00:00What do we got?
00:0127-year-old female, BP 92 over 35,
00:03heart rate 130, respiratory rate 28.
00:06Got caught in an electrical fire escaping the ship.
00:08Life jacket melted to the skin of her abdomen.
00:11Second and third degree burns.
00:13I can't breathe.
00:14Stop the gurney.
00:15Hey, we got you.
00:16She's got a tension pneumo.
00:17Could arrest any second.
00:18Get me a 14-gauge angiocast.
00:20Can you get the needle in through the life jacket?
00:22I can decompress in the mid-axillary line.
00:25You're gonna feel a little pinch.
00:27Three, two, one.
00:32Julia, talk to me.
00:33Red tag, 35-year-old male, drowning victim.
00:35Unconscious, GCS3.
00:36Brady anaphytic when we got to him.
00:38Intubated at the scene.
00:39Gave him a round of atropine,
00:40but he lost his pulse in the rig.
00:41Just started compressions and pushed one round of epi.
00:43Any improvement?
00:44No pulse, no respiratory effort.
00:45Nothing.
00:46Epinephrine, one milligram every three minutes.
00:48No, don't.
00:49Doesn't matter.
00:50Pupil's fixed and dilated.
00:51Couple more rounds of epi, maybe we get him back.
00:53He's gone.
00:54Dr. Hutchins.
00:55All right.
00:56Let's move on.
00:5860-year-old male, hemophiliac type A.
01:00Mom got him off the ship.
01:01BP 70 over 40.
01:02Respiratory rate 36.
01:04Moderate laceration on the lower right medial calf.
01:06Put on a tourniquet to minimize some blood loss.
01:08And he's in shock.
01:09Mommy, I'm scared.
01:10It's okay, sweetie.
01:11I'm here.
01:12I'm right here.
01:13Ma'am, I'm so sorry.
01:14We have to let Dr. Johnson do his job
01:16so he can take your son, all right?
01:17No, Mommy.
01:18No, I won't leave him.
01:19Okay, loosening tourniquet.
01:20All right, he's still bleeding.
01:22Let's downgrade to an Israeli pressure dressing.
01:25Let's get some more blood down here,
01:26and he needs FFP.
01:28He's a hemophiliac.
01:29Red tag.
01:3043-year-old male.
01:31Severe tenderness.
01:32Decreased breath sounds on the left chest
01:34with lavender bruising.
01:35Heart rate 130.
01:36BP 110 over 65.
01:38Sacs were only 88 on room air.
01:40Transfer on my count.
01:41One, two, three.
01:42Ah!
01:43Okay, you take a look.
01:44I'll listen.
01:45I can't breathe.
01:46I can't breathe.
01:47I can't breathe.
01:48I can't breathe.
01:49I can't breathe.
01:50I can't breathe.
01:51I can't breathe.
01:52I can't breathe.
01:53I can't breathe.
01:54I can't breathe.
01:55I hear you, buddy.
01:56I hear you.
01:57Here.
01:59Absinthe sliding.
02:00Hemothorax confirmed on left side
02:02with three rib fractures.
02:04All right, get me a chest tube set up
02:05with 1% lidocaine
02:07and give 100 mics fentanyl.
02:10This guy was driving this ship
02:11that ran into the commuter vessel.
02:12Witness said he lost consciousness
02:14and veered off course.
02:15I don't know what happened.
02:16One sec, I was driving,
02:18and the next I wake up on the deck
02:20with a helicopter over me.
02:21Just stay calm, sir.
02:22Can I just...
02:23Hold the fentanyl.
02:24Open your mouth, sir.
02:27He chewed up his tongue.
02:29You ever had a seizure before, sir?
02:31No.
02:32Is that what happened?
02:33It certainly looks like it.
02:34Nice catch.
02:35All right, let's, uh,
02:36push the fentanyl.
02:37Let's go.
02:38Ow!
02:39Ow!
02:40Come on, let's go.
02:4115...
02:42Apologies, Dr. Archer.
02:43A bit rusty.
02:47It's okay, Ms. Goodwin.
02:48Can you prep me
02:49a 36 French chest tube, please?
02:53Okay, I'm in.
02:55Heart rate's coming down.
02:57Sat's going up.
02:58Be stable.
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