All language subtitles for Emergency S02E01 Decision.DVDRip.NonHI.en.UNVSL

We've got some new
problem locations in our area.

- Let's start
with 1806 North Oak.
- That's the plastics company.

Right. A & K Molded Products.

Now, right here,
this west wing...

Using that for storage now.

It's full of cardboard cartons,
two rows with aisles in between,

up to eight feet high.

Now, if we have to
use water in there,

as quick as these
bottom cartons get

soaked, this whole stack
is gonna come down.

Now, if you're in there,
you can get wiped out.

- How heavy are those cartons?
- 325 pounds.

- More, if they're soaked in water.
- Yeah, you better believe it.

So, wet or dry,
they can get you.

So, we don't go in there
unless we absolutely have to.

Station 51. Man trapped.

2218 North Hill.
2218 North Hill.

Cross street Burnside.
Time out 1411.

Station 51, 10-4, KMG-365.

McDowell, the fourth
right after Lookout Drive.

Hurry! Hurry! He's hurt!

Hurry!

Come on! Hurry up!

Hurry! Right here!
Right in the garage!

Are you his wife? That's
right. He's back in the garage.

Uh-huh. Is he badly
hurt? I think so.

I've called Dr. Sunderland.
I'll call the filling station!

No, Edna! They're just two blocks
away and they've got all kinds of tools!

Edna, get out of the
way. I'm just trying to help.

Is he alive? Yeah.

But how do we get
this engine off him?

I don't know what we've
got that can handle this.

Cap, I'll get a pry
bar. Yeah, okay.

Did you call a doctor? Yes.
How bad is he? How bad is he?

Is he coming here? No, he
said he'd meet us at the hospital.

When they won't tell you,
that's bad. Which one?

Edna, will you be
quiet? Oh, this is terrible!

Which hospital? Rampart.

I heard the crash,
I came right out.

Rampart Emergency this is
Rescue 51. How do you read me?

51, this is Rampart Emergency.
Read you loud and clear.

Rampart, we have an injured man. I told
you you shouldn't let him come out here.

I told you that! He's breathing but
unconscious. He's not accessible.

I can't tell you anything further
right now. Please stand by.

10-4, 51. Standing by.

Stand back. Watch it. Watch it.

If we try to muscle this thing
off of him and it slips, he's had it.

Let's try to take some of
the pressure off him with this.

Okay. Slip it in.

Hoist it up.

All right. Hook it in.

All right.

No. It's not gonna work.
I can't get any leverage.

The bar's not long enough.

Well, look. We could chance
rigging a hoist on another beam.

No. This one broke. We don't
want to drop it on him twice.

What about taking those
broken pieces, putting 'em

together and shoving it
through? It'd be longer.

Yeah. Yeah, it might work.

Okay. Easy now. All together.

One, two, three.

Hurry! Hurry up!

I...

Okay. Now, hold it,
hold it and I'll block it.

Hurry! Ladies, please, step outside.
They know what they're doing.

They know what they're doing. I need some
information. Please, just step outside.

- All right, now lower it down.
- Okay. Down easy.

Lower it down.

Okay, that'll take some
of the weight off him.

Yeah, well...

Now that we've got the pressure off
of him, how do we get him out of there?

How about a jack on each
fender under the pry bar?

No, that won't work. This
fender's starting to buckle.

Cap, this beam looks good.

I figure that'll hold. What do
you think? Yeah, I think it will.

Let's, uh, push the
car under, huh? Yeah.

Chet, get in front of the wheel.
Johnny, you get the creeper. All right.

How we doin'? Okay!

Okay. Brake off.

Okay, here we go.
Real slow. Real slow.

Slow. Slow.

Easy. Easy now. Slow.

- You got it?
- Watch his legs now.

Not too fast.

Okay, easy.

Okay, we're almost there now.

Little more, little
more. Hold it.

Dr. Early? Oh,
Dr. Sunderland, how are you?

Fine. Do you happen to know if they brought
in a man by the name of Charles Phillips?

Let's find out.

Dix, do we have a
Charles Phillips here? No.

We've met before, Doctor. I'm
Kelly Brackett. Yes, good to see you.

He should be in any
minute. He's a patient

of mine. And I'm probably
going to need help.

- Whatever we can do.
- What's the problem?

According to his wife, he was working
on his car— the engine fell on him.

A little more.

Okay, that'll do
it. Brake off, Chet.

Let's move it back. Easy.

Okay.

Let's see.

Very gently.

Gently, easy.

Is he all right?
Is he all right?

Get out of the way. I just don't
understand you! He's your husband!

- Getting excited isn't
going to help Chuck.
- How long's he been pinned under the car?

Seven, eight minutes
before you got here.

Rampart, this is Rescue 51.

All right, Nurse. They can
take care of him in here.

Rampart, this is Rescue 51.

Yeah, right. Okay. Go ahead, 51.

Rampart, we have a male, approximately
35 years old, approximately 170 pounds.

He's been pinned under an
automobile engine for 12 minutes.

He's currently cyanotic.

51, is the patient's
name Phillips?

That's affirmative, Rampart.

There's a depression
at the base of the skull.

Dix, get Dr. Sunderland.
Vital signs are B.P.

80 over 40. Respiration
shallow and labored.

Pulse 120 and weak.

Depressed fracture on the occipital
area of the skull, probable broken ribs.

Request permission to
start I.V. with Ringer's lactate.

Affirmative, 51.10-4.

We have Phillips. The paramedics
are working on him right now.

Is the ambulance
there yet? I don't know.

51, has the ambulance arrived?

That's affirmative, Rampart.

The minute they have him
stabilized, they can bring him in.

I want to bring him in now.

I don't think that's advisable.

I don't know how familiar you
are with our paramedic program.

What I've read, what I've heard.

Well, in general, we prefer to
stabilize on the scene before transport.

In general, maybe. It
works, Doctor. Believe me.

This man is seriously injured.

He belongs in a hospital
environment, in the hands of doctors,

not lying on the ground with some
half-trained firemen fiddling with him.

Now, that's not the situation at
all. They're very competent men.

But more important, they're making
every move under my direct supervision.

They're doing the same things we'd do for
him initially if we brought him in here.

The only difference is,
and it's a critical difference,

they're doing it 15
or 20 minutes earlier.

I don't share your confidence
in remote-control medicine.

I don't think this is the time for
us to bump heads over procedure.

Agreed. So let me cut
through. The man is my patient.

No, sir. Not until they
bring him through that door.

At the moment, he's my patient.

Ident, Doctor, Treatment 2.

Technically.

Well, I'll feel a lot
better when he's in here.

Rampart, Rescue 51. Patient is
breathing on his own. B.P. 110 over 80.

51, keep him well-ventilated
and bring him in.

10-4. We're bringing him in.

Thank you.

Sure, sure. Everything's going to be
fine. Hold on. See? Everything's fine.

Yeah, I know. I know. Will
you drive me to the hospital?

Oh, certainly! I'll go get the
car! This is terrible! Terrible!

Are you all right to drive?

I'll take the squad on
in. I'll meet you later.

Hold it—It's okay.
I'll take care of her.

Okay. Look...

A-positive.

Thanks, Mary. I just
wanted to double-check.

And, uh, cancel my appointments
for the rest of the afternoon.

Right.

Miss McCall...

This is Phillips's blood type. I'd
like a couple pints standing by.

Right away, Doctor.

Squad 51 to Rampart Emergency.

Rampart Emergency, come in.

Brackett, isn't it about time
that we— Any minute now.

Rampart Emergency, do you read?

Stop the ambulance! There's
something wrong with the radio.

The antenna's gone!

Contact your dispatcher. Tell him to phone
Rampart Emergency. Dr. Kelly Brackett.

Tell him my
patient's aspirating,

that we stopped, and I'm
inserting an esophageal airway.

- It'll take a few minutes.
- Make that a few minutes less.

This is 17 en route to Rampart
Base. We have a problem here.

Dr. Early, do you have any idea what
the holdup is? Sometimes they hit traffic.

Dr. Brackett, excuse
me. Can you get through

to them on that thing
while they're moving?

See that she takes these right
away, Gladys. Generally, yes.

Would you do it now, please? If
they have any problem, they'll call us.

I want to find out
what the holdup is.

Rescue 51, this is Rampart
Emergency. How do you read?

51, do you read me?

Come in, 51!

They probably
don't have the set on.

Rampart Emergency, Miss McCall.

Hold on. Dr. Brackett, it's
the ambulance dispatcher.

This is Dr. Brackett.

Okay, give me a
hand with the oxygen.

That's about all I
can tell you right now.

So what it comes down
to is, he's sitting by the

side of the road somewhere,
totally unsupervised.

He's doing exactly what I
would have told him to do.

We could have had Phillips here
in a hospital... 25 minutes ago.

I hope at-at some point, your fireman
decides to stop gallivanting around...

and lets us do our job.

Hit him.

Hit him again.

Okay, hit him one more time.

All right, let's move!

Dr. Allen, an emergency.

Dr. Allen, an emergency.

Roy.

How long before you got
him breathing on his own?

A couple minutes.

Mm-hmm.

All set?

Bye.

Oh, um, I want to talk to you.

Just you.

I'm Dr. Sunderland. That's my
patient you brought in, finally.

What were your last
instructions? To transport, right?

Yeah, that's right.

Instead, you stopped so you
could have a chance to play doctor.

The patient started to aspirate.

And our equipment wasn't working.
I had to use my own judgment.

Do you somehow have the
notion you can treat a man better...

in the back of an
ambulance than we can here?

What qualifies you to override explicit,
clear-cut instructions from a doctor?

I was told by a
doctor to keep him

well-ventilated. Now
you can't put an airway...

You could have brought him
straight on in. Or is that too simple?

Ever occur to you
that delay— delay you

caused— could put that
man's life in jeopardy?

Doctor, I don't believe
any of this is called for.

If you have anything
to say, say it to me.

I've already said it.

Don't take it too
seriously. He's upset.

Is there a problem?

If there was, you'd have
heard about it from me.

Dr. Brackett...

How is the patient? Critical.

Dr. Smith, an
emergency. Dr. Smith.

- Squad 51 available.
- Squad 51.

What's wrong?

I may have made a mistake.

When you started back, how long did it
take you before you got to the hospital?

Two or three
minutes. I don't know.

All right, here's the
hospital. Where'd you stop?

Somewhere in here.
I—I don't know for sure.

All right.

Three minutes here, easy, in order to
get him back and breathing on his own...

Mmm. He'd have brain damage.

You're guessing.

Yeah, well, I'll
tell you one thing.

I would have done
exactly what you did.

That still doesn't
make it right.

Where's DeSoto? He's right...

Hmm. I'll get him.

Hi, Dixie. Is there any word on that
man we brought in this afternoon, Phillips?

No, not yet. He's
still up in O.R.

I'll call you as soon as I hear
anything. All right. Thanks, Dix.

Hey, Captain wants
to finish the drill.

When are you gonna
stop sweating this thing?

I can't help it.

Brackett would've been
down on you like a ton

of bricks if he even
halfway thought you goofed.

Yeah.

But it's what I think— I mean
that's what I have to live with.

I'm not sure.

Squad 51, unknown type rescue.

Meet the man at the intersection
of Route 27 and the summit fire trail.

Route 27 and the summit
fire trail. Time out 1618.

Squad 51, 10-4. KMG-365.

Unknown type rescue.
Wonder what we have.

Well, we'll find
out soon enough.

Yeah.

Look at this.

Now, look, follow us up!

Hey, wait a minute! Wait a
minute! What's the problem?

This old bull's got Doug
pinned up in the pasture.

- How badly is he hurt?
- I don't know. We can't get near him.

One of you wait here. There'll
be an ambulance comin' by.

You stay here, Gil. Okay, Chuck.

Hey, Doug!

What happened, man? We go in,
you know. Ride around, take turns.

Playing chicken with
the bull? Uh-huh. The bull

slammed into him, then
tossed the bike in the air.

When Doug tried to
run, he gored him again.

Every time he moves,
the bull charges.

It looks pretty calm now.

Yeah. I don't think either one of us
are an authority on that sort of thing.

Why can't we get the
cops up here to shoot him?

Well, what are we gonna
do in the meantime?

Well, I have an idea.
Let's use the squad. What?

You open the gate for us, huh?

Where are you hurt?
Just get me out of here!

All right. Where are you
hurt? Right here? My leg!

And up here in my
arm. Up on your arm?

Yeah. Just a little bit.
All right. It's broken.

Look what he did to my bike!

Run him down! Kill him!
Go ahead! Not a chance.

Look. If you can make a U-turn and
get the passenger door on my side,

we can take him out
in the squad. Right.

Look. You're gonna
have to get up.

How you doin', Doug?

Hey, fellas, would you
go back and get my bike?

You gotta be kiddin'. Well, listen.
I worked all summer for that thing.

Wanna go back and
tell the bull about it?

Come on. Lemme
have a look at that leg.

Dr. Smith, an emergency.
Right in here, Johnny.

Roy, I've been
trying to call you.

Mr. Phillips died
about 20 minutes ago.

Can I have a doctor
in Treatment 1?

Division 3, switch
to frequency five.

♪♪

Hey, Roy?

Come on.

That's twice today.

What's so interesting
on the bulletin board?

Oh, they have a couple
of openings at 98's.

Mm-hmm. Great.

That's a, uh,
brushfire station. Yeah.

They don't, uh— They don't
have paramedics up there.

That's right.

You're gonna quit the program?

I talked to Joanne about it.

Yeah, I think so.

How come?

Well, you know, I've been
doing this for a long time.

Oh, come on.

Is it the guy we
lost the other day?

- Are you still kicking yourself for that?
- Yeah.

There wasn't any little part
of that that was your fault.

Maybe.

There's no maybe
about it. Come on, Roy.

Don't do something dumb!

Okay, George, come
on. Let's get this off.

That's the way. Miss McCall.

Turn loose. It'll come
off. Miss— Miss McCall...

Mm-hmm? I'm awful thirsty.

Oh, I know it,
George. I know it.

No, no, no. I'm thirsty.
Just a little drink, huh, Doc?

George. Oh, hi, Doc.

What is it this time?

Oh, same as last time.

And the time before
that. And every time.

Kel, did you know Roy
DeSoto's thinking of quitting?

The fire department? No, just the
paramedic program. John Gage told me.

Doc? Doc, I'm as dry as a bone.

We'll take care of that,
George. No, no. Just a little glass.

I keep telling you. You
can't beat the distilleries.

They can turn it out faster
than you can lap it up.

Did, uh— Did he say why?

Yeah. Dr. Sunderland.

He's wrong, Kel. All the way.

I know.

Dix, let's give George
his usual routine.

Okay, George. Oh, the
usual routine, huh, Doc?

Well, at least I'm consistent.

You're gonna have to stop drinking. One
of these days you're not going to make it.

No, no, no! It's
this arm's turn.

Why not, George?

Is DeSoto outside? Yeah,
I think I saw him come in.

Hey, Doc, how about that drink?

You just lie there and relax.
I'll look in on you in a minute.

I want to talk to him. Okay.

I know you got time for
a cup of coffee. Okay.

I, uh, caught the part about
jeopardizing the life of his patient.

What else did Sunderland say?

Well— I'm not going to
run to him and make a fuss.

I just don't want to lose
you. I appreciate that, Doctor.

So, if he said something that's
throwing you, I wanna know about it.

He said that man should have been treated
here in the hospital, not in an ambulance.

And that I'm not qualified to
make that kind of a decision.

I saw the preliminary coroner's
report. Phillips died of cranial injuries.

There wasn't anything
you did, or could have

done, that made the
slightest difference.

Does that clear it up? It helps.

Okay, I lucked out this
time. I don't follow you.

When I told the ambulance
driver to pull over,

I didn't stop to think of where we were,
the time factor involved, any of that.

I just started grabbing.

You darn well should've.
You had a critical situation.

But the next time, I could do the
same thing, and I might not be so lucky.

- And neither will the patient.
- Roy...

I'm a better judge of
your ability than you are.

I don't think luck had
anything to do with it.

Y-You know this
better than I do.

You-You go along month after month.
And it's pretty much the same thing.

It's clear-cut.
There's no sweat.

And then, all of a sudden,
something like this pops up,

and you—you begin to
realize all over again...

we carry a lot
of responsibility.

And you get uptight sometimes
about making a mistake.

A serious mistake.
I'm scared of it.

Well, so am I.

A certain amount of fear is healthy.
Too much of it, and you're crippled.

Roy, there are times in emergency
medicine when you just have to move...

with the full knowledge
that you may not be right.

Or, you can go to the library, read the
relevant literature, call in consultants,

stand there, weigh the pros and
cons, the possibilities, the probabilities,

or what they've been doing
successfully somewhere else.

And by that time,
your patient's dead.

Every once in awhile,
you'll lie awake at night...

and look inside your
head and kick yourself.

And you won't remember
the people you've helped.

I think the trouble is, you're
asking yourself the wrong question.

No, no. Now I don't follow you.

You're asking
yourself, "Am I fallible?"

And the answer's coming
back, "You better believe it."

Well, I'm not infallible. Nobody on
that floor is. So why should you be?

Look—

Is there anybody here right now
who can do the job better than I can?

That's the right question
in a tight situation.

And if the answer's no, you better
pick up the ball and run with it.

For the sake of the patient.

Excuse me. George wasn't
kidding about being thirsty.

- What's the problem?
- The minute I turned my back,
he drank his I.V. bottle.

That's one way of
getting the fluid into him.

Start him on another
one. I'll be right in.

Okay.

I better get on it. That's about the
end of the 10-cent lecture anyway.

Thanks.

Roy, if you do quit, you're gonna
be replaced by another paramedic.

Ask yourself one question. Can
he do the job better than you?

Well, that's somethin'
to think about.

Fair enough.

Dr. Allen, an emergency.
This is ridiculous.

Ted, as long as we're here— All
right. Let me sit down I'll be fine.

Miss McCall, is there a
room available? Yes, 5.

Ted, why don't you
go on in and sit down?

Ten minutes— Anything to avoid an
argument. Miss, would you help the doctor?

Dr. Sunderland,
anything I can do?

That's Dr. Eccles. I had him
with me on a consultation.

He began to complain
he wasn't feeling well.

Indigestion, he says, but I
want to get a good look at him.

Cardiac? It's possible.
I want to be sure.

I'm going to need
some moral support...

because he's going to kick and
scream every step of the way.

We'll see about that.

Give her a minute.

All right. Take off
your clothes. Oh, no.

You might as well face
it. They have to come off.

I'm a doctor. Not
in here, you're not.

Right now you're a patient,
and I outrank you, and I love it.

I've handled doctors before and
they're the world's worst patients.

You have to treat
'em like babies.

You'll do anything to get your clammy
claws on a colleague, won't you?

We'd better set
up an E.K.G. Yeah.

Do you have any
substernal chest pains?

It's a tightening.
You know, pressure.

It's that chili I had for lunch, Larry.
It affects me this way half the time.

Oh, you're kidding. No,
I'm not. Now you hold still.

All right.

But I warn you. I've got to be
on that first tee in 40 minutes.

No golf today, Ted.

Looks like an acute
anterior infarction.

Yeah.

Start an I.V. with a lidocaine drip,
plus a hundred milligram bolus.

It's bad, huh? Mm-hmm.

Any question about it, Larry?

I'm afraid not.

Well, if I had my pick of a spot
to have a myocardial infarction,

I'd pick a hospital every time.

You couldn't find a better
place. We're right on top of it too.

Oh, I guess I'm gonna be in your clutches
after all, whether I like it or not.

Just like I told you.

Dr. Allen, 63.

Hey, Larry? Yeah.

Larry?

He's fibrillating! 400
watt seconds, Joe.

Clear.

Ventricular rhythm
rate about 30.

No respiration. No pulse.

Isoproterenol? Yeah.

Joe.

One amp sodium bicarb.
Call for an anesthesiologist.

There he goes again.

Clear.

Dr. Early, Dr. Early.

Was he married?

Yeah, I'll have
to call his wife.

Just couldn't get
that pressure up.

Well, we tried
everything in the book.

Maybe someday
we'll get a better book.

Was everything in order, Doctor?

Everything available?
Proper medical environment?

And still, you lost
the patient. Dix...

Kel, I'm too tired and whipped!

I only talked to him for a couple of
minutes, but he seemed like a nice guy.

Yes, he was.

And I'm mad, and I don't care!

What about?

You chewed out a
paramedic the other day.

Oh, that.

And he's thinking of quitting.

Doctor, he takes care of people
in places that would curl your hair.

When was the last time you
risked your life for a patient?

Well, they do it
with some regularity.

Doctor, you were
10 miles out of line.

Miss McCall, Miss McCall—

I thought nurses
resented paramedics.

Not that one. They're
highly motivated men, Doctor.

Very conscientious.
And she knows it.

I didn't realize.

Intensive Care, Intensive Care.

Station 51, Engine 95, Engine
105, Truck 107, Battalion 14.

Structure fire at
956 North Edgemont.

956 North Edgemont.
Cross street Tait.

Time out 0227.

Okay, run in back with an inch and a half.
Protect the exposures and hit the fire.

This is all I could get.

Just some old dresses,
no importa. Oh, my God.

Who started it? What
started it? How did it happen?

Will you get back, please?
Will you get back, please?

Thank you. It must've
started somewhere.

407. Child not breathing.

8947 12th A venue.

What about the— Where's Tomas?

Isn't he here?

Tomas! Tomas!

He was here just a second ago!

Tomas?

Make sure he stays here.

Let me have another inch and a half
on the south side of the house right now.

There's probably
a kid inside, Cap.

The father thinks he went
in after his dog. Come on.

This man's gonna take over the
line. We got a kid inside. Come on.

Good luck. All right.

No, no, no! Come on. Come
on. Bring an extension ladder!

Let's set it up over here.

Tomas!

Hold it. Hold it.
Get back, please.

Come on. Get back.
Get back, please. Oh!

Please! Please! Tomas!

Get away!

Okay. All right.

Request an ambulance
for us, please.

Rampart, this is Rescue 51.

51, this is Rampart.
Is he all right?

We have a young male, seven or eight
years old. Victim of smoke inhalation.

No vital signs possible right
now. We're administering oxygen.

Are there any other injuries?

No, none apparent, Rampart.
Looks like he's coming to right now.

Continue oxygen as necessary
and bring him on in. 10-4, Rampart.

He's gonna be okay.

Pablo! Pablo!

Mijo, mijo.

Pablo!

There! Yeah! Yeah!

Okay, you can wipe
away those tears.

Hey! Look! Look!

Huh? There you are!

See? I told you. Not only took
care of Tomas, but Pablo as well.

I told you they were
good. Está bien.

Do you know what it's like
to work a brushfire station?

Yeah, I think so.

During the summer, during the dry
season, you're running yourself ragged.

You get a fire and you'll
work 48 hours, 72 hours,

a week, at a stretch.

Sounds kind of challenging.

And a fourth reason—
This is the fifth.

It's the most dangerous
job in the department.

Did you know that? Yeah.

Well, how can you even
think of going up to 98's?

I'm not. I made up my mind
on that a couple hours ago.

You let me go on
and on with this?

Well, getting the confirmation I made
the right decision, that's comforting.

Beside that, you had a lot of
reasons I'd never even thought of.

You know, for two
cents, I'd transfer myself.

Ha, ha, ha.