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The.Pitt.S02E01.540p.X265.AAC [Full Movie] [Trending Drama]Full EP - Full
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00:23You are close to me
00:30And I'm thinking of the time we spent together
00:34Now it's in my backyard
00:40Sometimes I sit and wonder
00:45If I'll ever tell your number
00:51Cause I'm having fun
00:53Looking out when I'm on
00:56Doing all the things I like to do
01:02I'm having fun
01:04Cause I knew it all along
01:07Would be better off without you
01:11I used my cast off
01:16As soon as you parked that outside
01:18Morning doc
01:18Olsen
01:19Happy 4th
01:20See you guys
01:21Sorry
01:50Hey how's it going dad
01:52I'm so sleep deprived
01:53My house is starting to feel like a CIA black site
01:55If you consider hiring a night nurse
01:57You're looking at him
01:58You got a ripe one coming in
01:59You're going to have to deal with
02:00Before everybody out there starts puking
02:01Lovely
02:02Your replacement came in early
02:04She brought in a full bagel spread
02:05I'm just saying
02:06She's not my replacement
02:07She's just covering his chief
02:08While I go on my little sabbatical
02:09Three months
02:10I'll be back before your daughter
02:11Sips in the night
02:12Hey dude
02:12That's cold
02:13Morning
02:14Morning
02:30Morning
02:30Morning John
02:30I could have sworn it was still around 4am
02:33Did you guys have an easy night last night?
02:35The waiting room actually looks manageable
02:36I wouldn't call it easy
02:38But not too bad
02:39I figured we'd have hands and burns down here a bunch
02:41But so far nobody's blown off any fingers
02:43Oh you know you just jinxed
02:45You guys and your jinxes
02:46Please Jesus please
02:47Hail Mary again
02:49In the sanctified flesh
02:50Don't let me die alone
02:51Just try to relax Margaret
02:52I need a priest
02:54Hey hey Dr. Robbie
02:55What's the good word Perla?
02:57All your results came back normal Mrs. Walker
02:59I'm dying
03:00You're not dying Mrs. Walker I promise
03:01Jesus is coming for me
03:03If he is he hasn't checked the net registration yet
03:05Please don't let me die a sinner
03:06Don't worry Margaret
03:07We're going to have the hospital chaplain
03:09Come and see you in a moment
03:10I'm not going to last that long
03:11Yes you will
03:12Because we're going to give you a shot
03:13To keep you alive until they get here
03:15What are you thinking Dr. Abinovich?
03:17500 mics of cyanocobalamin?
03:18In her condition I push a full thousand
03:20Woo
03:21You heard the man Perla
03:23God bless you
03:24God bless all of you
03:26Amen to that
03:29Nothing like the miracle healing powers
03:31Of a good old B12 shot
03:32She hold down a job
03:34She doesn't
03:35She's wearing a waitress uniform
03:37Yeah from a diner that closed 20 years ago
03:41And so it begins
03:43My husband is still waiting to see a doctor
03:46I apologize for the wait
03:47But here are two doctors just for you
03:49Mr. Burgess has been complaining of leg cramps for a day
03:52Slightly tacky at 110
03:54BP 128 over 75
03:56Afebrile
03:57Good stats
03:57I'm Dr. Shen
03:59But I'm going off shift
04:00Dr. Abinovich will be one of the doctors looking after you
04:02What other medications are you currently taking Mr. Burgess?
04:05I brought his meds
04:08Thank you
04:09These are his supplements
04:11Mostly all natural and organic where possible
04:13And these are his homeopathic prescriptions
04:15I also have a list of his refrigerated probiotics
04:19Thank you
04:23Where the hell is everybody?
04:25Our new attending is torturing our intern and med students in trauma one
04:29She came in early to meet the night shift and took things over
04:33Okay
04:33That takes giant balls of disrespect
04:35Giant balls of disrespect was the name of my band in high school
04:38And my nickname for my ex-husband
04:41Hey
04:42Hey, uh
04:42Is this your last shift?
04:43For a while, yeah
04:44Oh, I'm so jealous
04:47Hey, I'll pay you a grand if you take my second husband
04:50Tempting
04:51So
04:52Tell me about this new attending
04:53Uh, she's pretty
04:55Divorced
04:56One kid can already tell she is a strict rule follower
04:59I'm probably going to grow to hate her
05:01What's her name again?
05:02Dr. Buran Al-Hashimi
05:04Al-Hashimi?
05:06What is that?
05:08Irish
05:10She's some sort of clinical informatics expert
05:12When she started talking about AI
05:14I started thinking about robots
05:16And kind of stopped listening
05:18Clear
05:19Off the chest, Ogilvy
05:21Get ready to step up here, Joy
05:22Ogilvy, off the chest
05:24Clear
05:26Still VTAC, but it looks weird
05:28Agreed
05:28No pulse
05:29No effusion
05:30Good lung sliding
05:31Hey, start compressions, Joy
05:32We haven't considered all of the T's
05:34I checked for tamponade and tension pneumo
05:36What if it's thrombosis?
05:36If it's a pulmonary or a cardiac clock
05:38T and K could save it
05:39We are sticking with the algorithm for now
05:41Algorithm's not working
05:42Faster and deeper, please
05:43Uh, you need a break, Joy?
05:45No, I need an attending
05:46I'm right here
05:49Stop compressions
05:50We're calling it
05:52Sorry
05:52The patient's dead
05:57All right
05:58Who can tell me what went well?
05:59We followed the VTAC algorithm
06:01We checked for reversible causes
06:02We limited our rhythm in pulse checks
06:04To ten seconds
06:05Excellent
06:05Should we have given thrombolytics?
06:07No
06:07You should have recognized
06:08That the cardiac rhythm on the monitor
06:09Was polymorphic
06:11Not just VTAC
06:12It was torsade de point
06:14That's French
06:15Twisting up the points
06:16From prolonged QT
06:17Anti-arrhythmic electrolyte disorders
06:19Your patient would have lived
06:21If you pushed magnesium sulfate
06:22Good news is
06:23He's an organ donor
06:24Parts of him we're gonna get used
06:26To make frisbees
06:27Water bottles
06:27End up as microplastics
06:29In our brains
06:29And reproductive organs
06:30Thank you for the words of encouragement boss
06:32Dr. Alashimi
06:32Dr. Michael Rabinovich
06:33Everybody calls me Rami
06:34Pardon please
06:35Welcome to the pit
06:37Yeah
06:37Tom is a minute up
06:38Ooh
06:39Who wants to treat a real patient?
06:40Yes please
06:41Things gonna give me nightmares
06:45I hope you don't mind me
06:46Jumping right into things
06:47I find that a mock code
06:49Is a great way to assess
06:50The students capabilities
06:51Well
06:52It might have been nice
06:53If we'd had a little time
06:54To go over how we do things
06:55Did you not get a packet
06:56From Dr. Underwood
06:57Gloria
06:58It outlined the quality improvement changes
07:01I instituted at the VA
07:02We're adopting the program
07:03At all of the university hospitals
07:05You didn't read it?
07:06No I did
07:07I mean I will
07:08I'm going to
07:08I want to
07:09I thought I had a little bit more time
07:11Before you came in today
07:12We've already distributed
07:13Patient passports
07:14To everyone at registration
07:16What is a patient passport?
07:18So glad you asked
07:21Samira
07:21Dr. Al
07:22We worked together at the VA
07:24A few years ago
07:25And now you're in R4
07:26Yes
07:27And I'm so excited
07:28You're joining us
07:29Dr. Mel King is here too
07:30I think you worked with her as well
07:32I did indeed
07:33John Doe
07:34Dishwasher penetrating trauma
07:36From a kitchen knife
07:36To the right chest
07:37Salter accident?
07:38Unclear
07:39Initially had a pulse
07:40Lost it two blocks away
07:44What do we got party people?
07:46Dr. Yolanda Garcia
07:48Trauma surgery fellow
07:49Meet Dr. Baran Alashimi
07:51New ED attending
07:52She's going to be covering for me
07:53While I'm gone
07:54So nice to meet you
07:55That time they replaced you
07:56Rabbit bitch
07:57I'm going to miss you too
07:58YOLO
07:59Dr. Garcia has a hard time
08:00Expressing your feelings
08:01Not all of them
08:02One
08:03Two
08:04Three
08:06Prefer a laparocotomy
08:07I'm on it
08:09What's up boy chocolate?
08:11Did you know
08:12Our farm boy here
08:14Is a vintage funk freak?
08:16Unfortunately
08:16He also likes to use
08:18Other people's toothbrushes
08:19There's one time
08:19They were the same color
08:21What's your plan Samira
08:24Chest tube to the right
08:25Standby with master
08:26Transfusion protocol
08:27I put two units on the infuser
08:28Stare web six and a half
08:29Here we let the fellows
08:30And the residents
08:31Kind of take charge
08:32I'll hold on to them
08:33Just in case
08:34Is the VA even a trauma stand?
08:37Not for medic runs
08:39But they walk in
08:41Falls
08:41Major MBCs
08:43GSWs
08:45Stab wounds on the right
08:46Why are we opening
08:47The left chest?
08:48Better access if it's tamponade
08:49And you can cross clamp
08:51The aorta
08:52Giovanni, Whitaker
08:53Stare gloves
08:54Can I glove that?
08:54That's best if you
08:55Watch the first one
08:57This guy's dead anyway
09:01Sunblade
09:0228 French on a long pillie
09:05Giovanni, you're on section
09:06Whitaker, get ready
09:07For internal compressions
09:11Sorry, that's my phone
09:15Finished out of a tractor?
09:16Whitaker, give me a little room
09:18I need to get to his heart
09:19I'm in
09:19Hook up the thoracic seal
09:22Tommy, you get that for you?
09:23Not right now
09:34Good tamponade
09:35Pretty dry in here
09:38Heart's empty
09:39Somebody start cardiac massage
09:40I'll cross clamp
09:41Yeah, I got it
09:41You do these one-handed
09:43Pushing up against the breastbone
09:44Four fingers
09:45Very good
09:46Not much blood to suction
09:47Okay, team
09:48I can really
09:48Next steps
09:50Keep transfusing
09:51Open the right chest
09:51That is correct
09:52Booties on kids
09:53There will be blood
09:56Frank
10:00Landis
10:03Frank
10:12You should be good
10:13You should be good to go now, hon
10:14Thanks, Lupe
10:15Of course
10:16Hey, go get them
10:21Hey, dog
10:23It's been a while
10:27I got a bad toothache today
10:31We'll take care of that, Lord
10:33All right
11:00Oh, yeah, I see
11:01You got a couple things
11:07There's too much blood to suction
11:10Uh, we're tracking the lung
11:12Try to identify the source
11:13Could be the right ventricle
11:15Or more likely the hilum
11:16Fresh law pads
11:19Siri, turn on silent mode
11:32I'm going to take care of it
11:39I'm going to take care of it
12:12Good morning.
12:14Good morning.
12:15I'd still be in bed.
12:17So what are you doing here?
12:18Ventry's mom is visiting for the holiday.
12:20She's still alive?
12:21Well, it took me to die.
12:23Plus, who else is gonna get this place to the 4th of July weekend?
12:25Sure as hell ain't gonna be me.
12:27I rest my case.
12:28What am I walking into?
12:30Nothing too bad, yet.
12:31Uh, these are the ones I'd keep an eye on.
12:36The prodigal son returns.
12:38Too soon?
12:40No, I guess not.
12:42You're back.
12:43It took some time.
12:45Like an old trail horse, always follow the way back out.
12:48You look good, kid.
12:49How you feeling?
12:50Oh, yeah.
12:50Great.
12:51You know, it's been, uh...
12:54It's been a journey.
12:56I bet.
12:57Thanks.
12:57Robbie, Ron?
12:58Uh, he's in with the trauma, but if you hurry back, you can catch some of the passons there
13:03in North.
13:03Uh, thanks.
13:07I'll keep an eye on him.
13:11I think we have a lost little lamb.
13:13Uh, excuse me, hon.
13:14Can we help you?
13:15Uh, I'm looking for the charge nurse.
13:18Oh, well.
13:19You found two of them.
13:20I'm Lena.
13:21This is Dana.
13:21I'm night shift going home, but Dana is queen of the day shift.
13:25Hmm.
13:25Emma Nolan.
13:26Nice to meet you both.
13:27I'm a new grad RN here to shadow.
13:29Welcome to the pit, Emma Nolan.
13:31Here, let me put some of your stuff behind the desk and I'll give you a quick tour.
13:34Okay.
13:35Where are you from, sweetheart?
13:37To St. Marie.
13:38No.
13:39It's in upper Michigan.
13:40Tactically Canada.
13:42My great-grandmother was from up that way.
13:45Nice area.
13:46A lot of bugs.
13:48How about a cup of coffee?
13:51Can't locate the source.
13:53Proximal hylum is under the sternum, along with most of the right ventricle.
13:56You need better exposure.
13:58Convert to a clamshell.
14:00Exactly.
14:00Trauma shears.
14:02Might have been nice to let them come up with that plan.
14:04Heart's gonna need double compressions, just like this.
14:07Squeeze from the apex to the aorta.
14:12Right ventricle looks good.
14:13Massive hemorrhage from the highlands.
14:15Second NTP packs.
14:16Going.
14:17Additional four units.
14:19High laryngeal looks very proximal.
14:21Maybe pulmonary artery and vein.
14:23Clamps on.
14:24Nope.
14:25No good.
14:26Still bleeding like a stuffed pig.
14:28I can give it a try.
14:28Dr. Gersi is a very skilled surgeon.
14:30If she can't get it, we need to think of something else.
14:31Like what?
14:36Hylar flip.
14:37You're gonna rotate the lung 180 degrees, like putting a cake in the garden hose.
14:41It'll stop the bleeding.
14:42That could possibly work.
14:43Or he'll die when you rip the entire lung off the hylum.
14:47Gently.
14:48Very, very gently.
14:49Very, very slowly.
15:06Blood loss is slowing down.
15:07That's a good sign.
15:08Hylum looks dry.
15:09Maybe the heart feels empty.
15:10Okay.
15:11We fixed the leak.
15:12Now, let's fill the tank.
15:15You are very popular today.
15:18Sorry.
15:18I'll turn it off when I can.
15:24Nine-year-old Kylie Connors.
15:26Riding by her dad's girlfriend, Gina.
15:28Kylie took a tumble on the stairs this morning.
15:31We submitted a chinlack and a chipped front incisor.
15:34Just got lead on a pressure dressing.
15:36Bleeding pretty good on a rival.
15:38Dermabond should do the trick.
15:40Any questions?
15:42Dr. King?
15:44Mel?
15:45Oh, um, I didn't say anything.
15:51How you feeling, Kylie?
15:53Tired.
15:54We've been here since 5.30.
15:55Oh, that makes two of us.
15:57But, don't worry.
15:58We'll patch you up good as new, and we will get you out of here as soon as we can.
16:02Any questions?
16:03Can you raise your shit?
16:03No, I'm just her dad's girlfriend, so I'm new to all this.
16:06No worries.
16:07We got you.
16:07Next.
16:1026-year-old Liam Sanders.
16:12Took a fall from his bicycle.
16:14No LOC, non-focal neural.
16:16Lower leg lack with no bony tightness.
16:18Were you wearing a helmet, Liam?
16:20No, I was just writing in my neighborhood.
16:22You should always wear a helmet.
16:24Hey, nice of you to join us.
16:25Hey.
16:26Dr. Langdon!
16:30Sold.
16:30It's Dr. Langdon.
16:33Candace O'Grady, 82.
16:35Brought to my son, Richard, for intractable vomiting.
16:41Hardly any hemorrhage on the right.
16:42Looks like the flip worked.
16:44How's the heart, Whitaker?
16:44Feels full of blood.
16:45First time since we started.
16:46Hold compressions.
16:50Quivering bag of worms.
16:52Woof.
16:52Resume compressions.
16:53When the heart quivers like that, it's obvious if you fit.
16:56Okay, internal paddles ready?
16:58Charged tilt.
16:5925 joules.
17:0050 gets it right the first time.
17:04Charged!
17:04Okay, Whitaker, when you're ready.
17:05Clear!
17:10I think that's what normal sinus looks like.
17:14Strong carotid.
17:15Salient lap pads and up to the OR.
17:19So how do you start the day?
17:21Unconventional, but a decent outcome.
17:25Why don't we split up for efficiency?
17:27Residents present to either one of us, but not both?
17:31We can certainly discuss that.
17:37Were you feeling weak or dizzy?
17:40No.
17:41I got up to pee and I tripped over a laundry basket that I couldn't see in the dark.
17:44Did you hit your head?
17:46Does my chart say that I hit my head?
17:48No.
17:48We just want to be thorough to make sure you don't miss anything.
17:52Yeah, how about we focus on patching me up?
17:55Ah.
17:56Alright, Mr. Williams, we're gonna check an x-ray of your wrist and try to get you out of here
18:01as quickly as possible.
18:02Great.
18:03And let's keep the bullshit extra charges to a minimum, huh?
18:06My deductible is already a bitch.
18:11Yeah.
18:31Bye.
18:36My mother is trying to destroy my life.
18:38Well, yeah, they seem to take pleasure in that.
18:41I committed to a partnership track position next year at a hospital back in Jersey so I could be close
18:45and support her.
18:46But now she's getting married and selling our house to go on a year-long cruise around the world.
18:52Wow. I mean, that's a...
18:54Pretty fucking stupid idea if you ask me.
18:57She's known this guy less than a year.
18:58What if he's a player?
18:59What if she disappears at sea?
19:02I mean, what if they're in love?
19:04Lust is more like it.
19:05That is even better.
19:08Man.
19:09It has been a while.
19:11And I'm solo this weekend.
19:15I need to get laid.
19:21It's a little much before 8 a.m., right?
19:24Yeah.
19:27Forever.
19:34How's it going, Esby?
19:35Oh, just another day in paradise.
19:52How's it going on a trip?
19:57Taking a sabbatical.
19:59Leave tonight.
20:00Where are you going?
20:03Um...
20:03Head smashed in buffalo jump.
20:06Captain Crunch flying squirrel socks.
20:08Are we talking in code or are you having a stroke?
20:12It's an aboriginal UNESCO heritage site in Alberta.
20:15I've never seen the Badlands.
20:17What is this, like, uh, some sort of spirit quest?
20:21Uh, yeah.
20:22Something like that.
20:24Look, I, uh, I guess we should talk.
20:26I got a lot of things I need to...
20:28At some point.
20:28Not right now.
20:29Right now I gotta hit the head.
20:30And I would like you to go help Donny out in triage.
20:32Triage?
20:33Triage.
20:34No.
20:35No, I already picked up a patient in North, too.
20:37A bicycle.
20:38Pretty sure we can cover for you.
20:39We've been doing it for months.
20:43Right.
20:44No, and I am, I am very, uh, both very sorry and appreciative of that.
20:49I just would hate to think this is some kind of a punishment for...
20:53Uh, yeah.
20:54Yeah, no, for sure.
20:55We'll, we'll talk later.
20:56Before you go.
20:59Like I said, not right now.
21:01Donny just passed his DP certification.
21:03He can help you if you get in over your head.
21:09Hey, Mel.
21:11Can you take over a bike fall leg lack in North 2 from Langdon while he's out in triage?
21:15Um, you know, I, I can work in triage.
21:17No, I want to keep Langdon out in triage and I want to keep you back here.
21:21You okay with that?
21:22Sure.
21:23Great.
21:24Absolutely.
21:33So, who should I pick up?
21:35We're about to get the morning rush.
21:37What do you mean?
21:38Every morning around this time the nursing homes and assisted living facilities do their morning bed checks.
21:44Uh-huh.
21:48It looks pretty quiet to me.
21:54Uh-huh.
21:56Incoming!
21:58Oh, like I said.
21:59Come on.
22:01Ethan Bostick, 79.
22:02Found altered this morning at assisted living.
22:04No history of dementia.
22:06Has a pulse.
22:07What's a pulse?
22:08Physician orders for life-sustaining treatment.
22:10No CPR.
22:11No intubation.
22:13Then there's, there's nothing for us to do.
22:15South 15 is open.
22:16Uh, well, do not resuscitate does not mean do not treat.
22:20He may perk up with fluids, IV antibiotics.
22:28What's the good word, Crash?
22:30You saved that ventriloquist dummy?
22:32Yeah.
22:33Really?
22:34No.
22:36Wait, tell me you're not actually charting about losing a mannequin.
22:39It's part of the exercise.
22:40Don't do unless she may ask us to do it.
22:42Who's his next of kin?
22:43Barbie?
22:44Okay.
22:46What's your, uh, take on the new attending?
22:50Not too soon to tell.
22:53You?
22:55She's already bugging me about being behind on my charting.
22:57Now I know why everyone says being a second-year resident sucks.
23:00Cause it does.
23:02I must have sat through the part of med school where they tell you 90% of your time will
23:05be spent typing.
23:06Which is just one more reason surgery is a better lifestyle choice.
23:10Hey, Dr. Shamsi.
23:11Dr. Trinity Santos.
23:13Oh, yes.
23:14The ER intern who's interested in my surgery program.
23:16Well, it's me.
23:17But I'm an R2 now.
23:18And thinking of double boarding in surgery and emergency medicine.
23:22Which I know would sound ridiculously ambitious if I didn't have the talent to back it up.
23:26And a required attitude.
23:29Are you here to see a patient?
23:31I was.
23:32I did.
23:33And now I'm here to learn why you aren't returning my calls or texts.
23:37Okay.
23:38I'm out.
23:39Nice seeing you again, Dr. Shamsi.
23:41As soon as I get a little free time, I will make plans for all of us to do something
23:44together.
23:45What about Tuesday?
23:46I'm working.
23:46On your birthday.
23:48I will call you and dad tomorrow.
23:50And we will come out this night to do together.
23:51I promise.
23:52Right now.
23:52Actually, I have a bunch of night shift handoffs.
24:03We have schedules.
24:04You have chaos.
24:07You know she's wasting her talents down here.
24:09Victoria is a big girl.
24:11She can make her own decisions.
24:12She's also a young girl who's still very impressionable.
24:15And you can be very...
24:17Impressionable?
24:21Yes.
24:22Who?
24:24Who?
24:25Oh, for God's sake.
24:27I'll be right there.
24:28We need to talk.
24:31How about same time tomorrow?
24:35Next Tuesday's your birthday?
24:37No?
24:40Yes?
24:41Your 21st birthday?
24:42Please don't say anything.
24:43Okay.
24:43I get a little anxious about...
24:45Dr. Santos.
24:45Little girl with the chin legs getting to a gown.
24:48Don't mind what you don't want.
24:50Nothing.
24:53Have a good day.
24:54You too.
24:55Maligayanka Arawan.
24:59Hey, Duke.
25:00I'm just calling to remind you that this is my last shift for a while.
25:04So I need you to come in before 3 o'clock in case we need to run some tests.
25:11Okay?
25:12We had a deal, brother.
25:15Oh.
25:16Hello.
25:17Hi.
25:18I know you're crazy busy.
25:19Always.
25:20But I figured we should really go over a few things before you're gone.
25:23Sure.
25:24Where would you like to start?
25:25Well, one little thing that I think would have a big impact with staff and patients alike is if we
25:30launched a campaign to eradicate referring to this wonderful department as the pit.
25:37Really?
25:37I know you think it's silly and petty.
25:40No, I think it's just kind of endearing. Pretty damn accurate.
25:43I would argue the opposite. I think subconsciously it affects those who work here. It also lowers expectations, which in
25:50turn lowers patient satisfaction.
25:52Well, you've been talking to Gloria.
25:53Yes.
25:54And she agrees with me.
25:55Don't doubt that for a moment.
25:57You have to cheat the man over there right now.
25:59We see people in order of severity, ma'am.
26:04I don't know what you're saying.
26:07I can taste the shit in the back of my throat.
26:09Actually, the ladies' rights want to make all of us sick.
26:11Yes, please.
26:19All right. We'll get them back. Tell Dana we're bringing the funk.
26:25Oh, my God.
26:28Lisa, when did your eyes start bothering you, Miss Matthews?
26:31Sister Grace, please. I'm only married to God.
26:35Of course. I'm sorry.
26:36A few days ago, I thought it was pink eye, or maybe I scratched it while gardening.
26:42It's a very bad case of conjunctivitis.
26:44We should send a sample to the lab to direct her treatment.
26:48Look up for me.
26:54I'll put a numbing drop in your eye and check for a scratch with a special lamp.
27:01And I'll get you to look up for me again. Thank you.
27:05Have you ever considered serving God?
27:08Which one?
27:09Excuse me?
27:11My family's Hindu, so we have like 33 different kinds of deities.
27:16Oh, we have the one.
27:18Some people only need one, right?
27:21Okay.
27:25Most important rule around here, be smart, be safe.
27:28Can't warn you enough about protecting yourself and your fellow nurses.
27:31We use the STAMP acronym to assess patients.
27:34You know it?
27:35Uh, S is for staring or refusal to make eye contact.
27:38If they're staring, they're scaring.
27:39T?
27:40Tone of voice.
27:41Often the threat level rises with their voice.
27:43A is for anxiety.
27:45You can also think aggression.
27:47M is mumbling.
27:48If you're listening closely enough, it's often them saying what they're thinking of doing
27:51as they talk themselves up to it.
27:52And P?
27:53Pacing.
27:54Good.
27:54We also have a safe word.
27:56Hula hoop.
27:57I guess technically it's two words, but whatever.
27:59If there's a threat, say hula hoop and we'll all respond.
28:04Yeah?
28:06Lovely.
28:07Okay.
28:08I'll be right there with reinforcements.
28:12Duty calls.
28:13We're headed for triage.
28:20I'm gonna get your cash off.
28:22Just be here.
28:26We might be here.
28:27We might be here.
28:27The antibiotics should clear everything up.
28:27We might be here.
28:40We might be here.
28:41The antibiotics should clear everything up.
28:44up but you should try to stay off it for a few days i have to work i'm late as
28:50it is well um
28:51take breaks and elevate when you can tie it on advil for the pain if the pain persists or feel
28:58like it's getting worse come on back we'll get you fixed up thanks let's uh give this to the doctor
29:06what the hell is it patient passport let's patients know what they're waiting for and how
29:10long it'll take you check off if he needs labs x-ray ct no of the above when we start
29:16this today
29:16the new attending what's up with your tooth louis it's been going on for a while but it got bad
29:26last night lower left side okay ah ah ah it could be an infection at the root oh we can
29:38drain it but
29:39then you're uh you're breathing kind of fast yeah i mean well i've been uh walking more
29:48trying to get in shape but sometimes like i get a little short of breath yeah you need to walk
29:53past
29:54the liquor store not into it what shape you're getting is for a liver transplant i don't need
29:59a new liver just get rid of this toothache deep breath
30:06one more is my heart still ticking like a jackrabbit how long you been sitting down
30:12oh just for a few minutes not that long um louis there's something i need to tell you
30:23last time i saw you about 10 months ago i treated you and i took some of your medicine
30:32i'm not sure i follow
30:34i have an addiction to benzos and i helped myself to some of the librium i prescribed you
30:41for your withdrawal you stole my pills
30:47yeah yes um i'm sorry it was uh it's not only wrong and utterly unprofessional but
30:56it was a betrayal of my hippocratic oath and it was a fucking crime that's where i've been
31:04rehab and counseling
31:09huh i'm sorry i i understand if you prefer a different doctor hey doc we have a situation
31:17excuse me what kind of situation someone left the little baby in the restroom
31:32okay let's think about reversible causes of confusion in the elderly
31:36uh hypo or hypernatremia infection but he's afebrile good or two sats and urine dip was negative
31:42yeah great joy anything to add
31:46nah
31:49v-tac can i yeah
31:53no pulse should we call for a code blue no cpr no shock we honor his pulse and his wishes
31:59so what does that leave us making sure he's comfortable
32:04how suction
32:06altered mental in the elderly can also be toxicity from anticholinergic sedative hypnotics opioids
32:15am i missing something social skills
32:23you look so peaceful should we go find a new patient no stay here
32:30a systole
32:41quick and painless we should all be so lucky i'll try to contact some family
32:50yeah one of the things we like to do here
32:56when we have the time
32:58is to take a moment of silence when we lose a patient to respect their humanity
33:03he was someone's son perhaps a father himself a brother a friend
33:12oh uh just make sure your phones are on silent
33:20great great great okay
33:23is anyone missing a baby
33:25did anyone leave their child in the restroom
33:31you uh remember seeing a woman enter with a baby believe without one
33:36no sorry
33:38might be on the security tapes
33:40i'll have them i'll check it out
33:41please yeah
33:43harlow graham to window one
33:46harlow graham to window one
33:50harlow graham to window one
33:52please
33:58donnie donahue nurse practitioner this is emma new grad nurse
34:01hey
34:01nice to meet you what's going on
34:03somebody dumped their kid
34:04maybe mom just stepped out for a smoke or something
34:08what i'm being helpful sometimes i just need a little break and then they come back
34:13at least i didn't leave her in a suitcase at the bus station
34:16does that happen
34:17if that's a true story i don't want to know about it
34:19the worst of scenes
34:20please don't tell me i'm a new dad
34:22remember
34:31i'll get robbie
34:32should i come with
34:33no stay here
34:34donnie jesse
34:35teach her something
34:39you know how to check a rectal temp on an infant
34:42uh
34:45theoretically
34:52mr williams how's the pain
34:54nothing i can't manage with some vicodin and a little scotch
34:59well it's uh best not to mix the two james here is going to take you to get an x
35:03-ray of your wrist
35:03i'm going to be fine
35:06well it'll tell us if you need a cast
35:07i doubt it
35:09i should probably go home keep some ice on it
35:11i know you guys always need the beds
35:15well uh it'll only take a minute and then we'll know for sure
35:18yeah i really don't think it's necessary and i have a busy day but i appreciate your concern
35:27i'd really like to observe you for a little bit in case you did hit your head
35:31my head
35:32i have my schnauz on my arm i think nothing more
35:35you think you don't remember
35:38no
35:39yes
35:41i'm going to be fine
35:43really
35:43thank you for your concern
35:54how about we take that x-ray just to be safe
35:58yeah
35:59yeah okay
36:00okay good idea
36:04somebody found a baby
36:06yeah
36:06not the first time it's happened
36:09so about those pills i took
36:12don't worry about it doc
36:13if the pills helped you
36:16great
36:17i never really liked taking them
36:21i appreciate that louie
36:23that's not really the point but
36:25need to lift up your shirt for a second
36:34how long has your belly been hard like that
36:36i don't know
36:37i figured i could wait another week
36:39you need uh some lab tests
36:42and a procedure to drain off some of this fluid
36:44yeah i know the drill
36:46i've been tapped a few times before
36:48three times in the last six months
36:52you need to give your liver a break louie
36:54yeah i know
37:01just heard somebody dumped a baby in the waiting room bathroom
37:03how sad is that
37:05huh
37:07what's up with you today mel
37:09lynn calia
37:11what makes you think there's something up with me
37:13you're moping around here all day like somebody gunned down your favorite k-pop band
37:16i don't really have a favorite k-pop band
37:19not that i don't like the genre
37:21forget k-pop
37:22what's going on with you
37:23you usually ride in here on your unicorn tossing wildflowers
37:28unicorn
37:28never mind
37:30is everything okay with your sister
37:32oh yeah she's great
37:34it's just this
37:38spill girl
37:40um
37:42well a couple of months ago i got named in a
37:46malpractice lawsuit
37:47and so um today is the the deposition
37:52that's it
37:53every emergency medicine doc gets sued sooner or later
37:56seriously don't sweat it
37:58i mean you're still a resident
37:59we're protected by the hospital
38:00you could cut somebody's head off and get away with it
38:04you know like
38:06don't
38:06you won't want to become known as the
38:09one who put mel in malpractice
38:11hey santos
38:12our little girl kylie has been in the west pen emergency department a couple times
38:18i'm not saying this is necessarily the case here but
38:21recent studies have linked bullying behavior to different personality disorders
38:26on the other hand though i i am known to be a bit
38:29overly sensitive sometimes
38:30mel
38:31yes
38:31you talk to yourself again you need something
38:33uh yeah i'm a lawyer
38:35i don't know i'm kidding
38:36i'm
38:40yo rabinovich somebody ditched a bundle of joy in chairs
38:42how old
38:43a couple months maybe donahue's got her in peds
38:46no one saw who left her
38:47apparently not
38:48it's so sad
38:49tell me about it who throws away perfectly good babies
38:53make a lane
38:54ah
38:55sweet baby jesus antoine
38:57right to the outdoor shower
38:58i just drive them i'm not a washing detail service
39:00yeah yeah
39:01god forbid you prove useful
39:03ah good time in miss emma time for you
39:04you and me to do the lord's work this way
39:07oh god what is that
39:09okay big breath
39:13all right lungs sound great
39:14can you lean forward for me
39:22uh did you hit your back when you fell down the stairs
39:26no
39:26okay there's a pretty good bruise here
39:29i got knocked down in soccer
39:33oh no you broke your wrist last year too huh
39:36fell with my skateboard
39:37got a purple cast
39:38cool color
39:39and you were treated at west penn
39:42is that your closest hospital
39:44uh i guess that would make sense
39:46i've only been dating your dad a few months
39:48uh he lived in garfield before the divorce
39:51and uh what about these
39:52soccer
39:54do you wear shin guards
39:55my dad ordered them
39:58what does your dad do for work
40:00he draws buildings
40:02but he's not an architect
40:03he's uh draftsman for a firm in newcastle
40:06um kylie any chance you can pee
40:11um maybe
40:12okay
40:12well uh with the bruise on your back
40:14we need to check your urine
40:16okay
40:17okay
40:20did you eat anything out of the ordinary recently
40:23no
40:24sorry but
40:25we went through this
40:26a bunch
40:27don't you people communicate
40:29you're the third nurse we've told her story to
40:30i'm a doctor
40:31bridget
40:33would you go to the cafeteria
40:35and get me a large chamomile tea
40:37what can we get you my dear
40:39i'm fine
40:40thank you
40:44yeah i'll be right back
40:49please excuse my son
40:52ever since my husband died
40:54he's been a little overprotective
40:56i think it's sweet
40:58you're very lucky to have him
40:59i am
41:02are you still taking your loperamide and cholestyramide
41:07um
41:08not so much
41:09no
41:11that may be why you're experiencing the abdominal pain and vomiting
41:15when did you stop taking your meds
41:17last winter or so
41:21my neighbor helen and i
41:23bingo in wintersville
41:25there's a dispensary next door
41:27and we got some marijuana
41:29and i swear
41:31it cleared everything up
41:33a few cookies
41:35every few hours
41:37and no more pain
41:40a few cookies
41:43how many are you eating in a day
41:45oh
41:46uh
41:47i don't know
41:50probably a dozen or so
41:51but they're not very big
41:55there have been some studies that show an added dementia risk with marijuana use in older adults
42:03no that sucks for old people
42:07kylie there are some questions that we ask every kid who comes in with an injury
42:13like what
42:14like
42:15sometimes the people that you live with can get so mad that they hit you or hurt you
42:23maybe without even meaning to
42:25does that ever happen
42:27no
42:28not to me
42:29or sometimes kids can get punished for doing something wrong with maybe a spanking or a belt
42:36i get timeouts
42:38i get timeouts
42:40how about at school kylie
42:41you know is anybody being you know mean or bullying you
42:45no
42:46i have lots of friends
43:07i have lots of friends
43:08yo
43:09whitaker
43:11dr langdon
43:14you uh meet louie here
43:15uh yeah yeah many times
43:17good morning mr cloverfield
43:19what's up doc
43:20where's your new resident badge buddy buddy
43:22oh uh yeah they didn't give me a new one yet
43:26bummer
43:27you and uh your ducklings got time to tap a six pack off our friend here louie needs a paracentesis
43:32yeah sure
43:33it's good to see you again louie
43:35not in this condition of course
43:37how you feeling
43:38feeling like i need a drink pretty soon
43:42okay well first things first
43:43we are gonna make you more comfortable by draining some fluid
43:47you're gonna take off a big volume to start with 60 grams of 25 percent albumin iv
43:52you tapped him before
43:53no
43:54that's okay doc
43:55i'll talk him through it
43:58okay
44:01sats 99 on room air normal bp normal plus
44:06uh
44:07well hydrated
44:08no obvious source of infection
44:10could be a benign virus but can't assume that
44:13this is the abandoned baby
44:15mm-hmm
44:16how old
44:17how old
44:17how old do you think she is
44:18month
44:19month and a half
44:20it's tricky
44:22under 28 days is a safe haven drop off no questions asked but over 28 days is a crime
44:27child abandonment
44:28how should we assess
44:30under 28 days gets everything including an lp but over 28 days you can follow p-corn or step by
44:38step to determine risk of invasive bacterial infection
44:41this baby looks great
44:42we know nothing about the birth history
44:44did mom have group b strep
44:46active hsv lesions
44:48we should assume the worst
44:50put in your orders dr mohan
44:53cbc
44:54blood culture
44:55chem panel
44:57chest x-ray
44:58uan culture
44:59respiratory virus panel
45:02check inflammatory markers
45:04procalcitonin and crp
45:06then
45:07take it from there
45:08that sounds like a plan
45:10dr robbie
45:11santos need you
45:12north one
45:13okay i'll be right there
45:15feel excused
45:15feel excused
45:19mind if i join with
45:20uh no
45:22i got this
45:23it will help me get a better sense of how you like to do things by seeing you in action
45:27with the residents
45:29be my guest
45:33i will be right back
45:41um
45:41nine-year-old kylie connors took a tumble running up the stairs this morning chin lack and fractured tooth brought
45:48in by her dad's girlfriend gina supposedly the dad had to leave early for work
45:53kylie has a lot of bruising on her body some old some new
45:56are you concerned about
45:58non-accidental trauma
46:00or worse
46:02her urine sample shows gross hematuria
46:04which could be renal injury or vaginal bleeding from trauma could have contaminated the specimen
46:10lots to consider
46:11what's your plan
46:13labs
46:14ultrasound
46:15social work consult
46:16then decide if this is reportable
46:22let me know if you can feel this
46:24no
46:25am i supposed to
46:26no
46:32no
46:32your hair is such a pretty color
46:33thank you
46:35reminds me of my mom
46:37she died when i was nine
46:39uh
46:39i'm sorry about that
46:41she wore glasses like you too
46:43weird
46:45and what do you like to do when you're not working
46:49um spend some time with my sister
46:51read
46:53do you drink coffee
46:54uh
46:55no i avoid caffeine
46:58me too
47:01what about boba
47:04i love boba
47:10it'll be some gum but it's laced with nicotine trying to quit smoking
47:16that's good
47:17bird's still out
47:18getting all those nooks and crannies mr digby
47:21your skin will thank you
47:23we all will
47:25i could stay in here all day
47:29a miracle what a little soap water and human decency can do sometimes
47:33don't forget the ears pal don't want anything growing in there either
47:36okay
47:38okay
47:39so what's your story emma
47:40what do your parents do got siblings boyfriend
47:43ever kill a man in a bar fight
47:46uh
47:57so mr williams
47:59sometimes a fracture of the scaphoid bone doesn't show up on day one
48:03so my advice to be safe is we're split for two weeks and then come back for a repeat x
48:09-ray and we'll see if it's really there
48:13my knee hurts
48:15my knee hurts
48:16oh did you hurt your knee
48:19i must have
48:27what is this
48:30that's um for your wrist
48:33i need this
48:36i need this
48:36well um if it's a uh
48:38john can you
48:40if it's a fracture and we don't immobilize the bone might not heal properly
48:48how long is this gonna take
48:51just a few minutes to fit you
48:56is this place new
48:57is this place new
49:02mr williams do you know what day it is
49:09it's taco tuesday
49:12do you know where you are
49:15yeah i'm in the slowest medical clinic in the west
49:19do you know what year it is
49:21how about you just fix my wrist
49:23and you stop
49:25with all the questions
49:28i am not here to be profiled
49:34yeah
49:35yeah of course
49:37i'll be back okay
49:50all right mr digby looking better already certainly smell a little better
49:55do you have any conditioner
49:56excuse me dried off and back inside
49:58get him downed up and put him in south 21 across from the old nun
50:01maybe some of her to find grace will wear off on him
50:05who do we have here
50:07evelyn bostick 81 with alzheimer's
50:09we brought her husband in about 30 minutes ago
50:11she was supposed to get a ride in but they found her wandering in traffic
50:14where are we
50:15you're at the hospital dear
50:17i'm not sick
50:18we brought you to see your husband
50:19oh no is he isn't okay
50:22be in to chat with you mrs bostick
50:25he died
50:27what you got am boy
50:28alan billings had a pallet fall into his outstretched arm
50:32looks like an open dislocation
50:34yeah that's gotta hurt
50:35don't worry sir we got ya
50:43how's she doing
50:43seems happy enough
50:46yeah
50:48just got a quick point of care cvc
50:56is there a problem
51:02did i miss something
51:04dr al
51:06dr al
51:14i'm in
51:15hurt
51:17but i refuse to cry
51:22i'm in
51:22hurt baby
51:24but i refuse to cry
51:29it's so true
51:30you know you know you know you know i cannot
51:45i'm
51:46i won't cry
51:52oh
51:53you know i won't cry
51:56I said, I won't cry, baby, baby
52:00You know I won't cry
52:03You know, you know I won't cry, baby
52:06I'm telling you, I won't cry
52:10Oh, I don't like
52:13Oh, but I refuse to cry
52:16And I said, sometimes, darling
52:21Your friends, they treat you so cold
52:24But baby, you know they act better
52:27Yeah, yeah, when you have that goal
52:32But I won't lie
52:34You know, you know, you know
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