Trauma s01e06 Episode Script

Hey, Nance.
I grabbed some sheets.
Do you think we'll need anything else? Nancy? Nance.
Glenn, I'll give you one of two scenarios.
One, I am completely deaf.
Two, I'm ignoring you.
You're ignoring me.
What are you reading there? You're still ignoring me.
Got it.
Yeah! Strike 3! Shut out inning, buddy! Come on, Sheila! Little hit, Sheila.
Come on, pop it over the head.
Take a walk, princess.
You're not getting on my bases without it.
Hey.
Hey! Shut up and pitch! Have a seat, fat man! Do it, Sheila! Come on, Sheila! What the hell are you doing? Preventing you from stealing! There's no stealing in softball, you idiot.
Yeah, since when? Yeah, since now.
Shut up and pitch! You know, I'm starting to feel bad for you.
You know, forget the shut out.
I want you to hit one ball.
Just one.
Oh.
Whoa.
Nice and easy.
Lobby.
Come on, Sheila.
Show him what you're made of! Come on! Come on, Sheila! Right down the alley! Come on, Sheila! Oh! Medic 114, respond Code Three.
Golden Gate Park, west of Steinhart Aquarium.
Man versus baseball.
Individual semi-conscious and unresponsive.
Hey, Nance.
I know it's none of my business, but Yeah, you're right.
It's not.
If you wanted to tell me, I I would.
And I don't.
Boyfriend? Ex-boyfriend? Friend? What did I say earlier? Don't take Folsom.
Take Howard.
I'm trying to get off.
Well, then turn on Mission.
No, I'm not going to take Mission.
Mission has too many lights.
I'll take Van Ness.
It's quicker.
Stop trying to change the conversation here.
I'm trying to talk to you.
We are not having a conversation.
Hey, guys, listen up.
There's construction on Folsom, so if you want to go across town, take Howard.
I have to tell you something.
Okay.
Whatever you want to tell me, I don't want to know.
It's about us.
Oh, God.
If we did something last night that I was too drunk to remember, please, let me live in ignorance.
It's our golden anniversary.
I'm sorry.
What? Nance, this is our Oh, thank God we didn't sleep together.
Why? Because it would have ruined our partnership? Exactly.
Yo! Ho-ho-ho-ho! Yo! What up, Air Stud? Oh, do not encourage him, Tyler.
Well, don't make me, boo.
I'll tell you what is up.
Six tickets to Warriors game tonight.
Courtesy of an assistant coach who received premium flight medicare en route to an emergency bypass.
Courtside, foul line.
Who's in? Well, since I flew Mr.
Assistant Coach, thank you.
You're welcome.
Yes.
I finally get to hit up the Oracle without treating myself for a nosebleed.
Thank you, Rabbit.
Mr.
Boone? I cannot.
I have not seen my kids awake in two days, bro.
So, that means Oh.
Screw you.
Rabbit, if you I'll take one.
No probies.
Pick you up at 6:00.
A little presumptuous, don't you think? Love to.
Courtside seats! Courtside, man.
I'm going to be all like, "Yo, Jackson.
"Why you keep jumping from team to team, man? "Pacers, Warriors, Pacers, Warriors? "Make up your damn mind, right?" Gonna use that blackcent, too, huh? What are you talking about, I'm Blackcent? I don't even know what that is.
Dude.
That was a blackcent.
You know, like, how you said it, it was I sound like I'm black? Hey, watch it.
Medic 78, respond Code Two, Golden Gate Park, south side of Crossover Drive.
Adult male disrupting traffic.
Possible psych, 5150.
Hey, man! Get out of the street! You're going to get hit, yo! Hey, hey.
Sir? Hey, sir? Hey, sir.
I'm a paramedic.
Do you mind conducting the orchestra across the street? Come on, dude! Let's go, huh? All right.
Looked like you were playing some good music out there.
Oh, you heard it, too? Beautiful, isn't it? Beautiful.
Uh-huh.
Actually, your chariot awaits.
It's nice, isn't it? The music.
Sure.
Hey.
Sorry.
Sorry.
Sorry.
Hey, man, that's not cool.
Just don't do that.
Hey! Sorry.
Sorry.
That's it.
What are you looking at? I'm not I'm not looking at Hey! That's it! Pull the rig over.
See how you like it.
At first I drew my pistol And then I drew my rapier Rapier I said Said Stand, deliver Stand and deliver I am the For I am the bold deceiver Lord? Why do you have to make everyone crazy but me? Whack for my Daddy-o Whack for my Daddy-o There's whiskey in the jar There's whiskey in the jar We should do something special.
You know, because it's a special shift.
Special shift? Yes.
Oh, Glenn, this cute, endearing thing, it really does have its limits.
Well, I'm just saying for you, that's a long-term relationship.
Whoa.
You have just reached those limits, dude.
This is not a relationship.
Yes, it is.
Think about it.
Of all the men you spend time with, you spend the most with me.
Wow.
See? Yeah.
Wow.
Patient number 47 to be transferred You know, I am infinitely more screwed up than I thought I was.
You know, I have a special idea for our special shift.
Yeah? Yeah.
I'll get the coffees.
You get the sheets.
It's not what it looks like.
It looks like you're eating your patient's food.
Yeah.
Yeah.
He was discharged, and I haven't eaten for days, so Oh, and people expect me to tell them what to do.
I know.
It took me a couple of months just to find people's veins.
Yeah, they call me "Doctor," and the techs know more than I do.
At least you get called "Doctor.
" I either get called "probie" or "dude.
" "Dude's" not bad.
No, "dude's" not bad.
It beats "moron.
" Being new sucks.
Yeah.
Being new does suck.
I've got something for you.
Finally.
I bring you people every day.
What do I ever get in return? What's that? My letter of recommendation.
For what? For you.
A residency at Sutter just opened up.
If you want it, I'll make it happen.
But I need to know soon or they'll post it on ERAS.
You've got the degree.
You've got the talent.
Here's your chance to be a doctor.
Take it.
That a girl.
Nance? Nance? My God.
No! Somebody help.
You're bleeding.
Oh.
Come on.
I'm okay.
I'm okay.
Are you okay? It looks like a stellate laceration with a small degree of Hey.
devitalized tissue.
Nancy.
Stop! You're losing a lot of blood.
Glenn, you're losing a lot of blood.
Stop! Stop it! Come on.
Tell me you're okay.
Can you answer me that? Are you okay? Yeah, yeah.
Yeah.
I think I'm okay.
I don't know I don't know what happened.
Something hit us or we hit something.
I don't know.
I didn't see anything.
This is Medic 114.
I'm reporting an MCI.
We're on the corner of Folsom and 12th.
It's a Muni bus versus an SFFD ambulance.
Please identify ambulance call number involved in MCI.
It's mine.
I counted out his money And made a pretty penny I stuffed it in my pocket And I sent it home to Jenny Medic 78, respond Code Three to 12th Street and Folsom for MCI.
Muni bus versus Medic 114.
Hey.
Hey, Dispatch, can you please confirm that SFFD call number? What rig was in the wreck? Medic 114, respond to.
Dude, go, go.
Rabbit.
Rabbit, hold up.
Hey, this bird's not ready to fly.
It's not fueled up.
Got enough fuel to get us to Folsom and back? Yeah, but Then we're flying.
Okay.
You signing off on this? Yeah.
All right, let's go.
Let's go.
Come on.
Nancy! Glenn! Ty! Hey.
I'm going to get you guys out of here, okay? Hey.
What's your name? Jorge.
Hang in there, Jorge.
Help is here, all right? You heard me? Okay.
She's pretty messed up, man.
Maybe like 12 on the GCS.
Hey, Nance.
Nancy, talk to me.
Tell me.
Give me symptoms.
Give me symptoms, baby.
Nancy, talk to me.
Give me symptoms, baby.
Give me symptoms.
Hey.
Stop.
Huh? We can't extricate them.
What? Listen.
We're first on the scene.
I'm Incident Commander.
And you are in charge of triage.
Oh, forget protocol, Boone! No.
They are breathing.
They're talking.
Rescue will cut them down.
Forget it, man.
Hey.
We've got severely injured people on that bus.
Hey.
Hey.
Hey.
No! What? No, listen! Protocol saves lives.
You tag them.
You tarp them.
Do not treat.
No treating.
He's right, Tyler.
It's probably just a cracked rib.
Go.
Protocol.
I'm sorry.
I'm sorry.
I'm sorry.
Hey! Hey! That red lever! Get that red lever! All right, everybody.
Just keep it calm.
We got help right behind me, okay, everybody? It's open! Okay.
Hey.
Hey.
Hey, hey.
Battalion 4, this is Medic 78.
First on the scene at 12th and Folsom for Level 3 mass casualty incident.
Over 40 injured.
Requesting three MCI trucks, rescue, multiple means of transport.
Conservatively, I need about 30 beds.
Copy that, Medic 78.
What's your name? France-Luce.
France-Luce.
That is a very, very pretty name.
Can you walk? No? Listen, France-Luce.
I want you to do me a favor, okay? I want you to just relax and calm down.
Okay? I've got help on its way.
No! No! Please! Please don't go! Please! Hey.
Why isn't this guy out of here yet? Waiting on rescue.
Guys, listen.
This guy over here in the taxi is more critical.
If we don't get him out, he's not going to make it.
You know that you've got one of yours in there.
I understand that.
But right now, they're all mine.
Let's go! I want every critical moved to the SICU or ICU now.
Let's clear these trauma beds, people.
EMS is requesting 30 beds, but we can't take them all.
We'll be saturated.
Activate the emergency bypass policy.
Tell Ortiz to update the HART screens.
Let the staff and field providers know.
We take what we can, and we divert the rest.
But I want those medics.
I want Nancy and Glenn here.
Understand? They come to me.
Nancy and Glenn? They're the ones Get out of here.
Okay.
Lyn.
Where's my daughter? Nancy's still on scene.
They'll have her here as soon as they can.
Is she injured? Is she okay? I don't know what's going on except that she and her partner are two of the injured.
Come on.
Take my office.
Damn it, Joe.
You know she shouldn't be out there.
Dr.
Joe, Dr.
Joe.
I know.
I've got a patient here.
She's having a seizure.
My neck's fine, man.
My arm, my arm.
It ain't gonna happen.
Stay still.
I'm okay.
I've had enough.
Nance, let them treat you.
I'm still here, aren't I? Funny.
What? What? What? I don't know.
I've probably just broken some ribs or something.
Okay.
Got it.
Okay.
Hold that.
Hold that.
Hold that.
Ah.
Get a gurney over here.
No, they're still extricating them Glenn? I'm going to release you now, okay? Here we go.
You got him? I got him.
My arm.
My arm.
Buddy, I'll see you on the outside, okay? I never even saw it coming.
It's not your fault, Glenn.
There's so much pain in my abdomen right now.
What kind of pain? Get away from her.
Get away.
Out of the way.
I'm here.
I'm here.
It's okay.
Oh, God.
Oh, God.
It's okay.
Oh, God.
It's okay.
Tell me.
Pulse is tachy at 120.
BP down from 110 systolic to 90 palp.
GCS is 12.
What the hell took you so long? Next time you want to go head to head with a bus, try doing it somewhere I can land.
Look at me.
Look at me.
That's it.
What do you see? Pupils 4 millimeters.
Skin is cool, pale and diaphoretic.
I'm going to start palpating, okay? Okay.
All right.
No sign of crepitus.
Point tenderness is just above ribs Flail chest? I don't think so.
What the hell hurts so bad? Nancy.
Hot belly.
It's all right.
It's all right.
We're gonna get you out.
All right.
I've got a hot belly.
Probable ruptured spleen.
I gotta get her out now or she's not going to make it.
Just give us five more minutes, Rabbit.
She doesn't have five minutes.
Give me a jacket.
Stay right with me, okay? All right.
Run it straight through here.
Here, hook this on.
Here we go.
It's okay.
Easy, easy now.
Angle that in.
Watch out.
Okay.
Good.
Take her out.
Marisa, I got her.
We're on our way.
Copy that.
We're on our way.
Ready? One, two, three.
Up! I can BVM.
Okay.
Got it? We're two minutes out, Rabbit.
Dr.
Joe has a surgeon prepped and waiting.
Let me do that.
I can do it.
Let me do it.
Let me do it.
No.
Let go.
All right.
Okay.
Deep breath.
Good.
That's better.
Reuben? I'm right here.
I can't see anything.
I'm losing you.
Reuben.
I can't see anything.
What's going on, Rabbit? Cerebral perfusion.
Visual deficit.
She needs a blood transfusion.
I'm losing you, Rabbit.
No, I'm right here, Nancy.
Listen to me, Nancy.
You are not losing me.
And I am not losing you.
Okay? I'm going to give you some midazolam.
No, no And some more morphine.
I have to.
You're in too much pain.
No, please do not put me out.
I'm sorry, Nancy.
I'm really sorry.
Please do not put me under.
I'm really sorry.
Okay.
Listen to me.
Nancy, I'm right here.
Please.
I'm right here.
Come on.
We'll be late for the basketball game, right? Tonight? Yeah, that's right.
That's right.
Front row.
Foul line.
We'll get some beers.
Give me the vitals! Vitals have deteriorated.
BP dropped to 70 palp with a weak, thready pulse at 130.
We got her, Rabbit.
Start of transport, I had spontaneous resps at 16, systolic BP at 90 and dropping, GCS of 12.
We got her, Rabbit.
Yeah, but now Go! Hey, Diana.
How's Nancy? She's in good hands.
How are you? Yeah, I'm fine.
I'm all right.
We have head laceration with no TBI presenting.
Blood loss at And a fracture of the left clavicle.
So, Dr.
Van Dine.
What do we do? Irrigate and prep lac for closure.
Sling for the clavicle.
And are we worried about the head wound? Not after we do a CT scan.
If it's normal, he's good to go.
Good.
Work him up.
Diana.
Is anyone talking about whose fault this is? Did you hear anything? No.
No.
Why? Control, this is Angel Rescue 2.
I've got and we're 10 minutes out from base.
Over.
Negative, Angel Rescue 2.
You've got a possible cardiac arrest at Ocean Beach.
No other units available.
Copy that.
We're four minutes out.
You up for this? It's what I do.
Why? That's not what I asked.
Rabbit, I know what it's like to see friends go down.
Okay? I just need to know, can you take the call? Yeah.
Good.
You want to talk about it? No.
Good.
Her things.
Thank you.
If there's anything I can do.
What year are you? First.
Do you like the trauma rotation? Very much.
Well, your father must be very proud of you.
Hey! That was fast.
You're the cardiac? False alarm.
Sometimes I get these chest pains and they feel like heart attacks, but then they go away.
Heartburn? Yeah.
Heartburn.
Like I said, they feel pretty bad.
Okay.
You call us all the way out here, and now the taxpayer is paying.
So I'm going to have to work you up.
False alarm or not.
No, no, no.
Don't do anything.
Like I said, I'm fine.
Hey.
You called 911, you've got 911.
See Hey.
I can't actually leave you here with your super-size soda and your super-size fries.
Why, then it's only a matter of time, and it won't be heartburn.
It's going to be a massive cardiac arrest.
But by then, you'll be bed bound in your fifth-floor walk-up.
And I'm going to have to break my back trying to get you down all those stairs.
Hey, I'll eat whatever I want to eat.
Oh, yeah? You wanna eat? Yeah.
Is that what you want? Okay, then eat that.
Eat it.
Go on.
Eat it.
How about some fries? Eat some more.
Come on.
Come on.
You want to eat some food? Have some more.
What? You're not eating it.
Oh, you're thirsty? You want to wash it down with something? Try it.
Rabbit! Stop it! How about that? Rabbit, what are you doing? What are you doing, man? You know why you got chest pain? Do you? It's because you're clogging your arteries with fat.
That's why.
And the fatter you get, the sooner you're going to have a heart attack, buddy.
So just do us both a favor and go on a diet.
We're at 22 centimeters.
O2 sats are improving.
Three units AB positive hanging.
No signs of transfusion reaction.
Call the output.
Lyn.
This is Dr.
Aquino.
He'll be performing the splenectomy.
Dr.
Carnahan, I'm sorry about your daughter.
Thank you.
Thanks.
You're scrubbing in? I'm going to assist.
Incision.
Upper midline.
Breastbone to navel.
Lap pad.
Lap pad.
Ready for suction.
Whoa.
We have massive hemoperitoneum.
Suctioning blood loss.
Where is it coming from? It appears to be the hilum.
All right.
Still bleeding from the spleen.
Estimated blood loss at 1,000 cc's.
All right.
Bookwalter.
Bookwalter.
All right.
Retracting the stomach.
S- retractor.
S- retractor.
Now we have exposure.
Estimated blood loss at 1,500 cc's.
Mobilizing the spleen.
More suction.
Estimated blood loss of 2 liters.
She can't hit half volume.
I don't want her decompensating.
Call the blood bank.
Get some more blood up here.
Stat.
Yes, Doctor.
Got them.
Medial rotation.
Level one infuser running.
Blood loss stabilizing.
Okay.
Let's begin.
Get your stuff out of my copter, because I'm not taking you back up.
Oh, your copter, is it? Damn straight.
Come on.
The guy's going to think twice before he orders another Big Mac.
It's not a bad thing.
"I will honor the laws of God and man.
"I will follow that regimen which benefits my patients "and abstain from whatever is deleterious and harmful.
" Hey, I know the oath.
Okay? Well, then follow it.
You know, in my eyes, you do as much harm as you do good.
Which, guess what, comes to nothing.
What's the good in that, Rabbit? Okay.
So what am I supposed to do? Just Go to the hospital.
Go see Nancy.
But whatever you do, you're still grounded.
Metz.
Metz.
I'm seeing multiple adhesions between the spleen, parietal peritoneum and lesser omentum.
Watch out for the tail of the pancreas.
If you wanted to do this yourself, why did you drag me in? Sorry.
This is Medic 78.
Last patient diverted to St.
Luke's Hospital.
Leaving the scene.
Copy that, Medic 78.
Hey, where's Ben? Hmm? Where's Ben? Oh, that Right, the "Whiskey in the Bottle.
" Well, the good news is if he would have stayed back there, he'd be gorked from heatstroke.
All right, look, this is Medic 78.
My 5150 went AWOL on the scene.
We're getting back in the box.
Let me know if PD or Fire finds Hey, hey, hey.
No, no.
We're going to the hospital to check on the guys.
No, we lost transport.
Yeah.
And because of you, we almost lost Nancy.
What? You want to ride with somebody else? Now's your chance, Tyler.
If you want to be my partner, you act like my partner.
Now, let's get in the rig, man.
Cameron.
What? You want to bust my balls, too? You did the right thing, Cameron.
Doesn't feel like it, though, does it? No.
And if Nancy's not okay, I'm gonna feel a hell of a lot worse.
I know.
Okay.
Finishing dissection towards the splenorenal.
GIA stapler.
GIA stapler.
All right.
Close and fire.
Fire.
Transection completed.
Slice and dice.
Stud.
Get one draft? You got it.
I don't want company.
Is that why you're not at the hospital? They made me take a drug test.
On the house, my friend.
On the house.
I have to go to CISD.
They're doing this investigation.
I'm off the box until it's over.
Maybe it is my fault, Rabbit.
I don't know.
It's not your fault, Glenn.
She told me to take Howard.
I didn't listen.
No.
It's not your fault.
She told me to take I was with her right in the rig.
She told me to take Howard Look.
Glenn? Glenn? She said, "Take Howard.
" Just quit it.
Okay, okay, okay.
It's your fault.
I didn't listen.
All right, you happy now, you stupid probie? It's all your fault.
You know what's bugging me, though, is I drove her for three years.
I never once, you know, lost it.
I never hit a bumper.
I never hit a curb.
You know? And I've seen a lot of bad things.
But I never had to worry about Nancy until today.
Rabbit.
Rabbit.
Rabbit.
You didn't listen, man.
Until you stayed on 12th Rabbit.
I didn't Hey Hey, Glenn.
Glenn? Call 911.
I thought you were 911.
That was 10 drinks ago.
Come on.
Call 911 now! Irrigation.
No signs of coagulopathy.
That's it.
Dr.
Lasky and his team are going to sew her up.
Thank you, everyone.
Anyone sober here? Yeah, I'm on duty.
What happened? You been drinking? No, I was just eating.
But I'm not a medic.
EMT.
That's fine.
I've been a paramedic 20 years.
I'm drunk as a donkey.
I'm going to walk you through this.
Cool? Hell, yeah.
You're Rabbit.
Your rig here? Yeah.
It's outside.
Oh, that's great.
Okay.
Keys.
All right.
T, T, where are you? Yo.
Grab his ALS bag.
I want to board and C-spine him, and then blast the air.
We want the rig as cool as possible.
You got it.
Okay.
Where's your pen light? Okay, tell me, are his eyes Pupils, pupils.
Check the pupils.
Tell me if they're the same size.
Yeah.
All right.
That's good.
There's no herniation.
I want to drop a line of NS.
Wait.
What about mannitol? Dude, if he's TBI, he's going to have hypotension.
I don't want any more hypotension.
But mannitol reduces the blood viscosity.
Yeah, well, that's great.
You know what? This is my party.
You're the designated driver.
Now, you got that? Yeah.
Get ready to drop the line.
All right.
Now, I want a non-rebreather mask and 15 liters of oxygen per minute.
On my count.
One, two C- spine, C-spine, C-spine.
It's okay, Glenn.
You're going to be okay.
That's good.
You'll be okay.
Altered LOC after blunt occipital trauma.
Patient involved in earlier collision.
He was evaluated here and released.
Currently oriented to times three.
Seth, take over.
BP 130 over 80.
Pulse 100.
I thought you worked him up.
Vitals are normal.
He's stabilized now.
The radiologist agreed everything looked normal.
The radiology intern is just as inexperienced as you.
Next time, you check with me before calling the CT negative.
So what should have Diana done? Teleradiology? Exactly.
So, next time, you consult the radiology attending via Tele-Rad before making me look this sloppy.
Glenn.
Yeah, it's okay.
No.
It's not.
You know what else sucks about being new? What? It's all the mistakes we're going to make.
Yeah.
You know, the first time I read it, I thought, all this pride, all this emotion I should have written it.
And then I I read it again.
And after I saw the way that you looked at her, I thought, "He's in love with my daughter.
" I was trying to take care of her, that's all.
You might have done the same thing.
Yeah.
Yes, I would have, because I'm her father.
But what are you, Joe? I mean, you're not her father, you're not her supervisor, you're not her boyfriend, so What are you? What are you getting at? I'm going to interpret this gushing letter as misplaced paternal pride.
Because anything else Would be unacceptable.
Correct.
What the hell are we doing here? I got a hunch.
That Ben guy.
He's a music freak.
No, that's not what I'm talking about, and you know it.
Nobody wants to lose a partner.
If it happened to you, man, I'd lose it.
Me, too.
Hey.
How are you? Glenn? Yeah? You have your gown on the wrong way around.
Oh.
Yeah.
The nurse told me it was supposed to go like this.
Well, they were lying to you.
Come sit.
Keep me company? Hospitals suck, huh? Yeah.
They truly, truly suck.
No wonder you didn't want to become a doctor.
I don't blame you.
No wonder.
Are you standing me up? We've got a game to get to.
Yeah, I think I might be missing that.
Maybe not.
You work that thing out? Forgive me? For what? Now, you, young lady, are about the only thing that stops me from going completely insane.
So Don't scare me like that.
No more.
It's all about you, isn't it? It hurts.
Do not make me laugh.
We need help stat.
Over-inflated ego.
I don't think his sense of humor is going to make it.
Have a seat.
Have a seat.
Hey, guys.
How you doing? What's going on? Go on then.
I need some joy.
How are you doing? Yeah? What up, players? Right here.