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The.Pitt.S01E13.540p.x265.AAC [Full Movie] [Hot 2026]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.
06:06Okay.
06:07Hey!
06:08I forgot.
06:09Get back down there now.
06:41Javadi, this is Sally.
06:43What does she need?
06:44A gunshot wound to the back of T11.
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?
07:02Walsh 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!
07:25Whoa! Get down! Get down!
07:28He's going for his gun!
07:29Get down! Get down!
07:30Get down!
07:31Get down!
07:31Get down!
07:31Get down!
07:32Stay down!
07:33Stay down!
07:38SIGP-365-9 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.
07:52He needs an airway.
07:53Working on an I.O.
07:53Drawing up ketamine and sucks.
07:55Yeah, have at it.
07:57Until carry permit.
07:58We'll run his ID.
08:00These wounds are too big for a nine.
08:02Failed I.O.
08:03Guy's huge.
08:04Needle won't reach the bone.
08:05He needs induction meds and blood.
08:07I'm having the same problem here.
08:08I don't see anything usable for an I.V.
08:10Robbie!
08:10What?
08:11Guy needs access, but the I.O. won't reach the humerus.
08:14Proximal tibia?
08:17Yes?
08:18Yeah.
08:20Tibia has not great access.
08:21You can only get a liter an hour down there.
08:23You get what you get.
08:27Goddammit!
08:29Whatever that is, can you please turn it off?
08:30I can't hear myself think.
08:31Save 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.
08:49It's not for you.
08:50I have one.
08:52Look at this.
08:52Hey, this is the monitoring sensor.
08:54To see that you're not here in the ICU.
08:56So, we have time to...
08:57Oh, my God.
08:59Oh, my God.
09:02Show's over.
09:04Um.
09:06Are you going to get in trouble for that?
09:08Probably.
09:09Yeah.
09:25hey
09:28what's going on out there a lot of people were hurt at the festival
09:35i need to use the bathroom i told him to use the sink
09:40what is wrong with you would you rather i take him out there hang on i'll be right back okay
09:55here what's that it's a urinal you pin it i think i'll just hold it in
10:04pull out i found a four blade this is better
10:11i've lost the light the battery must be dead
10:14this one's dead too anybody have a laryngoscope with a light that still works
10:17we will check check quick this guy's paralytics are wearing off
10:20keep bagging give me a 70 et tube he's a big guy he needs an eight
10:23not for this number seven what are you doing tactile at the base
10:28my index finger
10:30the molecular my little finger will guide the tube past the upper glottis
10:36but if you hit the esophagus he's toast you told us never to pass the tube unless we see the
10:39vocal
10:39chords correct not today if i stay in the midline i should be able to get it past the chords
10:47loon up bag him looks good on the end title slick move boss no pulse start compressions okay get him
10:55up
10:59try to get him back with two liters that is as much as we can afford per patient
11:03leg is too slow upper arm is five times as fast
11:06best that we can do keep at it we'll get him back
11:08robbie need help here
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 looks familiar mci7 his name is vincent rivera
11:33he must have had friends or family in the cafeteria who sent in the photo
11:38i'll text them we're coming
11:43what are you doing give this guy a chance he 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 i'll hook that bloodline bring it up here
11:57this is a supra clavicular subclavian you have to go in blind this is the only safe way
12:03to access the giant vein and hold compressions
12:09a centimeter from the lateral head of the cernocletomastoid a centimeter
12:14off the clavicle aiming at the contralateral nipple
12:22i'm in
12:25okay resumed compressions
12:29and squeeze blood
12:32where'd you learn that
12:33in wrap podcast we'll be ready for a second unit in under a minute
12:36boom
12:38okay uh not too much blood on your dressing mr grayson you're looking good
12:44mr grayson hey mr grayson oh must have dozed off
12:50it's like a bad dream
12:51yeah no kidding
12:54you um did you happen to see who shot you
12:58no i heard the shots
13:01they just kept coming gunshots and screaming
13:05i'm never gonna get that out of my head
13:07gsw to the right angle region
13:09yeah uh hi i'm dr whittaker
13:13academy
13:14it's uh nice to meet you
13:17uh i'm just gonna take this
13:21hey how's the pain
13:22i can't handle it
13:24okay
13:26uh what is this uh team bleak what does that mean
13:28i'm like it's a coconut pudding from puerto rico
13:31we top it up with canela
13:33so you got a food truck
13:36just a folding table
13:37the pulses are strong
13:38okay 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
13:48hey hey hey
13:51inguinal gsw with active bleeding
13:54um try an israeli bandage
13:56what if it bleeds through
13:57it's at the top of the leg there's no room for tourniquet above the wound
14:00well let's just hope the hemesthetic bandage works
14:04okay
14:05coming in
14:07give it
14:08hey
14:09so
14:10coconut
14:11love coconut
14:20kiara
14:21yes
14:21this is lupe
14:23wait me you texted me
14:25let's take a walk over here
14:28can you tell us your husband's name
14:29vincent rivera
14:33we're gonna show you some photos
14:35can you tell us if this is vincent
14:38he's not talking
14:39no he's not
14:45yes that's vincent
14:46can i see him
14:49vincent had a gunshot to the head
14:51when he arrived here
14:53there was no pulse
14:56or breathing
14:59my husband is dead
15:01you're so sorry
15:03what about my brother brian
15:05vincent and brian went to the festival together
15:08is my brother okay
15:09can you send us his name and photo
15:11i did
15:11okay 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
15:22our kids are with my parents
15:31second unit's in
15:32holding compressions
15:34carotid pulse
15:35you feeling it
15:36he goes right after pre-op
15:40hey
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
15:50let me go check on triage
15:52we'll save a spot for you
15:55hey what number are we up to
15:56uh 85 patients so far
15:58need 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 believe me
16:05this is not easy
16:06not everybody can pull this off
16:07this is your halftime locker room speech
16:09possibly
16:09yeah are 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
16:16got four back here
16:19through the head
16:22no pulse
16:23black and white
16:23pink stone
16:24strong pulse
16:25unresponsive
16:26no obvious
16:26gsw
16:27redstone gsw
16:28left chest
16:28she was talking
16:29we first got in the truck
16:30we parotid unresponsive
16:32there was so much blood
16:33i tried to stop it
16:36jake
16:37robbie
16:37leah got shot
16:38it's really bad
16:43i've been putting pressure
16:44on 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
16:52you got this
16:53oh yeah
16:54okay come on
16:54let's go
16:54let's go
16:55i got you
16:57great
16:57right here
17:05jake
17:05you can't stay with her
17:07i have to
17:08there's no room
17:09and 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
17:13please
17:14i will
17:17jake
17:18i'm okay
17:19leah's with robbie
17:42can't feel carotid
17:43okay start depressions
17:45swap out with me
17:46i need an i-o
17:47hang a unit of bone egg
17:48i've got 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
18:03my mom would be very happy
18:05she always says
18:06pour a clean underwear
18:07in case you end up in the hospital
18:10just let us know
18:11if anything is
18:12too uncomfortable
18:13it's okay
18:14this needs to be tighter
18:15you bled through the last one
18:17pretty fast
18:17try a 180 degree twist
18:20it'll put more pressure
18:21got it
18:21i usually faint when my block gets strong
18:24must be all the adrenaline today
18:25whitaker
18:26old hippie's looking pretty out of it
18:28no he's sleeping
18:30keep going
18:31no response to pain
18:32shit
18:34yeah mr 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
18:44equal and reactive
18:45no-blown people
18:46santos go get an attending
18:47i'll try but no promises
18:51excuse me
18:51i think i'm still bleeding
18:53i'll be with you in a minute
18:57so we're back ready
18:57here you go
19:02princess take over its primary
19:04what am i preaching
19:05she's stuck in yellow
19:07mel needs an attending
19:08find somebody who's free
19:09let's get back
19:10dr avick can you come
19:11it's gonna be a minute
19:13dr walsh
19:14take one up to the o.r
19:17hey i need a portable pole socks
19:19for mr grayson
19:20here 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 od
19:31blood on his clothes wasn't his
19:32oh graphene narcan
19:33uh sublingual injection
19:34okay here
19:36uh looks like an opiate overdose
19:39how's rob you please
19:42if this guy doesn't wake up
19:43we'll check for occult trauma
19:461400 of blood out the chest
19:47first unit's in
19:48squeeze in a second unit
19:49faster than we'll do another pulse check
19:50you need the second line
19:51for ffp and platelets
19:53you sure robbie
19:55sophie get the plasma
19:57i'm just take over compressions
19:58and swap
20:00social worker in the southern corridor
20:02social worker in the southern corridor
20:05um yeah i'm gonna go check
20:12jimmy wheelchair
20:15you can't be in here
20:16they're working on my girlfriend
20:17i need to see what's going on
20:17what's going on is
20:18you're losing a lot of blood
20:19you're gonna pass out
20:20if we don't stop it
20:21no i'm not moving man
20:22leave me alone
20:23cake get in the damn wheelchair
20:24no
20:25now go
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 percocent so i could dance
20:43i've got a bad knee
20:44where'd you get the pill
20:45from 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
20:50what
20:51hey samira
20:53see if you can go help mel in the yellow zone
20:54take my new friend martin with you
20:56javadi
20:58roll with me
21:05tell you that the pack still's there
21:06that that pace still going
21:08almost there
21:09okay
21:10hold the compressions
21:12i can't feel carotid
21:15no febrile
21:16we're assuming compressions
21:18what's your next move boss
21:19platelets another unit
21:21and then we can transfuse her
21:22with her own blood
21:23for the plurivac to get ahead
21:24hang the cell saver
21:26squeeze all this in
21:27no
21:27three-way stopcock
21:29got 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
21:47might have been fragments
21:49from the ricochet off the ground
21:50just lost a lot of blood but
21:51you're gonna be okay bro
21:53it's not bad
21:54just put me back in the wheelchair
21:55i don't know
21:55stay in bed with your leg up
21:56we don't want you oozing to death
21:57samira what you got
21:58opiate od needs observation after narcan
22:01oh boring
22:01no thank you
22:02mel how's gone to grayson
22:04um we can put him in pink
22:06while he waits for icu
22:08okay one second
22:11what are you doing
22:12checking the retina
22:14for detachment
22:15for intracranial pressure
22:16by measuring the optic nerve sheath
22:18which is
22:19holy shit
22:20ten millimeters
22:21what's normal
22:22five
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
22:28he's gonna die
22:29yeah he needs a
22:30a one inch uh
22:31burr hole
22:32in 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
22:39and a 10 cc syringe
22:40well should we intubate hyperventilate
22:42and the toll decreases icp
22:46holy shit
22:50relieving intracranial pressure
22:52so he doesn't die
22:53with an io drill
22:57that's sick
22:57i get the next one
22:59well that's not on me
23:04dana
23:05is neurosurgery down here
23:06ask princess
23:09princess
23:09i need a neurosurgeon
23:11they're all in the OR
23:13dr walsh
23:14i have an epidural
23:15in the north corridor
23:16with an elevated icp
23:17if there are blown people
23:18no but a 10 millimeter
23:19optic sheath
23:20on the ultrasound
23:21we need a burr hole
23:25what the fuck
23:27training the ich with an ecio
23:2940 cc's out so far
23:31like she said
23:32what the fuck
23:32there was a case report
23:33in the 2022 journal of emergency medicine
23:35patients survive
23:36went home neurologically intact
23:39optic sheath is back to normal
23:41starting purposeful movements
23:42ready to intubate
23:43propofol rock and mannitol
23:45i'll let neurosurgery know
23:46we'll get him a face up
23:48incredible save
23:48if he lives
23:50third unit's in
23:52okay
23:52culture
23:56i think i'm feeling a fellow
23:58i got a carotid
23:59emery
24:00i got a chest case
24:00these are going to the OR
24:01saw you doing cpr on this girl
24:03two liters out of the left chest
24:04got a pulse back
24:05after three pack cells
24:07600 on the cell saver
24:08two of ffp
24:13i'm not feeling it
24:14take a carotid
24:19nothing sorry
24:21reserve compression
24:22you should take her up
24:23she just had a pulse
24:24not now
24:24we need a pulse code the OR
24:26call me if anything changes
24:28do we have any more
24:29whole 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
24:32got 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
24:46i'm in
24:50end title looks good
24:52okay OR 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
24:59uh
24:59you know stack bandage still in place
25:02how you doing carmen
25:02not so great
25:05let's see
25:07it looks arterial
25:08agreed
25:09can you stop it
25:11uh
25:12direct pressure for now
25:13yeah
25:13we may have a junctional
25:16tourniquet in the disaster supplies
25:17can you get that
25:18cool
25:20um
25:21whitaker in the meantime
25:21just put pressure on it
25:23try and stop the bleeding
25:23for how long
25:24as long as it takes
25:26bloodthroes
25:27carlex
25:27um
25:29elastic
25:29elastic pressure
25:30dressing
25:31yep
25:31got it
25:35got a better bandage
25:36and we're gonna elevate your leg
25:38do you know what's happening to my girlfriend
25:39her name is leah she was shot in the chest
25:41i'm sorry we have a ton of patients and they're only marked by numbers
25:45robbie and data were working on her they were doing cpr
25:48how do you know robbie and data
25:49robbie and my mom were together for a couple years and i would come and hang out here
25:54well
25:55i'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 just after i finish this
26:07well there's no additional bleeding
26:10strong pulse
26:11two grams of insects running in
26:15can you uh spread your fingers
26:19uh no i 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 cell saver
26:36every last drop
26:39oneg monitor the pulse she's stable for trauma
26:42icu if an or is not ready
26:50how many units so far
26:56four
26:57plus the cell saver
26:59last one
27:00i don't know
27:04dana why don't we try a little tx8 thousand milligrams tx8 might help her clap
27:07got it
27:09bullet tore through her heart
27:12anyone else with a wound like this is pronounced dead in the field you can't keep up with the blood
27:16loss if she was our only patient we'd do it for economy maybe ecmo but even then i doubt we'd
27:21get her back
27:25we're going to lose 10 other patients if you put all your efforts on saving this girl
27:33got the tx8
27:36okay push it fast and 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 intubation io chest tube and a unit of blood
27:50i'll do that
27:51i'll do that
28:03anything i can do
28:09you can check on shannon ellis and the ambulance bag on it
28:17whitaker lay down some fresh gauze so we can assess the hemostasis
28:21how you doing carmen i'm hunking in there
28:23you want the circle of compression directly over the wound
28:28tighten it
28:31inflate the balloon
28:32come on pump it up whitaker
28:33uh how much pressure until the bleeding stops
28:37uh excuse me ma'am
28:39no worry
28:40uh whitaker stay on this
28:42ma'am
28:43ma'am
28:45do you need something
28:47do you need
28:52you need one more o'nex
28:55hey do you have any o'nex
28:56okay let me just just put your arm like that just keep your hand like that
29:17how are we doing out here
29:19dancing as glass as we can
29:20i'm pretty sure i'm past my union mandated bathroom break
29:24never should have had that second coffee
29:28hey 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
29:40grab him
29:41stop
29:41grab him
29:42what are you doing
29:43stay down
29:44what the hell is going on
29:46four inch of paxels two of ffp with thousand of txa
29:50and twelve hundred auto transfused
29:52did you check this
29:53did you check this
29:54not yet
30:03okay it's working more compressions
30:26okay we're done
30:35stop
30:351947
30:40i'm over to peds
30:45you want me to go with you
30:46no no thanks
30:47i'm sick of that
30:49jesus christ
30:52what's going on
30:53this is bullshit
30:54i didn't do anything
30:55he came back to pick up his mom
30:56they tackled him
30:57you need to question him about the ceiling
30:58okay
30:58after we clear him medically
30:59you know the drill
31:00he has head trauma
31:01probable concussion
31:02dr mohan why don't we do a complete neurological exam of dh2
31:05and put him in line for a ct
31:14where's his mom
31:14still outside talking to the police
31:18this is fucked up
31:19i didn't do anything
31:20the news shot all of these people huh
31:22i don't know
31:22how about you go look for him dumbass
31:24are you alright
31:26no man i'm fucking far from okay
31:28okay okay
31:28we're gonna get this straightened out right now
31:37i'm gonna check your eyes
31:43i'm still bleeding please
31:47no he no tympanum no head trauma
31:49pulse is strong at 72
31:51oh she's at perfect at 99
31:54do you need pain medicine
31:57ma'am we're trying to help you
31:58we just need you to let us know
32:03okay let's try and find her a gurney
32:05and give her a full neuro exam
32:06can you put her in nine
32:08drug overdose
32:09no
32:10normal pupils
32:11normal pulse
32:12brain injury
32:14no she's walking with a steady gate
32:16still needs a head ct
32:17well it's not gonna be for hours
32:18i could drill easy aisles on both sides
32:21they've worked on the last guy
32:24maybe it's ptsd from all she's seen
32:26it's like even here
32:27no but maybe she just needs a quiet place
32:29well knock yourself out
32:32what's up whitaker
32:33uh junctional tourniquet appears to be working
32:35no new blood on the gauze
32:37you're looking good carmen
32:41is she
32:42carmen
32:42carmen
32:43pulse is ready
32:44how long has she been like this
32:45she was awake and alert a minute ago
32:49all that blood loss is catching up with her
32:50running a liter wide open
32:54uh huge collection of blood near the bladder
32:56the bullet must attract north and hit the external ilio
32:58we stopped the bleeding near the leg
33:00but she's still bleeding internally
33:01we need mal
33:02no we need to give a unit of blood
33:03and move her to the red zone
33:04okay let me see if they have space
33:07down the throat
33:08where's robbie
33:09in the h2 with a possible shooter
33:11can you guys take a new patient
33:12not right now what do you got
33:14a hypotensive pelvic bleed
33:16transfuse two units we'll get to it
33:18abby
33:19i got a carotid injury popped the clot
33:21i'll be right there
33:22hook me up
33:25is that robbie with david
33:27yeah i saw the cops bring him in
33:29who's david
33:31high school kid who was making threats
33:33you think he did this
33:34guys focus on the patients
33:35what do you got
33:37oh okay sterile ivy tubing
33:39umbilical tape and red rubber robinson
33:40and sterile gloves
33:54let's take the long way around
34:00you can put jake in the family room
34:02no it's a calendar
34:04defect bypass with ivy tubing
34:06you ever done a rommel turnkey
34:08robbie can you help me with a rommel
34:26the toughest part is getting the umbilical tape through the tubing
34:30and clamps
34:32very cool
34:33you guys got this
34:34oh we're good
34:46dr robbie i have a retroperitoneal bleed
34:48get avid he's busy
34:50okay stabilize and find a surgeon
34:51get a chair
35:04what's
35:04what's going on
35:14leah's injuries were really serious
35:18she stopped breathing
35:19we 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
36:05because i was talking to her after she got shot and
36:08she was talking
36:09her 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 ma'am but you can't
36:20why not
36:21because this is an active police and fbi investigation
36:24oh she's dead
36:26i know
36:26they're gonna release her to her parents in a couple days
36:30no please
36:31you have to let me see her please please
36:36bring in a male
36:38how's she doing
36:39still has a pulse
36:44what are you doing
36:45prepping for roboa
36:46are you crazy
36:47did abbott approve this
36:48he said
36:49do what you have to do
36:51attendings 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 x-ray
37:10not today
37:12have you done this before
37:13it's a central line
37:14just need to hit the femoral artery
37:18like that
37:19piece of cake
37:20all right guide wiring introducer sheet
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
37:34wait for my identification
37:40are you sure
37:41yes
37:51all these people are dead
37:54yes
38:00which one is leo
38:04what number do you have on your wrist
38:0995Š½Šø1
38:1096
38:1291
38:1391
38:1391
38:1391
38:38I'm at 15 centimeters with five pcs of saline so far.
38:44Roboa are you shitting me I told her to stop uncontrollable bleeding from a
38:48pelvic artery no other options we need an art line to know if the BP is up we'll
38:52go with pulse strength and mentation carotids weak radials barely there
38:56another three cc's in the balloon injecting I'll try for palpins to stall it
39:00yes go for it whoa radials much stronger now lock the balloon check the wound go
39:10BP is 110 by palp that'll do wounds dry barely a trickle that's because
39:16there's no blood going to her legs okay the clock is ticking blue can stay up for
39:20one hour tops get IR and vascular on the case
39:24hey hang in there Carmen you're good okay okay you never should have done that on
39:30your own ever do you understand
39:34but that was pretty badass you saved your life good job
39:46did you did 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 this is not your fault
40:02why couldn't you save her I mean this is what you do
40:11I tried I really tried we all did if this had been any other day man
40:16any other day what the fuck does that mean any other day what you would have
40:19saved her life yes no I don't know I don't I don't know
40:32we're getting slammed up there we've had dozens of shooting victims you've seen it
40:36the fact that we've saved as many people as we have is a fucking miracle
40:41what you did save Leo no no I didn't
40:48and I don't know how many people I've helped today but I can tell you every other person who has
40:53died
41:00there was a man named Mr. Spencer who died in front of his children and an 18 year old who
41:04who was brain dead from a fentanyl overdose and a guy with a heart condition and a little girl
41:09who drowned trying to save her sister and I'm gonna remember Leo long after you've forgotten her
41:14oh fuck oh fuck I'm sorry sorry you gotta go man you gotta go you gotta go you gotta go
41:20wait wait Robbie Robbie wait wait
41:22can you put him back in his bed please
41:25he's like
41:36he's like
41:37he's like
41:51I'm so excited
41:53you're seeing me
41:53but I'm so excited
41:54you're seeing me
42:06A little bit fucked up, a little bit fucked up in my head
42:16I don't get the rest yet, plenty of rest when I'm dead
42:26I'm a little bit roughed up, but not from regret
42:33If to fail, if to gain, I'll fail again
42:46Failure's the worst, I'll fail for worse
43:16Failure's the worst, I'll fail for worse
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