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The.Pitt.S01E12.540p.x265.AAC [Full Movie] [Latest Version]Full EP - Full
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00:10Hey, Jake.
00:11Your home, stay home.
00:12Listen, man.
00:12Just call me or text me the second that you get this message, okay?
00:15Stay in line.
00:16Okay.
00:16I can't reach Jake.
00:18I'm sure it's okay.
00:20Active shooter at PipFest.
00:21We heard.
00:21Code triage, emergency department now.
00:24Code triage, emergency department now.
00:25What's that mean?
00:26Has that happened before?
00:27We're locking down the hospital and setting up a command center and administration.
00:30We'll coordinate logistics, supplies, communication.
00:33How many casualties?
00:34Unclear, but initial reports are not good.
00:37Okay.
00:38The night shift is going to be here soon, but we are going to need more help, especially
00:41from surgery and anesthesiology.
00:42MCI group text and email went out to everyone, including transport and environmental services.
00:46Okay, good.
00:49Hey, everyone's going to want to come in to help.
00:50Keep enough in reserve.
00:52Tell them to come in eight hours later to give us a break.
00:54And can you try and reach Jake?
00:55Of course.
00:57The surgery's got to call in the cavalry.
00:58We're going to need all 25 ORs.
01:00Ahead of you.
01:00Four ORs are prepped and staffed, and we're working on getting the rest up and running.
01:03What about disaster supplies?
01:05On their way.
01:07Every patient in the ER needs to go up, beds or no beds.
01:10They'll get better care in an upstairs hallway than ignored down here.
01:13Agreed.
01:14There's a whole wing that's empty on the eighth floor.
01:17I don't know if that's the no-nurse that's to staff it.
01:20No comment on that one.
01:22Waiting room and triage can go to family medicine, urgent care, and we should turn off the TVs.
01:26We don't need to cause any extra panic.
01:27Will do.
01:27The cafeteria will handle the family members and survivors.
01:30What else do you need?
01:33Prayers wouldn't hurt.
01:35I'm in with that.
01:36Keep the press out of here.
01:38Gladly.
01:38Call me directly if you need anything else.
01:40Okay, will do.
01:41Hey, what's going on?
01:42Mass casualty at Pit Fest.
01:44How many victims?
01:45We don't know.
01:46Expect the worst.
01:47Did the police find David?
01:50Okay, everybody, listen up.
01:54There is an active shooter at Pit Fest.
01:57As the nearest trauma center, we are going to be getting the majority of the victims.
02:00We don't know yet how many we are getting, but we are instituting hospital-wide emergency protocols.
02:06We need to move every patient out of here.
02:09They either go home, they go upstairs, or they go to family medicine.
02:13Call your loved ones now if you need to.
02:16I can guarantee you cell service will soon be overwhelmed.
02:19Eat something, stay hydrated, use the bathroom while there's time,
02:22and meet back here for a full briefing in five minutes.
02:24Brother, I'm so fucking glad to see you.
02:26You heard it on the police scanner.
02:27How many we expected?
02:28I don't know, but it doesn't sound good.
02:31Let's go to the back first.
02:32You guys got to get out of there.
02:36Now?
02:37Yeah?
02:37How many now?
02:38You're going to need to put a lot.
02:41You're going to need to put a lot.
02:45Where do we put the disaster beam?
02:47Behavioral health.
02:47That's now our central supply.
02:49Let's go.
02:49And get active security to empty the waiting room and find out...
02:52We got more bans coming.
02:53Okay.
02:54Okay.
02:56Right side.
02:58Left side.
02:59I'm going to need you to grab folding tables from the facilities to organize all this stuff.
03:03Copy that.
03:23Your medical records will be available to urgent care and family medicine.
03:27They know you're coming.
03:30Okay.
03:31Please make sure to take all your personal belongings with you.
03:33This is stupid.
03:35Sorry for any inconvenience, sir, but this is an emergency.
03:37This is an emergency room.
03:39It's fucking stupid.
03:41Bullshit.
03:41Get back here as soon as the waiting room is clear.
03:43Copy that.
03:46Telemetry.
03:46Got it.
03:48OBGYN.
03:49CCU.
03:50ICU.
03:51Ortho.
03:52MCI protocols.
03:53Make sure you bring all these gurneys and wheelchairs back.
03:55They're going to the ambulance bay.
03:56We need as many as we can get our hands on.
03:58What's next, Cap?
03:58Pharmacy needs to come down and open to PDS.
04:00They also need to bring up all the narcotics, paralytics, and sedatives that they can.
04:03Consider it done.
04:05Jake?
04:05Not yet, but you know teenagers.
04:07I'll keep trying.
04:08Okay, maybe try his mom, Janie.
04:09She's in my phone.
04:10Tell her what's going on.
04:11And try Collins.
04:13See if you can get her to come back.
04:14Will do.
04:15Okay, let's go.
04:16Let's go.
04:16Bring all these gurneys and wheelchairs back.
04:18They're all going to the ambulance bay.
04:21Um, hi.
04:22Can you just tell my sister, Becca, that I'm going to be a little late picking her up?
04:27Um, uh, I don't, I don't know.
04:31Hey, hey, Mom.
04:32I need you or Dad to come to the hospital right now to pick up hair centers.
04:35He's going to be stuck here for hours.
04:36I know.
04:37I'll explain when you get here, okay?
04:38Love you, bye.
04:40Hey.
04:41Can we leave here?
04:46I can't, but Grandma and Grandpa are going to come pick you up.
04:49And in the meantime, you can play some games.
04:52Can I watch a movie?
04:55Yes, but nothing scary.
04:58I mean it.
05:00Don't leave this room until I come get you, okay?
05:02Okay, Mom.
05:03I love you.
05:04Bye.
05:05We're going to be putting four gurneys in each of these trauma rooms,
05:07so make sure you stock both rooms to handle the additional patients.
05:10Not a problem.
05:10And let's room all these wows, ultrasounds, out of here.
05:13We're not going to have time or space for anything but gurneys.
05:16Okay.
05:16Any word on what we're expecting?
05:17Not yet.
05:18How's it looking upstairs?
05:19Should have all 25 ORs running within the hour.
05:21We could be buried by then.
05:23Everyone's rolling as fast as they can.
05:24Surgery's ready.
05:25We're here.
05:26We're ready.
05:27I'm taking primary ER.
05:29I bet.
05:29Who's taking primary surgery?
05:33Heavy is the head that wears the crown.
05:34Dr. Walsh.
05:36Anesthesiology.
05:36Glad it won't be down.
05:37He's got forearm pace.
05:38More on the way.
05:38Okay, this is yours.
05:41What you got in there?
05:42A couple of cat tourniquets, hemostatic dressings, LMAs.
05:45Oh, yeah, that's good.
05:47Butterfly ultrasound works off a cell phone.
05:49Ooh, that's cool.
05:50Yeah.
05:50We're going to send all the unstable chest and belly straight up to the OR.
05:53Okay, everybody, listen up.
05:55This is how it's going to work.
05:56Our ambulance bay is now our triage.
06:00EMS will be overwhelmed.
06:01Most will probably arrive by car, several victims per vehicle.
06:05For all you newbies that don't know, Dr. Shen is our night shift attendant.
06:09John, I'm going to put you on point triage.
06:10Cool.
06:10Triage will decide who goes where depending on their injury.
06:14Every department will have a designated primary who will oversee their staff.
06:18If you need someone, look for the vest.
06:20We're all going to have walkies.
06:21We can get you whatever you need.
06:24No patient goes into a room unless it's a trauma bay, and they will have four patients each.
06:29We need to keep everybody out in the open so we can keep an eye on everything.
06:33Okay?
06:33Triage is going to assess and assign every patient to a specific zone with the colored slap band.
06:40Patient who comes in with a red slap band goes to the red zone, which is the trauma rooms
06:44with overflow out here.
06:45These are the most critical patients who will die without immediate attention.
06:49Samira, where are you?
06:50You are here with Dr. Abbott and me.
06:52Jack's going to run traffic.
06:53We have five minutes to try and stabilize the reds.
06:56After that, it's OR, ICU, or morgue.
06:59The south and central common area over there will be the pink zone.
07:01That is for patients who will die in under an hour without treatment.
07:05McKay and Javadi, you are over there with help from incoming night shift and surgical staff.
07:09Yellow zone is the north corridor.
07:12Those are going to be mostly extremity wounds.
07:13Good vitals, talking.
07:15Mel, you're going to run point there with Santos and Whitaker.
07:19What if there's a pulseless extremity?
07:22Oh, if you can't feel a pulse, check for Doppler flow with this.
07:26It's a mini ultrasound.
07:28Follow the screen props.
07:30But a yellow can change to a red if they go south.
07:32You got to stay on top of them, even if they seem stable.
07:34Okay, yeah.
07:34You got this, Dr. King.
07:35Green, minor lax and sprains as they go to family medicine.
07:38Black and white bands are DOA.
07:39Imminent death.
07:40Peds is now our morgue.
07:41Let's hope we don't get too many of these.
07:44We're a mass unit now.
07:46There's no charting.
07:47No electronic medical records.
07:49No board.
07:50How do we document treatment?
07:52Oh, you'll all get Sharpies and every patient has a wrist chart to document treatment and procedures.
07:56We're not a room, right on the patient's forehead.
07:59Really?
07:59Yeah, really.
08:00Each wrist chart has a unique mass casualty incident, barcode, and patient number.
08:05That's how the patients are going to get identified.
08:06This is no frills combat zone medicine.
08:10No ultrasound, no x-rays, no CT, no labs.
08:13Assess based on mental status and pulse strength.
08:16Every critical patient gets an IO, intubation, a unit of blood, and chest tube if needed.
08:22Everything you need, blood, drugs, bandages, everything will be in the behavioral health rooms.
08:26That's our supply depot.
08:28So, um, oh, keep a couple of 11 blades in your pocket.
08:32Goal is to resuscitate ASAP so they'll make it upstairs for definitive care.
08:36Trauma surgery and neurosurgery will decide who goes up to the OR immediately and who goes to the ICU for
08:41further treatment and evaluation.
08:45Communicate.
08:46Ask for help if you need it.
08:49Trust your attendings.
08:50We will get through this together.
08:52Damn right we will.
08:53Okay, you three, I want to talk to you.
08:57I need you three to raid central supply and bring back all the chest tubes, ET tubes, thoracels, normal saline.
09:03I thought that was all in behavior, huh?
09:04We can burn through all that in the first hour.
09:06West Basement just passed nuclear medicine.
09:08West Basement, got it.
09:08Wait, wait, wait, wait, wait.
09:09Take one of these empty disaster bins so you can grab everything and get your hands on.
09:12It's a disaster bin?
09:12Empty plastic boxes right there.
09:14You can't miss them.
09:15Where's Collins?
09:16She went home, but Dana is calling her now.
09:19Don't worry.
09:20It's okay.
09:20We got plenty of people coming in.
09:22Just follow Dr. Abbas' lead.
09:24John, I'm going to help you get started in triage.
09:26Sounds good.
09:28Dana, what do you need?
09:29Oh, I have the yellow zone for extremity wounds.
09:31We need a shitload of bandages, tourniquins, split slings, and IV antibiotics.
09:35Come on.
09:37Myrna.
09:41Where the hell did Myrna go?
09:42Antoine, did you take the cuffs off Myrna?
09:43Hell no.
09:44That woman scares the shit out of me.
09:45She keeps trying to bite me.
09:47Son of a bitch.
09:54Oh.
09:55That's a lot of wrist charts.
09:57300.
09:59Let's hope we don't need them all.
10:01Were you at the last mass casualty faculty meeting?
10:04Oh, no.
10:05I was still a resident three months ago.
10:08Right.
10:09Oh.
10:10Wow.
10:11Well, one patient at a time.
10:13Right.
10:14The goal is to triage each patient in ten seconds.
10:18Ten seconds.
10:19Got it.
10:19Mental status is AVPU.
10:21Alert, responsive.
10:22Verbal, responsive.
10:23Pain, unresponsive.
10:24Yep.
10:25Next, do they have a pulse.
10:27Radial carotid ephemeral.
10:29Tells you where to send them.
10:30That's it.
10:31Okay.
10:33Cool.
10:34I heard it might rain today.
10:37John.
10:38Yeah, man.
10:39Mental status and pulse.
10:41Give you everything you need.
10:43Cool.
10:44Unresponsive with no pulses.
10:45Slap a black and white band on them.
10:47Send them to work.
10:49Response to pain with a faint groan.
10:51Weak femoral pulse.
10:52No radial.
10:53Uh, red.
10:54Right.
10:55Slap a red band on them.
10:56Send them back.
10:57Awake, alert with strong radial.
10:59It's your question.
11:00Could be green, family medicine for scrapes or sprains, but stable penetrating your ceremony
11:04wouldn't go to yellow.
11:05Perfect.
11:06Dude.
11:07Relax.
11:07I got the front door.
11:08You worry about the back.
11:11You got C-collars.
11:12I'll take them.
11:13Guys, keep it going.
11:14Hey, Paolo, everybody, let's put the heads of these gurneys up 30 degrees so they all roll
11:18in the right way.
11:19Dr. Robbie.
11:20You talking to your son?
11:21No, but I have the form to put them on a psychiatric hold.
11:24The social worker signed it.
11:26I just need you.
11:27Okay.
11:27You should probably go home, Teresa.
11:29This hospital is essentially closed.
11:31David wouldn't do this.
11:33I really hope you're right.
11:35I got four shooting victims.
11:37What's your name?
11:39Duncan.
11:40Show me.
11:42Right chest, strong radial, pink.
11:45What's this?
11:46That's priority boarding.
11:46You're going to be okay.
11:48Back when it's red, shoulder is yellow, neck when it's red.
11:51Okay.
11:52Let's check out this van.
11:53Yeah.
11:57Hey, I see that woman over there.
11:59You need to speak to her.
12:00What?
12:00Your son has something to do with the shooting.
12:02I'm not sure for certain, but you need to talk to her.
12:04Sit.
12:05Okay.
12:10What's your name?
12:11I'm Sylvia.
12:12This is my son, Omar.
12:13Omar, can you open your eyes for me?
12:15He's deaf.
12:16Gurney!
12:17Sir, can you hear me?
12:19Black and white, beads.
12:24Red zone.
12:25You need to let go now.
12:26I want to stay with my son.
12:29You will be very close by, I promise.
12:32What happened, you leg?
12:33I got hit by a car when we were wheeling with me.
12:35Okay, we'll see you inside, too.
12:41You got this?
12:42I'll check back in a minute.
12:43No problem.
12:44Dr. Ellis, thanks for coming in early.
12:45With me and coach.
12:46You're on triage with Shen.
12:48Shen's a patient, right?
12:49You got it.
12:49Let me know if you need any help.
12:51Help.
13:01I'm in.
13:02Bag her.
13:03Oneg's pouring in.
13:05Stronger pulse.
13:06I'll take her up.
13:07Dr. Mohan, that kid came in with his mom.
13:09She says he's deaf.
13:11Ready to go with the Oneg.
13:12Wait, wait, stop.
13:13O positive for males over 13, women over 55.
13:15Oneg for everybody else.
13:18Hook me up.
13:23It's really pouring out.
13:25Squeeze in two units.
13:261,500 outbisome a trip to the OR.
13:27If he stabilizes, surgical eyes to you instead.
13:30I'm going to see who needs help.
13:31Yeah.
13:31I'm going to see who needs help.
13:33Yeah.
13:35Ios in.
13:35Go with O-Paz.
13:37When there's no time, bone marrow infusion's as good as an IV.
13:41Robbie, stabilize for the flip.
13:46Oh.
13:47Shit.
13:49He's got a wound on both sides.
13:50He's going to need two chest tubes.
13:51Yeah.
13:51Need a hand?
13:52Hell no.
13:53I got two hands.
13:57Roll.
13:58Okay, quick, IO.
14:00Tom and eight, sex.
14:00Prep for the innovation.
14:12Document the tourniquet time.
14:14Mark the arm.
14:15Mark the chart.
14:16Let it down briefly once an hour.
14:18Okay?
14:18Four more scene repeat if needed.
14:20No, this is Sylvia.
14:22Hi, Sylvia.
14:23I'm Dr. King.
14:25Oh.
14:26Looks like closed-tip did fractures.
14:28Strong pedal pulses.
14:29Great flow with the butterfly.
14:31Great.
14:31Okay, I got separated from my son, Omar.
14:34He got shot in the chest.
14:35Okay, um, I'll let you know as soon as I find out anything.
14:38He is deaf.
14:39ASO only.
14:40They need to know that.
14:41Okay, um, I'll make sure it's in his chart.
14:43She needs x-rays, AP, and lateral.
14:45Well, um, radiologist's going to be closed for hours.
14:48Uh, put her in a long cam boot and pain meds.
14:50We're just going to make you comfortable.
14:56Coming in with plants now.
15:00Fire hazard service manager.
15:01Okay, pressure dressing on this.
15:03Okay.
15:06But what if he dropped a lung?
15:08Then I'll throw in a pigtail.
15:11Who needs help?
15:12Everyone.
15:13Pigs are supposed to be stable for the next hour.
15:15If you think they need the OR sooner, send them to the red zone.
15:17Will do.
15:19If I got this, go with your mom.
15:21I mean, Dr. Shamsi.
15:27How we doing in here?
15:29So far, so good.
15:30Blood's primed and ready.
15:321,500 cc, it's time for the OR now?
15:34Definitely.
15:34Move him up.
15:39Um, uh, 17-year-old with the right chest wound?
15:42Going up to the OR now.
15:44Hold on one second.
15:47They need to know he's deaf when he wakes up.
15:50I have all digestive output here.
15:52Looks like this one's renal.
15:53Golden ticket directly to surgery.
15:58That's three out of four ORs down.
15:59Another core about to open, and all 25 will be ready by the time we need them.
16:03We could be buried by then.
16:05No, you won't.
16:05We'll blast through these, tying off bleeders and slapping on vacuum dressings.
16:09We'll finish the job in a day or two when the dust settles.
16:12Unresponsive.
16:13Had a weak femoral.
16:14Lost it.
16:14Two units of blood.
16:15There's no response.
16:16Call it.
16:16No pulse of the OR.
16:18Gunshot to the head.
16:20It's running through.
16:21Hey, but you still got a strong pulse.
16:22This one can make it because the intracranial bleed can decompress through the bullet holes.
16:26Walsh, neurosurgery in the house?
16:26Yes, send them to the neurocred ICU.
16:28The churros from there.
16:31Okay, you guys good in here?
16:32You got this?
16:34Bring me a few more before I get bored.
16:41Going through?
16:43It doesn't look like it.
16:55Easy peasy, I'm in.
16:57Back her up.
17:00Entitle CO2 looking bad.
17:0120 French on a Kelly.
17:03What the fuck are you doing?
17:04I'm staying alive.
17:05You should not be here.
17:06None of these people should be here.
17:09Larry, Larry.
17:11Edwards don't go to yellow.
17:12Wait, what?
17:13Tree eye says yellow.
17:14Hold on.
17:15Go.
17:16I've got this.
17:18Trust me.
17:18Oh, we're a little late for that.
17:25This is Grayson Cooper, 68.
17:28Will it graze his scalp?
17:29I got lucky.
17:29Dude just clipped me.
17:31You got a headache?
17:32Not really.
17:32A little burning.
17:33Good for yellow.
17:34In a million concerts.
17:35Whatever happened to Peace and Love, man?
17:37That's a great question.
17:40Should be numb.
17:40He's really bandaged.
17:42Starts with hemostatic gauze, then turns into a pressure dressing.
17:45Is that arterial?
17:46No, but it's bleeding pretty briskly.
17:48Okay, change it to a turning kit only if it soaks through.
17:51I got a superficial scalp wound.
17:52Wrap it tight with frequent neurochecks.
17:54I need to assess your injury.
17:56I'm fine.
17:56Help the others first.
17:57Please.
17:57I'm fine.
17:59Um, sir, are you taking any medication?
18:01Just medicinal marijuana.
18:02Yeah, what do you take that for?
18:04Everything.
18:06IVs on everyone?
18:09How is my son?
18:11Omar.
18:12He was shot in the chest.
18:13We were putting up on my van.
18:14He is upstairs with the surgeons in the OR.
18:17I will come and find you when I know more.
18:19Coming through.
18:21Wait, right here.
18:23Go.
18:24Oh, yeah.
18:25Going for action.
18:26Take care of this charge.
18:31Jesse, hang a unit, then right up to the OR.
18:37She shot?
18:38No.
18:39Looks like she got trampled.
18:40Unresponsive in the field.
18:41Three more in the rig.
18:43Hey, Javani.
18:44Got a possible bloodhead trauma here.
18:46Peoples are good.
18:49Strong pulses.
18:50Okay.
18:50Assess for bloodhead, chest, belly.
18:52With you?
18:53Anybody.
18:54How we doing?
18:55Heads above water so far.
18:56Anything about the shooter?
18:57Haven't heard, but I'll try and get an update.
19:00Is he laying this back?
19:01Yeah, not by choice.
19:02I'll deal with that when this shift is over.
19:03Comments.
19:04Not answering.
19:05I told her to turn off her fucking phone.
19:07Keep trying her.
19:09Jake?
19:10No.
19:11Probably got his mom on the landmine.
19:12Don't recall both of us when she reached.
19:13It's okay.
19:14Yeah.
19:17One for pink and one for green.
19:19On it.
19:19I'm sorry.
19:20All press need to stay in the waiting room.
19:22We have two minutes.
19:23The public needs to know what's going on.
19:24Front of the hospital.
19:25A gesturing interest.
19:26I'm not telling you again.
19:30What's this?
19:32Response to pain only.
19:33Thready pulse.
19:33Chest wall contusions with boot prints on a shirt.
19:35Yellow hair wheelchair.
19:36Okay.
19:36Sounds good.
19:37Do you need anything?
19:38Well, I was hoping for Thanksgiving and Christmas off this year.
19:42We can talk about it later.
19:45Will proper chest tube placement keep going until the last ministration is intra-tharacic?
19:50What?
19:50I don't need you teaching me right now.
19:52You're already an expert.
19:54I mean, the fucking moon, mom.
19:55There's nobody free.
19:56All right.
19:57What's the point for you?
19:58Are you all so good?
19:59About to place a horizontal mattress, in case you're wondering.
20:06Looks like you've got this.
20:17Soap through his pressure dressing.
20:20Okay, yeah.
20:21We can fix that with rainy cliffs.
20:22What are those?
20:23I'm going to neurosurgery to clamp off the scalp before opening the skull.
20:27All right.
20:27I'll be right back.
20:27Santos, keep pressure.
20:28You guys are swamped.
20:29I got this.
20:31Takes a village.
20:36Sylvia?
20:36Whitaker?
20:37Sylvia.
20:38Sylvia, can you hear me?
20:40Sylvia, can you hear me?
20:42I lost a radio pulse.
20:43From a broken leg?
20:44Well, what did we miss?
20:45I don't know.
20:45Heart attack, another injury from the car crash?
20:47That's for pulses.
20:48It has an E-Fast mode.
20:55Diagnosis made?
20:56Blood and Morrison's liver laceration.
20:58Car hit the belly.
20:58Leg was a distracting injury.
21:00Drilling in IO.
21:01I'm going to get some blood, and then we'll move her to pink.
21:08This sends another up to the OR.
21:09I got room for one more red.
21:10On it.
21:11Didn't make it.
21:11Going to Pete's.
21:12Another red and trauma one.
21:13Copy that.
21:17David.
21:19Careful, kid.
21:20Um, I need rainy clips and a unit of O-Neg.
21:23Rainies left to come down from the OR.
21:24I need them now.
21:25Okay.
21:25Okay, I'll get them.
21:26O-Neg here.
21:30There you go.
21:30Thanks.
21:31We need EVS with the mop.
21:33Not much blood, but a big rush of air.
21:35Got trampled.
21:36Collapsed his lung.
21:37Tension pneumo.
21:38We're going to be.
21:38I did.
21:39Moehead is on fire.
21:40House is coming up.
21:41Okay, great.
21:42Slide the pink as soon as there's room.
21:43Got it.
21:45Hey, uh, how many ORs available?
21:48One now.
21:48Two more in less than five.
21:50Can you take a belly and one more chest and pray?
21:52No problem.
21:53MCI-21 is going to ICU.
21:54I'll be back.
21:55Got it.
21:56Red zone.
21:57Red zone.
21:59Three less is full.
22:00Take them to two staff.
22:02I need zero form, cut four by fours, and elastoplast tape.
22:05You're here.
22:06Got a pink coming in.
22:07In the flesh.
22:08What do you got?
22:10Uh, auto versus ped.
22:11We thought it was just a tip-fib fracture.
22:13Then we found in the cold liver laceration.
22:15Leg is low priority right now.
22:16If she stabilizes with blood, she can wait an hour for the OR.
22:19And if not?
22:19Run the line, baby.
22:20Your son's in the OR with the GSW to the chest.
22:22Sweet.
22:23Family reunion and post-op.
22:24Whitaker?
22:25I'll be right back.
22:26Once this unit's in.
22:27Uh-huh.
22:28Hey!
22:29Good catch, you two.
22:31Hey, Langdon, we're out of zero form.
22:32I'll try to find you.
22:33Come on, Sylvia.
22:38Oh, I'm sorry, sir.
22:39The ER is closed.
22:40You'll have to exit out the pedestrian entrance.
22:42I'm a patient.
22:43Then you need to go to family medicine and building it.
22:44No, I'm waiting for surgery on the fourth floor.
22:46Okay, well then go back to your bed.
22:48My son is down here?
22:49I'm sorry, sir, but no one's in and out unless they're on a gurney.
22:54Okay, look, um, my wife is an ER doc, Dr. McKay.
22:59She needs me to get our son home.
23:00He's in the staff lounge.
23:04All right, make it quick.
23:07But hey, I am timing you.
23:11If you're not back in five, I'm coming after you.
23:13Got it?
23:14Yeah, okay.
23:15Yeah, okay.
23:18I need some help over here.
23:22Back looks good.
23:23New exit now.
23:24Red zone!
23:26Okay, I'll be right back.
23:30Chavadi, IO.
23:34Here, too.
23:35Sox is on board.
23:37I got it.
23:43Chad, what are you doing here?
23:48They, uh, they postponed my surgery.
23:51You can't be in here.
23:52Go sit with Harrison in the staff lounge.
23:54Okay.
23:55Now!
23:56Okay.
24:01I got it!
24:03Another one for the morgue.
24:04I need to keep you.
24:08I fell on my left.
24:09Yeah!
24:13It's not so bad.
24:15I'm just gonna...
24:15Yeah.
24:16Looks like I just feel like some shrapnel.
24:21hey buddy did you have your surgery no it got delayed ready to go home mom said that grandma
24:30and grandpa mccain were picking me up yeah i'm not sure they can get here right now and neither
24:34can chloe but well you know we can uber to my place i'd rather go home with mom if that's
24:40okay
24:43uh your mom's got her hands full dude and i think she's gonna be here pretty late
24:46i can wait
24:51okay yeah okay
25:03should we watch something you want to watch a movie yeah sure what do you got on there not much
25:10that's one unit in her pulse is stronger but she needs more blood not today only one unit if the
25:16pulse picks up we're already rationing her blood supply what if we run out who wanted rainy clips
25:20oh me thank you i thought you left all hands on deck right is there any word on omar he's
25:26this
25:27woman's deaf son teenage boy shot in the chest kicked out lucky missed the aorta he should pull through
25:31oh that's amazing um well her name is sylvia would you please tell her about her son when she wakes
25:35up
25:35what are you using what are you using what's this unresponsive even to pain no gsw strong pulse but
25:50tachycardic and diaphoretic looking for internal hemorrhage fast negative help me roll it
25:58tim yeah empathy 50 now got it seriously look glucose monitor she's diabetic and probably
26:04hypoglycemia so check a blood sugar no time for that still could be head trauma if it's decay you're
26:08making it worse my spidey sis is telling me she took her morning insulin but she skipped lunch
26:11she's in a coma from low blood sugar well you look at that these are healing hands
26:16too bad they're so tiny hello what's your name dawn where am i pittsburgh trauma medical center you
26:24dropped your blood sugar but you're gonna be okay because you don't need me here don't even say it
26:29let's get her to yellow what happened uh there was a shooting at pit fest but you're safe now
26:37wherever you can spare thanks mci-33 to yellow for monitoring
26:43what are you doing ran out of laryngoscopes no time to auto claim oh man almost had a chest
26:47tips too more coming from presby we're on a very low and no nag perfect storm
26:58do you feel anything grayson no pain just a lot of sadness for the world we live in i hear
27:04you
27:04any room at the inn uh what's her story this is dawn no trauma insulin reaction responding to d50
27:11do you ton at 100 an hour perfect oh and i i borrowed your butterflies on the gurney
27:16just like that yep what are you doing treating the patient
27:20rainy clips clamping off a bunch of subcube leaders good work keep it up
27:32i need suction we don't have any too many secretions i can't see
27:36shit here wipe it out with four before are you kidding me you guys have a fiber optic laryngos
27:41nope just a rigid glidescope damn i except we don't have any room for it so just pull out one
27:45bag for a minute when did this guy last eat we never know down here he digged in there
27:50team crackly pressure if his vomits we're fucked doctor
27:55hold on hold on hold on hold on oh yeah this is a tough one
27:59uh yeah this one looks tough no shit prep the neck hold on okay yeah come over here just give
28:05me a chest
28:05compression cpr did we lose the pulse just give me one good push yep okay two and do it again
28:16okay i think i am in back check the end title uh yellow we're good how did you do that
28:23bubble
28:24innovation you gave the compression i followed the air bubbles up more than one way to tube a cat
28:28coming through robbie down please wow what's that anything from jake
28:38intubated chest tube but massive subcutaneous emphysema air from the chest is leaking under the
28:43skin loosen the pulse what do you think tampon from pneumomediocynum about to cut blowhole incisions
28:48release the air do it in for clavicular yeah pulse is coming up nicely done okay send into
29:03cardiothoracic i see you
29:10uh we'll get you pain medicine a nurse will be by soon
29:17hey where'd this guy go uh which patient lci 28 arm injury who refused treatment
29:22maybe he left there's a gunshot one
29:31hey hey what the hell are you doing i'm fine leave me alone you can't do that
29:35back off
29:40we need security in here
29:50nice move suck what happened
29:56fucker i think this guy stole the victim's hoodie and faked an injury to get inside it's probably
30:01a fucking report yeah asshole hey hey wake up you faker
30:07yeah response to pain perla bloodhead trauma goes to pink soft restraints six hours observation
30:14going to the hub be right back i'm fine great you can give a statement to the cops get them
30:20out of
30:20here where's my phone oops my bad
30:31chest tube please we're out of chest tubes what the hell you could have told me that before we
30:35started i didn't know i already made the incision now what am i supposed to do
30:39how about this an et tube a tube's a tube and if you inflate the balloon it won't pull out
30:46fine set up a thoracel out of those two oh for the love of god hearing bag
30:50how am i supposed to connect to that christmas tree adapter it'll work
30:55this is all very unconventional no this is genius
31:03oh um and forum and stuff sorry i forgot the answer
31:13mel mel i need you to reassess please now still here
31:20her pulse is weak and thready she's uh bleeding out from her liver lag i need oneg
31:24oneg's gone honey glory's got more flying in incident command what's the et on our blood
31:29the patient's gonna have to get by with the leader of ceiling no no she needs blood not not
31:34crystalloid um can she go to surgery all right she's next to go as soon as we get an open
31:38or
31:38it's time to last that long dr robbie dr robbie dr robbie dr robbie we're out of oneg but i'm
31:44an egg can i donate lori's got more blood flying in but i need it now what is our blood
31:48status just
31:49use the last units of oneg and opos more flying in it's yay less than 10. some patients are not
31:54going to last that long and i'm sure there are other uh oneg donors that probably work it would take
31:58hours to screen for hiv and hepatitis i have neither and i donate all the time please
32:04yeah fuck it if the patient's gonna die before they get to the oar then the benefits outweigh the
32:10risks my man all right kid roll up your sleeve i'll meet you in seven listen up central seven eight
32:16nine is now the blood donor center anyone just oh neg or oh pause we need you to donate now
32:21hands where
32:22i can see them okay let's do this you two work here right yes can you tell me how my
32:33mom is her name's
32:34patricia gregory or trish she was shot in her arm we're here to help one second bear with us
32:48hello can i have your attention please my name is kiara alfaro i'm an emergency department social
32:54worker this is lupe perez one of our ward clerks i know you all want information about your friends
33:00and family in order to help you we have a qr code you can scan for our patient identification website
33:07cell phones are down but you can log on to the hospital guest wi-fi that information is on these
33:13papers we'll distribute around the room once you log on send us the name and birth date of whomever
33:19you're concerned about if you could tell us what they were wearing upload photos pictures of tattoos
33:25piercings anything to help identify them would be useful if we get a match we'll let you know
33:30we're setting up phone chargers water snacks and if anyone needs to change clothes we've got paper
33:36scrubs coming give us some time we're doing everything we can to help get you the information you need
33:52okay i'm done okay give me the cover
34:02next how's she doing yeah 500 of saline and she's barely with us no okay well this unit of whole
34:07blood
34:08should help yeah see if you can find a pressure bag no no much faster if i just squeeze it
34:14in myself
34:21need some help with an airway
34:25what is it gsl beats the neck with expanding hematoma and distorted anatomy can't intubate him
34:31probably hit the carotid okay i'll do the airway give me a 6.5 and uh bougie i got the
34:36bleeder
34:38foley catheter with a 30 cc balloon are you donating oh neg yeah
34:46it's too bloody to see a bougie for this three-step process step one scalpel
34:51step two finger three bougie
34:59okay railroad in the tube
35:03get this far enough okay bag him pressing off pulleys in
35:11blow-blow-blow-blow
35:1530 cc's in clamping look at that
35:22cry is a bone room for another red dr walsh you have an or for a head and neck case
35:28mci 48. we've
35:29got 16 ors up and running we've got room for one more liver like came back after a second unit
35:34needs
35:34an x lab turning over two hours now send them up where the hell did meldo i don't know but
35:40she needs
35:40to get back to yellow that's two grams of ansef great
35:46that's about adjusting that looks good the bleeding stopped can you wiggle your fingers
35:53ma'am ma'am can you move your fingers for me
35:57okay does it feel the same on both sides great how's the pain
36:06well the bullet probably went through the two forearm bones but there's no damage to the nerves or
36:11arteries so that's a good sign
36:17you're gonna be okay
36:21i'll find you some tissues
36:23okay
36:28brother let's arrive all right on eviscerated bowel fresh abd and saline
36:34take that for a sec 3.375 zosin and a sterile dressing can't believe i'm saying this another
36:40christmas tree and foley bag how did we run out of chest tubes
36:46less than 500 cc's at surgical icu can take him
36:48the tubes in the chest they're gonna wonder what the hell we're doing down here but it was a great
36:51save
36:51hey jabadi i need you to find whitaker go up to the hill pad we got blood flying in okay
36:55stay
36:55behind the yellow line between 10 o'clock and two o'clock so the pilot can see you the whole
36:58time
36:59okay you got this moving them up as fast as we can
37:03more chest tubes gonna see a presby awesome i'm gonna go check out triage copy dad
37:10they find the shooter yet not yet but we'll find him half the county's looking
37:13what about with her waiting for the fbi to get here they find her son no but they're paying
37:17his cell phone to the area to shoot him does she know that
37:20he's about to find out what's with all these bloody handprints that's when people were trying
37:25to stop us to get a ride in but we were already packed chest belly arm and leg red pink
37:29yellow and
37:30a lucky green
37:34the partner's in bad shape what's his name rich where's stefano hey rich how you doing oh
37:40oh you guys you guys sat in the face no i'm just on the other side neck above his best
37:46oh okay come on red zone he needs an airway come with me come with me i got you we'll
37:52get you fixed
37:55okay take him
37:59hey what's up with the swat team this is a precaution in case the shooter heads this way
38:04is that a possibility there was some chatter are we gonna be safe out here
38:09should be now focus on the patients focus on the patients
38:12the only way out is through any idea how many more come incident command is sending all these
38:17ambulances back to the seat for more victims we may not even be halfway through yet jesus when is
38:23going to end
38:56so
39:05so
39:07so
39:07so
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