23,175 --> 00:01:25,439 Get an x-ray of the hip, chest and pelvis. 22 00:01:25,645 --> 00:01:27,976 - What about a C-spine? - Get out of here! 23 00:01:28,180 --> 00:01:29,908 Carter, come with me. 24 00:01:32,084 --> 00:01:33,641 Pulse, weak. He's bleeding. 25 00:01:33,852 --> 00:01:36,218 - Multiple trauma. Gown up! - O-2, 15 liters. 26 00:01:36,421 --> 00:01:38,616 - What's Benton doing? - His mom broke her hip. 27 00:01:38,823 --> 00:01:41,121 - That's bad at her age. - What about labs? 28 00:01:41,326 --> 00:01:44,886 CBC, type and cross 8 units. Run the saline wide open. 29 00:01:45,096 --> 00:01:47,189 Carter, Deb, the guy's out of it. 30 00:01:47,399 --> 00:01:49,593 Primary survey's done. Now what do you get? 31 00:01:49,800 --> 00:01:52,598 - Get a CT. - Narcan, 0.8. 32 00:01:52,803 --> 00:01:55,328 - And then you gotta get the... - Glucose, 85. 33 00:01:55,539 --> 00:01:58,167 Get smart nurses and nod sagely. 34 00:01:59,443 --> 00:02:03,140 Get her another 5 of morphine. CBC, Chem-7, UA, EKG... 35 00:02:03,347 --> 00:02:05,837 ...hip, chest and pelvis. Move! Come on! 36 00:02:06,950 --> 00:02:08,144 Don't take it off! 37 00:02:08,352 --> 00:02:11,411 Call the chief of Orthopedics. Tell him to get down here now! 38 00:02:11,621 --> 00:02:15,523 - We need to undress you, Mrs. Benton. - Please. Not in front of Petey. 39 00:02:16,292 --> 00:02:18,760 - Peter. Peter. - What? 40 00:02:18,961 --> 00:02:21,930 She doesn't want to be naked in front of her son. 41 00:02:22,131 --> 00:02:24,190 Okay. All right, Ma. 42 00:02:24,867 --> 00:02:26,527 I'll be outside, okay? 43 00:02:28,137 --> 00:02:29,433 Here's the blood clav. 44 00:02:30,672 --> 00:02:32,105 I'll be right out here. 45 00:02:38,046 --> 00:02:39,070 He's going down the tubes. 46 00:02:39,281 --> 00:02:42,079 - Can I intubate? - No. It could be a neck fracture. 47 00:02:42,284 --> 00:02:44,717 Always look everywhere. We'll roll him. 48 00:02:44,920 --> 00:02:46,979 Ready, and now. 49 00:02:49,123 --> 00:02:51,888 There we go! Single gunshot wound. And back. 50 00:02:52,093 --> 00:02:53,219 Heart's racing. 180. 51 00:02:53,427 --> 00:02:55,952 - He barely has a pulse. - Put the blood on a pressure bag. 52 00:02:56,163 --> 00:02:57,357 Cap refill's bad. 53 00:02:57,565 --> 00:02:59,362 - No pulse. He's arrested. - All right. 54 00:02:59,532 --> 00:03:01,023 Carter, take over CPR. 55 00:03:03,104 --> 00:03:05,435 - We gotta crack his chest. - I got it. 56 00:03:05,638 --> 00:03:07,401 Thoracotomy tray! 57 00:03:08,708 --> 00:03:11,404 We do a thoracotomy when? 58 00:03:11,945 --> 00:03:15,711 - Penetrating trauma and full arrest? - Exactamundo! 59 00:03:16,449 --> 00:03:18,314 I need the rib spreader. 60 00:03:18,650 --> 00:03:20,050 Towel, scalpel. 61 00:03:21,420 --> 00:03:23,251 Move your hands, Carter. 62 00:03:26,125 --> 00:03:28,025 Put the blood on the pump. 63 00:03:28,394 --> 00:03:29,986 Rib spreader. 64 00:03:31,029 --> 00:03:32,496 I'm in. 65 00:03:33,232 --> 00:03:34,324 Pericardium's dry. 66 00:03:35,600 --> 00:03:36,659 Aorta... 67 00:03:36,869 --> 00:03:37,995 Statinsky. 68 00:03:38,303 --> 00:03:39,326 Is O.R. On alert? 69 00:03:39,537 --> 00:03:44,065 - They just finished that perfed appy. - Tell them they've got another customer. 70 00:03:45,209 --> 00:03:47,200 - There it is. - Nice save, Mark. 71 00:03:47,412 --> 00:03:48,744 Got a faint pulse. Let's go! 72 00:03:50,848 --> 00:03:52,213 I gotta go. I'm on tonight. 73 00:03:52,417 --> 00:03:54,385 - I'll have the place emptied out. - Deal! 74 00:03:54,584 --> 00:03:55,882 You taking the El home? 75 00:03:56,087 --> 00:03:58,180 I'll go with you. I'm back tonight... 76 00:03:58,388 --> 00:04:00,857 ...could you finish the nurse's notes? - Sure. 77 00:04:01,458 --> 00:04:05,326 Who the hell stat-paged me here for some old lady with a broken hip? 78 00:04:05,529 --> 00:04:07,929 - I'm Dr. Benton... - Pulled me out of a meeting. 79 00:04:08,131 --> 00:04:10,565 This is my mother and she broke her hip, sir. 80 00:04:10,767 --> 00:04:12,928 Well, that she did, Dr. Benton. 81 00:04:13,136 --> 00:04:15,036 Blair, put her on your O.R. Schedule. 82 00:04:15,238 --> 00:04:17,900 No, no. Sir, I want you to do the surgery. 83 00:04:18,108 --> 00:04:19,666 ER admits go to the teaching... 84 00:04:19,876 --> 00:04:22,400 I don't want a resident operating on my mother. 85 00:04:22,612 --> 00:04:25,171 - I'll scrub in. - So you'll be holding the knife? 86 00:04:25,347 --> 00:04:26,371 I wanna scrub in too. 87 00:04:26,583 --> 00:04:29,073 - I'll be in there. - That's not good enough. 88 00:04:29,285 --> 00:04:31,048 I know this is your mother... 89 00:04:31,253 --> 00:04:34,483 ...but you are way over the line, son. 90 00:04:39,495 --> 00:04:41,086 I'll page you when we're done. 91 00:04:41,296 --> 00:04:43,389 Now back off. 92 00:05:37,215 --> 00:05:41,312 - So you tried to sand it off? - Isn't that what you do? 93 00:05:41,520 --> 00:05:44,216 Yeah, but we don't use a power sander. 94 00:05:44,856 --> 00:05:48,417 Mr. Longet's a diabetic, as well as an amateur dermatologist. 95 00:05:48,627 --> 00:05:51,117 Vera didn't want me just crossing it out. 96 00:05:51,696 --> 00:05:55,062 Well, one gram of Ancef. Update his tetanus. 97 00:05:55,267 --> 00:05:57,258 And get Plastics to see him. 98 00:05:57,469 --> 00:05:59,868 They may have to do a graft. 99 00:06:00,070 --> 00:06:04,063 - They can move that serpent head. - Onto the body of a goddess? 100 00:06:05,342 --> 00:06:06,866 I'll be right back. 101 00:06:10,179 --> 00:06:13,240 - Did you eat lunch? - No, the cafeteria's already closed. 102 00:06:13,450 --> 00:06:14,814 - Voil�! - Thank you. 103 00:06:15,018 --> 00:06:17,680 Hey, you're gonna be an ER attending. Congratulations! 104 00:06:17,887 --> 00:06:20,254 It's not a lock. Can I borrow your pen? 105 00:06:20,456 --> 00:06:22,219 A lifetime of this, huh? 106 00:06:22,425 --> 00:06:24,859 The ER's great. Free time's your own. 107 00:06:25,060 --> 00:06:26,221 What free time? 108 00:06:26,429 --> 00:06:30,195 After your residency, you get skilled in every aspect of medicine. 109 00:06:30,400 --> 00:06:32,368 You see a variety of cases. 110 00:06:32,569 --> 00:06:35,901 You have an immediate effect upon your patients' lives. 111 00:06:36,104 --> 00:06:40,268 But mainly it's like joining the circus. 112 00:07:19,112 --> 00:07:21,944 I'm telling you, the opening goes in the back. 113 00:07:22,148 --> 00:07:25,208 Oh, my God, I'm as big as a house! 114 00:07:28,988 --> 00:07:31,082 - I'm Dr. Mark Greene. - Sean O'Brian. 115 00:07:31,291 --> 00:07:32,279 I'm Jodi. 116 00:07:32,491 --> 00:07:36,053 - Hop up on that bed. - I don't think I can hop anywhere. 117 00:07:36,862 --> 00:07:37,954 Easy. 118 00:07:38,664 --> 00:07:40,655 What seems to be the problem? 119 00:07:40,865 --> 00:07:45,030 Our baby's due in two weeks and I have to pee every 30 seconds. 120 00:07:45,237 --> 00:07:47,864 It burns and my stomach hurts. 121 00:07:48,040 --> 00:07:49,870 Sounds like a bladder infection. Does this hurt? 122 00:07:50,075 --> 00:07:52,804 No, just don't push too hard. I gotta go again. 123 00:07:57,181 --> 00:08:01,015 Thirty-six minus four. Baby's about... 124 00:08:01,219 --> 00:08:03,915 ...five or six pounds. 125 00:08:04,588 --> 00:08:07,217 - You have any other medical problems? - No, no. 126 00:08:09,994 --> 00:08:12,484 - Is that cold? - Yes. 127 00:08:12,696 --> 00:08:14,687 Let's take a quick listen here. 128 00:08:16,099 --> 00:08:18,067 - I love that sound. - It's great. 129 00:08:18,902 --> 00:08:20,233 It's great. 130 00:08:21,238 --> 00:08:24,332 - Any cramping? Any vaginal bleeding? - No. 131 00:08:25,441 --> 00:08:27,341 Can you feel the baby move? 132 00:08:28,744 --> 00:08:31,008 Can you give me a urine sample? 133 00:08:31,280 --> 00:08:33,009 Are you kidding? 134 00:08:33,215 --> 00:08:35,615 Yes, I think I can do that. 135 00:08:37,652 --> 00:08:40,816 I want you to follow my finger with just your eyes. 136 00:08:46,161 --> 00:08:48,721 Good. Now squeeze your eyes tight like this. 137 00:08:53,301 --> 00:08:56,498 Great. Okay, press against my hand with your face. 138 00:08:58,873 --> 00:09:01,306 Great. Okay, show me your teeth. 139 00:09:11,418 --> 00:09:15,047 - Will Grandma be able to walk again? - Yeah, she'll be fine. 140 00:09:20,526 --> 00:09:24,019 I know what you're thinking, Jackie. Why don't you just say it? 141 00:09:24,832 --> 00:09:27,733 - Shut up, Peter. - No, go ahead and say it. 142 00:09:28,568 --> 00:09:31,332 I mean, it's my fault that this happened, right? 143 00:09:31,537 --> 00:09:34,802 I'm so pigheaded and self-centered. 144 00:09:35,274 --> 00:09:37,571 Just shut up and sit down. 145 00:09:50,122 --> 00:09:51,419 BP's 90 over 60. 146 00:09:51,623 --> 00:09:54,990 I found him in the greenhouse, passed out in the back. 147 00:09:55,193 --> 00:09:57,821 He visits at my work and this is the shape he's in. 148 00:09:58,029 --> 00:09:59,587 - Hydrate with saline. - I don't want to go. 149 00:09:59,798 --> 00:10:01,857 You'll go where I tell you to go. 150 00:10:02,066 --> 00:10:05,297 I am not losing another son to alcohol and drugs. 151 00:10:05,503 --> 00:10:07,835 She's 38 weeks, but I think her dates are off. 152 00:10:08,038 --> 00:10:09,471 The baby's small on exam. 153 00:10:09,673 --> 00:10:13,006 Initial BP is 130 over 90, but over a couple of hours... 154 00:10:13,210 --> 00:10:16,303 ...BP's been fine. Around 120 over 80. 155 00:10:16,513 --> 00:10:19,745 FHT's normal, no cramps or spotting. 156 00:10:19,949 --> 00:10:21,577 I got your test results. 157 00:10:21,786 --> 00:10:24,516 UA shows white cells too numerous to count. 158 00:10:24,721 --> 00:10:28,987 Bacteria, 2 plus protein. CBC's normal. No fever. 159 00:10:29,192 --> 00:10:32,217 Simple cystitis. Fluids, rest and a course of Bactrim. 160 00:10:32,427 --> 00:10:34,623 It's a bladder infection. 161 00:10:35,998 --> 00:10:38,193 - Who are they? - Med students. 162 00:10:38,967 --> 00:10:42,232 - They're so young. - I know. It's disgusting, isn't it? 163 00:10:42,638 --> 00:10:46,199 Near-term antibiotic of choice is Macrodantin. 164 00:10:47,142 --> 00:10:49,702 Now, I want you to take these. 165 00:10:49,912 --> 00:10:51,675 Lots of fluids. 166 00:10:52,714 --> 00:10:55,181 Rest and follow up with your doctor in the morning. 167 00:10:58,119 --> 00:11:01,953 The sulfas compete with bilirubin for the binding sites on albumin... 168 00:11:02,156 --> 00:11:04,852 ...increasing the risk of neonatal jaundice. 169 00:11:05,059 --> 00:11:07,823 He saves lives, he teaches, he slices and dices. 170 00:11:08,029 --> 00:11:10,793 Deb, will you work up a weak and dizzy in 3, please? 171 00:11:10,998 --> 00:11:14,160 Doctors? Would you sign a get-well card? 172 00:11:14,769 --> 00:11:15,860 Sure. 173 00:11:18,472 --> 00:11:20,666 - Who's this for? - Me. 174 00:11:22,209 --> 00:11:23,972 - What is it? - Hemorrhoids. 175 00:11:24,144 --> 00:11:25,133 That's right here. 176 00:11:25,345 --> 00:11:28,245 - Dr. Ross, kid's crashing! - What? 177 00:11:31,083 --> 00:11:33,813 Alcohol level's down to 0, his pulse is down 40. 178 00:11:34,019 --> 00:11:37,284 Pupils pinpoint. Haleh, get a BP. Frothing at the mouth. 179 00:11:37,756 --> 00:11:39,815 - Is it drugs? - He's incontinent. 180 00:11:40,025 --> 00:11:42,619 - Negative drug screen. - BP's 70 over 50. 181 00:11:42,795 --> 00:11:43,784 Where do you work? 182 00:11:43,996 --> 00:11:46,225 - Wrigleyville Nursery. - Nursery, as in school? 183 00:11:46,432 --> 00:11:47,456 No, like in plants. 184 00:11:47,633 --> 00:11:49,464 - Outside or in the office? - Both. 185 00:11:50,269 --> 00:11:51,895 Mag of atropine, IV push. 186 00:11:52,103 --> 00:11:54,663 Tear off his clothes, wear gloves. 187 00:11:54,873 --> 00:11:58,604 Start a drip. A milligram an hour. 2-Pam. 1 gram over 30 minutes. 188 00:11:58,810 --> 00:11:59,834 What's wrong? 189 00:12:00,011 --> 00:12:02,536 Insecticide poisoning. What chemicals do you carry? 190 00:12:02,747 --> 00:12:03,975 We use everything. 191 00:12:04,181 --> 00:12:05,978 We were spraying in the greenhouse today. 192 00:12:06,183 --> 00:12:07,811 - Will he be okay? - I think so. 193 00:12:08,018 --> 00:12:09,952 I'm gonna call the nursery. 194 00:12:13,056 --> 00:12:15,752 - What do you have? - Elderly man with hemorrhoids. 195 00:12:15,959 --> 00:12:18,519 Yuck! Everyone's so old and sick around here. 196 00:12:18,729 --> 00:12:20,890 Yeah. This is a hospital. 197 00:12:21,098 --> 00:12:24,965 - Yeah, I guess. Where's Benton? - He's in surgery with his mom. 198 00:12:25,168 --> 00:12:27,159 - Hi, guys. - Working the graveyard? 199 00:12:27,371 --> 00:12:30,771 Seven p.m., no Benton. I may get home by 8:00, for once. 200 00:12:30,973 --> 00:12:32,065 Somebody help me. 201 00:12:32,276 --> 00:12:35,005 My wife's unconscious in the car. Dr. Greene! 202 00:12:35,645 --> 00:12:39,206 Please, somebody help me! She's pregnant. Hurry! 203 00:12:40,316 --> 00:12:42,181 She's passed out. 204 00:13:14,315 --> 00:13:15,873 Freeze right there! 205 00:13:16,250 --> 00:13:18,411 It's my mother. I wanna scrub in. 206 00:13:18,619 --> 00:13:23,386 You take one more step and I'll have your ass hanging on my wall... 207 00:13:23,590 --> 00:13:25,887 ...right next to your residency. 208 00:13:26,327 --> 00:13:28,851 - I wanna help. - Don't test me. 209 00:13:30,396 --> 00:13:31,590 Out! 210 00:13:32,432 --> 00:13:36,266 Now divide the iliotibial tract. Hemosat. 211 00:13:51,850 --> 00:13:53,750 Watch her airway. 212 00:13:55,687 --> 00:13:58,178 Get a stat BP. 213 00:13:58,390 --> 00:14:00,085 Oh, my God! What's going on? 214 00:14:00,292 --> 00:14:02,157 Carter, help Mr. O'Brian. 215 00:14:02,361 --> 00:14:03,759 Mr. O'Brian, we need to work. 216 00:14:03,962 --> 00:14:06,691 - Start a second IV. - BP's high, 160 over 110. 217 00:14:06,898 --> 00:14:08,330 You're okay, babe! 218 00:14:11,068 --> 00:14:15,664 She's eclamptic! Load her with mag sulfate, four grams, IV. 219 00:14:15,873 --> 00:14:17,067 Do you need blood? 220 00:14:17,274 --> 00:14:21,108 She needs a Chem-24, a coag panel and put her on a fetal monitor. 221 00:14:21,312 --> 00:14:23,336 Cap refill's fair. 222 00:14:25,448 --> 00:14:26,939 - Mr. O'Brian? - Yeah. 223 00:14:27,317 --> 00:14:29,683 - Your wife has eclampsia. - Is she gonna die? 224 00:14:29,887 --> 00:14:32,013 No, we need to get her admitted and... 225 00:14:32,222 --> 00:14:33,211 She's seizing! 226 00:14:33,423 --> 00:14:35,516 Grab a bite block! Is the mag in? 227 00:14:35,724 --> 00:14:37,215 - Got it. - Restrain her. 228 00:14:37,427 --> 00:14:39,190 Do something! Somebody help her! 229 00:14:39,863 --> 00:14:41,194 Help her. 230 00:14:42,832 --> 00:14:44,321 Push another four mag sulfate. 231 00:14:46,468 --> 00:14:48,333 You'll be okay. 232 00:14:49,171 --> 00:14:50,502 IV's out! 233 00:14:50,739 --> 00:14:52,434 The other one's blown. 234 00:14:52,641 --> 00:14:54,608 I'll throw in an external jugular. 235 00:14:56,677 --> 00:14:58,372 Two migs of Ativan. 236 00:14:58,579 --> 00:15:00,775 - Where's the prep pad? - Restrain her. 237 00:15:09,657 --> 00:15:10,783 Restrain her. 238 00:15:13,327 --> 00:15:14,554 It's in. 239 00:15:18,900 --> 00:15:21,060 O-2 to 15 liters. 240 00:15:25,338 --> 00:15:27,602 Okay, seizure's stopping. 241 00:15:28,909 --> 00:15:32,537 Let's hyperventilate her. Get doptones. Let me do a quick pelvic. 242 00:15:32,746 --> 00:15:34,646 Let's get a blood gas. 243 00:15:40,553 --> 00:15:43,147 Fetal heart tones, strong at 140. 244 00:15:43,723 --> 00:15:45,212 - That's good news. - 30cc's of saline. 245 00:15:45,391 --> 00:15:49,384 Two cm dilated. Eighty percent effaced. Membrane's intact. 246 00:15:50,996 --> 00:15:52,827 Call upstairs, see who's on call for OB. 247 00:15:53,032 --> 00:15:54,521 What the hell is going on? 248 00:15:54,733 --> 00:15:58,065 Your wife has a disorder of late pregnancy known as eclampsia. 249 00:15:58,269 --> 00:16:02,171 The blood vessels spasm, causing lack of oxygen to the brain... 250 00:16:02,373 --> 00:16:05,900 ...which leads to the seizures. We're relaxing them with medicine. 251 00:16:06,111 --> 00:16:08,739 - What about the baby? - We'll need to deliver. 252 00:16:08,947 --> 00:16:10,710 - When? - Soon. 253 00:16:11,149 --> 00:16:12,582 Very soon. 254 00:16:13,250 --> 00:16:14,274 Who's in Trauma 1? 255 00:16:14,451 --> 00:16:17,011 A pregnant woman with an eclamptic seizure. 256 00:16:17,221 --> 00:16:19,485 She's postdictal but coming around. 257 00:16:19,691 --> 00:16:20,952 BP's stabilized? 258 00:16:21,158 --> 00:16:23,820 Mag sulfate going? I'll take over. Go home. 259 00:16:24,027 --> 00:16:26,120 I'd like to see her through the OB. 260 00:16:26,330 --> 00:16:28,354 - I can handle it. - It's not you, it's me. 261 00:16:28,565 --> 00:16:31,864 I saw her earlier and I diagnosed UTI. 262 00:16:32,069 --> 00:16:34,867 Sent her out and she seized in the parking lot. 263 00:16:35,238 --> 00:16:38,002 I thought the protein in her urine was due to cystitis... 264 00:16:38,207 --> 00:16:42,109 ...and I blew off one borderline BP. I'd feel better if I saw her through. 265 00:16:45,948 --> 00:16:49,144 Fundal placenta. Looks okay. 266 00:16:49,852 --> 00:16:52,650 BP, 120 over 70. That's very nice. 267 00:16:55,157 --> 00:16:57,592 - Look at little Hunter. - Dermot. 268 00:16:57,792 --> 00:16:59,851 - Jason. - Patrick. 269 00:17:00,829 --> 00:17:03,559 - Is that a boy or what? - Four plus turtle sign. 270 00:17:03,765 --> 00:17:05,231 What's that? 271 00:17:05,433 --> 00:17:08,664 Looks like a little head peeking out right there. 272 00:17:10,104 --> 00:17:14,336 You give a score of zero or two for each category. 273 00:17:14,543 --> 00:17:17,444 - Movement? - He seems very active. 274 00:17:17,645 --> 00:17:19,613 Every night, around the same time. 275 00:17:20,714 --> 00:17:21,942 Score two. 276 00:17:22,149 --> 00:17:24,913 Also breathing, tone, amount of fluid. 277 00:17:25,118 --> 00:17:28,555 He's an eight. Anything less than a six, then you worry. 278 00:17:29,757 --> 00:17:30,814 You do the AFI. 279 00:17:33,561 --> 00:17:36,791 You divide the abdomen into four. 280 00:17:39,933 --> 00:17:42,367 Find the deepest pockets of fluid... 281 00:17:42,569 --> 00:17:45,367 ...without fetal parts or umbilical cord. 282 00:17:45,838 --> 00:17:47,099 You mark... 283 00:17:47,307 --> 00:17:49,537 ...each corner of the quadrant. 284 00:17:50,242 --> 00:17:51,971 Measure and then add up. 285 00:17:52,177 --> 00:17:54,702 Is that what this number is over here? 286 00:17:54,913 --> 00:17:58,644 That's the baby's heart rate. That should be between 120 and 160. 287 00:17:58,850 --> 00:18:00,442 So 140's perfect. 288 00:18:11,028 --> 00:18:15,897 The baby's in great shape. Biophysical profile's 8. AFI's 14. 289 00:18:16,100 --> 00:18:20,160 Cervix is favorable. I've got a non-stress test started. 290 00:18:20,805 --> 00:18:24,366 I feel very comfortable. I've delivered a couple hundred babies. 291 00:18:24,575 --> 00:18:27,702 It's 9:00, so we'll see you in about an hour? 292 00:18:27,911 --> 00:18:29,037 What did Coburn say? 293 00:18:29,247 --> 00:18:31,942 She's at St. Luke's, and she says she'll be here... 294 00:18:32,149 --> 00:18:35,606 ...as soon as she's finished with her repeat C-section. 295 00:18:35,819 --> 00:18:37,684 She wants me to start an induction. 296 00:18:37,887 --> 00:18:40,412 That is, of course, if I feel comfortable. 297 00:18:40,624 --> 00:18:42,114 She said that? 298 00:18:42,359 --> 00:18:44,087 What a bitch! 299 00:18:45,395 --> 00:18:46,384 Hey, Drake? 300 00:18:46,996 --> 00:18:48,827 - How do things look? - Great. 301 00:18:49,031 --> 00:18:51,022 BP's have been perfectly normal. 302 00:18:51,234 --> 00:18:54,327 Oh, boy. How can l...? 303 00:18:54,536 --> 00:18:55,662 Excuse me. 304 00:18:56,505 --> 00:19:00,271 - He can't be more than 12 years old. - He's the OB resident on call. 305 00:19:01,176 --> 00:19:03,666 I just spoke with Dr. Coburn, our OB attending. 306 00:19:03,878 --> 00:19:06,574 And she agrees that we need to deliver you soon. 307 00:19:06,781 --> 00:19:10,183 - Will you have to do a C-section? - I want to deliver naturally. 308 00:19:10,385 --> 00:19:13,115 Your eclampsia's under control, the baby's good... 309 00:19:13,321 --> 00:19:16,552 ...and the cervix is favorable. I'd say we do a trial of labor. 310 00:19:17,191 --> 00:19:18,556 And if it doesn't work? 311 00:19:19,427 --> 00:19:20,950 I think it will work. 312 00:19:22,363 --> 00:19:24,331 I want to give it a try. 313 00:19:26,200 --> 00:19:27,723 Let's do it! 314 00:19:30,972 --> 00:19:32,268 Excuse me. 315 00:19:36,510 --> 00:19:39,479 Do you feel competent to handle this without me? 316 00:19:39,679 --> 00:19:43,547 - I think I can muddle through. - I'll check back with you at 2300? 317 00:19:43,749 --> 00:19:44,841 Roger. 318 00:19:45,851 --> 00:19:49,878 Carol, could you give Mrs. O'Brian .5 Pitocin IV? 319 00:19:50,089 --> 00:19:53,923 - You're inducing down here? - We'll start here and then get her up to OB. 320 00:19:59,165 --> 00:20:02,656 - How frequent are the contractions? - Every 10 minutes or so. 321 00:20:03,269 --> 00:20:06,431 - Okay, let's have Dr. Greene decide. - You're kidding! 322 00:20:06,638 --> 00:20:09,334 We can't call him Baby X when we call our parents. 323 00:20:09,674 --> 00:20:12,609 All right. Let's take a quick look. 324 00:20:17,949 --> 00:20:19,745 It's five centimeters dilated. 325 00:20:19,951 --> 00:20:21,919 Ninety percent effaced. 326 00:20:22,120 --> 00:20:23,951 Station, minus two. Membrane's intact. 327 00:20:24,421 --> 00:20:25,752 - You wanna look too? - May I? 328 00:20:25,924 --> 00:20:28,517 Why not? Everybody else has been poking around in there. 329 00:20:31,261 --> 00:20:32,250 Here. 330 00:20:35,065 --> 00:20:40,935 - Lan, Patrick, Dermot... - Sounds like the cast of Finian's Rainbow. 331 00:20:41,204 --> 00:20:43,365 - Sorry. - Hunter? 332 00:20:43,573 --> 00:20:45,838 Hunter O'Brian? 333 00:20:48,077 --> 00:20:50,045 You agree with my assessment? 334 00:20:53,082 --> 00:20:55,949 Your labor's progressing along nicely and quickly. 335 00:20:56,152 --> 00:20:57,244 The baby's great. 336 00:20:57,452 --> 00:21:00,752 Is it normal for the heart rate to be going down like that? 337 00:21:00,957 --> 00:21:04,551 As long as it's only briefly, and it stays over 120. 338 00:21:04,761 --> 00:21:06,819 Jared's on both lists. 339 00:21:07,028 --> 00:21:08,290 It's not my favorite. 340 00:21:08,497 --> 00:21:12,831 Compromise is the soul of marriage. Jared, it is. 341 00:21:14,668 --> 00:21:16,226 Jared. 342 00:21:20,608 --> 00:21:22,439 - Hope you feel better. - Thank you. 343 00:21:22,643 --> 00:21:24,235 You're welcome. 344 00:21:25,045 --> 00:21:26,842 The OB case is still here? 345 00:21:27,047 --> 00:21:29,982 They're still busy upstairs. I gotta call again. 346 00:21:30,583 --> 00:21:32,608 Dr. Greene! Something's wrong. 347 00:21:32,820 --> 00:21:35,583 The baby's heart... The monitor's down to 90. 348 00:21:35,790 --> 00:21:37,815 It's not supposed to go that low. 349 00:21:43,963 --> 00:21:46,124 Hey, Ma. Hanging in there? 350 00:21:47,100 --> 00:21:48,294 How are you doing? 351 00:21:48,500 --> 00:21:51,333 - Why so long in the recovery? - She's 76. 352 00:21:51,537 --> 00:21:54,564 - Estimated blood loss? - 500cc's. 353 00:21:54,774 --> 00:21:56,434 Post-op orders? 354 00:21:56,643 --> 00:21:59,270 She may be your mother, but she's my patient. 355 00:21:59,478 --> 00:22:01,878 We're taking the O.R. Elevator. 356 00:22:02,247 --> 00:22:04,545 She's going to 604. 357 00:22:13,892 --> 00:22:16,588 It was bound to happen sooner or later, Peter. 358 00:22:27,872 --> 00:22:30,602 Sweetie, let's try a deep, cleansing breath. 359 00:22:30,808 --> 00:22:33,901 - Let's exhale on the count of... - Shut up, Sean! 360 00:22:34,110 --> 00:22:37,705 Call OB and get the FeSS in here. How are we doing? 361 00:22:38,181 --> 00:22:41,480 - I'll have an epidural. - Contractions are three minutes apart. 362 00:22:41,685 --> 00:22:44,483 - No kidding! - Tracing showing decreased activity. 363 00:22:44,688 --> 00:22:45,814 What's that? 364 00:22:46,022 --> 00:22:48,650 The baby's heart rate is reacting less than it should. 365 00:22:48,859 --> 00:22:52,420 But babies sleep in 20-minute cycles, so what we want to do... 366 00:22:52,629 --> 00:22:55,722 ...is wake him up. Rise and shine! 367 00:22:57,199 --> 00:22:59,292 There we go. He was just sleeping. 368 00:22:59,502 --> 00:23:02,265 The heart rate's back up. Get an ETA on Coburn. 369 00:23:03,338 --> 00:23:07,240 I'm Dr. Urami, anesthesiology. I'm here to do your epidural. 370 00:23:07,443 --> 00:23:09,933 Yes, please. Let's do that. 371 00:23:13,382 --> 00:23:15,611 - How's that epidural? - Wonderful. 372 00:23:15,817 --> 00:23:19,048 I'm gonna show these pictures of Jared to my students. 373 00:23:19,254 --> 00:23:22,087 - Eighth graders? - You know, like "show and tell." 374 00:23:22,289 --> 00:23:23,848 In math class? 375 00:23:24,025 --> 00:23:27,654 Now we can get a pressure reading inside the uterus. 376 00:23:29,330 --> 00:23:32,025 This scalp electrode... 377 00:23:32,699 --> 00:23:36,066 ...monitors the pulse rate more exactly. 378 00:23:36,236 --> 00:23:37,464 Enjoying the show? 379 00:23:37,838 --> 00:23:39,863 Yeah. I mean... 380 00:23:40,107 --> 00:23:41,198 ...no. 381 00:23:41,408 --> 00:23:44,377 She's eight centimeters dilated, completely effaced. 382 00:23:45,646 --> 00:23:48,705 - Won't be long. - There's another decel. 383 00:23:50,583 --> 00:23:52,847 Variable with a late component. 384 00:23:54,086 --> 00:23:59,023 Let's infuse 500cc's normal saline through the uterine catheter. 385 00:23:59,190 --> 00:24:01,124 - Like a regular IV? - Yeah. 386 00:24:01,827 --> 00:24:04,421 And we need to get her up to OB. 387 00:24:05,264 --> 00:24:06,730 I'll light a fire under someone. 388 00:24:06,932 --> 00:24:09,901 - Is something wrong? - No, we're okay. 389 00:24:10,403 --> 00:24:12,370 - Page Coburn again. - Okay. 390 00:24:15,240 --> 00:24:16,707 Why can't I send her up? 391 00:24:16,908 --> 00:24:19,877 She's inches away and the epidural's wearing off. 392 00:24:20,612 --> 00:24:23,308 Well, then find Drake! Hurry up. 393 00:24:25,483 --> 00:24:28,747 Breathe. Breathe. Wanna try some breathing? 394 00:24:28,919 --> 00:24:30,682 Your fantasy about me quitting work... 395 00:24:30,854 --> 00:24:33,414 ...and staying home to have kids? Forget it! This is it. 396 00:24:33,624 --> 00:24:35,956 Repetitive lates. We need to deliver. 397 00:24:36,160 --> 00:24:39,323 - I need to take a look. - Try some single breaths. 398 00:24:42,932 --> 00:24:46,595 Fully dilated, 100% effaced. It's time to start to push. 399 00:24:46,803 --> 00:24:47,895 Already? 400 00:24:48,105 --> 00:24:50,504 - Here? - Here. Carter. 401 00:24:50,707 --> 00:24:52,641 Run and get Carol. 402 00:24:54,611 --> 00:24:56,636 Try some breathing! 403 00:24:56,846 --> 00:25:00,247 I love you so much, babe. So much! 404 00:25:01,184 --> 00:25:02,912 Shut up! 405 00:25:05,020 --> 00:25:08,854 Get a baby warmer and a newborn resuscitation tray in 3, stat! 406 00:25:11,126 --> 00:25:13,560 Nine, ten! 407 00:25:13,762 --> 00:25:15,354 Take a breath, take a breath. 408 00:25:15,564 --> 00:25:17,361 - Welcome back. - Did I go home? 409 00:25:17,566 --> 00:25:20,262 Push! One, two, three... 410 00:25:23,071 --> 00:25:25,062 Eight, nine, ten! 411 00:25:25,272 --> 00:25:27,070 I'm not ready to be a mother. 412 00:25:27,274 --> 00:25:29,504 - Bear down. - I can't! It's gonna rip me apart. 413 00:25:29,710 --> 00:25:34,272 One, two, three, four... 414 00:25:34,982 --> 00:25:38,281 I can't! I can't! Get it out! 415 00:25:39,020 --> 00:25:44,423 Carter! Go up to OB and drag Drake down. Tell him to bring some forceps. Go! 416 00:25:44,624 --> 00:25:45,716 She's not progressing. 417 00:25:45,926 --> 00:25:48,894 The baby's rate is low. I'll start the pudendal block. 418 00:25:49,095 --> 00:25:50,585 Okay, I'll gown up. 419 00:25:59,139 --> 00:26:03,199 - OB's got C-sections and deliveries. - No one will blame you if you wait. 420 00:26:03,409 --> 00:26:06,105 - The monitor says now. - Why put your ass on the line? 421 00:26:06,311 --> 00:26:08,779 I've come this far, I'm gonna see it through. 422 00:26:08,981 --> 00:26:10,573 - Where's Coburn? - In transit. 423 00:26:11,150 --> 00:26:12,776 What, is she coming by camel? 424 00:26:13,419 --> 00:26:14,943 Get her BP. 425 00:26:17,488 --> 00:26:19,889 BP's still climbing. 150 over 100. 426 00:26:20,092 --> 00:26:21,923 Go, Mark. Baby's bradying down. 427 00:26:22,126 --> 00:26:24,117 Now don't push. Don't push. 428 00:26:24,328 --> 00:26:28,094 Before I break the plates, cut a median episiotomy. 429 00:26:31,369 --> 00:26:32,596 Here comes the head. 430 00:26:36,373 --> 00:26:38,137 - Get a blanket ready. - Damn! 431 00:26:38,341 --> 00:26:39,638 - Get him out! - He's stuck. 432 00:26:39,844 --> 00:26:41,435 - Shoulder dystocia. - What's that? 433 00:26:41,645 --> 00:26:43,510 Shoulder's hung up on the pubic bone. 434 00:26:46,249 --> 00:26:47,910 Oh, my God! 435 00:26:48,418 --> 00:26:49,783 Lead's off. 436 00:26:51,520 --> 00:26:52,544 McRobert's maneuver. 437 00:26:53,256 --> 00:26:56,486 - Push her legs up towards her head. - Lift your legs. 438 00:26:57,193 --> 00:26:58,558 Straight up in the air. 439 00:26:58,762 --> 00:27:00,661 Somebody push on the abdomen. 440 00:27:00,864 --> 00:27:03,457 - What are you doing? - Trying to free his shoulders. 441 00:27:03,933 --> 00:27:07,096 Carter, not fundal pressure. Down here. Down here. 442 00:27:10,172 --> 00:27:12,265 It's jammed! Stat page OB! 443 00:27:12,440 --> 00:27:13,840 Oh, my God, do something! 444 00:27:14,844 --> 00:27:16,401 Let's try a Woods. 445 00:27:16,611 --> 00:27:18,408 I need to extend the episiotomy. 446 00:27:21,717 --> 00:27:24,150 If I can rotate the posterior shoulder... 447 00:27:24,686 --> 00:27:25,812 I love you, baby. 448 00:27:26,020 --> 00:27:28,682 Try to deliver the posterior shoulder. 449 00:27:30,258 --> 00:27:32,692 He's jammed in. Come on. 450 00:27:32,861 --> 00:27:34,589 Come on! Come on! 451 00:27:34,829 --> 00:27:36,557 Why can't you deliver this baby? 452 00:27:36,765 --> 00:27:38,026 Mr. O'Brian, please. 453 00:27:44,438 --> 00:27:46,770 It's not working. Let her go. 454 00:27:46,974 --> 00:27:48,635 Let her go. It's not working. 455 00:27:49,710 --> 00:27:51,142 Zavenelli. 456 00:27:51,344 --> 00:27:52,368 What are you doing? 457 00:27:52,579 --> 00:27:54,570 We gotta push the baby back in. 458 00:27:54,782 --> 00:27:55,873 Then what? 459 00:27:56,082 --> 00:27:58,448 We're almost through. 460 00:27:58,652 --> 00:28:02,678 Susan, get your hand in here. Grab a cesarean tray. Run! 461 00:28:04,824 --> 00:28:08,281 Climb on up, hold her head in. Throw a sheet over her. 462 00:28:08,493 --> 00:28:10,393 Get her into Trauma 1. 463 00:28:11,129 --> 00:28:13,859 Find out if Benton's still here. Splash and crash. 464 00:28:17,002 --> 00:28:20,130 - Where are you taking her? - We gotta do an emergency C-section. 465 00:28:20,338 --> 00:28:23,501 - Have you done this before? - I've scrubbed in many times. 466 00:28:23,708 --> 00:28:24,732 I want somebody else! 467 00:28:24,910 --> 00:28:27,504 If we wait five more minutes, your baby's brain dead. 468 00:28:27,712 --> 00:28:29,839 Oh, my God. Go, go! 469 00:28:30,114 --> 00:28:31,308 Do it! 470 00:28:32,584 --> 00:28:35,313 Please get out of the way. Let them work. 471 00:28:36,587 --> 00:28:37,884 I love you so much. 472 00:28:38,088 --> 00:28:40,385 We're almost home. We're almost out of here. 473 00:28:43,627 --> 00:28:44,616 Call Respiratory. 474 00:28:45,696 --> 00:28:47,094 Mr. O'Brian, wait outside. 475 00:28:47,297 --> 00:28:48,492 I love you! 476 00:28:48,699 --> 00:28:51,566 I'm right here. I'm right here. 477 00:28:57,273 --> 00:28:59,173 BP's sky high. 170 over 120. 478 00:28:59,375 --> 00:29:01,366 - What about anesthesia? - No time. 479 00:29:01,611 --> 00:29:03,374 I'll throw in a local. 480 00:29:03,646 --> 00:29:06,273 - She's seizing! - Grab the bite block. 481 00:29:07,916 --> 00:29:09,646 Let's paralyze and intubate. 482 00:29:09,852 --> 00:29:13,049 Versed, four migs. Norcuron, 10. 483 00:29:13,755 --> 00:29:15,416 Intubation tray. 484 00:29:15,824 --> 00:29:18,850 - Get Respiratory down here. - 7.5. 485 00:29:20,796 --> 00:29:23,424 Suction standing by. 486 00:29:23,632 --> 00:29:25,600 O-2 at 15. 487 00:29:26,033 --> 00:29:28,628 Carter, try and get in here. 488 00:29:29,904 --> 00:29:32,134 We're just gonna bag her for now. 489 00:29:33,241 --> 00:29:36,506 Get that typed blood cross-matched and down here. 490 00:29:36,711 --> 00:29:38,975 - Where's that coag panel? - Get a vent ready. 491 00:29:39,179 --> 00:29:41,977 BP's 200 over 130! 492 00:29:45,118 --> 00:29:48,554 Everybody just take a deep breath, all right? 493 00:29:52,659 --> 00:29:55,423 Hydralazine, 10 migs. 494 00:29:56,863 --> 00:29:59,855 Another bolus of mag sulfate. 495 00:30:00,533 --> 00:30:04,935 Somebody call NICU and get somebody down here... 496 00:30:05,137 --> 00:30:06,764 ...for the baby. 497 00:30:08,641 --> 00:30:11,701 Somebody physically go up to the OB... 498 00:30:11,911 --> 00:30:16,473 ...and drag somebody down here, okay? Go! 499 00:30:21,953 --> 00:30:23,648 Get the suction in. 500 00:30:24,789 --> 00:30:26,223 Scalpel. 501 00:30:27,359 --> 00:30:28,723 Let's see. 502 00:30:29,394 --> 00:30:31,294 Is that the fascia? 503 00:30:31,796 --> 00:30:33,057 Yeah, that looks right. 504 00:30:33,264 --> 00:30:36,825 - Grab with those clippies. - Hydralazine's in. 505 00:30:37,735 --> 00:30:38,826 Grab an army, navy. 506 00:30:39,036 --> 00:30:41,232 - Suction. - Metz. 507 00:30:43,274 --> 00:30:44,900 The long scissors. 508 00:30:46,543 --> 00:30:47,942 Retract there. 509 00:30:49,713 --> 00:30:53,410 - I'm in. - Isn't there something about a bladder flap? 510 00:30:54,685 --> 00:30:56,050 - Pickups. - Suction. 511 00:30:56,253 --> 00:30:58,312 - I'm dividing the peritoneum. - Hemostat. 512 00:30:58,488 --> 00:30:59,852 Okay, we're in. 513 00:31:00,556 --> 00:31:02,320 Grab that side and pull. 514 00:31:04,627 --> 00:31:06,152 Get a retractor in there. 515 00:31:06,362 --> 00:31:07,590 We need exposure. Pull! 516 00:31:08,431 --> 00:31:09,420 Oh, man! 517 00:31:10,700 --> 00:31:12,497 That's wide enough. 518 00:31:12,934 --> 00:31:14,902 All right. Now, scalpel. 519 00:31:15,837 --> 00:31:18,102 Cut across the lower segment of the uterus. 520 00:31:18,907 --> 00:31:19,896 You're asking me? 521 00:31:20,542 --> 00:31:22,339 I'm asking God. 522 00:31:22,811 --> 00:31:24,574 Suction. No, here. 523 00:31:24,779 --> 00:31:27,247 - You're not all the way through. - I don't wanna cut the baby. 524 00:31:27,582 --> 00:31:29,913 Open a pack of lap pads. 525 00:31:31,052 --> 00:31:32,280 Retract this way, more. 526 00:31:34,822 --> 00:31:37,484 - There, I think I'm in. - Oh, my God. 527 00:31:37,658 --> 00:31:39,353 There's two liters in there. 528 00:31:39,727 --> 00:31:42,423 - She's got an abruption! - She's bleeding out! 529 00:31:42,629 --> 00:31:44,928 - Gown up! - Get the baby out! 530 00:31:45,466 --> 00:31:47,024 Open those IV lines. 531 00:31:47,634 --> 00:31:49,363 Hurry, Mark. Get him out! 532 00:31:49,570 --> 00:31:52,061 - Get the baby. - Pump in saline. 533 00:31:52,272 --> 00:31:55,866 Forget that cross-match! Eight units O-neg down here, stat! 534 00:31:56,076 --> 00:31:58,909 - Hurry up. - I've got him. He's big. 535 00:31:59,645 --> 00:32:02,113 - Suction his airway. - BP's okay, 120 over 80. 536 00:32:02,281 --> 00:32:03,874 - Come out. - Hurry up. 537 00:32:06,252 --> 00:32:07,913 The cord's free. 538 00:32:08,121 --> 00:32:09,213 Suction his nose. 539 00:32:11,457 --> 00:32:12,616 Umbilical clamp. 540 00:32:16,863 --> 00:32:17,887 He's not breathing. 541 00:32:24,403 --> 00:32:25,870 Okay, clamp. 542 00:32:26,071 --> 00:32:27,538 All right, bag him. 543 00:32:27,738 --> 00:32:29,400 Carter, get in here. 544 00:32:31,742 --> 00:32:34,769 Get in here. Follow my hand down. 545 00:32:36,213 --> 00:32:37,339 Feel the aorta? 546 00:32:37,548 --> 00:32:39,345 - It's pulsing. - Yeah, I do. 547 00:32:39,550 --> 00:32:41,575 - Push down on it. Got it? - I think so. 548 00:32:41,787 --> 00:32:44,118 - Don't think, do. - I got it. 549 00:32:44,321 --> 00:32:47,381 - Is he alive? - BP's holding. 110 over 70. 550 00:32:47,590 --> 00:32:49,320 Move, move! 551 00:32:49,526 --> 00:32:51,222 Start CPR. 552 00:32:51,428 --> 00:32:53,021 I'm gonna intubate. 553 00:32:57,634 --> 00:33:00,535 - Heel stick a glucose. - Tone is flaccid. 554 00:33:01,137 --> 00:33:02,729 We need a blood gas. 555 00:33:03,073 --> 00:33:05,234 - I can't see. Suction! - O-neg's here. 556 00:33:06,409 --> 00:33:08,070 All right, pump it in. 557 00:33:08,912 --> 00:33:10,606 I think I'm in. 558 00:33:13,917 --> 00:33:15,110 Bag him. 559 00:33:16,318 --> 00:33:17,718 Quick listen. 560 00:33:19,154 --> 00:33:22,920 - Chest expands while we're bagging. - Okay, we got it. 561 00:33:23,125 --> 00:33:24,922 Tape it and keep bagging. 562 00:33:25,127 --> 00:33:27,061 Blood sugar's 20. 563 00:33:27,629 --> 00:33:29,357 Give him D-10. 564 00:33:29,798 --> 00:33:32,561 - He's got no veins. - Hyperventilate him. 565 00:33:32,768 --> 00:33:35,099 I'm gonna try an umbilical line. 566 00:33:35,303 --> 00:33:36,531 What about some epi? 567 00:33:36,871 --> 00:33:40,170 0.04 epi down the tube. 568 00:33:40,374 --> 00:33:41,932 Here's the epi. 569 00:33:48,683 --> 00:33:51,618 Release that clamp after I tie this off. 570 00:33:53,420 --> 00:33:55,012 Release the clamp. 571 00:33:56,890 --> 00:33:58,949 Oh, my God. How can you see? 572 00:33:59,159 --> 00:34:00,592 I don't know. 573 00:34:01,661 --> 00:34:02,650 Grab a bag of O-neg. 574 00:34:03,096 --> 00:34:05,290 Stick the pins per kilo. 575 00:34:07,299 --> 00:34:08,665 40cc's. 576 00:34:09,636 --> 00:34:11,000 Come on. 577 00:34:16,108 --> 00:34:19,669 That's the umbilical vein. Hook it up while I advance it. 578 00:34:20,279 --> 00:34:22,269 Okay, it's going. Glucose at... 579 00:34:22,481 --> 00:34:24,380 ...5 mil per kilo. 580 00:34:24,583 --> 00:34:26,174 Follow me down. 581 00:34:27,118 --> 00:34:28,609 20 mils. 582 00:34:29,120 --> 00:34:32,146 Come on, little guy. Come on. 583 00:34:32,657 --> 00:34:33,988 He moved! 584 00:34:34,192 --> 00:34:35,420 It's going. 100! 585 00:34:35,627 --> 00:34:37,720 - Re-gown me. - He's pinking up! 586 00:34:38,429 --> 00:34:40,522 She's had three units, two liters, saline. 587 00:34:40,732 --> 00:34:44,030 - Vitals? - BP's 80 over 50. Pulse, 112. 588 00:34:44,234 --> 00:34:46,259 I can live with that and so can she. 589 00:34:46,471 --> 00:34:49,497 - Baby's Apgar's much better. Eight. - That's good. 590 00:34:49,706 --> 00:34:52,140 - Re-gown, Susan. - Look who's here. 591 00:34:52,342 --> 00:34:54,037 What's going on in here? 592 00:34:54,244 --> 00:34:56,508 I intubated. Baby went bad. 593 00:34:57,748 --> 00:35:01,047 I tried forceps and got a shoulder dystocia. She seized. 594 00:35:01,250 --> 00:35:03,446 I paralyzed and did a crash section. 595 00:35:03,654 --> 00:35:05,781 There were two liters of blood in her uterus. 596 00:35:05,988 --> 00:35:07,979 - You knew she'd abrupted? - Once I got in. 597 00:35:08,191 --> 00:35:11,355 - Baby nearly died. - Who's this? And what's he doing? 598 00:35:11,561 --> 00:35:14,121 John Carter, med student. I'm pressing the aorta. 599 00:35:14,330 --> 00:35:16,297 It's a mess! What'd you use, a chain saw? 600 00:35:16,499 --> 00:35:18,990 I couldn't stand around waiting while that baby died. 601 00:35:19,201 --> 00:35:22,603 Get an NICU transport team and the OB resident on call. 602 00:35:22,805 --> 00:35:25,501 You should've let me know you were in over your head. 603 00:35:42,724 --> 00:35:49,060 We've got hemostasis. 604 00:35:50,298 --> 00:35:52,060 Someone call Respiratory. 605 00:35:54,501 --> 00:35:57,368 Okay, Carson. You can let go of the aorta. 606 00:35:58,372 --> 00:35:59,804 Wait! Wait! 607 00:36:00,674 --> 00:36:02,471 Stop, stop. 608 00:36:02,875 --> 00:36:05,571 Looks good. Bleeding's stopped. 609 00:36:05,778 --> 00:36:07,678 Go talk to the father. 610 00:36:16,522 --> 00:36:17,818 Suction. 611 00:36:21,093 --> 00:36:23,118 - Is my baby okay? - He was apneic at first. 612 00:36:23,329 --> 00:36:24,761 But his Apgar's encouraging... 613 00:36:24,963 --> 00:36:29,195 - Stop hiding behind that medical crap! - Your baby's gonna be fine. 614 00:36:29,401 --> 00:36:31,562 Don't take my son! 615 00:36:31,770 --> 00:36:32,997 And Jodi? 616 00:36:33,205 --> 00:36:36,436 There was bleeding. She's had transfusions, but she's stabilized. 617 00:36:36,642 --> 00:36:38,973 Dr. Coburn is in there with her now. 618 00:36:39,177 --> 00:36:41,270 - She's closing the incision. - How can this happen? 619 00:36:41,479 --> 00:36:45,575 What we need to do now is get your son upstairs. Now! Go! 620 00:36:45,783 --> 00:36:48,752 - Everything's okay, right? - Go be with your baby. 621 00:36:48,953 --> 00:36:53,253 - She'll be okay, right? - She's stabilized. Go with your son. 622 00:37:01,398 --> 00:37:03,525 I've never seen such a chain of errors. 623 00:37:03,733 --> 00:37:05,860 - I did what you said. - You miss preeclampsia! 624 00:37:06,069 --> 00:37:09,038 - You underestimate the fetal weight. - I expected OB backup! 625 00:37:09,239 --> 00:37:10,967 You miss a placental abruption! 626 00:37:11,174 --> 00:37:13,335 Blood clot. Right there! 627 00:37:13,543 --> 00:37:16,773 You do an ill-advised forceps delivery on a baby that's too big. 628 00:37:16,980 --> 00:37:19,141 Then you do a hack job of a C-section! 629 00:37:19,348 --> 00:37:22,181 It was me in the barrel with a baby down the tubes. 630 00:37:22,384 --> 00:37:24,818 What saved you from disaster was dumb luck. 631 00:37:25,020 --> 00:37:27,716 If not for me, the mother'd be dead and the baby a vegetable! 632 00:37:27,922 --> 00:37:30,221 - Who's on OB call? - Drake. 633 00:37:32,461 --> 00:37:35,919 - She's just covering herself. - She was right. It was my screwup. 634 00:37:36,131 --> 00:37:38,496 You were great. I couldn't have done it. 635 00:37:38,700 --> 00:37:41,635 It was my fault that she went sour. She's my patient. 636 00:37:41,836 --> 00:37:44,862 - No one will blame you. - No, they don't have to. 637 00:37:45,073 --> 00:37:46,835 She's crashing! 638 00:37:49,944 --> 00:37:53,572 - How many units has she had? - BP's falling. 70 over 40. 639 00:37:54,614 --> 00:37:56,913 - I can't get a blood gas. - Run a resuscitation. 640 00:37:57,118 --> 00:38:00,450 - Cap refill's bad. - I'll throw in an arterial line. 641 00:38:00,654 --> 00:38:03,987 - Put blood bags on a rapid infuser. - Get the kit! 642 00:38:04,191 --> 00:38:06,125 Hook up the transducer. 643 00:38:06,927 --> 00:38:10,158 Give her a mig of atropine. Check a manual BP. 644 00:38:10,364 --> 00:38:12,025 She's bleeding from the puncture. 645 00:38:12,232 --> 00:38:14,324 - Somebody put pressure on it. - I got it. 646 00:38:15,936 --> 00:38:19,132 - IV site's oozing too. - I don't hear it. 65 palp. 647 00:38:19,338 --> 00:38:21,135 Hang a dopamine drip. 648 00:38:21,340 --> 00:38:23,137 Pull her off that respirator and bag her. 649 00:38:23,342 --> 00:38:26,140 Blood's stopped clotting. She's going into DIC! 650 00:38:26,345 --> 00:38:30,145 Oh, damn! Order 10 units, cryoprecipitated platelets. 651 00:38:30,349 --> 00:38:33,011 - Multifocal PVCs! - What now? 652 00:38:33,218 --> 00:38:36,449 Lidocaine, 100 migs, IV push. Start a drip. 653 00:38:38,423 --> 00:38:41,358 Mark the time: 0542. Charging 260. 654 00:38:44,796 --> 00:38:46,093 Clear! 655 00:38:48,933 --> 00:38:51,298 300. Clear! 656 00:38:51,502 --> 00:38:55,529 - She's oozing from every cut surface. - We're chasing our tails in here. 657 00:38:55,840 --> 00:38:57,830 - Time down? - 33 minutes. 658 00:38:58,242 --> 00:39:00,107 More PVC. She's maxed out on lidocaine. 659 00:39:00,310 --> 00:39:03,302 Add Pronestyl, 30 migs a minute, up to 200. 660 00:39:03,613 --> 00:39:06,014 - No pulse. We're losing her! - Get a dopamine drip. 661 00:39:06,216 --> 00:39:08,707 - Charging to 300. - Out of the way! 662 00:39:13,956 --> 00:39:15,423 Again. 360. 663 00:39:21,530 --> 00:39:24,590 - Give her 300, IV push. - Blood gas is bad, 302 over 50. 664 00:39:45,854 --> 00:39:48,413 It's been five minutes since her last epi. 665 00:39:48,623 --> 00:39:50,214 Another seven. 666 00:39:51,525 --> 00:39:53,925 Mark, she's gone. 667 00:39:54,128 --> 00:39:56,562 It's thirty minutes past too late. 668 00:39:56,931 --> 00:39:58,330 I'm calling it. 669 00:39:58,532 --> 00:40:00,193 Time of death: 670 00:40:00,801 --> 00:40:02,962 0646. 671 00:40:11,878 --> 00:40:15,644 It's not flatlined. It's fine V-fib. Another 7 migs epi. 672 00:43:16,253 --> 00:43:17,776 Dr. Greene. 673 00:43:26,862 --> 00:43:27,989 I... 674 00:43:28,931 --> 00:43:33,890 ...just wanted to tell you that... 675 00:43:34,736 --> 00:43:37,900 ...I thought what you did was a heroic thing. 676 00:44:00,561 --> 00:44:03,723 It's one stop the other way, right by the station. 677 00:44:03,931 --> 00:44:05,727 - I gotta get going. - Come on! 678 00:44:05,966 --> 00:44:08,366 Not only does Shorty's have the greasiest eggs... 679 00:44:08,568 --> 00:44:11,298 ...stuff falls from the ceiling when the El goes by. 680 00:44:11,504 --> 00:44:14,769 Sounds attractive, Susan. I got a million things to do. 681 00:44:15,042 --> 00:44:16,633 Are you sure you're okay? 682 00:44:16,844 --> 00:44:18,174 I'm fine. 683 00:44:18,445 --> 00:44:19,935 Scout's honor. 684 00:44:20,280 --> 00:44:22,009 Is Jen home? 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net 51049

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