00:00Head trauma, patient unresponsive.
00:03GCS 3, BP 202 over 95, heart rate 52.
00:07Kendall?
00:08She was lucid for a moment, but she crumped,
00:09so we intubated her.
00:10Okay.
00:11Kendall, I'm right here.
00:12Sir, I'm gonna need you to stay right there, please.
00:14Right there.
00:15Okay, on my count.
00:16One, two, three.
00:19Thank you, Courtney.
00:20Yep.
00:21Thank you, Matt.
00:23Okay, pupil's blown.
00:24It's gotta be an epidermal hematoma.
00:26If we don't release the pressure, her brain can herniate.
00:28Max, call CT.
00:29Get someone from neurosurgery down here.
00:30Stat.
00:31You got it.
00:32It all happened so fast.
00:33One second, we're walking home from the market,
00:34and the next, she's screaming at I don't know who,
00:35insisting they're trying to get her,
00:37and then she just bolted out into traffic.
00:38Okay, we're gonna do what we can, Bryce.
00:40All right, both scanners have patients on the table.
00:42CT 2 can see you in 10 minutes.
00:44Neurosurge can meet you in the OR in 20.
00:46What? She doesn't have time for that.
00:47No, we need to alleviate the pressure now.
00:49Okay, get me an I.O. kit.
00:50We're gonna place a 15-millimeter intraosseous needle
00:52to aspirate the blood.
00:53Is she gonna be okay?
00:54When's the last time you did one of those?
00:55I watched one when I was a medical student.
00:57We don't have any better options, Max.
00:59Time is brain.
01:00Scalpel.
01:03What is that, a drill?
01:04What are you doing with that?
01:06Sir.
01:10Syringe.
01:2215 mils for now.
01:23BP's normalizing.
01:24Fetal heart tones are holding strong.
01:26Okay, this is a temporary fix until we can't bump to the OR.
01:29Let's get this patient to CT.
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