The Night Shift (2014) s01e03 Episode Script

Go! Come on, Drew! You've got this! Keep your guard up, Drew! Come on! Go, Drew! Do the arm with the thing and the - Come on! - Already started? What'd I miss? Drew's eating a lot of punches, but I think we won the first round.
- So were you with Landry? - Define "with.
" Good God! To be you for one day.
Yeah! - How's Lynn doing? - She's not exactly thrilled that her parents are having twins, or that they are actually having sex.
- You have sex? - Not as much as you, but periodically.
All right, get back in there, get back in! Get in there, Drew! Krista's really into this.
Who knew? Come on, take him down! I'm sorry, why is this fun? Getting punched is not fun.
You this crazy out of work? - I'd like to see you on the weekend.
- Clinch! Give him a knee! Dude, you know you have no chance, right? She's so into Drew.
Fight over, fight over! - Oh, yeah! - Oh, my God! - Yeah! - Someone call a medic! Stay down, relax, we'll take care of you.
I'm a doctor.
Possible depressed orbital fracture with inferior rectus entrapment.
Set up a trauma panel and facial CT.
- Did you do this to him? - Page the surgeon.
Take him to curtain one, give him five of morphine.
- Let me know when the CT comes in.
- Hey, we're gonna take care of you.
You're making patients now? He was trying to do the same to me.
With all the time and money you put into training, it seems like a dumb risk.
What if you get hurt and you can't work? Then you become my problem.
Please don't become my problem.
- I won't.
- Good, now clean up because, man, you stink.
- No good? - Get out of here.
- She's on a rampage.
Hey, give the guy a break.
Not every doctor's into playing golf like your country club boyfriend.
How is it that you look worse than the two men with their faces bashed in? You can't just get rid of the Tailgate.
We need a place where we can relax during our breaks.
- You got food trucks and a break room.
- The break room's haunted.
A man tried to commit suicide from the Tailgate.
It's a liability issue.
Not to mention the 70 other OSHA violations up there.
It should've been closed a long time ago.
Move on.
Hey, Paul, do me a favour.
Grab Resusci Annie out of the supply room and move it to the lounge? - I've got to run up to the lab.
- Yeah, no problem, got it.
Really? Okay.
Oh, my God! Oh, my God, it's alive! Really? Not cool.
Interns are supposed to stick together, right? - Oh, yes, it's alive! - It's alive! TC, hunting accident out near Medina.
Ambulance can't get to them.
- Medevac's waiting.
- I'm on it.
Paul, you're up.
- Okay.
- Come on, Paul! Ripped By mstoll I thought you guys would never make it.
Follow me.
Henry got attacked by a hog and fired his crossbow and hit Amy.
Now be careful, a lot of these hunters are pretty wasted.
Oh, look out! - Guys, where you at? - What is this place? It's a hunting ground.
Feral hogs are mean sons of bitches.
It's open season.
They're right over here.
It's okay, ma'am.
Paul, focus on the primary trauma survey, ABCDE.
Airway, patent.
Good air movement.
- Help! Help! - She's stable, I gotta help this guy.
It's all right, buddy, I'm a doctor! Hey, tell your guys to stop firing, or I'll shove those guns up their asses! My hand.
Damn hog just bit off my hand! Paul, I need a suture kit, a needle driver, ten of morphine.
- Paul! - I'm coming, I'm coming.
- Hold this.
- I got it.
- Paul, come on! - You'll be all right, okay? - What do you need? - Suture kit, needle driver ten of morphine.
- Ten of morphine in the field? - He could be hypotensive.
- He's not an old lady.
He's in pain.
I've given twice that in the battlefield.
Come on.
I need to stop this before it bleeds out.
Tell the pilot to start the chopper.
We're out of here in five.
Hey, keep your head down.
Hold still, you're gonna be okay.
Hey, wait, we haven't even found his hand yet.
If we don't get out of here in five, he won't need it.
He'll be dead.
Hi.
Do you work here? No.
I'm 9 years old.
- You're right.
Silly question.
- I don't feel good.
My head hurts.
I feel like I'm gonna throw up.
You're in the right place.
Where's your mom? She died.
- And your dad? - He's at the refinery.
- How'd you get here? - I took the bus.
The 93 Express to the Transit Centre, then the 100.
- That's pretty impressive.
- Not really.
I mean, it's all online.
That Yeah, of course.
- What's your name? - Kylie.
Kylie, I'm Topher.
Let's call your dad.
Your sutures are too far apart.
Maybe if you weren't staring over my shoulder - Is everything okay here? - Yeah, everything's fine.
I'll be right back.
Can we talk? Sure.
You mind laying off in front of the patient? Do I mind laying off? That ever work with your drill sergeant? - You're my drill sergeant now? - No, but I am your boss.
You should've stitched that guy ten minutes ago.
A two layer closure on a facial lac, that's first year stuff.
Get it done.
- Hey, Krista.
Can you? - Hey.
Yeah, what's up? I messed up my hand.
I think I did more damage here than I did during the fight.
- You need an x-ray.
I know what it's gonna say: Hairline metacarpal fracture.
I need a splint, but Jordan can't know because she'll kill me.
I need your help.
Can you stick with me and help me on my cases? Yeah.
- Help me with this guy.
- Okay.
Tell them to get out of our airspace so we can get out of here! At two o'clock! We're under fire from everywhere.
I could use some help.
So could I.
But it ain't coming, bro.
It's all on us! TC.
- TC, we're good to go, come on.
- All right, let's get out of here.
- So Scott's in town for the weekend? - He is.
Ragosa's wining and dining him.
He wants him here to run the trauma department.
How do you feel about that? That's big.
I just wanna make sure that it's the right step.
You know, I followed TC down here after he was discharged and I just wanna take things slowly.
Which reminds me, I promised I would ask.
- Scott's best friend, Todd.
Hear me out.
- Oh, God.
Look, he's really nice.
He's a vascular surgeon here at the hospital and he's seen you around.
Wait, you're not seeing anyone, are you? - No, I'm not.
But - Okay, great, just meet him.
I promise, it'll be painless.
We're all going to brunch and you know what? If you don't like him, you can kick me under the table and we'll ditch him.
- Okay.
- Good.
- That hurt.
- Okay.
Not gonna shine a light in your eyes anymore.
My head hurts all over.
You think it's a migraine? My dad has them.
- Topher.
- Oh, speaking of whom.
- Daddy! - You had the sitter worried sick, babe.
You can't just take off.
I'm sorry.
What's wrong with her? Complaining of headaches, it's probably nothing.
But I do wanna get an MRI.
All right, how long is that gonna take? How? Can we? Is everything okay? Yeah, what's an MRI gonna run me? I don't think cost should be an issue here.
She has a headache, light sensitivity, nausea.
These are possible signs of increased intracranial pressure.
Look, I know my kid, all right? - This is for attention.
- I don't think it is.
- She took two buses on her own - Save the lecture.
I know I look like the world's worst father right now, okay? Just run your tests.
Just make sure she's okay.
Twenty-eight-year-old female versus arrow.
Thirty-eight-year-old man versus hog with hand amputation.
- I'll take him, you take her.
- Trauma One, Trauma Two.
Her name's Amy, lung collapsed en route.
No breath sounds on the right.
Amy, I'm Dr.
Alexander and I'm gonna help you, okay? Hey, Kenny.
Page Todd.
He's a vascular surgeon, we might be able to reattach it.
- But where's the hand? - Right behind you.
Draw a rainbow.
Kenny, get that hog to radiology.
Call for a forearm x-ray for this guy, push 50 micrograms of fentanyl.
- My hand.
It throbs like a bitch! - Make it a hundred.
Kenny.
Kenny! I need you in here.
Thirty-six French.
- Prep the Thora-Seal.
- I can't breathe.
I know, we're gonna fix that.
I'm gonna insert a tube into your chest to re-inflate your lung.
I can't breathe.
- It's okay, ma'am.
Try to relax.
- Amy? - You have to stop moving.
- Take deep breaths, okay? The coughing is normal.
- One of Ativan.
- I can't breathe.
Get it out.
She's haemorrhaging.
She dislodged the clot.
I need to open her up.
Type and cross four units of PRBCs, give me two units on the rapid infuser.
The hog attacked your husband, bit off his hand.
Now he's stable.
Oh, thank God.
Henry, baby? But we're trying to find the hand while it's still viable.
- I understand.
Can he hear me? - He's in and out from the pain meds.
But you're welcome to spend a few minutes with him.
TC, Jordan needs you in Trauma Two.
She pulled out the arrow.
Lost at least two litres of blood in the chest.
- Suction.
- Forceps.
Can you clamp that up? I need a dry field.
Will do.
Two-0 Prolene.
- You guys order the AB-neg, neat? - Yeah, get it on the rapid infuser.
- Sutures are in.
- Yep.
All right, let's see how I did.
Paul, can you release the clamp? Field's remaining dry.
- BP's coming up.
- Nice job.
- Hey.
How's it going? - Usual crazy.
Henry's stable for now.
- How about you? - Usual crazy.
So pork chopping, sounds like it was intense.
- Nothing I don't see three times a week.
- The cases, not that environment.
Paul said it was like a war zone out there.
It was nothing like war.
I'm just concerned about you.
The gunfire, the yelling Yelling, huh? You were doing some yelling yourself this afternoon.
I'm not trying to treat you.
I'm just checking in.
And you're not nearly as charming as you think you are.
So this giant tube's gonna take a picture of your head.
Now it doesn't hurt, but it is noisy.
So, I What? What is? These should help with that.
I'm gonna strap you in, okay? Now, I like to pretend I'm in a rocket ship going out into outer space.
Space is a cold vacuum.
Yes, I guess it is.
Hey, remember, still as a statue, okay? Daddy, are you gonna get your picture taken too? Not today, kiddo.
Okay? I will be right in the little room and we can talk through the intercom.
It should take about ten minutes.
Why don't you wait outside? So just relax and breathe easy, Kylie.
We'll start up in a minute.
Hey, I need the film for the hog.
Hey, what's this I hear about Todd and Landry going out on a blind date? - Right.
Good one.
- Rumour mill is working overtime on it.
You mean Big Todd? Rumour has it he has a huge penis.
- Hate to follow that guy.
- I took a peek once in the locker room.
Talk about a hog.
- Like I'm the only one who looks.
- Dwayne, the x-ray.
Where's my dad? He should be here.
He's right outside, Kylie.
Just hang in there.
You need to help him.
I wanna stop.
I wanna stop! Turn it off.
You're okay.
You're okay.
You're okay.
Okay? I lied.
I'm sorry I was faking.
Don't make me go in there again.
Please.
Your arrow patient is crashing.
- Thank God.
- What happened? She's hypertensive and tachy.
Pulse dropped to 89 percent.
I thought she was bleeding again, but there's no output in the Thora-Seal.
- Pillow.
- Okay.
Okay, she's wheezing, her neck is swollen, diffuse urticaria.
She's in anaphylactic shock? What's she allergic to? Hundred and twenty-five milligrams of IV Solu-medrol.
Zero point three milligrams of epi IM.
What did she get, antibiotics? Analgesics? No, nothing.
- It's the blood.
- But AB-neg typed in and cross-matched.
- Stop the transfusion.
Paul, get her phone and call anyone you can find to give us her medical history.
We need to figure out what blood to give her before she codes.
His hand is in the hog? Pretty impressive his buddies tracked it down.
The vascular surgeon is on his way in to perform the re-attachment.
- Is this Henry's stuff? - Yeah.
What the hell she want? And why the hell are you calling my husband, you no-good whore? This is Dr.
Cummings from San Antonio Memorial Hospital.
Well, this is Ginger Brown.
I'm already here with my husband.
So why are you calling his phone from my sister's? - Mrs.
Brown - Is she here? Is Amy here? Oh, son of a bitch.
Was she hunting with Henry? Oh, damn you, Henry! Damn you to hell! You promised! - A little help in here.
- You promised me.
You promised.
Can we talk? - Hospital stuff or your stuff? - Just walk with me.
So my wife is going to "allow" me to see the children over the weekend.
She actually used the word "allow.
" God, she just really pisses me off.
Everybody pisses you off.
Let's be clear here.
When we talk, you're not my boss, you're my patient.
I have to speak honestly or this won't help you.
Yes.
You're right.
Please continue.
You have to stop taking everything someone says as an attack.
- I don't take - Your first step is to stop being a dick.
- That's your advice? Stop being a - Dick.
Yes.
I don't see you at home, but I guess you're a lot like you are here.
And here at work, taking away the Tailgate was a dick move.
That was a legal issue.
I had no choice.
But you can choose to find a solution.
You can't like having everybody always pissed at you.
- Comes with the job.
- It doesn't.
You bring that to the job and you bring it into your home life.
You want people to start respecting you? Then you have to learn to meet them halfway.
Kylie, why would you do that? Look, she thinks something is wrong with you.
She didn't wanna say anything to you.
- So the whole MRI was for nothing? - I knew you'd be mad.
You almost fell down last night.
You didn't think I saw, but I did.
- You need a doctor.
- Damn it, Kylie.
You don't look great.
She says you've been having headaches? I'm working doubles all week.
I came down with the flu.
- That's all it is.
- Please, Daddy, I made him promise.
No needles.
Look, I have a daughter, I know that they can be absolutely annoying.
But they mean well.
We can do a quick workup.
What if it's not the flu? Better safe than sorry.
Because if I miss the rest of this shift, I risk losing my job.
Kylie, I'm fine, baby, all right? I'm not Mom.
I'm sorry she wasted your time.
I gotta get her home and go back to work.
Please, Daddy, no.
Stop, it won't take long.
I'll do chores for a week.
He wants to help you.
Please.
Gotta be something we can do to bring back the Tailgate.
What if we put up railings? Made it a smaller, more contained area? Yes, yes, I'm aware of that.
Well, there are a few doctors here who I wouldn't mind jumping off the roof.
No, no, no, that's a joke.
I What a dick.
Damn it.
Why is this thing still inside? Somebody get it out of here, now! - Topher, watch out! - Look out! Don't shoot! Don't shoot! He's headed towards the loading dock.
Call Animal Control.
We need some tranqs.
God bless Texas.
Help! Topher, help! It's my Dad! - Get the head, I'll get the shoulders.
- It's gonna be okay, Daddy.
- Steve, you hear me? - He just fell.
Do something, please.
You hear that stridor? His vocal cords are spasmed shut.
We can't pass an ET tube.
Grab the crike kit.
Hey! Hey, give us light! You've been dying to do a crike.
This is your shot.
- You'll be okay.
- Let Krista do it.
I would have killed for one as an intern.
You're up.
Seriously? All right, Krista, you are up.
I'll walk you through it.
Just you got to extend The neck and palpate for the laryngeal prominence.
I got it.
- They'll take care of you, Daddy.
- Okay, now you make a vertical incision.
- It's gonna be okay.
- It's gonna be all right.
Okay, palpate again.
Now you make a horizontal incision along the cricoid membrane.
You got this, Krista.
Lift and stabilise the larynx.
Insert the tube.
- You have to save him.
- We will.
Don't worry.
Let's get him inside.
- Okay.
It's gonna be on your count.
- Okay.
One, two, three.
Let's get him inside.
I told you something was wrong with him, but you didn't believe me! You have to do something! Save him.
Okay.
I'm gonna do my best, Kylie, okay? I promise.
He's having pauses.
Order a chest x-ray, an EKG, and a chem-20.
He's got papilledema.
- Brain bleed from a head trauma? - Maybe, maybe.
Add a head CT and a tox screen.
- Where are his labs? - Mass spec's down and the ER lab is backed up.
Why does everything break at night? - Whoa, chemical burn.
- That's probably an acid exposure.
Everybody back.
Gloves off.
Switch to neoprene.
Get his clothes out of here.
What kind of acid? Who knows without blood work? Check Poison Control.
Set me up for a high volume irrigation and grab me some Silvadene.
The flu, my ass.
I need morphine, stat.
- Give me a thousand CCs of anything.
- Yeah, no, I'll get right on that.
- Let's get that abscess drained.
- I hear you passed up a crike.
Have a seat.
Are you really that into Krista or is it something else? Unbelievable.
You're injured.
Do you have any idea how much trouble we could both be in? - Can I get that morphine? - It's not that - You're on cold and flu duty until further notice.
Get that splinted after your shift.
I think she means business.
Why? Why does she have to do this? Of all the men in the world, why does she have to cheat with my husband? - I know this is hard for you - Henry's all I have.
Now, Amy, she can have any guy she wants always could, our whole lives.
- Yeah, that sucks.
Okay, it really does, and I'm sorry, but your sister is very sick.
Good.
God finally decided to even things up a bit.
This isn't the first time she and Henry But he promised me.
Does she have any allergies or pre-existing conditions? - She always had something going on.
- Whatever got her more attention.
- Was she ever transfused blood? She had a wreck in high school.
Had to have surgery.
There were all kinds of complications.
I mean, you should've seen her sitting in her bed for months like a princess on a pea.
She's alloimmunised against minor blood antigens.
- What's that mean? - It means your sister is allergic to our blood bank.
She needs very specific blood lacking the same antigens as hers.
- Like yours.
- Or she'll die.
Oh, so she finally needs something from me? All that girl does is take and take and take and take.
Well, all the pain she's caused me I'm done giving.
She's on her own.
Her sister refuses to give blood.
There's a lot of anger there.
How long can Amy hold out without the transfusion? A couple hours.
She's on pressors, but it's delaying the inevitable.
Well, you can't just force her to give blood.
Let me check with the lawyers and see what I can do.
You could just force her.
We could just knock her out and take her blood.
How about we stick with the legal option first? I liked your idea.
- Oh, isn't that your date? - Jordan roped me in.
- You don't have to apologise.
- Yeah, I wasn't apologising.
- Hey, TC.
- Hey, Big Todd.
- Nurses been talking about me again? - Dwayne from radiology, huge fan.
Landry, right? I'm Todd.
- Believe we have a date.
- Looking forward to it.
So here it is.
What the hell? You called me in for that? You need a butcher, not a surgeon.
Paul, the hand.
Never in my life did I think I'd be assisting on a hog surgery.
- All you have to do is reattach.
- Lf it's still viable.
Lot of work to keep that thing alive.
You do know they're pests, right? - Don't talk about Bruce that way.
- Bruce? Yeah, damn right.
Bruce is a survivor.
He's been shot, presumed dead, shot at again You ever been shot at, Big Todd? - No.
- No.
That's right.
Because you didn't serve.
But, hey, call me if there's a problem.
Enjoy your day.
Poison Control says oil workers can work around sulphuric acid.
- It's not that.
It's not sulphuric.
Phosphoric? That doesn't explain the other symptoms.
Near syncope, tingling, arrhythmias, and laryngospasms.
Hydrofluoric acid? - What are you doing? - It's a poor man's chem-20.
Watch his hand, Krista.
Watch his hand.
Son of a bitch.
- Thank you.
- Push two amps of calcium chloride now.
- He's hypocalcaemic? You sure? - See that movement? Trousseau's sign.
Tell-tale for hypocalcaemia.
A hydrofluoric acid burn leaches the body's calcium.
Now, if the solution was diluted Then it would take a few days for the symptoms to start to show.
Kylie was right.
She watched him deteriorate.
Let's get compresses on the burns and ice water solution of Zephiran Chloride.
All right, brother.
Look, I am running out of ways to convince you.
You are not thinking this all the way through.
She did this to herself.
Now, I am done listening to you people.
I am not changing my mind.
You're her last chance.
Now, Amy will die if you do not give her your blood.
I hope she does.
I'm not doing it and that's final.
EPO injection is in.
It isn't enough to keep her alive without the blood.
Bolus a thousand milligrams of IV iron.
I got the blood.
- Why is she sedated? - You don't wanna know.
Connection's set.
She needs volume now.
We can actually transfuse directly from person to person? Yep.
Buddy transfusion.
Did it all the time in combat.
You just sedated her.
This is so beyond the rules.
- I mean, TC, if - Listen, this is all on me.
I couldn't let her die.
You shouldn't even be here.
You got too much to lose.
Well, so does Amy.
Open her up, let's do this.
Get down! Get down! - Is he gonna make it? - No.
Pete's dead.
I'm doing compressions to pump the blood from his body into Boomer's.
I had to do what I had to do, right? Yeah, you saved him, TC.
You saved him.
Pulse is strong.
BP's up to 105 systolic.
Her colour's coming back too.
Let's recheck her CBCs and see where we are.
Way to go, TC.
Yeah.
Your dad has a tube in his neck and that helps him to breathe.
And he's gonna be okay, all because of what you did.
I'm sorry I hit you.
I was so scared.
I was too.
But I had a promise to keep, right? Anyway, you hit like a girl.
Good.
Girls rule.
Okay.
- Ready? - Yes.
Hey, can I talk to Lynn? I know she's sleeping, she's always sleeping.
Hey.
Yeah, I know it's early, honey.
But I just wanted I just wanted to hear your voice.
No, no, I didn't huff nitrous on my shift but that's a good idea.
No, but it's probably better that Jordan found out than Ragosa.
Yeah, plus now people won't think I wimped out on the crike.
I don't think anyone thinks you're a wimp.
Here, let's see if we can get the swelling down.
It's just weird having Jordan as the boss.
We're friends and so we're just trying to find out where we draw the line.
- It's all very weird.
- Well, I mean drawing the line with work friends is It's hard.
You know I never properly congratulated you on your victory.
Hey, don't worry, I'm not gonna tell anyone.
It's not that.
Then what? Are you gay or something? Oh, God.
You're gay? I'm gonna sue you, I'm gonna sue this hospital.
You think I give a crap? Your sister was dying.
And you might not care now, but I promise you, in a day a week or month, you would have cared.
And trust me, you don't wanna spend the rest of your life knowing that you let someone die that you could have saved.
Sometimes you do what you have to do.
They just hurt me so damn much.
I know they did.
I'm sorry.
If you still wanna see your husband or your sister, they're in recovery.
I don't get it.
Because Don't-Ask-Don't-Tell is already gone.
I've been to two gay weddings in the past six months.
Okay, were either of them military or in Texas? Just coming out changes things.
Here, in my unit, in the cage I'm not the only one that I'm protecting either.
I got a boyfriend, Rick, over there.
And Afghanistan, that's not the place you really wanna come out.
Okay.
Well, I I get it now.
And don't worry, your secret is safe with me, okay? I know, that's why I told you.
All right, listen up, everybody.
I have some great news.
The Tailgate is back.
And even better.
We are rebuilding it in a corner of the parking lot so that you're closer to the ER and don't have to walk up the stairs.
Thank you.
That's awesome.
In exchange, you have to give up one of your 15-minute breaks each shift as well as limit the time you can spend there after work.
That's just evil.
After all, we are footing the electric bill.
The cost of doing business, so enjoy.
Way to snatch defeat from the jaws of victory.
What? I met them halfway.
But nothing's free.
Now they respect me because I didn't cave.
You know you could learn some things from me too.
- We have a lot of work to do.
- Right.
I'll be in my office.
- Have you seen Krista? - Oh, dude, you gotta let that one go.
Hey, do me a favour, send Krista for Resusci Annie.
If I don't strike back now I'll be a walking punchline for the rest of the year.
Yes? - Okay.
- Thank you, thank you, okay.
- So where's he off to? - To get you with the Resusci Annie gag.
He really was home-schooled, wasn't he? You know what? Get your camera ready, because there's going to be tears.
Pretty ballsy move you pulled off there with Ginger.
Yeah, I'm not big on letting my patients die.
So, what's the deal with the dress? You going to the prom or something? I've got my niece's confirmation after my brunch with Big Todd.
Would you like to see what I did on my prom? Look, I'm sorry I lied.
It's just, I know you don't like the fighting.
It's not that.
I hate that you'd risk your future.
You could be great, Drew.
But as your boss and, well, more importantly as your friend I'd hate to see fighting ruin that.
Yeah, but it's not just about punching someone.
It's a group of vets and we train together, talk about things.
It's like the brotherhood that I had over there.
It's therapy.
I didn't know that.
So, okay, no more full-on bouts.
But I can't stop training.
I need it.
And I won't ever lie you to again.
Good.
Because I know everything that goes on in this place.
It's my job to know all.
Do you think Big Todd will like the dress? I don't think it's his size.
So you still going to brunch? - More for Jordan than Todd.
- Oh, interesting.
You wish.
- I don't have any girlfriends.
- No? Me neither.
It's okay.
I locked the door.
- It's locked, are you sure he's in here? - Maybe he's in another room.
I'm meeting Drew, I gotta go.
I'm sure he'll figure out I'm not coming eventually.
Or he'll be there when our next shift starts.
- Have a good one.
- You too.
Ripped By mstoll