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The.Pitt.S01E13.540p.x265.AAC [Full Movie] [Trending]Full EP - Full
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00:14Who called in SWAT?
00:15Just a precaution, they still haven't found the shooter yet.
00:17They need to stay out there, not in here.
00:19Officer down, you know the drill.
00:2216 gauge in the right AC.
00:23Definitely need the narrow way.
00:24And left leaning.
00:25Need a sponge stick for the back.
00:26And 100 Academy, get some 4x4s on the Kelly.
00:28You guys are doing a great job.
00:29Keep it up.
00:30I'm in there with you.
00:31You're in good hands.
00:33You're going to be okay, man.
00:34Hey, guys, back it up.
00:36We're trying to work here.
00:37Come on.
00:38Both of you, go.
00:39And chest tube output is minimal.
00:42Good for cardiothoracic ICU.
00:44Nice.
00:44Okay, as soon as transfer can land us, I am.
00:47What's up with the SWAT team?
00:48Maybe they think the shooter's coming here.
00:50Shit, is that true?
00:51What?
00:51My kid's in the break room.
00:52They think the shooter's heading this way.
00:54Anything's possible.
00:57Don't spread rumors.
00:59I'm taking this one to the OR.
01:06How are you doing?
01:08Yeah, I'm good.
01:08You?
01:10I'm good.
01:11How much blood are we getting?
01:12I don't know.
01:13I hope it's enough.
01:14We're supposed to stop here and stay between 10 o'clock and 2 o'clock.
01:18Where's 12?
01:18I think the pilot's 12.
01:20I think we just stay back and they bring the blood to us.
01:25I think.
01:30Yep.
01:36Do we take these to our supply room and behavioral health?
01:38Trauma rooms first, then we'll make our way out to the patients in the hub.
01:41Is that the only I delivered?
01:42Yeah, straight from the roof.
01:43Jesse, hang your unit, then right up to the OR.
01:45Who else needs blood?
01:47Everybody.
01:48Leave us four units, four next door, and then check in with Robbie and Abbott.
01:52Okay, I've got next door.
01:54The blood's here.
01:56Squeeze my hands fast again.
01:57Back from me.
01:59You guys need blood?
02:01No, not just yet.
02:02Leave it with Dana.
02:03Hey, Whitaker, how you doing?
02:05Yeah, fine.
02:06Ask for help if you need it.
02:08I can't see the cords.
02:09Let's bag him.
02:10Sorry I'm used to the glidescope.
02:12Spoiled by technology.
02:13Dana, you got a bougie back there?
02:15Completely odd.
02:15Used them all up.
02:17Is he awake?
02:18He was.
02:19No, he's sedated.
02:20Should be intubated by now.
02:21Yeah, what's his pulse ox?
02:23All right, it's their first part to all of you.
02:25Into PH2 now.
02:26You can watch from the window, but you need to zip it, capisce?
02:30Oh, God.
02:30Bridget, thank God.
02:31Night shift to the rescue.
02:32What the hell happened to your eye?
02:34Just another happy customer.
02:35Looks a lot worse than it is.
02:36Yeah, right.
02:37I tried to get here sooner, but it is gridlocked out there.
02:39It's not much better in here.
02:41Did you hear anything about this shooter?
02:43They may have slipped away in the crowd with all this chaos.
02:46Hey, where do you need me?
02:47North is yellow.
02:48Keep an eye on the new kids.
02:49Got it.
02:50You holler if you're in trouble.
02:51Yes, ma'am.
02:51Help over here.
02:53Jamie.
02:54What do you need?
02:56Ivy's on everyone.
02:57Hi, I'm Dr. King.
02:59Buster Pirelli.
03:00I take it you're a children's entertainer?
03:03Impressive observational skills.
03:05No active bleeding.
03:07Can you tell me your pain on a scale of one to ten?
03:09At least a three.
03:10And can you wiggle your fingers?
03:12Uh-huh.
03:12Uh-huh.
03:14The other hand.
03:15Uh-oh.
03:17Well, it doesn't seem like you have broken bone, but we're going to put you on some IV antibiotics
03:21and some pain meds.
03:22Got it.
03:25You, uh, see who shot you?
03:27No, I'm not even sure which direction the bullet came from.
03:31Hey, am I going to lose any dexterity?
03:34It's too soon to tell, but probably not.
03:37I make balloon animals for a living.
03:39Two birthday parties booked every Saturday and Sunday for the next year, so...
03:43Wow, you must really love kids.
03:45Not really.
03:47Okay, you're going to feel a little pimp-rick here.
03:49Ah!
03:50Fuck me!
03:51Uh, it's in.
03:52It's just so we can give you antibiotics.
03:54Oh, I hurt just as bad as when I got shot!
03:57You put in an aisle?
03:58Ah!
03:59Yeah.
04:00Um, don't worry, sir.
04:01There will be no more pain.
04:04Whitaker.
04:04Um, team huddle.
04:07Join us, will you?
04:08Mm-hmm.
04:09Oh, my God.
04:11Okay, um, why'd you do that?
04:15Dr. Robbie said everyone gets an I.O.
04:17If they are unconscious or unresponsive.
04:21If the patient is awake and alert, it's just a standard IV, not an I.O.
04:25Unless it's a mime.
04:26They can't scream.
04:28Lidocaine for the clown.
04:30More at the door.
04:32Is this how we're going to end?
04:33Ah!
04:33All right, coming through!
04:36Sweet advantage, sir!
04:37Get him out!
04:38Uh, too much blood.
04:42Move that killer to the right a little bit.
04:43Any better?
04:44Not really.
04:45Radio pulse?
04:46Still has it, maybe a little weaker.
04:48I can try and give you a bubble.
04:49Yeah, yeah, go for it.
04:52No, nothing.
04:53I'm not seeing anything.
04:54Okay.
04:55This bag, I'm going to prep the neck.
04:56You don't have a bougie.
04:57I have an 11 blade and a prayer.
05:00Without a bougie, you could create a false passage on top of the trachea and kill him.
05:03You doing a craic?
05:04Yep.
05:05No skin hooks, no bougie.
05:07Old school.
05:07Got a tactical airway in my bag here.
05:10What is that?
05:10It's a control craic kit.
05:12Oh, that's perfect.
05:13These are on the battlefield.
05:14Looks in the pitch dark when you're under fire.
05:17I can do these with my eyes closed.
05:19You, okay.
05:23Knife leaves a trachea hook behind so you can't miss, right?
05:28Just, good.
05:32Slide in the introducer.
05:36Okay.
05:37Feel the tracheal rings, good.
05:39Bob's your uncle.
05:41That was incredibly fast.
05:44Balloon is up.
05:45Why don't we stop these?
05:47No rhyme about it.
05:51Yellow and entitled.
05:52It's okay now.
05:54Yeah.
05:55Thank you, Dr. Abbott.
05:59Okay, let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:02oar.
06:02Great job, everybody.
06:04What else have you got in your go-back?
06:05Oh, just wait and see.
06:06Let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:06Okay, let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:11Okay, let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:12oar.
06:13Okay, let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:25Okay, let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:27oar.
06:27Okay, let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:30oar.
06:33Okay, let's pack the oral cavity with acrylics and see how fast that can take him up to the
06:35and see how fast that can take him up to the
06:41Javadi, this is Sally.
06:43What does she need?
06:44A gunshot wound to the back of T-11.
06:46Good pulse, but probable spinal cord injury.
06:48Can you move your legs?
06:50I'm trying.
06:52Am I paralyzed?
06:54There's some hope for recovery.
06:55Keep her on the backboard and monitor for intra-abdominal hemorrhage,
06:58and neuro-ICU will triage the CT, okay?
07:00Sally, pinprick right here, okay?
07:02Uh, Walsh knows about the case.
07:04They're holding an oar.
07:05And the hits keep coming.
07:07Let's go.
07:11What do you have?
07:12Semi-conscious, only response to pain.
07:15Decent karate.
07:16Strip him.
07:20Left upper quadrant entrance.
07:24Grab his foot, grab his foot!
07:26Whoa, do it, do it!
07:27He's going for his gun!
07:29Get down, get down!
07:32Stay down, stay down!
07:38SIG P365-9-mil.
07:40Ryber's license?
07:41He just got here.
07:42Not responding to pain now?
07:45All clear.
07:47You sure?
07:48He's unconscious.
07:49Everybody back to work.
07:51Agnel breathing, he needs an airway.
07:53Working on an IO.
07:53Drawing up ketamine and sucks.
07:55Yeah, have at it.
07:56Until carry permit.
07:58We'll run his ID.
08:00These wounds are too big for a nine.
08:02Failed IO.
08:03Guy's huge.
08:04Needle won't reach the bone.
08:05He needs induction meds in blood.
08:07I'm having the same problem here.
08:08I don't see anything usable for an IV.
08:10Robbie!
08:10What?
08:11Guy needs access, but the IO won't reach the humerus.
08:14Proximal tibia?
08:17Yes?
08:18Yeah.
08:20Tibia's not great access.
08:21You can only get a liter an hour down there.
08:23You get what you get.
08:26God damn it!
08:29Whatever that is, can you please turn it off?
08:30I can't hear myself think!
08:32Save it for the ICU.
08:33Get her up.
08:34I'll be right back.
08:35Copy that.
08:44I already have one.
08:45Keep that away from me.
08:46It's not for you.
09:02Show's over.
09:06Are you going to get in trouble for that?
09:08Probably.
09:25Hey.
09:28What's going on out there?
09:30A lot of people were hurt at the festival.
09:35I need to use the bathroom.
09:38I told him to use the sink.
09:40What is wrong with you?
09:41Would you rather I take him out there?
09:43Hang on.
09:43I'll be right back, okay?
09:44I need to use the bathroom.
09:53Here.
09:55What's that?
09:56It's a urinal.
09:57You pee in it.
09:59I think I'll just hold it in.
10:04Pull out.
10:05I found a foreblade.
10:07This is better.
10:09Oh, shit.
10:11I've lost the light.
10:12The battery must be dead.
10:14This one's dead, too.
10:15Anybody have a laryngoscope with a light that still works?
10:17We will check.
10:18Check quick.
10:19This guy's paralytics are wearing off.
10:20Keep bagging.
10:21Give me a 7-0 ET tube.
10:22He's a big guy.
10:22He needs an 8.
10:23Not for this.
10:24Number 7.
10:25What are you doing?
10:26Tactile at the base.
10:28My index finger.
10:30The molecular.
10:33My little finger will guide the tube.
10:35Past the upper glottis.
10:36But if you hit the esophagus, he's toast.
10:38You told us never to pass the tube unless we see the vocal cords.
10:40Correct.
10:40Not today.
10:42If I stay in the midline, I should be able to get it past the cords.
10:47Loan up.
10:48Bag him.
10:50Looks good on the end tidal.
10:52Slip move, boss.
10:53No pulse.
10:54Start compressions.
10:55Okay, get him up.
10:59Try to get him back with two liters.
11:01That is as much as we can afford per patient.
11:03Leg is too slow.
11:05Upper arm is five times as fast.
11:06The best that we can do.
11:07Keep at it.
11:07We'll get him back.
11:08Robbie, you need help here.
11:12Langdon?
11:13Keep clean.
11:19How are you making out?
11:22Lots of emails and photos coming in from concerned families.
11:25It'll be easier once they've entered every patient's MCI number.
11:28Here we go.
11:29Looks familiar?
11:31MCI-7.
11:32His name is Vincent Rivera.
11:34He must have had friends or family in the cafeteria who sent in the photo.
11:38I'll text them.
11:39We're coming.
11:43What are you doing?
11:44Give him this guy a chance.
11:45He needs a big central line for a fast transfusion.
11:47You can't do an IJ without an ultrasound, especially on a guy this big.
11:50You'll kill him if you collapse along or hit the carotid.
11:52I'm not doing an IJ.
11:53I'll hook that bloodline and bring it up here.
11:56This is a supraclavicular subclavian.
12:00If you have to go in blind, this is the only safe way to access a giant vein.
12:06And hold compressions.
12:09A centimeter from the lateral head of the sternocleidomastoid.
12:14A centimeter off the clavicle, aiming at the contralateral nipple.
12:22I'm in.
12:25Okay.
12:26Resume compressions.
12:29And squeeze blood.
12:32Where'd you learn that?
12:34In-wrap podcast.
12:34We'll be ready for a second unit in under a minute.
12:37Boom.
12:38Okay.
12:39Not too much blood on your dressing, Mr. Grayson.
12:42You're looking good.
12:44Mr. Grayson.
12:45Hey, Mr. Grayson.
12:47Oh.
12:48Oh.
12:48Must have dozed off.
12:50It's like a bad dream.
12:51Yeah.
12:52No kidding.
12:54You, um...
12:55Did you happen to see who shot you?
12:58No.
12:59I heard the shots.
13:01They just kept coming.
13:03Gunshots and screaming.
13:06I'm never gonna get that out of my head.
13:07GSW to the right inguinal region.
13:10Yeah.
13:11Uh...
13:12Hi.
13:12I'm Dr. Whitaker.
13:14Academy.
13:14It's, uh, nice to meet you.
13:16Uh, I'm just gonna take this.
13:20Hey.
13:21How's the pain?
13:22I can handle it.
13:24Okay.
13:26Uh, what is this, uh, team bleak?
13:28What does that mean?
13:28I'm like, it's a coconut pudding from Puerto Rico.
13:31We top it up with canela.
13:33See you.
13:34Oh, wow.
13:35So you got a food truck?
13:36No.
13:36Just a folding table for now.
13:37The pulses are strong.
13:39Okay, let's start with antibiotics, pain meds, and let's try to stop this bleeding.
13:43Okay.
13:44Here we go.
13:46Okay.
13:46Uh, could you take over?
13:47Thank you, thank you, thank you.
13:49Hey, hey, hey.
13:49No, no, no.
13:50No.
13:52Ingunal GSW with active bleeding.
13:54Um, try an Israeli bandage.
13:56What if it bleeds through?
13:57I mean...
13:58It's at the top of the leg.
13:59There's no room for a tourniquet above the wound.
14:00I...
14:01Well, let's just hope the hemostatic bandage works.
14:05Okay.
14:06Coming in?
14:07Give it.
14:08Hey.
14:10So...
14:10Coconut?
14:12Yeah.
14:12Love coconut.
14:20Kiara?
14:21Yes.
14:22This is Lupe.
14:23Whitney, you texted me?
14:25Let's take a walk over here.
14:27Can you tell us your husband's name?
14:30Vincent Rivera?
14:33We're gonna show you some photos.
14:35Can you tell us if this is Vincent?
14:38He's not talking?
14:40No, he's not.
14:45Yes, that's Vincent.
14:47Can I see him?
14:49Vincent had a gunshot to the head.
14:52When he arrived here, there was no pulse or breathing.
14:59My husband is dead?
15:01I'm so sorry.
15:02You're so sorry.
15:04What about my brother, Brian?
15:06Vincent and Brian went to the festival together.
15:08Is my brother okay?
15:09Can you send us his name and photo?
15:11I did.
15:12Okay, well, as of now, he's not one of our fatalities.
15:15Do you have some relatives or friends we can call to come be with you?
15:23Our kids are with my parents.
15:31Second unit's in.
15:32Holding compressions.
15:35Carotid pulse.
15:35You feeling it?
15:36He goes right after pre-op.
15:39I need some help over here.
15:42Not a person of interest.
15:43Jewelry store owner.
15:44No priors.
15:45Yo, he's not our shooter.
15:46You guys good in here?
15:47We got this.
15:49Take a two-hour lunch.
15:51Let me go check on triage.
15:52We'll save a spot for you.
15:55Hey, what number are we up to?
15:57Uh, 85 patients so far.
15:59Need a gurney for pink.
16:00How are you guys doing?
16:01Still going strong.
16:02Not bad, I guess.
16:03You guys are triaging great.
16:04Believe me.
16:05This is not easy.
16:06Not everybody can pull this off.
16:08This is your halftime locker room speech.
16:09Yeah, possibly.
16:10Are we winning or losing the game?
16:11Too soon to tell.
16:14Come on, these heads have to be up 30 degrees.
16:16Let's go.
16:16We've got four back here.
16:20Through and through the head.
16:22No pulse.
16:23Black and white.
16:24Pink zone.
16:25Strong pulse.
16:26Unresponsive.
16:26No obvious.
16:26GSW.
16:27Red zone.
16:27GSW left chest.
16:29She was talking when we first got in the truck.
16:31We carotid unresponsive.
16:32There was so much blood, I tried to stop it.
16:36Jake?
16:37Robbie!
16:37Leah got shot.
16:38It's really bad.
16:43I've been putting pressure on the wound the whole time.
16:45Yeah, that's good.
16:46That's good.
16:46Are you shot?
16:47Maybe my leg.
16:48Most of this is her blood.
16:50Somebody you know, boss?
16:51Yeah.
16:53You got this?
16:53Oh, yeah.
16:54Okay, come on.
16:54Let's go.
16:55Let's go.
16:55I got you.
16:57Great.
16:57Hold it.
16:58Right here.
17:05Jake, you can't stay with her.
17:07I have to.
17:08There's no room, and we need to work on Leah right now,
17:10and you need to get your leg checked,
17:11so please go sit down.
17:12Please go tell me how she's doing, okay?
17:14Please?
17:14I will.
17:17Jake?
17:18I'm okay.
17:19I'll use it, Robbie.
17:41Can't feel crowded.
17:43Okay, start compressions.
17:45Swap out with me.
17:46I need an I.O.
17:47Hanging your little golden egg.
17:49Got the I.O.
17:51Leah?
17:51Yep.
17:52You need help over there?
17:54Nope, we're good.
17:56It's Jake's girlfriend.
17:57Oh, shit.
17:58Who's Jake?
17:59It's like Robbie's stepson.
18:02I'll be right with you, sir.
18:04My mom would be very happy.
18:06She always says,
18:06pour a clean underwear in case you end up in the hospital.
18:10Just let us know if anything is too uncomfortable.
18:13It's okay.
18:14This needs to be tighter.
18:16You bled through the last one pretty fast.
18:18Try a 180 degree twist.
18:20It'll put more pressure.
18:21Got it.
18:21I usually faint when my blood gets strong.
18:24Must be all the adrenaline today.
18:26Whitaker?
18:26Old hippie's looking pretty out of it.
18:29No, he's sleeping.
18:30Keep going.
18:31No response to pain.
18:33Shit.
18:35Mr. Grayson!
18:36Mr. Grayson!
18:37Could be a delayed head bleed.
18:39He's gonna need a head CT.
18:41He's not getting one anytime soon.
18:45Equal and reactive.
18:46No-blown people.
18:46Santos, go get an attending.
18:48I was trying, but no promises.
18:51Excuse me.
18:52I think I'm still bleeding.
18:53I'll be with you in a minute.
18:57So we're back ready.
18:58Here you go.
19:02Princess, take over its primary.
19:04What about Bridget?
19:05She's stuck in yellow.
19:07Mel needs an attending.
19:08Find somebody who's free.
19:09Let's get involved.
19:10Dr. Abbott, can you cut me off?
19:11It's gonna be a minute.
19:13Dr. Walsh, take one up to the O.R.
19:17Hey, I need a portable pole socks for Mr. Grayson.
19:21Here you go.
19:23Hey, what happened to the kid in the wheelchair
19:25with the bloody right leg?
19:27No idea.
19:29Pinpoint pupils.
19:30Probable O.D.
19:31Blood on his clothes wasn't his.
19:32I'll grab some Narcan.
19:33Uh, sublingual injection.
19:35Okay here?
19:36Uh, looks like an opiate overdose.
19:39How's Robbie with Leah?
19:42If this guy doesn't wake up,
19:43we'll check for occult trauma.
19:46Fourteen hundred of blood out the chest,
19:47first unit's in.
19:48Sweet's in a second unit,
19:49faster than we'll do another pulse check.
19:50You need the second line?
19:52For FFP and platelets.
19:53You sure, Robbie?
19:55Sophie, get the plasma.
19:57I'm gonna take over compressions and swap.
20:01Social workers in the South Corridor.
20:02Social workers in the South Corridor.
20:05Social workers in the South Corridor.
20:12Jamie, wheelchair?
20:15You can't be in here.
20:16They're working on my girlfriend.
20:17I need to see what's going on.
20:18What's going on is you're losing a lot of blood.
20:19You're gonna pass out if we don't stop it.
20:21No, I'm not moving, man.
20:22Leave me alone.
20:23Jake, get in the damn wheelchair.
20:24No!
20:25Now!
20:25Go!
20:32Welcome back, sir.
20:33You're in the ER PTMC.
20:35What's your name?
20:38Martin?
20:38What'd you take, Martin?
20:40You overdosed at Pit Fest.
20:41It took one Percocet so I could dance.
20:43I've got a bad knee.
20:44Where'd you get the pill?
20:46From a friend.
20:46Hey, while you were overdosing
20:47from the fentanyl on a fake pill,
20:49there was a mass shooting at Pit Fest.
20:51What?
20:51Hey, Samira?
20:52See if you can go help Mel in the yellow zone?
20:54I'll take my new friend Martin with you.
20:57Javadi?
20:58Roll with me.
21:05Two units of Percocet's there.
21:07FFP still going?
21:08Almost there.
21:09Okay.
21:10Holding compressions.
21:12I can't feel carotid.
21:15No febrile.
21:16Receiving compressions.
21:18What's your next move, boss?
21:20Platelets, another unit.
21:21Then we can transfuse her with her own blood
21:23for the pleurovac to get ahead.
21:24Hang the cell saver.
21:26Squeeze all this in?
21:27No.
21:28Three-way stopcock and a 60 cc syringe
21:30I'll push-pull.
21:30Okay.
21:31Not exactly in our mass casualty game plan.
21:37I tried. No attendings available.
21:39Okay.
21:44All right.
21:46Hey, those look pretty superficial.
21:48Might have been fragments from the ricochet off the ground.
21:50Just lost a lot of blood, but you're gonna be okay, bro.
21:53It's not bad.
21:54Just put me back in the wheelchair.
21:55No, no. Stay in bed with your leg up.
21:56We don't want you oozing to death.
21:58Samira, what you got?
21:59Opiate OD needs observation after Narcan.
22:01Ooh, boring. No thank you.
22:02Mel, how's gone to Grayson?
22:04Um, we can put him in pink while he waits for ICU.
22:08Okay, one second.
22:12What are you doing?
22:13Checking the retina.
22:15For detachment?
22:16For intracranial pressure by measuring the optic nerve sheath,
22:18which is, holy shit, ten millimeters.
22:21What's normal, five?
22:22Yeah, five.
22:23It's an intracranial bleed.
22:24The pressure's been building up.
22:25There's no blown pupil.
22:26Yeah, not yet.
22:27But if he keeps bleeding in his skull, he's gonna die.
22:29Yeah, he needs a one-inch burr hole in his...
22:32with a cranial drill.
22:33I'm just gonna see if neurosurgery's here.
22:35We don't have time to wait for Nero.
22:38I got betadine and a 10cc syringe.
22:40Well, should we intubate?
22:41Hyperventilate?
22:42Banatol decreases ICP.
22:46Holy shit!
22:50Relieving intracranial pressure so he doesn't die.
22:54With an I.O. drill?
22:57That's sick.
22:58I get the next one.
23:00Well, all that's not on me.
23:05Dana, is neurosurgery down here?
23:07Ask Princess.
23:09Princess!
23:10I need a neurosurgeon.
23:12They're all in the OR.
23:13Dr. Walsh!
23:14I have an epidural in the north corridor with an elevated ICP.
23:17Is there a blown pupil?
23:18No, but a 10-millimeter optic sheath on the ultrasound.
23:21We need a burr hole.
23:23Fire metal service.
23:24There will stop it.
23:25What the fuck?
23:27Training the I.C.H. with an E.C.I.O.
23:2940 cc's out so far.
23:31Like she said, what the fuck?
23:33There was a case report in the 2022 Journal of Emergency Medicine.
23:36Patients survive.
23:36Went home neurologically intact.
23:39The optic sheath is back to normal.
23:41Starting purposeful movements.
23:42Ready to intubate.
23:44Propofol, rock, and mannitol.
23:45I'll let neurosurgery know.
23:46We'll get him a face up.
23:48Incredible save.
23:49If he lives.
23:50Third unit's in.
23:52Okay, pulcher.
23:53Okay, what's the output like?
23:56I think I'm feeling it if that will.
23:58I got a carotid.
23:59Emery, I got a chest case.
24:01Needs to go to the OR.
24:01Saw you doing CPR on this girl.
24:03Two liters out of the left chest.
24:04Got a pulse back after three-pack cells.
24:07600 out of the cell saver.
24:08Two of FFP.
24:13I'm not feeling it.
24:14Check your carotid.
24:18Sorry.
24:19Nothing, sorry.
24:21Resume compression.
24:22No, we should take her up.
24:23She just had a pulse.
24:24Not now.
24:25We need a pulse go to the OR.
24:26Call me if anything changes.
24:28Do we have any more whole blood from the donors?
24:30Think so.
24:30Okay, get another unit.
24:31It's got platelets and plasmid.
24:32It'll help her clot.
24:33Got it.
24:35Four units.
24:37Blood is for the ones we can save.
24:38She is right on the edge.
24:40One more can make the difference.
24:42Okay.
24:44Let's start a trick, okay?
24:46I'm in.
24:51End title looks good.
24:52Okay.
24:53OR team can take it from here.
24:54We need to check on the others.
24:55I should get back to pink.
24:56Stay strong, Crash.
25:00You know, static bandage still in place.
25:02How you doing, Carmen?
25:03Not so great.
25:05Hey, let's see.
25:07It looks arterial.
25:09Agreed.
25:09Can you stop it?
25:11Uh, direct pressure for now.
25:13Yeah.
25:14We may have a junctional tourniquet in the disaster supplies.
25:18Can you get that?
25:19Cool.
25:20Um, Whitaker, in the meantime, just put pressure on it.
25:23Try and stop the bleeding.
25:24For how long?
25:24As long as it takes.
25:26Blethers, Carlex.
25:28Um, elastic, elastic pressure dressing.
25:31Yep.
25:31Okay, got it.
25:35Got a better bandage, and we're gonna elevate your leg.
25:38Do you know what's happening to my girlfriend?
25:39Her name is Leah.
25:40She was shot in the chest.
25:41I'm sorry.
25:42We have a ton of patients, and they're only marked by numbers.
25:45Robbie and Dana were working on her.
25:46They were doing CPR.
25:48How do you know Robbie and Dana?
25:49Robbie and my mom were together for a couple years, and I would come and hang out here.
25:54Well, I'm sure if they're helping her, then she's in great hands.
25:58Can you check for me, please?
26:00Sure.
26:01Of course.
26:01Just after I finish this.
26:07Well, there's no additional bleeding.
26:10Strong pulse.
26:12Two grams of insects running in.
26:15Can you, uh, spread your fingers?
26:19Uh, no, like this.
26:22Are you okay?
26:25Found the junctional tourniquet.
26:27Um, okay, uh, I'll be right back.
26:33How much blood you pushing off the self-saver?
26:36Every last drop.
26:39Oneg, monitor the pulse.
26:40She's stable for trauma ICU if an OR is not ready.
26:54How many units so far?
26:56Four.
26:57Plus the self-saver.
26:59Last one?
27:02I don't know.
27:04Dana, why don't we try a little TXA.
27:06Thousand milligrams TXA might help her clap.
27:07Got it.
27:09A bullet tore through her heart.
27:12Anyone else with a wound like this is pronounced dead in the field.
27:15You can't keep up with the blood loss if she was our only patient.
27:18We'd do it for economy, maybe ECMO, but even then I doubt we'd get her back.
27:25We're gonna lose ten other patients if you put all your efforts into saving this girl.
27:33Got the TXA.
27:36Okay, push it fast, then we'll do another pulse check, and then can you get me a vascular doppler too,
27:40please?
27:45GSW to the chest, pain pulse.
27:48Intubation I.O. chest tube and a unit of blood.
27:50Copy that.
28:04Anything I can do?
28:09You can check on Shannon Ellis in the ambulance bay.
28:12On it.
28:17Whitaker lay down some fresh gauze so we can assess the hemostasis.
28:21How you doing, Carmen?
28:22I'm hunking in there.
28:24You want the circle of compression directly over the wound.
28:28Tighten it.
28:31Inflate the balloon.
28:32Come on, pump it up, Whitaker.
28:33How much pressure?
28:34Until the bleeding stops.
28:37Excuse me, ma'am.
28:39No worries.
28:41Whitaker, stay on this.
28:42Ma'am?
28:45Do you need something?
28:48Hurry.
28:48It's your name.
28:52I need one more over there.
28:55Hey!
28:55Do you have any audio positive over there?
28:58God bless you, man.
29:01All available transports to the ER immediately.
29:04All available transports to the ER immediately.
29:08Okay.
29:10Let me just, just put your arm like that.
29:12Just keep your hand like that.
29:17Just...
29:18How we doing out here?
29:19Dancing as glass as we can.
29:21Pretty sure I'm past my union-mandated bathroom break.
29:24Never should have had that second coffee.
29:28Hey!
29:29Hey, so I need arms closed and watch your engine.
29:31Oh, my mom's inside. I need to take her home.
29:33David?
29:35Mom?
29:36You're the kid?
29:37You need to come with me.
29:39Hey!
29:40Stop!
29:42What are you doing?
29:43Stay down!
29:45What the hell's going on?
29:464 inch of pixels, 2 of FFP, 1,000 of TXA, and 1,200 auto-transfuse.
29:53Did you check this?
29:54Not yet.
30:03Okay, it's working. More compressions?
30:26Okay, we're done.
30:35Stop from 1947.
30:38Right?
30:41Over the Pades.
30:45You want me to go with you?
30:46No, no thanks.
30:47I get that.
30:49Jesus Christ.
30:52what's going on this is bullshit i didn't do anything he came back to pick up his mom they
30:56tackled you need to question him about the ceiling okay after we clear him medically you know the
31:00drill he has head trauma probable concussion dr mohan why don't we do a complete neurological
31:03exam of dh2 and put him in line for a ct
31:14where's his mom still outside talking to the police
31:18this is fucked up i didn't do anything the news saw all these people huh i don't know how about
31:23you go look for him dumbass are you all right no man i'm fucking far from okay okay we're gonna
31:29get
31:29this straightened out right now
31:47no he no tympanum no head trauma pulse is strong at seventy two oh two stop perfect at ninety nine
31:54do you need pain medicine ma'am we're trying to help you we just need you to let us know
32:03okay let's try and find her gurney and give her full neuro exam can you put her in nine
32:08drug overdose no normal pupils normal pulse brain injury no she's walking with a steady gate still
32:16needs a head ct well it's not gonna be for hours i could release the aisles on both sides
32:21they've worked on the last guy maybe it's ptsd for all she's seen it's like even here
32:27no but maybe she just needs a quiet place well knock yourself out what's up whitaker
32:33uh junctional tourniquet appears to be working no new blood on the gauze you're looking good carmen
32:41is she carmen carmen pulse is ready how long has she been like this she was awake and alert a
32:47minute
32:47to go all that blood loss is catching up with her running a liter wide open
32:54uh huge collection of blood near the bladder the bullet must attract north and hit the external
32:58we stopped the bleeding near the leg but she's still bleeding internally we need mal no we need
33:02to give a unit of blood and move her to the red zone let me see if they have space
33:08where's robbie and the h2 with a possible shooter can you guys take a new patient
33:12not right now what do you got a hypotensive pelvic bleed transfuse two units we'll get to it
33:18abby i got a carotid injury pop the clot i'll be right there hook me up
33:25is that robbie with david yeah i saw the cops bring him in who's david high school kid who was
33:32making threats you think he did this guys focus on the patients yeah oh okay sterile ivy tubing
33:39umbilical tape and red rubber robinson and sterile gloves
33:54let's take the long way around
34:00you can put jake in the family room no it's a calendar defect bypass with ivy tubing you ever
34:06done a romell target robbie can you help me with a romell
34:26the toughest part is getting the umbilical tape through the tubing
34:31and clamps very cool you guys got this oh we're good
34:46dr robbie i have a retroperitoneal bleed he's busy okay stabilize and find a surgeon
35:03what's what's going on
35:14leah's injuries were really serious
35:18she stopped breathing we put a tube down her throat to deliver oxygen
35:24we were able to drain the blood that was collapsing our lungs
35:28gave her as much blood as we could
35:31we even transfused some of her own blood that was in her chest
35:35but we were unable to get ahead of the massive blood loss
35:43her heart stopped
35:46you saw me doing cpr
35:50we did everything that we could
35:53she's dead
36:04i don't know but i because i was talking i was talking to her after she got shot and
36:08she was talking her heart was damaged beyond repair
36:13there was nothing that we could do to save her
36:16i want to see i want to see her
36:19i'm really sorry man but you can't
36:20why not
36:20because this is an active police and fbi investigation
36:24oh she's dead
36:26i know they're gonna release her to her parents in a couple days
36:31please you have to please please please
36:37bring in a male how's she doing
36:39still has a pulse
36:44what are you doing
36:45prepping for roboa
36:46are you crazy did abbott approve this
36:48he said do what you have to do
36:51the tendings are all tied up
36:53if i can blow up a balloon in the aorta it'll stop the bleeding
36:57i'll cut off the blood supply to half her body
36:59i'll only go in a few inches
37:01zone three below the kidneys
37:03until she gets up to the or
37:05glove up huckleberry
37:08okay you're gonna need an ultrasound
37:09x-ray
37:10not today
37:12have you done this before
37:13it's a central line
37:14it's a central line
37:15just need to hit the femoral artery
37:18like that
37:19piece of cake
37:20all right guide wiring and introducer sheath
37:23santos is doing a roboa
37:25oh no no no way
37:26yes way
37:27um no we need an attending or a senior resident for that
37:30oh yeah little thing
37:39are you sure
37:41yes
37:51all these people are dead
37:53yes
37:59which one is leo
38:04what number do you have on
38:06on your wrist
38:0991
38:38i'm at 15 centimeters
38:40with five cc's of saline so far
38:44roboa
38:44are you shitting me
38:46i told her to stop
38:47uncontrollable bleeding from a pelvic artery
38:49no other options
38:49we need an art line to know if the bp is up
38:52we'll go with pulse strength and mentation
38:53carotid's weak radials barely there
38:56another three cc's in the balloon
38:58injecting
38:58i'll try for palpitals to stall it
39:00yes go for it
39:05whoa
39:06radials much stronger now
39:08lock the balloon check the wound
39:10go
39:11bp's 110
39:12blood pulp
39:13that'll do
39:14wounds dry
39:15barely a trickle
39:16that's because there's no blood going to her legs
39:17okay the clock is ticking
39:19balloon can stay up for one hour tops
39:20get ir and vascular on the kicks
39:24hey hang in there carmen
39:27you're good okay
39:28okay you never
39:29should have done that on your own ever
39:31do you understand
39:35but that was pretty bad house
39:36you saved your life
39:37good job
39:46did you call our parents
39:49they'll give the number to our social worker who will contact them very soon
39:54i got their daughter killed
39:56this is not your fault
40:02why couldn't you save her
40:04i mean this is what you do
40:11i tried
40:13i really tried
40:14we all did
40:14if this had been any other day man
40:16if it had been any other day
40:17what the fuck does that mean
40:18any other day
40:19what you would have saved her life
40:25yes
40:26no
40:26i don't know
40:28i don't
40:28i don't know
40:32we're getting slammed up there
40:33we've had dozens of shooting victims
40:34you've seen it
40:36the fact that we've saved as many people as we have
40:39is a fucking miracle
40:41what you didn't save leah
40:44no
40:45no i didn't
40:48and i don't know how many people i've helped today
40:51but i can tell you every other person who has died
41:00there was a man named mr spencer who died in front of his children
41:02and an 18 year old who was brain dead from a fentanyl overdose
41:06and a guy with a heart condition and a little girl who drowned
41:10tried to save her sister
41:11and i'm gonna remember leah long after you've forgotten her
41:14oh fuck
41:15oh fuck
41:16i'm sorry
41:16i'm sorry you gotta go man
41:18you gotta go
41:19you gotta go
41:19you gotta go
41:20wait robbie
41:21robbie wait wait
41:22can you put him back in his bed please
41:36i'll see you next time
41:36you
41:36two
41:37three
41:48To be continued...
42:07A little bit fucked up
42:08A little bit fucked up
42:11In my head
42:16No, I don't get the rest yet
42:19Plenty of rest when I'm dead
42:27I'm a little bit roughed up
42:29But not from regret
42:34Gift to fail
42:35It's the game
42:38I fell
42:41Again
42:45Failure
42:47Was the worst
42:48I fell
42:52For worse
42:56Planning you
42:56I'm a little bit roughed up
42:58I'm a little bit roughed up
43:13But if I could've a mês
43:13For worse
43:14I'm a little bit roughed up
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