1 00:00:00,000 --> 00:00:05,000 [ Y2flix.cc - Watch Movies and TV Shows Online for Free ] 2 00:00:00,400 --> 00:00:01,401              - Yeah? 3 00:00:01,468 --> 00:00:03,003 There's an active shooter   at Pitt Fest. 4 00:00:03,069 --> 00:00:04,804  - As the nearest trauma center,    we are going to be getting 5 00:00:04,871 --> 00:00:06,139   the majority of the victims. 6 00:00:06,206 --> 00:00:08,108   Triage is gonna assess     and assign 7 00:00:08,174 --> 00:00:10,276   every patient     to a specific zone 8 00:00:10,343 --> 00:00:13,246 with a colored slap band. 9 00:00:13,313 --> 00:00:15,582 - We're a MASH unit now.   No charting. 10 00:00:15,648 --> 00:00:18,685   No electronic medical records.     No board. 11 00:00:18,752 --> 00:00:21,654 - David wouldn't do this.   - I really hope you're right. 12 00:00:21,721 --> 00:00:23,523     - This is   the monitoring center. 13 00:00:23,590 --> 00:00:25,291   Do you have permission  to be outside this area? 14 00:00:25,358 --> 00:00:27,894    - What is the point   of this fucking thing 15 00:00:27,961 --> 00:00:29,229 if it doesn't even work? 16 00:00:29,295 --> 00:00:31,231   - Could a drug addict   do what I do? 17 00:00:31,297 --> 00:00:32,899   - [sighs] Apparently. 18 00:00:32,966 --> 00:00:34,634  [slams locker]   You are done. 19 00:00:34,701 --> 00:00:37,103    What the fuck are you doing?    - I'm saving lives. 20 00:00:37,170 --> 00:00:38,405 - You should not be here. 21 00:00:38,471 --> 00:00:39,839  - None of these people  should be here. 22 00:00:39,906 --> 00:00:41,241 - I know you all want information 23 00:00:41,307 --> 00:00:42,876  about your friends and family. 24 00:00:42,942 --> 00:00:44,677  We have a QR code you can scan 25 00:00:44,744 --> 00:00:47,080  for our patient  identification website. 26 00:00:47,147 --> 00:00:48,681    If we get a match,    we'll let you know. 27 00:00:48,748 --> 00:00:50,517 - Her pulse is stronger, but she needs more blood. 28 00:00:50,583 --> 00:00:52,218 - We're already rationing our blood supply. 29 00:00:52,285 --> 00:00:54,187   - What if we run out?   - Running very low on O-neg. 30 00:00:54,254 --> 00:00:56,389 - Perfect storm.   - Listen up! 31 00:00:56,456 --> 00:00:59,259    Central 789 is now  the blood-donor center. 32 00:00:59,325 --> 00:01:00,927 - Hey, what's up    with the SWAT team? 33 00:01:00,994 --> 00:01:02,195 - It's just a precaution 34 00:01:02,262 --> 00:01:03,630    in case the shooter  heads this way. 35 00:01:03,696 --> 00:01:04,697 - Is that a possibility? 36 00:01:04,764 --> 00:01:06,332 - Hey, Javadi, I need you to find Whitaker, 37 00:01:06,399 --> 00:01:07,634  go up to the helipad--  we got blood flying in. 38 00:01:07,700 --> 00:01:09,135  - Okay.   - Stay behind the yellow line 39 00:01:09,202 --> 00:01:10,570  between 10:00 and 2:00   so the pilot 40 00:01:10,637 --> 00:01:12,305    can see you the whole time.  - Okay. 41 00:01:12,372 --> 00:01:14,774   - We may not even be   halfway through yet. 42 00:01:14,841 --> 00:01:16,643 - When is this gonna end? 43 00:01:16,709 --> 00:01:18,945   [tense music] 44 00:01:19,012 --> 00:01:21,414   - [breathes raggedly]   Fuck. 45 00:01:36,963 --> 00:01:40,266   [distant siren wails] 46 00:01:40,333 --> 00:01:41,734    - Need some help over here! 47 00:01:41,801 --> 00:01:43,369   - Who called in SWAT?   - Just a precaution. 48 00:01:43,436 --> 00:01:44,804 They still haven't found the shooter yet. 49 00:01:44,871 --> 00:01:46,973  - They need to stay out there,   not in here. 50 00:01:47,040 --> 00:01:49,109  - Officer down.    You know the drill. 51 00:01:49,175 --> 00:01:51,411    - 16 gauge in the right AC.   - Definitely needs an airway. 52 00:01:51,478 --> 00:01:52,679  - Can you handle that bleeding? 53 00:01:52,745 --> 00:01:54,447   - Need a sponge stick   for the back. 54 00:01:54,514 --> 00:01:56,349  - Dana, 100 of ketamine   and get some 4x4s on a kelly. 55 00:01:56,416 --> 00:01:57,817  You guys are doing a great job.    Keep it up. 56 00:01:57,884 --> 00:02:00,687 - Hang in there, Richie.   You're in good hands. 57 00:02:00,753 --> 00:02:03,423    You're gonna be okay, man.   - Hey, guys. 58 00:02:03,490 --> 00:02:04,991    Back it up.    We're trying to work here. 59 00:02:05,058 --> 00:02:06,659 Come on.    Both of youse, go. 60 00:02:06,726 --> 00:02:09,729  - And chest tube output    is minimal. 61 00:02:09,796 --> 00:02:12,499   Good for cardiothoracic ICU.   - Nice. Okay. 62 00:02:12,565 --> 00:02:14,234    As soon as transpo    can lend us a hand. 63 00:02:14,300 --> 00:02:16,136  - What's up with the SWAT team? 64 00:02:16,202 --> 00:02:17,537    - Maybe they think    the shooter's coming here. 65 00:02:17,604 --> 00:02:18,972   - Shit, is that true?  - What? 66 00:02:19,038 --> 00:02:20,373   - My kid's in the break room. 67 00:02:20,440 --> 00:02:22,075    - They think the shooter's heading this way? 68 00:02:22,142 --> 00:02:24,644  - Anything is possible. 69 00:02:24,711 --> 00:02:27,180  - Don't spread rumors. 70 00:02:27,247 --> 00:02:28,882  I'm taking this one to the OR. 71 00:02:28,948 --> 00:02:32,418    [indistinct PA announcement] 72 00:02:33,920 --> 00:02:35,155   - How are you doing? 73 00:02:35,221 --> 00:02:37,590 - Yeah, I'm good.   You? 74 00:02:37,657 --> 00:02:38,825    - I'm good. 75 00:02:38,892 --> 00:02:40,660  How much blood are we getting?  - I don't know. 76 00:02:40,727 --> 00:02:41,995    I hope it's enough. 77 00:02:42,061 --> 00:02:43,163   - We're supposed to stop here 78 00:02:43,229 --> 00:02:45,431  and stay between 10:00 and 2:00. 79 00:02:45,498 --> 00:02:47,734   - Where's 12? - I think the pilot's 12. 80 00:02:47,800 --> 00:02:51,838    I think we just stay back,  and they bring the blood to us. 81 00:02:53,473 --> 00:02:55,208 I think. 82 00:02:57,277 --> 00:02:58,444  - Here.   - Thank you. 83 00:02:58,511 --> 00:02:59,779  - Yep. 84 00:03:03,616 --> 00:03:04,951    - Do we take these    to our supply room 85 00:03:05,018 --> 00:03:06,753   in Behavioral Health?   - Trauma rooms first. 86 00:03:06,819 --> 00:03:08,755    Then we'll make our way out    to the patients in the hub. 87 00:03:08,821 --> 00:03:10,857    - That the O-neg delivery?  - Yeah, straight from the roof. 88 00:03:10,924 --> 00:03:12,825   - Jesse, hang a unit, then right up to the OR. 89 00:03:12,892 --> 00:03:14,694  - Who else needs blood? 90 00:03:14,761 --> 00:03:16,362   - Everybody. 91 00:03:16,429 --> 00:03:18,064  - Leave us four units,  four next door, 92 00:03:18,131 --> 00:03:19,899 and then check in   with Robby and Abbot. 93 00:03:19,966 --> 00:03:22,302    - Okay, I've got next door. 94 00:03:22,368 --> 00:03:23,736  - Blood's here.   - All right. 95 00:03:23,803 --> 00:03:25,205  Squeeze one in    as fast as you can. 96 00:03:25,271 --> 00:03:27,273   - Bag for me. 97 00:03:27,340 --> 00:03:29,976  - You guys need blood?    - No, not just yet. 98 00:03:30,043 --> 00:03:31,411    Leave it with Dana. 99 00:03:31,477 --> 00:03:33,112  Hey, Whitaker.  How you doing? 100 00:03:33,179 --> 00:03:34,147   - Yeah, fine. 101 00:03:34,214 --> 00:03:35,381  - Ask for help if you need it. 102 00:03:35,448 --> 00:03:38,151 - I can't see the cords.  Let's bag him. 103 00:03:38,218 --> 00:03:39,752  Sorry, I'm used    to the GlideScope. 104 00:03:39,819 --> 00:03:41,087 - Spoiled by technology. 105 00:03:41,154 --> 00:03:42,455   Dana, you got   a bougie back there? 106 00:03:42,522 --> 00:03:44,724 - Completely out. Used them all up. 107 00:03:44,791 --> 00:03:48,127  - Is he awake?    - He was. Now he's sedated. 108 00:03:48,194 --> 00:03:50,597   - Should be intubated by now.   - Yeah, what's his pulse ox? 109 00:03:50,663 --> 00:03:52,165   - All right,  except for his partner, 110 00:03:52,232 --> 00:03:54,033 all of you into BH-2 now. 111 00:03:54,100 --> 00:03:55,435  You can watch from the window, 112 00:03:55,501 --> 00:03:57,437  but you need to zip it, capisce? 113 00:03:57,503 --> 00:03:59,138 Oh, God.    Bridget, thank God. 114 00:03:59,205 --> 00:04:00,340    Night shift to the rescue. 115 00:04:00,406 --> 00:04:01,507 - What the hell happened   to your eye? 116 00:04:01,574 --> 00:04:02,909  - Just another happy customer. 117 00:04:02,976 --> 00:04:04,777   Looks a lot worse than it is.  - Yeah, right. 118 00:04:04,844 --> 00:04:07,380    I tried to get here sooner,  but it is gridlocked out there. 119 00:04:07,447 --> 00:04:08,715  - It's not much better in here. 120 00:04:08,781 --> 00:04:10,617   Did you hear anything    about the shooter? 121 00:04:10,683 --> 00:04:13,286  - They may have slipped away in  the crowd with all this chaos. 122 00:04:13,353 --> 00:04:15,755    Hey, where do you need me?    - North is yellow. 123 00:04:15,822 --> 00:04:17,523   Keep an eye on the new kids. - Got it. 124 00:04:17,590 --> 00:04:18,791    You holler   if you're in trouble. 125 00:04:18,858 --> 00:04:21,094   - Yes, ma'am. 126 00:04:21,160 --> 00:04:23,463    - Jamie, what do you need? 127 00:04:23,529 --> 00:04:24,864    - IVs on everyone. 128 00:04:24,931 --> 00:04:27,767    - Hi, I'm Dr. King. - Buster Pirelli. 129 00:04:27,834 --> 00:04:30,703    - I take it you're a children's entertainer. 130 00:04:30,770 --> 00:04:32,438   - Impressive   observational skills. 131 00:04:32,505 --> 00:04:33,906    - Well, no active bleeding. 132 00:04:33,973 --> 00:04:36,676 Can you tell me your pain  on a scale of 1 to 10? 133 00:04:36,743 --> 00:04:37,710  - At least a 3. 134 00:04:37,777 --> 00:04:39,679   - And can you wiggle   your fingers? 135 00:04:39,746 --> 00:04:41,881 - Uh-huh. 136 00:04:41,948 --> 00:04:43,216  - The--the other hand. 137 00:04:43,283 --> 00:04:45,084   - Oh. 138 00:04:45,151 --> 00:04:46,919  - Well, it doesn't seem   like you have a broken bone, 139 00:04:46,986 --> 00:04:49,088  but we're gonna put you  on some IV antibiotics 140 00:04:49,155 --> 00:04:50,690    and some pain meds. 141 00:04:50,757 --> 00:04:51,791 - Got it. 142 00:04:53,326 --> 00:04:54,994    You, uh, see who shot you? 143 00:04:55,061 --> 00:04:58,931   - No, I'm not even sure which  direction the bullet came from. 144 00:04:58,998 --> 00:05:02,535  Hey, am I going to lose  any dexterity? Like... 145 00:05:02,602 --> 00:05:04,737 - It's too soon to tell, but probably not. 146 00:05:04,804 --> 00:05:06,906 - [sighs] I make   balloon animals for a living. 147 00:05:06,973 --> 00:05:09,175    Two birthday parties booked  every Saturday, Sunday 148 00:05:09,242 --> 00:05:10,677 for the next year, so... 149 00:05:10,743 --> 00:05:13,279  - Wow, you must really love kids. 150 00:05:13,346 --> 00:05:14,714   - Not really. 151 00:05:14,781 --> 00:05:16,316 - Okay, you're gonna feel  a little pinprick here. 152 00:05:16,382 --> 00:05:18,985   - [screams] Fuck me! 153 00:05:19,052 --> 00:05:21,587  - Uh, it's--it's in. It's just  so we can give you antibiotics. 154 00:05:21,654 --> 00:05:22,755   - Oh. 155 00:05:22,822 --> 00:05:24,891   That hurt just as bad    as when I got shot. 156 00:05:24,957 --> 00:05:26,292    - You put in an IO? 157 00:05:26,359 --> 00:05:27,927    - [groans]  - Yeah. 158 00:05:27,994 --> 00:05:29,195  - Um, don't worry, sir. 159 00:05:29,262 --> 00:05:30,663    There will be no more pain. 160 00:05:30,730 --> 00:05:31,531  - Okay. 161 00:05:31,597 --> 00:05:33,599   - Whitaker, um, team huddle. 162 00:05:33,666 --> 00:05:35,234 - [sighs] 163 00:05:35,301 --> 00:05:37,103   - Join us, will you? - Mm-hmm. 164 00:05:37,170 --> 00:05:39,205   - Oh, my God. 165 00:05:39,272 --> 00:05:42,275  - Okay, um, why'd you do that? 166 00:05:42,342 --> 00:05:45,478 - Dr. Robby said   everyone gets an IO. 167 00:05:45,545 --> 00:05:48,414 - If they are unconscious or unresponsive. 168 00:05:48,481 --> 00:05:51,150    - If the patient is awake and alert, 169 00:05:51,217 --> 00:05:53,319 it's just a standard IV,    not an IO. 170 00:05:53,386 --> 00:05:56,255   - Unless it's a mime.    They can't scream. 171 00:05:56,322 --> 00:05:58,057    - Lidocaine for the clown. 172 00:05:58,124 --> 00:05:59,258    - More at the door. 173 00:05:59,325 --> 00:06:01,894 - Is this ever gonna end? 174 00:06:01,961 --> 00:06:03,896 - Pardon. Coming through. 175 00:06:03,963 --> 00:06:06,032  - Bleed and bandage it.  Bring him out. 176 00:06:06,099 --> 00:06:07,633   - To the other side? 177 00:06:07,700 --> 00:06:09,402   - Ah, too much blood. 178 00:06:09,469 --> 00:06:11,104  Move that kelly    to the right a little bit. 179 00:06:11,170 --> 00:06:12,638   - Any better?   - Not really. 180 00:06:12,705 --> 00:06:14,340   Radial pulse?  - Still has it. 181 00:06:14,407 --> 00:06:15,475  Maybe a little weaker. 182 00:06:15,541 --> 00:06:16,476  I can try and give you a bubble. 183 00:06:16,542 --> 00:06:18,544 - Yeah, yeah, go for it. 184 00:06:19,779 --> 00:06:21,414   No, nothing. I'm not seeing anything. 185 00:06:21,481 --> 00:06:24,150   Okay, let's bag him. I want to prep the neck. 186 00:06:24,217 --> 00:06:25,485    - You don't have a bougie. 187 00:06:25,551 --> 00:06:27,520   - I have an 11 blade   and a prayer. 188 00:06:27,587 --> 00:06:29,255   - Without a bougie, you could  create a false passage 189 00:06:29,322 --> 00:06:30,757   on top of the trachea   and kill him. 190 00:06:30,823 --> 00:06:32,558  - You're doing a crike?  - Yep. 191 00:06:32,625 --> 00:06:35,795    No skin hooks, no bougie--    old school. 192 00:06:35,862 --> 00:06:37,497 - I got a tactical airway  in my bag here. 193 00:06:37,563 --> 00:06:39,565  - What is that?    - It's a control crike kit. 194 00:06:39,632 --> 00:06:41,134   - Oh, that's perfect. 195 00:06:41,200 --> 00:06:42,668   Use that on the battlefield. 196 00:06:42,735 --> 00:06:44,704 - Works in the pitch-dark  when you're under fire. 197 00:06:44,771 --> 00:06:46,572  I can do these   with my eyes closed. 198 00:06:46,639 --> 00:06:48,808   - [chuckles]    - For you. 199 00:06:48,875 --> 00:06:50,943   Okay. 200 00:06:51,010 --> 00:06:53,446 The knife leaves   a trach hook behind, 201 00:06:53,513 --> 00:06:55,681 so you can't miss, right? 202 00:06:55,748 --> 00:06:57,850  Just... 203 00:06:57,917 --> 00:06:59,619   good. 204 00:06:59,685 --> 00:07:03,423   You slide in the introducer. 205 00:07:03,489 --> 00:07:04,524   Okay. 206 00:07:04,590 --> 00:07:07,126 Feel the tracheal rings.   Good. 207 00:07:07,193 --> 00:07:08,828 Bob's your uncle. 208 00:07:08,895 --> 00:07:11,931    - That was incredibly fast.  - Eh... 209 00:07:11,998 --> 00:07:13,199 - Balloon is up. 210 00:07:13,266 --> 00:07:16,135    - Why don't we stock these? - No room in the budget. 211 00:07:18,304 --> 00:07:20,206  - Yellow on end-tidal.    [laughter] 212 00:07:20,273 --> 00:07:22,141 - It's okay now?  - Yeah. 213 00:07:22,208 --> 00:07:26,112  - Thank you, Dr. Abbot.   [knocking on window] 214 00:07:26,179 --> 00:07:28,381 Okay, let's pack    the oral cavity with Kerlix 215 00:07:28,448 --> 00:07:30,550  and see how fast Head and Neck    can take him up to the OR. 216 00:07:30,616 --> 00:07:31,851   Great job, everybody. 217 00:07:31,918 --> 00:07:33,252  - What else do you got  in your go bag? 218 00:07:33,319 --> 00:07:35,455 - Oh, just wait and see. 219 00:07:55,575 --> 00:07:58,811 [camera shutter clicking] 220 00:08:08,588 --> 00:08:10,723 - [sighs]  Javadi, this is Sally. 221 00:08:10,790 --> 00:08:11,991   - What does she need? 222 00:08:12,058 --> 00:08:13,793  - Gunshot wound    to the back at T11. 223 00:08:13,860 --> 00:08:15,995 Good pulse, but probable    spinal cord injury. 224 00:08:16,062 --> 00:08:20,099 - Can you move your legs?   - I'm trying. 225 00:08:20,166 --> 00:08:21,400  Am I paralyzed? 226 00:08:21,467 --> 00:08:22,869    - There's some hope   for recovery. 227 00:08:22,935 --> 00:08:24,637 Keep her on the backboard    and monitor 228 00:08:24,704 --> 00:08:25,872  for intra-abdominal hemorrhage, 229 00:08:25,938 --> 00:08:27,907   and neuro-ICU will triage to CT, okay? 230 00:08:27,974 --> 00:08:30,176 - Sally, pinprick right here, okay? 231 00:08:30,243 --> 00:08:32,745   - Walsh knows about the case.  They're holding an OR. 232 00:08:32,812 --> 00:08:34,981    - And the hits keep coming. 233 00:08:35,047 --> 00:08:36,916    - Let's go. 234 00:08:36,983 --> 00:08:39,485    - [groans]    - Who do you have? 235 00:08:39,552 --> 00:08:42,121 - Semiconscious,  only responds to pain. 236 00:08:43,322 --> 00:08:45,324  Decent carotid.   - Strip him. 237 00:08:45,391 --> 00:08:47,360    - Let's go. 238 00:08:47,426 --> 00:08:49,462 - Ah, left upper-quadrant entrance. 239 00:08:49,529 --> 00:08:50,930    - [yelling] 240 00:08:50,997 --> 00:08:52,198 - Hold him down. 241 00:08:52,265 --> 00:08:53,499   Grab his foot! Grab his foot! 242 00:08:53,566 --> 00:08:56,335 - Whoa, gun! Gun!  He's going for his gun! 243 00:08:56,402 --> 00:08:58,004   - Get down, get down. 244 00:08:58,070 --> 00:08:59,539  [all shouting] 245 00:08:59,605 --> 00:09:02,074   - Stay down.    Stay down. 246 00:09:05,511 --> 00:09:07,580 - Sig P365 9 mil. 247 00:09:07,647 --> 00:09:09,916    - Driver's license?    - He just got here. 248 00:09:09,982 --> 00:09:11,918   - Not responding to pain now. 249 00:09:13,185 --> 00:09:14,987   - All clear. 250 00:09:15,054 --> 00:09:16,789    - You sure?    - He's unconscious. 251 00:09:16,856 --> 00:09:18,758  Everybody back to work. 252 00:09:18,824 --> 00:09:20,326    - Agonal breathing.    He needs an airway. 253 00:09:20,393 --> 00:09:23,029    - Working on an IO.  - Drawing up ketamine and sux. 254 00:09:23,095 --> 00:09:24,330    - Here, have at it. 255 00:09:24,397 --> 00:09:26,332 - Concealed carry permit. 256 00:09:26,399 --> 00:09:27,967 We'll run his ID. 257 00:09:28,034 --> 00:09:30,169 These wounds are too big for a 9. 258 00:09:30,236 --> 00:09:31,504   - Failed IO. 259 00:09:31,571 --> 00:09:33,439    Guy's huge.   Needle won't reach the bone. 260 00:09:33,506 --> 00:09:34,974 - He needs induction meds    and blood. 261 00:09:35,041 --> 00:09:36,475   - I'm having  the same problem here. 262 00:09:36,542 --> 00:09:37,643    I don't see anything usable    for an IV. 263 00:09:37,710 --> 00:09:39,145 - Robby.  - What? 264 00:09:39,211 --> 00:09:42,081  - Guy needs access, but the IO won't reach the humerus. 265 00:09:42,148 --> 00:09:44,083  Proximal tibia? 266 00:09:44,150 --> 00:09:45,985   Yes? 267 00:09:46,052 --> 00:09:47,553  - Yeah. 268 00:09:47,620 --> 00:09:48,888    - Tibia's not great access. 269 00:09:48,955 --> 00:09:50,523 You can only get a liter    an hour down there. 270 00:09:50,590 --> 00:09:51,724  - You get what you get. 271 00:09:51,791 --> 00:09:54,160  [ankle monitor blaring] 272 00:09:54,226 --> 00:09:56,162  - God damn it! 273 00:09:56,228 --> 00:09:58,097    - Whatever that is,    can you please turn it off? 274 00:09:58,164 --> 00:10:00,733    I can't hear myself think!   - Stable for the ICU. 275 00:10:00,800 --> 00:10:03,336    Get her up.    I'll be right fucking back. 276 00:10:03,402 --> 00:10:04,503   - Copy that. 277 00:10:04,570 --> 00:10:07,807    [blaring continues] 278 00:10:11,911 --> 00:10:13,813   - I already have one.  Keep that away from me. 279 00:10:13,879 --> 00:10:15,581    - It's not for you. 280 00:10:15,648 --> 00:10:18,884    [blaring continues] 281 00:10:20,219 --> 00:10:21,854     - This is   the monitoring center. 282 00:10:21,921 --> 00:10:24,323   We see that you're not  in your inclusion zone. 283 00:10:24,390 --> 00:10:25,958  Do you have permission-- 284 00:10:26,025 --> 00:10:29,729    [crowd gasping, murmuring] 285 00:10:29,795 --> 00:10:32,999  - Show's over.  - Uh... 286 00:10:33,065 --> 00:10:35,468 are you gonna get   in trouble for that? 287 00:10:35,534 --> 00:10:37,303    - Probably. 288 00:10:52,952 --> 00:10:54,320   Hey. 289 00:10:55,821 --> 00:10:57,857   - What's going on out there? 290 00:10:57,923 --> 00:11:02,628    - A lot of people were hurt at the festival. 291 00:11:02,695 --> 00:11:05,097   - I need to use the bathroom. 292 00:11:05,164 --> 00:11:08,701   - I told him to use the sink. - What is wrong with you? 293 00:11:08,768 --> 00:11:10,603    - Would you rather   I take him out there? 294 00:11:10,670 --> 00:11:13,706    - Hang on. I'll be right back, okay? 295 00:11:13,773 --> 00:11:16,609   [door opens, closes] 296 00:11:20,513 --> 00:11:22,982   Here. 297 00:11:23,049 --> 00:11:25,117  - What's that? - It's a urinal. 298 00:11:25,184 --> 00:11:29,088  You pee in it.  - I think I'll just hold it in. 299 00:11:31,957 --> 00:11:34,427    - Pull out.    I found a 4 blade. 300 00:11:34,493 --> 00:11:37,263 - This is better. 301 00:11:37,329 --> 00:11:38,597   Shit. 302 00:11:38,664 --> 00:11:41,267 I lost the light. The battery must be dead. 303 00:11:41,333 --> 00:11:42,702  - This one's dead, too. 304 00:11:42,768 --> 00:11:45,004    Anybody have a laryngoscope  with a light that still works? 305 00:11:45,071 --> 00:11:46,605 - We will check.  - Check quick. 306 00:11:46,672 --> 00:11:48,007   This guy's paralytics are wearing off. 307 00:11:48,074 --> 00:11:49,675  - Keep bagging.  Give me a 7.0 ET tube. 308 00:11:49,742 --> 00:11:50,976 - He's a big guy.  He needs an 8. 309 00:11:51,043 --> 00:11:52,778  - Not for this.    - Number 7. 310 00:11:52,845 --> 00:11:56,215   - What are you doing?   - Tactile intubation. 311 00:11:56,282 --> 00:12:00,052   My index finger goes    into the vallecula. 312 00:12:00,119 --> 00:12:04,056  And my middle finger will guide   the tube past the epiglottis. 313 00:12:04,123 --> 00:12:05,424  - But if you hit the esophagus,    he's toast. 314 00:12:05,491 --> 00:12:07,093 You told us never to pass   a tube unless we see 315 00:12:07,159 --> 00:12:09,361 the vocal cords.   - Correct. Not today. 316 00:12:09,428 --> 00:12:10,863 If I stay in the midline, 317 00:12:10,930 --> 00:12:13,232    I should be able to get it  past the cords. 318 00:12:13,299 --> 00:12:14,900   Okay. 319 00:12:14,967 --> 00:12:18,070    Balloon up. Bag him. 320 00:12:18,137 --> 00:12:20,940  - Looks good on the end-tidal.    - Slick move, boss. 321 00:12:21,006 --> 00:12:22,575    - No pulse.    Start compressions. 322 00:12:22,641 --> 00:12:24,110 - OK. Get him up. 323 00:12:27,079 --> 00:12:28,914    Try to get him back with two liters. 324 00:12:28,981 --> 00:12:31,417  That is as much   as we can afford per patient. 325 00:12:31,484 --> 00:12:33,519  - Leg is too slow; upper arm is    five times as fast. 326 00:12:33,586 --> 00:12:35,955  - Best that we can do.  Keep at it. We'll get him back. 327 00:12:36,021 --> 00:12:38,224 - Robby, need help here! 328 00:12:40,126 --> 00:12:41,827    - Langdon! - Keep squeezing. 329 00:12:41,894 --> 00:12:45,131   [indistinct chatter] 330 00:12:47,533 --> 00:12:49,001 - How are you making out? 331 00:12:49,068 --> 00:12:51,470 - [sighs] Lots of emails   and photos coming in 332 00:12:51,537 --> 00:12:52,905 from concerned families. 333 00:12:52,972 --> 00:12:54,440 - It'll be easier   once they've entered 334 00:12:54,507 --> 00:12:55,875    every patient's MCI number. 335 00:12:55,941 --> 00:12:58,077   - Here we go.  Look familiar? 336 00:12:58,144 --> 00:12:59,879  MCI-7. 337 00:12:59,945 --> 00:13:01,514    His name is Vincent Rivera. 338 00:13:01,580 --> 00:13:03,983    - He must have had friends    or family in the cafeteria 339 00:13:04,049 --> 00:13:06,018  who sent in the photo. 340 00:13:06,085 --> 00:13:08,921  - I'll text them we're coming. 341 00:13:10,589 --> 00:13:12,658   - What are you doing?    - Giving this guy a chance. 342 00:13:12,725 --> 00:13:15,094    He needs a big central line   for fast transfusion. 343 00:13:15,161 --> 00:13:16,862   - You can't do an IJ  without an ultrasound, 344 00:13:16,929 --> 00:13:18,497   especially on a guy this big. - You'll kill him 345 00:13:18,564 --> 00:13:20,432  if you collapse a lung    or hit the carotid. 346 00:13:20,499 --> 00:13:21,734  - I'm not doing an IJ. 347 00:13:21,801 --> 00:13:23,903  Unhook that blood line. Bring it up here. 348 00:13:23,969 --> 00:13:28,474 This is a supraclavicular    subclavian. 349 00:13:28,541 --> 00:13:29,909    If you have to go in blind, 350 00:13:29,975 --> 00:13:33,412 this is the only safe way  to access a giant vein. 351 00:13:33,479 --> 00:13:36,916  And hold compressions. 352 00:13:36,982 --> 00:13:38,517   A centimeter 353 00:13:38,584 --> 00:13:41,887   from the lateral head    of the sternocleidomastoid, 354 00:13:41,954 --> 00:13:44,156  a centimeter off the clavicle, 355 00:13:44,223 --> 00:13:48,394  aiming   at the contralateral nipple. 356 00:13:50,329 --> 00:13:51,864  I'm in. 357 00:13:53,499 --> 00:13:56,569    Okay, resume compressions. 358 00:13:56,635 --> 00:13:59,371    And squeeze blood. 359 00:14:00,239 --> 00:14:02,341 - Where'd you learn that?    - "EM:RAP" podcast. 360 00:14:02,408 --> 00:14:05,110    We'll be ready for a second  unit in under a minute. 361 00:14:05,177 --> 00:14:06,512   Boom. 362 00:14:06,579 --> 00:14:09,849    - Okay, not too much blood  on your dressing, Mr. Grayson. 363 00:14:09,915 --> 00:14:11,784   You're looking good. 364 00:14:11,851 --> 00:14:14,320   Mr. Grayson? Hey, Mr. Grayson! 365 00:14:14,386 --> 00:14:15,588   - Oh. 366 00:14:15,654 --> 00:14:17,590 Oh, I must've dozed off. 367 00:14:17,656 --> 00:14:19,158 This is like a bad dream. 368 00:14:19,225 --> 00:14:21,961    - Yeah, no kidding.    - [exhales deeply] 369 00:14:22,027 --> 00:14:25,698 - You, um--did you happen   to see who shot you? 370 00:14:25,764 --> 00:14:27,433   - No. 371 00:14:27,499 --> 00:14:29,335  But I heard the shots. 372 00:14:29,401 --> 00:14:33,272  They just kept coming,  gunshots and screaming. 373 00:14:33,339 --> 00:14:35,341 I'm never gonna get that  out of my head. 374 00:14:35,407 --> 00:14:37,710    - GSW to the right inguinal region. 375 00:14:37,776 --> 00:14:38,777  - Yeah. 376 00:14:38,844 --> 00:14:41,413 Uh, hi, I'm Dr. Whitaker. 377 00:14:41,480 --> 00:14:42,781 - Carmen. 378 00:14:42,848 --> 00:14:44,383   - It's, uh, nice to meet you. 379 00:14:44,450 --> 00:14:45,451   Uh... 380 00:14:45,517 --> 00:14:47,620 I'm just gonna take this. 381 00:14:47,686 --> 00:14:48,988   Okay. 382 00:14:49,054 --> 00:14:52,258  How's the pain?    - I can handle it. 383 00:14:52,324 --> 00:14:54,026  - Okay. 384 00:14:54,093 --> 00:14:56,428   What does this--"tem-bleek"?   What does that mean? 385 00:14:56,495 --> 00:14:59,231    - Tembleque--it's a coconut pudding from Puerto Rico. 386 00:14:59,298 --> 00:15:01,967   We top it off  with canela--cinnamon. 387 00:15:02,034 --> 00:15:03,869   - Okay, wow. So you got a food truck? 388 00:15:03,936 --> 00:15:06,605  - Just a folding table for now.    - Pedal pulses are strong. 389 00:15:06,672 --> 00:15:08,307    - Okay, let's start   with antibiotics, pain meds, 390 00:15:08,374 --> 00:15:10,009   and let's try to stop  this bleeding. 391 00:15:10,075 --> 00:15:11,977   - [whimpers]  - Okay. 392 00:15:12,044 --> 00:15:13,312    Here we go. 393 00:15:13,379 --> 00:15:15,281  Okay, uh, could you take over? 394 00:15:15,347 --> 00:15:16,749   Thank you, thank you,    thank you. 395 00:15:16,815 --> 00:15:19,184  Hey, hey, hey. 396 00:15:19,251 --> 00:15:21,987   Inguinal GSW   with active bleeding. 397 00:15:22,054 --> 00:15:23,622   - Um, try an Israeli bandage. 398 00:15:23,689 --> 00:15:26,325   - What if it bleeds through?    It's at the top of the leg. 399 00:15:26,392 --> 00:15:28,527    There's no room for   a tourniquet above the wound. 400 00:15:28,594 --> 00:15:32,765  - Well, let's just hope   the hemostatic bandage works. 401 00:15:32,831 --> 00:15:34,667  - Okay. 402 00:15:34,733 --> 00:15:36,669    Coming in.   Good. 403 00:15:36,735 --> 00:15:38,737    Hey, so... 404 00:15:38,804 --> 00:15:40,005 coconut. 405 00:15:40,072 --> 00:15:41,807   Love coconut.  [both chuckle] 406 00:15:41,874 --> 00:15:45,644   [indistinct chatter] 407 00:15:48,080 --> 00:15:49,715 - Kiara?  - Yes. 408 00:15:49,782 --> 00:15:51,250   This is Lupe. 409 00:15:51,317 --> 00:15:53,686 - Whitney. You texted me. 410 00:15:53,752 --> 00:15:55,387  - Let's take a walk over here. 411 00:15:55,454 --> 00:15:57,690 - Can you tell us   your husband's name? 412 00:15:57,756 --> 00:15:59,525 - Vincent Rivera. 413 00:16:00,926 --> 00:16:03,362  - We're gonna show you   some photos. 414 00:16:03,429 --> 00:16:06,031  Can you tell us    if this is Vincent? 415 00:16:06,098 --> 00:16:09,168    - He's not talking?  - No, he's not. 416 00:16:12,938 --> 00:16:14,707  - Yes, that's Vincent. 417 00:16:14,773 --> 00:16:16,976  Can I see him? 418 00:16:17,042 --> 00:16:19,878  - Vincent had a gunshot   to the head. 419 00:16:19,945 --> 00:16:21,880   When he arrived here, 420 00:16:21,947 --> 00:16:25,217    there was no pulse   or breathing. 421 00:16:26,952 --> 00:16:29,421   - My husband is dead? 422 00:16:29,488 --> 00:16:31,623  - I'm so sorry.  - We're sorry. 423 00:16:31,690 --> 00:16:33,525    - [crying]   What about my brother, Brian? 424 00:16:33,592 --> 00:16:35,928  Vincent and Brian went to the festival together. 425 00:16:35,995 --> 00:16:37,329    Is my brother okay? 426 00:16:37,396 --> 00:16:38,831 - Can you send us    his name and photo? 427 00:16:38,897 --> 00:16:40,366 - I did. 428 00:16:40,432 --> 00:16:42,801 - Okay, well, as of now,  he's not one of our fatalities. 429 00:16:42,868 --> 00:16:45,571   - Do you have some relatives  or friends we can call 430 00:16:45,637 --> 00:16:47,706   to come be with you? 431 00:16:47,773 --> 00:16:50,442    - [crying] 432 00:16:50,509 --> 00:16:53,212   Our kids are with my parents. 433 00:16:57,349 --> 00:16:58,784  [sobs] 434 00:16:58,851 --> 00:17:02,154    - Second unit's in.  - Holding compressions. 435 00:17:02,221 --> 00:17:04,423  Carotid pulse--you feeling it? - I'm feeling it. 436 00:17:04,490 --> 00:17:06,291   - He goes right up to pre-op. 437 00:17:06,358 --> 00:17:08,227   - Let's go. Let's go.    I need some help over here! 438 00:17:08,293 --> 00:17:10,896  - Hey. Not a person of interest. 439 00:17:10,963 --> 00:17:12,765  Jewelry store owner, no priors. 440 00:17:12,831 --> 00:17:14,166   He's not our shooter. 441 00:17:14,233 --> 00:17:16,935 - You guys good in here?  - We got this. 442 00:17:17,002 --> 00:17:18,504  Take a two-hour lunch. 443 00:17:18,570 --> 00:17:20,205  - I'm gonna go check on triage. 444 00:17:20,272 --> 00:17:22,241   - We'll save a spot for you. 445 00:17:22,307 --> 00:17:23,509    - Yellow gets a wheelchair. 446 00:17:23,575 --> 00:17:25,110   - Hey, Ahmad, what number are we up to? 447 00:17:25,177 --> 00:17:27,713   - 85 patients so far. - Need a gurney for pink. 448 00:17:27,780 --> 00:17:30,315 - How are you guys doing?   - Still going strong. 449 00:17:30,382 --> 00:17:32,317    - Not bad, I guess.  - You guys are triaging great. 450 00:17:32,384 --> 00:17:33,886    Believe me. This is not easy. 451 00:17:33,952 --> 00:17:35,220   Not everybody    can pull this off. 452 00:17:35,287 --> 00:17:36,755 - Is this your half-time    locker room speech? 453 00:17:36,822 --> 00:17:37,956 - Yeah, possibly. 454 00:17:38,023 --> 00:17:39,258 - Are we winning    or losing the game? 455 00:17:39,324 --> 00:17:42,094    - Too soon to tell. 456 00:17:42,161 --> 00:17:43,862 Come on, these heads have   to be up 30 degrees. 457 00:17:43,929 --> 00:17:45,798 Let's go.   - Got four back here. 458 00:17:45,864 --> 00:17:47,299 [distant sirens wailing] 459 00:17:47,366 --> 00:17:49,968   Through and through the head. 460 00:17:50,035 --> 00:17:51,637    No pulse. Black and white. 461 00:17:51,703 --> 00:17:54,740 Pink zone. Strong pulse.   Unresponsive, no obvious GSW. 462 00:17:54,807 --> 00:17:56,375    - Red zone, GSW left chest. 463 00:17:56,442 --> 00:17:57,843 - She was talking  when we first got in the truck. 464 00:17:57,910 --> 00:18:00,179  [tires squeal]   - Weak carotid, unresponsive. 465 00:18:00,245 --> 00:18:01,346    - There--there was  so much blood. 466 00:18:01,413 --> 00:18:04,483    I tried to stop it.  - Jake! 467 00:18:04,550 --> 00:18:07,319  - Robby! Leah got shot! It's really bad! 468 00:18:07,386 --> 00:18:11,056    [helicopter blades whirring overhead] 469 00:18:11,123 --> 00:18:13,192    I've been putting pressure   on the wound the whole time. 470 00:18:13,258 --> 00:18:14,426   - Yeah, that's good.   That's good. 471 00:18:14,493 --> 00:18:16,061   Are you shot? - I don't--maybe my leg. 472 00:18:16,128 --> 00:18:17,563    Most of this is her blood. 473 00:18:17,629 --> 00:18:20,165    - Somebody you know, boss?  - Yeah. 474 00:18:20,232 --> 00:18:21,700  - You got this?  - Yeah. 475 00:18:21,767 --> 00:18:24,536 Okay, come on, let's go.   Let's go. I got you. Come on. 476 00:18:24,603 --> 00:18:26,171   Ready? Pull. 477 00:18:26,238 --> 00:18:29,475    [distant wailing continues] 478 00:18:32,778 --> 00:18:35,814  Jake, you can't stay with her.   - I have to. 479 00:18:35,881 --> 00:18:37,983  - There's no room, and we need    to work on Leah right now, 480 00:18:38,050 --> 00:18:39,051    and you need to get your leg checked, 481 00:18:39,118 --> 00:18:40,452  so please go sit down. 482 00:18:40,519 --> 00:18:41,854   - Please come tell me  how she's doing, okay? 483 00:18:41,920 --> 00:18:44,790  Please? - I will. 484 00:18:44,857 --> 00:18:46,992  - Jake?   - I-I'm okay. 485 00:18:47,059 --> 00:18:49,228    Leah's with Robby. 486 00:19:09,882 --> 00:19:12,618   - Can't feel carotid.   - Start compressions. 487 00:19:12,684 --> 00:19:13,685 Swap out with me. 488 00:19:13,752 --> 00:19:16,655   I need an IO.   Hang a unit of O-neg. 489 00:19:16,722 --> 00:19:18,390   - Got the IO. 490 00:19:18,457 --> 00:19:20,192  - Leah?  - Yeah. 491 00:19:20,259 --> 00:19:23,228    - You need help over there? - No, we're good. 492 00:19:23,295 --> 00:19:25,964    - That's Jake's girlfriend.    - Oh, shit. 493 00:19:26,031 --> 00:19:29,968   - Who's Jake?  - It's, like, Robby's stepson. 494 00:19:30,035 --> 00:19:31,470  - I'll be right with you, sir. 495 00:19:31,537 --> 00:19:33,405   - My mom would be very happy. 496 00:19:33,472 --> 00:19:35,274 She always says,   wear clean underwear 497 00:19:35,340 --> 00:19:38,010    in case you end up in the hospital. 498 00:19:38,076 --> 00:19:40,913  - Just let us know if anything   is too uncomfortable. 499 00:19:40,979 --> 00:19:43,448   - It's okay.    - This needs to be tighter. 500 00:19:43,515 --> 00:19:45,450 You bled through the last one pretty fast. 501 00:19:45,517 --> 00:19:48,820 - Try a 180-degree twist. It'll put more pressure. 502 00:19:48,887 --> 00:19:50,088 - Got it. 503 00:19:50,155 --> 00:19:51,623 - I usually faint when my blood gets drawn. 504 00:19:51,690 --> 00:19:53,325   - Must be all   the adrenaline today. 505 00:19:53,392 --> 00:19:54,693    - Whitaker? 506 00:19:54,760 --> 00:19:56,461   Old hippie's looking pretty out of it. 507 00:19:56,528 --> 00:19:59,031   - No, he's sleeping. 508 00:19:59,097 --> 00:20:02,334  - No response to pain.  - Shit. 509 00:20:02,401 --> 00:20:05,170 Uh, Mr. Grayson.   Mr. Grayson. 510 00:20:05,237 --> 00:20:07,072    - Could be   a delayed head bleed. 511 00:20:07,139 --> 00:20:09,341   - He's gonna need a head CT. 512 00:20:09,408 --> 00:20:12,444  - He's not getting one   anytime soon. 513 00:20:12,511 --> 00:20:14,146   - Equal and reactive.  No blown pupil. 514 00:20:14,213 --> 00:20:18,417   Santos, go get an attending.   - I'll try, but no promises. 515 00:20:18,483 --> 00:20:20,619   - Excuse me.    I think I'm still bleeding. 516 00:20:20,686 --> 00:20:22,921   I'll be with you in a minute. 517 00:20:24,756 --> 00:20:26,925    - Pleur-evac ready.   Here you go. 518 00:20:29,494 --> 00:20:31,730  Princess, take over as primary. 519 00:20:31,797 --> 00:20:34,633   - What about Bridget? - She's stuck in yellow. 520 00:20:34,700 --> 00:20:37,502 - Mel needs an attending.    - Find somebody who's free. 521 00:20:37,569 --> 00:20:39,371    - Let's get blood.    - Dr. Abbot, can you come-- 522 00:20:39,438 --> 00:20:41,240   - Gonna be a minute. 523 00:20:41,306 --> 00:20:43,709   - Dr. Walsh.    - Taking one up to the OR. 524 00:20:43,775 --> 00:20:45,577  - Okay. 525 00:20:45,644 --> 00:20:48,113 - Hey, I need a portable pulse ox for Mr. Grayson. 526 00:20:48,180 --> 00:20:50,649  - Here you go. 527 00:20:50,716 --> 00:20:52,851  - Hey, what happened to the kid in the wheelchair 528 00:20:52,918 --> 00:20:54,353    with the bloody right leg? 529 00:20:54,419 --> 00:20:56,555    - No idea. 530 00:20:56,622 --> 00:20:59,191    - Pinpoint pupils--   probable OD. 531 00:20:59,258 --> 00:21:00,592   Blood on his clothes    wasn't his. 532 00:21:00,659 --> 00:21:03,262 - I'll grab some Narcan.  - Sublingual injection. 533 00:21:03,328 --> 00:21:04,463   - Okay here? 534 00:21:04,529 --> 00:21:06,865 - Uh, looks like    a opioid overdose. 535 00:21:06,932 --> 00:21:08,400  How's Robby with Leah? 536 00:21:09,735 --> 00:21:13,538  - If this guy doesn't wake up,  we'll check for occult trauma. 537 00:21:13,605 --> 00:21:15,540  - 1,400 of blood out the chest. First unit's in. 538 00:21:15,607 --> 00:21:16,775   - Squeeze in    a second unit fast, 539 00:21:16,842 --> 00:21:18,477 and then we'll do   another pulse check. 540 00:21:18,543 --> 00:21:20,812   - She's needs a second line? - For FFP and platelets. 541 00:21:20,879 --> 00:21:22,281    - You sure, Robby? 542 00:21:22,347 --> 00:21:24,650 - Sophie, get the plasma. 543 00:21:24,716 --> 00:21:26,652    I'm gonna take over   compressions. 544 00:21:26,718 --> 00:21:28,487 And swap. 545 00:21:28,553 --> 00:21:30,355  - Social worker   to the south corridor. 546 00:21:30,422 --> 00:21:32,424   Social worker   to the south corridor. 547 00:21:39,598 --> 00:21:42,367   - Jamie, wheelchair. 548 00:21:42,434 --> 00:21:43,735   You can't be in here. 549 00:21:43,802 --> 00:21:44,970 - They're working on my girlfriend. 550 00:21:45,037 --> 00:21:46,505  I need to see what's going on. 551 00:21:46,571 --> 00:21:47,873   - What's going on is,   you're losing a lot of blood. 552 00:21:47,939 --> 00:21:49,441   You're gonna pass out   if we don't stop it. 553 00:21:49,508 --> 00:21:50,709    - No, I'm not moving, man!  Leave me alone! 554 00:21:50,776 --> 00:21:52,210  - Jake,    get in the damn wheelchair. 555 00:21:52,277 --> 00:21:54,279   - No!    - Now! Go! 556 00:21:55,881 --> 00:21:57,849 - [gasps] 557 00:21:57,916 --> 00:21:59,885    [shouting] 558 00:21:59,951 --> 00:22:03,422   - Welcome back, sir. You're in the ER at PTMC. 559 00:22:03,488 --> 00:22:06,091 What's your name? - [gasps] Martin. 560 00:22:06,158 --> 00:22:09,394    - What'd you take, Martin?    You overdosed at Pitt Fest. 561 00:22:09,461 --> 00:22:10,996   - I took one Percocet so I could dance. 562 00:22:11,063 --> 00:22:12,464   I've got a bad knee. 563 00:22:12,531 --> 00:22:14,199    - Where'd you get the pill? - [sighs] From a friend. 564 00:22:14,266 --> 00:22:15,967  - Okay, while you were   overdosing from the fentanyl 565 00:22:16,034 --> 00:22:18,537 in a fake pill, there was   a mass shooting at Pitt Fest. 566 00:22:18,603 --> 00:22:20,772  - What?  - Hey, Samira, 567 00:22:20,839 --> 00:22:22,441    see if you can go help Mel    in the yellow zone. 568 00:22:22,507 --> 00:22:24,409   - Take my new friend Martin with you. 569 00:22:24,476 --> 00:22:27,045  - Javadi, roll with me. 570 00:22:30,148 --> 00:22:33,051   - [breathing heavily] 571 00:22:33,118 --> 00:22:34,486    Two units packed cells in. 572 00:22:34,553 --> 00:22:37,222 FFP still going?  - Almost there. 573 00:22:37,289 --> 00:22:40,425    Okay, holding compressions. 574 00:22:40,492 --> 00:22:42,361   - Can't feel carotid. 575 00:22:42,427 --> 00:22:43,562   - No femoral. 576 00:22:43,628 --> 00:22:45,731 - Resuming compressions. 577 00:22:45,797 --> 00:22:48,767  - What's your next move, boss?    - Platelets, another unit. 578 00:22:48,834 --> 00:22:50,535   And then we can transfuse her    with her own blood 579 00:22:50,602 --> 00:22:52,437    from the Pleur-evac   to get ahead. 580 00:22:52,504 --> 00:22:54,139   Hang the cell saver. 581 00:22:54,206 --> 00:22:55,774  - Squeeze all this in?   - No. 582 00:22:55,841 --> 00:22:57,542    Three-way stopcock    on a 60-cc syringe. 583 00:22:57,609 --> 00:22:58,877  I'll push-pull.  - Okay. 584 00:22:58,944 --> 00:23:01,747   - Not exactly in our mass casualty game plan. 585 00:23:04,850 --> 00:23:07,152    - I tried. No attendings available. 586 00:23:07,219 --> 00:23:08,453  - Okay. 587 00:23:08,520 --> 00:23:12,124   [indistinct chatter] 588 00:23:12,190 --> 00:23:13,625   - All right. 589 00:23:13,692 --> 00:23:15,627 Okay, those look    pretty superficial. 590 00:23:15,694 --> 00:23:17,929 - Might've been fragments  from a ricochet off the ground. 591 00:23:17,996 --> 00:23:20,799   Lost a lot of blood,  but you're gonna be okay, bro. 592 00:23:20,866 --> 00:23:22,567    - It's not bad. Just put me  back in the wheelchair. 593 00:23:22,634 --> 00:23:24,202   - No, no, stay in bed with your leg up. 594 00:23:24,269 --> 00:23:25,537 We don't want you oozing to death. 595 00:23:25,604 --> 00:23:26,938   Samira, what you got? 596 00:23:27,005 --> 00:23:28,573    - Opiate OD  needs observation after Narcan. 597 00:23:28,640 --> 00:23:30,275  - Ugh, boring.  No, thank you. 598 00:23:30,342 --> 00:23:31,910 Mel, how's Ganja Grayson? 599 00:23:31,977 --> 00:23:35,981   - Um, we can put him in pink  while he waits for ICU. 600 00:23:36,047 --> 00:23:39,284    - Okay, one second. 601 00:23:39,351 --> 00:23:42,187   - What are you doing?    - I'm checking the retina. 602 00:23:42,254 --> 00:23:44,656 - For detachment?    - For intracranial pressure 603 00:23:44,723 --> 00:23:47,426   by measuring the optic nerve    sheath, which is-- 604 00:23:47,492 --> 00:23:48,860    holy shit--10 millimeters. 605 00:23:48,927 --> 00:23:50,796    - What's normal? 5?    - Yeah, 5. 606 00:23:50,862 --> 00:23:52,297   - It's an intracranial bleed. 607 00:23:52,364 --> 00:23:53,565    The pressure's been   building up. 608 00:23:53,632 --> 00:23:55,066  There's no blown pupil. - Yeah, not yet. 609 00:23:55,133 --> 00:23:56,968 But if he keeps bleeding   in his skull, he's gonna die. 610 00:23:57,035 --> 00:24:00,238   - Yeah, he needs a one-inch,  uh, burr hole in his-- 611 00:24:00,305 --> 00:24:01,606   with a cranial drill. 612 00:24:01,673 --> 00:24:03,375    I'm just gonna see  if Neurosurgery's here. 613 00:24:03,442 --> 00:24:05,977   - We don't have time    to wait for Neuro. 614 00:24:06,044 --> 00:24:08,480  I got Betadine   and a 10-cc syringe. 615 00:24:08,547 --> 00:24:10,048   - Should we intubate,  hyperventilate? 616 00:24:10,115 --> 00:24:12,284 - Mannitol decreases ICP. 617 00:24:12,350 --> 00:24:13,552 [drill whirring] 618 00:24:13,618 --> 00:24:15,921   - Holy shit! - What the hell? 619 00:24:15,987 --> 00:24:17,589   [drill thuds] 620 00:24:17,656 --> 00:24:20,025    - Relieving   intracranial pressure 621 00:24:20,091 --> 00:24:21,460    so he doesn't die. 622 00:24:21,526 --> 00:24:24,429    - With an IO drill? 623 00:24:24,496 --> 00:24:25,664  - That's sick. 624 00:24:25,730 --> 00:24:27,232    I get the next one. 625 00:24:27,299 --> 00:24:30,001 - Long as it's not on me. 626 00:24:32,804 --> 00:24:34,506  - Dana, is Neurosurgery    down here? 627 00:24:34,573 --> 00:24:36,541  - Ask Princess. 628 00:24:36,608 --> 00:24:38,543   - Princess...   - Cardiothoracic ICU. 629 00:24:38,610 --> 00:24:40,912 - I need a neurosurgeon. - They're all in the OR. 630 00:24:40,979 --> 00:24:43,715  - Dr. Walsh, I have an epidural   in the north corridor 631 00:24:43,782 --> 00:24:45,016   with an elevated ICP. 632 00:24:45,083 --> 00:24:46,384 - Is there a blown pupil? 633 00:24:46,451 --> 00:24:49,087 - No, but a 10-millimeter  optic sheath on the ultrasound. 634 00:24:49,154 --> 00:24:51,022   We need a burr hole. 635 00:24:53,291 --> 00:24:54,960 - What the fuck? 636 00:24:55,026 --> 00:24:57,229    - Draining the ICH  with an EZ-IO. 637 00:24:57,295 --> 00:24:58,864    40 cc's out so far. 638 00:24:58,930 --> 00:25:01,199  - Like she said, what the fuck? - There was a case report 639 00:25:01,266 --> 00:25:03,401   in the 2022 "Journal  of Emergency Medicine." 640 00:25:03,468 --> 00:25:05,003    - Patient survive? 641 00:25:05,070 --> 00:25:06,705    - Went home  neurologically intact. 642 00:25:06,771 --> 00:25:08,507    - The optic sheath    is back to normal. 643 00:25:08,573 --> 00:25:10,308    - Starting   purposeful movements. 644 00:25:10,375 --> 00:25:13,078   - Ready to intubate.  - Propofol, rock, and mannitol. 645 00:25:13,144 --> 00:25:15,580   - I'll let Neurosurgery know.  We'll get him up ASAP. 646 00:25:15,647 --> 00:25:17,782    - Incredible save.  - If he lives. 647 00:25:17,782 --> 00:25:17,883    - Incredible save.  - If he lives. 648 00:25:17,949 --> 00:25:21,253    - Third unit's in.   - Okay, pulscheck. 649 00:25:21,319 --> 00:25:23,722    [grunting] 650 00:25:23,788 --> 00:25:25,490   - I think I'm feeling    a femoral. 651 00:25:25,557 --> 00:25:26,958    - I got a carotid. 652 00:25:27,025 --> 00:25:29,060    Emery, I got a chest case,  needs to go to the OR. 653 00:25:29,127 --> 00:25:30,962   - I saw you doing CPR   on this girl. 654 00:25:31,029 --> 00:25:32,430 - Two liters out    of the left chest. 655 00:25:32,497 --> 00:25:34,366 Got a pulse back after three packed cells. 656 00:25:34,432 --> 00:25:36,935    600 out of the cell saver, 2 of FFP. 657 00:25:40,605 --> 00:25:42,741   - I'm not feeling it.   - Check the carotid. 658 00:25:42,807 --> 00:25:46,044   [indistinct chatter] 659 00:25:47,112 --> 00:25:49,981 - Nothing. Sorry.  - Resume compressions. 660 00:25:50,048 --> 00:25:51,917  No, no, we should take her up.   She just had a pulse. 661 00:25:51,983 --> 00:25:53,818    - Not now. We need a pulse to go to the OR. 662 00:25:53,885 --> 00:25:55,954   Call me if anything changes.  - Got a Pink coming in. 663 00:25:56,021 --> 00:25:57,656   - Do we have any more   whole blood from the donors? 664 00:25:57,722 --> 00:25:58,857    - Think so. - Okay, get another unit 665 00:25:58,924 --> 00:26:00,258   that's got platelets    and plasma. 666 00:26:00,325 --> 00:26:03,094   It'll help her clot. - Got it. 667 00:26:03,161 --> 00:26:04,596   - Four units. 668 00:26:04,663 --> 00:26:06,364   Blood is for the ones   we can save. 669 00:26:06,431 --> 00:26:07,866    - She is right on the edge. 670 00:26:07,933 --> 00:26:10,068 One more can make  the difference. 671 00:26:14,439 --> 00:26:15,907 - I'm in. 672 00:26:18,443 --> 00:26:19,945    - Uh, end-tidal looks good. 673 00:26:20,011 --> 00:26:21,746    - Okay, OR team can take it    from here. 674 00:26:21,813 --> 00:26:23,248    - We need to check  on the others. 675 00:26:23,315 --> 00:26:25,817   - I should get back to Pink.   - Stay strong, Crash. 676 00:26:27,018 --> 00:26:29,521 - Uh, hemostatic bandage  still in place. 677 00:26:29,588 --> 00:26:32,190  How you doing, Carmen?  - Not so great. 678 00:26:32,257 --> 00:26:34,859    - Okay, let's see. 679 00:26:34,926 --> 00:26:37,429 - Looks arterial. - Agreed. 680 00:26:37,495 --> 00:26:38,964    - Can you stop it? 681 00:26:39,030 --> 00:26:42,033  - Uh, direct pressure for now.  - Yeah. 682 00:26:42,100 --> 00:26:44,169   - We may have  a junctional tourniquet 683 00:26:44,235 --> 00:26:45,570 in the disaster supplies. 684 00:26:45,637 --> 00:26:47,305    - Can you get that?   Cool. 685 00:26:47,372 --> 00:26:48,740   Um... 686 00:26:48,807 --> 00:26:50,241    Whitaker, in the meantime, just put pressure on it. 687 00:26:50,308 --> 00:26:52,377    Try and stop the bleeding.  - For how long? 688 00:26:52,444 --> 00:26:54,112  - As long as it takes. 689 00:26:54,179 --> 00:26:56,548   - He bled through his Kerlix.  - Um... 690 00:26:56,615 --> 00:26:58,650 elastic--elastic    pressure dressing. 691 00:26:58,717 --> 00:27:01,019   Yep.  - Okay, got it. 692 00:27:01,086 --> 00:27:03,054    All right. 693 00:27:03,121 --> 00:27:05,790  Got a better bandage, and we're  gonna elevate your leg. 694 00:27:05,857 --> 00:27:07,659  - Do you know what's happening    with my girlfriend? 695 00:27:07,726 --> 00:27:09,227 Her name is Leah.    She was shot in the chest. 696 00:27:09,294 --> 00:27:10,996   - I'm sorry.    We have a ton of patients, 697 00:27:11,062 --> 00:27:12,631  and they're only marked    by number. 698 00:27:12,697 --> 00:27:15,467   - Robby and Dana were working   on her--they were doing CPR. 699 00:27:15,533 --> 00:27:17,168 - How do you know  Robby and Dana? 700 00:27:17,235 --> 00:27:18,937  - Robby and my mom were   together for a couple years, 701 00:27:19,004 --> 00:27:21,640    and I would--I would come,  and I'd hang out here. 702 00:27:21,706 --> 00:27:24,209 - Well, I'm sure  if they're helping her, 703 00:27:24,275 --> 00:27:25,944    then she's in great hands. 704 00:27:26,011 --> 00:27:28,013  - Can you check for me, please? 705 00:27:28,079 --> 00:27:30,749    - Sure. Of course. Just after I finish this. 706 00:27:34,819 --> 00:27:37,756    - Well, there's no   additional bleeding. 707 00:27:37,822 --> 00:27:39,524   Strong pulse. 708 00:27:39,591 --> 00:27:42,794   - Two grams of Ancef    running in. 709 00:27:42,861 --> 00:27:44,863   - Can you, uh, spread   your fingers? 710 00:27:46,765 --> 00:27:50,468    Uh, no, like this. 711 00:27:50,535 --> 00:27:53,038   Are you okay? 712 00:27:53,104 --> 00:27:54,873  - Found the junctional    tourniquet. 713 00:27:54,939 --> 00:27:58,009    - Um, okay.  Uh, I'll be right back. 714 00:28:01,413 --> 00:28:04,115   - How much blood you pushing    off the cell saver? 715 00:28:04,182 --> 00:28:06,317    - Every last drop. 716 00:28:06,384 --> 00:28:08,019 - O-neg.    Monitor the pulse. 717 00:28:08,086 --> 00:28:12,023    She's stable for trauma ICU   if an OR's not ready. 718 00:28:22,534 --> 00:28:24,369  How many units so far? 719 00:28:24,436 --> 00:28:27,138   - Four, plus the cell saver. 720 00:28:27,205 --> 00:28:29,741    - Last one?  - Getting backed up out there. 721 00:28:29,808 --> 00:28:31,209  - I don't know. 722 00:28:31,276 --> 00:28:33,278  Dana, why don't we try   a little TXA? 723 00:28:33,344 --> 00:28:35,313  1,000 milligrams of TXA   might help her clot. 724 00:28:35,380 --> 00:28:37,082 - Got it. 725 00:28:37,148 --> 00:28:40,018   - Bullet tore    through her heart. 726 00:28:40,085 --> 00:28:41,519    Anyone else  with a wound like this 727 00:28:41,586 --> 00:28:42,921    is pronounced dead   in the field. 728 00:28:42,987 --> 00:28:44,522 You can't keep up   with the blood loss. 729 00:28:44,589 --> 00:28:45,924   If she was our only patient, 730 00:28:45,990 --> 00:28:47,859  we'd do a thoracotomy,    maybe ECMO. 731 00:28:47,926 --> 00:28:50,862  But even then,    I doubt we'd get her back. 732 00:28:52,864 --> 00:28:54,299 We're gonna lose    ten other patients 733 00:28:54,365 --> 00:28:57,769    if you put all your efforts  into saving this girl. 734 00:28:57,836 --> 00:29:01,372   [indistinct chatter] 735 00:29:01,439 --> 00:29:03,508  - Got the TXA. 736 00:29:03,575 --> 00:29:04,709   - Okay, push it fast, 737 00:29:04,776 --> 00:29:06,311   and we'll do   another pulse check. 738 00:29:06,377 --> 00:29:09,114  And then can you get me  a vascular Doppler too, please? 739 00:29:12,717 --> 00:29:15,253    - GSW to the chest,   faint pulse. 740 00:29:15,320 --> 00:29:17,856   - Intubation, IO, chest tube,   and a unit of blood. 741 00:29:17,922 --> 00:29:18,957   - Copy that. 742 00:29:19,023 --> 00:29:20,458   - All nonessential personnel, 743 00:29:20,525 --> 00:29:22,660   please report    to the patient waiting room. 744 00:29:22,727 --> 00:29:24,295    All nonessential personnel, 745 00:29:24,362 --> 00:29:26,798   please report    to the patient waiting room. 746 00:29:26,865 --> 00:29:30,101   [indistinct chatter] 747 00:29:31,669 --> 00:29:33,271   - Anything I can do? 748 00:29:36,341 --> 00:29:39,344  - You can check on Shen  and Ellis in the ambulance bay. 749 00:29:39,410 --> 00:29:40,745 - On it. 750 00:29:45,049 --> 00:29:46,251   - Whitaker, lay down some fresh gauze 751 00:29:46,317 --> 00:29:47,685 so we can assess  the hemostasis. 752 00:29:47,752 --> 00:29:49,854  - Yep.  How you doing, Carmen? 753 00:29:49,921 --> 00:29:51,823  - I'm hanging in there. 754 00:29:51,890 --> 00:29:53,391    - You want the circle of compression 755 00:29:53,458 --> 00:29:55,493 directly over the wound. 756 00:29:55,560 --> 00:29:57,128 Tighten. 757 00:29:58,630 --> 00:30:01,065   Inflate the balloon.  Come on, pump it up, Whittaker. 758 00:30:01,132 --> 00:30:04,803 - Uh, how much pressure?    - Until the bleeding stops. 759 00:30:04,869 --> 00:30:06,671  - Uh, excuse me, ma'am. 760 00:30:06,738 --> 00:30:08,606  Ma'am, where are you-- 761 00:30:08,673 --> 00:30:10,208   uh, Whittaker, stay on this. 762 00:30:10,275 --> 00:30:12,877   Ma'am? Ma'am? 763 00:30:12,944 --> 00:30:15,647  Do you need something? 764 00:30:15,713 --> 00:30:16,981 Are you-- 765 00:30:20,118 --> 00:30:22,554 - I need one more O-neg. 766 00:30:22,620 --> 00:30:26,024    - Hey, do you have    any O-positive over there? 767 00:30:26,090 --> 00:30:29,093  - This guy bled   through his bandage. 768 00:30:29,160 --> 00:30:32,197     - All available transport   to the ER immediately. 769 00:30:32,263 --> 00:30:35,834  All available transport   to the ER immediately. 770 00:30:35,900 --> 00:30:37,502  - Okay. 771 00:30:37,569 --> 00:30:39,771  Let me just--just put your arm    like that. 772 00:30:39,838 --> 00:30:41,506  Just keep your hand like that. 773 00:30:43,741 --> 00:30:45,009  Just-- 774 00:30:45,076 --> 00:30:46,845 [distant sirens wailing] - How we doing out here? 775 00:30:46,911 --> 00:30:48,546   - Dancing as fast as we can. 776 00:30:48,613 --> 00:30:51,416 - Pretty sure I'm past my  union-mandated bathroom break. 777 00:30:51,482 --> 00:30:53,718  I never should have had    that second coffee. 778 00:30:53,785 --> 00:30:56,154    [distant wailing continues] 779 00:30:56,221 --> 00:30:58,456  - Hey, son, ER's closed  unless you're injured. 780 00:30:58,523 --> 00:31:00,992  - Oh, my mom's inside. I need to take her home. 781 00:31:01,059 --> 00:31:04,262 - David?  - Mom? 782 00:31:04,329 --> 00:31:06,965 - You're the kid? You need to come with me. 783 00:31:07,031 --> 00:31:08,800  Hey! Grab him!   - Wait, David! Stop! 784 00:31:08,867 --> 00:31:10,768    - Grab him!   - What are you doing? 785 00:31:10,835 --> 00:31:12,737   - Stay down! - Don't hurt him! 786 00:31:12,804 --> 00:31:13,972    - What the hell's going on? 787 00:31:14,038 --> 00:31:15,173   - Four units of packed cells, 788 00:31:15,240 --> 00:31:18,076    two of FFP, 1,000 of TXA... 789 00:31:18,142 --> 00:31:20,411    and 1,200 auto-transfused. 790 00:31:20,478 --> 00:31:23,081    Did you check this?    - Not yet. 791 00:31:28,887 --> 00:31:30,855  [pulse beating] 792 00:31:30,922 --> 00:31:32,490   - Okay, it's working.    Hold compressions. 793 00:31:32,557 --> 00:31:35,593    [pulse beating irregularly] 794 00:31:45,803 --> 00:31:48,740   [tense music] 795 00:31:48,806 --> 00:31:54,312    ♪ ♪ 796 00:31:54,379 --> 00:31:55,780 Okay, we're done. 797 00:31:55,847 --> 00:31:58,216   [high-pitched ringing] 798 00:31:58,283 --> 00:32:00,385    [machine beeps, flatlines] 799 00:32:02,220 --> 00:32:05,623  - We stopped at 19:47. 800 00:32:05,690 --> 00:32:06,925   Hey. 801 00:32:08,860 --> 00:32:10,595    Move her to Pedes? 802 00:32:12,397 --> 00:32:14,165    You want me to go with you to talk to Jake? 803 00:32:14,232 --> 00:32:16,601    - No, no, thanks, I got it. 804 00:32:16,668 --> 00:32:20,271   Jesus Christ. 805 00:32:20,338 --> 00:32:21,439 What's going on? 806 00:32:21,506 --> 00:32:23,107    - This is bullshit.   I didn't do anything. 807 00:32:23,174 --> 00:32:24,943 - He came back to pick up    his mom--they tackled him. 808 00:32:25,009 --> 00:32:26,244 - We need to question him    about the shooting. 809 00:32:26,311 --> 00:32:27,612  - Okay.   After we clear him medically. 810 00:32:27,679 --> 00:32:28,980    You know the drill. 811 00:32:29,047 --> 00:32:30,581  - He has head trauma--   probable concussion. 812 00:32:30,648 --> 00:32:32,150   - Dr. Mohan, why don't we do   a complete neurological exam 813 00:32:32,216 --> 00:32:35,086    in BH-2 and put him in line for a CT? 814 00:32:38,089 --> 00:32:41,025    - We got a Pink coming in. 815 00:32:41,092 --> 00:32:42,327    - Where's his mom? 816 00:32:42,393 --> 00:32:45,697  - Still outside  talking to the police. 817 00:32:45,763 --> 00:32:48,166   - This is fucked up.   I didn't do anything. 818 00:32:48,232 --> 00:32:49,834  - Then who shot all of these people, huh? 819 00:32:49,901 --> 00:32:52,303   - I don't know, how about you go look for him, dumbass? 820 00:32:52,370 --> 00:32:54,138    - David, are you all right? 821 00:32:54,205 --> 00:32:55,707    - No, man,    I'm fucking far from okay. 822 00:32:55,773 --> 00:32:57,875 - Okay, okay, we're gonna get this straightened out 823 00:32:57,942 --> 00:32:59,811    right now. 824 00:32:59,877 --> 00:33:03,114     [indistinct radio chatter] 825 00:33:10,722 --> 00:33:14,926   - I'm still bleeding! Please. I need something. 826 00:33:14,993 --> 00:33:17,195    - No hemotympanum,  no head trauma. 827 00:33:17,261 --> 00:33:21,366 - Pulse is strong at 72.   O2 sat perfect at 99. 828 00:33:21,432 --> 00:33:25,003 - Um, do you need  pain medicine? 829 00:33:25,069 --> 00:33:26,170    Ma'am, we're trying   to help you. 830 00:33:26,237 --> 00:33:29,173 We just need you  to let us know. 831 00:33:30,575 --> 00:33:32,410  Okay, let's try   and find her a gurney 832 00:33:32,477 --> 00:33:33,978  and give her a full neuro exam. 833 00:33:34,045 --> 00:33:35,813   Can you put her in 9? 834 00:33:35,880 --> 00:33:37,915 - Drug overdose?   - No. 835 00:33:37,982 --> 00:33:39,951   Normal pupils, normal pulse. 836 00:33:40,018 --> 00:33:42,053  - Brain injury? 837 00:33:42,120 --> 00:33:43,755   - No, she was walking    with a steady gait. 838 00:33:43,821 --> 00:33:45,056 - Still needs a head CT. 839 00:33:45,123 --> 00:33:46,324    - Well, that's not gonna be    for hours. 840 00:33:46,391 --> 00:33:48,826  - I could drill EZ-IOs  on both sides. 841 00:33:48,893 --> 00:33:51,396    It worked on the last guy. 842 00:33:51,462 --> 00:33:54,065 - Maybe it's PTSD   from all she's seen. 843 00:33:54,132 --> 00:33:55,466   - Is Psych even here? 844 00:33:55,533 --> 00:33:57,268  - No, but maybe she just needs  a quiet place. 845 00:33:57,335 --> 00:33:59,804    - Well, knock yourself out. 846 00:33:59,871 --> 00:34:01,406   What's up, Whitaker? 847 00:34:01,472 --> 00:34:03,374  - Junctional tourniquet  appears to be working. 848 00:34:03,441 --> 00:34:05,043    No new blood on the gauze. 849 00:34:05,109 --> 00:34:07,211   You're looking good, Carmen. 850 00:34:08,980 --> 00:34:11,315  Is she--Carmen? Carmen? 851 00:34:11,382 --> 00:34:13,251   - Pulse is thready. How long  has she been like this? 852 00:34:13,317 --> 00:34:16,254 - She was awake and alert   a minute ago. 853 00:34:16,320 --> 00:34:18,056   - All that blood loss is catching up with her. 854 00:34:18,122 --> 00:34:20,058    - Run in a liter wide open. 855 00:34:21,492 --> 00:34:24,328  - Uh, huge collection of blood near the bladder. 856 00:34:24,395 --> 00:34:25,363  - The bullet must have   tracked north 857 00:34:25,430 --> 00:34:26,631    and hit the external iliac. 858 00:34:26,697 --> 00:34:28,232 - We stopped the bleeding   near the leg, 859 00:34:28,299 --> 00:34:30,101 but she's still bleeding internally--we need Mel. 860 00:34:30,168 --> 00:34:31,369   - No, we need to give  a unit of blood 861 00:34:31,436 --> 00:34:32,670   and move her to the red zone. 862 00:34:32,737 --> 00:34:34,472    - Okay, let me see    if they have space. 863 00:34:35,239 --> 00:34:37,341 - Coming through. - Where's Robby? 864 00:34:37,408 --> 00:34:38,976 - In BH-2    with the possible shooter. 865 00:34:39,043 --> 00:34:40,511  - Can you guys    take a new patient? 866 00:34:40,578 --> 00:34:41,946 - Not right now. What do you got? 867 00:34:42,013 --> 00:34:43,247    - Hypotensive pelvic bleed. 868 00:34:43,314 --> 00:34:45,917  - Transfuse two units. We'll get to it. 869 00:34:45,983 --> 00:34:47,251 - Abbot! 870 00:34:47,318 --> 00:34:49,087  I got a carotid injury,  popped a clot. 871 00:34:49,153 --> 00:34:50,154  - I'll be right there! 872 00:34:50,221 --> 00:34:52,523   Help me out. 873 00:34:52,590 --> 00:34:55,726    - Is that Robby with David?  - Yeah. 874 00:34:55,793 --> 00:34:58,029   I saw the cops bring him in. 875 00:34:58,096 --> 00:34:59,330  - Who's David? 876 00:34:59,397 --> 00:35:00,832 - High school kid  who was making threats. 877 00:35:00,898 --> 00:35:03,267 - You think he did this?  - Guys, focus on the patients. 878 00:35:03,334 --> 00:35:04,769    - What do you got? 879 00:35:04,836 --> 00:35:07,238   Ooh, okay, sterile IV tubing,  umbilical tape, 880 00:35:07,305 --> 00:35:10,341 and red rubber Robinson,    and sterile gloves. 881 00:35:10,408 --> 00:35:13,644     [indistinct radio chatter] 882 00:35:19,450 --> 00:35:21,486    - We got a Pink coming in. 883 00:35:21,552 --> 00:35:23,788   - Let's take   the long way around. 884 00:35:28,526 --> 00:35:30,328 - I can put Jake    in the family room. 885 00:35:30,394 --> 00:35:32,029 - No, it's okay.    I'll do it. 886 00:35:32,096 --> 00:35:33,498  - Defect bypass with IV tubing. 887 00:35:33,564 --> 00:35:35,733   You ever done   a Rummel tourniquet? 888 00:35:35,800 --> 00:35:38,236  Robby, can you help me  with a Rummel? 889 00:35:48,045 --> 00:35:51,282   [indistinct chatter] 890 00:35:54,418 --> 00:35:56,020 Toughest part is getting    the umbilical tape 891 00:35:56,087 --> 00:35:57,889    through the tubing. 892 00:35:57,955 --> 00:35:59,991   - And clamps. 893 00:36:00,057 --> 00:36:01,959   - Very cool.   - You guys got this? 894 00:36:02,026 --> 00:36:03,661 - Oh, we're good. 895 00:36:13,838 --> 00:36:16,374    - Dr. Robby, I have a retroperitoneal bleed. 896 00:36:16,440 --> 00:36:17,675   - Get Abbot.   - He's busy. 897 00:36:17,742 --> 00:36:19,744 - Okay, stabilize    and find a surgeon. 898 00:36:19,810 --> 00:36:21,345 Get in the chair. 899 00:36:31,289 --> 00:36:33,691  - Hey, what's going on? 900 00:36:41,732 --> 00:36:45,403 - Leah's injuries   were really serious. 901 00:36:45,469 --> 00:36:47,471  She stopped breathing. 902 00:36:47,538 --> 00:36:51,209   We put a tube down her throat    to deliver oxygen. 903 00:36:51,275 --> 00:36:56,180  We were able to drain the blood  that was collapsing her lungs. 904 00:36:56,247 --> 00:36:59,217 We gave her as much blood   as we could. 905 00:36:59,283 --> 00:37:01,252    We even transfused   some of her own blood 906 00:37:01,319 --> 00:37:03,254  that was in her chest. 907 00:37:03,321 --> 00:37:06,090 But we were unable to... 908 00:37:06,157 --> 00:37:09,393 get ahead    of the massive blood loss. 909 00:37:11,095 --> 00:37:12,897    Her heart stopped. 910 00:37:14,165 --> 00:37:16,400   You saw me doing CPR. 911 00:37:17,568 --> 00:37:20,805 [inhales sharply] We did everything that we could. 912 00:37:20,871 --> 00:37:22,573   - She's dead? 913 00:37:29,714 --> 00:37:32,116    [sniffles] 914 00:37:32,183 --> 00:37:33,651  No, no, but I--    'cause I was talk-- 915 00:37:33,718 --> 00:37:35,286   I was talking to her    after she got shot, 916 00:37:35,353 --> 00:37:36,921   and she was talking. 917 00:37:36,988 --> 00:37:40,558  - Her heart was damaged  beyond repair. 918 00:37:40,625 --> 00:37:44,295 There was nothing   that we could do to save her. 919 00:37:44,362 --> 00:37:46,464   - I want to--    I want to see her. 920 00:37:46,530 --> 00:37:48,065 - I'm really sorry, man,  but you can't. 921 00:37:48,132 --> 00:37:49,700    - Why not? 922 00:37:49,767 --> 00:37:52,336    - Because this is an active   police and FBI investigation. 923 00:37:52,403 --> 00:37:54,305   - She's--she's dead. - I know. 924 00:37:54,372 --> 00:37:56,107 They're gonna release her  to her parents 925 00:37:56,173 --> 00:37:57,942 in a couple days. 926 00:37:58,009 --> 00:38:00,478    - No, please, you--    you have to let me see her. 927 00:38:00,544 --> 00:38:02,613  Please, please, please. 928 00:38:05,049 --> 00:38:06,217    - Bringing in mail. 929 00:38:06,284 --> 00:38:08,586 How's she doing?   - Still has a pulse. 930 00:38:11,856 --> 00:38:14,358    What are you doing?   - Prepping for REBOA. 931 00:38:14,425 --> 00:38:16,327 - Are you crazy?  Did Abbot approve this? 932 00:38:16,394 --> 00:38:19,363    - He said,  do what you have to do. 933 00:38:19,430 --> 00:38:20,831    Attendings are all tied up. 934 00:38:20,898 --> 00:38:23,000    If I can blow up a balloon   in the aorta, 935 00:38:23,067 --> 00:38:24,802 it'll stop the bleeding. 936 00:38:24,869 --> 00:38:26,904 - It'll cut off the blood supply to half her body. 937 00:38:26,971 --> 00:38:31,142  - I'll only go in a few inches,  zone three, below the kidneys, 938 00:38:31,208 --> 00:38:32,943   until she gets up to the OR. 939 00:38:33,010 --> 00:38:35,646  Glove up, Huckleberry. 940 00:38:35,713 --> 00:38:38,282 - Okay, you're gonna need   an ultrasound, X-ray. 941 00:38:38,349 --> 00:38:40,117   - Not today. 942 00:38:40,184 --> 00:38:41,485   - Have you done this before? 943 00:38:41,552 --> 00:38:42,887  - It's a central line. 944 00:38:42,953 --> 00:38:45,156    I just need to hit   the femoral artery... 945 00:38:45,222 --> 00:38:47,124    like that. 946 00:38:47,191 --> 00:38:48,559  Piece of cake. 947 00:38:48,626 --> 00:38:51,228   All right, guidewire,  then introducer sheath. 948 00:38:51,295 --> 00:38:52,663    - Santos is doing a REBOA. 949 00:38:52,730 --> 00:38:54,865   - Oh, no, no, no way.    - Yes way. 950 00:38:54,932 --> 00:38:58,035  - Um, no, we need an attending  or a senior resident for that. 951 00:38:58,102 --> 00:39:00,504 - Oh, ye of little faith. 952 00:39:02,440 --> 00:39:04,675 - Victim identification. 953 00:39:08,045 --> 00:39:10,348   Are you sure?  - Yes. 954 00:39:19,557 --> 00:39:22,860    All these people are dead?  - Yeah. 955 00:39:27,631 --> 00:39:30,000   - Which one is Leah? 956 00:39:31,902 --> 00:39:35,706 - What number do you have    on--on your wrist? 957 00:39:37,308 --> 00:39:39,043   - 91. 958 00:39:48,252 --> 00:39:50,654 - [sighs] 959 00:40:06,003 --> 00:40:07,772  - I'm at 15 centimeters 960 00:40:07,838 --> 00:40:11,208   with 5 cc's of saline so far. 961 00:40:11,275 --> 00:40:12,576    - A REBOA? 962 00:40:12,643 --> 00:40:14,612   Are you shitting me?   - I told her to stop. 963 00:40:14,678 --> 00:40:16,514 - Uncontrollable bleeding  from a pelvic artery-- 964 00:40:16,580 --> 00:40:17,948 no other options. 965 00:40:18,015 --> 00:40:19,650   - We need an art line  to know if the BP's up. 966 00:40:19,717 --> 00:40:21,585  - We'll go with pulse strength  and mentation. 967 00:40:21,652 --> 00:40:23,821 - Carotid's weak.  Radial's barely there. 968 00:40:23,888 --> 00:40:25,256 - Another 3 cc's  in the balloon. 969 00:40:25,322 --> 00:40:26,557   - Injecting. 970 00:40:26,624 --> 00:40:28,292    - I'll try  for palpable systolic. 971 00:40:28,359 --> 00:40:29,627 - Yes, go for it. 972 00:40:33,030 --> 00:40:35,666  - Whoa.  Uh, radial's much stronger now. 973 00:40:35,733 --> 00:40:37,701    - Lock the balloon. Check the wound. 974 00:40:37,768 --> 00:40:38,736    Go. 975 00:40:38,803 --> 00:40:41,639    - BP's 110 by palp.   - That'll do. 976 00:40:41,705 --> 00:40:43,107   - Yeah, wound's dry. Barely a trickle. 977 00:40:43,174 --> 00:40:45,376 - That's because there's    no blood going to her legs. 978 00:40:45,443 --> 00:40:46,710   - Okay, the clock is ticking. 979 00:40:46,777 --> 00:40:48,312    Balloon can stay up    for one hour, tops. 980 00:40:48,379 --> 00:40:50,080    Get IR and Vascular   on the case. 981 00:40:50,147 --> 00:40:52,383 - On it. - [cries] 982 00:40:52,450 --> 00:40:54,618    - Hey, hey,  hang in there, Carmen. 983 00:40:54,685 --> 00:40:56,253    You're good, okay?   You're good. 984 00:40:56,320 --> 00:40:59,223   - Okay, you never should have   done that on your own, ever. 985 00:40:59,290 --> 00:41:00,758    Do you understand? 986 00:41:02,593 --> 00:41:03,928   [whispering]    But that was pretty badass. 987 00:41:03,994 --> 00:41:05,729    You saved her life. Good job. 988 00:41:11,035 --> 00:41:13,971    - [crying] 989 00:41:14,038 --> 00:41:17,141 Did you-- did you call her parents? 990 00:41:17,208 --> 00:41:19,677 - They'll give the number   to our social worker, 991 00:41:19,743 --> 00:41:22,246   who will contact them    very soon. 992 00:41:22,313 --> 00:41:24,114  - I got their daughter killed. 993 00:41:24,181 --> 00:41:26,050 - This is not your fault. 994 00:41:26,116 --> 00:41:29,587    - [crying] 995 00:41:29,653 --> 00:41:31,856  Why--why couldn't you save her? 996 00:41:31,922 --> 00:41:34,058  I mean, this--   this is what you do. 997 00:41:38,295 --> 00:41:39,830 I tried. 998 00:41:39,897 --> 00:41:42,466 [voice breaking]    I really tried. We all did. 999 00:41:42,533 --> 00:41:43,868 If this had been   any other day, man... 1000 00:41:43,934 --> 00:41:45,236    - "Had been the other day"? 1001 00:41:45,302 --> 00:41:46,737   What the fuck does that mean, "any other day"? 1002 00:41:46,804 --> 00:41:48,906    What, you would've  saved her life? 1003 00:41:52,843 --> 00:41:55,679    - Yes. No.   I don't know. 1004 00:41:55,746 --> 00:41:57,848  I don't--I don't know. 1005 00:41:59,483 --> 00:42:00,818  We're getting slammed up there. 1006 00:42:00,885 --> 00:42:02,520 We've had dozens   of shooting victims. 1007 00:42:02,586 --> 00:42:03,921  You've seen it. 1008 00:42:03,988 --> 00:42:06,724 The fact that we've saved as many people as we have 1009 00:42:06,790 --> 00:42:09,260   is a fucking miracle. 1010 00:42:09,326 --> 00:42:11,395    - But you didn't save Leah. 1011 00:42:11,462 --> 00:42:12,563   - No. 1012 00:42:12,630 --> 00:42:14,398   No, I didn't. 1013 00:42:14,465 --> 00:42:16,200    [sniffles] 1014 00:42:16,267 --> 00:42:18,769 And I don't know how many people I've helped today, 1015 00:42:18,836 --> 00:42:21,438 but I can tell you every    other person who has died. 1016 00:42:21,505 --> 00:42:24,341   [somber music] 1017 00:42:24,408 --> 00:42:27,711    ♪ ♪ 1018 00:42:27,778 --> 00:42:29,246  There was a man    named Mr. Spencer, 1019 00:42:29,313 --> 00:42:30,648 who died in front of his children, 1020 00:42:30,714 --> 00:42:32,516 and an 18-year-old who-- 1021 00:42:32,583 --> 00:42:34,585    who was brain dead from a fentanyl overdose 1022 00:42:34,652 --> 00:42:36,220 and a guy  with a heart condition 1023 00:42:36,287 --> 00:42:39,023   and a little girl who drowned    trying to save her sister. 1024 00:42:39,089 --> 00:42:40,424 [sobbing]    And I'm gonna remember Leah 1025 00:42:40,491 --> 00:42:42,126    long after   you've forgotten her. 1026 00:42:42,192 --> 00:42:44,862    Oh, fuck. Oh, fuck.   I'm sorry. I'm sorry. 1027 00:42:44,929 --> 00:42:46,830    You got to go, man.    You--you got to go. 1028 00:42:46,897 --> 00:42:48,699   You got to go. You got to go. 1029 00:42:48,766 --> 00:42:50,167  - Wait, Robby.    Robby, wait, wait. 1030 00:42:50,234 --> 00:42:52,269  - Put him back    in his bed, please. 1031 00:42:52,336 --> 00:42:55,272   [high-pitched ringing] 1032 00:42:55,339 --> 00:43:02,279    ♪ ♪ 1033 00:43:02,346 --> 00:43:05,583 [sobbing]