All language subtitles for ER.S06E14.1080p.WEB.H264-HOTLiPS-NHI

Hey, Dr. Weaver,
you better hurry up!

You're going
to miss the party!

What!

‐ Hey, Dr. Weaver.
‐ Cleo, you're off?

Uh, Dr. Kovac
gave me 15

to grab my dry cleaning
before it closes.

‐ We're slow, I take it?
‐ We are now.

What's that music?

Looks like
nail polish to me.

It's Buff, okay.

You got
a manicure, Malik?

Hey, man, that's
what's the ladies like.

That's the first thing they
check out is your hands.

I check out
their butt myself.

‐ You know what I'm saying?
‐ Oh, that's a myth.

‐ I tested it.
‐ Tested what?

It's so not
worth explaining.

Kerry!
Happy valentine's day.

Isn't this
a little loud!

Sorry!

Hey, what are you doing?

Oh. Hi, chief. You on?

All night. I see someone went
overboard with the hearts.

‐ What's wrong with them?
‐ Nothing.

‐ Want some pizza?
‐ No, thanks.

‐ Isn't Mark still on?
‐ Oh, he left at 8:00.

‐ Double date.
‐ I'm on till 9:00. Mighty fine.

We slowed down.
No one's waiting to be seen.

And I took over their board.

Okay, everyone. Another five
minutes and then back to work.

Alright?

'I'm sorry, Mrs. Minear.'

'It was a mistake.'

It..
Well, yeah, I..

Well, I was expecting
some money and it, uh..

I was, I was expecting a check
to clear and it didn't.

I'm sorry, but I promise..

Yes.
I promise I'll get it to you.

Thank you.

Teach me
to check my messages.

‐ Everything okay?
‐ Uh...no.

But I'm sure it'll work out.

‐ 'God, I'm beat.'
‐ Are you leaving?

Yeah. I've been on since 7:00.
I gotta be back here at 7:00.

And I just wanna go
home and hug my girls.

Lose a patient today?

‐ Yeah.
‐ Yeah.

Nice to have someone
to go home to.

Oh, no, girl.
Alex and I broke up.

What happened?
I thought he was the man.

‐ Yeah, so did my neighbor.
‐ Ouch.

Luca, do you have anybody
you need to hand off?

Oh, yeah, if you want.

Ankle films
are back on cupid.

A singing telegram
slipped on some ice.

I need a doc in radiology
to inject an IV contrast.

‐ A patient named Rodriguez.
‐ I think that's Carter's.

Okay, find Carter.

'I need a bath.
Can I have a bath?'

I need to look
at your foot first.

Pablo, you're alive, huh?

Oh, yeah, I'm alive.

Yeah, we haven't seen
you in over a year.

They put me on a bus.

‐ A bus? What kind of a bus?
‐ A green one.

A green bus.
Where did it take you?

Oh, I need a bath.

I think Pablo got deported.

‐ It was very hot.
‐ How did he get back here?

‐ That part's a little fuzzy.
‐ I took a long time.

I bet. Welcome back, Pablo.

Yeah, welcome back.

Hey, Kerry,
happy valentine's day

or night, I guess.

Yeah, you, too.

You know where,
uh, Sobriki is?

‐ Who?
‐ Paul Sobriki.

I got called down
for a consult.

Yeah, I just got on.
Check the board.

Thanks.

So, you must
be Mr. Morris?

How'd you guess?
Is that my X‐ray?

Yeah. Let's take a look.

‐ Is the bone broken?
‐ Hold on.

Eh. I got to find
another board.

I'll be right back.

Ah, Dr. Weaver, can you
talk to toxicology for me?

What's the problem?

"Bare butt booty oil"?

Kid drank it,
but he's not symptomatic

so they won't test it.

‐ Sent it back.
‐ No ingredient list.

Well, yeah.
"Bare butt booty oil."

‐ Okay, I'll talk to them.
‐ Thanks.

♪ Sing us a song ♪

♪ You're the piano man ♪

♪ Sing us a song tonight ♪

♪ 'Cause we're all
in the mood for a melody ♪

♪ And you got us
feeling alright ♪

Is it just me
or are they dreadful?

No, it's not
just you.

♪ John at the bar ♪

♪ Is a friend of mine ♪

♪ He gives us
our drinks for free ♪

♪ And he's quick with a joke
and to light up a smoke ♪

♪ But there's someplace ♪

♪ That he'd rather be ♪

♪ He says Bill this
place is killing me ♪

♪ As a smile escapes
from his face.. ♪

‐ Surgery's on its way.
‐ Pulse is weak.

Draw a trauma panel.
Spin a crit right away.

Breath sound
absent on the right.

No, I can't
stay on the line.

The guy could still
be running around.

Just get them here. Every cop
in the city knows where we are.

John! John, can you hear me?

Airway looks clear.

John, open your eyes.

No response to command.
Glasgow coma scale, seven.

How long do you think
they were lying there?

Long enough to lose
a couple of liters.

I can't believe
nobody saw anything.

Let's talk about it later.

One, two, three!

Push etomidate and sux now.

Stab wounds to the
left neck and chest.

Oh, man,
and two more to the belly.

Right and left
upper quadrants.

Number eight ET tube!
What's her BP?

Hold on.
Pulse ox is low. 82.

That's why I'm tubing her!
Get me a blood pressure!

Chest tube tray.

No, start a central line.

BP is 90/50.

Get four units of O‐neg.
Hang two on the rapid infuser.

Give me some cricoid pressure.

You okay, chief?

I got it. Okay.

‐ Start the central line now.
‐ Betadine and a sterile drape.

People are having parties
while these two were in there

bleeding to death.

'Two stab wounds
to the left flank.'

First one is at L‐2,
four centimeters off the midline

and second one is L‐5
in the midscapular line.

‐ 'Did he hit the spinal cord?'
‐ Depends on the angle.

BP is 70/50.
Pulse 120.

Squeeze in two liters
and set me up for a subclavian.

Good breath sounds bilaterally.
Pulse ox 93.

‐ 'Should we intubate?'
‐ No.

Ten liters by mask for now.

Send a trauma panel,
type and cross for four

and get X‐ray in here
for a chest, and one shot IVP.

I was just talking to him.

Right here.
The patient's gone.

‐ Oh, boy.
‐ What's his name?

‐ Paul. Paul Sobriki.
‐ Who are you?

Carl Deraad,
chief of Psychiatry.

‐ I was called to consult.
‐ What's he look like?

I don't know.
I hadn't seen him yet.

‐ I'll get his chart.
‐ No, I'll get it.

No one else goes in here.
This is a crime scene.

‐ Hey. Move.
‐ It's okay, he's a doctor.

Subclavian's in.
Running two units.

‐ 'First crit is 31.'
‐ Is he conscious?

‐ 'Hypotensive with two stab‐‐'
‐ Is he conscious!

No, but he's responding
to fluid resuscitation.

It was some psych patient.
Got Lucy, too. Pretty bad.

Roll him,
let me see.

‐ Oh, man!
‐ 'Pressure's up to 90 palp.'

‐ Why wasn't he in restraints?
‐ I don't know.

‐ Where's the Foley?
‐ That's next.

‐ 'Pulse ox is 83.'
‐ 'Give it a minute. Ten blade!'

Dr. Weaver, the police are
sealing off curtain three.

They need to talk to
anybody who took care

of the patient
right away.

Handle it, Randi.

God, look at this.
Look at this, chief.

Damn it. Damn it.
Tracheal laceration.

‐ She needs a crike.
‐ 'No, she needs a trake.'

Get Benton in here. Prep the
neck and open a melker kit.

Now. Let's go.

‐ Dr. Benton.
‐ Hold on.

Toes are down going.

That means no spinal injury.

Hang the next two units
on the infuser.

Hold on. It's not set up.

‐ Get it set up.
‐ I got it.

Absent bowel sounds, probably
got the descending colon.

Peter, Dr. Weaver
needs you right now.

She has to trake Lucy.

Book an OR.
Get ready to send Carter up.

‐ Where's the foley?
‐ 'I'm working on it.'

'Betadine prep.
Sterile drapes.'

'Okay, clear
the field of blood.'

'Hemostat!'

Connie, where's
the infuser kit?

It should be there.

‐ They're not here.
‐ Well, try the, um...top shelf.

What is it?

‐ Uh...a knife.
‐ 'Don't touch it.'

‐ 'Tom, we got a weapon.'
‐ Any blood?

‐ Yeah. Some.
‐ It's from the lounge.

We're gonna use it
to cut the cake.

I‐I have to‐to go
find some tubing.

Are you working on
one of the victims?

‐ Yeah. I'm trying to.
‐ Is he gonna make it?

‐ I don't know.
‐ Is he awake?

Got it.

‐ The second unit is in.
‐ Got the tubing.

Pressure's up
to 100 systolic.

'Give a gram of cefotetan.'

Right pupil is
five millimeters and reactive.

Left is...John?

John.

'John.'

‐ Deb?
‐ 'Look at me.'

Do you know where you are?

‐ My back.
‐ You were stabbed.

We've got your pressure up.

‐ Lucy?
‐ John, I'm Officer Bernini.

Did you see the man
that stabbed you?

'Do we need
to do this right now?'

'It's better if I secure
a statement‐‐'

You'll have to wait.
I'm sorry.

‐ What?
‐ Nothing.

Looks like he missed
your spinal cord.

'BP's 80 palp.'

Is that Lucy?

'Yes. She's alive.'

‐ 'Dr. Kovac.'
‐ What?

'What?'

What is it?

Get Benton.
He needs to go up now.

‐ Get ready to bag her.
‐ Dr. Benton, we need you.

‐ Hook up the thoraseal.
‐ I've got breath sounds.

Dr. Benton,
Carter's got a bad renal lac.

‐ Foley output is bright red.
‐ What's her pulse ox?

'Pressure's down
to 80 again.'

‐ Got another surgeon coming?
‐ 'Go! Go!'

Yeah, we're outside.

I'll be right there.
Yeah.

Dad, wait for
us inside.

Register around the front
of the building.

I'm a surgeon.
I have to get through.

‐ I have to see ID.
‐ We don't have time for this.

And you have to move
the vehicle.

‐ There!
‐ Okay, go ahead.

Dad, I need you
to move the van.

Okay.

Where do I park it?

You're asking me?

'I want you to stay
awake, John.'

You stay awake
until you get up there.

‐ You hear me?
‐ You want FFP?

Yeah, two units.
Come on, Carter.

‐ Stay with me, man.
‐ How is he?

Stab wound with
renal lacerations hypotensive.

We're redlining him
to the OR.

‐ Oh, a patient did this?
‐ Yeah. They're looking for him.

‐ What's his pressure?
‐ 'I've got it, Elizabeth.'

Kerry needs you.
Go, go.

Carter, look at me,
come on.

I'm right here.
Hang in there.

'Stay with me, man.
Stay with me.'

‐ Xeroform and elastoplast.
‐ 'Belly's distended.'

Probably an intra‐abdominal
bleed.

Why wasn't the guy sedated?

I don't know.
Get ultrasound here.

Wa‐wa‐was he on a hold?
Was there a sitter‐‐

I don't know, Kerry!
I never saw him!

‐ What?
‐ Where are we?

Multiple stab wounds
to left neck and chest

right and left upper quadrants
of the abdomen.

We did a chest tube,
central line and had to trake.

‐ How much blood loss?
‐ 400 in the thoraseal.

Could've been another 2,000
before we found her.

'Yeah, it looks deep.'

How long was the blade?

‐ Pressure's down to 60.
‐ Alright, she needs volume now.

'Maybe not. It could be
tamponade. Open a thoracotomy‐‐'

No, wait. Check a CVP.

‐ Too late. Lost her pulse.
‐ We're in PEA.

‐ Starting compressions.
‐ Neck veins are up.

We need to crack her.
Prep her chest.

Okay, amp of epi.
Sterile gloves, please.

You'll need better exposure.
Stab wound is near the midline.

Sternal saw, now, Lily.

Go, go, go.

Ultrasound is ready.

In a minute,
in a minute.

Ten blade.
Stand back.

'Sats are down to 85.'

Almost got it.

‐ Okay.
‐ Rib spreader.

Suction.

‐ V‐fib.
‐ Start internal compressions.

You're right.
There is an effusion.

Metz.

‐ Prep the internal paddles.
‐ 'Pericardium's open.'

We've got
a major hemorrhage here.

‐ No suction.
‐ Looks like the proximal aorta.

Keep your finger on it, Kerry.

I need a 4‐0 prolene
on an RB‐1 needle now.

Belly's full of blood.
Probably got the spleen.

‐ Got to cross clamp the aorta.
‐ One thing at a time.

Autotransfuse
from the cell saver.

Charge the paddles to 15.

Cut, cut, cut.

‐ Clear.
‐ 'Clear.'

We're still at V‐fib.

Another amp of epi.

‐ Clear.
‐ 'Clear.'

‐ Sinus tach.
‐ Check the pressure.

Get a portable monitor.
We're moving her to the OR now.

‐ Hang the other units.
‐ Pulse ox is up to 92.

‐ Pressure is 90 systolic.
‐ Let's go!

Whoa, whoa, whoa!
Pulse ox cable.

‐ Is she making urine?
‐ Only 50cc's in the foley.

It's better than nothing.
Let's go.

Call the OR. Tell 'em
we have an open chest.

We'll need a laparotomy.

We're till waiting
on the type specific.

Have the blood bank
send it upstairs.

‐ Are you putting her on bypass?
‐ I don't know.

'Have a perfusionist
standing by.'

‐ Hold the elevator.
‐ Malucci, don't bag so fast.

We don't want to
make her alkalotic.

‐ You need anyone else?
‐ I hope not.

'Wait.
Don't forget the drug box. Go.'

I can't believe this.

I think we got it
in time.

She has
a good chance.

Kerry?

You Dr. Weaver?
You're the one who found them?

Dr. Weaver, we got a problem
with the medevac chopper

industrial trauma from whiting.

‐ Try to divert.
‐ I did, but lakepoint's closed.

Whatever.

Peter...I just heard.

‐ What the hell happened?
‐ I'm not quite sure.

Tammy, this is O‐neg.
I asked for type specific.

‐ He is O‐negative.
‐ Alright, I'm gonna scrub in.

Hang in there, Dr. Carter.

How many units
is that?

Oh, it's five but, uh

you shouldn't be counting.

Mmm, it's bad, isn't it?

Well, we're having problems,
uh..

...keeping your crit up but,
uh..

...I think that's
from the renal lac.

I'm gonna give you
a couple of versed

to relax you a little
before I intubate, okay?

Could be the aorta.

Or the vena cava

or mesenteric vessels.

Oh, God.

Carter, don't worry.

I'm going
to explore the abdomen.

I'm going
to check out everything, okay?

I'm glad it's you.

Hey, I'm getting you
through this, man.

'You hear me?'

Carter?

Okay, ready to intubate.

Alright, let's prep him
for a midline incision.

I want to be able to cut
in two minutes.

‐ I mean it.
‐ You got it.

'We repaired a laceration
to the proximal aorta.'

‐ 'What happened?'
‐ She tamponaded.

‐ 'We had to crack her.'
‐ 'Move it, Peter. I got this.'

‐ Who's on anesthesia?
‐ I got her. Go scrub.

'Put her on a table supine,
and keep her chest covered'

'with moist sterile lap pads.'

I don't understand.

You need a six‐inch

butcher knife
to cut a cake‐‐

Hey, I didn't
bring it.

They just told me
that's what we use.

‐ Yes, and we just leave it out?
‐ I didn't.

Okay, was it at admit
or in the lounge?

I don't know, somebody said
it was in the lounge

but I couldn't find it.

Amira, go upstairs
and get security

to open up
the personnel office.

I need emergency contact numbers
for Carter and Lucy.

‐ You want me to look‐‐
‐ No.

I want you to bring
them down. Go.

Okay, he presented
with a headache.

‐ Who?
‐ Paul Sobriki.

Mark, please tell me
that you saw him.

Yeah, I saw him.

Lucy worked him up.
Carter supervised him.

‐ And who supervised him?
‐ The LP came back negative.

You know what, if you wanted
to leave early

you could have
at least rounded.

Kerry, I ran the board
with Dr. Kovac.

‐ For how long? For 30 seconds?
‐ He was up to speed.

Hold on, you didn't tell me
he was psychotic.

I didn't know
he was psychotic.

‐ Did he present to you?
‐ No, I didn't see him.

I thought we were waiting
for a psych consult.

Unless his status changes.

Yeah, but, someone should
tell me that.

I was managing
the whole board.

‐ You were having a party!
‐ Hold on. Hold on.

‐ Come on, come on.
‐ Kerry, Kerry..

We both thought that Lucy

and Carter had it covered.

‐ Well, they didn't, did they?
‐ Excuse me.

We both know that
we use the residents

to keep us informed.

Are you blaming Carter,
Mark?

No, I'm not blaming anyone.
Are you?

Excuse me, I have
Samantha Sobriki with me.

She's looking
for her husband.

I got a message on my answering
machine from Lucy Knight.

'She said to come down
that‐that Paul's okay'

'but she didn't say
what was wrong.'

You'd better come with me.

Dr. Weaver, that chopper's
landing right now.

‐ What?
‐ The medevac from whiting.

Alright, Kerry, you go
and change. I'll take it.

Right.

‐ What happened?
‐ Oh, good, you're here.

I need you, okay?
The air squad's here.

Was there a bomb
scare or something?

I wish.

No, I don't believe you.

Where's Paul?
I want to see him.

He's not here.

Paul wouldn't hurt anyone.
He couldn't.

He needs help,
Mrs. Sobriki.

There's been
some kind of mistake.

We believe he may
have schizophrenia.

What?

The first psychotic break
can happen in your 20s.

‐ You're wrong, okay?
‐ No, I‐‐

'You're wrong.'

'More lap pads.
The kidney won't tamponade.'

'You didn't have time to get
a three‐way or an IVP?'

'His crit was falling.
I didn't want to chance it.'

Oh, the colon is lacerated,
alright.

Alright, three‐O silk
and a GI needle.

Dr. Anspaugh, there's blood
welling in the hilum.

Alright, alright, alright.

Isolate the renal artery
and get a clamp on it.

He's hypotensive.
Heart rate's up to 120.

we got to get this kidney out of
him before we lose him, move.

Hold on, let me finish
suturing his colon

before we do
something drastic.

I'll dissect out the arteries
and tie them off.

‐ Come on. Make some move.
‐ I said wait, Peter.

Why? He's lost too much blood.
His‐his hilum is trashed.

Dr. Anspaugh,
he's getting shocky.

‐ Pressure is 78 palp.
‐ Alright, pedicle clamp.

‐ 'We have some time.'
‐ No, we don't!

Peter, will you calm down
and you listen to me!

Before there's no turning back
let's check the source

of the bleeding one more time.

Too many vessels are injured.

Squeeze in another unit.

Let's be sure.

'There's too much bleeding.
I can't identify the source.'

‐ 'More suction.'
‐ Abdominal lap pads.

I'll pack off
the liver.

‐ BP's 105 over 70.
‐ Alright, angled potts now.

‐ What are you doing?
‐ Pringle maneuver.

Have to cut down this blood
loss. More suction, damn it.

Robert, the spleen's
still bleeding.

Okay, give me a second.
I'll be right there.

‐ BP's falling, 80/60.
‐ Run another unit.

She's losing it as
fast as we can give it.

Then do it quickly.

A and O times four.

BP 132/82.
Pulse 110.

You're sure there wasn't
a projectile?

A bolt,
some hardware?

No, just the oil.

Must have been
a loose fitting.

Foreman said a small
stream at that pressure

will cut through
you like a .22.

‐ Mark?
‐ Hey, dad.

‐ What's going on?
‐ Ho‐hold on.

Okay, get trauma panel,
type and cross for four

and an upright chest,
I'll be there in a minute.

A couple
of our staff were hurt.

Oh, I heard that
part. Who's that?

I'm just covering. Everything's
a little off balance.

‐ Where's Elizabeth?
‐ She's upstairs in surgery.

'Dr. Greene, uh, sorry.'

We've got an MVA coming in,
auto versus pedestrian.

‐ ETA five minutes.
‐ 'Grab Chen and Malucci.'

And, uh, Weaver
should be around.

Now, what‐what do I do
with her mother?

Uh, just give me a half hour,
okay? I'll drive you guys home.

‐ Are they gonna be alright?
‐ Who?

‐ Your friends.
‐ I don't know, dad.

You're acting like you know
he did it.

You don't know
he did it.

You're right,
we don't know for sure

but we still really need
to find him.

He's not
at the home address.

Nobody's seen him
at the diner.

Is there any other place
he might go

if he needed to feel safe?

So, he's a little depressed,
it doesn't make him crazy.

'Maybe not, but at the moment'

we have to assume he could be
a great danger to himself

or other people.

That doesn't make any sense.

If he was that dangerous

then why did they
leave him alone?

I understand, this doesn't make
much sense to any of us

but if Paul is in trouble,
he needs help.

And it's better
if we can find him now.

Sometimes he goes to the roof
when he wants to be alone.

‐ The roof?
‐ Of our apartment building.

He didn't do this.

‐ Bleeding's under control.
‐ If we can just keep it there.

Pean clamp.

‐ Okay, watch the pancreas.
‐ Hold on.

I'll enlarge the incision
in the posterior peritoneum

and watch out
for the splenic flexure.

Got it.
I'll clamp, you cut.

Mm‐hmm. Metz.

Bastard really sliced
the hell out of it.

Senseless.

Why we have to cut up this poor
girl like this..

Well, it's better
than the alternative, isn't it?

'Let the renal artery
flush retrograde'

'before closing the defect.'

There.
Think we got it?

Well, there's only one way
to find out.

Release the clamp...let
the kidney profuse.

Okay..

Go ahead.

No bleeding.

Hilum's intact..

...and the kidney
is pinking up.

Alright, we did it.

You were right. Thanks.

Well, he could have lived
without a kidney.

I just didn't want
to have to tell him.

Pressure's still down.
80/62.

‐ We caught up on volume?
‐ Almost.

Then why is he
still hypotensive?

There's some swelling
in the para‐aortic area.

‐ There's a hematoma forming.
‐ From the lumbar artery?

‐ I hope so.
‐ You hope so?

If we tie it off
it could paralyze him.

Well, it's better
than his aorta.

Dissect down to the artery,
Peter.

Some kind of life
to lead, huh?

Well, I hope
this is not normal.

No, no, no,
I don't think so.

You've got quite
a girl there in Elizabeth.

I wish I could take
the credit.

The boarding school
raised her.

Oh.

I was teasing.

Oh.

H‐her father passed on?

No, he was still alive
the last I heard.

Oh.
I'm sorry.

Oh, don't be.
It wasn't your fault.

Have you heard anything?

They're both
still in the OR.

Think we should go
up there?

Nah, I'm sure they'll call
when everything's okay.

What have you got?

John Doe, hit by a van

running across Michigan Avenue.

No apparent head trauma,
but repeating questions.

...and there's a cab waiting
for me.

I think we're
talking Looney Tune.

‐ Let me go.
‐ Why?

'He was running buck naked
in the freezing cold.'

Get Weaver now!

You're not allowed
to be doing this to me.

‐ You sure it's him?
‐ Yeah, it's him!

‐ What're you doing?
‐ 'Trauma panels, C‐spine.'

Chest and pelvis.
He's combative. He's agitated.

I'm not taking
any chances.

Can you get that
police detective in here?

Diminished breath sounds
on the right. Get X‐ray in here.

Abdomen is soft,
non‐tender.

I won't talk, I won't talk.
I made promises to people.

Pupils four millimeters
equal and reactive.

Paul, do you know
where you are?

Who told my name?
I don't even know you.

Paul, do you remember
what happened?

You can't trick me.
I don't know you!

'Abrasions on the feet.'

‐ No deformity.
‐ I'm not deformed!

‐ Temperature's 95‐point‐‐
‐ No!

Get off of me, now.
Leave me alone.

‐ 'Don't stick me.'
‐ You want some Haldol?

'They wouldn't
stop sticking me.'

Dr. Weaver,
do you want some Haldol?

‐ 'Dr. Weaver?'
‐ 'Yeah.'

Two liters of warm saline,
five of Haldol, IV.

'Where you going?'

Looks like fluid

in Morrison's pouch.

‐ You okay?
‐ He's the guy.

'It's the psych patient
hit by a car.'

‐ What is it?
‐ Can you just take him.

‐ Yeah, okay.
‐ Thank you.

I'll send him
up to the OR.

BP 124/82
after a liter.

Probably just
some venous oozing.

Cleo, can you go up
with him?

‐ Who's our surgeon?
‐ Whoever's free.

He needs a chest tube
and head CT.

Hey, let me go.
I won't let you touch me.

‐ Hold.
‐ Stop sticking me.

‐ No hemotympanum.
‐ Let me go!

'Keep that mask on him.'

'Don't cut me.
Don't cut me.'

'No.'

Hell of a way to spend
valentine's day, huh?

She's satting at
98 on 30% oxygen.

Wow. Can't ask
for better than that.

Good work.

How's Carter?

Well, it took a while
to control the bleeding.

They salvaged his kidney. Now
they're working on a colostomy.

Unbelievable.

'Yep.'

‐ 'Dr. Romano?'
‐ Huh?

County supervisor's
on the phone.

He just heard what happened.

Tell him I'm in surgery.

I just told him you got out.

Thank you.

Appreciate that.

‐ I'll be right back.
‐ Yeah.

Dr. Corday,
she's waking up.

Lucy?

Lucy, can you hear me?

Do you know
what happened to you?

There were
several stab wounds

one laceration
to your proximal aorta.

We had to perform a thoracotomy
after you arrested.

They gave you a trake
to maintain your airway.

And we brought you to the OR.

Your liver was damaged,
but we were able to repair it.

However, we did have
to remove your spleen.

I'm sorry.

'Lucy, you can't speak.'

You can whisper
if I plug the trake.

Do you want to try that?

Okay.

Remember, only whisper.

Thank you.

'Bring the proximal colon
to the skin surface.'

'3‐0 chromic.'

You hanging in
there, Peter?

‐ You look a little ragged.
‐ I'm fine.

Metz.

You know, all in all
I think young Dr. Carter here

is very fortunate.

Well, that depends
on how you look at it.

Dr. Anspaugh, they need
a surgeon in OR three.

What is it?

Some kind of penetrating trauma.

‐ 'Something about oil.'
‐ Where's Dr. Corday?

‐ You want me to page her?
‐ We're busy here.

Why don't you go take a look,
Peter. I can finish.

No, I've come this far.

‐ Is the patient stable?
‐ Yeah.

‐ Who's with the patient?
‐ Dr. Finch.

Ask her to stay
until Corday shows.

They need me
in the OR.

I'll be back, Lucy.

Hold on.

Her sat's down to 82.

What is it?
Chest pain?

Sudden onset.
Put her up to 100%.

We need to go for a spiral CT.
Right now.

Yes, Lucy,
PE is a possibility.

‐ 'What's going on?'
‐ Sudden onset.

Chest pain dropped her sats.

We went to scan her
for pulmonary embolism.

Bolus 5000 Haparin.

Start a drip
at 1000 an hour.

Whoa, whoa, whoa. Hold on, hold
on. Keep going. Come here.

Wait till after the scan,
I don't wanna

thin her blood
if we don't have to.

I think she just threw
a massive clot in her lung.

Well, she's just had
major surgery.

We don't want her to bleed out.

If she can survive
some post‐op bleeding.

If it is PE
and we don't thin her blood

she could throw another clot.

Alright.
Have FFP standing by

and we are not gonna heparinize
for more than two hours.

‐ I won't need that long.
‐ Let's go.

Were you the one
working on my husband?

Your husband
was hit by a car.

Collapsed lung, but we fixed it.

No head trauma and he's seeing
the psychiatrist now.

Can I see him?

You might wanna
wait a minute.

We gave him a drug
to calm him down.

No, I really
need to see him.

There.
Right pulmonary artery.

Get her to angiography
for a filter.

I'll meet you there.
Get the room ready.

Chest and abdominal dressings
are soaked through.

Watch her BP
and send off a hematocrit.

Okay, it's just a little
oozing from the incision.

That happens with Haparin.

You blood pressure's fine.

There's
no major hemorrhage.

Lucy, the CT shows
a pulmonary embolism.

'Don't worry, we're taking
you to angiography'

'we'll put in a
Greenfield filter.'

We'll reverse the Haparin.

However, you might need
to have another transfusion.

Lucy, are you with me?

I'll get you
through this, alright?

Alright.

Whoa.

‐ You want anything?
‐ Uh, just coffee.

‐ Two coffees, please.
‐ 'Hey.'

‐ Hey.
‐ Hi.

'I guess you didn't want
to go home either, huh?'

Yup. Sit down.

We thought it was better
than waiting upstairs.

‐ Pretty scary, huh?
‐ Yeah, pretty scary.

I was complaining
about my day.

BP's 112/78.
Pulse 102.

AC 14, tidal volume
600, 100% FI02.

Another two of Versed.

It's just to relax you
a bit during the procedure.

'You wanna stay awake?'

Okay. Okay.

I'm going to numb the inguinal
area with Lidocaine

and introduce a catheter
into the femoral vein.

I'll prep.
Get gowned.

‐ Spun crit is 32.
‐ Good. Go.

I'll be right back, Lucy.

Don't worry, Ms. Knight,
we put far too much time

and energy into your
training to lose you now.

'Greenfield filters are a snap.'

'I've done about
a hundred of them.'

'I'll talk you through
it, if you like.'

‐ BP's down to 60, pulse ox 72.
‐ Lucy?

‐ Lucy?
‐ No carotid pulse.

Damn it, she's
thrown another clot.

Start chest compressions.

You, get in here
and bag her!

Lizzie, I need you now.
Get me a staple remover.

Come on, come on, come on.
Right now.

Pour some Betadine on the chest.

‐ 'You'll open her right here?'
‐ She won't make it to the OR.

Call the unit. Tell them
we need two more nurses.

‐ What happened?
‐ She's in PEA.

‐ Standby with wire cutters.
‐ Wire cutters?

We wired the damn
breastbone together.

‐ Dr. Corday's tied up.
‐ What is she doing?

I don't know,
she went down to CT.

‐ Alright, can you take it?
‐ Peter, I'm suturing.

Well, I've got
to run the bowel again.

That man needs an ex‐lap.
Now, go.

I'll page you
if anything changes.

‐ Vitals?
‐ BP's 125/85, pulse 92.

‐ Crit?
‐ Forty‐two.

That's normal.
Okay, prep for an ex‐lap.

Cleo, stay here
until the surgeon comes.

‐ You're not staying?
‐ I'm still operating on Carter.

Start internal compressions
as soon as you can.

The right ventricle
is dilated.

Side‐biting clamp.
Come on, come on.

‐ You want a fogarty?
‐ No, just a yankauer.

Scalpel.

Try and suck out
whatever we can.

Suction.

‐ Okay, that's the right side.
‐ We've got a few clots here.

Good.
Maybe she'll get some oxygen.

Doctor Finch,
pressure's dropping.

This, guy, can't wait.
Where the hell are they?

Down to 80 palp.

Probably tore
a mesenteric artery.

‐ Get Benton.
‐ Lost the pulse.

‐ Starting compressions.
‐ Betadine.

‐ What are you doing?
‐ Thoracotomy tray.

Whoa, ho‐hold on.
He only needs a laparotomy.

I don't know how to do that.
Do you?

You can't operate up here.
Wait for the surgeon.

He can take over
when he gets here.

Somebody get me a scalpel,
and get Benton up here now.

‐ One more 4‐0 prolene.
‐ 'How's her pulse ox?'

‐ Sixty eight on 100%.
‐ Still not oxygenating.

‐ I don't know, Lizzie.
‐ Removing side clamp.

‐ V‐fib. Resuming compressions.
‐ Internal paddles.

Charge to 15.

Clear.

Still in V‐fib.

‐ Charge to 30.
‐ 'Push an amp of epi.'

Clear.

‐ Nothing.
‐ 'Again.'

Clear.

Sat down to 62.

Charge again.
A hundred of Lidocaine.

‐ Clear.
‐ No.

Again. Clear.

‐ What the hell are you doing?
‐ Saving his life. Statinsky.

You cracked his chest?
He needed a Laparotomy.

You should have been here.

You should've called me sooner.
Gown.

Aorta's cross‐clamped.
Pressure's coming up.

This was completely unnecessary.
What the hell were you thinking?

A minute ago there was no
pressure, now, there is.

Sterile gloves, step back,
Dr. Finch

‐ I've got it from here.
‐ Peter, he was about to arrest.

Step the hell back now.
Ten blade.

Pulse is down to 90.

Alright, lap pad and bovie.
Let's move, people.

Peter, I'm sorry, Carter‐‐

Irrigate the chest
with three liters

of warm saline.

Come on.

'Clear.'

‐ 'Asystole.'
‐ 'Push an amp of Atropine.'

‐ When was the last epi?
‐ Four minutes ago.

Push another
seven milligrams now.

Clear.

Okay, that's it.
We've done everything we can.

Holding compressions.

Oh, damn it.

'Son of a bitch.'

No.

No, no, let's give a minute
for the last epi to circulate.

Come on,
charge to 30. Let's go.

Come on, Lizzie, let's go!

Robert..

Call it.

Time of death, 2:56.

When can I go home?

I don't know.

I wanna go home.

I n..
I need to feed my dog.

Paul, we have someone
here to see you.

‐ Paul.
‐ Sam.

Are you okay?

It's alright.
I wanna go home.

Paul, what happened?

They took my clothes

and they took my shoes.

‐ 'Who took your clothes, Paul?'
‐ Them.

Who's them?

They had a‐a blue cake.

'Is that where
you got the knife?'

They were gonna open me.

Paul, where did you
get the knife?

They were gonna
take my organs.

‐ 'What organs?'
‐ My internal organs!

Don't you understand?
I had to, I had to protect them.

Don't try to tell me
I don't know because I know!

They were
trying to take them

'and I had,
I had to stop them!'

'Is he ready?'

Yeah.

You wanna
take him upstairs?

'Can I, can I
please go home now?'

'I need to feed my dog.'

I'll meet you in recovery.

Is Carter out of the OR?

Yeah. He's‐he's extubated,
in recovery.

Vitals are stable.

‐ Peter..
‐ No, no, no, listen.

Uh, you were right.

I put you
in a tough position.

You did what
you had to do.

What's wrong?

There was a complication
with Lucy.

No, not Vanessa Vanessa.

The one and only.
You know her?

Oh, I saw her when
I was in medical school.

And she comes in
with abdominal pain.

Carter orders a pelvic.

'Tells Lucy the patient'

'would feel more comfortable
with a woman.'

‐ Oh, man!
‐ Who‐who's Vanessa?

Lucy is all official.
She's polite.

She gets her tray
all in order

'puts on her gloves,
pulls back the curtain‐‐'

Meanwhile, Carter's
outside waiting.

Uh, waiting for what?

The scream.

I don't get it.

Carter sent her in

to do a pelvic
on a drag queen.

He did not.

‐ Swear to god.
‐ That's terrible.

How could she not know?

'Oh, you gotta hand
it to Vanessa.'

'He's got a better
figure than I do.'

What is it?

Uh, Lucy.

'Alright, let me know
when the vibration stops.'

What about the pancreas?

It's totally intact.

He just got
the descending colon.

How long will I have
the colostomy for?

About a month.
We'll do a take‐down.

Now.

Good.

Sensation's intact.

You were lucky, Carter.

I know.

Thank you.

You're welcome.
Alright.

I'm going to test your motor
strength. Lift your leg.

‐ How is Lucy doing?
‐ Come on, man, lift, lift.

‐ That hurts.
‐ 'I know.'

Alright, now don't let
me push it down, okay?

'Hold it.'

‐ Hold it.
‐ Uh‐uh.

‐ Uh‐uh.
‐ Hmm‐mm.

Good, good.

My back is killing me.

'Yeah, I know, hematoma
around the lumbar plexus.'

'I'll give you some Morphine.'

'I want you up and walking
in 12 hours, okay?'

Lucy's dead, isn't she?

Oh. You're home.

Is everything alright?

No.

You want to tell me about it?

Not particularly.

I'll make breakfast.

'We still need
a pressure transducer'

for trauma one, and get two
units of O‐neg down here.

We're out of Ancef.

Well, call the pharmacy.

Mark.

I just heard.

How did this happen?

We, uh, talk about it later?

Yeah. Sure.

Something coming in.

Multi victim trauma.

Assembly line accident,
I told them

we could take two majors,
six minors.

ETA?

They're rolling up,
but I just realized

we're short a doc
and a med student.

Hey, Abby, are you on?

‐ No.
‐ We're short, can you cover?

Uh, sure.

Great. I need someone
to cover triage.

'42‐year old male,
crush injury to the right arm.'

'Got it stuck
in a conveyor belt.'

'Gave him Morphine
and two liters in the field.'

'A little shocky. 90/60.'

'Neuro‐circ intact?'

No, couldn't get a radial
or brachial pulse.

Multiple fractures.

Okay.
Call ortho and vascular.

Type and cross for four.

Get him into trauma two.

I had to close her chest.

Thank you.

The nurses can do that.

I know.