Programma Televisivo: ER - 14x1
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SIRENS BABY CRYING CAR ENGINE STARTS BUZZER PRATT: Is that what he calls a staff meeting?
Yeah, that was fun.
I can't wait for the next one.
I don't know what this guy's up to, but whatever it is, it ain't gonna fly.
I'm not sure there's anything we can do about it.
Get Kovac to come back ASAP?
Luka's not the chief anymore.
Moretti's the man now.
Someone should talk to Anspaugh.
Me?
Why me?
Come on, girl, I've seen you throwing that old Abby charm.
Old?
Anspaugh's not going to give a damn that we don't like the new guy.
He's probably going to say, we haven't given him enough of a chance.
Why?
Cos he's only been working here 13 hours?
Hey, let's go grab a drink while we plan the revolution.
I could use something to eat.
Come on, Greg, you're buying.
Me?
No, no, no, no.
I'm not buying and I'm not going.
Oh, come on.
Where's that old Pratt charm?
All right, well, maybe just one.
Hey, are you the charge nurse?
They sent me down from the Dean's office.
I'm a new intern.
Interns don't start for another month, so you're early.
Actually I'm late, by like almost a year.
Had some trouble last spring - with the law, but it's all good now, you can see here.
That's just me, kind of "skyjewkuss," if you know what I mean.
I don't.
Oh, well, it kind of means off-kilter, in case you were wondering.
I wasn't.
Hey, leave her alone now.
He's who you want to talk to.
Are you Grady?
Hi, I'm Kevin Moretti.
So you're my clod of unmoulded clay, my tabula rasa.
Aren't you new, too?
I heard you just took over, like...today.
Lesson number one - take no lessons from anybody here.
That's a paradox, isn't it?
Because if I take no lessons from anyone here, that means I can't take lessons from you, so...
Except for me, Grady, except for me.
Copy that, rescue 49.
Blanket orders for c-spine, IVs, O2.
Multi-victim incident, some sort of crowd trampling.
Ten minutes out.
Who's on?
You got an R-3, a junior, and your lump of play-doh there.
Tell them we'll take two patients.
I already accepted four majors and ten minors - that's standard protocol.
Good thing I showed up.
SCREAMING It's OK, buddy.
Yeah, Bardelli in 93.
I'm trying to locate a victim from the park.
No problem.
All right, this'll help so it won't move around, buddy.
They sound kind of busy.
Are you going to stick that in me again?!
No, no, no, no.
It's just going to go right in your IV.
It's pain medication.
It won't hurt at all, buddy, I promise.
Yeah, a female doc, works at County.
Hey, how old is she?
29.
29 years old.
Name - Neela Rasgotra.
What we need is a unified approach.
Like what?
Like...like a secret signal to each other if we don't agree with what Moretti's saying.
What are we, like, eight years old?
No, I like it, it's good.
Um, say we think an intubation is called for and Moretti disagrees, I can look at Morris across the gurney and go like this...
Abby, don't encourage him, OK?
SIREN BLARING Oh, that can't be good.
Maybe we should get out of here before Moretti decides to...
PAGER BEEPING PAGER BEEPING PAGER BEEPING Aw, I knew I should have gone home.
Check, please.
Daniel Harrison, 58, chest pain, ST elevation in leads two and three, shocked him once for V-fib.
Injuries?
No, I was running to get away.
Heart attack.
Sam, he's going to need...
Aspirin, beta blockers, then the cath lab.
Yeah, we got a protocol.
Grady, did you ever handle a stemi?
I think so.
All right, stick with the nurse.
I want a door-to-balloon time in under 60 minutes.
Candace Morgan, 16, bad crush injury to the chest.
Tachy to 120, pulse-ox 90, BP 100/60.
I can't breathe.
Multiple rib fractures.
MORETTI: Flail chest.
She got trampled?
Public address speaker fell on her.
Thing must weigh 200 pounds.
Where do you want her?
Trauma two.
Get her labs cooking.
I'll be right in.
Hey, we heard there was a riot or something.
Yes, come on, you're back on.
Aaron Gonzales.
Penetrating chest trauma, crush injury to pelvis.
Doris, you see Neela?
You with her?
Not me.
Hey, Bards, who took Neela?
Who transported Neela?
I never heard anything.
Wait, Neela got hurt?
Well, I tried to get to her, but that kid was critical, so I had to stay with him.
Well, maybe she didn't need an ambulance.
She's probably just helping out in the field.
MORETTI: Guys, come on!
We got another ten victims coming in.
PRATT: Gates, come on, let's go!
Pulse-ox 92 on five litres.
Let's put her on a non-rebreather.
Where are we?
MORRIS: Paradoxical chest movement in the flail segment.
MARQUEZ: Chest X-ray's cooking.
Don't place a chest tube unless she's...
Unless there's a definite haemothorax.
We know.
Thank you.
CANDACE: It hurts.
A lot.
MORRIS: Another four of morphine?
No, you'll decrease her respiratory drive.
What?
She's in pain.
She'll need a good tidal volume.
Let's try an epidural.
Look, we can't wait for anaesthesia to come down.
We don't have to.
I'm credentialled in the procedure.
Call Central for a tray, please.
My granddad...is he coming...?
I'll be right back.
Does he know I'm here?!
DISPATCHER: Patient ID Rasgotra, Neela Rasgotra.
Patients are ID-ed by run number, not by name...
She's a doctor.
All the drivers know her.
Second intercostal space, midclavicular line.
Another 500 of NS.
and some fresh dressing.
Where's my mom?
She's coming soon, buddy.
I resuscitated the kid in the field, told his mom I'd stay with him.
Where did they take all the other patients?
And I need another two of Kerlix.
Damn it, where is it?
Check the cart.
Come on, do your secondary survey, let's go.
DISPATCHER: Casualties were transported to multiple receiving hospitals.
Yeah...
Which ones?
Mercy, St Rafe's, Northwest...
Hey!
This kid needs your undivided attention.
Give it to him.
TAGGART: How's the pain, sir?
Still a nine.
Another nitro spray?
When can the cath lab take him?
Five minutes.
He's had a heparin bolus?
Oh, 2b3a receptor blocker?
Sam?
Uh...
Like Abciximab?
Yeah.
Eptifibatide?
Yeah.
Oh, they give that to them sometimes in the cath lab, but not here.
Well, they should.
Yeah.
If you believe the American Journal of Cardiology, that stuff can reduce in-hospital mortality by 50%.
Very good, Grady.
Excuse me.
You should bring that up with Dr Kayson.
I will, don't worry.
Dr Moretti...
Mm-hmm.
There's a guy on a backboard who's pretty miserable.
ALARM BEEPING: Pressure's down.
Titrate dopamine.
Can you clear his neck?
No.
Give him a limited c-spine series.
OK.
Lady in three, dislocated hip.
No, let one of the residents take him.
They're all busy.
Sam, start another IV.
Doing it right now.
All right, a little prick, here.
All right, four of morphine, and tell her we'll get to her.
How long should I tell her?
Are you the attending?
Tell her we're busy.
Foreign body to the eye with ten out of ten pain.
All right, two drops of Alcaine.
Where do you keep that?
You're asking me?
I got floated down from surgery.
I don't really know the ER.
Wonderful.
Hey, new guy, Channel Four's outside with a video crew.
No, no.
Also, I got an elderly man with a bad nosebleed on Coumadin.
Just keep pressure on it for now.
Yes, this is County General ER.
We're looking for a Neela Rasgotra...
Of course I'm familiar with HIPAA, but she's one of our doctors.
The labs for trauma one.
Did you try calling Lutheran and Rush?
No, Frank, no.
Try ophthalmology, cardiology and general surgery.
Let's focus on the patients who are actually here and need our help.
You ready to do the epidural?
I'll be right there.
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No, I'll stay.
It's crazy...
I don't worry about Aaron.
Just his brother.
Eddie's in the army...
in Iraq.
We went to the rally to support the troops...
to support Eddie.
All they hear are people saying we shouldn't be over there...
How's the X-ray look?
Mom's consented to the chest tube.
Let's let Dr Lockhart do that procedure.
You're not on, if I remember correctly.
I'm happy to supervise here.
Dr Lockhart is a senior doctor.
It'll be better for your son if she places the tube.
If that's what you think.
It is.
Excuse me.
I don't think that guy likes you.
MORRIS: Bilateral haemothoraces.
A little less than 200 CCs out each side.
The grandfather is here.
Jared Morgan.
Dr Moretti.
Did they explain the epidural to you?
Will it hurt?
You'll have a little burning with the local.
OK, here it comes.
Did you call Mom and Dad?
I couldn't get through.
Her parents are on an Alaskan cruise.
Spinal needle.
OK.
How do we find the epidural space?
And then we make sure that we're not through the dura.
Then inject air.
How many ribs did she break?
Five on each side.
Bingo.
OK?
It was a peaceful demonstration.
OK, relief is on its way.
Catheter.
I wanted to show her the power of people raising their voices in a democracy, and those...
Grandpa was tear-gassed at the '68 Democratic convention.
CHUCKLING: Right on.
Yeah, yeah, but then I worked on defending the Chicago eight.
Ah, an old peacenik, huh? "
No justice, no peace."
I ever tell you how I was sitting right next to Bobby Seale the day the bailiffs chained him to his chair and gagged him?
Only about ten times.
And what did you learn from that?
MORETTI: OK.
Tape it.
And...we're done.
It feels better.
Nice job.
Doctors Morris and Pratt, let's review the chest film.
Why do I smell EtOH on your breath?
We were off shift.
We had less than half a beer.
All right, you're done for the day.
Are you serious?
Yeah.
I can't have you working.
Have you looked around?
We're getting slammed.
It's too much of a liability.
Look, you were smart for calling us back in.
You really want to act stupid now?
Paramedics en route with a young woman, late 20s, in full arrest.
They're ready to call it.
And just FYI, Doctors Morris and Pratt will no longer be working today.
Why?
It's just you and me.
What do you got?
15 minutes of asystole.
She's done.
How long since the last epi?
Three minutes.
Two of atropine?
Get her to Grady.
What do you got?
It's Neela.
Extensive crush injuries to the chest, abdomen and all four extremities.
Pressure's only 90 over 60.
Hey, how you doing?
Ah, I've been better.
MORETTI: Her pupils are equal and reactive.
What year is it, hon?
Oh-seven.
OK, good.
Let's go to trauma one.
Oh, God, not the yellow room.
It's gonna be all right.
Start with a lateral c-spine.
I think a lateral'd be a waste of time if you're gonna pan-scan her in CT.
Yeah, we're starting with the lateral, OK?
Four units of O-neg.
Set her up for a central line.
Great.
Ladies and gentlemen, evening rounds are officially "on hold."
Until when?
Until we get out from under this.
Sounds like we're getting the bulk of the victims.
OK, we got an OR open, ready to go.
You see it on the news?
We're gonna need more than that.
I want three rooms prepped and ready.
I've got an elective gall bladder...
Cancel the case.
BEEPING It's the ER again.
Herniorrhaphy?
Tomorrow at 7:00am.
Dr Dubenko...
In a minute...
Page both back-up anaesthesiologists.
The ER called...
I'm about to head down.
Make sure that ortho and neurosurge are ready to jump in.
They want you.
I'm on my way.
Do you have scrub nurses to staff the additional rooms?
Yes.
OK, and get a perfusionist on standby in case.
They have a major trauma victim downstairs - it's Neela.
How much pain on a scale of one to ten?
One.
Give him your cell phone, Mami.
GATES: What for?
A picture.
The kids at school won't believe it.
All right, all right.
You ready?
There we go.
100 CCs out so far.
Good.
He's not losing too much blood.
When's he going to surgery?
Soon, I hope.
Can you call them again?
please?
Yeah, yeah, yeah.
Where are you going?
I need to talk to the surgeons.
One, two, three...
Trauma panel and catheterised urine.
Sorry, we gotta do it.
Sats 91 on five litres.
OK.
Get a capnograph on her.
We don't have those.
Yes, I brought one down from the ICU.
It's right there on the counter.
Hey, Mayday, we've been looking for you.
Guess you found me.
And you're here for what reason, Gates?
I was waiting for Dubenko.
I need a consult on my, er, chest impalement.
Well, he's not here.
All right, well, maybe I can help.
No.
I don't think so.
Hemocue 9.4 after fluids.
All right, two units of O-neg.
I'm bleeding internally?
It's OK.
It's all right, Mayday.
You're in good hands.
Quick and concise - how is she?
Hypotensive, anaemic with abdominal pain.
Extensive crush injuries.
Neela?
Thirsty.
Some water.
Sats dropping.
CO2 60.
MORETTI: Bag her.
She's retaining.
Etomidate, sux, intubation tray.
I can do a femoral, huh?
Dr Gates, Aaron dropped his BP.
Uh, give him a saline.
I'll be right in.
No.
Go now.
Etomidate's in.
OK.
Neela, you're going to sleep and I'm gonna see you when you wake up.
OK?
OK.
Here we go.
How's it going here?
60/40.
What's happening?
Well, his pressure's low and he's not bleeding in his chest.
I don't feel so good.
Well, is he bleeding somewhere else?
You want some more Compazine?
Grady.
Give me that SonoSite.
I'm suturing an arm lac.
Doesn't matter.
That can wait.
OK, OR can take him in 30 minutes.
It needs to be sooner that that.
How's Neela doing?
They seem to have it under control.
You want to help here?
I can't.
The idiot benched me.
Is that for Candace?
She's not doing good.
Hey, Chuny, wait up, wait up.
What are her sats?
85 on 100%.
Start at 10/5.
OK.
Doctors are here.
All right, lungs are bruised.
What we're gonna do is we're gonna give you this pressure boost to help get more oxygen to your air sacs.
OK.
The mask will go over your nose.
It'll feel a little weird, OK?
Pratt.
What are you, what are you doing?
Bipap for hypoxia, Morris.
Moretti is right next door.
Yeah, I know.
How's that?
Better.
Pulse ox is up to 94.
Thank you.
Uh, Dr Pratt, I-I need a consult in-in Sutures.
Excuse us a moment.
What, what?
Come on, Morris, will you stop grabbing me?
You know what we should do?
Yeah, we should be in there with Neela, but since we can't, we're gonna fix up as many patients as we can.
No, we need to draw blood alcohol levels on each other.
You better get real.
No.
We gotta prove to Moretti that we're good to go.
You want to get back in the game?
Gotta pass the test.
First two units are in.
Systolic's up to 100.
PVCs.
Wide QRS.
We got blood in Morrison's pouch.
Is that a liver laceration?
Most likely.
OK, we're going right up to the OR.
No, no - her heart's too irritable.
Because she's bleeding, Kevin.
We can't screw around here.
She needs to get up to surgery.
She will.
What's her potassium?
It's not back yet.
Well, get it back.
Dr Dubenko, can you help me...
No, I can't!
It's rhabdo.
That's what it is.
It's rhabdo.
Her potassium is sky high because of the crushed muscle.
Amp of calcium, right now.
GATES: My kid has persistent hypotension.
So repeat a crit and chest film, Gates.
You know, if she has hyper-k...
Gates!
Please.
What is wrong with that guy?
He and Neela used to date.
OK, let's go.
We can manage electrolytes in the OR.
No.
She will crash in the elevator.
Dr Moretti - dislocated hip lady's losing a foot pulse.
I've got neck films...
OK.
OK, Kevin, That burn patient may need...
OK!
I got it.
I got it.
I got it.
Abby.
I need you out there.
Go.
Type specific's up, units three and four.
OK, get her on a portable monitor.
We're outta here in two minutes, no matter what.
Pull your finger out.
Test your smoke alarm.
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Pull your finger out.
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You'll be missed.
Greg, I need you in here.
All right.
What's happening?
Well, sometimes the bipap isn't enough - intubation tray.
RASPY GASPING PRATT: We need to put her on a ventilator.
Then she'll be OK?
SOBBING: Grandpa.
Induction meds are ready.
7.5 tube.
Listen, when you wake up, there's gonna be a tube in your throat to help you breathe, OK?
OK.
OK.
Hip's back in.
Check a post-reduction film and admit to ortho.
OK.
Who's next?
Nosebleed in the hall.
Hi, I'm Dr Lockhart.
Can you stop this?
Let me see.
OK, I'm gonna try.
All right, here we go.
This is going to feel a little bit slimy.
Did they find out who set off the bomb?
I don't know.
I was walking by the park, like I do every day.
Next thing I know, I'm on the ground.
Are you an intern?
Need tube gauze for an avulsed toenail.
OK, you just hang in there.
I'll be back to check on you, all right?
I'm not an intern.
I'm a third-year resident, and the tube gauze is in Exam Two, centre cabinet.
Thanks.
Thanks a lot.
Yeah.
Exam Two's that way.
Right.
Second degree bilateral forearm.
How'd this happen?
They were burning the American flag.
I was trying to put it out.
OK.
Silvadene dressing and, er, ten of MS.
And it looks like nothing circumferential, so you're not gonna need surgery.
Oh, thank God for that.
Here you go.
You'll be feeling better soon.
All right, Maya, you might feel a little pressure here.
Is that a suprapubic catheter?
Yeah, he must have torn his urethra.
His bladder's the size of a basketball.
So he's not bleeding?
No, his bladder is distended and that's what's making his pressure drop.
OK.
I'll tell Dubenko.
Hey.
How's Neela?
I don't know.
I've been out here for a while.
Let me know?
Yeah.
All right.
Am I peeing?
Sort of.
Mom, quick, take another picture.
Ay, Mijo.
DUBENKO: Get out of the way, Kevin.
We are leaving right now.
No, it's a bad idea.
I'll call security if I have to.
I don't care.
Hey, V tach.
Damn it!
This is what happens when you screw around in the ER.
300 charge.
Clear.
Sinus rhythm.
With a pulse.
All right...
Clear the way - let's go.
No.
No.
Potassium's 8.1.
Oh, my God.
TAGGART: CK's 9,200.
It is rhabdo.
Bicarb, insulin, glucose and...Kayexalate.
Right away.
We need to keep her urine output over 300 an hour or she'll go into renal failure.
She'll be yours in a minute, Lucien.
Go ahead, Abby, back on the floor.
I was just out there.
No, somebody...
Then you go!
Excuse me?
I'm not leaving her, all right?
I'm not leaving.
Hang another litre of saline.
Where are we on blood?
Fourth unit's going in.
OK, send FFP upstairs.
Call the OR and tell 'em we're on our way up.
Neela, you're intubated and you're going for an ex lap, and I'm going to stay with you, OK?
You're doing great, Neela.
Hang in there.
Just hang in there.
Hang in there.
Hey, did that impaled boy make it up OK?
Stable in OR Two.
Good, thank you.
Dr Moretti.
Yeah?
Can I present some patients?
Of course.
All right, foreign body to the eye, now has total vision loss on the right.
Complete loss of vision?
A little light perception.
For how long?
About 15 minutes.
Why didn't you come and get me?
You were busy.
Hi, I'm Dr Moretti.
Can you close your good eye for me, please?
OK.
How many fingers am I holding up?
I couldn't tell you.
All right, give me that.
Mm...
Irregular pupil.
That's new.
It was reactive.
No, no, it's not a foreign body, it's a ruptured globe.
I tripped and some jerk just stomped right on my face.
Something penetrated your eyeball.
It's bleeding inside.
Am I going to be blind?
No, not if surgery can correct it.
And the sooner the better.
All right...
head of bed to 45 degrees, metal eye shield, gram of Ancef and stat page ophtho.
4.0 Vicryl.
Gentlemen.
Hand service has been paged.
I did a Bier block, so he's feeling no pain.
OK, great.
I got it from here.
No, we can do it.
Really.
In my pocket, labs on two of your favourite attendings.
Blood alcohol is less than .01.
They let airline pilots fly at that level.
Shh!
Keep your voice down.
WHISPERS: Another Vicryl, Dr Gates.
Sure.
OK.
How'd this happen?
I was cutting the lawn.
I was having problems with the mower and I knew I was running out of gas, so...
I tried to refill the tank without shutting the engine off.
I don't really remember what happened after that.
I guess I blacked out.
There's a reason why it's called an internal combustion engine.
You managed to make it an external.
You gonna be able to sew my fingers back on?
Do you have them?
Good luck.
She's bleeding inside her lungs.
Oh, my God.
How do you stop that?
We'll just have to wait for it to heal.
It's a special low-pressure vent that'll help.
All set.
Dr Pratt.
Hey, don't even start, man, I'm serious, OK?
I'm working on my patient.
She needs constant attention and no-one else is available.
Relax, relax, I talked to Dr Morris.
I saw the blood test.
All right, good.
Got severe pulmonary contusions, hypoxia PEEP and we switched to an oscillator.
You could be better utilised outside.
Have you taken a look at the X-ray?
This patient is critical.
I know.
And so are ten other patients out there who actually have a chance.
You're wasting your time and our resources trying to save a dead girl.
Excuse me, what the hell does that mean?
Oh, I'm sorry, sir.
I didn't know you were there.
OK, er...
with the extent of her haemorrhaging, her chances of survival are almost nil.
So, what, you just give up on her?
No, no, we're not giving up - we're giving her the best care...
Why don't you just leave?
OK?!
I don't want you in here.
He's doing fine.
Please continue.
MARQUEZ: She's bradying down!
All right, PEA.
Lost her pulse.
Starting compressions.
He was doing fine until you came in here.
Sir, please get out of the way, please.
This is your fault!
All right, get out of the way, sir.
MORETTI: Amp of atropine.
BUZZING How about the cell saver?
Ready to go.
Metz.
Couple of Richardsons.
We're on it.
Suction, Dusty.
Yankauer's not going to do it.
I need a pool sucker.
Lots of clots in the left upper quadrant.
We should pack up the spleen first.
No, she had impact and tenderness on the right.
Guys...
We're packing the liver first.
That's your call.
Yeah, damn right it is!
Yeah, OK.
Please have somebody call down if you hear anything.
She out of surgery?
Yo, Taggart.
I got a live one for you.
I found him sitting in the middle of the street, directing traffic.
Well, I was just trying to calm the masses.
There was so much negative energy that nobody could feel that...
universal connection that we all have.
Right, right, right.
What are you on, buddy?
What are you on?
what are you on?
You know, when I touch you like this, we're exchanging matter on a subatomic particle level.
Well, I don't know where your atoms have been so it's best that you just keep them to yourself.
What's this?
And psilocybin is a gift from God.
Oh, the magic of mushrooms.
Yes, that is...
RASPY LAUGHTER Look at this.
LAUGHING Your shirt is breathing.
All right.
LAUGHING You're freaking him out.
LAUGHING How's your doctor friend doing?
It's too soon to tell.
We're all thinking about her.
Thanks.
Oh, this is so good.
No, don't stop.
Excuse me.
Uh, do you have any medical problems?
No, I...
My-my-my skin becomes transparent.
Occasionally, I can see my organs.
But...
I'm going to get a urine tox screen and find him a comfy bed.
Dive!
Dive!
Don't touch that.
Uh, you'd better hold my hand, if you don't want me to just float away.
OK.
I got you.
Oh, I can feel the love you have for your friend.
It's beautiful.
Any other victims?
No, I think we got most of them.
No shrapnel or blast injuries?
It wasn't a bomb.
Well, there was an explosion - I heard it.
MORRIS: People saw smoke.
It was on the news.
Heard the bomb squad figures it was some guy setting off fireworks or something.
Well, it had to be at least an M-80.
Well, whatever it was, it wasn't the terrorists.
Not today.
who claim they live alone.
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The smart thing to do is pack up the liver, put in a Bogota bag and close her up.
We'll come back in two days for the definitive repair.
Two days?!
No, no.
I don't want the risks of biliary leaks or abscess formation.
More lap pads.
You can't screw around while she bleeds to death.
Hemoclips.
All right, you can't even try to repair the liver?
No.
Yes.
Yes, we can try.
Where's my argon?
Ready in a minute.
Just stop.
Abby, you're really not helping.
That makes two of us.
I don't know what you're getting at.
Dr Lockhart, perhaps you should step outside.
Well, perhaps you should just shut up, both of you.
Lucien...
Can the repair be done?
Yes.
Yes, it can.
OK.
Dr Crenshaw's gonna do it.
What?
You're too close to this, and you know I'm right, so just let him operate, you'll assist and I'll keep time, OK?
OK.
How's it going here?
Hand service can take him in an hour.
Good.
Can I get something to drink?
Chuny, why don't you get him some ice chips.
All right.
So, whose, er...
lawn were you cutting?
Mine.
Yours.
Right.
Says here you live on Halsted.
Not a lot of lawns out there on Halsted, right?
There's some grass around the building, on the side.
Right.
So, what are you, a...
you a super?
No, but sometimes I help out.
So you help out the super, cut the lawns on the side of the...?
He's old.
I feel sorry for him.
You know there's a lot of hospitals between, er, Halsted and County.
That's my stuff.
Right.
I stopped by a friend's house around here.
She's a home health aide.
She told me I needed to go to the hospital.
What are you doing?
Doesn't smell like gasoline much, does it?
Smell that.
No.
Smell it.
Does it smell like gasoline?
I didn't spill it.
Does it smell like gas?
No.
Smells like black powder, doesn't it?
What's this?
A lighter.
And your chart says you don't smoke, but, er, what's that?
What was it?
M-80?
Huh?
Cherry bomb?
What?
Where you going?
Where you going?
You're crazy.
I'm crazy.
Get back in bed.
No!
Get back in bed.
What are you doing?
I'm going somewhere the docs don't sniff your...
Oh, yeah?
What's your problem?!
You know what my problem is, asshole?!
All these people are here because of you.
You understand me?
Look at this girl.
Look!
Look at that girl!
You see that?!
Well, this is your fault.
Look at him.
Look at him, huh?!
That's because of you!
Tony!
Because of you, look at...!
Back off!
What are you doing?
This guy, you see him?
look around.
Tony, calm down.
Calm down.
It's your fault.
Hey!
You killed people, you understand?!
Look over there.
Look at that little girl.
You see her?!
You killed that girl!
You killed people, you understand that?!
So you're supposed to be a tough guy?
Where'd you hear that?
Oh, I don't know, word on the street.
Seems you have a history of violence whenever your vocabulary is overtaxed.
And according to your file, that happens with alarming frequency.
Yeah, well, look around.
Every bed in this place has a patient because of that jackass.
Not to mention Dr Rasgotra.
Yeah, not to mention her, either.
And you think that having had a dalliance with a co-worker mitigates the situation?
Is that what you think?
I don't know.
You don't know?
It doesn't.
You attacked a patient.
Who caused a riot that messed
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SIRENS BABY CRYING CAR ENGINE STARTS BUZZER PRATT: Is that what he calls a staff meeting?
Yeah, that was fun.
I can't wait for the next one.
I don't know what this guy's up to, but whatever it is, it ain't gonna fly.
I'm not sure there's anything we can do about it.
Get Kovac to come back ASAP?
Luka's not the chief anymore.
Moretti's the man now.
Someone should talk to Anspaugh.
Me?
Why me?
Come on, girl, I've seen you throwing that old Abby charm.
Old?
Anspaugh's not going to give a damn that we don't like the new guy.
He's probably going to say, we haven't given him enough of a chance.
Why?
Cos he's only been working here 13 hours?
Hey, let's go grab a drink while we plan the revolution.
I could use something to eat.
Come on, Greg, you're buying.
Me?
No, no, no, no.
I'm not buying and I'm not going.
Oh, come on.
Where's that old Pratt charm?
All right, well, maybe just one.
Hey, are you the charge nurse?
They sent me down from the Dean's office.
I'm a new intern.
Interns don't start for another month, so you're early.
Actually I'm late, by like almost a year.
Had some trouble last spring - with the law, but it's all good now, you can see here.
That's just me, kind of "skyjewkuss," if you know what I mean.
I don't.
Oh, well, it kind of means off-kilter, in case you were wondering.
I wasn't.
Hey, leave her alone now.
He's who you want to talk to.
Are you Grady?
Hi, I'm Kevin Moretti.
So you're my clod of unmoulded clay, my tabula rasa.
Aren't you new, too?
I heard you just took over, like...today.
Lesson number one - take no lessons from anybody here.
That's a paradox, isn't it?
Because if I take no lessons from anyone here, that means I can't take lessons from you, so...
Except for me, Grady, except for me.
Copy that, rescue 49.
Blanket orders for c-spine, IVs, O2.
Multi-victim incident, some sort of crowd trampling.
Ten minutes out.
Who's on?
You got an R-3, a junior, and your lump of play-doh there.
Tell them we'll take two patients.
I already accepted four majors and ten minors - that's standard protocol.
Good thing I showed up.
SCREAMING It's OK, buddy.
Yeah, Bardelli in 93.
I'm trying to locate a victim from the park.
No problem.
All right, this'll help so it won't move around, buddy.
They sound kind of busy.
Are you going to stick that in me again?!
No, no, no, no.
It's just going to go right in your IV.
It's pain medication.
It won't hurt at all, buddy, I promise.
Yeah, a female doc, works at County.
Hey, how old is she?
29.
29 years old.
Name - Neela Rasgotra.
What we need is a unified approach.
Like what?
Like...like a secret signal to each other if we don't agree with what Moretti's saying.
What are we, like, eight years old?
No, I like it, it's good.
Um, say we think an intubation is called for and Moretti disagrees, I can look at Morris across the gurney and go like this...
Abby, don't encourage him, OK?
SIREN BLARING Oh, that can't be good.
Maybe we should get out of here before Moretti decides to...
PAGER BEEPING PAGER BEEPING PAGER BEEPING Aw, I knew I should have gone home.
Check, please.
Daniel Harrison, 58, chest pain, ST elevation in leads two and three, shocked him once for V-fib.
Injuries?
No, I was running to get away.
Heart attack.
Sam, he's going to need...
Aspirin, beta blockers, then the cath lab.
Yeah, we got a protocol.
Grady, did you ever handle a stemi?
I think so.
All right, stick with the nurse.
I want a door-to-balloon time in under 60 minutes.
Candace Morgan, 16, bad crush injury to the chest.
Tachy to 120, pulse-ox 90, BP 100/60.
I can't breathe.
Multiple rib fractures.
MORETTI: Flail chest.
She got trampled?
Public address speaker fell on her.
Thing must weigh 200 pounds.
Where do you want her?
Trauma two.
Get her labs cooking.
I'll be right in.
Hey, we heard there was a riot or something.
Yes, come on, you're back on.
Aaron Gonzales.
Penetrating chest trauma, crush injury to pelvis.
Doris, you see Neela?
You with her?
Not me.
Hey, Bards, who took Neela?
Who transported Neela?
I never heard anything.
Wait, Neela got hurt?
Well, I tried to get to her, but that kid was critical, so I had to stay with him.
Well, maybe she didn't need an ambulance.
She's probably just helping out in the field.
MORETTI: Guys, come on!
We got another ten victims coming in.
PRATT: Gates, come on, let's go!
Pulse-ox 92 on five litres.
Let's put her on a non-rebreather.
Where are we?
MORRIS: Paradoxical chest movement in the flail segment.
MARQUEZ: Chest X-ray's cooking.
Don't place a chest tube unless she's...
Unless there's a definite haemothorax.
We know.
Thank you.
CANDACE: It hurts.
A lot.
MORRIS: Another four of morphine?
No, you'll decrease her respiratory drive.
What?
She's in pain.
She'll need a good tidal volume.
Let's try an epidural.
Look, we can't wait for anaesthesia to come down.
We don't have to.
I'm credentialled in the procedure.
Call Central for a tray, please.
My granddad...is he coming...?
I'll be right back.
Does he know I'm here?!
DISPATCHER: Patient ID Rasgotra, Neela Rasgotra.
Patients are ID-ed by run number, not by name...
She's a doctor.
All the drivers know her.
Second intercostal space, midclavicular line.
Another 500 of NS.
and some fresh dressing.
Where's my mom?
She's coming soon, buddy.
I resuscitated the kid in the field, told his mom I'd stay with him.
Where did they take all the other patients?
And I need another two of Kerlix.
Damn it, where is it?
Check the cart.
Come on, do your secondary survey, let's go.
DISPATCHER: Casualties were transported to multiple receiving hospitals.
Yeah...
Which ones?
Mercy, St Rafe's, Northwest...
Hey!
This kid needs your undivided attention.
Give it to him.
TAGGART: How's the pain, sir?
Still a nine.
Another nitro spray?
When can the cath lab take him?
Five minutes.
He's had a heparin bolus?
Oh, 2b3a receptor blocker?
Sam?
Uh...
Like Abciximab?
Yeah.
Eptifibatide?
Yeah.
Oh, they give that to them sometimes in the cath lab, but not here.
Well, they should.
Yeah.
If you believe the American Journal of Cardiology, that stuff can reduce in-hospital mortality by 50%.
Very good, Grady.
Excuse me.
You should bring that up with Dr Kayson.
I will, don't worry.
Dr Moretti...
Mm-hmm.
There's a guy on a backboard who's pretty miserable.
ALARM BEEPING: Pressure's down.
Titrate dopamine.
Can you clear his neck?
No.
Give him a limited c-spine series.
OK.
Lady in three, dislocated hip.
No, let one of the residents take him.
They're all busy.
Sam, start another IV.
Doing it right now.
All right, a little prick, here.
All right, four of morphine, and tell her we'll get to her.
How long should I tell her?
Are you the attending?
Tell her we're busy.
Foreign body to the eye with ten out of ten pain.
All right, two drops of Alcaine.
Where do you keep that?
You're asking me?
I got floated down from surgery.
I don't really know the ER.
Wonderful.
Hey, new guy, Channel Four's outside with a video crew.
No, no.
Also, I got an elderly man with a bad nosebleed on Coumadin.
Just keep pressure on it for now.
Yes, this is County General ER.
We're looking for a Neela Rasgotra...
Of course I'm familiar with HIPAA, but she's one of our doctors.
The labs for trauma one.
Did you try calling Lutheran and Rush?
No, Frank, no.
Try ophthalmology, cardiology and general surgery.
Let's focus on the patients who are actually here and need our help.
You ready to do the epidural?
I'll be right there.
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No, I'll stay.
It's crazy...
I don't worry about Aaron.
Just his brother.
Eddie's in the army...
in Iraq.
We went to the rally to support the troops...
to support Eddie.
All they hear are people saying we shouldn't be over there...
How's the X-ray look?
Mom's consented to the chest tube.
Let's let Dr Lockhart do that procedure.
You're not on, if I remember correctly.
I'm happy to supervise here.
Dr Lockhart is a senior doctor.
It'll be better for your son if she places the tube.
If that's what you think.
It is.
Excuse me.
I don't think that guy likes you.
MORRIS: Bilateral haemothoraces.
A little less than 200 CCs out each side.
The grandfather is here.
Jared Morgan.
Dr Moretti.
Did they explain the epidural to you?
Will it hurt?
You'll have a little burning with the local.
OK, here it comes.
Did you call Mom and Dad?
I couldn't get through.
Her parents are on an Alaskan cruise.
Spinal needle.
OK.
How do we find the epidural space?
And then we make sure that we're not through the dura.
Then inject air.
How many ribs did she break?
Five on each side.
Bingo.
OK?
It was a peaceful demonstration.
OK, relief is on its way.
Catheter.
I wanted to show her the power of people raising their voices in a democracy, and those...
Grandpa was tear-gassed at the '68 Democratic convention.
CHUCKLING: Right on.
Yeah, yeah, but then I worked on defending the Chicago eight.
Ah, an old peacenik, huh? "
No justice, no peace."
I ever tell you how I was sitting right next to Bobby Seale the day the bailiffs chained him to his chair and gagged him?
Only about ten times.
And what did you learn from that?
MORETTI: OK.
Tape it.
And...we're done.
It feels better.
Nice job.
Doctors Morris and Pratt, let's review the chest film.
Why do I smell EtOH on your breath?
We were off shift.
We had less than half a beer.
All right, you're done for the day.
Are you serious?
Yeah.
I can't have you working.
Have you looked around?
We're getting slammed.
It's too much of a liability.
Look, you were smart for calling us back in.
You really want to act stupid now?
Paramedics en route with a young woman, late 20s, in full arrest.
They're ready to call it.
And just FYI, Doctors Morris and Pratt will no longer be working today.
Why?
It's just you and me.
What do you got?
15 minutes of asystole.
She's done.
How long since the last epi?
Three minutes.
Two of atropine?
Get her to Grady.
What do you got?
It's Neela.
Extensive crush injuries to the chest, abdomen and all four extremities.
Pressure's only 90 over 60.
Hey, how you doing?
Ah, I've been better.
MORETTI: Her pupils are equal and reactive.
What year is it, hon?
Oh-seven.
OK, good.
Let's go to trauma one.
Oh, God, not the yellow room.
It's gonna be all right.
Start with a lateral c-spine.
I think a lateral'd be a waste of time if you're gonna pan-scan her in CT.
Yeah, we're starting with the lateral, OK?
Four units of O-neg.
Set her up for a central line.
Great.
Ladies and gentlemen, evening rounds are officially "on hold."
Until when?
Until we get out from under this.
Sounds like we're getting the bulk of the victims.
OK, we got an OR open, ready to go.
You see it on the news?
We're gonna need more than that.
I want three rooms prepped and ready.
I've got an elective gall bladder...
Cancel the case.
BEEPING It's the ER again.
Herniorrhaphy?
Tomorrow at 7:00am.
Dr Dubenko...
In a minute...
Page both back-up anaesthesiologists.
The ER called...
I'm about to head down.
Make sure that ortho and neurosurge are ready to jump in.
They want you.
I'm on my way.
Do you have scrub nurses to staff the additional rooms?
Yes.
OK, and get a perfusionist on standby in case.
They have a major trauma victim downstairs - it's Neela.
How much pain on a scale of one to ten?
One.
Give him your cell phone, Mami.
GATES: What for?
A picture.
The kids at school won't believe it.
All right, all right.
You ready?
There we go.
100 CCs out so far.
Good.
He's not losing too much blood.
When's he going to surgery?
Soon, I hope.
Can you call them again?
please?
Yeah, yeah, yeah.
Where are you going?
I need to talk to the surgeons.
One, two, three...
Trauma panel and catheterised urine.
Sorry, we gotta do it.
Sats 91 on five litres.
OK.
Get a capnograph on her.
We don't have those.
Yes, I brought one down from the ICU.
It's right there on the counter.
Hey, Mayday, we've been looking for you.
Guess you found me.
And you're here for what reason, Gates?
I was waiting for Dubenko.
I need a consult on my, er, chest impalement.
Well, he's not here.
All right, well, maybe I can help.
No.
I don't think so.
Hemocue 9.4 after fluids.
All right, two units of O-neg.
I'm bleeding internally?
It's OK.
It's all right, Mayday.
You're in good hands.
Quick and concise - how is she?
Hypotensive, anaemic with abdominal pain.
Extensive crush injuries.
Neela?
Thirsty.
Some water.
Sats dropping.
CO2 60.
MORETTI: Bag her.
She's retaining.
Etomidate, sux, intubation tray.
I can do a femoral, huh?
Dr Gates, Aaron dropped his BP.
Uh, give him a saline.
I'll be right in.
No.
Go now.
Etomidate's in.
OK.
Neela, you're going to sleep and I'm gonna see you when you wake up.
OK?
OK.
Here we go.
How's it going here?
60/40.
What's happening?
Well, his pressure's low and he's not bleeding in his chest.
I don't feel so good.
Well, is he bleeding somewhere else?
You want some more Compazine?
Grady.
Give me that SonoSite.
I'm suturing an arm lac.
Doesn't matter.
That can wait.
OK, OR can take him in 30 minutes.
It needs to be sooner that that.
How's Neela doing?
They seem to have it under control.
You want to help here?
I can't.
The idiot benched me.
Is that for Candace?
She's not doing good.
Hey, Chuny, wait up, wait up.
What are her sats?
85 on 100%.
Start at 10/5.
OK.
Doctors are here.
All right, lungs are bruised.
What we're gonna do is we're gonna give you this pressure boost to help get more oxygen to your air sacs.
OK.
The mask will go over your nose.
It'll feel a little weird, OK?
Pratt.
What are you, what are you doing?
Bipap for hypoxia, Morris.
Moretti is right next door.
Yeah, I know.
How's that?
Better.
Pulse ox is up to 94.
Thank you.
Uh, Dr Pratt, I-I need a consult in-in Sutures.
Excuse us a moment.
What, what?
Come on, Morris, will you stop grabbing me?
You know what we should do?
Yeah, we should be in there with Neela, but since we can't, we're gonna fix up as many patients as we can.
No, we need to draw blood alcohol levels on each other.
You better get real.
No.
We gotta prove to Moretti that we're good to go.
You want to get back in the game?
Gotta pass the test.
First two units are in.
Systolic's up to 100.
PVCs.
Wide QRS.
We got blood in Morrison's pouch.
Is that a liver laceration?
Most likely.
OK, we're going right up to the OR.
No, no - her heart's too irritable.
Because she's bleeding, Kevin.
We can't screw around here.
She needs to get up to surgery.
She will.
What's her potassium?
It's not back yet.
Well, get it back.
Dr Dubenko, can you help me...
No, I can't!
It's rhabdo.
That's what it is.
It's rhabdo.
Her potassium is sky high because of the crushed muscle.
Amp of calcium, right now.
GATES: My kid has persistent hypotension.
So repeat a crit and chest film, Gates.
You know, if she has hyper-k...
Gates!
Please.
What is wrong with that guy?
He and Neela used to date.
OK, let's go.
We can manage electrolytes in the OR.
No.
She will crash in the elevator.
Dr Moretti - dislocated hip lady's losing a foot pulse.
I've got neck films...
OK.
OK, Kevin, That burn patient may need...
OK!
I got it.
I got it.
I got it.
Abby.
I need you out there.
Go.
Type specific's up, units three and four.
OK, get her on a portable monitor.
We're outta here in two minutes, no matter what.
Pull your finger out.
Test your smoke alarm.
SIREN Keeping an eye on your weight?
Why make life complicated?
Bitesize Shredded Wheat.
Ohhhh!
It does say here 100% whole grain wheat.
That's all that's in it.
Just one ingredient.
No added salt.
Or added sugar.
Nothing else in there.
Very good for keeping an eye on your weight.
It's great for watching what I'm eating.
Easy!
(crunch) When do you want to find out that your smoke alarm doesn't work?
Now?
Or later, when you're trapped in a fire?
Go on.
Pull your finger out.
SIREN Another fantastic price crunch to start the new year at Morrisons.
A litre of Minute Maid orange juice, a box of Trim Flakes, a 4-pack of Shape yogurt, a box of four eggs, a 3-pack of grapefruit and a stoneground wholemeal medium sliced loaf.
This big value breakfast costs just £4.
The Price Crunch at Morrisons.
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These sweet Ryvita Fruit Crunch are great for elevenses...
..and twelveses...
..and even...
half past fourses.
Mmmm!
Ryvita Pumpkin Seed Crispbread...
..with yoghurt, cucumber and mint.
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CRUNCH, CRUNCH, CRUNCH.
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You'll be missed.
Greg, I need you in here.
All right.
What's happening?
Well, sometimes the bipap isn't enough - intubation tray.
RASPY GASPING PRATT: We need to put her on a ventilator.
Then she'll be OK?
SOBBING: Grandpa.
Induction meds are ready.
7.5 tube.
Listen, when you wake up, there's gonna be a tube in your throat to help you breathe, OK?
OK.
OK.
Hip's back in.
Check a post-reduction film and admit to ortho.
OK.
Who's next?
Nosebleed in the hall.
Hi, I'm Dr Lockhart.
Can you stop this?
Let me see.
OK, I'm gonna try.
All right, here we go.
This is going to feel a little bit slimy.
Did they find out who set off the bomb?
I don't know.
I was walking by the park, like I do every day.
Next thing I know, I'm on the ground.
Are you an intern?
Need tube gauze for an avulsed toenail.
OK, you just hang in there.
I'll be back to check on you, all right?
I'm not an intern.
I'm a third-year resident, and the tube gauze is in Exam Two, centre cabinet.
Thanks.
Thanks a lot.
Yeah.
Exam Two's that way.
Right.
Second degree bilateral forearm.
How'd this happen?
They were burning the American flag.
I was trying to put it out.
OK.
Silvadene dressing and, er, ten of MS.
And it looks like nothing circumferential, so you're not gonna need surgery.
Oh, thank God for that.
Here you go.
You'll be feeling better soon.
All right, Maya, you might feel a little pressure here.
Is that a suprapubic catheter?
Yeah, he must have torn his urethra.
His bladder's the size of a basketball.
So he's not bleeding?
No, his bladder is distended and that's what's making his pressure drop.
OK.
I'll tell Dubenko.
Hey.
How's Neela?
I don't know.
I've been out here for a while.
Let me know?
Yeah.
All right.
Am I peeing?
Sort of.
Mom, quick, take another picture.
Ay, Mijo.
DUBENKO: Get out of the way, Kevin.
We are leaving right now.
No, it's a bad idea.
I'll call security if I have to.
I don't care.
Hey, V tach.
Damn it!
This is what happens when you screw around in the ER.
300 charge.
Clear.
Sinus rhythm.
With a pulse.
All right...
Clear the way - let's go.
No.
No.
Potassium's 8.1.
Oh, my God.
TAGGART: CK's 9,200.
It is rhabdo.
Bicarb, insulin, glucose and...Kayexalate.
Right away.
We need to keep her urine output over 300 an hour or she'll go into renal failure.
She'll be yours in a minute, Lucien.
Go ahead, Abby, back on the floor.
I was just out there.
No, somebody...
Then you go!
Excuse me?
I'm not leaving her, all right?
I'm not leaving.
Hang another litre of saline.
Where are we on blood?
Fourth unit's going in.
OK, send FFP upstairs.
Call the OR and tell 'em we're on our way up.
Neela, you're intubated and you're going for an ex lap, and I'm going to stay with you, OK?
You're doing great, Neela.
Hang in there.
Just hang in there.
Hang in there.
Hey, did that impaled boy make it up OK?
Stable in OR Two.
Good, thank you.
Dr Moretti.
Yeah?
Can I present some patients?
Of course.
All right, foreign body to the eye, now has total vision loss on the right.
Complete loss of vision?
A little light perception.
For how long?
About 15 minutes.
Why didn't you come and get me?
You were busy.
Hi, I'm Dr Moretti.
Can you close your good eye for me, please?
OK.
How many fingers am I holding up?
I couldn't tell you.
All right, give me that.
Mm...
Irregular pupil.
That's new.
It was reactive.
No, no, it's not a foreign body, it's a ruptured globe.
I tripped and some jerk just stomped right on my face.
Something penetrated your eyeball.
It's bleeding inside.
Am I going to be blind?
No, not if surgery can correct it.
And the sooner the better.
All right...
head of bed to 45 degrees, metal eye shield, gram of Ancef and stat page ophtho.
4.0 Vicryl.
Gentlemen.
Hand service has been paged.
I did a Bier block, so he's feeling no pain.
OK, great.
I got it from here.
No, we can do it.
Really.
In my pocket, labs on two of your favourite attendings.
Blood alcohol is less than .01.
They let airline pilots fly at that level.
Shh!
Keep your voice down.
WHISPERS: Another Vicryl, Dr Gates.
Sure.
OK.
How'd this happen?
I was cutting the lawn.
I was having problems with the mower and I knew I was running out of gas, so...
I tried to refill the tank without shutting the engine off.
I don't really remember what happened after that.
I guess I blacked out.
There's a reason why it's called an internal combustion engine.
You managed to make it an external.
You gonna be able to sew my fingers back on?
Do you have them?
Good luck.
She's bleeding inside her lungs.
Oh, my God.
How do you stop that?
We'll just have to wait for it to heal.
It's a special low-pressure vent that'll help.
All set.
Dr Pratt.
Hey, don't even start, man, I'm serious, OK?
I'm working on my patient.
She needs constant attention and no-one else is available.
Relax, relax, I talked to Dr Morris.
I saw the blood test.
All right, good.
Got severe pulmonary contusions, hypoxia PEEP and we switched to an oscillator.
You could be better utilised outside.
Have you taken a look at the X-ray?
This patient is critical.
I know.
And so are ten other patients out there who actually have a chance.
You're wasting your time and our resources trying to save a dead girl.
Excuse me, what the hell does that mean?
Oh, I'm sorry, sir.
I didn't know you were there.
OK, er...
with the extent of her haemorrhaging, her chances of survival are almost nil.
So, what, you just give up on her?
No, no, we're not giving up - we're giving her the best care...
Why don't you just leave?
OK?!
I don't want you in here.
He's doing fine.
Please continue.
MARQUEZ: She's bradying down!
All right, PEA.
Lost her pulse.
Starting compressions.
He was doing fine until you came in here.
Sir, please get out of the way, please.
This is your fault!
All right, get out of the way, sir.
MORETTI: Amp of atropine.
BUZZING How about the cell saver?
Ready to go.
Metz.
Couple of Richardsons.
We're on it.
Suction, Dusty.
Yankauer's not going to do it.
I need a pool sucker.
Lots of clots in the left upper quadrant.
We should pack up the spleen first.
No, she had impact and tenderness on the right.
Guys...
We're packing the liver first.
That's your call.
Yeah, damn right it is!
Yeah, OK.
Please have somebody call down if you hear anything.
She out of surgery?
Yo, Taggart.
I got a live one for you.
I found him sitting in the middle of the street, directing traffic.
Well, I was just trying to calm the masses.
There was so much negative energy that nobody could feel that...
universal connection that we all have.
Right, right, right.
What are you on, buddy?
What are you on?
what are you on?
You know, when I touch you like this, we're exchanging matter on a subatomic particle level.
Well, I don't know where your atoms have been so it's best that you just keep them to yourself.
What's this?
And psilocybin is a gift from God.
Oh, the magic of mushrooms.
Yes, that is...
RASPY LAUGHTER Look at this.
LAUGHING Your shirt is breathing.
All right.
LAUGHING You're freaking him out.
LAUGHING How's your doctor friend doing?
It's too soon to tell.
We're all thinking about her.
Thanks.
Oh, this is so good.
No, don't stop.
Excuse me.
Uh, do you have any medical problems?
No, I...
My-my-my skin becomes transparent.
Occasionally, I can see my organs.
But...
I'm going to get a urine tox screen and find him a comfy bed.
Dive!
Dive!
Don't touch that.
Uh, you'd better hold my hand, if you don't want me to just float away.
OK.
I got you.
Oh, I can feel the love you have for your friend.
It's beautiful.
Any other victims?
No, I think we got most of them.
No shrapnel or blast injuries?
It wasn't a bomb.
Well, there was an explosion - I heard it.
MORRIS: People saw smoke.
It was on the news.
Heard the bomb squad figures it was some guy setting off fireworks or something.
Well, it had to be at least an M-80.
Well, whatever it was, it wasn't the terrorists.
Not today.
who claim they live alone.
We're closing in with our confidential hotline.
We're closing in with over 600 calls a day.
We're closing in on benefit thieves with every means at our disposal.
And when we catch you...
KNOCKING ..you could face a criminal record and even a prison sentence.
Benefit thieves.
We're closing in.
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The smart thing to do is pack up the liver, put in a Bogota bag and close her up.
We'll come back in two days for the definitive repair.
Two days?!
No, no.
I don't want the risks of biliary leaks or abscess formation.
More lap pads.
You can't screw around while she bleeds to death.
Hemoclips.
All right, you can't even try to repair the liver?
No.
Yes.
Yes, we can try.
Where's my argon?
Ready in a minute.
Just stop.
Abby, you're really not helping.
That makes two of us.
I don't know what you're getting at.
Dr Lockhart, perhaps you should step outside.
Well, perhaps you should just shut up, both of you.
Lucien...
Can the repair be done?
Yes.
Yes, it can.
OK.
Dr Crenshaw's gonna do it.
What?
You're too close to this, and you know I'm right, so just let him operate, you'll assist and I'll keep time, OK?
OK.
How's it going here?
Hand service can take him in an hour.
Good.
Can I get something to drink?
Chuny, why don't you get him some ice chips.
All right.
So, whose, er...
lawn were you cutting?
Mine.
Yours.
Right.
Says here you live on Halsted.
Not a lot of lawns out there on Halsted, right?
There's some grass around the building, on the side.
Right.
So, what are you, a...
you a super?
No, but sometimes I help out.
So you help out the super, cut the lawns on the side of the...?
He's old.
I feel sorry for him.
You know there's a lot of hospitals between, er, Halsted and County.
That's my stuff.
Right.
I stopped by a friend's house around here.
She's a home health aide.
She told me I needed to go to the hospital.
What are you doing?
Doesn't smell like gasoline much, does it?
Smell that.
No.
Smell it.
Does it smell like gasoline?
I didn't spill it.
Does it smell like gas?
No.
Smells like black powder, doesn't it?
What's this?
A lighter.
And your chart says you don't smoke, but, er, what's that?
What was it?
M-80?
Huh?
Cherry bomb?
What?
Where you going?
Where you going?
You're crazy.
I'm crazy.
Get back in bed.
No!
Get back in bed.
What are you doing?
I'm going somewhere the docs don't sniff your...
Oh, yeah?
What's your problem?!
You know what my problem is, asshole?!
All these people are here because of you.
You understand me?
Look at this girl.
Look!
Look at that girl!
You see that?!
Well, this is your fault.
Look at him.
Look at him, huh?!
That's because of you!
Tony!
Because of you, look at...!
Back off!
What are you doing?
This guy, you see him?
look around.
Tony, calm down.
Calm down.
It's your fault.
Hey!
You killed people, you understand?!
Look over there.
Look at that little girl.
You see her?!
You killed that girl!
You killed people, you understand that?!
So you're supposed to be a tough guy?
Where'd you hear that?
Oh, I don't know, word on the street.
Seems you have a history of violence whenever your vocabulary is overtaxed.
And according to your file, that happens with alarming frequency.
Yeah, well, look around.
Every bed in this place has a patient because of that jackass.
Not to mention Dr Rasgotra.
Yeah, not to mention her, either.
And you think that having had a dalliance with a co-worker mitigates the situation?
Is that what you think?
I don't know.
You don't know?
It doesn't.
You attacked a patient.
Who caused a riot that messed