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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:04,089 --> 00:00:06,880 ER 2 00:00:06,881 --> 00:00:08,095 Previously on ER... 3 00:00:08,096 --> 00:00:09,782 You come here every day. 4 00:00:09,783 --> 00:00:12,306 Sometimes you're really cooking, and sometimes you're not. 5 00:00:12,307 --> 00:00:14,314 - Alright, let's autotransfuse him. - You're kidding. 6 00:00:14,515 --> 00:00:16,507 - He needs blood, Carter. - And he's gonna get it. 7 00:00:16,708 --> 00:00:19,631 - Dad, I told you I'd rent a car. - Your mother appreciates you coming. 8 00:00:19,632 --> 00:00:23,221 Oh, here you are! Oh, I'm so glad! 9 00:00:23,422 --> 00:00:24,510 - Jerry! - What! 10 00:00:24,511 --> 00:00:25,991 Answer de damn phone! 11 00:00:25,992 --> 00:00:27,916 Did you withhold treatment from that kid? 12 00:00:27,917 --> 00:00:28,917 It's my decision. 13 00:00:28,918 --> 00:00:30,934 It was good that you stayed focused on the patient. 14 00:00:31,273 --> 00:00:33,231 - Thanks - How much time do you need? 15 00:00:35,875 --> 00:00:37,569 I'll wait. 16 00:00:37,904 --> 00:00:40,875 "Exodus" 17 00:01:33,655 --> 00:01:36,441 We pull into the ambulance bay with a gunshot victim. 18 00:01:36,614 --> 00:01:37,729 What are you thinking? 19 00:01:37,906 --> 00:01:39,981 - Excuse me? - A fresh trauma patient. 20 00:01:40,158 --> 00:01:41,485 What goes through your mind? 21 00:01:41,700 --> 00:01:44,023 The basics: Airway, breathing, circulation. 22 00:01:44,200 --> 00:01:47,034 Yeah. But you docs don't think about the scene. 23 00:01:47,243 --> 00:01:50,527 You see two IVs, c-collars, backboards, monitors... 24 00:01:50,744 --> 00:01:54,324 ...all packaged and ready to go. But you don't know what we go through. 25 00:01:54,537 --> 00:01:56,030 Which is why I'm here. 26 00:01:56,204 --> 00:01:59,653 A one-day ride-along is not gonna tell you the whole story. 27 00:01:59,873 --> 00:02:01,531 Sometimes we get shot at. 28 00:02:01,748 --> 00:02:05,613 Sometimes we're saving a banger, and there's airmail coming at us. 29 00:02:05,791 --> 00:02:06,905 Airmail? 30 00:02:07,084 --> 00:02:11,160 Garbage, bottles, bricks. Thrown from the windows, from the roof. 31 00:02:11,376 --> 00:02:13,996 And we're in the streets trying to save a life. 32 00:02:14,211 --> 00:02:16,995 You gotta keep your mind right. It can make you cynical. 33 00:02:17,212 --> 00:02:20,246 Well, let's hope we have an easy day. 34 00:02:20,462 --> 00:02:24,375 It usually is when you docs ride along. That's why you don't get the big picture. 35 00:02:24,589 --> 00:02:29,414 You're here as an observer. We have protocols, so don't go off on your own. 36 00:02:29,632 --> 00:02:31,209 Don't worry. 37 00:02:38,011 --> 00:02:40,417 Sure picked the right day for your ride-along. 38 00:02:40,637 --> 00:02:43,172 - Where do we begin? - Right here. 39 00:02:44,054 --> 00:02:45,962 - Come through here. - What do you got? 40 00:02:46,180 --> 00:02:49,013 20 to 30 victims, mostly minor. Lacerations, burns. 41 00:02:49,223 --> 00:02:51,379 One fatality. We set up triage out there. 42 00:02:51,557 --> 00:02:54,888 We're all shored up. I need to take a paramedic down. 43 00:02:55,099 --> 00:02:56,474 A guy's trapped under rubble. 44 00:02:57,225 --> 00:02:58,719 I'll go. I'm a trauma surgeon. 45 00:02:58,892 --> 00:03:00,386 County General, Dr. Corday. 46 00:03:00,560 --> 00:03:03,131 Have any experience with confined-space rescue? 47 00:03:03,353 --> 00:03:05,723 No, but take me to him, I'll see what I can do. 48 00:03:06,937 --> 00:03:08,845 Okay. Gear her up and take her down. 49 00:03:09,063 --> 00:03:13,271 First section's vertical, eight to 10 feet. Better to go head first. 50 00:03:13,439 --> 00:03:16,107 - Head first? - There's no room to turn around. 51 00:03:16,315 --> 00:03:20,606 The walls are pretty uneven so it's easy to brace yourself with your hands. 52 00:03:20,817 --> 00:03:21,979 Do any rock climbing? 53 00:03:22,192 --> 00:03:24,479 No, I haven't. Will I actually fit in there? 54 00:03:24,693 --> 00:03:27,147 It's tight at first but opens up near the victim. 55 00:03:27,360 --> 00:03:28,688 You claustrophobic? 56 00:03:28,903 --> 00:03:30,064 No, not really. 57 00:03:30,278 --> 00:03:31,309 All right. 58 00:03:31,487 --> 00:03:34,688 Best you go first. If something goes wrong I'll drag you out. 59 00:03:34,863 --> 00:03:37,566 Yeah. Okay, let's get on with it. 60 00:03:47,201 --> 00:03:49,358 - Okay. - All right, it's not far now. 61 00:03:52,370 --> 00:03:54,776 Be careful, don't bump against those four-by-fours. 62 00:03:54,953 --> 00:03:57,028 That's all that's holding this place up. 63 00:03:58,371 --> 00:04:00,861 It's a little more open here. 64 00:04:01,622 --> 00:04:04,704 We jacked up as far as we can. All this is pretty unstable. 65 00:04:11,125 --> 00:04:12,204 I can see him! 66 00:04:13,377 --> 00:04:14,538 We're on the way! 67 00:04:19,920 --> 00:04:22,670 Sir, are you okay? 68 00:04:22,879 --> 00:04:24,077 Get me out. 69 00:04:24,671 --> 00:04:25,869 It hurts. 70 00:04:26,089 --> 00:04:28,495 Yes, I'll give you something for the pain. 71 00:04:28,715 --> 00:04:31,798 Then we're going to get you out, okay? 72 00:04:34,842 --> 00:04:35,956 Don't leave me. 73 00:04:36,426 --> 00:04:39,544 We won't. We won't leave you, I promise. 74 00:04:42,011 --> 00:04:44,845 Give me the drug bag. I need to start a line. 75 00:04:46,346 --> 00:04:48,302 It's okay, sir. 76 00:04:48,513 --> 00:04:50,708 If you just hang on. 77 00:06:03,787 --> 00:06:06,108 - Lilac. - It's called "Spring Rain. " 78 00:06:06,285 --> 00:06:09,234 - It's nice. - You think it's too young for me? 79 00:06:09,450 --> 00:06:12,232 No way. My mom wears something just like that. 80 00:06:12,990 --> 00:06:16,731 I don't have time to sit down. I'm on from 3 to 11. 81 00:06:16,903 --> 00:06:19,308 - How's it been going? - Got busy after lunch. 82 00:06:19,526 --> 00:06:21,849 Doyle's out with the flu. Heard from Mark? 83 00:06:22,067 --> 00:06:25,145 He's gonna try to catch a flight back today or tomorrow. 84 00:06:25,355 --> 00:06:27,890 - One coffee, please. - Sixty cents. 85 00:06:28,062 --> 00:06:29,720 Hey, Carter! 86 00:06:29,895 --> 00:06:31,516 How's the Optho rotation going? 87 00:06:31,727 --> 00:06:34,011 Only a week to go. Long week. 88 00:06:34,225 --> 00:06:37,386 Maybe you can help me out. I've been getting headaches... 89 00:06:37,556 --> 00:06:39,711 ...reviewing these financial reports. 90 00:06:39,930 --> 00:06:41,884 I need a new pair of reading glasses. 91 00:06:42,095 --> 00:06:44,250 Sure, come on up. I'll check you out. 92 00:06:44,469 --> 00:06:46,836 - Get you a new prescription. - Thank you. 93 00:06:47,217 --> 00:06:48,376 You can keep that. 94 00:06:48,549 --> 00:06:51,912 Jack Arteburn, 52. Fainted at a breakfast meeting. 95 00:06:52,130 --> 00:06:55,540 A and O on arrival, vitals normal. Started a line for kicks. 96 00:06:55,711 --> 00:06:57,285 Did you have any chest pain? 97 00:06:57,501 --> 00:06:59,537 No, I was just a little dizzy. 98 00:06:59,707 --> 00:07:01,947 My secretary overreacted. 99 00:07:02,165 --> 00:07:04,569 - Are you a doctor? - I'm a physician assistant. 100 00:07:04,788 --> 00:07:07,157 But I'll be seeing a real doctor? 101 00:07:07,370 --> 00:07:11,609 County dispatch says there's been an explosion at a chemical warehouse. 102 00:07:11,825 --> 00:07:14,063 They want to send us six minors with burns. 103 00:07:14,281 --> 00:07:16,187 - Yeah, no problem. - No problem. 104 00:07:16,530 --> 00:07:18,401 Just a little bee sting, Leo. 105 00:07:19,652 --> 00:07:23,146 Sorry. It's the only place to put an IV. 106 00:07:23,359 --> 00:07:24,436 Get me out of here! 107 00:07:24,650 --> 00:07:26,438 Yep. We're working on that. 108 00:07:26,648 --> 00:07:30,591 Hang on. I'll give you some morphine. Make you feel much better. 109 00:07:30,812 --> 00:07:33,808 Dewey, can you lift up the saline? 110 00:07:44,719 --> 00:07:45,998 He's got a good pulse. 111 00:07:46,219 --> 00:07:48,788 Some broken ribs, and he can wriggle his toes. 112 00:07:49,009 --> 00:07:52,207 I can't assess the right arm. It's pinned at his shoulder. 113 00:07:52,423 --> 00:07:55,169 If we could raise the concrete just another inch or two. 114 00:07:55,338 --> 00:07:57,658 No. Any movement could bring all this down. 115 00:07:57,836 --> 00:08:01,613 Just an inch, then we might free it. And I won't have to amputate. 116 00:08:01,833 --> 00:08:04,698 No! No, please don't cut off my arm. 117 00:08:04,913 --> 00:08:09,652 No. We're trying to save it, Leo. We're gonna lift up that slab. 118 00:08:09,828 --> 00:08:11,947 What else can we do if we're to get him out? 119 00:08:12,159 --> 00:08:13,271 Okay. 120 00:08:14,367 --> 00:08:17,279 I'm gonna need more shoring before we try anything. 121 00:08:17,489 --> 00:08:18,767 I need a bone saw. 122 00:08:18,987 --> 00:08:20,729 No. Don't do it, please. 123 00:08:20,946 --> 00:08:23,230 Only as a last resort, Leo. 124 00:08:23,943 --> 00:08:26,098 What about something to reduce the friction? 125 00:08:26,275 --> 00:08:27,303 Grease? 126 00:08:27,482 --> 00:08:32,433 No, it's too thick. We need something we can pour, like vegetable oil. 127 00:08:32,688 --> 00:08:35,055 - We got motor oil. - Yeah. Motor oil. 128 00:08:35,227 --> 00:08:36,340 Lots of it. 129 00:08:37,684 --> 00:08:40,217 We'll get you slick as an eel and slide you out. 130 00:08:40,432 --> 00:08:42,965 E- L-M. 131 00:08:43,180 --> 00:08:46,046 N- E. 132 00:08:46,262 --> 00:08:49,873 Very good. Very good, Mrs. Melenger. 133 00:08:50,883 --> 00:08:52,127 Okay. 134 00:08:52,466 --> 00:08:56,919 Now I want you to tell me which one is clearer, okay? 135 00:08:57,129 --> 00:08:58,869 Number one... 136 00:09:00,960 --> 00:09:02,202 ...or number two? 137 00:09:02,417 --> 00:09:03,790 Number two is very dark. 138 00:09:04,499 --> 00:09:07,032 Okay, let's try that again. Number one... 139 00:09:08,330 --> 00:09:09,526 ...or number two? 140 00:09:10,120 --> 00:09:13,116 It's black. I can't see through that. 141 00:09:14,326 --> 00:09:17,606 Yes. I think that is probably a little too much tint for you. 142 00:09:18,281 --> 00:09:19,311 Is everything okay? 143 00:09:19,531 --> 00:09:22,396 Not really. I think your student needs some help. 144 00:09:22,612 --> 00:09:24,601 Why don't I finish up here, Dr. Carter? 145 00:09:25,276 --> 00:09:26,556 There's... 146 00:09:27,358 --> 00:09:30,603 ...a glaucoma patient in the ER. Needs a consult. 147 00:09:30,815 --> 00:09:33,266 Glenn Krakowski, 32, from the chemical warehouse. 148 00:09:33,479 --> 00:09:36,511 Right tib-fib fracture. Complaining of abdominal pain. 149 00:09:36,728 --> 00:09:40,305 BP 132/75. Pulse 92. IV's in the field. 150 00:09:40,517 --> 00:09:41,713 What about these guys? 151 00:09:41,932 --> 00:09:43,804 Minor burns and lacerations from glass. 152 00:09:44,014 --> 00:09:46,548 - Anything for me? - Blood trauma, abdominal pain. 153 00:09:46,721 --> 00:09:49,422 - Is T-1 open? - Yeah. Start on him. I'll take the others. 154 00:09:49,635 --> 00:09:53,757 - Sir, are you on any medication? - No, nothing. I never get sick. 155 00:09:54,257 --> 00:09:57,040 Message from Dr. Anspaugh. He's giving a lecture. 156 00:09:57,214 --> 00:10:00,163 - That's the hotel phone number. - Is that Mr. Arteburn's chart? 157 00:10:00,378 --> 00:10:02,700 Yeah, yeah. Actually, check this out. 158 00:10:02,918 --> 00:10:04,079 Blue Cross. 159 00:10:04,292 --> 00:10:08,781 Not the HMO, not the PPO. Traditional indemnity plan, gold. 160 00:10:08,956 --> 00:10:12,614 - Jerry, we treat everyone the same. - I'm thinking about the budget deficit. 161 00:10:12,828 --> 00:10:16,274 Mr. Arteburn, I have some preliminary results and I'd like to- 162 00:10:16,450 --> 00:10:20,443 If there's any cause for concern, I'd rather go see my own doctor. 163 00:10:20,657 --> 00:10:24,943 Changes in your EKG suggest that you may have had a small heart attack. 164 00:10:25,153 --> 00:10:27,226 - Heart attack? - We'll check a blood test... 165 00:10:27,444 --> 00:10:30,474 ...to make sure there was no heart muscle damage. 166 00:10:30,691 --> 00:10:33,356 If that's normal, we'll do a treadmill heart scan. 167 00:10:33,565 --> 00:10:36,892 Would you call my doctor, Greg Fonarow? He's up on Chestnut. 168 00:10:37,104 --> 00:10:39,093 I want his opinion on what you're doing. 169 00:10:39,269 --> 00:10:41,472 I'll call him when I get the test results. 170 00:10:41,684 --> 00:10:45,426 Don't worry. You'll find we give the highest standard of care. 171 00:10:48,638 --> 00:10:50,592 It's your last quart, Leo. 172 00:10:50,761 --> 00:10:52,632 I raised it an inch. That's it. 173 00:10:53,426 --> 00:10:54,587 Right. 174 00:10:56,591 --> 00:10:57,751 You ready? 175 00:10:57,964 --> 00:10:59,871 One, two, three! 176 00:11:03,585 --> 00:11:05,208 Let me check his arm. 177 00:11:05,418 --> 00:11:06,957 - You got room? - Yep. 178 00:11:07,166 --> 00:11:08,659 You said you wouldn't amputate. 179 00:11:08,875 --> 00:11:13,410 It won't come to that. Another good tug and we'll get you out of the hole. 180 00:11:14,121 --> 00:11:15,825 - You ready? - Yeah. 181 00:11:16,536 --> 00:11:18,359 Then pull! 182 00:11:20,574 --> 00:11:22,564 We don't have enough leverage to lift him out. 183 00:11:22,781 --> 00:11:24,736 - I need a come-along. - What's that? 184 00:11:24,947 --> 00:11:26,521 It's a kind of winch- 185 00:11:38,395 --> 00:11:40,550 - What was that? - I don't know. 186 00:11:43,059 --> 00:11:45,214 Dewey here. What the hell's going on? 187 00:11:46,057 --> 00:11:49,835 Explosion in the chemical area. Abort and get out. 188 00:11:50,055 --> 00:11:52,091 Acknowledged. Cap says out. 189 00:11:52,303 --> 00:11:54,706 No. Tell them to bring what we need so we can get him out! 190 00:11:54,926 --> 00:11:56,383 He won't let anyone come down. 191 00:11:56,592 --> 00:11:58,416 - Then you go get it. - And leave you? 192 00:11:58,632 --> 00:12:01,249 Yes. They've gotta let you back down if I'm here. 193 00:12:01,463 --> 00:12:03,453 Now go! I'm not leaving him! 194 00:12:04,920 --> 00:12:07,702 - But hurry! - Okay. I'll be back. 195 00:12:16,495 --> 00:12:18,615 We're gonna die down here. 196 00:12:18,827 --> 00:12:20,235 It's okay, Leo. 197 00:12:20,451 --> 00:12:24,193 Just one more piece of equipment and we'll get you out. 198 00:12:26,697 --> 00:12:30,688 I've got an 8-year-old with altered mental status, short of breath. 199 00:12:30,861 --> 00:12:33,015 Babysitter called 911. 200 00:12:34,691 --> 00:12:37,889 - I stopped by this morning. - I had an early morning meeting. 201 00:12:38,106 --> 00:12:39,763 Before 7:00? 202 00:12:39,979 --> 00:12:41,436 Are you monitoring me? 203 00:12:41,645 --> 00:12:43,516 Just offering you a ride. 204 00:12:44,393 --> 00:12:46,596 Sophie? This is Dr. Ross. 205 00:12:46,808 --> 00:12:48,596 - Hi, Sophie. - Hi. 206 00:12:50,098 --> 00:12:51,258 How long's she been sick? 207 00:12:51,472 --> 00:12:54,337 Her mom said she's had diarrhea for a couple days now. 208 00:12:54,677 --> 00:12:58,337 She said to give her a spoonful of bee pollen and raspberry tea. 209 00:12:58,509 --> 00:12:59,835 How are you feeling, Sophie? 210 00:13:00,007 --> 00:13:04,165 - I have to practice the piano. - She's altered. When did that start? 211 00:13:04,671 --> 00:13:08,165 I found her on the floor. She had a bowel movement with blood in it. 212 00:13:08,377 --> 00:13:09,952 I couldn't wake her up. 213 00:13:10,168 --> 00:13:12,868 Give her an ABG, a CBC, a chem 20 and a chest x-ray. 214 00:13:13,082 --> 00:13:14,455 Want an IV of saline? 215 00:13:14,664 --> 00:13:16,121 No, just a HEP block. 216 00:13:16,331 --> 00:13:18,154 She's gonna be all right? 217 00:13:18,579 --> 00:13:20,982 - Did you talk to her parents? - I beeped her mom. 218 00:13:21,160 --> 00:13:22,321 Could you try again? 219 00:13:22,867 --> 00:13:24,028 Yeah. 220 00:13:28,280 --> 00:13:33,183 If you'd gone to public school, you could've seen my science program. 221 00:13:33,527 --> 00:13:35,398 I started them right after the war. 222 00:13:35,609 --> 00:13:37,314 Try and keep your eyes still. 223 00:13:37,524 --> 00:13:38,850 Look at my earlobe. 224 00:13:39,065 --> 00:13:43,518 You know, about 1950, I was on a TV program. 225 00:13:43,729 --> 00:13:47,968 I liked it so much I wanted to make it my life's work. 226 00:13:48,267 --> 00:13:49,296 What happened? 227 00:13:49,474 --> 00:13:51,464 What happened? I'll tell you what happened. 228 00:13:51,681 --> 00:13:56,631 That son of a bitch, Mr. Wizard, came along and left me dead in the water. 229 00:13:57,803 --> 00:13:59,211 Yeah. Go ahead, laugh. 230 00:14:01,134 --> 00:14:02,294 Well, it looks good. 231 00:14:02,507 --> 00:14:06,369 I'm gonna need to check your eye pressure with a tono-pen, Mr. Bikel. 232 00:14:06,588 --> 00:14:08,742 - Dr. George. - Dr. George? 233 00:14:08,961 --> 00:14:10,702 Tono-pen? 234 00:14:10,918 --> 00:14:14,780 The state-of-the-art we used to get was the big one with the air puff. 235 00:14:14,999 --> 00:14:17,746 I'll put numbing drops in and then measure the pressure. 236 00:14:17,956 --> 00:14:20,074 Solid-state microcircuitry. 237 00:14:20,287 --> 00:14:23,153 But all in all, just a simple pressure transducer. 238 00:14:23,369 --> 00:14:24,564 That's what- 239 00:14:28,073 --> 00:14:31,069 That's numbing already. The numbing's coming fast. 240 00:14:31,654 --> 00:14:33,442 Press this button and it works. 241 00:14:33,611 --> 00:14:35,068 Don't you wanna know how? 242 00:14:35,902 --> 00:14:40,437 I could build you one. Out of an ink jar, finger cot and a swizzle stick. 243 00:14:42,355 --> 00:14:43,552 All right. 244 00:14:45,645 --> 00:14:47,800 Thirty-five. Your pressure's up a bit. 245 00:14:49,267 --> 00:14:52,880 It doesn't look good. Creatinine's 6.8. Potassium's 7.3. 246 00:14:53,098 --> 00:14:56,461 She's got acute renal failure. Get me glucose, insulin, and Kayexalate. 247 00:14:56,679 --> 00:14:58,835 What's shutting down her kidneys? 248 00:14:59,052 --> 00:15:03,174 It could be bloody diarrhea. E. coli, probably. Push two of Versed. 249 00:15:03,383 --> 00:15:05,040 Get an ET tube 6.5. 250 00:15:05,257 --> 00:15:07,957 That's good. She needs a central line for dialysis. 251 00:15:08,172 --> 00:15:10,208 Call for a pediatric nephrology consult. 252 00:15:10,420 --> 00:15:12,078 When can I go home? 253 00:15:12,294 --> 00:15:13,572 Not for a little while. 254 00:15:13,793 --> 00:15:17,120 Dr. Ross will give you some medicine that will make you very sleepy. 255 00:15:17,290 --> 00:15:20,654 When you wake up, you'll have a tube in your mouth to help you breathe. 256 00:15:20,872 --> 00:15:23,654 You won't be able to speak, so we'll do hand signals. 257 00:15:23,869 --> 00:15:25,444 Do you know what this means? 258 00:15:25,618 --> 00:15:26,648 Okay? 259 00:15:26,868 --> 00:15:28,691 Good. Are you good at charades? 260 00:15:28,908 --> 00:15:30,647 Here we go. Hold on. 261 00:15:32,198 --> 00:15:33,274 Crike, crike, crike. 262 00:15:33,488 --> 00:15:35,359 Honey? What's going on? 263 00:15:35,612 --> 00:15:37,187 All right. Hang on. 264 00:15:37,361 --> 00:15:40,854 I'm in, bag her. Are you the mother? Get me an 11 French catheter. 265 00:15:41,025 --> 00:15:43,097 Sophie? Sophie? 266 00:15:43,315 --> 00:15:44,687 Why is she unconscious? 267 00:15:44,897 --> 00:15:48,556 We had to sedate her to get the breathing tube down her throat. 268 00:15:48,769 --> 00:15:51,221 She wasn't sick when I left. She had some diarrhea. 269 00:15:51,393 --> 00:15:54,507 We believe it's an E. coli infection causing the kidney failure. 270 00:15:54,724 --> 00:15:58,963 E. coli? That comes from meat. It's impossible, she doesn't eat meat. 271 00:15:59,137 --> 00:16:01,210 It can also come from raw juices or sprouts. 272 00:16:01,427 --> 00:16:03,915 Well, however she got it, she needs dialysis. 273 00:16:04,135 --> 00:16:07,544 Oh, no. I want another opinion before you put her on some machine. 274 00:16:07,715 --> 00:16:08,744 There's no time. 275 00:16:08,922 --> 00:16:12,002 This is my daughter. I have a right to decide how she's treated. 276 00:16:12,212 --> 00:16:15,704 Her high potassium could cause a cardiac arrest. She needs dialysis. 277 00:16:15,876 --> 00:16:18,541 If she doesn't get it, she'll die. Sign the consent. 278 00:16:18,707 --> 00:16:20,200 Please? 279 00:16:23,871 --> 00:16:25,492 No. My leg! I'm caught! 280 00:16:25,703 --> 00:16:28,368 His foot's caught. I'm gonna try and free it. 281 00:16:30,699 --> 00:16:33,399 Can you reach it? Can you loosen it? 282 00:16:36,154 --> 00:16:38,985 - What are you doing? - Just a tiny bit. 283 00:16:39,194 --> 00:16:41,894 The shoring's down! Get out! 284 00:16:46,564 --> 00:16:48,056 He's free! 285 00:16:48,271 --> 00:16:49,846 Pull! Pull! 286 00:16:52,934 --> 00:16:57,836 Pull! Pull! Pull! 287 00:17:06,936 --> 00:17:07,966 How are you doing? 288 00:17:08,144 --> 00:17:10,896 Last one. See you tomorrow for a wound check. 289 00:17:11,189 --> 00:17:15,980 Make sure you call the employee-health coordinator at the chemical plant. 290 00:17:16,194 --> 00:17:18,067 - Fax them all- - I need some help! 291 00:17:18,279 --> 00:17:20,486 - What happened? - We're from Prusack Chemco. 292 00:17:20,698 --> 00:17:25,159 We were behind Building 5 when the tank blew. Manny went into the stuff. 293 00:17:25,369 --> 00:17:28,737 - What kind of stuff? - Everyone got soaked. It was a mess. 294 00:17:28,955 --> 00:17:31,411 I threw these guys in back of my pickup. 295 00:17:31,625 --> 00:17:32,787 What is that smell? 296 00:17:33,001 --> 00:17:35,207 Solvent. Everyone got sick. 297 00:17:35,419 --> 00:17:36,962 Jeanie, take the other guys. 298 00:17:37,171 --> 00:17:39,627 Bag and seal the clothes. Glove up, everybody. 299 00:17:39,800 --> 00:17:41,957 I'm gonna open some doors. 300 00:17:42,217 --> 00:17:45,004 I want you to use one drop, three times a day. 301 00:17:45,220 --> 00:17:48,423 Three times a day, one drop. Thank you. 302 00:17:50,642 --> 00:17:52,184 What's the matter? 303 00:17:52,394 --> 00:17:54,221 - Benzene. - What? 304 00:17:54,436 --> 00:17:56,346 It's benzene. Don't you smell it? 305 00:17:57,273 --> 00:17:59,016 Probably just stripping the floors. 306 00:17:59,233 --> 00:18:02,684 Stripping floors with benzene? I don't think so. 307 00:18:02,903 --> 00:18:05,275 It's much too toxic. 308 00:18:06,865 --> 00:18:08,442 Doctor, before I go... 309 00:18:08,659 --> 00:18:12,524 ...find out where that smell is coming from as quick as possible. 310 00:18:14,915 --> 00:18:17,286 Set up oxygen. Pulse is weak and thready. 311 00:18:17,500 --> 00:18:19,208 Bilateral wheezes. 312 00:18:19,418 --> 00:18:21,541 - What's going on? - Chemical spill. 313 00:18:21,753 --> 00:18:24,042 Yosh, bag these clothes up and get them outside. 314 00:18:24,256 --> 00:18:27,505 Take slow, deep breaths. You want me to call your wife? 315 00:18:27,676 --> 00:18:30,712 - You might be here a while. - We need fans. I'll call Maintenance. 316 00:18:30,929 --> 00:18:33,383 Get Housekeeping to clean up- 317 00:18:34,473 --> 00:18:36,132 - Give me a hand! - Oh, my God! Wait! 318 00:18:36,308 --> 00:18:37,968 No one touch her without gloves on. 319 00:18:38,185 --> 00:18:41,886 Her clothes are soaked through. Ready? One, two, three! 320 00:18:42,105 --> 00:18:44,477 - Get a mask on her! - Pulse ox. 321 00:18:46,693 --> 00:18:48,354 Roll her on her side. 322 00:18:48,570 --> 00:18:50,727 - Don't let her aspirate! - Suction. 323 00:18:51,406 --> 00:18:53,943 Ativan, two milligrams IV, now! 324 00:18:57,370 --> 00:18:59,029 - She needs a line. - It's Dr. Weaver! 325 00:18:59,205 --> 00:19:00,746 Don't walk there. It's benzene. 326 00:19:00,914 --> 00:19:01,946 What is that? 327 00:19:02,123 --> 00:19:03,701 It's a solvent. It's toxic. 328 00:19:04,960 --> 00:19:08,494 We don't want to spread this stuff around. Keep it contained. 329 00:19:08,714 --> 00:19:10,920 - Let's go with the Ativan. - Need to intubate. 330 00:19:15,135 --> 00:19:17,045 When we give an order, it's for a reason! 331 00:19:17,263 --> 00:19:19,800 - I'm sorry. But we were so close. - You could've died! 332 00:19:19,974 --> 00:19:22,809 - I'd have three deaths to explain! - I was worried about you! 333 00:19:22,976 --> 00:19:25,384 Leo Leipziger. Crush injury to the right arm. 334 00:19:25,604 --> 00:19:28,059 BP 90 palp. Pulse 110. 335 00:19:28,273 --> 00:19:30,894 - We had a prolonged extrication. - No kidding! 336 00:19:31,108 --> 00:19:34,691 Stay to the right. We've got an unknown solvent leaking from a tank. 337 00:19:34,903 --> 00:19:37,027 HazMat's setting up for decontamination. 338 00:19:38,865 --> 00:19:41,321 Chuny, we need more of these to cover the floor. 339 00:19:41,535 --> 00:19:42,698 I'll call Central. Here. 340 00:19:42,911 --> 00:19:46,493 Anna, check Ellenhorn's Toxicology and find out about benzene exposure. 341 00:19:46,706 --> 00:19:47,951 Where to? 342 00:19:48,167 --> 00:19:51,251 Trauma 1. Move the sickest patients away from here. 343 00:19:51,461 --> 00:19:53,619 Double-bag all of the contaminated clothes. 344 00:19:53,796 --> 00:19:57,379 Get the clean patients to the back. Randi, grab their charts now! 345 00:19:57,550 --> 00:19:59,875 You need to air this place. Did you call HazMat? 346 00:20:00,052 --> 00:20:03,172 - They're on the way. - There's another one in the closet. 347 00:20:03,387 --> 00:20:05,796 We'll blow it out of here in no time. 348 00:20:06,223 --> 00:20:09,307 No, no, no! Don't plug that in! Sparks might ignite the fumes. 349 00:20:09,477 --> 00:20:11,137 - Great. - Jerry, give me a phone! 350 00:20:11,354 --> 00:20:13,145 What's the ETA on HazMat? 351 00:20:13,314 --> 00:20:15,187 You gotta find that disaster manual. 352 00:20:15,358 --> 00:20:18,891 I need surgical drapes, waterproof ones. Better send a dozen. 353 00:20:19,111 --> 00:20:22,729 - Dispatch, this is County General ER. - They'll be here in five! 354 00:20:22,948 --> 00:20:25,273 This is an emergency! Send the drapes up now! 355 00:20:25,450 --> 00:20:26,695 I need oxygen. 356 00:20:26,868 --> 00:20:30,201 We're closing down to all paramedic- No, immediately! 357 00:20:31,540 --> 00:20:32,570 Hang in there, Leo. 358 00:20:32,790 --> 00:20:34,451 Trauma patient. What's going on? 359 00:20:34,624 --> 00:20:37,033 Benzene fumes are contaminating patients. 360 00:20:37,253 --> 00:20:39,080 Dr. Corday, we're moving everybody out. 361 00:20:39,296 --> 00:20:44,005 He needs x-rays, peritoneal lavage and immediate surgery on his arm. 362 00:20:44,217 --> 00:20:46,256 Take him to the back hall. I'll call X-ray. 363 00:20:46,468 --> 00:20:47,501 In the hall? 364 00:20:47,680 --> 00:20:50,929 - Prep that guy and notify the OR. - You got it. 365 00:20:51,140 --> 00:20:54,058 Where are you taking me? What are we doing in the hall? 366 00:20:54,893 --> 00:20:57,514 Get out of here! Fumes are coming off the gurney! 367 00:20:57,687 --> 00:20:58,969 I want to get out of here! 368 00:20:59,147 --> 00:21:01,140 - What happened to Randi? - She's fainted. 369 00:21:01,316 --> 00:21:03,807 - The lobby? - Let's go! Clean patients only! 370 00:21:04,027 --> 00:21:05,687 How do we know who's clean? 371 00:21:05,902 --> 00:21:08,987 - Is Randi contaminated? - If it's on her clothes. 372 00:21:09,156 --> 00:21:12,026 - You okay? - Fine, but my patient's critical. 373 00:21:12,910 --> 00:21:17,122 If the CEO's in a meeting, get me her assistant. I'm in disaster mode. 374 00:21:18,165 --> 00:21:20,323 Three victims from the blast. Decontaminated. 375 00:21:20,500 --> 00:21:23,074 - What's this? - You can't come in. ER's contaminated. 376 00:21:23,252 --> 00:21:25,411 - What happened? - They came covered in benzene. 377 00:21:25,630 --> 00:21:28,086 - Clear the lobby! - You shouldn't have let them in! 378 00:21:28,257 --> 00:21:30,334 You didn't control it! They came in a truck! 379 00:21:30,593 --> 00:21:32,420 Move this gurney out of the way! 380 00:21:32,636 --> 00:21:34,712 Move! Just move! 381 00:21:35,598 --> 00:21:37,838 Somebody clear out the lobby! 382 00:21:44,564 --> 00:21:46,770 Send them to Mercy or something! 383 00:21:47,274 --> 00:21:49,017 All right, everybody shut up! 384 00:21:49,234 --> 00:21:51,109 - Everybody shut up! - Send them to Mercy! 385 00:21:51,320 --> 00:21:54,819 We' re going to evacuate the entire ER! Check every room. 386 00:21:55,032 --> 00:21:58,899 All contaminated patients and staff go to the ambulance bay right now! 387 00:21:59,119 --> 00:22:00,529 How do we know who's contaminated? 388 00:22:00,746 --> 00:22:04,197 If you got a spot on your skin, your gurney, or your clothes... 389 00:22:04,415 --> 00:22:05,577 ...go outside right now! 390 00:22:05,791 --> 00:22:07,334 Move, move! Let's get him out. 391 00:22:08,003 --> 00:22:09,033 Let's get her out. 392 00:22:09,253 --> 00:22:13,167 - Dr. Weaver, how you doing? - Her seizing stopped. She's postictal. 393 00:22:13,382 --> 00:22:15,209 I won't go outside without my jacket! 394 00:22:15,425 --> 00:22:17,418 Can you get some blankets for them? 395 00:22:17,594 --> 00:22:19,918 Send home any non-urgent cases now. 396 00:22:20,096 --> 00:22:23,180 If you need stitches or x-rays, go to the lobby! 397 00:22:23,809 --> 00:22:25,516 Let me have this for a second. 398 00:22:25,726 --> 00:22:27,102 How many critical are there? 399 00:22:27,270 --> 00:22:29,392 I got three here in the ambulance bay! 400 00:22:29,605 --> 00:22:33,223 Seven, eight. There's three outside. That's 11. 401 00:22:33,776 --> 00:22:36,612 All critical patients should move to... 402 00:22:38,905 --> 00:22:41,028 Go to the cafeteria. It's big enough. 403 00:22:41,241 --> 00:22:44,942 Let's stock it with portable monitors and oxygen cylinders. 404 00:22:45,119 --> 00:22:47,277 That's where we're moving. Let's go! 405 00:22:47,497 --> 00:22:49,739 It's not good to move during dialysis. 406 00:22:49,957 --> 00:22:51,699 Can this thing run off a battery? 407 00:22:51,917 --> 00:22:55,452 - No battery. There's a hand crank. - Then start cranking. 408 00:22:55,629 --> 00:22:57,039 Pedes Unit has a bed. 409 00:22:57,255 --> 00:22:59,130 All right. Get her ready. 410 00:22:59,300 --> 00:23:03,592 Joint Admission Protocols, Quality Assessment and Improvements. 411 00:23:03,803 --> 00:23:06,091 What are you doing? I need Ellenhorn. 412 00:23:06,305 --> 00:23:10,600 Check under the stack. The disaster manual has gotta be here somewhere. 413 00:23:11,309 --> 00:23:13,303 - What does it say? - I just found it. 414 00:23:13,479 --> 00:23:16,516 What about Policy and Procedures? Maybe something in here- 415 00:23:16,731 --> 00:23:21,025 Forget it. Grab all the charts and take them to Benton in the cafeteria. 416 00:23:21,235 --> 00:23:23,643 - I'm sure there's probably- - Run to the cafeteria! 417 00:23:23,862 --> 00:23:27,563 It's under Hydrocarbons. "Excreted in urine as sulfate conjugates-" 418 00:23:27,784 --> 00:23:30,072 No, not that. Go to Clinical Presentation. 419 00:23:30,285 --> 00:23:31,317 Pulmonary System. 420 00:23:31,495 --> 00:23:34,531 "Coughing, choking, pulmonary edema where aspiration occurs. " 421 00:23:34,748 --> 00:23:36,740 I think Manny aspirated, but not Weaver. 422 00:23:36,958 --> 00:23:40,078 Central Nervous System. "Inhalation causes depression... 423 00:23:40,294 --> 00:23:42,536 ...and rarely, seizures from hypoxia. " 424 00:23:42,756 --> 00:23:44,747 Supportive Care. "Treat with oxygen. " 425 00:23:44,966 --> 00:23:47,338 - That's what we're doing. - She should be okay. 426 00:23:50,179 --> 00:23:52,800 Let's move this table up against the wall. Let's go! 427 00:23:53,015 --> 00:23:55,340 - You're scratching my floor! - You, help him. 428 00:23:55,518 --> 00:23:58,352 - Don't order my people around! - Where are the outlets? 429 00:23:58,562 --> 00:24:00,056 Along that wall and that wall. 430 00:24:00,271 --> 00:24:02,347 All right, everybody, listen up! 431 00:24:02,522 --> 00:24:06,141 When I call the patient's name, give me the diagnosis. Arteburn? 432 00:24:06,360 --> 00:24:07,819 Right here. Rule out Ml. 433 00:24:08,028 --> 00:24:10,353 Let's get him over here. Center aisle. 434 00:24:10,531 --> 00:24:12,487 - Nguyen? - Shock, respiratory failure. 435 00:24:12,658 --> 00:24:14,365 Against the wall. He'll need a vent. 436 00:24:14,576 --> 00:24:15,774 Where are you going? 437 00:24:15,994 --> 00:24:19,362 I can't wait. I need to get him cleaned and up to the OR. 438 00:24:19,539 --> 00:24:20,618 Williams! 439 00:24:22,040 --> 00:24:24,164 We gotta get some heat. We're gonna freeze. 440 00:24:24,335 --> 00:24:25,366 HazMat. What's up? 441 00:24:25,585 --> 00:24:27,992 There's a benzene spill. Patients are contaminated. 442 00:24:28,171 --> 00:24:31,006 - We need some shelter. - We'll set them up out here. 443 00:24:33,177 --> 00:24:36,379 Take these to the cafeteria and set up a portable suction. 444 00:24:38,056 --> 00:24:40,972 - Where's the spill? - On the other side. We're evacuating. 445 00:24:41,184 --> 00:24:43,306 - That means you too, Dr...? - Carter. 446 00:24:43,519 --> 00:24:45,725 Captain Dannaker. We're setting up a decon. 447 00:24:45,938 --> 00:24:49,223 We're stocking the ambulance bay and cafeteria with supplies. 448 00:24:49,400 --> 00:24:51,808 We'll get you what you need. Get everyone out now. 449 00:24:51,984 --> 00:24:55,354 You won't know what to look for. Give me five minutes. 450 00:24:55,571 --> 00:24:57,445 - You got two! - Okay! 451 00:24:58,033 --> 00:25:01,236 Grab a crash cart, defibrillator and a bunch of mayo stands. 452 00:25:01,453 --> 00:25:02,697 - Right! - You guys okay? 453 00:25:02,912 --> 00:25:04,904 - We're on our way. - Okay. 454 00:25:07,416 --> 00:25:11,364 Chuny, get a lot of saline. Lots of it. Anybody in Exam 4? 455 00:25:11,586 --> 00:25:13,045 I need you down here. 456 00:25:13,253 --> 00:25:18,082 Inga Paulson, coronary artery disease, dopamine drip. Help me move her out. 457 00:25:18,259 --> 00:25:20,880 I'll do it. You take ACLS drugs to the cafeteria. 458 00:25:21,095 --> 00:25:22,968 Grab a big cart and load it full. 459 00:25:23,180 --> 00:25:26,465 - You're gonna move her and bag her? - Yeah. Go, go, go! 460 00:25:27,267 --> 00:25:29,592 Don't worry, Inga. We'll get you out of here. 461 00:25:30,062 --> 00:25:32,897 This is ridiculous! It won't work. There's no room. 462 00:25:33,107 --> 00:25:34,564 We should go to the cafeteria. 463 00:25:34,733 --> 00:25:38,895 No, I need her in the ICU. Stop cranking, I'll disconnect. 464 00:25:39,111 --> 00:25:41,862 - Her blood's in that machine. - I'm aware of that. 465 00:25:42,072 --> 00:25:45,072 - We should go to the cafeteria now. - Hang on. 466 00:25:45,242 --> 00:25:47,732 All right. Now we got a loop. 467 00:25:47,911 --> 00:25:49,655 Start cranking and come with me. 468 00:25:49,872 --> 00:25:52,541 Take the other elevator and meet us at PICU. 469 00:25:52,749 --> 00:25:54,077 Don't let that blood clot! 470 00:25:56,252 --> 00:25:59,585 Good, Inga. Big squeeze every three seconds. 471 00:25:59,963 --> 00:26:01,422 Doing fine. 472 00:26:01,632 --> 00:26:02,877 This is the last one. 473 00:26:03,091 --> 00:26:04,290 Get moving. 474 00:26:04,634 --> 00:26:07,008 - What the hell? - A fire alarm. I'll get it. 475 00:26:07,221 --> 00:26:09,842 Dannaker here. Get me the fire control room. 476 00:26:10,265 --> 00:26:11,890 What's that? 477 00:26:12,767 --> 00:26:14,760 Fire alarm. Hang on. 478 00:26:18,273 --> 00:26:21,060 I lost the bag! Can you stabilize the tube? 479 00:26:22,275 --> 00:26:24,945 - What did you push? - Nothing. I- 480 00:26:25,946 --> 00:26:27,356 What the hell's going on? 481 00:26:27,573 --> 00:26:30,941 Elevator recall, down to the lobby. Happens during emergencies. 482 00:26:31,160 --> 00:26:32,535 Sophie, you okay? 483 00:26:36,914 --> 00:26:39,950 - Why have we stopped? - I don't know. How's her oxygen? 484 00:26:40,627 --> 00:26:44,539 She's got two-thirds of a tank. 20 minutes left. 485 00:26:44,754 --> 00:26:45,870 Look at that! 486 00:26:50,051 --> 00:26:54,677 - Think they'll hear that? - Yeah, they'll hear it. 487 00:27:14,697 --> 00:27:17,104 - Excuse me. You're a doctor? - Yes, I am. 488 00:27:17,283 --> 00:27:20,365 My daughter's a patient in the ER. They won't let me in. 489 00:27:20,576 --> 00:27:23,067 - Okay. - You can't be here, ma'am. 490 00:27:23,286 --> 00:27:24,531 No! Somebody help me! 491 00:27:24,746 --> 00:27:27,118 - Check in the cafeteria. - Let go of me! 492 00:27:27,289 --> 00:27:30,455 - Captain Dannaker? - Copy. No fire verified on floor two. 493 00:27:30,625 --> 00:27:32,333 Fire patrol, do a reset. 494 00:27:32,543 --> 00:27:35,959 False alarm. Somebody smelled fumes and panicked. 495 00:27:36,838 --> 00:27:40,171 - Jeanie, why are we outside? - We're taking you to the cafeteria. 496 00:27:40,382 --> 00:27:42,209 - Is she okay? - She's still altered. 497 00:27:42,426 --> 00:27:45,629 It's not the benzene, it's the seizures. She should be fine. 498 00:27:47,388 --> 00:27:49,628 Some may need attention before they go inside. 499 00:27:49,806 --> 00:27:51,514 - You're in the cold zone. - Cold zone? 500 00:27:51,724 --> 00:27:55,590 Out here. In there's the warm zone. Nobody goes in there without a suit. 501 00:27:55,810 --> 00:27:57,802 Same goes for the ER, it's a hot zone. 502 00:27:57,979 --> 00:27:59,057 - Are you Carter? - Yeah. 503 00:27:59,230 --> 00:28:02,432 Harriet Spooner, VP of Operations. I'm the incident commander. 504 00:28:02,649 --> 00:28:05,649 - Did you evacuate to the cafeteria? - Yeah. 505 00:28:05,818 --> 00:28:08,652 The disaster plan calls for evacuation to Physical Therapy. 506 00:28:08,818 --> 00:28:10,896 It got chaotic. We had to improvise. 507 00:28:11,114 --> 00:28:12,738 We have an elevator stuck. 508 00:28:12,907 --> 00:28:14,731 - I'll get the engineer. - Anybody on it? 509 00:28:14,949 --> 00:28:17,735 Don't know. The phone's dead and the alarm's going off. 510 00:28:20,203 --> 00:28:22,659 Just keep your eye on it. Now listen, Sophie? 511 00:28:22,830 --> 00:28:27,158 We're going on a little adventure. You'll have cool stories to tell. 512 00:28:27,334 --> 00:28:29,124 Multifocal PVCs. 513 00:28:29,333 --> 00:28:31,659 Let me see this. Potassium's too high. 514 00:28:32,378 --> 00:28:35,662 Push an amp of bicarb. Buy us a little time. 515 00:28:37,007 --> 00:28:41,133 Run of seven. Here, take it. Bicarb. She'll go into V-tach. 516 00:28:41,344 --> 00:28:42,802 We don't have any. 517 00:28:43,011 --> 00:28:45,051 Did you check the box? You can't... 518 00:28:45,263 --> 00:28:48,098 ...treat hyperkaliemia without bicarb. 519 00:28:48,307 --> 00:28:51,178 It wasn't my idea to move her like this. 520 00:28:53,268 --> 00:28:55,841 - It's okay. It's okay, Sophie. - What do you have? 521 00:28:56,063 --> 00:28:59,182 All right. We got epi, atropine. How about lidocaine? 522 00:28:59,399 --> 00:29:00,560 I'll take lidocaine. 523 00:29:01,399 --> 00:29:04,565 50 mg bolus, and 5 every five minutes. 524 00:29:04,777 --> 00:29:06,104 How's the oxygen? 525 00:29:06,570 --> 00:29:08,028 Ten minutes. 526 00:29:10,032 --> 00:29:11,194 You'll be fine. 527 00:29:11,406 --> 00:29:13,530 Lavage is negative. Let's get him to the OR. 528 00:29:13,700 --> 00:29:15,776 Hey, Transport! Give us a hand. 529 00:29:22,083 --> 00:29:23,576 Dr. Weaver? 530 00:29:23,999 --> 00:29:25,329 I'm sorry. Have we met? 531 00:29:26,543 --> 00:29:27,741 You're my doctor. 532 00:29:27,920 --> 00:29:29,828 We should let her rest. 533 00:29:30,421 --> 00:29:33,539 We got two more vents coming down. Who gets the first one? 534 00:29:34,172 --> 00:29:35,881 Let's start with Inga. 535 00:29:36,842 --> 00:29:38,917 Are you sure, Inga? It could be awhile. 536 00:29:39,094 --> 00:29:40,801 Carter, where's your Attending? 537 00:29:41,013 --> 00:29:42,127 Dr. Weaver's over here. 538 00:29:42,347 --> 00:29:44,338 - Do you need more nurses? - Yes, we do. 539 00:29:44,557 --> 00:29:46,964 All right. I can float you three from the ICU. 540 00:29:47,600 --> 00:29:48,879 Kerry? 541 00:29:49,101 --> 00:29:51,592 Harriet. What is going on? 542 00:29:51,811 --> 00:29:55,679 I am so sorry. I had no idea you were debilitated by the incident. 543 00:29:55,856 --> 00:29:56,887 What incident? 544 00:29:57,107 --> 00:29:59,264 Remember I told you there was a toxic spill? 545 00:29:59,442 --> 00:30:00,473 Will she be all right? 546 00:30:00,692 --> 00:30:04,559 Lack of oxygen caused a seizure. We don't expect any long-term effects. 547 00:30:04,780 --> 00:30:07,530 This is the action packet for the chief medical officer... 548 00:30:07,699 --> 00:30:09,856 ...which I guess, for the moment, is you. 549 00:30:10,075 --> 00:30:13,028 Here's a walkie. I'll check in with you in half an hour. 550 00:30:13,245 --> 00:30:14,952 I've got to deal with the elevator. 551 00:30:15,120 --> 00:30:19,034 - Did you get them out? - Repairman's on the way. It'll be an hour. 552 00:30:20,039 --> 00:30:21,700 - There are two sets of doors? - Yeah. 553 00:30:21,917 --> 00:30:24,621 - Help me when I open it. - I can't. I gotta bag her. 554 00:30:24,836 --> 00:30:26,709 Reach in! Get your body in here. 555 00:30:26,921 --> 00:30:29,494 - Right there. - All right. 556 00:30:29,714 --> 00:30:31,256 - Watch your knee. Go. - I got it. 557 00:30:31,423 --> 00:30:35,207 Hang on. We're two and a half feet short of the floor. 558 00:30:37,303 --> 00:30:38,632 There's gotta be a latch. 559 00:30:38,805 --> 00:30:40,297 Come down. What if it moves? 560 00:30:40,472 --> 00:30:42,263 No worries about commitment. 561 00:30:42,473 --> 00:30:45,093 - I'm serious. - I got it. Right there. 562 00:30:45,309 --> 00:30:47,799 Pull it. Give me another pull. 563 00:30:48,812 --> 00:30:49,891 What's that? 564 00:30:50,104 --> 00:30:52,309 It's not the EKG. It's her pulse ox. 565 00:30:52,522 --> 00:30:54,479 The 02 sat's down to 89. 566 00:30:54,649 --> 00:30:56,806 Oh, God! Sophie?! Sophie? 567 00:30:57,025 --> 00:30:59,860 - All right, I got it. - She's unresponsive! 568 00:31:00,152 --> 00:31:03,153 - Anybody in there? - We got a little girl in here! 569 00:31:03,322 --> 00:31:04,485 Got that? 570 00:31:04,657 --> 00:31:06,695 Hold that there. We need oxygen! 571 00:31:06,908 --> 00:31:09,613 - Get us out of here! - We don't have time! Let's go! 572 00:31:15,122 --> 00:31:17,197 It won't go any further than that! 573 00:31:17,416 --> 00:31:19,823 Come on! It's gonna work. 574 00:31:20,000 --> 00:31:22,039 Watch your fingers. Hang on. 575 00:31:22,253 --> 00:31:23,497 - You all right? - Yeah. 576 00:31:23,670 --> 00:31:24,832 Okay, hang on. 577 00:31:25,046 --> 00:31:27,003 Hold it right there. Try this. 578 00:31:29,424 --> 00:31:30,455 All right. 579 00:31:30,674 --> 00:31:32,881 - It's not gonna open. - It's gonna open! 580 00:31:33,552 --> 00:31:36,337 - Come here. Get your hands in here. - Grab hold! 581 00:31:36,763 --> 00:31:40,131 All right, guys. One, two, three! 582 00:31:43,560 --> 00:31:45,681 - She needs oxygen! - Got it. Got it. 583 00:31:46,853 --> 00:31:47,933 Hook her up. 584 00:31:49,272 --> 00:31:50,351 Go. 585 00:31:54,318 --> 00:31:56,689 - Here's our little action hero. - How does it look? 586 00:31:56,902 --> 00:31:59,310 Like ground beef. No, more like chopped liver. 587 00:31:59,529 --> 00:32:01,356 Can we salvage the limb? 588 00:32:01,530 --> 00:32:04,153 Want my honest opinion? No, I don't think you do. 589 00:32:04,365 --> 00:32:08,826 - I'd like to give it our best shot. - You got it, Lizzie. 110 percent. 590 00:32:11,622 --> 00:32:15,037 - Can you feel this? - It's kind of numb. Is that bad? 591 00:32:15,250 --> 00:32:18,535 It means the leg's tensing. I'll measure the internal pressure. 592 00:32:18,753 --> 00:32:21,421 Transducer's up in the ER. HazMat won't find it. 593 00:32:21,630 --> 00:32:26,420 All right. Then I need an 18-gauge needle, IV tubing and a BP manometer. 594 00:32:26,632 --> 00:32:27,960 You got it. 595 00:32:28,843 --> 00:32:32,459 Then I watched them put you on a gurney and give you oxygen. 596 00:32:32,679 --> 00:32:33,709 Then what happened? 597 00:32:33,887 --> 00:32:36,379 They moved me from a yellow room to a green room. 598 00:32:36,556 --> 00:32:40,719 That would be Trauma 2. But where was I at that time? 599 00:32:40,936 --> 00:32:42,761 Then they put you in the yellow room. 600 00:32:42,977 --> 00:32:47,140 That's where they removed all of your clothes and put them into a plastic bag. 601 00:32:49,817 --> 00:32:50,847 Two more to go. 602 00:32:51,067 --> 00:32:53,272 - What about the ER? - It'll take awhile. 603 00:32:53,861 --> 00:32:56,315 - Is there a doctor around? - Right here. 604 00:32:56,487 --> 00:32:57,518 Hard to breathe. 605 00:32:57,738 --> 00:32:59,196 - I'm coming. - No. Suits only. 606 00:32:59,364 --> 00:33:00,989 Suit me up. He's in trouble. 607 00:33:01,200 --> 00:33:04,153 It'll take 15 minutes to suit up. He'll be out by then. 608 00:33:04,368 --> 00:33:06,028 Doc, do something! 609 00:33:06,287 --> 00:33:08,077 You won't let me in? He could die. 610 00:33:08,288 --> 00:33:09,912 - Mike, give him oxygen! - Morrie! 611 00:33:10,664 --> 00:33:14,079 - He's not talking! Do something! - Get me an airway kit now! 612 00:33:14,251 --> 00:33:17,251 Give him one more minute. Tube him when he comes out. 613 00:33:17,921 --> 00:33:20,410 Morrie! Morrie! 614 00:33:21,839 --> 00:33:23,417 Help him! 615 00:33:24,799 --> 00:33:26,377 Do something! Help him! 616 00:33:26,552 --> 00:33:27,582 That's pretty stupid. 617 00:33:27,761 --> 00:33:30,879 Do something for Morrie! 618 00:33:33,139 --> 00:33:36,055 He's dirty now. Let him do it. 619 00:33:37,101 --> 00:33:39,175 - Anybody here an EMT? - I'm a medic. 620 00:33:40,269 --> 00:33:41,431 Bag him when I'm done. 621 00:33:41,645 --> 00:33:42,760 You got it. 622 00:33:53,612 --> 00:33:54,693 I'm in. 623 00:33:55,281 --> 00:33:57,107 - Scrub him. - Let's go, doc. 624 00:33:57,282 --> 00:33:59,440 - Let's go. - Wait. 625 00:34:04,579 --> 00:34:06,323 Dr. Carter. Come in, Dr. Carter. 626 00:34:06,498 --> 00:34:07,528 I need to talk to her. 627 00:34:07,748 --> 00:34:09,076 I got you covered, doc. 628 00:34:21,465 --> 00:34:22,545 How's he doing? 629 00:34:23,802 --> 00:34:25,260 He's picking up. Looks good. 630 00:34:26,679 --> 00:34:28,664 Great. 631 00:34:35,944 --> 00:34:37,189 Sixty, 70. 632 00:34:37,363 --> 00:34:38,442 What does that mean? 633 00:34:38,614 --> 00:34:42,067 The pressure's too high from the bleeding. We need to operate. 634 00:34:42,286 --> 00:34:44,196 I need you over here! 635 00:34:44,415 --> 00:34:45,957 Jerry, book a room! 636 00:34:46,125 --> 00:34:48,747 Charging to 200. Clear! 637 00:34:48,962 --> 00:34:52,131 - Still in fib. - All right. Charge to 300. 638 00:34:52,635 --> 00:34:53,832 Clear! 639 00:34:56,723 --> 00:35:00,093 - Can we take him inside? - In a minute. 640 00:35:00,312 --> 00:35:01,594 What about my shoes? 641 00:35:01,815 --> 00:35:03,973 Ernie, take care of Dr. Carter. 642 00:35:06,029 --> 00:35:08,947 His heart's up to 98. He's waking up. 643 00:35:10,160 --> 00:35:13,079 He sounds pretty good. I think you'll be okay, Morris. 644 00:35:13,289 --> 00:35:15,996 - Dr. Carter? - No, man. Real shoes. 645 00:35:17,253 --> 00:35:19,579 Malik! Help us move him inside? 646 00:35:19,799 --> 00:35:22,551 Hold up. They're coding some old lady in the cafeteria. 647 00:35:32,568 --> 00:35:34,193 I said charge it to 360. 648 00:35:34,404 --> 00:35:37,490 Wait, it takes time. The battery's low. Okay. 649 00:35:38,493 --> 00:35:39,691 Clear! 650 00:35:40,204 --> 00:35:42,492 Asystole. How long have we been at this? 651 00:35:42,665 --> 00:35:43,698 Eighteen minutes. 652 00:35:43,917 --> 00:35:46,671 She never had a rhythm or a pulse. That's it. 653 00:35:48,382 --> 00:35:50,460 Time of death: 22:09. 654 00:35:50,677 --> 00:35:51,876 OR's ready for Krakowski. 655 00:35:52,054 --> 00:35:55,389 I've got a fasciotomy. See if you can find her family. 656 00:35:55,560 --> 00:35:58,930 Did that lady just die? I mean, is she dead? 657 00:36:00,650 --> 00:36:02,691 They're not gonna leave her there? 658 00:36:02,904 --> 00:36:04,648 - Where are the pre-op labs? - Here. 659 00:36:04,865 --> 00:36:07,820 - How long will I be in a cast? - Four to six weeks. 660 00:36:08,912 --> 00:36:11,155 - Anna's running the code? - Yeah, but we just- 661 00:36:12,334 --> 00:36:16,379 Five rounds of epi. Two of atropine. Lidocaine- 662 00:36:20,638 --> 00:36:22,465 Bretylium, amiodarone. 663 00:36:22,681 --> 00:36:25,886 - Should've been in the ICU. - Wouldn't have made a difference. 664 00:36:26,062 --> 00:36:27,094 Might've. 665 00:36:27,273 --> 00:36:29,978 No. You turned this place into an ICU. 666 00:36:31,361 --> 00:36:35,231 This isn't an ICU. This is just something we threw together. 667 00:36:38,289 --> 00:36:39,748 This shouldn't have happened. 668 00:36:39,958 --> 00:36:42,283 Look. Inoperable triple-vessel disease. 669 00:36:43,004 --> 00:36:45,210 It was only a matter of time. 670 00:36:46,926 --> 00:36:49,085 Mr. Arteburn, you okay? 671 00:36:49,304 --> 00:36:51,796 Dizzy. Very dizzy. 672 00:36:51,975 --> 00:36:55,595 Superventricular tachycardia. Adenosine 6 mgs, IV. 673 00:36:55,773 --> 00:36:56,803 We don't have any. 674 00:36:57,024 --> 00:37:00,643 - Jerry, run to the pharmacy. - Do you need some help? 675 00:37:01,614 --> 00:37:03,941 Jeanie, help out Dr. Weaver. 676 00:37:04,118 --> 00:37:05,149 Take it easy. 677 00:37:05,369 --> 00:37:08,241 Pulse is weak and thready. Any chest pain? 678 00:37:08,416 --> 00:37:10,705 We can't wait for adenosine. It's a cardiovert. 679 00:37:10,918 --> 00:37:12,379 Lily, grab a crash cart! 680 00:37:12,588 --> 00:37:14,666 Let's get him into Trendelenberg. 681 00:37:15,468 --> 00:37:17,128 I'll try carotid sinus massage. 682 00:37:17,345 --> 00:37:19,005 Yosh. Can you get a BP? 683 00:37:19,181 --> 00:37:20,213 Lily, charge to 100. 684 00:37:20,434 --> 00:37:22,260 Mr. Arteburn? Mr. Arteburn? 685 00:37:22,436 --> 00:37:24,559 - He's unresponsive. - Give me the paddles. 686 00:37:24,773 --> 00:37:27,098 - Battery's dead. - I'll find an extension cord. 687 00:37:27,276 --> 00:37:29,270 No, there's an outlet. Help me move him. 688 00:37:29,488 --> 00:37:32,276 - Move that gurney out of the way! - BP's 60 palp. 689 00:37:32,493 --> 00:37:34,569 He's not moving much air. I gotta tube him. 690 00:37:34,788 --> 00:37:36,282 Carter? Carter? 691 00:37:38,292 --> 00:37:39,704 Get ready to start CPR. 692 00:37:39,920 --> 00:37:42,079 I need an intubation tray. 693 00:37:42,298 --> 00:37:43,924 Carter? 694 00:37:45,511 --> 00:37:47,967 Lily, when we get power, we need to move him. 695 00:37:48,182 --> 00:37:50,141 Get over here! I need you to bag him. 696 00:37:50,310 --> 00:37:51,971 Almost ready! 697 00:37:52,939 --> 00:37:54,019 Hold that. 698 00:38:10,631 --> 00:38:11,663 Normal sinus rhythm. 699 00:38:11,884 --> 00:38:14,090 What are you people doing to me?! 700 00:38:14,303 --> 00:38:17,305 You had an abnormal heart rhythm. We had to treat you. 701 00:38:17,516 --> 00:38:19,844 - By drowning me?! - It's a diving reflex. 702 00:38:20,062 --> 00:38:22,601 It slows the heart, breaks the tachycardia. 703 00:38:22,816 --> 00:38:27,361 You call this the highest standard of care? Get my doctor on the phone! 704 00:38:27,530 --> 00:38:30,105 I got the adenosine. We're okay. 705 00:38:30,326 --> 00:38:33,994 I'll meet you in Recovery. I want to be there when he wakes up. 706 00:38:34,166 --> 00:38:35,198 Yes. 707 00:38:36,002 --> 00:38:38,329 - Elizabeth. - Hello, Peter. 708 00:38:38,546 --> 00:38:39,828 I'll be right there. 709 00:38:40,676 --> 00:38:42,882 Oh, your eye looks worse. 710 00:38:43,095 --> 00:38:45,385 I'm sure it looks nastier than it is. 711 00:38:45,600 --> 00:38:49,681 Let me have a look anyway. You could have a hyphema. 712 00:38:51,608 --> 00:38:54,777 So I heard about the big rescue. 713 00:38:55,946 --> 00:38:57,692 You were under a collapsed building? 714 00:38:57,867 --> 00:39:02,162 Went all out to avoid amputation. But we had to take his arm anyway. 715 00:39:02,958 --> 00:39:04,833 Okay. You okay? 716 00:39:05,920 --> 00:39:08,792 Have to tell Leo about his arm when he wakes up. 717 00:39:09,593 --> 00:39:11,751 What about you? You on call tonight? 718 00:39:11,929 --> 00:39:15,430 I've got a fasciotomy. After that, I'm free. 719 00:39:15,643 --> 00:39:17,803 I could do with some debriefing. 720 00:39:20,484 --> 00:39:22,027 Take a deep breath in. 721 00:39:22,236 --> 00:39:25,487 Now blow out. 722 00:39:25,699 --> 00:39:27,490 Can we get a blood gas in 20 minutes? 723 00:39:27,660 --> 00:39:29,204 My throat's sore. 724 00:39:30,665 --> 00:39:33,204 - Give her some water. - Yep. There you go. 725 00:39:35,339 --> 00:39:37,212 That was pretty scary, wasn't it? 726 00:39:37,425 --> 00:39:39,751 No. We do that kind of thing here every day. 727 00:39:39,970 --> 00:39:43,257 No. You were scared. Tell the truth. 728 00:39:45,103 --> 00:39:47,594 - I was pretty scared. - I was really scared. 729 00:39:48,316 --> 00:39:51,602 Honey, I've been looking all over for you. 730 00:39:51,820 --> 00:39:52,853 Is she okay? 731 00:39:53,030 --> 00:39:54,609 She's fine. 732 00:39:54,867 --> 00:39:56,361 I heard about the fumes. 733 00:39:56,577 --> 00:39:59,698 - Was she exposed? - Her lungs weren't exposed. 734 00:39:59,874 --> 00:40:02,199 - She was never in any danger? - No, Mom. 735 00:40:04,672 --> 00:40:06,500 They took really good care of me. 736 00:40:09,262 --> 00:40:10,923 Excuse me. The ER. 737 00:40:11,140 --> 00:40:13,679 Okay. Dr. Lemley, if you'll...? 738 00:40:13,894 --> 00:40:16,730 I'll come back and check on you. You're in good hands. 739 00:40:16,899 --> 00:40:19,569 - Thank you. - You're welcome. Carol? 740 00:40:20,696 --> 00:40:24,778 - Have Pharmacy restock the drug boxes. - Sure. 741 00:40:24,994 --> 00:40:27,402 - Are you still mad at me? - I was mad? 742 00:40:27,581 --> 00:40:30,500 - You accused me of spying on you. - I never said that. 743 00:40:30,711 --> 00:40:31,909 That's what you meant. 744 00:40:32,129 --> 00:40:34,503 I was annoyed. You don't need to check on me. 745 00:40:34,717 --> 00:40:38,586 I wasn't. I just wanted to see you last night. 746 00:40:40,349 --> 00:40:41,725 Me too. 747 00:40:42,143 --> 00:40:44,932 We shouldn't let that happen too often, should we? 748 00:40:45,148 --> 00:40:48,769 I actually think we shouldn't let that happen at all, but- 749 00:40:52,909 --> 00:40:54,285 Here goes nothing. 750 00:41:35,096 --> 00:41:36,639 Okay, Mr. Arteburn. 751 00:41:36,849 --> 00:41:40,516 Let's put you down into Curtain 1. 752 00:41:42,356 --> 00:41:44,599 Take Manny and put him in Curtain 2. 753 00:41:44,819 --> 00:41:48,521 - Morris, 2B. - Carter, I can take it from here. 754 00:41:49,783 --> 00:41:54,033 Put the sickest patients in the trauma rooms and curtains. 755 00:41:54,207 --> 00:41:55,240 - Jeanie. - Yeah? 756 00:41:55,418 --> 00:41:58,834 You and Jerry update the board and get the phones back. 757 00:41:59,047 --> 00:42:00,922 - You okay? - Yeah. I'm fine. 758 00:42:01,134 --> 00:42:04,552 I spoke with Harriet Spooner, the incident commander. 759 00:42:04,723 --> 00:42:07,393 I would like to thank you for helping me out. 760 00:42:07,560 --> 00:42:10,895 The administration would like you to speak with the press. 761 00:42:11,483 --> 00:42:16,192 We'll meet them together in the first-floor conference room at 11: 15. 762 00:42:16,406 --> 00:42:20,869 In terms of dealing with these people, I've got more experience. 763 00:42:21,078 --> 00:42:24,532 It's important that the emphasis- 764 00:42:24,752 --> 00:42:27,327 - No. Morris gets that vent! - All right. 765 00:42:27,505 --> 00:42:29,167 It's important that the emphasis... 766 00:42:29,382 --> 00:42:33,170 ...be placed on the institutional response to the crisis... 767 00:42:33,389 --> 00:42:35,548 ...as opposed to any individual efforts. 768 00:42:35,767 --> 00:42:37,428 They would tend to sensationalize. 769 00:42:37,603 --> 00:42:40,310 I think it's best to say simply that... 770 00:42:40,524 --> 00:42:43,610 ...we followed a well-rehearsed disaster plan... 771 00:42:43,821 --> 00:42:47,274 ...and worked with HazMat to ensure the safety of our patients... 772 00:42:47,493 --> 00:42:48,738 ...and also the staff. 773 00:42:49,413 --> 00:42:51,820 The fire captain wants to speak with you. 774 00:42:52,041 --> 00:42:53,370 Oh, right. 11: 15? 775 00:42:53,586 --> 00:42:55,080 - That's right. - I'll be there. 776 00:42:55,296 --> 00:42:58,334 I've looked at some of the causative factors... 777 00:42:58,551 --> 00:43:00,675 ...and I can now identify those at blame. 778 00:43:00,888 --> 00:43:02,169 What are you talking about? 779 00:43:02,390 --> 00:43:05,226 I've been on nights, and during that time... 780 00:43:05,437 --> 00:43:10,147 ...the day unit service coordinators have let the central area deteriorate. 781 00:43:10,360 --> 00:43:12,518 Jerry, this was a chemical spill. 782 00:43:12,738 --> 00:43:14,648 Yes, and we were impaired... 783 00:43:14,825 --> 00:43:17,743 ...because we were unable to find this important manual. 784 00:43:17,955 --> 00:43:20,873 Now that I'm back on days, you can count on... 785 00:43:21,042 --> 00:43:23,748 ...a higher level of efficiency at the central work area. 786 00:43:23,962 --> 00:43:27,214 If you pass out again, I'll have everything under control. 787 00:43:31,640 --> 00:43:33,017 Dr. Carter! 788 00:43:34,187 --> 00:43:35,218 Want these back? 789 00:43:35,439 --> 00:43:37,811 No. Souvenir. 790 00:43:38,485 --> 00:43:40,561 How do you think your people handled things? 791 00:43:40,779 --> 00:43:42,489 Oh, pretty good. 792 00:43:43,366 --> 00:43:45,325 No. It was a total disaster. 793 00:43:46,037 --> 00:43:48,364 You guys were caught with your pants down. 794 00:43:49,709 --> 00:43:52,961 But you personally did okay under the circumstances. 795 00:43:53,590 --> 00:43:57,256 I think you're the guy to work with on a schedule of disaster drills. 796 00:43:58,179 --> 00:44:02,428 I don't have that kind of authority. I'm just an intern. 797 00:44:03,688 --> 00:44:04,934 You had me fooled. 798 00:44:05,150 --> 00:44:07,059 You should talk to our chief of staff. 799 00:44:13,912 --> 00:44:15,951 It was good working with you. 800 00:44:24,009 --> 00:44:25,208 Hey, Carter! 801 00:44:25,387 --> 00:44:27,380 Hey! When did you get back? 802 00:44:27,598 --> 00:44:30,600 Came straight from the airport. I'm on in five minutes. 803 00:44:30,811 --> 00:44:33,481 It's good to see you. How's your mom? 804 00:44:33,690 --> 00:44:35,731 She's doing better. 805 00:44:36,402 --> 00:44:37,896 What's with the boots? 806 00:44:38,405 --> 00:44:41,054 It's kind of a long story. 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net 63199

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