1 00:00:15,306 --> 00:00:16,306 Prep to intubate. 2 00:00:16,391 --> 00:00:17,475 Ketamine and Roc on board. 3 00:00:17,559 --> 00:00:18,768 Chest tube is in. Hook me up. 4 00:00:19,602 --> 00:00:22,230 Yellow zone, we are running out of everything. 5 00:00:22,313 --> 00:00:25,316 Only change bandages that are completely bled through. 6 00:00:27,485 --> 00:00:29,279 Overheard a nurse say the shooter's here. 7 00:00:29,362 --> 00:00:30,363 Holy shit. 8 00:00:30,447 --> 00:00:31,448 Oh, my God. 9 00:00:31,531 --> 00:00:32,531 Sorry. 10 00:00:32,615 --> 00:00:34,826 He's handcuffed, but he's in a room. 11 00:00:34,909 --> 00:00:37,787 He gets a room while the rest of us are stacked up like firewood. 12 00:00:37,871 --> 00:00:39,205 Sorry to interrupt. 13 00:00:39,289 --> 00:00:40,623 Anything you could tell us about the shooter? 14 00:00:40,707 --> 00:00:42,417 - Is he here? - Where'd you hear that? 15 00:00:42,500 --> 00:00:43,793 Nurses be talking. 16 00:00:43,877 --> 00:00:45,462 I don't know anything about that. 17 00:00:45,545 --> 00:00:47,172 Yeah, let's keep the rumor mill in check. 18 00:00:47,255 --> 00:00:50,050 The cops will alert us when they know something. 19 00:00:50,133 --> 00:00:52,761 Okay. Dawn, how are you doing? Do you need anything? 20 00:00:52,844 --> 00:00:54,471 I'm better. Kind of hungry, though. 21 00:00:54,554 --> 00:00:56,890 Well, we can discontinue your IV, 22 00:00:56,973 --> 00:00:58,683 give you a sandwich so your sugar doesn't tank, 23 00:00:58,767 --> 00:00:59,934 - and then you can go home. - Thanks. 24 00:01:00,018 --> 00:01:02,270 But my phone died at PittFest, so I wasn't getting 25 00:01:02,353 --> 00:01:04,022 any alerts from my glucose monitor. 26 00:01:04,105 --> 00:01:05,190 What about me? 27 00:01:05,272 --> 00:01:06,524 Can I go home? 28 00:01:06,608 --> 00:01:09,277 Since you OD'd, we need to keep you here for a couple more hours, 29 00:01:09,360 --> 00:01:10,987 make sure you don't need any more Narcan. 30 00:01:11,071 --> 00:01:12,530 How's your pain doing, Buster? 31 00:01:12,614 --> 00:01:14,074 I mean, my arm still hurts pretty bad. 32 00:01:14,157 --> 00:01:15,909 Hey, can I get a sandwich, too? 33 00:01:15,992 --> 00:01:17,368 We can up your pain meds, 34 00:01:17,452 --> 00:01:20,914 but you're on the list for the OR, so we need to keep you NPO. 35 00:01:20,997 --> 00:01:22,707 - Meaning? - Nothing more to eat. 36 00:01:22,791 --> 00:01:24,793 We'll keep you hydrated with IV fluids. 37 00:01:24,876 --> 00:01:27,879 Can I at least get a blanket? It's so cold in here. 38 00:01:27,962 --> 00:01:29,506 Yeah... 39 00:01:29,589 --> 00:01:31,382 All the blankets are in Pedes... 40 00:01:32,509 --> 00:01:33,718 The morgue. 41 00:01:35,095 --> 00:01:36,763 Rock Paper Scissors? 42 00:01:40,725 --> 00:01:42,018 Shit. 43 00:01:43,019 --> 00:01:45,354 - Dawn, I can charge your phone for you. - Thank you. 44 00:01:45,438 --> 00:01:48,399 Fucking circus. 45 00:01:48,483 --> 00:01:51,194 - Robby here? - No. Check trauma rooms. 46 00:01:57,866 --> 00:02:00,328 - 500 cc's from the chest tube already. - We're out of O-neg again. 47 00:02:00,411 --> 00:02:02,413 Hang the cell saver for autotransfusion. 48 00:02:02,497 --> 00:02:03,957 - This is weird. - What? 49 00:02:04,040 --> 00:02:06,960 Shot in the chest, but nothing out of the thoracostomy tube. 50 00:02:07,043 --> 00:02:08,502 You got through the pleura okay? 51 00:02:08,586 --> 00:02:10,380 Yeah, I definitely felt the lung with my finger. 52 00:02:10,463 --> 00:02:12,340 I lost the radial pulse. I got a femoral. 53 00:02:12,423 --> 00:02:14,592 This guy's bleeding out. Probably tore through the spleen. 54 00:02:14,676 --> 00:02:15,677 How? 55 00:02:15,760 --> 00:02:17,345 Okay, nipples to navel is no man's land. 56 00:02:17,428 --> 00:02:21,516 If he got shot while exhaling, the bullet possibly passed below the diaphragm. 57 00:02:21,599 --> 00:02:24,394 Start a second IO, transfuse two units O-positive. 58 00:02:24,477 --> 00:02:27,063 Where's Robby? Let's find him and call Walsh. 59 00:02:27,147 --> 00:02:30,358 This guy needs the next OR immediately. 60 00:02:30,441 --> 00:02:31,776 - Dana! - Yeah? 61 00:02:31,860 --> 00:02:34,779 - Have you seen Robby? - I was about to ask you the same thing. 62 00:02:34,863 --> 00:02:36,364 - McKay! - Yeah? 63 00:02:36,447 --> 00:02:37,656 You seen Robby? 64 00:02:38,658 --> 00:02:40,451 No, not in Pink. 65 00:02:42,704 --> 00:02:45,748 I was at the festival 66 00:02:45,832 --> 00:02:48,209 with my husband and my daughter. 67 00:02:49,377 --> 00:02:53,089 My husband is in a wheelchair from MS. 68 00:02:53,965 --> 00:02:57,010 I did my best to protect him. 69 00:02:57,093 --> 00:02:59,888 A bullet went through my arm and through his head. 70 00:03:07,854 --> 00:03:10,481 The medics declared him dead. 71 00:03:10,565 --> 00:03:12,317 What about your daughter? 72 00:03:12,400 --> 00:03:13,693 What's her name? 73 00:03:15,111 --> 00:03:16,112 Morgan. 74 00:03:17,030 --> 00:03:19,782 Some family members are meeting in the cafeteria. 75 00:03:19,866 --> 00:03:21,576 I can see if she's there. 76 00:03:23,286 --> 00:03:26,079 How do you deal with all this death and carnage? 77 00:03:29,667 --> 00:03:30,919 I don't... 78 00:03:31,002 --> 00:03:32,128 I don't know. 79 00:03:32,837 --> 00:03:34,339 Any more Pleur-evacs in Pink? 80 00:03:34,422 --> 00:03:35,840 - Maybe. - What do you need? 81 00:03:35,924 --> 00:03:37,634 - A couple units of blood. - Good luck. 82 00:03:37,716 --> 00:03:39,052 Princess. 83 00:03:58,321 --> 00:03:59,489 Dr. Robby? 84 00:04:01,157 --> 00:04:02,533 Dr. Robby, you okay? 85 00:04:28,476 --> 00:04:31,688 You have to go. You have to go. They need you out there. 86 00:04:31,771 --> 00:04:34,107 We need you out there. 87 00:04:40,405 --> 00:04:42,198 Okay, come on, give me your hand. 88 00:04:44,158 --> 00:04:45,702 I can't. 89 00:04:45,784 --> 00:04:47,203 You have to... 90 00:04:48,246 --> 00:04:50,999 Because if you don't, we're fucked. 91 00:05:16,607 --> 00:05:17,608 Okay. 92 00:05:18,359 --> 00:05:19,902 See you out there, Captain. 93 00:05:35,501 --> 00:05:37,086 Once your phone is charged and able to monitor 94 00:05:37,170 --> 00:05:39,630 - your blood sugar, we'll let you go. - Thank you. 95 00:05:41,215 --> 00:05:44,552 - Any update on the guy who did this? - Nothing yet. 96 00:05:44,635 --> 00:05:47,180 I'm kind of glad I was out of it when the shit went down. 97 00:05:47,263 --> 00:05:48,848 You OD'd. You could have died. 98 00:05:49,849 --> 00:05:51,851 - You okay, Huckleberry? - Yeah. 99 00:05:52,852 --> 00:05:55,396 You sure? I know it's tough in there with all the bodies. 100 00:05:55,480 --> 00:05:56,481 Yeah. 101 00:05:56,564 --> 00:05:58,483 Can I get help with a pressure dressing here? 102 00:05:58,566 --> 00:05:59,567 Yeah, I'm on it. 103 00:05:59,650 --> 00:06:01,944 2 grams of Ancef primed for your leg guy. 104 00:06:02,028 --> 00:06:03,279 With pleasure. 105 00:06:08,659 --> 00:06:10,536 You okay, Dr. Robby? 106 00:06:10,620 --> 00:06:12,830 Do you need something to eat or drink? 107 00:06:15,083 --> 00:06:16,918 No, no. I'm good. Thank you. 108 00:06:17,001 --> 00:06:18,795 Thank you, Esme. 109 00:06:18,878 --> 00:06:22,006 Your team's doing a great job staying on top of all this. 110 00:06:22,090 --> 00:06:23,674 I need another four of morphine here. 111 00:06:23,758 --> 00:06:25,093 Yeah, coming right up. 112 00:06:26,552 --> 00:06:27,553 Yeah, that's two. 113 00:06:27,637 --> 00:06:29,889 Tourniquet's down on MCI-9, looks dry. 114 00:06:30,723 --> 00:06:32,558 Good job, Whitaker, Donahue. 115 00:06:38,189 --> 00:06:39,690 Dr. King, keep it up. 116 00:06:45,863 --> 00:06:49,409 All right, maintenance fluids at 125 an hour for all NPOs. 117 00:06:49,492 --> 00:06:51,284 - Heard. - Turn them down. 118 00:06:51,369 --> 00:06:53,621 Well, it looks like you have everyone tucked in, Huckleberry. 119 00:06:53,704 --> 00:06:55,039 Yeah, we're getting there. 120 00:06:55,123 --> 00:06:57,041 Well, I'm going to leave you in charge of the boring Yellow stuff. 121 00:06:57,125 --> 00:06:58,167 Where are you going? 122 00:06:58,251 --> 00:06:59,836 Get in on the Red Zone action. 123 00:07:04,215 --> 00:07:06,843 Robby, are you okay? 124 00:07:07,927 --> 00:07:10,638 Right. Well, I got some good news. 125 00:07:10,721 --> 00:07:13,266 County Public Health is sending out a truckload of supplies 126 00:07:13,349 --> 00:07:14,851 from Magee-Womens and Mercy. 127 00:07:14,934 --> 00:07:16,894 Gloria, are we gonna have to call in more blood donors? 128 00:07:16,978 --> 00:07:18,521 - Already done. - Donated. 129 00:07:19,522 --> 00:07:20,731 I don't... 130 00:07:21,732 --> 00:07:23,151 My blood, needles... 131 00:07:23,234 --> 00:07:27,071 Choppers are coming from blood banks in Erie and Youngstown. 132 00:07:27,155 --> 00:07:28,489 Oh, thank God. 133 00:07:28,573 --> 00:07:30,825 I appreciate the way you've handled logistics today. 134 00:07:30,908 --> 00:07:35,663 Wait, hold on. What does she mean, more blood donors? 135 00:07:35,746 --> 00:07:38,957 You didn't use unscreened blood donations, did you? 136 00:07:39,041 --> 00:07:40,877 We did what we had to do to save as many people as we could. 137 00:07:40,960 --> 00:07:42,170 You're killing me, Robinavitch. 138 00:07:42,253 --> 00:07:44,088 And for the love of God, can you tell me 139 00:07:44,172 --> 00:07:47,175 that you didn't know about a shooter's hit list, 140 00:07:47,258 --> 00:07:48,676 and then you let him go this morning? 141 00:07:48,759 --> 00:07:49,844 He didn't do it. 142 00:07:49,927 --> 00:07:51,929 - Police confirmation? - No. 143 00:07:52,013 --> 00:07:53,639 Then this nightmare-- 144 00:07:53,723 --> 00:07:55,850 Jesus, Gloria! 145 00:07:55,933 --> 00:07:57,268 The police are still looking. 146 00:07:57,351 --> 00:07:59,312 Why don't you go back to your micro-managerial ivory tower 147 00:07:59,395 --> 00:08:00,813 and let us get the fuck back to work? 148 00:08:06,819 --> 00:08:09,405 Robby, get some air, brother. 149 00:08:09,489 --> 00:08:11,199 Check on triage. 150 00:08:12,575 --> 00:08:16,787 Dr. Abbot, I got your carotid bypass guy up to the OR. 151 00:08:16,871 --> 00:08:19,582 Vascular surgery says to give you mad props. 152 00:08:21,209 --> 00:08:22,210 Okay. 153 00:08:23,377 --> 00:08:25,713 You think he told Jake his girlfriend died? 154 00:08:25,796 --> 00:08:27,590 - Yeah. - Fuck. 155 00:08:36,933 --> 00:08:39,434 Hey. Hey. 156 00:08:49,403 --> 00:08:51,489 - How's it going out here? - Good. 157 00:08:51,572 --> 00:08:54,492 - 12 minutes since the last pink or red. - I think it's quieting. 158 00:08:54,575 --> 00:08:56,077 - Jesus! - What? 159 00:08:56,160 --> 00:08:57,578 Don't say that. 160 00:08:57,662 --> 00:09:00,164 Come on, don't tell me you believe in that superstitious shit. 161 00:09:00,248 --> 00:09:02,542 It's like saying "Macbeth" in the theater. 162 00:09:02,625 --> 00:09:04,168 And you call yourself a person of science. 163 00:09:04,252 --> 00:09:05,586 Watch out! 164 00:09:10,841 --> 00:09:11,801 Hands up! 165 00:09:11,884 --> 00:09:12,802 Any weapons? 166 00:09:12,885 --> 00:09:13,928 Everyone stand back! 167 00:09:14,011 --> 00:09:15,555 No, no weapons. 168 00:09:15,638 --> 00:09:16,639 All clear! 169 00:09:18,933 --> 00:09:20,518 - Are you okay, sir? - Yeah, I'm good. 170 00:09:20,601 --> 00:09:21,936 Guy in the back needs help. 171 00:09:22,019 --> 00:09:24,480 Sorry about the parking job. Getting a little woozy. 172 00:09:24,564 --> 00:09:25,940 Okay, what happened? 173 00:09:26,023 --> 00:09:27,775 I found him in the festival parking lot. 174 00:09:27,858 --> 00:09:29,777 Gave him Narcan from my kit, but he didn't respond. 175 00:09:29,860 --> 00:09:32,238 - Might be benzos--I don't know. - You a medical worker? 176 00:09:32,321 --> 00:09:34,782 Navy corpsman. I'm okay. 177 00:09:34,865 --> 00:09:36,492 Your leg does not look okay. 178 00:09:36,576 --> 00:09:38,536 I got shot through and through. 179 00:09:38,619 --> 00:09:40,246 I stayed to help as long as I could. 180 00:09:40,329 --> 00:09:42,373 Bullets flying everywhere. It was a fucking nightmare. 181 00:09:42,456 --> 00:09:43,833 Hey, Ellis. How's the passenger? 182 00:09:43,915 --> 00:09:45,918 No sign of trauma, but he's pretty cyanotic. 183 00:09:46,002 --> 00:09:48,963 Needs oxygen. Let's move him in. 184 00:09:49,046 --> 00:09:50,339 Grabbing a gurney. 185 00:09:50,423 --> 00:09:53,759 Any headache, neck pain, chest pain, belly pain? 186 00:09:53,843 --> 00:09:55,177 Sir! 187 00:09:55,261 --> 00:09:56,429 No, I'm good. 188 00:09:56,512 --> 00:09:59,098 I'm gonna get a wheelchair. Do not try to walk. 189 00:10:01,726 --> 00:10:04,103 Must have missed the bone because I could-- 190 00:10:04,895 --> 00:10:07,648 - Cancel the wheelchair. Bring a gurney. - Gurney! 191 00:10:09,275 --> 00:10:10,735 Any new customers for the OR? 192 00:10:10,818 --> 00:10:11,819 - Yes. - Yeah. 193 00:10:11,902 --> 00:10:13,779 This one looked like chest, but it was intra-abdominal. 194 00:10:13,863 --> 00:10:15,698 Nipples to navel is no man's land. 195 00:10:15,781 --> 00:10:18,326 Am I the only one who missed that day in medical school? 196 00:10:21,537 --> 00:10:24,540 I need high-flow O2, maybe BiPAP for this guy. 197 00:10:24,624 --> 00:10:26,626 - Trauma rooms open? - No, still getting cleaned. 198 00:10:26,709 --> 00:10:28,961 - South 15 is avail. - Okay, South 15 it is. 199 00:10:29,045 --> 00:10:31,047 Find out if the ICU is ready for her. 200 00:10:31,130 --> 00:10:33,841 All right, get me a tech and an RT, and we'll take him up. 201 00:10:33,924 --> 00:10:35,092 Yeah, I'm on it. 202 00:10:36,552 --> 00:10:37,678 Hey, McKay. 203 00:10:37,762 --> 00:10:39,555 There's someone from Allegheny County Courthouse 204 00:10:39,639 --> 00:10:40,931 - on the line. - Not now! 205 00:10:42,308 --> 00:10:43,768 I'm in. Bag her. 206 00:10:43,851 --> 00:10:46,479 - Dr. McKay, you have a visitor. - I said not now! 207 00:10:46,562 --> 00:10:48,064 Jesus Christ. 208 00:10:48,147 --> 00:10:49,899 Sorry, Dad. Hey. 209 00:10:49,982 --> 00:10:52,068 Thank you so much for coming in to pick up Harrison. 210 00:10:52,151 --> 00:10:53,444 Are you okay? 211 00:10:53,527 --> 00:10:57,156 I mean, relatively speaking, I'm fan-fucking-tastic. 212 00:10:58,366 --> 00:10:59,367 Good. 213 00:10:59,450 --> 00:11:01,577 Hey, Dr. Abbot, can you keep an eye on this one? 214 00:11:01,661 --> 00:11:05,247 - Stable after 1 unit pRBCs. - No problem. 215 00:11:05,331 --> 00:11:07,667 Ellis, get him started. Holler if you need me. 216 00:11:07,750 --> 00:11:08,751 Copy. 217 00:11:11,212 --> 00:11:13,631 Dana, hypotensive and altered. 218 00:11:13,714 --> 00:11:15,508 Untreated GSW to the thigh. 219 00:11:15,591 --> 00:11:17,885 Perfect timing. Trauma One's open, but be careful. 220 00:11:17,968 --> 00:11:19,095 Floor's probably still wet. 221 00:11:19,178 --> 00:11:20,971 - Mohan, you're on this. - Okay. 222 00:11:27,353 --> 00:11:29,605 Dr. Abbot, you need anything? 223 00:11:30,231 --> 00:11:31,982 Check with Ellis in South 15. 224 00:11:37,321 --> 00:11:38,531 - What do we got? - What do we got? 225 00:11:38,614 --> 00:11:40,908 Pulse ox is low, 85 on room air. 226 00:11:40,991 --> 00:11:42,660 100% non-rebreather mask. 227 00:11:42,743 --> 00:11:44,620 This guy needs a major workup. 228 00:11:50,668 --> 00:11:52,002 Everyone in Yellow is stable. 229 00:11:52,086 --> 00:11:55,089 - Okay. Check in with Robby. - Holy shit. 230 00:11:55,172 --> 00:11:57,591 See where he can use another set of hands. 231 00:11:57,675 --> 00:11:59,009 Okay, great. Thanks. 232 00:11:59,844 --> 00:12:01,679 Trauma One, I know that guy. 233 00:12:01,762 --> 00:12:04,515 His sister's in the cafeteria. Her husband was shot and killed today. 234 00:12:04,598 --> 00:12:05,891 Oh, sweet Jesus. 235 00:12:05,975 --> 00:12:08,769 Do you think I can bring the lady in to see her brother? 236 00:12:09,812 --> 00:12:12,273 Robby, lady in the cafeteria, dead husband, 237 00:12:12,356 --> 00:12:14,442 brother in Trauma One, can we bring her back? 238 00:12:14,525 --> 00:12:16,485 It seems like it's slowing down around here. Go ahead. 239 00:12:16,569 --> 00:12:18,738 I have a patient in Central 9. 240 00:12:18,821 --> 00:12:21,365 She was shot trying to protect her husband, who died. 241 00:12:21,449 --> 00:12:23,325 But her daughter is in the cafeteria. 242 00:12:23,409 --> 00:12:25,202 I don't think I can spare any doctors right now. 243 00:12:25,286 --> 00:12:27,329 In fact, why don't you go cover triage 244 00:12:27,413 --> 00:12:29,749 - until Shen and Ellis get back? - Okay. 245 00:12:29,832 --> 00:12:31,751 Give me her name. I'll find her. 246 00:12:31,834 --> 00:12:33,169 Oh, thank you so much. 247 00:12:33,252 --> 00:12:36,672 Her name is Morgan. Her mom is Trish Gregory. 248 00:12:38,841 --> 00:12:40,551 Okay if we bring her up here, too? 249 00:12:40,634 --> 00:12:42,470 Sure. Why not? 250 00:12:44,346 --> 00:12:46,182 Pulse ox is still 85 on high-flow oxygen. 251 00:12:46,265 --> 00:12:47,558 BP is borderline. 252 00:12:47,641 --> 00:12:50,686 Dr. Santos, differential diagnosis of cyanosis? 253 00:12:50,770 --> 00:12:53,773 Hypoxia, low oxygen from lung disease-- 254 00:12:53,856 --> 00:12:55,691 pneumonia, PE, asthma. 255 00:12:55,775 --> 00:12:57,693 Good breath sounds, no crackles, no wheezing. 256 00:12:57,777 --> 00:12:59,612 Pulmonary problems should improve with O2. 257 00:12:59,695 --> 00:13:02,406 - What else? - Heart disease, heart failure. 258 00:13:02,490 --> 00:13:04,283 - No B line. - Right to left shunt? 259 00:13:04,366 --> 00:13:05,951 That's usually in congenital heart disease. 260 00:13:06,035 --> 00:13:08,204 PDA, Tetralogy of Fallot. 261 00:13:08,287 --> 00:13:10,080 Cardiac ECHO looks good. 262 00:13:10,164 --> 00:13:13,417 Normal ejection fraction, no valvular disease. 263 00:13:13,501 --> 00:13:15,169 What else could it be? 264 00:13:15,252 --> 00:13:17,546 Okay, is Dr. Ellis running this resuscitation, or are you? 265 00:13:17,630 --> 00:13:19,799 Because last time I checked, you're not supposed to be here. 266 00:13:19,882 --> 00:13:21,050 We both are. 267 00:13:21,133 --> 00:13:23,260 The senior resident's job is to teach. 268 00:13:23,344 --> 00:13:25,262 What else, Dr. Santos? 269 00:13:25,346 --> 00:13:26,722 Hemoglobinopathies? 270 00:13:26,806 --> 00:13:27,848 Excellent. 271 00:13:27,932 --> 00:13:29,308 Blood is chocolate brown. 272 00:13:31,060 --> 00:13:32,228 Santos? 273 00:13:32,311 --> 00:13:33,646 Methemoglobinemia? 274 00:13:33,729 --> 00:13:34,730 Bingo. 275 00:13:34,814 --> 00:13:36,148 Put him on BiPAP. 276 00:13:36,232 --> 00:13:38,025 Send off a blood gas. Order methylene blue. 277 00:13:38,108 --> 00:13:39,109 Etiology? 278 00:13:39,193 --> 00:13:40,486 Drugs, toxins. 279 00:13:40,569 --> 00:13:44,031 Smart money is poppers, amyl nitrates, partied a little too hard at PittFest. 280 00:13:44,114 --> 00:13:45,533 Langdon, got a sec? 281 00:13:46,325 --> 00:13:47,827 Yep. 282 00:13:47,910 --> 00:13:49,328 Keep me posted. 283 00:13:49,995 --> 00:13:52,665 - Can I do the intubation? - Not necessary yet. 284 00:13:52,748 --> 00:13:55,042 But his pulse ox is low. He's altered. 285 00:13:55,125 --> 00:13:57,336 All the oxygen in the world won't fix that. 286 00:13:57,419 --> 00:14:00,631 His methemoglobin level is sky-high. Nothing but methylene blue will help. 287 00:14:00,714 --> 00:14:02,049 I'll run the blood gas up to the lab, 288 00:14:02,132 --> 00:14:03,843 see if they're caught up on all the traumas yet. 289 00:14:03,926 --> 00:14:05,469 First day? 290 00:14:05,553 --> 00:14:07,054 Yeah. 291 00:14:07,137 --> 00:14:08,764 What's the beef with Langdon? 292 00:14:10,766 --> 00:14:11,934 Are you good here? 293 00:14:12,017 --> 00:14:14,979 Yeah, methemoglobinemia, ordered methylene blue. 294 00:14:15,062 --> 00:14:16,981 Perfect. Keep it up. 295 00:14:18,566 --> 00:14:20,067 Will do. 296 00:14:21,151 --> 00:14:22,278 And here he is. 297 00:14:22,361 --> 00:14:24,488 - Hey. - Grandpa! 298 00:14:24,572 --> 00:14:27,491 How's my favorite grandchild? 299 00:14:27,575 --> 00:14:29,285 I'm your only grandchild. 300 00:14:31,078 --> 00:14:35,165 Chadwick Harrison Ashcroft III. 301 00:14:35,249 --> 00:14:36,750 Please don't call me that. 302 00:14:36,834 --> 00:14:38,961 Douchebag name for a douchebag guy. 303 00:14:39,044 --> 00:14:40,588 - Dad! - Are you ready? 304 00:14:40,671 --> 00:14:43,674 'Cause Grandma is making your favorite-- 305 00:14:43,757 --> 00:14:45,259 carbonara. 306 00:14:45,342 --> 00:14:46,802 Thanks for taking him, Dad. 307 00:14:46,886 --> 00:14:49,388 Will you save some pasta for me? 308 00:14:49,471 --> 00:14:50,639 Okay. 309 00:14:55,394 --> 00:14:56,520 Tapping in. 310 00:14:56,604 --> 00:14:57,730 - Thanks, brother. - Yeah. 311 00:14:57,813 --> 00:14:58,814 EFAST normal. 312 00:14:58,898 --> 00:15:01,191 No abdominal hemorrhage, no tamponade. 313 00:15:01,984 --> 00:15:04,987 Pulse ox borderline, 89% on 15 liters. 314 00:15:05,070 --> 00:15:07,406 BP's only 95 over 58. 315 00:15:07,489 --> 00:15:10,701 Vinny Rivera--is he here? 316 00:15:10,784 --> 00:15:12,202 I'm not sure, man. 317 00:15:12,286 --> 00:15:13,996 I'm so sleepy. 318 00:15:14,079 --> 00:15:16,916 Were you tired right after you got shot? 319 00:15:16,999 --> 00:15:18,208 No. 320 00:15:18,292 --> 00:15:20,878 I helped move 20, 30 people. 321 00:15:20,961 --> 00:15:22,796 What's causing his oxygen levels to tank? 322 00:15:22,880 --> 00:15:24,006 Up the oxygen. 323 00:15:24,089 --> 00:15:25,841 15's as high as it goes. 324 00:15:25,925 --> 00:15:29,219 Gauge only goes to 15. Keep cranking. You can get to 50. 325 00:15:29,303 --> 00:15:30,846 Brian? 326 00:15:32,014 --> 00:15:33,891 Vinny got shot. 327 00:15:33,974 --> 00:15:36,018 I sent him with the first car I saw. 328 00:15:36,101 --> 00:15:37,478 Is he okay? 329 00:15:40,064 --> 00:15:42,775 You fight, Brian, okay? 330 00:15:42,858 --> 00:15:45,861 You fight like the stubborn bastard you are. 331 00:15:45,945 --> 00:15:47,780 I tried, Whit. 332 00:15:47,863 --> 00:15:49,031 I tried. 333 00:15:58,457 --> 00:16:00,376 - Oh, no, thanks. - It's not coffee. 334 00:16:00,459 --> 00:16:01,460 It's bourbon. 335 00:16:02,670 --> 00:16:03,879 That was a joke. 336 00:16:05,923 --> 00:16:09,969 Robby did everything he could to save your girlfriend. 337 00:16:10,678 --> 00:16:13,472 If he couldn't save her, nobody could. 338 00:16:23,273 --> 00:16:25,609 Wait, wait, wait. What do you mean, neutralized? 339 00:16:25,693 --> 00:16:26,694 Means he's dead. 340 00:16:26,777 --> 00:16:29,488 Wait. I thought the kid in BH-2 was the shooter. 341 00:16:30,322 --> 00:16:31,490 What's going on? 342 00:16:32,866 --> 00:16:34,785 SWAT found the shooter. 343 00:16:34,868 --> 00:16:37,705 Self-inflicted gunshot to the head. 344 00:16:38,664 --> 00:16:40,582 He had a duffel bag full of ammo. 345 00:16:40,665 --> 00:16:43,669 He was in some bushes down by the river 346 00:16:43,752 --> 00:16:46,088 with his AR-15. 347 00:16:48,507 --> 00:16:50,384 Do we know why he did it? 348 00:16:50,467 --> 00:16:51,802 Does it matter? 349 00:16:51,885 --> 00:16:53,929 Are we expecting any more victims? 350 00:16:55,597 --> 00:16:59,309 SWAT cleared the festival grounds. Probably no more coming our way. 351 00:17:00,310 --> 00:17:02,271 What you've done down here... 352 00:17:03,731 --> 00:17:05,858 All the lives you've saved... 353 00:17:06,733 --> 00:17:08,193 There aren't adequate words. 354 00:17:10,319 --> 00:17:11,655 Thank you. 355 00:17:15,325 --> 00:17:17,661 We need to prep to open back up to the public. 356 00:17:17,744 --> 00:17:19,121 Walk-ins only. 357 00:17:19,204 --> 00:17:22,665 No traumas until we get word from surgery that a few ORs have cleared. 358 00:17:22,750 --> 00:17:24,126 That could be hours. 359 00:17:25,961 --> 00:17:27,671 Blood Bank, pick up line two. 360 00:17:27,755 --> 00:17:29,548 Blood Bank, pick up line two. 361 00:17:30,841 --> 00:17:32,968 Everybody seems to know exactly what to do. 362 00:17:33,052 --> 00:17:35,054 - Is this kind of thing normal? - Thankfully, no. 363 00:17:35,137 --> 00:17:38,057 But preparing for the worst and hoping for the best, 364 00:17:38,140 --> 00:17:39,558 that's what we do. 365 00:17:51,320 --> 00:17:53,697 - Hey, is Dr. King still outside? - Yep. 366 00:17:53,781 --> 00:17:55,491 We don't need a doctor covering triage. 367 00:17:55,574 --> 00:17:56,867 - We can bring her back in. - Yeah. 368 00:17:58,160 --> 00:18:02,247 And, everybody else, let's process these remaining patients 369 00:18:02,331 --> 00:18:04,249 so my day shift can finally go home. 370 00:18:04,333 --> 00:18:05,918 On it, Cap. 371 00:18:19,598 --> 00:18:21,308 You hear that? 372 00:18:21,391 --> 00:18:23,727 - Hear what? - It's quiet. 373 00:18:23,811 --> 00:18:24,812 It's over. 374 00:18:27,815 --> 00:18:29,608 Oh, son of a-- 375 00:18:33,695 --> 00:18:35,781 Hey, we're closed. 376 00:18:35,864 --> 00:18:38,784 We're way over capacity. Take them to West Penn. 377 00:18:38,867 --> 00:18:41,328 Kid in extremis. You were the closest EDAP. 378 00:18:41,411 --> 00:18:44,123 13-year-old hypoxic and hypertensive. 379 00:18:44,206 --> 00:18:46,208 He looks pale and tachypneic. 380 00:18:46,291 --> 00:18:48,293 Flynn Edwards, home alone with his little sister. 381 00:18:48,377 --> 00:18:50,420 Cough, fever, rash, altered. 382 00:18:50,504 --> 00:18:53,757 Tachy at 150, BP 80 over 55, breathing at 36, 383 00:18:53,841 --> 00:18:56,093 and satting low 80s on the face mask. 384 00:19:00,514 --> 00:19:01,515 Hi. 385 00:19:01,598 --> 00:19:03,767 - What's your name? - Georgia. 386 00:19:03,851 --> 00:19:05,686 Hi, Georgia. I'm Mel. 387 00:19:08,230 --> 00:19:09,356 Oh, yeah. That's scary. 388 00:19:09,439 --> 00:19:10,816 Yep. 389 00:19:16,405 --> 00:19:19,992 - Georgia, where are your parents? - At the movies. 390 00:19:20,075 --> 00:19:22,286 - Did you try calling them? - I texted. 391 00:19:22,369 --> 00:19:23,787 Can you give us their numbers? 392 00:19:23,871 --> 00:19:25,998 Do you remember what happened before you called 911? 393 00:19:26,081 --> 00:19:28,375 Flynn was talking weird. 394 00:19:28,458 --> 00:19:29,626 Okay. 395 00:19:29,710 --> 00:19:31,378 And then after he was talking weird? 396 00:19:31,461 --> 00:19:34,464 He got super sleepy, and then I couldn't wake him up. 397 00:19:37,092 --> 00:19:38,385 This is Princess. 398 00:19:38,468 --> 00:19:41,180 I have to go help your brother now, but Princess is going to get you a snack. 399 00:19:41,263 --> 00:19:43,974 - I already brushed my teeth. - Then maybe just a glass of water? 400 00:19:50,564 --> 00:19:52,900 My count, one, two, three. 401 00:19:56,904 --> 00:19:59,281 Flynn, open your eyes, buddy. 402 00:20:01,533 --> 00:20:03,827 Start a second line. 2 liters of Ringer's wide open. 403 00:20:03,911 --> 00:20:05,412 100% non-rebreather. 404 00:20:07,831 --> 00:20:09,124 Crackles bilaterally. 405 00:20:09,208 --> 00:20:11,627 Temp 101, O2 sat only up to 82. 406 00:20:11,710 --> 00:20:13,879 Shit. It's code sepsis. 407 00:20:13,962 --> 00:20:17,424 Blood cultures, labs, portable chest, gram of ceftriaxone. 408 00:20:17,507 --> 00:20:19,843 Dr. King, what are you thinking? 409 00:20:19,927 --> 00:20:22,971 Well, rash, altered with sepsis-- 410 00:20:23,055 --> 00:20:27,226 could be meningococcus, Strep pneumo, 411 00:20:27,309 --> 00:20:31,230 something viral like disseminated HSV, encephalitis? 412 00:20:31,313 --> 00:20:32,898 BP's 82 over 49. 413 00:20:32,981 --> 00:20:34,358 Sat up to 87. 414 00:20:34,441 --> 00:20:35,734 What about the rash? 415 00:20:35,817 --> 00:20:38,862 It's more prominent on the lower body, not much on the face. 416 00:20:38,946 --> 00:20:40,072 There's no vesicles. 417 00:20:40,155 --> 00:20:43,784 It doesn't look like chicken pox or typical Lyme rash. 418 00:20:43,867 --> 00:20:44,868 Agreed. 419 00:20:44,952 --> 00:20:46,620 Do you know what this is? 420 00:20:46,703 --> 00:20:47,704 Nope. 421 00:20:47,788 --> 00:20:49,748 Resuscitate first, diagnose later. 422 00:20:50,499 --> 00:20:52,084 We're moving patients from the Yellow Zone 423 00:20:52,167 --> 00:20:54,962 into real rooms along the South and Central Corridors. 424 00:20:55,045 --> 00:20:57,256 Till now, all these patients have just been numbers to us. 425 00:20:57,339 --> 00:20:58,882 Time to ask them their names. 426 00:20:58,966 --> 00:21:01,635 So we scan their wristbands and put them into the big board. 427 00:21:01,718 --> 00:21:04,721 Yeah, and then Dana and I will assign rooms based on medical priority. 428 00:21:04,805 --> 00:21:07,015 Ortho extremity wounds go get X-rays. 429 00:21:09,351 --> 00:21:12,854 Dr. McKay, can you finish up whatever it is you're doing 430 00:21:12,938 --> 00:21:14,898 and come meet me in BH-2? 431 00:21:16,984 --> 00:21:18,777 Yeah, sure. 432 00:21:19,987 --> 00:21:21,780 I told you he didn't do it. 433 00:21:22,447 --> 00:21:23,865 I know. 434 00:21:23,949 --> 00:21:26,326 But you said yourself his threats were serious. 435 00:21:26,410 --> 00:21:28,120 At least now we're nipping it in the bud. 436 00:21:28,203 --> 00:21:29,913 You think this is that easy? 437 00:21:29,997 --> 00:21:31,373 Think again. 438 00:21:35,210 --> 00:21:38,463 He's on 100% oxygen. His pulse ox is still only 88. 439 00:21:38,547 --> 00:21:42,009 - How's it going upstairs? - Regular spa day at the OR. 440 00:21:42,092 --> 00:21:45,178 - 42 ex-laps and thoracotomies. - Impressive. 441 00:21:45,262 --> 00:21:46,471 What do you got? 442 00:21:46,555 --> 00:21:50,684 GSW through and through the thigh, not arterial, now hypotensive and hypoxic. 443 00:21:50,767 --> 00:21:52,686 - Sounds like blood loss. - No. 444 00:21:52,769 --> 00:21:54,396 Hemoglobin times 2 is stable. 445 00:21:54,479 --> 00:21:56,732 Vena cava is plump. It would be flat with hemorrhage. 446 00:21:56,815 --> 00:21:59,860 It's actually a little too plump. Let me see the phased array probe. 447 00:21:59,943 --> 00:22:01,653 Any history of heart disease? 448 00:22:01,737 --> 00:22:04,281 Not sure, but he's a strong guy. 449 00:22:04,364 --> 00:22:06,742 Got shot, strapped a T-shirt and a belt around his thigh 450 00:22:06,825 --> 00:22:08,744 and ran around helping people for a few hours. 451 00:22:08,827 --> 00:22:09,995 Holy shit. 452 00:22:10,078 --> 00:22:12,247 Check out the four chamber apical view. 453 00:22:13,123 --> 00:22:15,500 Dilated right atrium and right ventricle. 454 00:22:15,584 --> 00:22:17,336 Right-sided strain with bowing of the septum. 455 00:22:17,419 --> 00:22:19,755 Sounds like a PE. He throw a clot from having the tourniquet on? 456 00:22:19,838 --> 00:22:21,340 Way too soon for a DVT. 457 00:22:21,423 --> 00:22:23,967 Okay, let's get him in left lateral decubitus. 458 00:22:24,051 --> 00:22:25,052 One, two. 459 00:22:26,053 --> 00:22:27,763 Trendelenburg ASAP. 460 00:22:27,846 --> 00:22:30,223 - What for? - Intracardiac air embolism. 461 00:22:30,307 --> 00:22:31,558 All that running around introduced air 462 00:22:31,641 --> 00:22:33,185 into the femoral vein right up to the heart. 463 00:22:33,268 --> 00:22:34,853 Now it's blocking blood flow to the lungs. 464 00:22:34,936 --> 00:22:36,229 Need a CT to confirm. 465 00:22:36,313 --> 00:22:37,606 They're still backed up with other patients. 466 00:22:37,689 --> 00:22:39,983 Well, maybe the cath lab can take him. They have fluoro. 467 00:22:40,067 --> 00:22:42,861 - I'll go check. - Yeah, good luck with that. 468 00:22:44,946 --> 00:22:48,116 I need a central line kit and a 5 French pigtail catheter. 469 00:22:48,200 --> 00:22:50,452 - I got it. - He doesn't have a collapsed lung. 470 00:22:50,535 --> 00:22:53,330 - Yeah? - So what are you going to do? 471 00:22:53,413 --> 00:22:56,124 I'm not gonna do anything. You are. 472 00:23:04,966 --> 00:23:06,176 Thank you, Casey. 473 00:23:06,259 --> 00:23:08,095 Hey, David. How you doing? 474 00:23:09,096 --> 00:23:10,764 Hi, David. 475 00:23:13,475 --> 00:23:15,477 I didn't shoot anybody. 476 00:23:17,104 --> 00:23:18,980 I wouldn't do that. 477 00:23:19,064 --> 00:23:20,107 I know. 478 00:23:26,029 --> 00:23:29,658 Did you make a list of girls you wanted to hurt? 479 00:23:31,243 --> 00:23:33,453 - Where's my mom? - Did you make a list? 480 00:23:33,537 --> 00:23:35,330 I want to go home. 481 00:23:35,414 --> 00:23:37,207 You're gonna get to go home. 482 00:23:37,290 --> 00:23:40,627 But, first, we have to keep you here for a mandatory 72-hour hold. 483 00:23:40,710 --> 00:23:43,797 What? Why? I didn't do anything. 484 00:23:43,880 --> 00:23:45,632 I know you're upset. 485 00:23:45,715 --> 00:23:48,009 We're only doing what we think is in your best interest. 486 00:23:48,093 --> 00:23:50,137 No, fuck you! You don't know me! 487 00:23:50,929 --> 00:23:52,806 You don't know anything about me! 488 00:23:55,517 --> 00:23:57,060 Look, I know it's a lot to process, but-- 489 00:23:57,144 --> 00:23:58,270 No, no! 490 00:23:58,353 --> 00:23:59,729 I want to see my mom. 491 00:24:00,939 --> 00:24:03,024 Where is she? Is she out there? 492 00:24:03,108 --> 00:24:04,526 Mom! 493 00:24:04,609 --> 00:24:05,610 Mom! 494 00:24:06,403 --> 00:24:09,865 - This is not helping your case, David. - Mom! Mom! 495 00:24:09,948 --> 00:24:12,159 - This is not helping your case-- - Oh, fuck you! 496 00:24:13,994 --> 00:24:15,495 Let's go outside. 497 00:24:15,579 --> 00:24:20,041 I just want to see my mom, please! 498 00:24:21,501 --> 00:24:24,129 Please, I just want to see my mom. 499 00:24:25,922 --> 00:24:28,091 Mom! 500 00:24:28,175 --> 00:24:29,968 Mom! 501 00:24:30,051 --> 00:24:32,471 BP's 92 over 60 after 2 liters. 502 00:24:32,554 --> 00:24:33,805 Still tachy. 503 00:24:33,889 --> 00:24:36,683 Sats are way down at 84 on the non-rebreather. 504 00:24:36,766 --> 00:24:39,478 Flynn, open your eyes. How you doing, bud? 505 00:24:39,561 --> 00:24:41,646 He's still having trouble breathing. 506 00:24:41,730 --> 00:24:43,648 He's more lethargic than before. 507 00:24:43,732 --> 00:24:45,317 Let's give him a third liter and prep for intubation. 508 00:24:45,400 --> 00:24:47,903 - Can we do that without parental consent? - We wait, he dies. 509 00:24:47,986 --> 00:24:50,238 Tech is here for a portable chest. 510 00:24:50,322 --> 00:24:51,823 Dr. King, what are your intubation meds? 511 00:24:51,907 --> 00:24:53,909 - Etomidate and Roc. - Great. 512 00:24:53,992 --> 00:24:55,869 Gather up everything you need. What size tube? 513 00:24:55,952 --> 00:24:58,163 Age divided by 4 plus 3 514 00:24:58,246 --> 00:25:00,874 would be 6.5 cuffed. 515 00:25:00,957 --> 00:25:02,083 Let's do it. 516 00:25:02,167 --> 00:25:03,502 - And find his parents. - Okay. 517 00:25:03,585 --> 00:25:04,586 Prep these. 518 00:25:10,800 --> 00:25:12,719 What time you start today? 519 00:25:12,802 --> 00:25:14,012 7:00 a.m. 520 00:25:16,014 --> 00:25:17,933 - Thanks. - Can I get one of those? 521 00:25:18,016 --> 00:25:19,142 I'm starving. 522 00:25:19,226 --> 00:25:20,727 No can do. 523 00:25:20,810 --> 00:25:22,562 But I'm hungry. 524 00:25:22,646 --> 00:25:25,273 We can't give you any food in case you need surgery. 525 00:25:25,357 --> 00:25:27,025 You might aspirate. 526 00:25:28,527 --> 00:25:30,529 You need to work on your bedside manner. 527 00:25:30,612 --> 00:25:31,947 Asshole reporter. 528 00:25:32,030 --> 00:25:34,115 - ABG back on the blue man? - Not yet. 529 00:25:34,199 --> 00:25:36,034 Should we just give him the methylene blue? 530 00:25:36,117 --> 00:25:38,912 Pulse ox holding at 85. We can wait a little. 531 00:25:43,416 --> 00:25:44,834 Dr. Santos... 532 00:25:45,627 --> 00:25:49,339 How do we evaluate methemoglobinemia and determine a treatment plan? 533 00:25:56,846 --> 00:25:57,847 Tired? 534 00:25:58,640 --> 00:26:00,058 Yeah. 535 00:26:00,141 --> 00:26:01,601 Feet hurt? 536 00:26:01,685 --> 00:26:03,395 Brain feeling like mush? 537 00:26:03,478 --> 00:26:04,688 Absolutely. 538 00:26:05,689 --> 00:26:07,607 That patient doesn't give a shit. 539 00:26:08,733 --> 00:26:10,068 He needs you. 540 00:26:10,694 --> 00:26:13,363 Methemoglobinemia. 541 00:26:13,446 --> 00:26:15,282 Let's go. 542 00:26:22,664 --> 00:26:23,748 Robby? 543 00:26:23,832 --> 00:26:25,208 Hey, Janey. 544 00:26:25,292 --> 00:26:26,835 Where's Jake? 545 00:26:26,918 --> 00:26:29,212 I got here as fast as I could, but there were street closures-- 546 00:26:29,296 --> 00:26:31,006 He's okay. He's okay. 547 00:26:31,089 --> 00:26:33,800 He had some minor injuries that are going to need to be treated, but he's okay. 548 00:26:33,883 --> 00:26:36,886 - He's gonna go home tonight. - Oh, thank God. 549 00:26:39,514 --> 00:26:40,890 Leah didn't make it. 550 00:26:42,517 --> 00:26:43,893 She's dead? 551 00:26:45,854 --> 00:26:47,522 Oh, my God. 552 00:26:47,606 --> 00:26:51,901 He is kind of blaming me for not saving her. 553 00:26:52,694 --> 00:26:54,696 Robby, he's just a kid. 554 00:26:55,697 --> 00:26:56,740 So was she. 555 00:26:58,116 --> 00:26:59,909 Don't do that to yourself. 556 00:27:00,702 --> 00:27:02,329 Hey, look at me. 557 00:27:05,123 --> 00:27:06,916 Jake loves you, okay? 558 00:27:09,544 --> 00:27:11,338 - Where is he? - Hey, Dana. 559 00:27:11,921 --> 00:27:13,632 - You remember Janey? - Of course. 560 00:27:13,715 --> 00:27:15,634 - Thank you for calling me. - Do you mind taking her to go find Jake? 561 00:27:15,717 --> 00:27:17,344 Yeah, no problem. Come on. 562 00:27:24,309 --> 00:27:25,352 Tube's in. 563 00:27:25,935 --> 00:27:27,145 Good color change. 564 00:27:28,313 --> 00:27:29,481 Nicely done. 565 00:27:29,564 --> 00:27:30,565 Present. 566 00:27:31,358 --> 00:27:33,860 We have a septic 13-year-old with pneumonia. 567 00:27:33,943 --> 00:27:36,738 I just intubated, and ceftriaxone is on board. 568 00:27:36,821 --> 00:27:38,782 Patchy consolidation, maybe some nodules. 569 00:27:38,865 --> 00:27:42,077 It could be viral pneumonia with or without bacterial superinfection. 570 00:27:42,160 --> 00:27:43,578 Kid's got a weird rash, too. 571 00:27:44,204 --> 00:27:46,456 Oh, and it's maculopapular on the legs. 572 00:27:48,583 --> 00:27:51,586 Pretty faded on the neck and chest. 573 00:27:51,670 --> 00:27:53,171 Starting to desquamate. 574 00:27:56,174 --> 00:27:58,051 You ever seen anything like this before? 575 00:27:58,134 --> 00:27:59,177 - Nope. - Me neither. 576 00:28:00,178 --> 00:28:02,138 Well, that just goes to show you how old I am. 577 00:28:02,222 --> 00:28:03,515 This looks like measles. 578 00:28:03,598 --> 00:28:04,891 - "Measles"? - Holy shit. 579 00:28:04,974 --> 00:28:06,184 Any travel history? 580 00:28:07,060 --> 00:28:08,895 He wasn't able to talk before we intubated. 581 00:28:08,978 --> 00:28:10,188 Measles is super contagious. 582 00:28:10,271 --> 00:28:11,898 It's not contagious if it's resolving. 583 00:28:11,981 --> 00:28:13,108 We need more history. 584 00:28:13,191 --> 00:28:14,943 - Where are the parents? - Oh, they're at the movies. 585 00:28:15,026 --> 00:28:16,403 I'm sure their phone's off. 586 00:28:16,486 --> 00:28:19,114 But he came in with his little sister. We can talk to her. 587 00:28:19,197 --> 00:28:21,533 - What theater? - I don't know. 588 00:28:21,616 --> 00:28:23,535 Shen, try every theater. 589 00:28:23,618 --> 00:28:24,911 There's got to be over a dozen in Pittsburgh. 590 00:28:24,994 --> 00:28:26,121 Start with the ones closest to where they live. 591 00:28:26,204 --> 00:28:28,331 We need to find those parents. And call Public Health. 592 00:28:28,415 --> 00:28:30,208 Tell them we might have a measles outbreak. 593 00:28:32,669 --> 00:28:34,504 We get blood gas results back? 594 00:28:34,587 --> 00:28:35,922 I just got them. 595 00:28:36,005 --> 00:28:39,426 Methemoglobin level of 42%, enough for cyanosis and lethargy. 596 00:28:39,509 --> 00:28:40,927 Party on, Wayne. 597 00:28:41,010 --> 00:28:43,138 Okay, let's go ahead and start methylene blue. 598 00:28:43,221 --> 00:28:45,265 1 mg per kg, slow IV push over five minutes. 599 00:28:45,348 --> 00:28:46,349 On it. 600 00:28:46,433 --> 00:28:48,852 Gonna need somebody to stand bedside, push it with a syringe. 601 00:28:48,935 --> 00:28:50,812 Santos, tag, you're it. 602 00:28:52,021 --> 00:28:54,899 How long until his cyanosis resolves? 603 00:28:54,983 --> 00:28:57,026 Five minutes, bright spark. 604 00:28:58,653 --> 00:29:01,364 Oh, you two definitely got beef. 605 00:29:07,579 --> 00:29:08,955 Hi, Georgia. 606 00:29:09,038 --> 00:29:10,790 This is Dr. Robby. 607 00:29:10,874 --> 00:29:13,168 He's gonna ask you some questions so we can help Flynn. 608 00:29:13,251 --> 00:29:14,502 Is that okay? 609 00:29:15,545 --> 00:29:16,588 Hi, Georgia. 610 00:29:16,671 --> 00:29:19,632 Can you tell me when your brother first got sick? 611 00:29:19,716 --> 00:29:21,176 A week ago. 612 00:29:21,259 --> 00:29:23,303 I was already getting better. 613 00:29:23,386 --> 00:29:24,846 You were sick, too? 614 00:29:25,555 --> 00:29:27,265 Fever, rash like Flynn? 615 00:29:27,849 --> 00:29:31,853 Has your family traveled anywhere recently on an airplane or to another state? 616 00:29:32,771 --> 00:29:36,816 Orlando for a dance competition a couple of weeks ago. 617 00:29:36,900 --> 00:29:39,778 And where on your body did the rash start? 618 00:29:40,445 --> 00:29:41,696 On my face. 619 00:29:42,363 --> 00:29:44,491 Then it went down to my legs. 620 00:29:46,493 --> 00:29:48,620 Okay. Thank you, Georgia. 621 00:29:48,703 --> 00:29:51,915 - Is Flynn gonna be okay? - Oh, well, yeah. 622 00:29:51,998 --> 00:29:53,875 We're gonna do everything we can to help him. 623 00:29:57,504 --> 00:29:59,005 The story is consistent with measles. 624 00:29:59,088 --> 00:30:01,007 Plenty of opportunity for exposure in Orlando 625 00:30:01,090 --> 00:30:02,634 with all the international travelers. 626 00:30:02,717 --> 00:30:05,011 - Isolation? - No, 'cause you're only infectious 627 00:30:05,094 --> 00:30:07,639 for four days after the rash starts, so we're past that point. 628 00:30:07,722 --> 00:30:11,810 But the altered mental status, he's in the right time frame for ADEM. 629 00:30:11,893 --> 00:30:13,019 ADEM? 630 00:30:13,102 --> 00:30:16,815 Acute Disseminated Encephalomyelitis, post-infection immune response. 631 00:30:16,898 --> 00:30:19,651 - So a head CT and an LP? - Afraid so. 632 00:30:19,734 --> 00:30:21,528 It has a 20% death rate. 633 00:30:22,529 --> 00:30:26,199 - Dr. King, this is Morgan. - Trish Gregory's daughter. 634 00:30:26,282 --> 00:30:29,661 - Is my mom okay? - Oh, yeah, she's fine. 635 00:30:29,744 --> 00:30:31,830 Dr. Robby, do you mind if I show Morgan to her mom? 636 00:30:31,913 --> 00:30:33,998 No, go ahead. I'm going to send Flynn for a head CT 637 00:30:34,082 --> 00:30:35,458 and get Shen to prep the LP. 638 00:30:35,542 --> 00:30:38,461 - What about the parents? - I think he's still trying to find them. 639 00:30:38,545 --> 00:30:41,297 - I can help. Go. We got this. - Thanks, Lupe. 640 00:30:41,381 --> 00:30:42,465 Just this way. 641 00:30:42,549 --> 00:30:45,343 So she's gonna need surgery, but she's... 642 00:30:46,678 --> 00:30:48,847 - Take a seat. - What? 643 00:30:50,306 --> 00:30:51,808 Why? 644 00:30:51,891 --> 00:30:54,143 Adrenaline crash after a big event. 645 00:30:56,938 --> 00:30:59,107 A juice box? Thanks. 646 00:31:00,733 --> 00:31:03,570 What happened here today, it's not normal. 647 00:31:04,487 --> 00:31:06,489 But you... 648 00:31:06,573 --> 00:31:08,366 You were a rock star, Victoria. 649 00:31:14,706 --> 00:31:16,374 He knows my name. 650 00:31:19,711 --> 00:31:21,170 Got the IJ. 651 00:31:21,796 --> 00:31:24,090 Okay, back to business as usual, thank God. 652 00:31:24,173 --> 00:31:27,510 - Guidewire and introducer. - What the hell are you doing? 653 00:31:27,594 --> 00:31:29,679 Dr. Mohan is about to pull air from the right atrium 654 00:31:29,762 --> 00:31:31,514 - and right ventricle. - With what? 655 00:31:31,598 --> 00:31:34,100 - 5 French pigtail catheter. - Inside his heart? 656 00:31:34,183 --> 00:31:36,185 Multiple side-holes gives you a better shot 657 00:31:36,269 --> 00:31:37,896 at sucking out all the air. 658 00:31:37,979 --> 00:31:40,398 Dr. Abbot showed me a case report from South Korea. 659 00:31:40,481 --> 00:31:41,524 What the actual fuck? 660 00:31:41,608 --> 00:31:43,693 I just talked to cardiology. They want a CT scan. 661 00:31:43,776 --> 00:31:45,528 If it's showing air, then you need to dive him 662 00:31:45,612 --> 00:31:47,447 - in the hyperbaric chamber. - He'll be dead by then. 663 00:31:47,530 --> 00:31:49,741 Not if you kill him first with this banana-pants procedure. 664 00:31:49,824 --> 00:31:52,243 We don't have time to wait for your fancy-pants machine. 665 00:31:52,327 --> 00:31:54,537 If we don't get the air out of his heart, he'll die. 666 00:31:54,621 --> 00:31:56,539 - This is not the standard of care. - Oh, fuck standard of care. 667 00:31:56,623 --> 00:31:58,041 If we want to save him, we go in now. 668 00:31:58,833 --> 00:32:01,336 - Maybe I should-- - Thread in the pigtail? 669 00:32:01,419 --> 00:32:03,588 Excellent idea, Dr. Mohan. 670 00:32:11,220 --> 00:32:14,724 Go down to 24 centimeters, and then we'll confirm with X-ray. 671 00:32:14,807 --> 00:32:16,059 Good. 672 00:32:16,142 --> 00:32:18,353 Think I'll stick around in case you need another set of hands 673 00:32:18,436 --> 00:32:20,647 to resuscitate your patient when he crashes. 674 00:32:27,070 --> 00:32:28,780 Oh, my God. You're bleeding. What-- 675 00:32:28,863 --> 00:32:30,657 - Are you okay? - Mom, I'm fine. 676 00:32:32,450 --> 00:32:33,993 You got to get me out of here. 677 00:32:34,077 --> 00:32:36,162 Well, they just want to help you. We all do. 678 00:32:36,245 --> 00:32:37,789 I don't need help. I just want to go, okay? 679 00:32:37,872 --> 00:32:42,669 David, you haven't called me back or texted me all day. 680 00:32:42,752 --> 00:32:44,045 Mom. 681 00:32:44,128 --> 00:32:45,672 You didn't go to school. 682 00:32:46,881 --> 00:32:50,051 I saw the Instagram post you made. 683 00:32:51,219 --> 00:32:53,972 And I found the list about all the girls. 684 00:32:56,849 --> 00:32:58,810 You went through my stuff? 685 00:32:58,893 --> 00:33:00,186 - I love you. - No, Mom, Mom. 686 00:33:00,269 --> 00:33:01,813 - And I don't-- - Those are my things. 687 00:33:01,896 --> 00:33:03,856 Can I just say that we all have scary thoughts? 688 00:33:03,940 --> 00:33:05,817 It does not make you a bad person. 689 00:33:05,900 --> 00:33:09,278 And dealing with those feelings can be hard. 690 00:33:10,071 --> 00:33:11,614 Talking to somebody can really help. 691 00:33:11,698 --> 00:33:12,991 Oh, my God, just shut up. 692 00:33:13,074 --> 00:33:16,077 I'm not gonna fucking talk to anyone, okay? 693 00:33:16,160 --> 00:33:17,286 You can't make me. 694 00:33:23,084 --> 00:33:25,378 David, I signed a petition. 695 00:33:27,672 --> 00:33:28,923 What the fuck? 696 00:33:30,299 --> 00:33:32,218 What, you signed some paper to get me locked up? 697 00:33:32,301 --> 00:33:34,303 I signed a petition to get you help. 698 00:33:36,389 --> 00:33:38,141 This is fucking bullshit. 699 00:33:38,933 --> 00:33:40,935 Seeing all those people come in here today... 700 00:33:41,811 --> 00:33:45,314 All those hurt people and the death and the blood... 701 00:33:46,649 --> 00:33:51,529 I was so afraid of you being that sad and angry. 702 00:33:54,532 --> 00:33:56,743 I cannot bear to lose you. 703 00:33:58,870 --> 00:34:01,456 I would never do something like that. 704 00:34:01,539 --> 00:34:02,874 There's nothing wrong with me. 705 00:34:02,957 --> 00:34:05,543 It's me, Mom. You know I'd never hurt someone like that. 706 00:34:06,335 --> 00:34:08,045 Please, don't do this to me. 707 00:34:08,129 --> 00:34:09,672 Why are you doing this? 708 00:34:09,755 --> 00:34:13,134 All we're asking is that you speak with a professional. 709 00:34:14,217 --> 00:34:17,554 It's important to talk to somebody about how you're feeling. 710 00:34:18,347 --> 00:34:20,349 You think you might be open to that? 711 00:34:23,311 --> 00:34:24,353 Fuck you. 712 00:34:25,730 --> 00:34:27,356 Fuck all of you. 713 00:34:27,982 --> 00:34:29,358 Can you just get out? 714 00:34:30,777 --> 00:34:31,985 Get out! 715 00:34:37,116 --> 00:34:41,079 Hey, Perlah, can you take Theresa to go find a cup of tea? 716 00:34:41,161 --> 00:34:42,371 Yeah, of course. 717 00:34:44,248 --> 00:34:45,958 Jesus. 718 00:34:46,042 --> 00:34:47,376 What now? 719 00:34:48,585 --> 00:34:50,338 Well, I suggested a better way, 720 00:34:50,420 --> 00:34:52,715 but you had him taken down by the police, handcuffed, 721 00:34:52,799 --> 00:34:54,007 and dragged in here. 722 00:34:55,384 --> 00:34:57,804 You made this fucking mess. You're gonna have to fix it. 723 00:35:05,561 --> 00:35:07,480 Pigtail's in the right atrium, good position. 724 00:35:07,563 --> 00:35:09,398 Aspirate, see what you get. 725 00:35:09,482 --> 00:35:11,484 Pulling back blood from the heart... 726 00:35:15,446 --> 00:35:16,614 Along with some air. 727 00:35:16,697 --> 00:35:18,074 How about that? 728 00:35:18,157 --> 00:35:20,243 BP's still only 85 systolic. 729 00:35:20,326 --> 00:35:21,953 No improvement. 730 00:35:22,036 --> 00:35:23,538 Advance slowly into the right ventricle. 731 00:35:23,621 --> 00:35:25,248 - How do I know when I'm-- - PVCs. 732 00:35:25,331 --> 00:35:27,333 That's how you know. Aspirate again. 733 00:35:27,416 --> 00:35:28,793 Run of three. 734 00:35:29,752 --> 00:35:31,129 More blood and air coming out. 735 00:35:31,212 --> 00:35:32,755 - Run of five. - Non-sustained V tach. 736 00:35:32,839 --> 00:35:35,341 - Charge to 200 for when he deteriorates. - Mainly blood now. 737 00:35:35,424 --> 00:35:37,093 Pull the pigtail back to the RA. 738 00:35:37,176 --> 00:35:38,970 - Step aside. - Pull the pigtail, Dr. Mohan. 739 00:35:39,053 --> 00:35:40,763 - Step aside! - You got this. 740 00:35:43,641 --> 00:35:45,560 Normal sinus rhythm, 92. 741 00:35:45,643 --> 00:35:49,063 Pulse ox is improving. BP's 112 over 84. 742 00:35:55,319 --> 00:35:57,572 Not too shabby, huh, Dr. Walsh? 743 00:35:57,655 --> 00:35:59,574 I think we can admit him to General Surgery now. 744 00:35:59,657 --> 00:36:00,783 Hell, no. 745 00:36:00,867 --> 00:36:03,536 - He's a gunshot victim. - Admit him to the cardiac ICU. 746 00:36:03,619 --> 00:36:04,871 We'll consult from there. 747 00:36:04,954 --> 00:36:08,666 Well, you can admit him yourself, with Cardiology consulting. 748 00:36:08,749 --> 00:36:10,793 I thought you liked flying the plane. 749 00:36:10,877 --> 00:36:12,670 Not when it's gonna crash. 750 00:36:17,675 --> 00:36:19,177 Solid work. 751 00:36:19,260 --> 00:36:21,387 That was your save, not mine. 752 00:36:21,470 --> 00:36:23,097 Take the win, Dr. Mohan. 753 00:36:24,473 --> 00:36:25,474 Thanks. 754 00:36:26,350 --> 00:36:29,478 Besides, it was a little too risky for me to do myself. 755 00:36:30,813 --> 00:36:32,273 - What? - Suture. 756 00:36:37,278 --> 00:36:39,113 This is so cool. 757 00:36:39,197 --> 00:36:40,990 Blue plus blue equals pink. 758 00:36:43,075 --> 00:36:44,702 Can you tell us your name? 759 00:36:45,369 --> 00:36:46,787 Max. 760 00:36:46,871 --> 00:36:49,123 Max, can you tell us what you took? 761 00:36:49,207 --> 00:36:50,958 Sleep. 762 00:36:51,042 --> 00:36:53,211 Yeah, he might need a second dose of methylene blue 763 00:36:53,294 --> 00:36:55,880 if his methemoglobin level stays above 30. 764 00:36:55,963 --> 00:36:57,548 This definitely wasn't poppers. 765 00:36:57,632 --> 00:37:00,009 He would have had to have sniffed, like, a gallon of it. 766 00:37:00,092 --> 00:37:02,011 So what caused the overdose? 767 00:37:03,137 --> 00:37:05,932 Got to wait for him to wake up so we can get more answers. 768 00:37:09,101 --> 00:37:10,853 Trish... 769 00:37:10,937 --> 00:37:12,396 I have a special visitor for you. 770 00:37:12,480 --> 00:37:15,233 Mom, are you okay? 771 00:37:15,316 --> 00:37:16,943 Yeah, I'm fine. 772 00:37:19,153 --> 00:37:21,072 Okay. I was so scared. 773 00:37:21,155 --> 00:37:23,741 - I know. - And Dad. 774 00:37:33,125 --> 00:37:34,168 You okay? 775 00:37:35,336 --> 00:37:37,964 Just--my patient hasn't seen her daughter, 776 00:37:38,047 --> 00:37:40,716 and it won't happen again. 777 00:37:40,800 --> 00:37:43,803 Never apologize for feeling something for your patients. 778 00:37:44,762 --> 00:37:46,764 Today was chaos. 779 00:37:47,932 --> 00:37:49,350 You were awesome. 780 00:37:50,351 --> 00:37:52,353 I'm really glad you're with us, Dr. King. 781 00:37:53,396 --> 00:37:56,607 Robby, Flynn's parents are here, the measles kid. 782 00:37:56,691 --> 00:37:58,567 You should go home. 783 00:38:02,321 --> 00:38:04,282 How did Flynn get measles? 784 00:38:04,365 --> 00:38:06,492 From his sister. Hi. I'm Dr. Robby. 785 00:38:06,575 --> 00:38:08,703 Georgia is fine. She's in our staff room. 786 00:38:08,786 --> 00:38:12,790 She's the one who actually called 911 and probably saved her brother's life. 787 00:38:12,873 --> 00:38:15,042 Georgia was sick, but she got better on her own quickly. 788 00:38:15,126 --> 00:38:17,503 Yeah, many people get better on their own, like Georgia. 789 00:38:17,586 --> 00:38:19,797 However, as many as 1 in 20 kids that get measles 790 00:38:19,880 --> 00:38:22,133 get pneumonia, like your son. 791 00:38:22,216 --> 00:38:24,302 Are your children vaccinated against measles? 792 00:38:24,385 --> 00:38:25,928 No. 793 00:38:26,012 --> 00:38:28,681 The MMR vaccine is perfectly safe. 794 00:38:28,764 --> 00:38:30,349 Measles is not. 795 00:38:30,433 --> 00:38:32,310 We're concerned about inflammation 796 00:38:32,393 --> 00:38:35,021 and possible damage to Flynn's brain and spinal cord. 797 00:38:35,104 --> 00:38:36,522 The measles got to his brain? 798 00:38:36,605 --> 00:38:38,316 Well, his head CT was normal, 799 00:38:38,399 --> 00:38:41,402 but the only way to find out if he's okay is to perform a lumbar puncture. 800 00:38:42,028 --> 00:38:43,446 A spinal tap? 801 00:38:43,529 --> 00:38:46,198 I've read about kids who've been paralyzed from a spinal tap. 802 00:38:46,282 --> 00:38:47,950 There is zero risk of paralysis. 803 00:38:48,034 --> 00:38:49,827 What about bleeding or infection? 804 00:38:49,910 --> 00:38:51,954 It's a perfectly safe procedure. We do it every day. 805 00:38:52,038 --> 00:38:56,500 We need spinal fluid to see if Flynn has acute disseminated encephalomyelitis. 806 00:38:56,584 --> 00:38:57,835 And if he does? 807 00:38:57,918 --> 00:39:00,212 We treat with high-dose steroids to decrease the risk 808 00:39:00,296 --> 00:39:04,717 of blindness, deafness, intellectual disability, even death. 809 00:39:04,800 --> 00:39:05,843 He could die from this? 810 00:39:05,926 --> 00:39:08,429 The death rate from ADEM is high, one in five. 811 00:39:08,512 --> 00:39:10,014 Do the spinal tap. 812 00:39:10,097 --> 00:39:11,265 No! 813 00:39:12,391 --> 00:39:15,227 Can't you just give him steroids without the spinal tap? 814 00:39:15,311 --> 00:39:18,356 If there's no ADEM, the steroids could suppress his immune system, 815 00:39:18,439 --> 00:39:19,899 making it harder to fight off the pneumonia. 816 00:39:19,982 --> 00:39:21,233 But it says here that-- 817 00:39:21,317 --> 00:39:23,152 Can you put your damn phone away? 818 00:39:24,111 --> 00:39:25,571 Your son is critically ill. 819 00:39:25,654 --> 00:39:28,491 The longer that we wait, the higher the risk of permanent brain damage. 820 00:39:28,574 --> 00:39:29,700 What is not clear here? 821 00:39:30,659 --> 00:39:33,579 Hillary, he has a tube down his throat. He can't breathe on his own. 822 00:39:33,662 --> 00:39:36,290 They're not poking holes in my son's spine! 823 00:39:36,374 --> 00:39:38,084 Wow. Okay. 824 00:39:39,460 --> 00:39:41,921 Let's just wait and see if he gets better. 825 00:39:42,004 --> 00:39:44,673 Dr. King, could you please take Flynn's parents to see their daughter? 826 00:39:44,757 --> 00:39:45,883 No problem. 827 00:39:47,551 --> 00:39:49,595 They are going to see their daughter. 828 00:39:49,678 --> 00:39:51,222 Fucking Dr. Google bullshit. 829 00:39:51,305 --> 00:39:53,224 They want medical treatment, but they don't want medical advice. 830 00:39:53,307 --> 00:39:56,602 - What the actual fuck are we doing? - Yeah, I know, and we'll keep trying. 831 00:39:56,685 --> 00:39:58,854 - Hey, you okay, boss? - Yes. 832 00:39:58,938 --> 00:40:00,064 Hey, Whitaker. 833 00:40:00,147 --> 00:40:02,942 - You got a minute? - Yeah, yeah. 834 00:40:03,025 --> 00:40:06,612 I just wanted to say thank you 835 00:40:06,695 --> 00:40:08,906 for earlier when I was... 836 00:40:10,116 --> 00:40:13,536 Oh, your brief moment of silent reflection? 837 00:40:13,619 --> 00:40:15,704 Yeah. You didn't mention that to anybody? 838 00:40:15,788 --> 00:40:17,998 - No, no. God, no. No. - I don't know what that was. 839 00:40:18,082 --> 00:40:20,584 I was just--felt like I was drowning. 840 00:40:22,378 --> 00:40:24,755 What was that you were reciting? 841 00:40:25,714 --> 00:40:29,135 It's called the Shema prayer. It's a declaration of faith in God. 842 00:40:29,927 --> 00:40:32,847 I lived with my grandmother when I was little, 843 00:40:32,930 --> 00:40:36,058 and she and I used to recite it every morning. 844 00:40:36,142 --> 00:40:40,855 "Even youths grow tired and weary, and young men stumble and fall. 845 00:40:40,938 --> 00:40:44,650 But those who hold hope in the Lord 846 00:40:44,733 --> 00:40:48,946 will renew their strength and soar on wings like eagles." 847 00:40:50,364 --> 00:40:52,575 It's Isaiah 40. 848 00:40:52,658 --> 00:40:54,743 I was an undergrad theology major. 849 00:40:55,703 --> 00:40:57,413 I don't know why I said that. 850 00:40:58,873 --> 00:41:02,751 I don't know if I actually believe in God, especially on days like today. 851 00:41:04,879 --> 00:41:09,258 A wise man once told me that you learn to live with it, 852 00:41:09,341 --> 00:41:11,469 learn to accept it, 853 00:41:11,552 --> 00:41:14,221 and find balance if you can. 854 00:41:16,474 --> 00:41:18,184 I hope we all do. 855 00:41:31,405 --> 00:41:32,698 Only one pink left. 856 00:41:32,781 --> 00:41:34,700 The rest all went up. 857 00:41:34,783 --> 00:41:35,910 Hey. 858 00:41:35,993 --> 00:41:37,912 You guys need any help with new patients, or... 859 00:41:37,995 --> 00:41:40,498 No, no, no. We're good. It's quick and easy stuff. Go home. 860 00:41:40,581 --> 00:41:41,582 - Yeah? - Yeah. 861 00:41:41,665 --> 00:41:43,125 - Hey, you got a second? - Yeah. 862 00:41:46,337 --> 00:41:47,713 What is up with Robby? 863 00:41:47,796 --> 00:41:49,048 He's been better. 864 00:41:49,131 --> 00:41:50,674 I'm really worried about him. 865 00:41:50,758 --> 00:41:52,718 I've never seen him like this. Have you? 866 00:41:52,801 --> 00:41:54,011 No. 867 00:41:55,221 --> 00:41:56,805 How about you, slugger? 868 00:41:57,848 --> 00:41:59,141 Been better. 869 00:41:59,225 --> 00:42:00,601 - Preach. - Yeah. 870 00:42:03,312 --> 00:42:04,813 Sorry to interrupt. 871 00:42:05,439 --> 00:42:08,067 Oh, if you guys are looking for Officer Stefano, 872 00:42:08,150 --> 00:42:11,445 - he went up to surgery about an hour ago. - We're looking for Dr. Cassie McKay. 873 00:42:13,447 --> 00:42:14,698 Yeah, that's me. 874 00:42:14,782 --> 00:42:17,284 We were alerted about your ankle monitor being tampered with. 875 00:42:18,035 --> 00:42:20,538 County probation called to check in earlier, but you never responded. 876 00:42:20,621 --> 00:42:24,166 Yeah, it was beeping and giving an error message. 877 00:42:24,250 --> 00:42:27,127 And we were in the middle of a mass casualty from PittFest. 878 00:42:27,211 --> 00:42:29,463 Did you tamper with your ankle monitor? 879 00:42:33,217 --> 00:42:37,429 Yeah, I might have drilled a hole in it. 880 00:42:37,513 --> 00:42:39,515 Officers, look around. She was saving lives. 881 00:42:39,598 --> 00:42:42,601 - Put your hands behind your head. - Hang on a second. 882 00:42:42,685 --> 00:42:45,271 - Are you joking? - Officers, wait a second. 883 00:42:45,354 --> 00:42:46,647 You're under arrest. 884 00:42:49,650 --> 00:42:50,651 Great.