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Watch The Pitt Season 2 Episode 7 (2026) full episode online in HD. The drama intensifies with powerful moments, unexpected twists, and gripping storytelling. Available in VF & VOSTFR with fast streaming and high-quality video.
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00:00Sous-titrage Société Radio-Canada
00:34Sous-titrage Société Radio-Canada
01:00Sous-titrage Société Radio-Canada
01:32Sous-titrage Société Radio-Canada
01:36Sous-titrage Société Radio-Canada
01:39Sous-titrage Société Radio-Canada
01:41Sous-titrage Société Radio-Canada
01:44Sous-titrage Société Radio-Canada
01:52Sous-titrage Société Radio-Canada
01:58Sous-titrage Société Radio-Canada
02:08Sous-titrage Société Radio-Canada
02:10Sous-titrage Société Radio-Canada
02:35Sous-titrage Société Radio-Canada
02:40Sous-titrage Société Radio-Canada
02:42Sous-titrage Société Radio-Canada
02:44Sous-titrage Société Radio-Canada
02:49Sous-titrage Société Radio-Canada
02:52Sous-titrage Société Radio-Canada
02:55Sous-titrage Société Radio-Canada
03:14Sous-titrage Société Radio-Canada
03:16Sous-titrage Société Radio-Canada
03:18Sous-titrage Société Radio-Canada
03:19Sous-titrage Société Radio-Canada
03:23Sous-titrage Société Radio-Canada
03:26Sous-titrage Société Radio-Canada
03:30Sous-titrage Société Radio-Canada
03:33Sous-titrage Société Radio-Canada
03:37Sous-titrage Société Radio-Canada
03:401 et 2 pour ce qui est le plus private space
03:42qu'il y avait de l'ED.
03:44C'est un peu plus.
03:45Est-ce qu'il y a un pour-il?
03:47Oui.
03:49Oui, je suis bien.
03:50All right, je me le sais si vous avez besoin de step-out.
04:00Oh, yes.
04:04Dr. Ellis.
04:05Oh, no.
04:06Oh, yes.
04:07I need the room.
04:09Find another place to lay your head.
04:11Not even a 20-minute power nap?
04:13No, my double's at 1.30.
04:15I'm just...
04:15Mr. May, return over.
04:20So you're having a headache and abdominal pain?
04:27Yeah, that's right.
04:28Okay, and which would you say is worse?
04:35My headache was terrible last week, but now...
04:40Hey, you're breaking up.
04:41Can you run that back again?
04:43Sure.
04:47My headache was terrible last week,
04:49but now my abdominal pain...
04:53Oh, my God, come on, you piece of shit.
04:56Fuck.
05:00Um...
05:15Um...
05:18Um...
05:25I'll...
05:26I'll be right back.
05:28Sorry.
05:35Um, Dr. Al-Hashimi?
05:37Jackson's parents are here.
05:39Okay.
05:40Take that.
05:41Um, Mr. and Mrs. Davis,
05:43this is one of my attendings, Dr. Al-Hashimi.
05:45Hi, nice to meet you.
05:47Demi.
05:47Charles.
05:48What the hell's going on?
05:50He's barely conscious.
05:52Jackson's just a little tired
05:53due to the sedative he was given.
05:55You sedated him.
05:56Oh, your son was brought in extremely agitated.
05:58Me too, if you were tased.
06:00And why the fuck did they do that?
06:02This is bullshit.
06:04We're taking him home.
06:05Why don't we step out for a second?
06:15Right now, Jackson is on an involuntary psych hold.
06:19What?
06:19That's not necessary.
06:21He just needs some rest.
06:22He's been studying for the bar exam.
06:24We can watch him at home.
06:25So far, all of his tests look good,
06:27but Jackson has reported hearing voices.
06:30This could be serious.
06:31Dr. Jefferson will come back and speak with you.
06:34He can explain more of what may be going on with Jackson.
06:37And who is Dr. Jefferson?
06:38He's from psychiatry, and he's excellent.
06:40He can explain next steps and answer all of your questions.
06:43Javadi, why don't you take the Davises to the family room?
06:45Sure, excuse me.
06:46It's just this way.
07:09You have reached the Pittsburgh Neuroscience Group.
07:13If this is a medical emergency,
07:14please hang up and dial 911.
07:17For our address and office hours, press 1.
07:20To refill a prescription, press 2.
07:23To leave a message for the doctor on call...
07:27Hi, this is Dr. Baron Al-Hashimi.
07:30I'm a patient of Dr. Fairgrave's.
07:31I need to speak to him if he's on call.
07:35Um...
07:36If he's not,
07:36I'll take his next available appointment.
07:39And please, call me if he has a cancellation.
07:42Thank you.
07:44Like I said, you're more than welcome to stay down here until an inpatient bed opens up upstairs.
07:48But that can take a while.
07:50Sometimes days.
07:54It's gonna be really noisy here and you won't get any rest.
07:57At home, you'll be surrounded by your family and be more comfortable.
08:02It's your choice, Roxy.
08:07It's not that I don't want to go home, but I...
08:10Hi, Mom.
08:11Mom.
08:12Lena texted me to come back.
08:13I figured I'd bring the boys.
08:16What's going on?
08:16Is everything okay?
08:18Robby, police officer, incoming trauma.
08:22Coming.
08:23I'll be right back.
08:24We'll give you a chance to talk.
08:26Oh.
08:28Okay.
08:29You can have a seat.
08:38Do you need anything before we begin?
08:46You are in control now, Alana.
08:49We're here to help and support you.
08:51Once I open this kit, I cannot leave the room.
08:55But if you need a break or some air, just let us know, okay?
08:59Emma can go with you if you like.
09:02An advocate from Pittsburgh Action Against Rapists has been called and they should arrive soon.
09:06Can we start?
09:07Sure.
09:08I'm gonna put my face shield on so it don't contaminate anything.
09:12Emma's already done the same.
09:15Now, in order for the doctor to do her exam, I need you in a gown, but I need to
09:20collect your clothing first.
09:21Is that okay?
09:27I'm gonna need you to undress on top of these pads.
09:30Put each item of clothing on the pads, okay?
09:34Then we'll package each piece in a separate bag.
09:37We'll get you new clothes.
09:38Don't worry.
09:39All right.
09:40Emma's gonna be behind this curtain and I'll be in here with you.
09:44Take off your shoes first.
09:47When you're done,
09:48I want you to put on your gown.
09:52Open in the back.
09:55Okay.
09:58Okay.
10:19What if the mom doesn't want to leave?
10:22Well, then she's gonna have to put up with us.
10:25I can't imagine.
10:27Her boys.
10:28Oh, don't go there.
10:30I'm gonna see if I can grease the wheels, get her a room upstairs soon.
10:33Good luck.
10:34What is that?
10:35A battle plan for a hall space.
10:37It's filling up fast.
10:38Police officers should be here any minute.
10:39Yeah, well, as soon as you can, please.
10:41I need you to fix the VRI.
10:43Thanks.
10:44Santos, I need you to pick up some more of these Westbridge diversions.
10:47Sure.
10:47You want my firstborn, too?
10:49Maybe.
10:49Will they know how to suture?
10:51Intubated neck wounds.
10:52That's not great.
10:53We were diverted here.
10:54Is there a trauma room open?
10:55Trauma one.
10:56What's the story?
10:56My buddy Officer Juro.
10:57High Velocity GSW.
10:59He's getting harder to bag.
11:01Warehouse robbery gone sideways.
11:03One, two, three.
11:05You guys wait here.
11:06We'll take care of him, I promise.
11:08I thought you left us already for the open road.
11:09I miss seeing you in uniform.
11:11You should see me as a flight attendant.
11:12Do you do this intubation?
11:14Under active fire, yeah.
11:15Are you serious?
11:16I go in with the team in case there's an injury.
11:18That's badass.
11:19Dr. Santos, let's make sure these lungs are up.
11:21Can you see the quartz?
11:22Yeah, it was a great view, but it's hard to pass after I cleared them.
11:25Yes, that's only 85.
11:27Dr. Santos, what could cause respiratory failure in an intubated patient?
11:30Uh, there are a lot of possibilities.
11:32Hey, dope.
11:33Displacement, obstruction, pneumothorax, equipment failure, good lung sliding, no pneumo.
11:39It is displacement.
11:41Okay, that is a transected trachea.
11:45Pulling out.
11:47Bag.
11:48But if you intubate again, won't it just come straight out of the wound?
11:51Yep, exactly.
11:52So we're gonna need another plan.
11:53Yeah.
11:53Okay, that's down to 83.
11:55Yeah, he's not moving in the air.
11:57Okay, I need a neonatal mask.
11:58Neonatal?
11:59Yep.
12:01I'm just going to finish my initial exam.
12:03Let me know if you feel any pain, okay?
12:09My legs are fine.
12:12Well, it looks good.
12:14No need for x-rays or advanced imaging.
12:16Got it.
12:17Two areas of ecchymosis.
12:19That means bruising.
12:20Over the shoulders, bilaterally.
12:21I'll document my photos.
12:22Okay.
12:23Dana will finish up her work, and I will be in the ER if you have any questions.
12:27You're in great hands.
12:29Thank you.
12:31All right, Alana.
12:34I read your intake.
12:36Why don't you give me your description of exactly what happened?
12:42I was at a Fourth of July barbecue with a bunch of friends.
12:48I helped set up.
12:59Where does it hurt?
13:01Like here, under my belly button.
13:04Okay.
13:04Do you have any fever, vomiting, diarrhea?
13:07Um, you know, it's just a stomachache.
13:11Okay, let's still go see the nurse and have her call me.
13:13Okay.
13:14But I'm still having ice cream tonight.
13:17Let's just see how you feel later.
13:19It's not bad.
13:21You don't have to get so sad.
13:23I'm not sad.
13:23I'm good.
13:25Your face doesn't look good.
13:28Um, well, do you still want to watch the fireworks tonight?
13:31I have our headphones.
13:31I love being rude.
13:35Sorry, Becca.
13:36I got to go.
13:40Sorry.
13:42Elliot Green, 17, syncopal episode of football practice.
13:45Look, I just got dizzy, okay?
13:47It's hell week.
13:48I need to get back.
13:49Yeah, okay, tough guy.
13:51A&O, systolic of 95, tachyent 122, no meds, no allergies.
13:55How long were you at practice?
13:56Started at nine, so like four hours.
13:59Four hours in this heat with all that gear?
14:01No pain, no gain.
14:06God, I'm hungry.
14:09Hey, when's our break?
14:12There's no breaks down here.
14:13Always make sure you pack a protein bar, something quick.
14:16Ogilvy, Joy.
14:18Jump in on this.
14:20Syncopal football practice.
14:21I just, I just needed to hydrate.
14:24Possible heat stroke?
14:26Well, with heat stroke, you would have an altered mental status.
14:28I'm usually dry, not sweaty.
14:29Mortality is 50%, especially in the elderly.
14:31And in extreme heat like this,
14:33it would basically be fine.
14:35Landon, can you cover this?
14:37No problem.
14:37Mr. Diaz, Orlando, Orlando, where are you going?
14:41Home.
14:42You take these out?
14:42Uh, no, it takes 48 hours for you to get out of DKA.
14:45Your blood is still full of acid.
14:46Look, I can't add thousands of dollars to the 100 grand I already owe.
14:50I'm, I'm sorry, 100 grand?
14:51It's a medical debt.
14:53My wife doesn't even know.
14:54I'll never be able to pay it off as it is.
14:56Where are your wife and daughter?
14:57Maybe we can all talk.
14:58I told them to go back to work a couple hours ago.
15:00But the hospital is giving you a big discount.
15:01And Mr. Diaz, I know it's not ideal,
15:03but can you stay for at least 12 hours?
15:05It will get you out of the danger zone.
15:07No.
15:08I really can't.
15:09Every minute I stay is a meal, shoes, school supplies.
15:13Plus, I have a second job I have to get to by four.
15:15You need fluids.
15:17I drink plenty of water.
15:19And potassium and insulin.
15:20Okay, how about this?
15:21You stay and I'll get together everything you'll need at home.
15:24Also, a referral to Northside Christian Health Center.
15:28Come on.
15:29You don't work until four.
15:30It'll keep you from passing out on the job again.
15:33Or worse.
15:38Okay, I guess.
15:40Great.
15:41Thank you.
15:42Please.
15:46That's up to 98.
15:47This neonatal mask is working.
15:49Santos, finish the test.
15:50What are you injecting?
15:52Bido with epi.
15:53It'll clamp off any little bleeders, some skin hooks.
15:55Four Shiley.
15:57I don't like the curve of a Shiley.
15:58I didn't know you were so picky.
16:00Santos, take a break.
16:01Help me cut down a 6-O-E-T-2.
16:03What is going on here?
16:04You have a field medic assisting you?
16:06Dr. Abbott is an attending, and he's also a SWAT physician.
16:09My buddy Hiro here is in bad need of an airway.
16:12I cut it right here.
16:13We can do this.
16:14No, no, I got it.
16:15You must be Gloria's new hire.
16:16Yes, Dr. Al-Hashimi.
16:17Well, I'd shake your hand, but my tube is ready.
16:20And if I could find it secure the distant trachea, we have a shot at this.
16:22Okay, keeping an eye on the sets.
16:26Slow, smooth, smooth as fast.
16:27You know, you can call me just to say hi sometimes.
16:30What's up now?
16:31GSW with tracheal transaction.
16:34Very retracted.
16:34But I think I can get it.
16:36Both lungs are up.
16:38Sat's standing the belly now.
16:41Okay, just...
16:43I got it.
16:44I got it.
16:48Gently, gently, or we're going to lose it.
16:50Down to 89.
16:53I'm in.
16:53Balloon up.
16:57Entitle.
16:57Excellent waveform.
16:59Good breath sounds.
17:02Also the tracheal to the skin.
17:032-0 silk.
17:05Sats are coming up.
17:06Ooh, not bad, Evan.
17:10While you were playing him with that airway, you missed a big bruise in the left upper quadrant.
17:14He was wearing body armor.
17:15High-velocity projectile doesn't have to penetrate to do damage.
17:18There's no fluid in the super-splaining space.
17:20Let me look.
17:23Okay, right there.
17:24Okay, right there.
17:26Looks like a subcapsular hematoma of the spleen.
17:29Must have been a big impact.
17:30AR-15 muzzle velocity is 3,000 feet per second.
17:33CT angio of the neck ASAP, along with CT chest, abdomen, pelvis.
17:37Yep.
17:38Just as soon as we secure this tube.
17:44Burst leader's in.
17:45Mucous membrane's dry.
17:47Pupils, four millimeters reactive.
17:49Did you get tackled today?
17:50No, just running drills.
17:52Any chest pain, palpitations?
17:54No.
17:54Hands off, please.
17:56Running the 12 lead.
17:57How are we looking?
17:58Good.
17:59Healthy kid.
18:00No history, no trauma.
18:01Differential for syncope in an adolescent.
18:04Cardiac arrhythmia from drugs.
18:06Long QT, WPW, or Brugada.
18:09Uh, Brugada's more common in Asian males.
18:11But still should be considered.
18:13Long odds, sir.
18:14Brugada prevalence is 1 in 20,000 in North America,
18:16as high as 1 in 300 in Asia and the Middle East.
18:19And?
18:20First described in 1992,
18:22has a high incidence of sudden death among young patients
18:24with otherwise structurally normal hearts.
18:26Wait, did you just say sudden death?
18:28Temp is 1 in 2.5.
18:29Sorry, our student doctors are discussing
18:31a rare condition you don't have.
18:34I just didn't drink enough water.
18:37I overheated.
18:40Not my type, bud.
18:42Other than standard labs, what else to order?
18:48CK, to rule it rhabdo.
18:50To make sure you don't have any muscle breakdown from the heat.
18:53Let's set up a cooling room for Elliot here
18:55in the other heat exhaustions we will inevitably get today.
19:02Last photo.
19:07Okay.
19:08Take the SD card.
19:10And I seal it in an evidence envelope with everything else.
19:14Okay.
19:15Next, I'm just going to turn off the light.
19:19And I'll run a blue light over your skin.
19:22Anything glows,
19:24I'll swab it with a wet,
19:26then dry Q-tip.
19:28Is that okay?
19:29Yeah.
19:29Sure.
19:30Good.
19:33All right.
19:34Take off your gown on the left side
19:36and turn a little bit towards me,
19:37just to the left.
19:39There you go.
19:41Yep.
19:41There you go.
20:06Some on the left wrist.
20:08Swab.
20:17Sorry.
20:18Don't, gang.
20:19It's just cold.
20:20Damn.
20:21I'm gonna stop.
20:29Thanks, Antoine.
20:30No problem.
20:31Keep your head down out there.
20:33What's the story?
20:34Neck angio is negative.
20:36Missed the carotids.
20:37It's lucky.
20:38What about the belly?
20:38Small splenic injury,
20:39no free fluid in the abdomen.
20:41That should heal on its own.
20:42It's planned.
20:43Head and neck will have an OR ready
20:44with thoracic standing by.
20:45How soon can they take him?
20:47We're a little backed up with Westbridge patients,
20:48but let's bring him up.
20:50I'll get him taken care of for you.
20:52Hey.
20:54You're gonna be okay here
20:55or we're getting you to surgery.
20:57I'll write the procedure note.
20:58Thank you.
21:05Swat?
21:05Really?
21:06I suck at golf.
21:08You spend time in the Middle East?
21:10More than I would have liked.
21:12I worked in Kabul with Médecins Sans Frontières
21:14and in 2020 at the maternity hospital.
21:17I met the most incredible, bravest doctors there.
21:21Vashti Barchi.
21:24Tragedy.
21:26We should grab a beer sometime.
21:27Share war stories.
21:29I'd like that.
21:34She seems cool.
21:35Yep, maybe.
21:37I'm not gonna be around long enough to find out.
21:40Oh, there she is.
21:41Vic!
21:43Dad.
21:44Victoria, this is Dr. Amy June.
21:47Dr. June is the smartest person I know.
21:49Don't tell your mother.
21:50Just kidding.
21:51Seriously, don't.
21:53Hello.
21:54Hi.
21:54Are you here to see a patient?
21:56No, we're here to see you.
21:58Dr. June is chief of dermatology
21:59and Victoria's first shift in the ER
22:01was on the day of the Pit Fest shooting.
22:04I heard all the incredible stories,
22:06including your own acts of med student prowess.
22:10Wow, med student prowess.
22:12That's, uh...
22:13No, I'm pretty sure I was just trying to stay out of the way.
22:15She's modest, like her dad.
22:17And her mother.
22:18Oh.
22:19Sorry.
22:20Dr. June.
22:23Coming.
22:24I'm doing a favor for someone at the mayor's office
22:27who needs Mohs surgery on a basal cell carcinoma.
22:29And then I'm grilling for 30.
22:32Oh, man.
22:33Happy 4th, all.
22:34Happy 4th.
22:35Thanks for coming down.
22:36My pleasure.
22:37Let's grab a coffee sometime.
22:38Absolutely, yes.
22:39Thank you.
22:41You know Mom really wants me to go into surgery.
22:44Your Mom wants me to stop drinking
22:46and join a pickleball league.
22:47Oh, that's the same.
22:48Yeah, well...
22:49Exact the same.
22:50I will risk an Achilles tear before I give up scotch.
22:53Hey, I hope I didn't embarrass you coming down here.
22:55No.
22:56I'm just trying to present you with some options
22:58for your residency.
22:59I-I really appreciate it, Dad.
23:01I do.
23:02I just...
23:03I'm still not sure.
23:05Well, either way, you'll do what's right.
23:07You always do.
23:08Radia.
23:10Shh.
23:10Dr. Javadi, you are a man of many talents.
23:13Uh-huh.
23:14You don't know the half of it.
23:15Your daughter has some high standards to live up to.
23:18Oh, you don't know the half of it.
23:23Mr. and Mrs. Davis,
23:24this is Dr. Jefferson from psychiatry.
23:27Please call me Caleb.
23:28Can you tell us what's going on with our son?
23:31All of his labs and x-rays came back normal,
23:35given his age and his hearing voices.
23:38Do either of you have a family history of mental illness?
23:43Not mine.
23:51My brother took his own life.
23:53Wait, what?
23:55Uncle Ken?
23:58He said he drank himself to death.
24:00Ma.
24:00He did that, too.
24:01Was he ever formally diagnosed with a mental health issue?
24:04No.
24:04He was depressed,
24:06had mood swings,
24:08but he didn't want to see anyone.
24:10Oh, my God.
24:10Okay, why am I just now hearing about this?
24:12Jada, please.
24:13Please what?
24:13Mom?
24:14Why would you not tell Jackson?
24:16Or me?
24:18I can't believe it.
24:19Jada.
24:20Excuse me.
24:21Jada.
24:29What happens next?
24:31We keep your son here for the next three days for observation and therapy,
24:36and that'll help us to understand what is going on.
24:38Jada should really hear this.
24:40Let me see if I can find her.
24:41Bring her back.
24:45Okay.
24:46I'm going to swab your mouth now.
24:48My mouth?
24:49Two dry swabs along the inside of your cheek,
24:53and then along the gum line.
24:59How are you feeling?
25:03I wish this day never happened.
25:05Would you like some medicine to help you relax?
25:07You've experienced a horrific trauma.
25:12You've been doing this a while?
25:13Let's just say Florence Nightingale and I were roommates.
25:17Who?
25:19I rest my case.
25:21She was the founder of Modern Nursing.
25:25She was the founder of Modern Nursing.
25:26We can have something to eat a drink now.
25:28I'm fine.
25:29You sure?
25:29I'll just keep going.
25:32Okay.
25:40We now have a heat exhaustion treatment area in North Park.
25:45Evaporated cooling.
25:46Great plan.
25:48Yeah, but it was Dr. Langdon's idea.
25:53He figured we'd be seeing a lot more patients in this heat.
25:56He's right.
25:58How are you feeling?
26:00It's a loaded question.
26:02It wasn't meant to be.
26:04You have a deposition in a couple hours?
26:06Yes.
26:07How are you feeling about it?
26:08Um, trying to think positively, but feeling, um, less so.
26:13You know, this job's really important to me and my sister.
26:16You know, I support both of us.
26:17It's gonna go great.
26:18Just tell them what happened.
26:20You're not at fault.
26:20Your job's not in jeopardy.
26:22I mean, the lawyer said that I could...
26:24No, the lawyer's job is to try and shake your confidence.
26:26So don't let them.
26:27You're a very good doctor.
26:28I have been training residents for years.
26:30You are one of the very best.
26:33I am?
26:34We need to stick to the plan.
26:36Promise.
26:37Thanks.
26:37She's not thinking about it, okay?
26:39It's gonna be great.
26:40This is not what she wants.
26:42Then I'm taking her home.
26:43That's it.
26:43We have to honor your wife's wishes.
26:46Even if she's loaded up with morphine and can't think straight?
26:48Especially then.
26:49Hello?
26:50Paul Hamler, this is my attending Dr. Rubinovich.
26:53Hi.
26:53Hi.
26:54Uh, my wife is not thinking clearly.
26:56What is it that she is asking for?
26:59It's that she wants to stay here.
27:01Why don't we all go in and talk?
27:04Brian Jenkins is allowed to hunt with a .22 on his grandpa's farm.
27:08Sounds like an accident just waiting to happen.
27:10Mm-hmm.
27:11And you're not Brian Jenkins.
27:13How are we doing in here, Roxy?
27:15Been better?
27:17Rumor has it you're still interested in booking a room with us.
27:21I don't want to go back home yet.
27:23It's all set up, Rox.
27:25You're going to be more comfortable at home.
27:27Paul, I changed my mind.
27:29It is our home.
27:32I don't...
27:34I don't want you living with my ghost.
27:36I will happily live with your ghost.
27:38Can we just all stop talking about ghosts, please?
27:41Yes, I'm sorry.
27:43Sorry, sweetie, you're right.
27:45Got trauma flying in.
27:47E.T. in five minutes.
27:48Okay, um, I'm very sorry.
27:50I will be right back.
27:51Excuse me.
27:53It's a boating accident, swimmer versus propeller.
27:56Ouch.
27:57What body parts involved?
27:58They didn't say.
27:59How old?
28:00Nope.
28:01Anything?
28:01All I got was boating accident, swimmer versus propeller.
28:04Propeller.
28:04Got it.
28:09Here we go.
28:10Here one trauma, easy as two minutes.
28:11Here one trauma, easy as two minutes.
29:14I'm really glad that you got the help that you need
29:20But I don't know if I want you working in my ER
29:32Why'd you intubate?
29:33He was splitting from the pain
29:34Barely moving air with sats in the 80s
29:36How do you get sliced up in the propeller?
29:38He was in the Allegheny trying to untangle a water ski tow line
29:41When his buddy started the engine
29:42Drunk buddy, I assume?
29:43It's 4th of July, you tell me
29:44Focus on the patient, please
29:46Sophie, take over bagging
29:50Okay, 1, 2, 3
29:52Watch that buckle
29:55You need me in here?
29:56Nope
29:56We have a senior resident and an attending
29:58Mel, can we start with a...
30:01E-Fast, sure
30:02Yes, please
30:02Why?
30:03To check and make sure there's no pneumothorax
30:05Otherwise it could become a tension
30:07Exactly
30:09You want Oneg?
30:11Not without a BP first
30:12108 over 64
30:14Pulse is 102
30:15Sats are good
30:16Okay, let's have Oneg ready
30:17But don't give it just yet
30:19Anything else?
30:22How about a emo cube?
30:24Yeah, yeah, yeah, of course
30:34Next step is fingernails
30:38We'll go under each snail
30:39First with the wet swab
30:41And then with the dry one
30:44Do you want to take a break, Em?
30:47No
30:53How much longer?
30:55After these, we'll get to external and internal vaginal collection
31:04It's the advocate from Parr
31:06Okay
31:07They've been doing this longer than I have
31:09They provide resources, assistance, and support for sexual assault survivors
31:15Hey
31:18This will not define you, okay?
31:20You don't have to talk to them, but
31:22I recommend you do
31:24They're available 24-7
31:28Okay
31:29Okay
31:36Hi
31:37I'm Paulette Sanderson from Pittsburgh Action Against Rape
31:40Hi, Paulette
31:42I'm the same date, and this is Alana
31:43Hello
31:44I'm sorry to meet you under these circumstances
31:47But I and my organization are here to help you navigate everything that comes next
31:51I brought you some clothes and basic necessities
31:54I can even stay with you through the rest of your examination if you'd like
32:00I don't think that's necessary
32:02Okay
32:03That's fine
32:04Would it be okay if I ask you a few questions?
32:18Sure
32:22Our, uh, VRI isn't working
32:25Video relay interpreter?
32:27Yeah, of course I rebooted it
32:29Wait, how are you gonna fix it if you don't know what the hell it is?
32:33Yeah, okay, whatever
32:35Um, I want to do a head and belly scan on Harlow
32:37Can you try telling her why?
32:38What about the VRI?
32:39It's DOA
32:42I'm charting every free minute I get
32:44I wasn't coming over for that
32:46Good job in the trauma earlier
32:51What's this?
32:52Daniel Scott, 32
32:53Weekend dizzy while washing his car
32:55Tacky at 106
32:56BP 90 over 60
32:58Temps too high to register
32:59We have a coolie room set up in North 5
33:01Okay, how you feeling, Mr. Scott?
33:03Thirsty
33:03Let's see if we can't fix that
33:04He's gonna need a core temp
33:05A CMP
33:06Whoa
33:07Oh, hey, we need a trauma room
33:08What's open?
33:09Two
33:09I'll grab the Ativan
33:10Any past medical history?
33:12No, wife says he's healthy
33:13No meds, no allergies
33:14He needs a core temp
33:21Ready to transfer?
33:23Let's give two of Ativan
33:24Don't want him seasoned again
33:25I gotta get back to my patients
33:27Okay
33:27One, two, three
33:31Orders?
33:32Second IV with saline open
33:34Sepsis panel, UA, urine drug screen, EKG, and CK
33:37I don't see any apparent trauma
33:41People's reactive
33:42Mr. Scott
33:42Daniel, can you talk to me?
33:44Mm-hmm
33:45Postictal, but moving all extremities
33:47Pulse 137
33:48BP 88 over 60
33:49What are you thinking, Dr. Santos?
33:51A heat stroke, but consider sepsis or drugs
33:57Rectal temp is...
33:59104.6
34:00Okay, let's start with four ice packs on the groin and axilla
34:04Should we do a full-body ice bath?
34:06That'll take too long
34:07Do you have an arctic sun?
34:08Yeah, we do
34:08Get pads on the chest, abdomen, and both legs
34:10I'll check back in
34:14Cephtazidine is up
34:15And first hemoglobin, 8.2
34:17Eight's pretty low
34:18He must have bled down from 14
34:20Anything you want to do about that?
34:22Um, young, healthy guy
34:23We transfuse at seven
34:24Do we?
34:26We'd be in real trouble
34:27If he equilibrates from acute blood loss
34:29Am I interrupting something?
34:30Multiple lacerations
34:35Jesus
34:36This looks like some Jurassic Park shit
34:38Is that your official surgical diagnosis?
34:40He is hemodynamically stable
34:42What else do we know?
34:44Uh, intubated in the field
34:46Due to poor tidal volume
34:48Uh, EFAST was negative for pneumothorax
34:50So no need to do a chest tube
34:53And no free fluid in the abdomen
34:55Good hemostasis inside the wounds
34:57Nothing arterial
34:58At first he had a hemoglobin of 8.2
35:00We'll follow that closely
35:02With no active bleeding
35:03I wouldn't transfuse just yet
35:07Dr. Landon agrees with you
35:09Let's get him to CT
35:11Jason Stills, 62
35:12Was gathering the makings of a salad
35:14When he started feeling dizzy and nauseated
35:16Momented once
35:17How you feeling, Mr. Stills?
35:19I think I'm gonna die
35:20Well, you came to the right place to prevent that
35:22Uh, do you mind if I touch your abdomen?
35:25Yeah, sure
35:27Does this hurt at all?
35:28No
35:29He's tachycardic at 124 with a temp of 102.4
35:32Hey, Joy, what's your suggestion?
35:34Keep hydrating, check electrolytes
35:36And move him through the cooling room
35:37Precisely
35:38You'd look fine at a parking spot
35:39North 5
35:40What?
35:41No valet?
35:46Jada
35:47Hey
35:48I-I've been looking all over for you
35:50I just went for a walk
35:52I wanted to talk to you
35:54That's okay
35:57Um, so does Dr. Jefferson
35:59It's important that you get to hear what he has to say
36:01Why?
36:02Because I'm gonna go crazy like my brother?
36:04Or kill myself like my uncle?
36:07Of course not
36:08Um, but we still have no idea what caused Jackson's episode
36:13Episode
36:15Right
36:17Look, I-I know this
36:19Must be so scary for you
36:21And you probably feel betrayed by your parents
36:25But they had no way of knowing about Jackson
36:28You know, and some families just have a difficult time
36:30Talking about mental health
36:34Now you can help us take the first steps
36:36To finding out what we can do to help your brother
36:45Mr. Diaz
36:46I have a surprise for you
36:48Shh
36:50Oh
36:52Sorry
36:53It's okay
36:53Have you-have you seen my patient?
36:56Orlando?
36:57Mr. Diaz?
36:59Room was empty
37:01Seriously?
37:02Yeah
37:09What happened to you?
37:10Oh
37:12Well, it grazed my vest
37:13You were shot?
37:15Shot at
37:17Geniuses thought today was the day to rob a goods warehouse
37:20Didn't think about how long it would take to load the appliances
37:22They panicked
37:23All hell broke loose
37:25Jesus
37:29Why do you do this?
37:31My therapist said I needed a hobby
37:32Funny
37:36Shit, this
37:38This sucks
37:39Oh, it's nothing
37:40No
37:41Don't worry about me, I'm fine
37:42No
37:42Seriously
37:43My patient, he didn't have any insurance
37:46And he was already in a mountain of medical debt
37:50He couldn't afford any of his meds
37:52Hmm
37:54What's in the bag?
37:56Insulin
37:57Test strips
37:58Electrolyte powder
38:01I-I got him everything he needed for home care
38:03So Ubered to his house
38:06Is the hospital gonna pay for that?
38:08I'll pay for it
38:20What are you doing?
38:22Well, you clearly can't
38:25Did you make a chart?
38:27No
38:28This can stay off the books
38:30Don't need the paperwork from the hospital or the police department
38:34Okay
38:36We're a little secret
38:41How's he doing? Any more seizures?
38:43Nope
38:4410.02.9
38:46Lab's back
38:47Mostly signs of dehydration
38:49Tad hypernatremic
38:50Mild BUN
38:51And creatinine bump
38:52CK-400 something
38:54Nothing worse than yet
38:55Okay, good
38:56Keep cooling
38:56I'll monitor him
38:58Great
38:58That'll give Dr. Santos a chance to get caught up
39:05Your R2 year can be challenging
39:07You just have to keep grinding
39:11What's your dispo plan for Mr. Scott?
39:13Uh, ICU admission
39:15You should call neurology to consult
39:17Yeah, done
39:18Since it was exertional heat illness in a young person
39:21The mortality is low
39:22But non-exertional heat stroke in an elderly person
39:25You need to worry
39:26Okay
39:27Oh, well, put in orders for repeat labs
39:30Good work in there
39:45This 49-year-old woman presents to the emergency department
39:53With the chief complaint of right ear pain
39:57Hey, Donnie
39:58Can you do something about that?
40:00What?
40:01Seriously
40:03That's not driving you nuts?
40:05The baby
40:06It won't stop crying
40:07Oh, that
40:07Music's my ears now
40:09I think Jesse's the nurse
40:10Okay, you
40:26What the hell is going on?
40:28With what?
40:30With her
40:31Can you make her stop crying?
40:33She's been fed and changed
40:34She's cranky from rhinovirus
40:38There's no something you can do
40:40She's due for her next time
40:43Give me a minute
40:44I'll be right back
40:44Wait, no, no, no
40:45I'm not going to stay here
40:49What is your problem?
40:54That's precisely why I didn't go into Peds
40:58Okay
40:59Hey, hey
41:01Hey, little Miss Sunshine
41:05Oh, time for you to take a little nap
41:08That would be so fucking nice
41:10Yes, it would
41:14Starting to understand why you got left here
41:25Okay
41:26I'm not going to have you
41:32I'm not going to have you
41:35I'm not going to have you
41:38But I was hiding
41:40I'm not going to have you
41:42In my youth
41:43In your youth
41:44Sous-titrage Société Radio-Canada
42:17Sous-titrage Société Radio-Canada
42:45Sous-titrage Société Radio-Canada
42:51Sous-titrage Société Radio-Canada
42:51You meant the board, huh?
42:53Gus, our incarcerated patient got a spot upstairs, looking for our unhoused patient Digby, and of course, we have Whitaker,
43:01Donahue, and the med students on these diversion intakes, but they just keep coming.
43:05Yeah, we may need to start just sending people up and ask for forgiveness instead of permission.
43:10Hello?
43:12Oh, okay.
43:14Yes, I will be right there.
43:16C-Suite wants to see me upstairs.
43:18Ooh, called to the principal's office on your first day, not a good sign.
43:22I think I'm a baby whisperer.
43:24Hey, great. We'll add baby Jane Doe to your patient load.
43:27Forget I said anything.
43:28Where are we with your deaf patient, Harlow?
43:31Uh, the VRI was a bust, but the interpreter's on the way.
43:34Uh, figured I'd just give her a head and belly scan and go from there.
43:37No, wait for the interpreter. No need to give the patient unnecessary radiation.
43:41And your charting?
43:44Catching up and checking it twice.
43:45Good.
43:45Hey, have you had a chance to speak to Langdon today?
43:49Uh, no.
43:50Why? Did he say something?
43:52No, just curious.
43:53How is everything at home with you and Whitaker?
43:57He's weirder than you'd expect.
43:59Hmm.
44:00Yeah, but, uh, I don't see him all that much.
44:03He spends a lot of time at Amy's.
44:05His girlfriend?
44:08I don't know what to call it.
44:10The, the farmer who got burned last year, the day of the mass cash, his widow, Amy.
44:16Oh, he died?
44:17Yeah, he had burns on 90% of his body.
44:19His chance of survival was very slim.
44:21Okay, so I'm an optimist.
44:23The sun doesn't always come out tomorrow, Annie.
44:25Wait, wasn't she pregnant?
44:27No, she was a young orphan.
44:30No, not Annie, Amy.
44:32Yes, yes, very pregnant and young.
44:36Whitaker's now seeing this Amy?
44:37And her baby.
44:39He got really close to the family when the husband was dying.
44:44He really believed that the guy would pull through.
44:46He helped her through the loss of her husband, and then again when she had the kid,
44:50and now he spends almost every weekend at the farm.
44:53Huh.
44:54Plus he's on the street team, and he just wants to help everybody,
44:57and I just don't want to see him taken advantage of.
45:01You know, he's just a fucking huckleberry.
45:03Yeah, but he's our fucking huckleberry.
45:06I'll talk to him.
45:07Hey, your call.
45:09Strong deflection.
45:10Well played.
45:10You're the boss.
45:11Or you are until end of shift today.
45:13Still the boss.
45:14When you see me in here, still the boss.
45:17Copy that, boss.
45:20Dr. Robbie, can I grab you for a second?
45:23Yeah, sure.
45:24What's up?
45:26Um, can't you order my wife to go home?
45:31I'm sorry.
45:33Yeah, my wife's dying, and you're telling me there's nothing I can do.
45:39Mr. Hamler, that's not...
45:41No, no, no, there's got to be something.
45:45Please.
45:47It may not seem like much, but right now, you being here for her and respecting her wishes
45:52is the best thing that you can do for her.
45:55Supporting her and her choices is the most remarkable gift that you can give her at this time.
46:02The meds we have her on will help her pain, and she may get to a point where she feels
46:07well enough to go home.
46:26Give me one sec.
46:33Okay, I'm gonna let you guys get acquainted.
46:35I will be right back.
46:36Oh, excuse me.
46:37Hey, I'm waiting for Dr. Mohan.
46:40Is she available?
46:41I will try and find her for you, sir.
46:47Whether you choose to report or not, we're here for you.
46:50Call me any time.
46:51It could be a month or a year from now.
46:55I'll follow up with you, too.
46:57Thank you.
46:58Thanks.
47:03You've had a pap smear before?
47:05Yeah, every few years.
47:07Good.
47:08Same position, but I'll start with swabs on the outside, external genitalia.
47:14Then I'll use the speculum to get internal swabs.
47:16You ready?
47:18All right.
47:18I'll help you get your feet in the stirrups.
47:21Good.
47:23Okay.
47:25All right.
47:26Now slide your bottom down.
47:29Yeah, a little bit more.
47:32A little more.
47:34Sorry, I can't.
47:35Okay, it's okay.
47:36We can take a break.
47:37No problem.
47:38I don't want a break.
47:38I want to stop.
47:40Okay.
47:41Is this about reporting?
47:43Because you can do this collection without a police report for now, and none of it goes
47:47in your permanent medical record.
47:49I don't want to do this anymore.
47:51Tell me why you want to stop.
47:55He's my friend.
47:58He knows all my friends.
48:02It was just a dumb, he was drunk.
48:07He didn't mean, it didn't mean anything.
48:10Okay.
48:11Okay.
48:13It's okay.
48:14I understand.
48:16Tell.
48:19All right.
48:20This is a difficult process, to say the least.
48:23Why don't you take a breather and come back, and whatever you want to do, we'll do.
48:36Let's go find the good snacks.
48:56Let's go find the good snacks.
49:02Let's go find the good snacks.
49:02Jesus Christ.
49:03Sorry.
49:05Giving new meaning to the nickname Crash, huh?
49:08I've been trying to get to the bathroom for over an hour now.
49:11Yeah, you and me both, sister.
49:23Uh-oh, this can't be good.
49:26Who's this?
49:27That is hospital CEO Trent Norris.
49:29He's the big boss.
49:31Hmm.
49:32Nice outfit.
49:33Hey, Rockstar.
49:34Gather your staff, please.
49:35Sure.
49:35Anything you want to tell me first?
49:37No.
49:39Hey, everybody, can you, uh, gather around, listen up for a moment, please?
49:44I'm gonna have your attention, everyone.
49:47The internal disaster at Westbridge has been identified as a cyber attack.
49:54And now Good Dominion Hospital has been hit as well.
49:58Their ambulances are being diverted over to St. Mary's, but we can expect more walk-ins and Westbridge diversions.
50:04Uh, for how long?
50:05We don't know how long.
50:07If the ransom is paid...
50:09Ransom?
50:10What?
50:11Are we next?
50:12Our IT protection system has blocked thousands of intrusion attempts in the hours since Westbridge was hit this morning.
50:19But IT believes we're still vulnerable.
50:22So we're gonna preemptively shut down all the computer systems.
50:30Patient registration, electronic health records, lab and radiology interfaces, email, internet...
50:36Want to talk to me first?
50:37You want to consult my department?
50:38I consulted your fellow attending.
50:43When are we going down?
50:45Soon.
50:47Very soon.
50:48Okay, hey, somebody get a picture of the board.
50:51Quickly, quickly!
50:53We're about to go analog.
50:55Okay.
51:00Do the phones work?
51:02They don't work.
51:04Oh, my gosh.
51:04You got the photo?
51:05Yeah, yeah, I got it.
51:08This is gonna be fun.
51:44I know it's better and you can stop it...
51:50Let me thank you guys.
52:20...
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