All language subtitles for Emergency Room - 1x20 - Loves Labor Lost SFM (english sub) DJJ.HOME.SAPO.PT

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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:52,350 --> 00:00:54,543 Montana to Rice! 2 00:00:56,049 --> 00:00:57,810 -They're on different teams. -Since when? 3 00:00:58,016 --> 00:00:59,709 When l watched their last game at Carol's. 4 00:00:59,916 --> 00:01:01,779 -But that was way back. -l'll say. 5 00:01:02,216 --> 00:01:03,772 -Go long. -Me go long? 6 00:01:03,983 --> 00:01:06,881 -l'm out of shape. You go long. -l'll go long. 7 00:01:09,749 --> 00:01:12,010 -Too far for the lvy League arm? -Car! 8 00:01:17,115 --> 00:01:18,172 Hey, you butthead! 9 00:01:18,481 --> 00:01:20,447 What are you, out of your mind? 10 00:01:20,882 --> 00:01:22,404 Not another one! 11 00:01:22,615 --> 00:01:24,604 Go get a gurney, Doug. 12 00:01:25,181 --> 00:01:27,477 l'm not playing catch with you anymore. 13 00:01:28,881 --> 00:01:31,040 -Nice of them to drop him off. -What are friends for? 14 00:01:31,248 --> 00:01:33,645 Three-month-old seizing in 1 . Temp's 1 05. 15 00:01:33,847 --> 00:01:36,870 -l got him, Doug. Go! -ls Dr. Benton--? 16 00:01:38,747 --> 00:01:40,770 -Give her three more of morphine. -Five. 17 00:01:40,981 --> 00:01:44,105 -Call X-ray down here, stat. -Susan, l need you in here. 18 00:01:44,313 --> 00:01:46,370 -What x-rays do you want? -Move, Carter. 19 00:01:46,680 --> 00:01:48,373 Please, Petey. Oh, it hurts! 20 00:01:48,580 --> 00:01:50,568 Okay, Ma, okay. Listen, all right? 21 00:01:50,779 --> 00:01:53,041 Get an x-ray of the hip, chest and pelvis. 22 00:01:53,247 --> 00:01:55,576 -What about a C-spine? -Get out of here! 23 00:01:55,779 --> 00:01:57,506 Carter, come with me. 24 00:01:59,679 --> 00:02:01,235 Pulse, weak. He's bleeding. 25 00:02:01,446 --> 00:02:03,809 -Multiple trauma. Gown up! -O-2, 1 5 liters. 26 00:02:04,012 --> 00:02:06,205 -What's Benton doing? -His mom broke her hip. 27 00:02:06,412 --> 00:02:08,707 -That's bad at her age. -What about labs? 28 00:02:08,912 --> 00:02:12,469 CBC, type and cross 8 units. Run the saline wide open. 29 00:02:12,678 --> 00:02:14,769 Carter, Deb, the guy's out of it. 30 00:02:14,979 --> 00:02:17,171 Primary survey's done. Now what do you get? 31 00:02:17,378 --> 00:02:20,173 -Get a CT. -Narcan, 0.8. 32 00:02:20,378 --> 00:02:22,900 -And then you gotta get the-- -Glucose, 85. 33 00:02:23,111 --> 00:02:25,736 Get smart nurses and nod sagely. 34 00:02:27,011 --> 00:02:30,704 Get her another 5 of morphine. CBC, Chem-7, UA, EKG... 35 00:02:30,911 --> 00:02:33,399 ...hip, chest and pelvis. Move! Come on! 36 00:02:34,510 --> 00:02:35,703 Don't take it off! 37 00:02:35,911 --> 00:02:38,967 Call the chief of Orthopedics. Tell him to get down here now! 38 00:02:39,177 --> 00:02:43,075 -We need to undress you, Mrs. Benton. -Please. Not in front of Petey. 39 00:02:43,843 --> 00:02:46,309 -Peter. Peter. -What? 40 00:02:46,509 --> 00:02:49,475 She doesn't want to be naked in front of her son. 41 00:02:49,676 --> 00:02:51,733 Okay. All right, Ma. 42 00:02:52,409 --> 00:02:54,068 l'll be outside, okay? 43 00:02:55,676 --> 00:02:56,971 Here's the blood clav. 44 00:02:58,209 --> 00:02:59,640 l'll be right out here. 45 00:03:05,575 --> 00:03:06,598 He's going down the tubes. 46 00:03:06,809 --> 00:03:09,604 -Can l intubate? -No. lt could be a neck fracture. 47 00:03:09,809 --> 00:03:12,240 Always look everywhere. We'll roll him. 48 00:03:12,442 --> 00:03:14,499 Ready, and now. 49 00:03:16,641 --> 00:03:19,403 There we go! Single gunshot wound. And back. 50 00:03:19,608 --> 00:03:20,733 Heart's racing. 1 80. 51 00:03:20,941 --> 00:03:23,463 -He barely has a pulse. -Put the blood on a pressure bag. 52 00:03:23,674 --> 00:03:24,867 Cap refill's bad. 53 00:03:25,075 --> 00:03:26,870 -No pulse. He's arrested. -All right. 54 00:03:27,040 --> 00:03:28,529 Carter, take over CPR. 55 00:03:30,608 --> 00:03:32,937 -We gotta crack his chest. -l got it. 56 00:03:33,140 --> 00:03:34,901 Thoracotomy tray! 57 00:03:36,207 --> 00:03:38,900 We do a thoracotomy when? 58 00:03:39,440 --> 00:03:43,202 -Penetrating trauma and full arrest? -Exactamundo! 59 00:03:43,940 --> 00:03:45,803 l need the rib spreader. 60 00:03:46,139 --> 00:03:47,537 Towel, scalpel. 61 00:03:48,906 --> 00:03:50,735 Move your hands, Carter. 62 00:03:53,606 --> 00:03:55,504 Put the blood on the pump. 63 00:03:55,873 --> 00:03:57,463 Rib spreader. 64 00:03:58,505 --> 00:03:59,971 l'm in. 65 00:04:00,706 --> 00:04:01,797 Pericardium's dry. 66 00:04:03,072 --> 00:04:04,129 Aorta.... 67 00:04:04,339 --> 00:04:05,464 Statinsky. 68 00:04:05,772 --> 00:04:06,794 ls O.R. on alert? 69 00:04:07,005 --> 00:04:11,528 -They just finished that perfed appy. -Tell them they've got another customer. 70 00:04:12,671 --> 00:04:14,660 -There it is. -Nice save, Mark. 71 00:04:14,872 --> 00:04:16,202 Got a faint pulse. Let's go! 72 00:04:18,304 --> 00:04:19,668 l gotta go. l'm on tonight. 73 00:04:19,872 --> 00:04:21,838 -l'll have the place emptied out. -Deal! 74 00:04:22,037 --> 00:04:23,333 You taking the El home? 75 00:04:23,538 --> 00:04:25,629 l'll go with you. l'm back tonight... 76 00:04:25,837 --> 00:04:28,303 -...could you finish the nurse's notes? -Sure. 77 00:04:28,904 --> 00:04:32,768 Who the hell stat-paged me here for some old lady with a broken hip? 78 00:04:32,971 --> 00:04:35,368 -l'm Dr. Benton-- -Pulled me out of a meeting. 79 00:04:35,570 --> 00:04:38,001 This is my mother and she broke her hip, sir. 80 00:04:38,203 --> 00:04:40,362 Well, that she did, Dr. Benton. 81 00:04:40,570 --> 00:04:42,468 Blair, put her on your O.R. schedule. 82 00:04:42,670 --> 00:04:45,329 No, no. Sir, l want you to do the surgery. 83 00:04:45,537 --> 00:04:47,093 ER admits go to the teaching-- 84 00:04:47,303 --> 00:04:49,825 l don't want a resident operating on my mother. 85 00:04:50,036 --> 00:04:52,593 -l'll scrub in. -So you'll be holding the knife? 86 00:04:52,769 --> 00:04:53,792 l wanna scrub in too. 87 00:04:54,003 --> 00:04:56,491 -l'll be in there. -That's not good enough. 88 00:04:56,703 --> 00:04:58,464 l know this is your mother... 89 00:04:58,669 --> 00:05:01,896 ...but you are way over the line, son. 90 00:05:06,902 --> 00:05:08,492 l'll page you when we're done. 91 00:05:08,702 --> 00:05:10,793 Now back off. 92 00:06:04,565 --> 00:06:08,657 -So you tried to sand it off? -lsn't that what you do? 93 00:06:08,865 --> 00:06:11,559 Yeah, but we don't use a power sander. 94 00:06:12,198 --> 00:06:15,755 Mr. Longet's a diabetic, as well as an amateur dermatologist. 95 00:06:15,965 --> 00:06:18,453 Vera didn't want me just crossing it out. 96 00:06:19,031 --> 00:06:22,394 Well, one gram of Ancef. Update his tetanus. 97 00:06:22,598 --> 00:06:24,587 And get Plastics to see him. 98 00:06:24,798 --> 00:06:27,195 They may have to do a graft. 99 00:06:27,397 --> 00:06:31,386 -They can move that serpent head. -Onto the body of a goddess? 100 00:06:32,663 --> 00:06:34,186 l'll be right back. 101 00:06:37,496 --> 00:06:40,553 -Did you eat lunch? -No, the cafeteria's already closed. 102 00:06:40,763 --> 00:06:42,126 -Voil�! -Thank you. 103 00:06:42,330 --> 00:06:44,989 Hey, you're gonna be an ER attending. Congratulations! 104 00:06:45,196 --> 00:06:47,560 lt's not a lock. Can l borrow your pen? 105 00:06:47,762 --> 00:06:49,523 A lifetime of this, huh? 106 00:06:49,729 --> 00:06:52,161 The ER's great. Free time's your own. 107 00:06:52,362 --> 00:06:53,521 What free time? 108 00:06:53,729 --> 00:06:57,491 After your residency, you get skilled in every aspect of medicine. 109 00:06:57,696 --> 00:06:59,662 You see a variety of cases. 110 00:06:59,863 --> 00:07:03,192 You have an immediate effect upon your patients' lives. 111 00:07:03,395 --> 00:07:07,554 But mainly it's like joining the circus. 112 00:07:46,359 --> 00:07:49,189 l'm telling you, the opening goes in the back. 113 00:07:49,392 --> 00:07:52,449 Oh, my God, l'm as big as a house! 114 00:07:56,226 --> 00:07:58,317 -l'm Dr. Mark Greene. -Sean O'Brian. 115 00:07:58,526 --> 00:07:59,513 l'm Jodi. 116 00:07:59,725 --> 00:08:03,283 -Hop up on that bed. -l don't think l can hop anywhere. 117 00:08:04,092 --> 00:08:05,183 Easy. 118 00:08:05,892 --> 00:08:07,881 What seems to be the problem? 119 00:08:08,091 --> 00:08:12,251 Our baby's due in two weeks and l have to pee every 30 seconds. 120 00:08:12,458 --> 00:08:15,083 lt burns and my stomach hurts. 121 00:08:15,258 --> 00:08:17,087 Sounds like a bladder infection. Does this hurt? 122 00:08:17,291 --> 00:08:20,018 No, just don't push too hard. l gotta go again. 123 00:08:24,390 --> 00:08:28,220 Thirty-six minus four. Baby's about... 124 00:08:28,424 --> 00:08:31,117 ...five or six pounds. 125 00:08:31,790 --> 00:08:34,416 -You have any other medical problems? -No, no. 126 00:08:37,190 --> 00:08:39,678 -ls that cold? -Yes. 127 00:08:39,890 --> 00:08:41,879 Let's take a quick listen here. 128 00:08:43,289 --> 00:08:45,255 -l love that sound. -lt's great. 129 00:08:46,089 --> 00:08:47,419 lt's great. 130 00:08:48,423 --> 00:08:51,514 -Any cramping? Any vaginal bleeding? -No. 131 00:08:52,622 --> 00:08:54,520 Can you feel the baby move? 132 00:08:55,922 --> 00:08:58,183 Can you give me a urine sample? 133 00:08:58,455 --> 00:09:00,182 Are you kidding? 134 00:09:00,388 --> 00:09:02,786 Yes, l think l can do that. 135 00:09:04,821 --> 00:09:07,981 l want you to follow my finger with just your eyes. 136 00:09:13,321 --> 00:09:15,879 Good. Now squeeze your eyes tight like this. 137 00:09:20,454 --> 00:09:23,648 Great. Okay, press against my hand with your face. 138 00:09:26,020 --> 00:09:28,451 Great. Okay, show me your teeth. 139 00:09:38,553 --> 00:09:42,178 -Will Grandma be able to walk again? -Yeah, she'll be fine. 140 00:09:47,652 --> 00:09:51,141 l know what you're thinking, Jackie. Why don't you just say it? 141 00:09:51,953 --> 00:09:54,851 -Shut up, Peter. -No, go ahead and say it. 142 00:09:55,686 --> 00:09:58,447 l mean, it's my fault that this happened, right? 143 00:09:58,652 --> 00:10:01,913 l'm so pigheaded and self-centered. 144 00:10:02,385 --> 00:10:04,680 Just shut up and sit down. 145 00:10:17,218 --> 00:10:18,514 BP's 90 over 60. 146 00:10:18,717 --> 00:10:22,081 l found him in the greenhouse, passed out in the back. 147 00:10:22,284 --> 00:10:24,909 He visits at my work and this is the shape he's in. 148 00:10:25,117 --> 00:10:26,673 -Hydrate with saline. -l don't want to go. 149 00:10:26,884 --> 00:10:28,941 You'll go where l tell you to go. 150 00:10:29,150 --> 00:10:32,378 l am not losing another son to alcohol and drugs. 151 00:10:32,584 --> 00:10:34,913 She's 38 weeks, but l think her dates are off. 152 00:10:35,116 --> 00:10:36,548 The baby's small on exam. 153 00:10:36,749 --> 00:10:40,079 lnitial BP is 1 30 over 90, but over a couple of hours... 154 00:10:40,283 --> 00:10:43,373 ...BP's been fine. Around 1 20 over 80. 155 00:10:43,583 --> 00:10:46,811 FHT's normal, no cramps or spotting. 156 00:10:47,015 --> 00:10:48,641 l got your test results. 157 00:10:48,850 --> 00:10:51,577 UA shows white cells too numerous to count. 158 00:10:51,782 --> 00:10:56,044 Bacteria, 2 plus protein. CBC's normal. No fever. 159 00:10:56,249 --> 00:10:59,271 Simple cystitis. Fluids, rest and a course of Bactrim. 160 00:10:59,481 --> 00:11:01,674 lt's a bladder infection. 161 00:11:03,048 --> 00:11:05,241 -Who are they? -Med students. 162 00:11:06,014 --> 00:11:09,276 -They're so young. -l know. lt's disgusting, isn't it? 163 00:11:09,681 --> 00:11:13,239 Near-term antibiotic of choice is Macrodantin. 164 00:11:14,181 --> 00:11:16,738 Now, l want you to take these. 165 00:11:16,948 --> 00:11:18,709 Lots of fluids. 166 00:11:19,747 --> 00:11:22,212 Rest and follow up with your doctor in the morning. 167 00:11:25,147 --> 00:11:28,977 The sulfas compete with bilirubin for the binding sites on albumin... 168 00:11:29,180 --> 00:11:31,873 ...increasing the risk of neonatal jaundice. 169 00:11:32,080 --> 00:11:34,841 He saves lives, he teaches, he slices and dices. 170 00:11:35,047 --> 00:11:37,808 Deb, will you work up a weak and dizzy in 3, please? 171 00:11:38,013 --> 00:11:41,172 Doctors? Would you sign a get-well card? 172 00:11:41,780 --> 00:11:42,870 Sure. 173 00:11:45,479 --> 00:11:47,671 -Who's this for? -Me. 174 00:11:49,213 --> 00:11:50,974 -What is it? -Hemorrhoids. 175 00:11:51,146 --> 00:11:52,134 That's right here. 176 00:11:52,345 --> 00:11:55,243 -Dr. Ross, kid's crashing! -What? 177 00:11:58,078 --> 00:12:00,805 Alcohol level's down to 0, his pulse is down 40. 178 00:12:01,011 --> 00:12:04,273 Pupils pinpoint. Haleh, get a BP. Frothing at the mouth. 179 00:12:04,744 --> 00:12:06,801 -ls it drugs? -He's incontinent. 180 00:12:07,011 --> 00:12:09,602 -Negative drug screen. -BP's 70 over 50. 181 00:12:09,778 --> 00:12:10,766 Where do you work? 182 00:12:10,978 --> 00:12:13,205 -Wrigleyville Nursery. -Nursery, as in school? 183 00:12:13,411 --> 00:12:14,434 No, like in plants. 184 00:12:14,611 --> 00:12:16,440 -Outside or in the office? -Both. 185 00:12:17,244 --> 00:12:18,869 Mag of atropine, lV push. 186 00:12:19,077 --> 00:12:21,634 Tear off his clothes, wear gloves. 187 00:12:21,844 --> 00:12:25,571 Start a drip. A milligram an hour. 2-Pam. 1 gram over 30 minutes. 188 00:12:25,777 --> 00:12:26,800 What's wrong? 189 00:12:26,977 --> 00:12:29,499 lnsecticide poisoning. What chemicals do you carry? 190 00:12:29,710 --> 00:12:30,937 We use everything. 191 00:12:31,143 --> 00:12:32,938 We were spraying in the greenhouse today. 192 00:12:33,143 --> 00:12:34,769 -Will he be okay? -l think so. 193 00:12:34,976 --> 00:12:36,908 l'm gonna call the nursery. 194 00:12:40,009 --> 00:12:42,702 -What do you have? -Elderly man with hemorrhoids. 195 00:12:42,909 --> 00:12:45,466 Yuck! Everyone's so old and sick around here. 196 00:12:45,676 --> 00:12:47,835 Yeah. This is a hospital. 197 00:12:48,043 --> 00:12:51,906 -Yeah, l guess. Where's Benton? -He's in surgery with his mom. 198 00:12:52,108 --> 00:12:54,097 -Hi, guys. -Working the graveyard? 199 00:12:54,309 --> 00:12:57,706 Seven p.m., no Benton. l may get home by 8:00, for once. 200 00:12:57,908 --> 00:12:58,999 Somebody help me. 201 00:12:59,209 --> 00:13:01,936 My wife's unconscious in the car. Dr. Greene! 202 00:13:02,575 --> 00:13:06,132 Please, somebody help me! She's pregnant. Hurry! 203 00:13:07,241 --> 00:13:09,104 She's passed out. 204 00:13:41,206 --> 00:13:42,763 Freeze right there! 205 00:13:43,139 --> 00:13:45,298 lt's my mother. l wanna scrub in. 206 00:13:45,506 --> 00:13:50,268 You take one more step and l'll have your ass hanging on my wall... 207 00:13:50,472 --> 00:13:52,767 ...right next to your residency. 208 00:13:53,206 --> 00:13:55,728 -l wanna help. -Don't test me. 209 00:13:57,271 --> 00:13:58,464 Out! 210 00:13:59,305 --> 00:14:03,135 Now divide the iliotibial tract. Hemosat. 211 00:14:18,704 --> 00:14:20,602 Watch her airway. 212 00:14:22,537 --> 00:14:25,025 Get a stat BP. 213 00:14:25,237 --> 00:14:26,930 Oh, my God! What's going on? 214 00:14:27,137 --> 00:14:29,000 Carter, help Mr. O'Brian. 215 00:14:29,204 --> 00:14:30,601 Mr. O'Brian, we need to work. 216 00:14:30,803 --> 00:14:33,530 -Start a second lV. -BP's high, 1 60 over 1 1 0. 217 00:14:33,736 --> 00:14:35,167 You're okay, babe! 218 00:14:37,902 --> 00:14:42,494 She's eclamptic! Load her with mag sulfate, four grams, lV. 219 00:14:42,702 --> 00:14:43,895 Do you need blood? 220 00:14:44,102 --> 00:14:47,932 She needs a Chem-24, a coag panel and put her on a fetal monitor. 221 00:14:48,136 --> 00:14:50,158 Cap refill's fair. 222 00:14:52,268 --> 00:14:53,757 -Mr. O'Brian? -Yeah. 223 00:14:54,135 --> 00:14:56,499 -Your wife has eclampsia. -ls she gonna die? 224 00:14:56,702 --> 00:14:58,826 No, we need to get her admitted and-- 225 00:14:59,035 --> 00:15:00,023 She's seizing! 226 00:15:00,235 --> 00:15:02,326 Grab a bite block! ls the mag in? 227 00:15:02,534 --> 00:15:04,023 -Got it. -Restrain her. 228 00:15:04,235 --> 00:15:05,996 Do something! Somebody help her! 229 00:15:06,668 --> 00:15:07,998 Help her. 230 00:15:09,634 --> 00:15:11,122 Push another four mag sulfate. 231 00:15:13,267 --> 00:15:15,130 You'll be okay. 232 00:15:15,967 --> 00:15:17,297 lV's out! 233 00:15:17,534 --> 00:15:19,227 The other one's blown. 234 00:15:19,434 --> 00:15:21,399 l'll throw in an external jugular. 235 00:15:23,466 --> 00:15:25,159 Two migs of Ativan. 236 00:15:25,366 --> 00:15:27,559 -Where's the prep pad? -Restrain her. 237 00:15:36,433 --> 00:15:37,557 Restrain her. 238 00:15:40,099 --> 00:15:41,325 lt's in. 239 00:15:45,666 --> 00:15:47,824 O-2 to 1 5 liters. 240 00:15:52,098 --> 00:15:54,360 Okay, seizure's stopping. 241 00:15:55,665 --> 00:15:59,290 Let's hyperventilate her. Get doptones. Let me do a quick pelvic. 242 00:15:59,498 --> 00:16:01,396 Let's get a blood gas. 243 00:16:07,298 --> 00:16:09,889 Fetal heart tones, strong at 1 40. 244 00:16:10,464 --> 00:16:11,952 -That's good news. -30cc's of saline. 245 00:16:12,131 --> 00:16:16,120 Two cm dilated. Eighty percent effaced. Membrane's intact. 246 00:16:17,730 --> 00:16:19,559 Call upstairs, see who's on call for OB. 247 00:16:19,764 --> 00:16:21,252 What the hell is going on? 248 00:16:21,463 --> 00:16:24,792 Your wife has a disorder of late pregnancy known as eclampsia. 249 00:16:24,996 --> 00:16:28,894 The blood vessels spasm, causing lack of oxygen to the brain... 250 00:16:29,096 --> 00:16:32,619 ...which leads to the seizures. We're relaxing them with medicine. 251 00:16:32,830 --> 00:16:35,455 -What about the baby? -We'll need to deliver. 252 00:16:35,663 --> 00:16:37,424 -When? -Soon. 253 00:16:37,863 --> 00:16:39,294 Very soon. 254 00:16:39,962 --> 00:16:40,985 Who's in Trauma 1 ? 255 00:16:41,162 --> 00:16:43,719 A pregnant woman with an eclamptic seizure. 256 00:16:43,929 --> 00:16:46,191 She's postdictal but coming around. 257 00:16:46,396 --> 00:16:47,656 BP's stabilized? 258 00:16:47,862 --> 00:16:50,521 Mag sulfate going? l'll take over. Go home. 259 00:16:50,728 --> 00:16:52,819 l'd like to see her through the OB. 260 00:16:53,029 --> 00:16:55,051 -l can handle it. -lt's not you, it's me. 261 00:16:55,261 --> 00:16:58,557 l saw her earlier and l diagnosed UTl. 262 00:16:58,762 --> 00:17:01,557 Sent her out and she seized in the parking lot. 263 00:17:01,928 --> 00:17:04,689 l thought the protein in her urine was due to cystitis... 264 00:17:04,894 --> 00:17:08,792 ...and l blew off one borderline BP. l'd feel better if l saw her through. 265 00:17:12,627 --> 00:17:15,820 Fundal placenta. Looks okay. 266 00:17:16,527 --> 00:17:19,322 BP, 1 20 over 70. That's very nice. 267 00:17:21,827 --> 00:17:24,259 -Look at little Hunter. -Dermot. 268 00:17:24,459 --> 00:17:26,516 -Jason. -Patrick. 269 00:17:27,493 --> 00:17:30,220 -ls that a boy or what? -Four plus turtle sign. 270 00:17:30,426 --> 00:17:31,891 What's that? 271 00:17:32,092 --> 00:17:35,320 Looks like a little head peeking out right there. 272 00:17:36,759 --> 00:17:40,987 You give a score of zero or two for each category. 273 00:17:41,193 --> 00:17:44,091 -Movement? -He seems very active. 274 00:17:44,292 --> 00:17:46,258 Every night, around the same time. 275 00:17:47,358 --> 00:17:48,585 Score two. 276 00:17:48,792 --> 00:17:51,553 Also breathing, tone, amount of fluid. 277 00:17:51,758 --> 00:17:55,191 He's an eight. Anything less than a six, then you worry. 278 00:17:56,392 --> 00:17:57,448 You do the AFl. 279 00:18:00,192 --> 00:18:03,419 You divide the abdomen into four. 280 00:18:06,558 --> 00:18:08,989 Find the deepest pockets of fluid... 281 00:18:09,191 --> 00:18:11,986 ...without fetal parts or umbilical cord. 282 00:18:12,457 --> 00:18:13,717 You mark... 283 00:18:13,924 --> 00:18:16,152 ...each corner of the quadrant. 284 00:18:16,857 --> 00:18:18,584 Measure and then add up. 285 00:18:18,790 --> 00:18:21,312 ls that what this number is over here? 286 00:18:21,523 --> 00:18:25,250 That's the baby's heart rate. That should be between 1 20 and 1 60. 287 00:18:25,456 --> 00:18:27,046 So 1 40's perfect. 288 00:18:37,622 --> 00:18:42,486 The baby's in great shape. Biophysical profile's 8. AFl's 1 4. 289 00:18:42,689 --> 00:18:46,745 Cervix is favorable. l've got a non-stress test started. 290 00:18:47,389 --> 00:18:50,946 l feel very comfortable. l've delivered a couple hundred babies. 291 00:18:51,155 --> 00:18:54,279 lt's 9:00, so we'll see you in about an hour? 292 00:18:54,488 --> 00:18:55,613 What did Coburn say? 293 00:18:55,822 --> 00:18:58,515 She's at St. Luke's, and she says she'll be here... 294 00:18:58,721 --> 00:19:02,175 ...as soon as she's finished with her repeat C-section. 295 00:19:02,388 --> 00:19:04,251 She wants me to start an induction. 296 00:19:04,454 --> 00:19:06,976 That is, of course, if l feel comfortable. 297 00:19:07,188 --> 00:19:08,676 She said that? 298 00:19:08,921 --> 00:19:10,648 What a bitch! 299 00:19:11,954 --> 00:19:12,942 Hey, Drake? 300 00:19:13,554 --> 00:19:15,383 -How do things look? -Great. 301 00:19:15,587 --> 00:19:17,576 BP's have been perfectly normal. 302 00:19:17,787 --> 00:19:20,877 Oh, boy. How can l--? 303 00:19:21,086 --> 00:19:22,211 Excuse me. 304 00:19:23,053 --> 00:19:26,815 -He can't be more than 1 2 years old. -He's the OB resident on call. 305 00:19:27,719 --> 00:19:30,207 l just spoke with Dr. Coburn, our OB attending. 306 00:19:30,419 --> 00:19:33,112 And she agrees that we need to deliver you soon. 307 00:19:33,319 --> 00:19:36,717 -Will you have to do a C-section? -l want to deliver naturally. 308 00:19:36,919 --> 00:19:39,646 Your eclampsia's under control, the baby's good... 309 00:19:39,852 --> 00:19:43,080 ...and the cervix is favorable. l'd say we do a trial of labor. 310 00:19:43,718 --> 00:19:45,082 And if it doesn't work? 311 00:19:45,952 --> 00:19:47,474 l think it will work. 312 00:19:48,885 --> 00:19:50,851 l want to give it a try. 313 00:19:52,718 --> 00:19:54,240 Let's do it! 314 00:19:57,485 --> 00:19:58,780 Excuse me. 315 00:20:03,018 --> 00:20:05,984 Do you feel competent to handle this without me? 316 00:20:06,184 --> 00:20:10,048 -l think l can muddle through. -l'll check back with you at 2300? 317 00:20:10,250 --> 00:20:11,341 Roger. 318 00:20:12,350 --> 00:20:16,373 Carol, could you give Mrs. O'Brian .5 Pitocin lV? 319 00:20:16,583 --> 00:20:20,413 -You're inducing down here? -We'll start here and then get her up to OB. 320 00:20:25,650 --> 00:20:29,138 -How frequent are the contractions? -Every 1 0 minutes or so. 321 00:20:29,750 --> 00:20:32,909 -Okay, let's have Dr. Greene decide. -You're kidding! 322 00:20:33,116 --> 00:20:35,809 We can't call him Baby X when we call our parents. 323 00:20:36,149 --> 00:20:39,081 All right. Let's take a quick look. 324 00:20:44,415 --> 00:20:46,210 lt's five centimeters dilated. 325 00:20:46,415 --> 00:20:48,381 Ninety percent effaced. 326 00:20:48,582 --> 00:20:50,411 Station, minus two. Membrane's intact. 327 00:20:50,881 --> 00:20:52,211 -You wanna look too? -May l? 328 00:20:52,382 --> 00:20:54,973 Why not? Everybody else has been poking around in there. 329 00:20:57,714 --> 00:20:58,702 Here. 330 00:21:01,514 --> 00:21:07,378 -lan, Patrick, Dermot.... -Sounds like the cast of Finian's Rainbow. 331 00:21:07,647 --> 00:21:09,806 -Sorry. -Hunter? 332 00:21:10,014 --> 00:21:12,276 Hunter O'Brian? 333 00:21:14,513 --> 00:21:16,479 You agree with my assessment? 334 00:21:19,513 --> 00:21:22,377 Your labor's progressing along nicely and quickly. 335 00:21:22,580 --> 00:21:23,671 The baby's great. 336 00:21:23,879 --> 00:21:27,175 ls it normal for the heart rate to be going down like that? 337 00:21:27,380 --> 00:21:30,971 As long as it's only briefly, and it stays over 1 20. 338 00:21:31,180 --> 00:21:33,236 Jared's on both lists. 339 00:21:33,445 --> 00:21:34,706 lt's not my favorite. 340 00:21:34,913 --> 00:21:39,242 Compromise is the soul of marriage. Jared, it is. 341 00:21:41,078 --> 00:21:42,634 Jared. 342 00:21:47,012 --> 00:21:48,841 -Hope you feel better. -Thank you. 343 00:21:49,045 --> 00:21:50,635 You're welcome. 344 00:21:51,444 --> 00:21:53,239 The OB case is still here? 345 00:21:53,444 --> 00:21:56,376 They're still busy upstairs. l gotta call again. 346 00:21:56,977 --> 00:21:59,000 Dr. Greene! Something's wrong. 347 00:21:59,211 --> 00:22:01,972 The baby's heart-- The monitor's down to 90. 348 00:22:02,178 --> 00:22:04,201 lt's not supposed to go that low. 349 00:22:10,343 --> 00:22:12,502 Hey, Ma. Hanging in there? 350 00:22:13,477 --> 00:22:14,670 How are you doing? 351 00:22:14,876 --> 00:22:17,706 -Why so long in the recovery? -She's 76. 352 00:22:17,910 --> 00:22:20,933 -Estimated blood loss? -500cc's. 353 00:22:21,143 --> 00:22:22,802 Post-op orders? 354 00:22:23,010 --> 00:22:25,635 She may be your mother, but she's my patient. 355 00:22:25,843 --> 00:22:28,240 We're taking the O.R. elevator. 356 00:22:28,609 --> 00:22:30,904 She's going to 604. 357 00:22:40,242 --> 00:22:42,935 lt was bound to happen sooner or later, Peter. 358 00:22:54,208 --> 00:22:56,935 Sweetie, let's try a deep, cleansing breath. 359 00:22:57,141 --> 00:23:00,231 -Let's exhale on the count of-- -Shut up, Sean! 360 00:23:00,440 --> 00:23:04,031 Call OB and get the FeSS in here. How are we doing? 361 00:23:04,507 --> 00:23:07,802 -l'll have an epidural. -Contractions are three minutes apart. 362 00:23:08,007 --> 00:23:10,802 -No kidding! -Tracing showing decreased activity. 363 00:23:11,007 --> 00:23:12,132 What's that? 364 00:23:12,340 --> 00:23:14,965 The baby's heart rate is reacting less than it should. 365 00:23:15,174 --> 00:23:18,731 But babies sleep in 20-minute cycles, so what we want to do... 366 00:23:18,940 --> 00:23:22,030 ...is wake him up. Rise and shine! 367 00:23:23,506 --> 00:23:25,597 There we go. He was just sleeping. 368 00:23:25,806 --> 00:23:28,567 The heart rate's back up. Get an ETA on Coburn. 369 00:23:29,639 --> 00:23:33,537 l'm Dr. Urami, anesthesiology. l'm here to do your epidural. 370 00:23:33,739 --> 00:23:36,227 Yes, please. Let's do that. 371 00:23:39,672 --> 00:23:41,899 -How's that epidural? -Wonderful. 372 00:23:42,105 --> 00:23:45,333 l'm gonna show these pictures of Jared to my students. 373 00:23:45,539 --> 00:23:48,369 -Eighth graders? -You know, like ''show and tell.'' 374 00:23:48,571 --> 00:23:50,128 ln math class? 375 00:23:50,305 --> 00:23:53,930 Now we can get a pressure reading inside the uterus. 376 00:23:55,604 --> 00:23:58,297 This scalp electrode... 377 00:23:58,970 --> 00:24:02,334 ...monitors the pulse rate more exactly. 378 00:24:02,504 --> 00:24:03,730 Enjoying the show? 379 00:24:04,104 --> 00:24:06,127 Yeah. l mean... 380 00:24:06,371 --> 00:24:07,461 ...no. 381 00:24:07,670 --> 00:24:10,636 She's eight centimeters dilated, completely effaced. 382 00:24:11,904 --> 00:24:14,960 -Won't be long. -There's another decel. 383 00:24:16,836 --> 00:24:19,098 Variable with a late component. 384 00:24:20,336 --> 00:24:25,268 Let's infuse 500cc's normal saline through the uterine catheter. 385 00:24:25,435 --> 00:24:27,367 -Like a regular lV? -Yeah. 386 00:24:28,069 --> 00:24:30,660 And we need to get her up to OB. 387 00:24:31,502 --> 00:24:32,967 l'll light a fire under someone. 388 00:24:33,169 --> 00:24:36,135 -ls something wrong? -No, we're okay. 389 00:24:36,636 --> 00:24:38,601 -Page Coburn again. -Okay. 390 00:24:41,468 --> 00:24:42,934 Why can't l send her up? 391 00:24:43,135 --> 00:24:46,101 She's inches away and the epidural's wearing off. 392 00:24:46,835 --> 00:24:49,528 Well, then find Drake! Hurry up. 393 00:24:51,701 --> 00:24:54,962 Breathe. Breathe. Wanna try some breathing? 394 00:24:55,134 --> 00:24:56,895 Your fantasy about me quitting work... 395 00:24:57,067 --> 00:24:59,624 ...and staying home to have kids? Forget it! This is it. 396 00:24:59,834 --> 00:25:02,164 Repetitive lates. We need to deliver. 397 00:25:02,367 --> 00:25:05,527 -l need to take a look. -Try some single breaths. 398 00:25:09,133 --> 00:25:12,792 Fully dilated, 1 00% effaced. lt's time to start to push. 399 00:25:13,000 --> 00:25:14,091 Already? 400 00:25:14,300 --> 00:25:16,697 -Here? -Here. Carter. 401 00:25:16,900 --> 00:25:18,832 Run and get Carol. 402 00:25:20,800 --> 00:25:22,823 Try some breathing! 403 00:25:23,033 --> 00:25:26,430 l love you so much, babe. So much! 404 00:25:27,366 --> 00:25:29,093 Shut up! 405 00:25:31,199 --> 00:25:35,029 Get a baby warmer and a newborn resuscitation tray in 3, stat! 406 00:25:37,298 --> 00:25:39,730 Nine, ten! 407 00:25:39,932 --> 00:25:41,522 Take a breath, take a breath. 408 00:25:41,732 --> 00:25:43,527 -Welcome back. -Did l go home? 409 00:25:43,732 --> 00:25:46,425 Push! One, two, three.... 410 00:25:49,231 --> 00:25:51,220 Eight, nine, ten! 411 00:25:51,430 --> 00:25:53,226 l'm not ready to be a mother. 412 00:25:53,430 --> 00:25:55,658 -Bear down. -l can't! lt's gonna rip me apart. 413 00:25:55,864 --> 00:26:00,421 One, two, three, four.... 414 00:26:01,130 --> 00:26:04,426 l can't! l can't! Get it out! 415 00:26:05,164 --> 00:26:10,562 Carter! Go up to OB and drag Drake down. Tell him to bring some forceps. Go! 416 00:26:10,763 --> 00:26:11,854 She's not progressing. 417 00:26:12,063 --> 00:26:15,029 The baby's rate is low. l'll start the pudendal block. 418 00:26:15,229 --> 00:26:16,718 Okay, l'll gown up. 419 00:26:25,263 --> 00:26:29,319 -OB's got C-sections and deliveries. -No one will blame you if you wait. 420 00:26:29,529 --> 00:26:32,222 -The monitor says now. -Why put your ass on the line? 421 00:26:32,428 --> 00:26:34,894 l've come this far, l'm gonna see it through. 422 00:26:35,095 --> 00:26:36,686 -Where's Coburn? -ln transit. 423 00:26:37,262 --> 00:26:38,887 What, is she coming by camel? 424 00:26:39,529 --> 00:26:41,051 Get her BP. 425 00:26:43,594 --> 00:26:45,992 BP's still climbing. 1 50 over 1 00. 426 00:26:46,195 --> 00:26:48,024 Go, Mark. Baby's bradying down. 427 00:26:48,227 --> 00:26:50,216 Now don't push. Don't push. 428 00:26:50,427 --> 00:26:54,189 Before l break the plates, cut a median episiotomy. 429 00:26:57,461 --> 00:26:58,687 Here comes the head. 430 00:27:02,460 --> 00:27:04,222 -Get a blanket ready. -Damn! 431 00:27:04,426 --> 00:27:05,722 -Get him out! -He's stuck. 432 00:27:05,927 --> 00:27:07,517 -Shoulder dystocia. -What's that? 433 00:27:07,727 --> 00:27:09,590 Shoulder's hung up on the pubic bone. 434 00:27:12,326 --> 00:27:13,985 Oh, my God! 435 00:27:14,493 --> 00:27:15,856 Lead's off. 436 00:27:17,592 --> 00:27:18,615 McRobert's maneuver. 437 00:27:19,326 --> 00:27:22,553 -Push her legs up towards her head. -Lift your legs. 438 00:27:23,259 --> 00:27:24,623 Straight up in the air. 439 00:27:24,826 --> 00:27:26,724 Somebody push on the abdomen. 440 00:27:26,926 --> 00:27:29,517 -What are you doing? -Trying to free his shoulders. 441 00:27:29,992 --> 00:27:33,152 Carter, not fundal pressure. Down here. Down here. 442 00:27:36,225 --> 00:27:38,316 lt's jammed! Stat page OB! 443 00:27:38,491 --> 00:27:39,889 Oh, my God, do something! 444 00:27:40,892 --> 00:27:42,448 Let's try a Woods. 445 00:27:42,658 --> 00:27:44,453 l need to extend the episiotomy. 446 00:27:47,758 --> 00:27:50,189 lf l can rotate the posterior shoulder.... 447 00:27:50,724 --> 00:27:51,849 l love you, baby. 448 00:27:52,057 --> 00:27:54,716 Try to deliver the posterior shoulder. 449 00:27:56,291 --> 00:27:58,722 He's jammed in. Come on. 450 00:27:58,891 --> 00:28:00,618 Come on! Come on! 451 00:28:00,857 --> 00:28:02,584 Why can't you deliver this baby? 452 00:28:02,791 --> 00:28:04,051 Mr. O'Brian, please. 453 00:28:10,457 --> 00:28:12,786 lt's not working. Let her go. 454 00:28:12,990 --> 00:28:14,649 Let her go. lt's not working. 455 00:28:15,723 --> 00:28:17,154 Zavenelli. 456 00:28:17,356 --> 00:28:18,379 What are you doing? 457 00:28:18,589 --> 00:28:20,578 We gotta push the baby back in. 458 00:28:20,790 --> 00:28:21,880 Then what? 459 00:28:22,089 --> 00:28:24,453 We're almost through. 460 00:28:24,656 --> 00:28:28,678 Susan, get your hand in here. Grab a cesarean tray. Run! 461 00:28:30,822 --> 00:28:34,276 Climb on up, hold her head in. Throw a sheet over her. 462 00:28:34,488 --> 00:28:36,386 Get her into Trauma 1 . 463 00:28:37,121 --> 00:28:39,848 Find out if Benton's still here. Splash and crash. 464 00:28:42,988 --> 00:28:46,113 -Where are you taking her? -We gotta do an emergency C-section. 465 00:28:46,321 --> 00:28:49,480 -Have you done this before? -l've scrubbed in many times. 466 00:28:49,687 --> 00:28:50,710 l want somebody else! 467 00:28:50,888 --> 00:28:53,479 lf we wait five more minutes, your baby's brain dead. 468 00:28:53,687 --> 00:28:55,812 Oh, my God. Go, go! 469 00:28:56,087 --> 00:28:57,280 Do it! 470 00:28:58,554 --> 00:29:01,281 Please get out of the way. Let them work. 471 00:29:02,553 --> 00:29:03,849 l love you so much. 472 00:29:04,053 --> 00:29:06,348 We're almost home. We're almost out of here. 473 00:29:09,586 --> 00:29:10,574 Call Respiratory. 474 00:29:11,653 --> 00:29:13,050 Mr. O'Brian, wait outside. 475 00:29:13,253 --> 00:29:14,446 l love you! 476 00:29:14,653 --> 00:29:17,517 l'm right here. l'm right here. 477 00:29:23,219 --> 00:29:25,117 BP's sky high. 1 70 over 1 20. 478 00:29:25,318 --> 00:29:27,307 -What about anesthesia? -No time. 479 00:29:27,552 --> 00:29:29,313 l'll throw in a local. 480 00:29:29,585 --> 00:29:32,210 -She's seizing! -Grab the bite block. 481 00:29:33,851 --> 00:29:35,579 Let's paralyze and intubate. 482 00:29:35,785 --> 00:29:38,979 Versed, four migs. Norcuron, 1 0. 483 00:29:39,684 --> 00:29:41,343 lntubation tray. 484 00:29:41,751 --> 00:29:44,774 -Get Respiratory down here. -7.5. 485 00:29:46,718 --> 00:29:49,343 Suction standing by. 486 00:29:49,551 --> 00:29:51,517 O-2 at 1 5. 487 00:29:51,950 --> 00:29:54,542 Carter, try and get in here. 488 00:29:55,817 --> 00:29:58,045 We're just gonna bag her for now. 489 00:29:59,151 --> 00:30:02,412 Get that typed blood cross-matched and down here. 490 00:30:02,617 --> 00:30:04,879 -Where's that coag panel? -Get a vent ready. 491 00:30:05,083 --> 00:30:07,878 BP's 200 over 1 30! 492 00:30:11,016 --> 00:30:14,448 Everybody just take a deep breath, all right? 493 00:30:18,549 --> 00:30:21,310 Hydralazine, 1 0 migs. 494 00:30:22,749 --> 00:30:25,738 Another bolus of mag sulfate. 495 00:30:26,415 --> 00:30:30,813 Somebody call NlCU and get somebody down here... 496 00:30:31,015 --> 00:30:32,640 ...for the baby. 497 00:30:34,515 --> 00:30:37,572 Somebody physically go up to the OB... 498 00:30:37,782 --> 00:30:42,339 ...and drag somebody down here, okay? Go! 499 00:30:47,814 --> 00:30:49,507 Get the suction in. 500 00:30:50,647 --> 00:30:52,079 Scalpel. 501 00:30:53,214 --> 00:30:54,577 Let's see. 502 00:30:55,247 --> 00:30:57,145 ls that the fascia? 503 00:30:57,647 --> 00:30:58,907 Yeah, that looks right. 504 00:30:59,113 --> 00:31:02,671 -Grab with those clippies. -Hydralazine's in. 505 00:31:03,580 --> 00:31:04,670 Grab an army, navy. 506 00:31:04,880 --> 00:31:07,073 -Suction. -Metz. 507 00:31:09,113 --> 00:31:10,738 The long scissors. 508 00:31:12,379 --> 00:31:13,777 Retract there. 509 00:31:15,546 --> 00:31:19,239 -l'm in. -lsn't there something about a bladder flap? 510 00:31:20,513 --> 00:31:21,876 -Pickups. -Suction. 511 00:31:22,079 --> 00:31:24,136 -l'm dividing the peritoneum. -Hemostat. 512 00:31:24,312 --> 00:31:25,675 Okay, we're in. 513 00:31:26,378 --> 00:31:28,140 Grab that side and pull. 514 00:31:30,445 --> 00:31:31,968 Get a retractor in there. 515 00:31:32,178 --> 00:31:33,405 We need exposure. Pull! 516 00:31:34,245 --> 00:31:35,233 Oh, man! 517 00:31:36,512 --> 00:31:38,307 That's wide enough. 518 00:31:38,744 --> 00:31:40,710 All right. Now, scalpel. 519 00:31:41,644 --> 00:31:43,906 Cut across the lower segment of the uterus. 520 00:31:44,711 --> 00:31:45,699 You're asking me? 521 00:31:46,344 --> 00:31:48,139 l'm asking God. 522 00:31:48,611 --> 00:31:50,372 Suction. No, here. 523 00:31:50,577 --> 00:31:53,042 -You're not all the way through. -l don't wanna cut the baby. 524 00:31:53,377 --> 00:31:55,706 Open a pack of lap pads. 525 00:31:56,843 --> 00:31:58,070 Retract this way, more. 526 00:32:00,610 --> 00:32:03,269 -There, l think l'm in. -Oh, my God. 527 00:32:03,443 --> 00:32:05,136 There's two liters in there. 528 00:32:05,510 --> 00:32:08,203 -She's got an abruption! -She's bleeding out! 529 00:32:08,409 --> 00:32:10,705 -Gown up! -Get the baby out! 530 00:32:11,243 --> 00:32:12,799 Open those lV lines. 531 00:32:13,409 --> 00:32:15,136 Hurry, Mark. Get him out! 532 00:32:15,343 --> 00:32:17,831 -Get the baby. -Pump in saline. 533 00:32:18,042 --> 00:32:21,633 Forget that cross-match! Eight units O-neg down here, stat! 534 00:32:21,842 --> 00:32:24,672 -Hurry up. -l've got him. He's big. 535 00:32:25,408 --> 00:32:27,873 -Suction his airway. -BP's okay, 1 20 over 80. 536 00:32:28,041 --> 00:32:29,632 -Come out. -Hurry up. 537 00:32:32,008 --> 00:32:33,667 The cord's free. 538 00:32:33,875 --> 00:32:34,966 Suction his nose. 539 00:32:37,208 --> 00:32:38,366 Umbilical clamp. 540 00:32:42,608 --> 00:32:43,631 He's not breathing. 541 00:32:50,141 --> 00:32:51,606 Okay, clamp. 542 00:32:51,807 --> 00:32:53,273 All right, bag him. 543 00:32:53,473 --> 00:32:55,133 Carter, get in here. 544 00:32:57,473 --> 00:33:00,496 Get in here. Follow my hand down. 545 00:33:01,939 --> 00:33:03,064 Feel the aorta? 546 00:33:03,273 --> 00:33:05,068 -lt's pulsing. -Yeah, l do. 547 00:33:05,273 --> 00:33:07,296 -Push down on it. Got it? -l think so. 548 00:33:07,507 --> 00:33:09,836 -Don't think, do. -l got it. 549 00:33:10,039 --> 00:33:13,096 -ls he alive? -BP's holding. 1 1 0 over 70. 550 00:33:13,305 --> 00:33:15,033 Move, move! 551 00:33:15,239 --> 00:33:16,933 Start CPR. 552 00:33:17,139 --> 00:33:18,730 l'm gonna intubate. 553 00:33:23,339 --> 00:33:26,237 -Heel stick a glucose. -Tone is flaccid. 554 00:33:26,838 --> 00:33:28,428 We need a blood gas. 555 00:33:28,772 --> 00:33:30,931 -l can't see. Suction! -O-neg's here. 556 00:33:32,105 --> 00:33:33,764 All right, pump it in. 557 00:33:34,605 --> 00:33:36,298 l think l'm in. 558 00:33:39,605 --> 00:33:40,797 Bag him. 559 00:33:42,004 --> 00:33:43,402 Quick listen. 560 00:33:44,837 --> 00:33:48,599 -Chest expands while we're bagging. -Okay, we got it. 561 00:33:48,804 --> 00:33:50,599 Tape it and keep bagging. 562 00:33:50,804 --> 00:33:52,736 Blood sugar's 20. 563 00:33:53,303 --> 00:33:55,030 Give him D-1 0. 564 00:33:55,470 --> 00:33:58,231 -He's got no veins. -Hyperventilate him. 565 00:33:58,437 --> 00:34:00,766 l'm gonna try an umbilical line. 566 00:34:00,970 --> 00:34:02,197 What about some epi? 567 00:34:02,536 --> 00:34:05,832 0.04 epi down the tube. 568 00:34:06,036 --> 00:34:07,592 Here's the epi. 569 00:34:14,336 --> 00:34:17,268 Release that clamp after l tie this off. 570 00:34:19,069 --> 00:34:20,659 Release the clamp. 571 00:34:22,535 --> 00:34:24,592 Oh, my God. How can you see? 572 00:34:24,802 --> 00:34:26,233 l don't know. 573 00:34:27,301 --> 00:34:28,289 Grab a bag of O-neg. 574 00:34:28,735 --> 00:34:30,927 Stick the pins per kilo. 575 00:34:32,934 --> 00:34:34,298 40cc's. 576 00:34:35,268 --> 00:34:36,631 Come on. 577 00:34:41,734 --> 00:34:45,291 That's the umbilical vein. Hook it up while l advance it. 578 00:34:45,901 --> 00:34:47,889 Okay, it's going. Glucose at... 579 00:34:48,100 --> 00:34:49,998 ...5 mil per kilo. 580 00:34:50,200 --> 00:34:51,790 Follow me down. 581 00:34:52,733 --> 00:34:54,222 20 mils. 582 00:34:54,733 --> 00:34:57,756 Come on, little guy. Come on. 583 00:34:58,266 --> 00:34:59,596 He moved! 584 00:34:59,800 --> 00:35:01,027 lt's going. 1 00! 585 00:35:01,233 --> 00:35:03,324 -Re-gown me. -He's pinking up! 586 00:35:04,032 --> 00:35:06,123 She's had three units, two liters, saline. 587 00:35:06,333 --> 00:35:09,628 -Vitals? -BP's 80 over 50. Pulse, 1 1 2. 588 00:35:09,832 --> 00:35:11,855 l can live with that and so can she. 589 00:35:12,066 --> 00:35:15,089 -Baby's Apgar's much better. Eight. -That's good. 590 00:35:15,298 --> 00:35:17,730 -Re-gown, Susan. -Look who's here. 591 00:35:17,932 --> 00:35:19,625 What's going on in here? 592 00:35:19,832 --> 00:35:22,093 l intubated. Baby went bad. 593 00:35:23,332 --> 00:35:26,628 l tried forceps and got a shoulder dystocia. She seized. 594 00:35:26,831 --> 00:35:29,024 l paralyzed and did a crash section. 595 00:35:29,232 --> 00:35:31,357 There were two liters of blood in her uterus. 596 00:35:31,564 --> 00:35:33,553 -You knew she'd abrupted? -Once l got in. 597 00:35:33,765 --> 00:35:36,925 -Baby nearly died. -Who's this? And what's he doing? 598 00:35:37,131 --> 00:35:39,689 John Carter, med student. l'm pressing the aorta. 599 00:35:39,897 --> 00:35:41,863 lt's a mess! What'd you use, a chain saw? 600 00:35:42,064 --> 00:35:44,553 l couldn't stand around waiting while that baby died. 601 00:35:44,764 --> 00:35:48,162 Get an NlCU transport team and the OB resident on call. 602 00:35:48,364 --> 00:35:51,057 You should've let me know you were in over your head. 603 00:36:08,263 --> 00:36:14,593 We've got hemostasis. 604 00:36:15,829 --> 00:36:17,590 Someone call Respiratory. 605 00:36:20,028 --> 00:36:22,892 Okay, Carson. You can let go of the aorta. 606 00:36:23,895 --> 00:36:25,326 Wait! Wait! 607 00:36:26,195 --> 00:36:27,990 Stop, stop. 608 00:36:28,394 --> 00:36:31,087 Looks good. Bleeding's stopped. 609 00:36:31,294 --> 00:36:33,192 Go talk to the father. 610 00:36:42,027 --> 00:36:43,322 Suction. 611 00:36:46,594 --> 00:36:48,617 -ls my baby okay? -He was apneic at first. 612 00:36:48,827 --> 00:36:50,258 But his Apgar's encouraging-- 613 00:36:50,460 --> 00:36:54,687 -Stop hiding behind that medical crap! -Your baby's gonna be fine. 614 00:36:54,893 --> 00:36:57,052 Don't take my son! 615 00:36:57,260 --> 00:36:58,486 And Jodi? 616 00:36:58,693 --> 00:37:01,921 There was bleeding. She's had transfusions, but she's stabilized. 617 00:37:02,127 --> 00:37:04,456 Dr. Coburn is in there with her now. 618 00:37:04,659 --> 00:37:06,750 -She's closing the incision. -How can this happen? 619 00:37:06,959 --> 00:37:11,051 What we need to do now is get your son upstairs. Now! Go! 620 00:37:11,259 --> 00:37:14,225 -Everything's okay, right? -Go be with your baby. 621 00:37:14,426 --> 00:37:18,721 -She'll be okay, right? -She's stabilized. Go with your son. 622 00:37:26,858 --> 00:37:28,983 l've never seen such a chain of errors. 623 00:37:29,191 --> 00:37:31,316 -l did what you said. -You miss preeclampsia! 624 00:37:31,524 --> 00:37:34,490 -You underestimate the fetal weight. -l expected OB backup! 625 00:37:34,691 --> 00:37:36,418 You miss a placental abruption! 626 00:37:36,624 --> 00:37:38,783 Blood clot. Right there! 627 00:37:38,991 --> 00:37:42,218 You do an ill-advised forceps delivery on a baby that's too big. 628 00:37:42,424 --> 00:37:44,583 Then you do a hack job of a C-section! 629 00:37:44,790 --> 00:37:47,620 lt was me in the barrel with a baby down the tubes. 630 00:37:47,823 --> 00:37:50,255 What saved you from disaster was dumb luck. 631 00:37:50,456 --> 00:37:53,150 lf not for me, the mother'd be dead and the baby a vegetable! 632 00:37:53,356 --> 00:37:55,652 -Who's on OB call? -Drake. 633 00:37:57,890 --> 00:38:01,344 -She's just covering herself. -She was right. lt was my screwup. 634 00:38:01,556 --> 00:38:03,919 You were great. l couldn't have done it. 635 00:38:04,123 --> 00:38:07,055 lt was my fault that she went sour. She's my patient. 636 00:38:07,256 --> 00:38:10,279 -No one will blame you. -No, they don't have to. 637 00:38:10,489 --> 00:38:12,250 She's crashing! 638 00:38:15,355 --> 00:38:18,980 -How many units has she had? -BP's falling. 70 over 40. 639 00:38:20,021 --> 00:38:22,317 -l can't get a blood gas. -Run a resuscitation. 640 00:38:22,522 --> 00:38:25,851 -Cap refill's bad. -l'll throw in an arterial line. 641 00:38:26,055 --> 00:38:29,384 -Put blood bags on a rapid infuser. -Get the kit! 642 00:38:29,588 --> 00:38:31,520 Hook up the transducer. 643 00:38:32,321 --> 00:38:35,549 Give her a mig of atropine. Check a manual BP. 644 00:38:35,755 --> 00:38:37,414 She's bleeding from the puncture. 645 00:38:37,621 --> 00:38:39,711 -Somebody put pressure on it. -l got it. 646 00:38:41,321 --> 00:38:44,514 -lV site's oozing too. -l don't hear it. 65 palp. 647 00:38:44,720 --> 00:38:46,515 Hang a dopamine drip. 648 00:38:46,720 --> 00:38:48,515 Pull her off that respirator and bag her. 649 00:38:48,720 --> 00:38:51,515 Blood's stopped clotting. She's going into DlC! 650 00:38:51,720 --> 00:38:55,516 Oh, damn! Order 1 0 units, cryoprecipitated platelets. 651 00:38:55,720 --> 00:38:58,379 -Multifocal PVCs! -What now? 652 00:38:58,586 --> 00:39:01,814 Lidocaine, 1 00 migs, lV push. Start a drip. 653 00:39:03,786 --> 00:39:06,718 Mark the time: 0542. Charging 260. 654 00:39:10,152 --> 00:39:11,448 Clear! 655 00:39:14,285 --> 00:39:16,648 300. Clear! 656 00:39:16,852 --> 00:39:20,875 -She's oozing from every cut surface. -We're chasing our tails in here. 657 00:39:21,185 --> 00:39:23,173 -Time down? -33 minutes. 658 00:39:23,585 --> 00:39:25,448 More PVC. She's maxed out on lidocaine. 659 00:39:25,651 --> 00:39:28,640 Add Pronestyl, 30 migs a minute, up to 200. 660 00:39:28,951 --> 00:39:31,349 -No pulse. We're losing her! -Get a dopamine drip. 661 00:39:31,551 --> 00:39:34,039 -Charging to 300. -Out of the way! 662 00:39:39,283 --> 00:39:40,749 Again. 360. 663 00:39:46,850 --> 00:39:49,907 -Give her 300, lV push. -Blood gas is bad, 302 over 50. 664 00:40:11,149 --> 00:40:13,706 lt's been five minutes since her last epi. 665 00:40:13,915 --> 00:40:15,505 Another seven. 666 00:40:16,815 --> 00:40:19,212 Mark, she's gone. 667 00:40:19,415 --> 00:40:21,846 lt's thirty minutes past too late. 668 00:40:22,215 --> 00:40:23,613 l'm calling it. 669 00:40:23,814 --> 00:40:25,474 Time of death: 670 00:40:26,081 --> 00:40:28,240 0646. 671 00:40:37,147 --> 00:40:40,909 lt's not flatlined. lt's fine V-fib. Another 7 migs epi. 672 00:43:41,337 --> 00:43:42,859 Dr. Greene. 673 00:43:51,936 --> 00:43:53,061 l... 674 00:43:54,002 --> 00:43:58,957 ...just wanted to tell you that... 675 00:43:59,802 --> 00:44:02,962 ...l thought what you did was a heroic thing. 676 00:44:25,601 --> 00:44:28,760 lt's one stop the other way, right by the station. 677 00:44:28,967 --> 00:44:30,762 -l gotta get going. -Come on! 678 00:44:31,000 --> 00:44:33,398 Not only does Shorty's have the greasiest eggs... 679 00:44:33,600 --> 00:44:36,327 ...stuff falls from the ceiling when the El goes by. 680 00:44:36,533 --> 00:44:39,795 Sounds attractive, Susan. l got a million things to do. 681 00:44:40,067 --> 00:44:41,657 Are you sure you're okay? 682 00:44:41,867 --> 00:44:43,196 l'm fine. 683 00:44:43,467 --> 00:44:44,955 Scout's honor. 684 00:44:45,300 --> 00:44:47,027 ls Jen home? 50677

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