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1
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Yes, this is Do Yoon Wan.
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It has been a long time.
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Don't mention it.
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I made a safe comeback
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thanks to your concern.
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Yes.
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This morning?
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Goodness.
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And?
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To Doldam Hospital?
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This is the minister!
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Goodness. - Dr Jung.
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Yes?
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What are his vitals?
15
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It was initially 100 over 80,
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but it dropped to 80 over 40 on our way.
17
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What about the saturation?
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At 88 per cent, so he's at full oxygen.
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Put him on warm saline, both sides,
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and put him on reservoir mask, 10 litres.
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Yes.
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Our new doctors seem to know what to do.
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Don't you think so?
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Hey, A Reum, what are you doing?
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Yes, sir.
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Get the FAST ready too!
27
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Patient coming through!
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"FAST: Sonography for trauma"
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What are his vitals?
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BP is 110 over 70, 115 beats per minute,
31
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so it's relatively stable.
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But he has pain on his right shoulder
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and on the right leg.
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Dr Bae!
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Yes, coming.
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Get the bed ready.
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Saline on both sides, and go for OP lab.
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"OP lab: Preoperative tests"
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Yes, sir.
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Minister, we must cut your shirt.
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This is worse than I thought.
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What are his vitals?
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He's at 80 over 40.
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Minister, can you hear me?
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Goodness.
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It won't be as easy as we thought.
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Please tell me everything
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that there is for me to know.
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Yes.
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Is he taking any medication?
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Stand by at the door.
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Yes, sir.
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The sonography machine is here.
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He has massive haemoperitoneum...
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"Massive haemoperitoneum:"
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"Severe internal bleeding"
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and both his liver and spleen are damaged.
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Let's see his chest too.
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The BLUE looks normal.
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"Bedside lung ultrasound in emergency"
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And the PLAPS-profile.
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"PLAPS: Posterolateral alveolar"
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"and/or pleural syndrome"
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A haemorrhage.
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It's a blunt injury,
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but there's haemothorax, haemoperitoneum,
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and his vitals are unstable.
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And he's the minister of national defence?
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Man, my first day is quite eventful.
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His oxygen saturation is dropping.
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Minister?
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Minister!
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Get ready for intubation.
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Eun Jae, get on the MAC.
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I'll do the intubation. You do the MAC.
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We have no time. Get on the MAC!
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What are you doing?
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You'll take ages.
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I'm done.
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Why? Isn't it working?
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Do you need me to do it?
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Take it out.
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Fix it at 21cm.
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Ask for two emergency packed RBC,
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and prepare 10 packed RBC and FFP each.
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Yes, sir.
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Do we have an RIS?
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We do.
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Okay.
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We'll take a CT scan when we get blood.
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Forget the CT scan.
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Send him to the OR immediately.
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His blood pressure and saturation dropped,
94
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so Dr Seo has just intubated him.
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We checked for haemothorax
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and haemoperitoneum on sonography.
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We need to open him up now
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to stop the bleeding first.
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Before you take the CT scan?
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No way.
101
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Where's Dr Nam?
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He said he'll go straight to the OR.
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Ms Oh, please head over to the OR
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and get prepared. Hurry.
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Yes, sir.
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I brought the blood.
107
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You'll open him up without a CT scan?
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There's a higher possibility that
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he'll go into arrest while we do that.
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We can earn that much time
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on packed RBC and MAC.
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Have you ever done damage control?
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No. - Trauma patients are
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all about saving time.
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If you stick to the procedure,
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you won't be able to save him.
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Nurse Park,
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get him to the OR right now.
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Woo Jin, you're my first assistant.
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Get ready in five minutes
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and sprint over to the OR.
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Hurry up!
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Yes, sir.
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Let's go.
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What are you doing?
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I'm Cha Eun Jae, second year of CS.
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I was transferred here since yesterday.
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I'm not sure if you remember me.
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Have you dealt with a haemothorax patient?
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Yes, of course.
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I'm a second year fellow.
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I won't cut any slack for people who sleep
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or doze off in the OR.
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Don't let me catch you.
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I'll get you.
136
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Tell me now if you can't do it.
137
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No, I'll be fine.
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That won't happen.
139
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Then you get ready within five too.
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Be on standby
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in front of the OR until I call you in.
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Yes, sir!
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How did he know I fell asleep in the OR?
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And even if he does know,
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how can he say that in front of everyone?
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Gosh, darn it.
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My gosh.
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"Male Changing Room"
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You're going into the OR too?
150
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Did you think you were the only one?
151
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This time,
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I'm not going to run with you on my back.
153
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Gosh, darn it.
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Oh, man.
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It's your first operation at Doldam.
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My service to you.
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Nice to meet you, Dr Seo.
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I'm Nam Do Il.
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Hello. Nice to meet you.
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You must be blessed with so much work.
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And your first operation here
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is the minister.
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Don't be too nervous.
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We're all experts too.
165
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"Operating Room, Lift"
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Where's the minister?
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He's in critical condition,
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so he went into the OR.
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If he's in critical condition,
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why was he brought to a place like this?
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Stop the operation now and call a chopper!
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He's going to Jigoo Hospital in Seoul.
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Then he'll pass away
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before he gets there.
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I'm Doctor Kim of Doldam Hospital.
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I just talked to Dr Hong of Jigoo Hospital
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to share his condition with him.
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And he agreed to let me perform
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an emergency operation on him.
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Yes, I told them to send him there.
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He has too much abdominal bleeding,
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so something bad may happen
183
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if you delay it any longer.
184
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If you wish to let him live,
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leave everything in Doctor Kim's hands.
186
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That's the only chance of his survival.
187
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Aren't you going to visit Doldam Hospital?
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Mr Do?
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Forget it.
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I'll be there later.
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But this is the minister.
192
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And I heard he's in critical condition.
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He probably won't leave him to die.
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Bu Yong Ju isn't the type
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who would lose an opportunity like this.
196
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But this case won't be that easy.
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The minister suffers from angina.
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He has been taking aspirin
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for about two years.
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If you open him up now,
201
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he'll bleed heavily,
202
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and it'll be tough to stop the bleeding.
203
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He's a man of old age,
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and the risk is quite high.
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I'm not sure if I can ask you
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to perform such an operation.
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This is your first operation
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in the new OR, Doctor Kim!
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And your first patient is the minister!
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Don't you think this is
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the divine providence for Doldam Hospital?
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Don't get ahead of yourself.
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Our first bet may become the worst luck.
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What?
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Goodness.
216
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I wonder...
217
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which one of us will benefit...
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from this operation.
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"Alprazolam"
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He has a severe abdominal blunt injury
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along with
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liver and spleen injuries.
223
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His blood pressure is low,
224
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and we can't keep his saturation up
225
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because of left haemothorax.
226
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He may go into arrest
227
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as soon as you open him.
228
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Are you sure about this?
229
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For today,
230
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we'll control the bleeding first
231
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with a damage control surgery.
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After we conduct a splenectomy...
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"Splenectomy: Spleen removal"
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we'll conduct perihepatic packing.
235
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Then we'll watch his condition,
236
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then take a second look within 48 hours.
237
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"Second look: The second operation"
238
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Let's get started.
239
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There's a lot of internal bleeding.
240
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We'll see a lot of blood when I open him.
241
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Ms Oh, prepare
242
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as much large tape as you can.
243
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Get several abdominal suction tubes too.
244
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"Abdominal suction: Suction tool"
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Scalpel.
246
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Suction.
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Bovie.
248
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His blood pressure is dropping.
249
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Give me the large tape.
250
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Suction. Don't stop.
251
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We can start to see something.
252
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We'll finish the splenectomy
253
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within five minutes.
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"Splenectomy: Spleen removal"
255
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Five minutes?
256
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Splenic artery.
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"Splenic artery: An artery in the spleen"
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Forceps.
259
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Right angle.
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One more right angle.
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Scissors.
262
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How can he be so speedy?
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What are you doing?
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Will you stand there watching?
265
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Tie.
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I'm sorry.
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One more.
268
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You said you're good at operating.
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Were you bluffing
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when this is all you can do?
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Cut.
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Clip.
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Bovie.
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Okay.
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Let's move onto the liver.
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Bovie.
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Wow.
278
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He's really quick.
279
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That's why he's called Master Hands.
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Dr Cha, get ready and come in.
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Okay.
282
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There's too much bleeding.
283
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His liver seems to be almost severed.
284
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Bipolar bovie.
285
00:14:27,023 --> 00:14:28,355
Tie. - I'll do it.
286
00:14:42,439 --> 00:14:43,355
Cut.
287
00:14:45,772 --> 00:14:46,689
Bipolar bovie.
288
00:14:50,147 --> 00:14:51,104
Bovie.
289
00:14:54,023 --> 00:14:54,981
Suture.
290
00:14:59,188 --> 00:15:00,772
He keeps bleeding as I suture.
291
00:15:01,023 --> 00:15:02,188
It's because of aspirin.
292
00:15:03,023 --> 00:15:03,939
Aspirin?
293
00:15:05,272 --> 00:15:06,188
Cut.
294
00:15:06,731 --> 00:15:07,689
If he's taking aspirin
295
00:15:07,772 --> 00:15:08,981
on top of this much bleeding,
296
00:15:09,314 --> 00:15:10,772
how does he plan on stopping this?
297
00:15:11,564 --> 00:15:12,522
Clip.
298
00:15:12,647 --> 00:15:13,772
You can't stop the bleeding
299
00:15:14,105 --> 00:15:15,606
of small veins with a clip.
300
00:15:15,814 --> 00:15:17,856
I'll use topical haemostatic agents,
301
00:15:18,397 --> 00:15:19,397
pack him up,
302
00:15:19,480 --> 00:15:20,981
and suture the area on our second look.
303
00:15:21,314 --> 00:15:22,731
I've never heard of such an operation.
304
00:15:23,147 --> 00:15:25,105
Do I have to keep following him?
305
00:15:28,023 --> 00:15:28,897
Gauze.
306
00:15:32,147 --> 00:15:33,104
CS.
307
00:15:33,397 --> 00:15:34,355
Are you in here, CS?
308
00:15:34,522 --> 00:15:35,522
I am.
309
00:15:35,731 --> 00:15:36,564
Get the tube in there.
310
00:15:36,647 --> 00:15:38,104
Yes, sir. Tube, please.
311
00:15:41,064 --> 00:15:41,981
Scalpel.
312
00:15:44,272 --> 00:15:45,355
Let's make this work, Eun Jae.
313
00:15:45,897 --> 00:15:46,772
You can do it.
314
00:15:51,814 --> 00:15:52,689
Kelly forceps.
315
00:16:07,897 --> 00:16:08,772
How many ml?
316
00:16:11,147 --> 00:16:12,105
It's 600ml.
317
00:16:15,147 --> 00:16:16,147
It's 600.
318
00:16:16,772 --> 00:16:18,689
There must be another bleeding point.
319
00:16:19,105 --> 00:16:20,147
What should we do, Doctor Kim?
320
00:16:28,314 --> 00:16:29,272
It's 800ml.
321
00:16:33,564 --> 00:16:36,230
"Operation time, Current time,"
322
00:16:36,314 --> 00:16:38,104
"Time under anaesthesia"
323
00:17:10,105 --> 00:17:11,064
What is he going to do?
324
00:17:11,272 --> 00:17:12,147
Will he...
325
00:17:14,188 --> 00:17:15,105
Doctor Kim.
326
00:17:16,814 --> 00:17:17,689
Doctor Kim.
327
00:17:21,272 --> 00:17:22,188
Is this surgery
328
00:17:23,272 --> 00:17:24,188
going to fail?
329
00:17:27,876 --> 00:17:29,901
The intercostal vessel.
330
00:17:30,003 --> 00:17:31,824
"Vessels between the two ribs"
331
00:17:31,950 --> 00:17:33,520
Let's open his chest first.
332
00:17:33,978 --> 00:17:35,299
We'll see from there.
333
00:17:35,344 --> 00:17:36,786
But there's no indication that--
334
00:17:36,848 --> 00:17:38,063
It's the aspirin.
335
00:17:38,282 --> 00:17:40,256
The blood won't clot.
336
00:17:40,307 --> 00:17:42,394
We have to save every drop we can.
337
00:17:42,483 --> 00:17:44,167
Doctor Nam, his vitals?
338
00:17:44,247 --> 00:17:45,762
The transfusion is still keeping up,
339
00:17:45,865 --> 00:17:47,479
so it's stable at around 80.
340
00:17:47,562 --> 00:17:48,878
Let's get the patient
341
00:17:48,939 --> 00:17:51,143
in the right semi-decubitus position.
342
00:17:51,222 --> 00:17:52,487
Okay.
343
00:17:52,512 --> 00:17:53,776
"Positioning the right side higher"
344
00:17:54,218 --> 00:17:55,077
What?
345
00:17:55,320 --> 00:17:58,154
Everyone's going along with this madness?
346
00:18:25,015 --> 00:18:26,177
Doctor Cha.
347
00:18:26,270 --> 00:18:27,485
Are you all right? - Yes.
348
00:18:28,845 --> 00:18:29,796
I'm sorry.
349
00:18:30,086 --> 00:18:31,301
I...
350
00:18:31,931 --> 00:18:33,076
Seo Woo Jin.
351
00:18:33,171 --> 00:18:34,335
Move.
352
00:18:42,993 --> 00:18:44,259
Scalpel.
353
00:18:51,227 --> 00:18:52,441
Retractor.
354
00:19:05,681 --> 00:19:07,048
"Operating Room"
355
00:19:12,626 --> 00:19:13,841
Suction.
356
00:19:15,440 --> 00:19:16,655
Suction!
357
00:19:23,958 --> 00:19:25,374
Found it.
358
00:19:27,121 --> 00:19:28,056
No way.
359
00:19:28,148 --> 00:19:30,066
It was intercostal vessel bleeding.
360
00:19:30,091 --> 00:19:31,050
"Arterial bleeding between the ribs"
361
00:19:31,162 --> 00:19:32,428
This man...
362
00:19:33,112 --> 00:19:34,733
He's really crazy.
363
00:19:35,420 --> 00:19:36,634
Clip.
364
00:19:46,000 --> 00:19:47,417
Doctor Cha.
365
00:19:50,280 --> 00:19:51,950
Are you feeling ill?
366
00:19:53,562 --> 00:19:54,956
Doctor Cha!
367
00:19:55,101 --> 00:19:56,468
I'm okay.
368
00:19:57,684 --> 00:19:58,947
I'm fine.
369
00:20:14,820 --> 00:20:16,086
"Military Police"
370
00:20:16,344 --> 00:20:18,469
He went into the ICU a little while ago.
371
00:20:19,491 --> 00:20:21,171
Yes, of course.
372
00:20:21,454 --> 00:20:23,074
We should wait a bit.
373
00:20:23,581 --> 00:20:24,796
Right.
374
00:20:30,735 --> 00:20:32,943
His vitals aren't dropping anymore.
375
00:20:33,068 --> 00:20:34,221
They're stable for now.
376
00:20:34,335 --> 00:20:35,515
Watch him closely.
377
00:20:35,855 --> 00:20:36,785
If his vitals become unstable
378
00:20:36,810 --> 00:20:37,924
even by just a little bit,
379
00:20:38,102 --> 00:20:39,241
or if you notice anything unusual,
380
00:20:39,266 --> 00:20:40,583
call me right away.
381
00:20:46,919 --> 00:20:48,387
Call me, okay?
382
00:20:50,496 --> 00:20:51,862
Yes, sir.
383
00:20:52,339 --> 00:20:54,623
I'll keep checking in on him too.
384
00:20:54,766 --> 00:20:55,671
All right.
385
00:20:55,901 --> 00:20:57,674
Thanks. That would be great.
386
00:20:57,989 --> 00:20:59,040
No problem.
387
00:21:08,924 --> 00:21:10,097
Doctor Jung. - Hello.
388
00:21:10,300 --> 00:21:12,125
How's the other patient doing?
389
00:21:12,249 --> 00:21:13,722
Did you say he's the aide-de-camp?
390
00:21:13,895 --> 00:21:14,992
Yes. The CT scan shows
391
00:21:15,062 --> 00:21:16,502
that his spleen is slightly damaged,
392
00:21:16,584 --> 00:21:18,354
but the capsule isn't ruptured.
393
00:21:18,500 --> 00:21:19,840
The bleeding is minimal,
394
00:21:19,917 --> 00:21:22,247
so we'll observe him in the ICU for now.
395
00:21:22,363 --> 00:21:24,892
The bleeding might suddenly get worse.
396
00:21:24,989 --> 00:21:26,696
Then he'll need surgery right away,
397
00:21:26,784 --> 00:21:27,722
so watch him closely.
398
00:21:27,863 --> 00:21:29,358
Yes, sir. - Keep up the great work.
399
00:21:29,440 --> 00:21:30,705
Thank you.
400
00:21:41,440 --> 00:21:42,655
My name is Jang Gi Tae.
401
00:21:42,816 --> 00:21:44,184
Would you like to drink something?
402
00:21:44,507 --> 00:21:45,773
Here, it's complimentary.
403
00:21:45,869 --> 00:21:48,838
Oh, would you like to drink something?
404
00:21:48,986 --> 00:21:49,846
I guess not.
405
00:21:49,991 --> 00:21:51,293
I'm head administrator Jang Gi Tae.
406
00:21:51,412 --> 00:21:52,638
Yes, please help yourself.
407
00:21:52,735 --> 00:21:55,455
Mr Minister will be okay. - Mr Jang.
408
00:21:55,526 --> 00:21:56,069
Spare me a second.
409
00:21:56,117 --> 00:21:57,586
What's the matter? - Well...
410
00:21:59,427 --> 00:22:00,844
You need to see this.
24190
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