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00:00The second season of The Pit kicks off with a massive shake-up, as Dr. Michael Rabinovich,
00:04better known as Rabi, prepares for his final shift before heading off on a three-month sabbatical.
00:09His replacement is Dr. Baran Al-Hashimi, a high-intensity attending who arrives with a
00:14mission to modernize the hospital. She wastes no time implementing a new digital patient record
00:19system designed to show diagnoses and wait times for maximum efficiency, but she and Rabi immediately
00:24clash in the trauma bay over a kitchen attendant with a severe stab wound. Dr. Yolanda Garcia leads
00:29the case, and Rabi encourages the residents to get hands-on experience, which is a teaching style
00:33Baran is not used to at all. When the patient's bleeding becomes impossible to stop, Baran tries
00:38to take over, but Rabi insists on letting the team work through the problem. He suggests rotating the
00:43lung 180 degrees before clipping it, which stops the hemorrhage but leaves the heart flatlining.
00:48A disagreement breaks out over the voltage needed to shock the heart back to life,
00:52with Baran wanting 25 joules while Rabi pushes for 50. Rabi's instinct wins out, and the patient's
00:57heart begins to beat again, leading Rabi to suggest they split up to handle different teams.
01:02After spending 10 months in rehab for his benzodiazepine addiction, Dr. Frank Langdon is
01:07finally back at the pit, but the only person happy to see him is Melissa King. Rabi remains deeply
01:12skeptical and refuses to let Langdon handle high-stakes cases where he might have access to drugs.
01:17Instead, he assigns Langdon to triage duty. In a twist of fate, Langdon's first patient is Louis
01:23Cloverfield, the same alcoholic regular he stole medication from during his downward spiral last
01:28season. Louis' condition is critical due to a severe infection from an extra tooth and a
01:33dangerously fast heart rate. But Langdon takes a moment to offer a sincere apology for breaking
01:38his Hippocratic oath. Before they can finish, Langdon is pulled away because someone left a baby
01:43in a hospital bathroom. As the infant is rushed to the NICU, Baran noticeably freezes, suggesting she
01:49has a hidden personal connection to the situation. Langdon goes back to Louis, who does not particularly
01:54care that the medication was stolen. What concerns him now is that his abdomen is rigid and distended
01:59with fluid that needs to be drained. Langdon delegates the procedure to Whitaker. Whitaker has
02:05really grown since the last time we saw him. When his first patient of the day passes away, Whitaker leads
02:10a moment of silence for the staff and reminds the new residents to turn off their phones, which is a
02:15hilarious nod to the time his own phone rang during a similar moment in Season 1. Melissa is off her
02:20game this morning because she is facing a deposition for a malpractice lawsuit later in the day.
02:25Dr. Trinity Santos tries to offer her version of comfort by joking that every ER doctor gets sued
02:29eventually, but the stress clearly weighs on Melissa. Santos' patient this morning is a young girl who fell
02:35down the stairs, but the presence of older bruises and the child's red urine raises immediate red flags
02:40for internal bleeding or potential abuse. At the same time, Dr. Cassie McKay deals with a stubborn
02:45patient who hit his head after tripping over a laundry basket. The man is terrified of unnecessary
02:50hospital charges and tries to flee, but his confusion and memory loss suggest a serious head injury that
02:56McKay must convince him to treat before he walks out the door. A new patient named Alan Billings is
03:01rushed into the ER after a pile of roofing tiles falls on him, which results in a dislocated shoulder.
03:06Melissa is pulled onto the case alongside McKay and Garcia. Baran presses Melissa to name the injury
03:12properly, and Melissa fumbles, even after McKay gives her a hint about a Harry Potter spell.
03:16The injury is actually called luxatio erecta, a specific inferior open dislocation. Baran wants
03:22to follow protocol and wait for a consultation from the orthopedics department, but Robby shuts that
03:27down immediately. He knows ortho takes too long, and the patient's health is at risk, so he instructs
03:32Melissa to improvise by dipping her hand into the dislocated shoulder to lift the arm, converting it
03:37into an anterior dislocation and allowing it to successfully pop back into place. After the
03:41successful procedure, Robby checks in on Melissa and finds her completely rattled about her deposition
03:46scheduled for later that day. To comfort her, Robby mentions that he has been sued four times already
03:51and calls it a rite of passage for ER doctors. However, the attempt to bond backfires when Baran reveals
03:57she has never been sued in her entire career, which makes Melissa feel even more like a failure.
04:02Her day only gets worse when Liam Sanders, a flirty patient she treated for a leg wound,
04:06tries to flee from the police. Liam is a suspect in a liquor store robbery, and in his rush to
04:11escape,
04:12he knocks Melissa out of her chair, causing her to hit her head. When she learns she will likely have
04:16to testify as a material witness, she becomes completely overstimulated. Langdon, recognizing her
04:22distress, clears the room of officers, dims the lights, and closes the door so she can have 10 minutes
04:27to reorient. The abandoned baby's tests are coming back normal, but Baran remains unconvinced. She
04:33believes the initial bagged urine samples are unreliable and pushes for a more sterile collection
04:38method. Robby suggests a gentler approach than a catheter, using cold water and a bit of tickling
04:44to stimulate the baby into peeing for a fresh sample. While the baby tests positive for rhinovirus,
04:49the team is still waiting for other results, but despite the clean bill of health so far,
04:53the pediatrics department refuses to admit the infant until they can officially rule out HIV.
04:58Baran continues her tech-forward mission by introducing an AI charting system that listens
05:03to patient examinations and automatically creates medical records. The system isn't perfect because
05:08it heard and transcribed the patient's medication incorrectly, but it significantly reduces the time
05:13doctors spend on paperwork. Joining the pit this season are Joy, a third-year resident with a
05:18photographic memory whose sadist personality clashes with her name, and James Ogilvie, a fourth-year med
05:23student who is brilliant and arrogant. James even speaks Farsi to butter up Baran, earning early
05:28points. According to Santos, who loves a bit of drama, James is direct competition for Javadi,
05:34because both Javadi and James want an emergency attending spot next year. Javadi begins to feel
05:39inferior until a case of diabetic ketoacidosis allows her to shine. When James jumps ahead to suggest a
05:45high-dose insulin drip for a diabetic ketoacidosis patient, Javadi is the one who stops him. She
05:50points out that they must check the patient's potassium levels first, because giving insulin
05:55to someone with low potassium can be fatal. Robbie backs her up, which leaves James looking a bit too
06:00eager for his own good. James tries to recover by listing potential causes for the condition,
06:04but Javadi shuts him down again by noting those were already ruled out in the standard order set.
06:09Robbie eventually has to intervene and remind them that students at this hospital are evaluated on
06:13their ability to function as a team, not only on their individual medical knowledge, effectively
06:18ending their one-upmanship for the moment. The hour ends on a final clash between the two lead
06:23attendings over a patient named Barry Mitchell, who is in respiratory distress after eating at a diner.
06:28Baran wants to use a combination of ketamine and rocuronium to paralyze the man for intubation,
06:33adhering strictly to the textbook. Robbie disagrees, fearing that full paralysis is unnecessary
06:38and potentially dangerous if there is an obstruction. He insists on using only ketamine,
06:42which prompts a frustrated Baran to walk out of the room after reminding him that she intends to
06:47keep her record of never being sued intact. It turns out Robbie's instinct was right on the money,
06:52as they discover a piece of broccoli stuck in the man's throat and clear it easily without the need
06:56for a ventilator. A homeless man named Mr. Digby arrives in the reception, literally stinking up
07:01the room. After he is rushed to the ER, the team discovers a neglected cast on his arm,
07:06teeming with maggots. The gruesome task of cleaning him up falls to the new nurse intern Emma,
07:11who handles the situation under the watchful eye of nurse Dana Evans. Despite Digby's deep-seated
07:17hatred for hospitals, Dana manages to convince him to see a doctor who frequently visits his area,
07:22ensuring he can get the consistent care he needs without having to come back to the trauma center.
07:26A college student named Jackson Davis is wheeled in, completely hysterical, shouting random criminal
07:31references as the medical team struggles to stabilize him. Right on his heels is Tony Cinciolo,
07:36a campus security guard, sporting a head wound that he claims he received after Jackson threw a chair at
07:41him. Without a shred of medical evidence, Tony immediately profiles the young man as a cokehead,
07:46but the talk screen comes back completely clean. The smug look on Tony's face evaporates,
07:50as it becomes clear that his racial profiling and the use of the taser were unjustified.
07:55A high-impact accident brings in a driver, Mark Yee, who hit a motorcycle that ran a red light.
08:00While the motorcyclist is pronounced dead on arrival, the driver shows signs of profound paralysis,
08:06despite having no fractures or brain bleeds. The doctors eventually diagnose him with
08:10hypokalemic periodic paralysis, a rare genetic condition where potassium abruptly shifts into
08:16the cells, causing extreme muscle weakness. While his condition is expected to resolve in a few hours,
08:21he suddenly starts crashing as the low potassium affects his heart's electrical activity.
08:26The drama intensifies when his wife Nancy, who initially claimed she was fine,
08:30collapses from an internal splenic injury she sustained in the crash and is rushed to surgery.
08:34The case of the 9-year-old girl, Kylie Connors, is resolved when her father Benny arrives,
08:40but not without some flare-up. Santos, driven by her own past trauma, is convinced this is a case
08:46of abuse, leading to a screaming match in the ER. However, Dana arrives with the actual lab results.
08:51Kylie has idiopathic immune thrombocytopenia, ITP. Her platelet count is a dangerously low 9,000,
08:58meaning her body is destroying its own clotting cells, which causes the easy bruising.
09:02With high doses of steroids to suppress the immune response and immunoglobulin to slow the destruction
09:07of platelets in the spleen, Kylie would be fine. But even though the diagnosis exonerates Benny,
09:12it leaves his relationship in tatters. Benny chastised his girlfriend when she first got to
09:17the hospital for playing with Kylie, which was why she fell down the stairs. Part of the reason Santos
09:21thought the man was an abuser was because the girlfriend said Benny and his daughter sometimes
09:25wrestled, and Benny crucified her for it, making her break up with him on the spot.
09:29McKay's patient, Michael Williams, receives life-altering news when a CT scan reveals a
09:34large mass in his frontal lobe. His ex-wife, who remains his emergency contact four years after
09:39their divorce, reveals that Michael's personality changed drastically before they split. He became
09:44angry and violent, which was a far cry from the man she loved. McKay confirms that the tumor could
09:48very well be the cause of his huge temper and behavioral changes. As Robbie prepares for his
09:53three-month motorcycle sabbatical, he treats a Jewish woman named Yana, who suffered a severe
09:58burn on her leg. She was triggered by the sound of fireworks, which brought back traumatic memories
10:03of a past synagogue shooting in 2018. She is shocked to hear that the 50-something-year-old
10:07Robbie plans to travel on a bike without a helmet, a reckless habit he's been lying about to his
10:12colleagues. However, his last shift only gets worse when Westbridge Hospital declares a code black
10:17due to an internal disaster, likely a cyberattack. With all ambulance traffic diverted to the pit,
10:22the guard Ahmad immediately starts a betting grid on the madness to come. A patient named Vince is
10:28rushed in after falling through a florist's skylight during a TikTok stunt. James Ogilvie,
10:33the overly eager fourth-year student, jumps at the chance to intubate him, and Dr. McKay allows it
10:38because of his argument that he needs more intubations on this rotation. His creative partner
10:42Tanya Young attempts to film the whole process for their 4th of July TikTok post and is promptly
10:47kicked out. While Joy is carefully removing glass debris, Ogilvie keeps interrupting her answers to
10:52Robbie's medical questions, which clearly irritates her. She accidentally gets cut by one of the glass
10:57debris, leading to a teaching moment for Emma on how to successfully draw a patient's blood under
11:02Dana's supervision. However, the lesson goes sideways when Emma drops and breaks the blood sample,
11:08meaning Joy has to be poked all over again to check for HIV and hepatitis. Ogilvie eventually learns
11:13that the ER is not a playground when Vince's partner notices bleeding from his back when he returns from
11:18court. It turns out the clotting was affected during the CT scan, and a large shard of glass
11:23was hiding in plain sight. In his rush to impress, Ogilvie tries to pull the glass out himself,
11:28but the shard is deeper and larger than he anticipated. This causes a huge blood loss,
11:33and Dr. Garcia has to step in to fix the mess. She reminds him to let the adults handle it
11:38before
11:38they use X-Stat sponges, which are tiny, rapidly expanding sponges used in field medicine to stop high
11:44pressure bleeding almost instantly. After the crisis, Robbie gives the boy a stern lecture.
11:48You never remove a foreign body in the ER, it should be done in the operating room.
11:52While the drama with the glass unfolds, Santos and Whitaker treat Gene Samba for hypertension.
11:58After checking his ECG, they see no sign of a STEMI, which is a major heart attack where the
12:03artery is completely blocked. Santos suggests giving the patient nitro, but Whitaker isn't so sure.
12:08He notices ST depression in the anterior leads, which can be normal, but he suspects it's actually
12:14a posterior MI, which is a heart attack happening at the back of the heart that a standard EKG often
12:19misses. Whitaker asks Jesse the nurse to repeat the ECG, with the chest leads placed on Samba's back
12:25rather than the front to directly capture what is happening in that region. But he refuses to run the
12:30test until Whitaker gets the go-ahead from Robbie. Since the nurse is too busy to help, Whitaker runs the
12:35test himself, and he is proven right, just as the patient goes into cardiac arrest. Because he
12:40anticipated the heart attack, Whitaker already has the defibrillator pads on the patient, and
12:44successfully resuscitates him. While Robbie is proud of Whitaker's clinical instincts, Santos is
12:49later furious with herself for missing the diagnosis. Santos later joins Melissa to treat Ms. Ronson,
12:55who has a persistent cough but no chest pain. Santos seems distracted throughout the shift, but they
13:00manage to find stringy patches in the woman's lower right lung on her X-ray. This is a
13:05sign of aspiration pneumonia, which happens when food, stomach acid, or saliva accidentally goes
13:10down the wrong pipe and ends up in the lungs instead of the stomach. Melissa suspects an
13:14eating disorder like bulimia might be the cause, as the repeated forced vomiting can lead to fluid
13:19entering the lungs. They confirm this by checking the woman's tooth enamel, which typically rots or
13:24dissolves when exposed to constant stomach acid. Ms. Ronson eventually admits she struggled with bulimia
13:29in college and relapsed due to a recent breakup. The team agrees to help her find a black woman
13:34therapist to ensure she gets culturally competent care for her recovery. In the quieter parts of the
13:39ER, Dr. Mohan treats a diabetic patient named Orlando Diaz, who has been rationing his insulin
13:44because he can't afford it. He makes too much for Medicaid but not enough for private insurance, and he
13:49refuses a GoFundMe started by his daughter because he doesn't want to be a charity case. Langdon deals
13:54with a lighter case involving a woman who accidentally super glued her eyelashes together. After mineral oil
14:00fails, she insists that Dr. J perform the procedure because she follows her on social media. It turns
14:06out Dr. J is actually Javadi, who has been making medical content about the ER and her colleagues.
14:11Following Javadi's and Langdon's advice, they cut the lashes to break the glue's hold. With the West
14:16Bridge patients starting to arrive, Baran finally tells Langdon to leave triage and return to the main ER
14:21floor. We also get a quick update on Dr. Collins when Lewis, who has finally been drained of his stomach
14:26fluid, asks after her. She has finished her residency, moved to Portland where her family
14:31is, and is reportedly looking to adopt, officially confirming she won't be walking back through the
14:35doors of the pit anytime soon. The ER becomes hostile for Langdon when a patient he treated earlier
14:40returns with a rapidly spreading infection. What started as simple cellulitis on her foot has
14:45traveled up her leg, and Dr. Robby immediately suspects SIRS, or systemic inflammatory response syndrome,
14:51where the immune system overreacts to an infection. Because the patient came in on her lunch break,
14:55her employer starts threatening her job when she doesn't rush back, but Dr. Robby tells the employer
14:59the lady would be suing him, and he would be testifying on her behalf. Langdon feels the heat
15:04as Robby questions why he didn't check for a history of MRSA earlier that morning, as Langdon would have
15:08given the lady more than one antibiotic to prevent this. When the patient's lactic acid hits 4.2,
15:14and she begins to feel warm, the diagnosis shifts to severe sepsis. The situation turns dire when a
15:19bulla, which is a large, fluid-filled, infected blister, develops on the skin. Dr. Garcia suspects
15:25necrotizing fasciitis, a flesh-eating infection that moves so fast it can lead to amputation in
15:30minutes, but she wants a CT to confirm. Robby knows they can't wait for that, so he performs
15:35an improvised finger test. He cuts into the fascia and pours saline into it to see how the tissue
15:40reacts to external fluid. Because the tissue separates easily, and the fluid is gray and thin
15:45without pus, it confirms the diagnosis. Dr. Buran handles a complicated case involving an inmate
15:50assaulted in the State Correctional Institute, with multiple facial bruises and a fractured
15:54ribcage. The correction officer's presence makes the environment tense, especially when the officer
15:59insists on keeping the patient cuffed during treatment. Whitaker and Melissa struggle to
16:04sew a laceration on the man's arm because his skin is too thin and weak to hold the thread,
16:09which is a product of years of nutritional neglect inside the prison system. Buran steps in with a
16:13specialized technique to secure the wound. Robby comes in to check in, which makes Buran call him out
16:19for micromanaging her and treating her like one of his residents. Robby explains he asks for updates
16:24so he knows when to jump in, and Buran, trying to make him see his explanation makes no sense,
16:29gives him the update then demands his too just so she knows when to jump in. The move works,
16:34and Robby is forced to admit that his constant hovering is unnecessary and counterproductive.
16:38We learn why Santos is distracted. She is dangerously behind on her charting, which could
16:44prevent her from graduating. Dana tries to help by assigning Ogilvy to her so he can handle the
16:48legwork while she catches up on her notes. Their first patient is a rude woman with a cough who
16:53turns out to have tuberculosis, meaning Ogilvy might already be exposed. Their next case is an
16:58elderly woman with severe constipation caused by her pain medication. When it's time for a
17:03disimpaction, which is the manual removal of backed-up stool, Santos tricks Whitaker into doing
17:08it as a teaching moment for Ogilvy. However, the plan backfires on the student when the patient's
17:13stomach suddenly becomes flexible, and she ends up pooping all over him. It seems Ogilvy might be the
17:17Whitaker of this season. To help Santos long-term, Baran suggests she finally embrace the new AI voice
17:23charting system to speed up her documentation. Dr. Mohan and Joy find a creative solution for their
17:29diabetic patient who is facing a $60,000 hospital bill, despite the hospital agreeing to cover 40%
17:34of it. Joy suggests transferring him to med-surg instead of the ICU. It's significantly cheaper,
17:39and they manage to get management to agree to the move. Joy later reveals her personal connection
17:43to the struggle, sharing that her grandmother died of leukemia because her family didn't have
17:47insurance and had to improvise her care. Dr. McKay and Javadi treat Roxy Hamler, a home hospice
17:53patient with advanced lung cancer that has spread to her bone. She suffered a tonic-clonic seizure and
17:58hit her leg on the coffee table going down. Her husband Paul has been her full-time caregiver
18:03since the diagnosis seven years ago. Roxy arrives with a death doula named Lena, who is the Pitt
18:08Night Shift charge nurse, and is placed on a morphine PCA. This allows her to press a button
18:13for extra pain relief on top of her baseline dose. The reality of her condition hits home when Roxy,
18:19who used to be independent, realizes she can no longer even sit upright to use the bathroom.
18:24Langdon checks in on Louis, whose tooth infection and stomach issues were treated earlier,
18:28but he now has tremors. Langdon wants to prescribe Librium, but Whitaker offers to put it in,
18:33which feels like a pointed reminder of Langdon's history with the drug, because he stole Louis' Librium
18:38the last time. Though Whitaker claims he only said it because he is now the doctor of record,
18:43the guilt still remains. Later, Robby tries to pull a kind gesture by bringing Louis a beer he
18:48stole from another patient's family, knowing Louis struggles with alcoholism. However, the gesture
18:53is too late. When they enter the room, they find Louis unconscious, and his heart has stopped beating.
18:58Unfortunately, Louis passes away from a pulmonary hemorrhage triggered by liver failure.
19:03The death hits the staff hard, especially Whitaker, Paula, and Langdon,
19:07but Ogilvy proves he is essentially Santos 2.0, by making an insensitive comment about how that's
19:12just what happens to alcoholics. Paula was originally supposed to clean the body, but Dana delegates the
19:17task to the new nurse, Emma, turning the preparation of a corpse into a grim teaching moment. While going
19:23through Louis' belongings, Langdon finds a single photo of a woman and a child. When they try to call
19:28his emergency contact, they realize the number he listed was just the pit's own emergency line.
19:33Robby eventually reveals the heartbreaking truth during a send-off for him. Louis never wanted kids
19:38until his wife convinced him, but after he finally embraced fatherhood, his wife and child were killed
19:43in a tragic accident. Louis never recovered, burying his grief in the bottle until it finally claimed his
19:49life. The staff all give him a moment of silence before the social workers take over the search for
19:54his family. The medical complications from earlier continue to haunt Langdon. The patient with the
19:59leg infection ends up needing an amputation, and even though Langdon followed protocol, the weight
20:03of the outcome sits heavy on his shoulders. His first day back is going pretty bad, and he vents
20:08to Dana, who tells him it's part of the job, and he just has to find his mojo. He tells
20:12Dana that no
20:13one reached out to him while he was in rehab. He asks about the man who attacked her last season,
20:17and Dana reveals he was arrested, but she could not go through the stress of pressing charges.
20:22He tries to make amends with Dana as part of his recovery steps, but she tells him he never needs
20:26to
20:26apologize to her because they are already cool. Buran and Robbie clash over the treatment of the
20:31inmate who is severely malnourished and unable to eat solid food due to facial fractures. Buran wants
20:36to keep him for observation to stabilize his protein and vitamin levels, but Robbie insists they need the
20:42bed space. He points out that the pit isn't a long-term care facility, but Buran throws his hypocrisy
20:47back at him, asking why they housed a homeless man like John Digby but won't help a prisoner.
20:52Dana eventually settles the argument with a bit of creative nursing. After realizing the
20:56man grew up in her hometown, she messes with his pulse ox reading, so the doctors are forced to
21:01keep him for a few extra days. The hospital's attempt to modernize backfires when Santos uses
21:06the new AI charting tool without proofreading the results. The system hallucinates a non-existent
21:11appendectomy into a patient's history and mislabels a doctor as a urologist instead of a neurologist.
21:17Robbie uses the glitch to bash the AI system, while Buran defends the tech, reminding them that it was
21:22never meant to be 100% autonomous. An exhausted Santos is forced to redo her work, surviving on a
21:28drink from Princess to stay awake. The universe is really against Robbie's motorbike vacation,
21:33because they get another patient that got hurt after falling off a motorcycle pyramid.
21:37Robbie uses the case to teach the residents the ABCDEF of trauma, which includes airway by ensuring the
21:43throat is clear, breathing by checking lung function, circulation by monitoring blood flow and heart rate,
21:49disability by checking for spinal or neurological injury, exposure by stripping and flipping the
21:54patient to find hidden wounds, and finally a full set of vitals or 5 interventions for monitoring and
21:59testing. They perform a sterile fluid leak test on his knee and find no damage, meaning surgery isn't
22:05needed. The case also debunks a common myth when the patient claims a penicillin allergy. The nurse
22:10explains that most childhood allergies aren't true allergies, and after a negative test, they proceed with
22:15ANSEF. In a lighter and grosser moment, Langdon treats a man who ate 36 hot dogs in a competition.
22:21After helping the man clear his system, Langdon finds himself completely unable to look at the
22:26donuts the hospital administration sent down to the floor. Dana is equally annoyed by the treats,
22:31grumbling that the management should have spent that money on hiring more nurses instead of buying
22:35cheap snacks. The shift ends on a heavy note with Roxy, the hospice patient. After 7 years of cancer
22:41and 20 years of marriage, she realizes how much her illness has drained the light from her husband's
22:46eyes. She encourages him to head home first, but once he is gone, she refuses to leave the hospital.
22:51She does not want to continue being a burden to her husband, and she appears to be heading toward
22:55assisted suicide. Jackson Davis, the tased boy, is placed on an involuntary hold after a month of
23:01hearing voices and experiencing episodes. When his parents arrive, they drop a heavy piece of family
23:06history. The father's brother didn't just drink himself to death as the kids were told, but actually
23:11died by suicide after years of untreated depression and mood swings. The family hid the truth to avoid
23:17the perceived stigma, but the revelation only serves to infuriate the boy's sister Jada. It will take a few
23:23days to reach a formal diagnosis, but the case highlights how hidden genetic histories can leave
23:27the next generation vulnerable and confused. Dana and Emma handle a heart-wrenching case with Ilana,
23:33a patient who was assaulted at a 4th of July barbecue. As the only sexual assault nurse
23:38examiner on duty, Dana takes the lead, and they follow a strict forensic protocol. This includes
23:43evidence collection, by packaging clothes, and taking detailed photos of the body to document
23:48any injuries. They also use an alternative light source, or blue light, to detect biological fluids
23:53or fingerprints that aren't visible to the naked eye, and they find a fingerprint on her wrist.
23:58This is followed by specimen collection, which involves swabbing under fingernails,
24:02and performing a pap smear to collect DNA. However, the reality of the legal process
24:07hits Ilana during the exam. Realizing that the evidence will lead to criminal charges against
24:12a friend of a friend, she begins to make excuses for his behavior, claiming he was just drunk.
24:17Overwhelmed by the gravity of the situation, she chooses to leave the hospital mid-exam,
24:21leaving Dana devastated because they have no legal grounds to stop her.
24:25Dr. Abbott, who moonlights as a doctor for the SWAT team, arrives with a patient from a botched
24:30warehouse robbery. The man is intubated, but still suffering from respiratory failure.
24:34Robby quickly runs through the DOP mnemonic for troubleshooting intubation issues,
24:39which covers displacement where the tube has moved, obstruction where something is blocking
24:43the tube, pneumothorax or a collapsed lung, and equipment for a malfunction with the ventilator
24:48or bag. They discover it is obstruction because the patient has a transected trachea,
24:53meaning the airway is physically torn. To save him, they first stop the bleeding with lidocaine,
24:57before Baran and Abbott work together to retrieve the retracted airway and properly guide an
25:01intubating scope through it, balloon it up to create an airway, and sew the trachea into place.
25:06While the man is stable for now, a CT scan is ordered to check a suspicious splenic bleeding
25:11found near a bruise on his stomach. Afterward, Baran and Abbott bond over their shared history
25:16as combat medics in the Middle East, much to Robby's annoyance. As a massive heatwave hits Pittsburgh,
25:21Langdon suggests setting up a dedicated cooling room to handle the influx of heat exhaustion patients
25:26like Elliot. Meanwhile, Dr. Mohan's attempt to help Mr. Diaz backfires when the man vanishes from his
25:32room. Even with the hospital's financial assistance, the fear of mounting debt drove him to leave before
25:37he was fully treated. In a surprising move, Dr. Abbott, who was hiding in Mr. Diaz's room to treat
25:43a graze wound he sustained at the warehouse, offers to pay for the man's medication to be delivered to
25:47him. The awaited Langdon-Robby confrontation finally happens when Robby heads to the rooftop to receive
25:53an incoming helicopter, and, unfortunately for him, Langdon is also heading there. Langdon tries to apologize
25:59for his past addiction and betrayal, but Robby shuts him down, admitting he no longer wants to work with him
26:04even though it is out of his hands. They barely have time to hand off the water skiing accident victim
26:08to Dr. Garcia before the hospital is plunged into chaos. The CEO Trent Norris reveals that they are taking the
26:14entire system offline immediately because Westbridge and another hospital were hacked and held for ransom.
26:19The hackers are now targeting the pit. Robby is furious that the administration didn't give the
26:24medical staff time to prepare, but the CEO tells him Baran has been informed, which is going to add
26:29more bad blood to what's already on the ground. He has to scramble to tell his team to snap the
26:33board
26:33before the screens go dark. The ransomware attack forces the pit into analog mode, leaving the doctors
26:39without their digital patient list. To make matters worse, the photo Whitaker snapped of the whiteboard
26:44is too blurry to read, which would have left the ER in total chaos if not for joy. She reveals
26:49she has a
26:49photographic memory and successfully reconstructs the entire board from memory, room by room. The
26:55staff pivots to paper charts, labeling them by trauma or medical. And while labs and x-rays are still
27:00functional, the results now have to be sent via fax instead of instantly appearing on laptops.
27:05Ogilvy continues to be the Santa's 2.0 of the season, showing extreme insensitivity toward an
27:10overweight patient with severe abdominal pain. Instead of focusing on the medical emergency,
27:15he makes judgmental comments about the man's weight and even suggests taking him to the zoo
27:19to use a large animal CT scanner. Dr. McKay quickly shuts him down, reminding him to leave his judgment
27:25at the door and treat the human being in front of him. The team discovers the man's weight gain
27:29started after a traumatic car crash led to four-leg surgeries and the loss of his job. Because he finds
27:35it difficult to breathe while lying flat for imaging, they have to perform a nasotracheal
27:39intubation. Since the man weighs 474 pounds, surpassing their CT machine's 450-pound limit,
27:46Dr. Robby arranges for him to be transported to Presbyterian Hospital, which can accommodate
27:51patients up to 650 pounds, with Dr. Abbott as his chaperone. Javadi and Ogilvy, due to the
27:57analog problem, end up picking the same patient. The patient is Toby Sullivan, who has a severe,
28:02unusual rash spreading across his skin. But they are unable to figure out what the rash is,
28:07until Joy identifies it as phytophotodermatitis, which is often called margarita burn or mimosa
28:12rash. This happens when a chemical in citrus juice reacts with sunlight on the skin, causing a
28:17blistering inflammatory response. A simple steroid treatment is all the man needs to recover.
28:23Langdon joins in on Santos' treatment of a woman who bit her tongue during a drunken episode and it
28:27is awkward as hell because she has been avoiding him all through the shift. To make it worse, when they
28:32stabilize the patient, they realize she has undiagnosed alcoholism and recommend her for an
28:37alcohol rehabilitation program. The writers are so messy for making the first Santos Langdon case
28:42about addiction. They want to humble the guy so bad. Alana eventually returns to finish the
28:47examination, but the reality of sexual assault cases becomes glaring when Dana goes to place the
28:52pap smear and the rest of the collected evidence into the cooling box where it is stored for officers to
28:56retrieve. She is shocked to find a kit that she completed two weeks ago still sitting there
29:00untouched, which serves as a grim reminder of how these cases are often sidelined by the system.
29:05The fact that the evidence has been gathering dust for 14 days is disheartening and Dana essentially
29:09has to call and threaten the police just to get them to come pick it up. The Jane Doe baby
29:14abandoned at the hospital becomes a point of contention when the pediatrics department refuses
29:18to take her. Because the baby has a rhinovirus, PDs won't risk infecting their ward, but they also
29:23refuse to waste a private room on her. They dump the responsibility back on the ER, which pisses
29:28Baran off. After seeing how cruel Peds was acting, she and Mohan both share a breather where Mohan
29:34ponders on her future fellowship. Her mother has a new boyfriend, sold the house, and left Pittsburgh
29:38on a cruise, so Mohan wants a fellowship close to home. Noting how naturally Mohan interacts with
29:44older patients, Baran suggests she specialize in geriatrics. Their next patient is Brooke McCord,
29:49who is suffering from sudden blindness in one eye, likely due to a retinal artery occlusion,
29:54which is essentially a stroke in the eye. The recommended treatment is thrombolysis.
29:57A clot-busting medication that has the potential to restore her sight, but it carries a high risk
30:02of causing a systemic stroke or other permanent disabilities. The patient chooses to take the
30:07risk, and Baran orders Melissa to watch her like a hawk for any neurological changes.
30:11While on watch, Melissa is visited by Parker Ellis, a night shift senior resident who just
30:16finished her own deposition regarding last season's controversial measles case. In that case,
30:20the team had to use questionable tactics to perform a spinal tap on a child whose mother refused consent.
30:25The doctor essentially spoon-feeds Melissa the correct version of events to say during her own
30:30deposition, stressing that their conversation never happened. This secret coaching suggests
30:34that the hospital's legal standing is on shaky ground, and that the staff is actively trying
30:38to cover up potential medical legal mistakes. Honestly, the pit is hard to recap. Maybe if this
30:44blows up, I might do a part 2 covering episodes 9 through 16. Make sure to like, comment,
30:49and share if you want to see that next installment happen soon.
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