The Night Shift (2014) s01e07 Episode Script
Blood Brothers
OR called back.
They're ready for him.
- Let's get moving.
- Little help, Dwayne? Hey.
Is he talking yet? Sorry, this is a restricted area and we need to get him to the OR.
- No one's going anywhere.
- Is that so? - Hey! - Think I'm playing, doc? - It's okay.
- Get him talking.
It's not that easy.
- Do it or I'm gonna kill every one - Don't have to point that.
- He has a severe injury.
- Just do it! - Anaesthetic is in.
- Thank you.
- What were you fishing for? - Oh, catfish, sunfish, striped bass.
- Hey, you wanted to see me? - Yeah.
This is Mr.
Perez.
I need you to stabilise the base so I can cut the barb back the rest out - Okay.
- How you doing today? - I'm doing good.
Good.
Thank you.
So everything good with you and Scott? - All good.
We'll talk about it later.
- Okay.
T, we just got a call.
Small plane went down near Government Canyon Park.
No road access.
Gotta chopper in.
I'll handle it.
Get Krista to come in.
Where were we? You're kind of sweet on him.
We're all done.
Be careful out there.
- You're gonna have the eye surgery? - In a couple of months.
Scott got me to the top of the list at Dallas Memorial with Dr.
Clodfelter.
- That's exciting.
- Yeah.
How much will it improve your vision? With the new laser technique, he says up to 50 percent.
- It's gonna change your life.
- Yeah.
- So three tours in Afghanistan, huh? - Yeah.
I did a double.
- We lost a lot of good men over there.
- We did.
Keep your head down.
It's a long way from shooting BB guns in the backyard, eh, T? Yeah.
I don't think mom would like this, but dad might.
- We're moving in.
- We should wait for support.
Quit being such a sissy doctor, baby bro.
Take the back entrance.
Watch your six.
I gotta say, I never liked riding in choppers.
Always feel like they're about to crash.
Move! Go, go! Dr.
Callahan? Doctor? Dr.
Callahan? - We're coming up on the site.
- Right.
There they are.
Get us down there ASAP.
I can't, there's no place to land with all these trees.
All I can do is drop you a couple miles back, you can hike in.
They'll be dead by the time we hike in.
Sorry, it's too dangerous.
Topher, what do you say we do this old school, huh? Son of a bitch.
I knew you were gonna suggest that.
Twenty-four, female, status post fall from pole with cervical flexion injury.
- A pole? What kind of pole? - A stripper pole.
I dance at The Bare Trap Gentlemen's Club over by the Pan Am Expressway.
I can't believe I fell off.
It's never happened before.
Let's take her to exam one and get some x-rays.
I'm Dr.
Alister.
We'll be checking you over, make sure everything's okay.
Paul, Paul? Looks like you wanna help out with this one? Yes, yes.
Let's do it.
- Dr.
Cummings, so nice to meet you.
- Yeah.
Nice to meet you.
Hey, Paul, a little hint, her eyes, like, they're up here.
- Of course.
I got Yeah.
- All right? Okay, good talk.
You ready? See you down there.
Ripped By mstoll This guy's dead.
We got another one over here.
This one's still alive.
Grab his legs.
Hey, hey, I'm Dr.
Callahan.
We're gonna help you.
- What's your name, buddy? - Eric.
We were flying back from our golf retreat.
The engine stalled out of nowhere.
- How's Barry? - You mean the pilot? I'm sorry.
He didn't Eric? Eric? I'm losing his pulse.
Start CPR.
Oh, this is not good.
- What? - His chest wall's collapsed.
We gotta pop the clavicle out or he's a dead man.
- Hold him down.
- Yeah.
All right.
Come on.
Come on.
Yeah.
Send the basket down.
We gotta get him out.
Copy that.
It's on its way.
Let's place him in a C collar and get him ready for evac.
Look at this.
Hello.
I don't think these guys were golfing.
Dr.
Sablok to OR 4.
Dr.
Sablok, please Incoming.
Krista, you're up.
Sixteen-year-old female with shortness of breath.
Unclear aetiology.
- What's her name? - Nina.
Okay.
We'll take a listen.
Sats are normal and lungs are clear.
Nina, I'm Dr.
Bell-Hart.
What's going on? There's a problem with your throat? - Holy crap.
- What is it? - She swallowed a fork.
- What? Heather, take care of the parents.
Get her to Trauma 1.
It's okay.
I'm right here, honey.
- I see the fork.
- Good.
Now, firmly grab it at the base and gently pull.
Damn it.
I lost it.
It slipped further down.
Sats are dropping.
Pulse ox is down to 83.
Okay, Krista, we have to do this now.
- I can't grab it.
- Yes, you can.
- Sats are 79 percent.
- Okay, focus.
Breathe.
Wait, I got it.
Okay, good.
Pull it out.
Okay.
Okay.
Sats coming up.
Very good, Krista.
Now all we have to do is figure out how it got in there.
Lauren, send off a trauma panel.
Notify the blood bank we're activating the massive transfusion protocol.
- Yes, doc.
- Dr.
Callahan.
This is Agent Milo Osborne of the DEA, he is assigned to the case.
FBI was tracking a small plane that was flying low over the border, carrying suspected smugglers.
Made a stop in Brownsville.
Feds blew it and lost it.
- Anybody else on board? - Pilot was DOA.
This was the only guy, and some of these.
I'll take that for evidence.
How soon can I talk to him? Hey, we have to stabilise him first.
He has a severe crush injury to his chest and abdomen.
We will let you know when he's speaking.
- So I'm okay? - Yeah, you look great.
The x-rays are normal.
We think it's just a strain, so We're waiting on the labs.
Wanna make double sure you're okay.
Boys, I appreciate the concern, but I gotta get back to work.
If I leave now, I can still make some cash tonight.
I gotta go deal with another patient.
Candy, I can promise you it's gonna be a half-hour tops.
Paul, don't let her leave.
He's cute.
Too bad he's gay.
- How'd you know that? - I get stared at by men for a living.
I know when somebody's not looking at me like the way you are now.
No, no, no.
I mean, you're my patient, so I have to look at you.
- How could I not look at you? - It's okay, I don't mind.
- You know what, I gotta get back.
- Right.
Just call me at the Trap if there's a problem.
How much money would you need to stay and maybe help me out? Because I was just thinking Thinking what? Well, my girlfriend comes into town tomorrow she has never exactly spent the night before.
I thought you might be able to help me with that.
You're a virgin.
That's so cute.
But I'm not a hooker, you know.
There is a difference.
No, no, I wasn't suggesting Could you come back, please, please? Thank you.
Look, I just thought I have a lot of questions about women if I ask the guys, they would never let me live it down.
I haven't even told them she's coming.
So look, if I paid you for your time could you may be clear up some things for me? You know, the how-tos, the when-tos.
Hi, Nina.
Are you feeling better now? Good.
I'm Dr.
Bell-Hart.
I took the fork out of your throat.
Thanks.
So listen I'm pretty sure you weren't trying to hurt yourself.
But I have a good idea how the fork got down there.
Your loss of tooth enamel.
And the calluses on your fingers.
These are all signs of bulimia.
I'm not bulimic.
You know the reason why I recognised these signs is not because I'm a doctor.
It's because I was bulimic through most of high school.
When I first saw that fork, I thought, "Maybe I should step in here.
" Then, when she didn't get it at first, the seconds, they felt like hours.
But she pulled through, so I was proud of her.
Well, you're good at it.
I don't have the patience to teach the interns.
Well, didn't somebody teach you? I'm a bit of a lone wolf.
Is it me or does Ragosa have a thing for you? He just got divorced.
He's got a thing for everyone.
I'm gonna talk to the parents.
- Let me know when she wakes up.
- Will do.
All on-duty interns, please report to Nurse Station 4 south.
And when that didn't work, I used to put my mom's cake spatulas down my throat.
So do you wanna talk to me? I know it's hard to say out loud.
I know.
But I'm here for you.
I've been making myself throw up since I was 12.
It's so hard now.
I have to dig really deep just to gag.
And you lost, lost hold of the fork.
I really wanna stop, but I can't.
I'm gonna help you, Nina.
And you're going to be okay.
I promise.
So this will be my first time and I just I don't wanna look stupid, you know? Like, I've read things, I've watched things.
I'm afraid if I do anything wrong, she's gonna laugh.
So You talk too much.
Yeah, I've been told that before.
Sure.
But you're cute.
And you helped me, so I'm gonna help you.
I'm gonna give you a lap dance, a good lap dance.
- No, no, no.
- A $200 lap dance on the house.
You don't need to do that.
Answering questions would suffice.
What'd I say about talking? You won't shut up because you're afraid.
Women don't like men who are afraid.
Your girlfriend wants a confident man.
Okay.
See what happens when you just be quiet and let things happen? Yeah.
Quiet.
Yes.
Are you just dancing until you figure out something else to do with your life? - Mood killer.
- Tell me I look beautiful.
- You look beautiful.
See? That's how you talk to a woman.
So let me ask you something.
- Okay.
- Can you get me prescriptions? - I don't know.
- I'd pay for them.
- They're for my urinary infections.
- Okay.
You wouldn't believe how many I get a year from those nasty poles.
- Yeah.
- Our manager never cleans them.
Each time at the clinic, it's a four-hour wait just to get a prescription.
So if you could help me, that'd be awesome.
- What do you take for them? - Usually cipr Cip Sorry, what? Oh, gosh.
Ca Candy? Oh, no.
Help.
Start the FFP.
Knock, knock.
He do any talking yet? Just mumbling.
He's barely conscious.
You were on the scene.
Did he say anything? - Just a lot of moaning.
- The pilot? Can you describe him? - Dead.
- Don't be a smart-ass.
- Was he Hispanic or white or what? - White and dead.
- You notice any other drugs on board? - It was dark.
We're trying to work.
- So if you could just wait outside.
- T, look at this.
What's going on? His abdomen's filled with blood.
He's gonna need surgery.
Jocelyn, call the OR, tell them to prep for an ex-lap.
We're gonna go by C for a quick chest and head.
You can talk to him post-op, that'll be a few hours.
Our waiting room is right there.
Okay.
You got your badge? I forgot mine.
Do not fret or be blue.
This badge will get us through.
Yeah, don't worry.
He's in my custody.
I said don't worry.
I got it.
- I'm not really sure what happened.
- Keep your hands up for me.
- She's having a stroke.
- God.
- She's paralyzed on the right side.
- Why'd you guys page me? - What happened to her? - She fell.
- She fell? - Yeah, let's get her up.
- We're gonna take care of you, Candy.
- One, two, three.
I'll get the door.
- How is she? - We got the fork out, she's stable.
But sleepy from the anaesthesia.
When can we take her home? I don't think that she should go home yet.
- Why? - Nina has an eating disorder, bulimia.
She needs to be treated with in-patient psychiatric care.
- Our daughter's not crazy.
- I didn't say she was.
- She needs - So she wishes she was skinnier.
You know any girls that don't? She's not missing school because some doctor's overreacting.
She swallowed a fork.
She's just stressed out from school.
If we need help, we'll call our priest.
Now where do I sign to take her home? Hey.
This a social visit or strictly business? - What do you think, Dwayne? - That was sarcasm.
- Next time, I'll text it with an emoticon.
- Grumpy tonight? I'm hypoglycaemic and I forgot my candy bar.
Here's a fiver for the vending machine.
Knock yourself out.
It only takes ones.
What? How about some old school? Hey, Topher.
Let's see your moves.
See if you can keep up with Baltimore's finest, baby.
- Oh, yeah.
- Go, Thad.
Go, Thad.
Go, Thad.
Go, Thad.
Go, Thad.
Come on, now.
You're up, Topher.
Jordan, this is Capt.
Topher, M.
D.
He's a newbie, so don't expect too much.
Okay.
Go.
- What? - What? This dance floor I be hoarding to send love to you, Miss Jordan.
What? Jordan's gonna fall for this guy.
She's never gonna marry you.
- Oh, you're engaged? - Well, look, if she says yes.
I'm gonna ask her when I get back.
T? T? - T? - Yeah? - Little help? - Yeah.
Yeah, let's do it.
She's gonna be out of it for a little while.
- What did the MRI Say? - MRI's clean.
- It doesn't make sense.
What's wrong? - I don't know.
- So, Paul, give it up.
What happened? - Sorry.
She was dancing.
- Dancing? - But what were you doing in the? - You paid her for a lap dance.
- You paid? Look, can we just find out why she's stroking out? Sorry.
Look, see? Maybe it was all your built-up virgin pressure.
- Not funny.
- It's Candy's condition's not funny.
You getting a lap dance in the closet is hysterical.
Give us a heads-up.
I'd cover for you.
Drew can keep a secret too.
There's not gonna be a next time.
You're not gonna tell Jordan about the lap dance? I don't think her gyrating on you is related to her condition.
Let's get her in the room and run some tests.
Well, you can send the detective over, but he'll have a long wait.
From what I understand, the patient is getting a scan, heading to the OR.
Besides, we already have a DEA agent here.
You wanna talk to him? Okay, hold on.
Agent Osborne, S.
A.
P.
D.
They may wait a while before they get here but they wanna talk to you.
- No, God, no, no.
My boss will kill me if I get involved with the locals.
No.
I don't wanna get in the middle of your crap.
You hear me? Hey, listen, we're really busy here.
You can handle all your jurisdictional stuff when you get here.
Well, then talk to him tomorrow.
I gotta go.
Nurse needed in ICU.
Nurse needed in ICU.
What? What do you mean you can't put an involuntary hold on Nina? - Is she an adult? - No, no, she's 16.
- Is she suicidal? - No, not yet.
Okay, then.
If she is not suicidal, homicidal, or gravely disabled Just so you understand, there's a stigma against psychiatric care in the Latino community.
They tend not to seek it out.
The best I can do is offer outpatient resources.
- This is just so messed up! - Yeah, trust me.
I get it.
Hey, Krista, you need to show Dr.
De la Cruz some respect.
Yelling at an attending isn't gonna help your patient.
You're right.
I'm sorry.
Isn't there anything you can do as a chief? No, and look, I would love to.
You need to learn that the hardest part of residency is that you can't save everyone.
So, what do I tell her? I promised her that I was going to help her.
I already spoke to the parents.
I can try again.
- But I wouldn't get my hopes up.
- Okay.
So what did you mean by, "God knows Drew can keep a secret?" - We cool? - Yeah.
It was nothing, man.
- I was just kidding.
- Were you? Because I thought I heard a little edge in there.
You know, had a little something to it.
Okay, I know this sounds Wow, I was about to say gay.
Look, man, I just I don't care, man.
I really don't.
Rick seems like a cool guy.
I'm glad he's feeling better.
Hey, just spit it out.
Fine.
I was pissed that you didn't tell me.
Quite honestly, I still am.
Come on.
It's me, it's me.
Dude, I would never turn my back on you, ever.
Knowing that you felt like you had to shoulder this whole thing by yourself and live a lie around me? Man, that kills me.
I just thought we're better friends than that, that's all.
You're right.
It sounded a little gay.
Come on, man.
You can't take it personal.
It's not about you.
It was about me.
It was my thing.
Okay? So we cool? Yeah, we're good, man.
Stupid face.
All right.
About that Krista situation, now that she's done bearding for you you gonna help me out with her or not, huh? I've tried.
If you stop playing, you'd get somewhere.
Playing? I'm not a player.
I'm not a player.
I crush a lot.
The OR called.
They're ready.
Let's get moving.
Little help, Dwayne? Hey, is he talking yet? I'm sorry, agent.
I didn't get your name.
This is a restricted area.
We need to - No one's going anywhere.
- Is that so? - Think I'm playing, doc? - It's okay.
- Get him talking.
- It's not that easy.
Just do it, or I'm gonna kill every one of you.
- You don't have to point that.
- What? How's that? Dwayne? Dwayne? - He's dead.
- Well, now I have your attention.
He has a belly full of blood.
He's gonna die if we don't get him to the OR.
Shut up and get over there against the wall.
And turn around.
I'm gonna have a little conversation with him and then I'll be on my way.
- Oh, God, Dwayne.
- You, come on.
Shut up over there.
- I'm sorry.
- What? - I'm sorry.
- You're right, you're sorry.
What are you trying to do, double-cross me? Tell me where our money is.
Brownsville.
- Tell me! - Brownsville.
Hey.
Wake up, you bastard.
Come on.
What's the address? What the hell's wrong with him? Get over here and make him talk.
Wake him up.
He's losing his pulse.
If you ever want him to speak again, he needs an OR now.
He's not going to the OR.
I need him to talk for a minute and then I'll be on my way.
You don't understand.
Blood pressure's dropped too low for him to wake up.
No, you don't understand.
I vouched for this piece of crap, okay? If I don't get what I need from him, I'm a dead man.
So he dies and you two are gonna join your friend over there.
I got nothing to lose, pal.
She had all the symptoms of a left MCA stroke.
Loss of speech, weakness, but her MRI was normal.
- She collapsed as she was leaving? - Actually Yeah, by the storage room.
She was looking for the restroom.
- What's her status now? - The symptoms are resolved.
She's having migratory weakness, loss of vision and speech.
This all started with a fall on her neck? - Can you push? - Yes.
She fell off her pole.
- They are very dirty and slippery.
- Somebody's doing his homework.
It sounds like she has a vertebral artery dissection.
That's a tear in the wall of the artery that causes a flap that blocks blood flow to the brain.
We order a CT angiogram.
Start on heparin, call vascular.
- Exactly.
- On it.
Don't worry, honey, we're gonna take care of you.
Hey, bud.
It's not your fault.
If you hadn't gotten the lap dance, she might've stroked out while driving.
You're like our little virgin hero.
What's wrong with his breathing? The crush injury to his throat must've caused swelling.
- Well, fix it.
- That's why we need an OR.
You're not going to the OR.
- Not taking that chance! - We know.
We need to get him tubed before we lose his airway.
- We're on it.
- Just do it.
We have an ET tube, but no laryngoscope.
We'll never get it in.
We won't able to see what we're doing.
- What is that? What's the beeping? - I told you.
He needs the OR.
- What are you doing? - He's going into respiratory failure.
His throat's closed.
We need to breathe for him.
This'll act as a light stylet.
It might work.
Turn down the light.
Do it if you wanna talk to him.
It'll let us see where we are.
Okay.
Come on.
Come on.
Let's go.
Why is this taking so long? - Come on.
Get in.
- You better not lose him.
You're almost there.
- That's it.
- Advancing the tube.
Okay, good.
Is that it? Is it gonna work? - You're in.
- Good.
Good.
So when do I get my room upstairs? You're gonna come visit, right? I'm sorry, Nina.
Your parents won't let us admit you, and they wanna take you home.
But you can force them.
You're the doctor.
I can't.
I did everything I could think of to make it happen, but it didn't work.
But you promised.
I shouldn't have.
But I can still help you.
You can come here when I have my shifts and you can call me anytime.
We can talk, even when I'm off duty.
I'm feeling a little tired.
Can you let me sleep, please? Yeah.
Cycling pressure.
Systolic's down to 70.
- Sat's 88.
- What's going on? - Blood pressure and O2 cratered.
- Hanging pressors.
What'd the scans say? Was it a dissection? - No, it was clear.
- Then what's causing this? I don't know.
I'll get TC and Topher.
Just start her on high flow oxygen.
Molly, page TC and Topher.
- Any more sutures? - This is it.
He's on to you, think.
- Have you stopped the bleeding? - The clips on the folders.
We can use them to clamp the bleeders.
I need you to either bag or pull the clips off the folders.
No, you stay right there.
- I'll get the clamps.
- This is a mess.
Yeah.
Half his blood volume is in his abdomen.
- We're out of supplies.
- He's not gonna make it.
That's great.
Get all of them.
This'll have to do.
Yeah.
They're looking for us.
Why don't you take off? Yeah.
Okay.
Listen to me! I'm getting sick of your mouth! Back off, you! Page them back and tell them everything's cool.
You understand? Go.
TC and Topher said they're still there.
They'll be down.
- Okay.
I'll be in Trauma 3 with Drew.
- Gotcha.
Okay.
Sign here, date there.
That states that you are leaving against advice.
We wish you'd reconsider.
We can get Nina treated and be out in a few days.
- Thank you, but we know our daughter.
- I need a doctor in here.
I came to get her dressed, but she was unresponsive and hypotensive.
- Nina.
- Nina.
Nina, talk to me.
Talk to me! - I think she swallowed a scalpel.
- What? - What? - Molly, get Dr.
Alexander, please.
She's gonna vomit! - Oh, my God! - Get them out of here! - Get them out! - What's happening? Pressure's up.
Two units running in.
Good.
Opening the fundus now.
Suction.
There it is.
I see it.
Easy, Krista.
Nice job.
- Unbelievable.
- I know.
Now her parents will realise that she has a problem.
Yeah.
Jordan, we need you.
- It's Candy.
- Okay.
Close her up, run in two units and move her to the OR.
Will do.
Come on, come on.
That looks really bad.
- You need to keep him alive.
- His vitals are dropping.
Stay with me, Thad.
Okay.
Stay with me, Thad.
Come on.
Come on.
I gotcha.
Hey, Doc? - What? - I got an idea.
Hand me those clips.
She didn't respond to the pressors or the high flow oxygen.
She's on 100 percent non-rebreather her sats are in the 80s.
Send a stat arterial blood gas.
Need her acid/base status.
- On it.
- Where's her chart? Where are TC and Topher? They should've been down here.
Could be PE, but her D-dimer is negative.
It could be an MNI, but her troponin is negative.
- Could be cardiogenic shock.
- Her echo is normal.
- What the heck? - That's way too dark for arterial blood.
I know when I'm in a vein and when I'm in an artery.
It doesn't look like venous blood.
It looks like chocolate.
Go get methylene blue.
Now, now! Why? When Candy as giving me a lap dance she mentioned UTIs and having trouble to see a doctor.
If she was taking over-the-counter meds like phenazopyridine, and took too much it would cause - Methemoglobinemia.
That explains the altered mental status the stroke symptoms, and the oxygen level.
That's why she fell off the pole.
Come on.
Gotta get this running.
It's working.
It's definitely working.
Paul, did you say "lap dance"? Are you getting lap dances in my ER? I need to recheck her vitals.
Jordan, I need you.
We are not done with this.
I gotta hand it to you.
I did not think you had the balls to get a lap dance.
Little boy's growing up, huh? TC and Topher have been gone for 45 minutes.
- They're not back from Radiology? - No.
There's a chemical explosion in Selma.
This place is gonna be swamped.
I'm going up there.
- I'll meet you in the OR.
- Yes, doctor.
Her vitals are stable.
We're moving her to the OR and we took this out of her stomach.
Is this real enough for you? - What is she doing? - Let her do it.
Your daughter is sick and if you don't admit her something like this will happen again.
Oh, my God, Robert.
Oh, my God.
Just tell us she'll be okay.
We're gonna do our best.
Pretty ballsy.
That's the kind of thing that gets you fired.
I couldn't help myself.
I was so mad.
Good.
There's nothing wrong with being pissed off.
Just remember, it's not gonna work every time.
Guess I'm just gonna have to get fired a lot then.
TC, open the door.
Who the hell's that? Come on, guys, why is this door locked? Just get the door and make her go.
- And don't, don't do anything stupid.
- What's going on? TC, hello? Dwayne? Move this.
I'm watching you.
What's going on in here? Why is this door locked? Yeah, sorry.
The guy kept moving, so we had to scan him.
- Dwayne went to get contrast - T, you're bleeding.
- What in the - It doesn't - Get in here! - Oh, my God.
Don't move.
Now close the door and block it.
Don't think I won't use it.
Get against that wall now! - Right there.
Right there.
- Okay.
I'm going, I'm going.
- Oh, my God.
Dwayne? - Stop it! - Jordan.
- Take it easy.
It's gonna be okay.
This factory fire in Selma continues to rage out of control.
Let's clear out the trauma rooms.
I'm setting up rooms with intubation and chest tube trays.
Have Jordan page me when we know the number of patients we're getting.
- I will when she gets back.
- She's not back yet? - Not yet.
- Mr.
Ragosa? - Security's on the line for you.
- Let's go.
Let's go.
Yes? Okay.
Put it on the ER Monitor.
Son of a bitch.
Yes, this Michael Ragosa, San Antonio Memorial.
I need to call in a hostage situation.
- This guy is dead.
- How are we gonna get out of this? Jordan, look at me.
Jordan, look at me.
We need him to think he's alive.
We gotta trick him.
Hey.
Is he dead? Because he looks dead.
- No.
He's not dead.
- No? Then why's that thing still beeping, huh? And why you pumping his chest? It means he's got no pulse.
Do you think I'm stupid? We're working it out.
We need to get the blood up to his brain and then we can fix him.
But I need that bag over there.
Get me the bag if you want him to talk.
- All right.
This red one? - Yeah.
Here's your bag.
Shoot.
- I'll get it.
- You got this? Just calm down, everybody.
Topher, keep going with the compressions.
I think we've stopped the bleeders.
Hey, hey.
It's working.
We stemmed the bleeding.
Okay, okay, okay.
But he's still not talking.
- He'll talk.
I need time.
- I don't have time.
I need to clamp off the aorta to get the blood to his brain.
That'll wake him up and then you can talk to him.
- We got the heart beating.
- It'll work, I've seen it done before.
Okay, all right, you have five more minutes.
- That's it.
- Perfect.
Ambulances are two minutes out, people.
Hey.
What the hell is going on? TC, Topher, and Jordan are in a hostage situation.
- What? - Listen.
I need you to step up.
Scott is on his way in and we have a lot of victims en route, it is on you.
Okay? Krista, Paul, come here.
You're in Trauma Three.
You're in Trauma Four.
Whatever comes in, you assist on.
You'll see scary things.
- The patient is more scared than you.
- I'm ready.
Jocelyn, you're gonna be with me.
Landry, can you help with intake and assist them with triage? Whatever you need.
And, Drew, you got this.
Thanks.
Commander.
There are three doctors one technician in the Radiology suite.
This is the man who has them.
My men are ready.
We have to shut down this hospital.
We can't.
There's a chemical fire.
Shut down the second floor, but the ER can't close.
But that's not safe.
We're the only trauma centre in 10 counties.
Victims are coming.
- You gotta figure something else.
- Second floor.
Show us.
Around the corner, up the elevator.
I'll be right up.
I think you gotta tell people what's going on.
Okay.
Oh, man.
I'm not going to lie to you.
There is a possible hostage situation with TC, Topher and Jordan.
The SWAT team is here to take care of it.
Okay, okay, now just, just listen to me.
No matter what you are feeling no matter how much we are worried about them, we have a job to do.
I know it's hard, but everybody is depending on us.
Let's focus, dig deep, and treat these people like our own families.
Okay? Let's go! I got patients with 40 to 50 percent second and third-degree burns.
There's more, guys.
- Trauma Three and Four.
- Let's do this.
We're on.
Molly, set up triage.
Trauma Four all the way down.
I need two nurses in the ambulance bay now.
Mr.
Ragosa, I need you to evacuate this area.
It's almost go time.
We have eyes on the subject.
Nothing's happening until you review the plan with me.
Those are my guys in there.
I need a medical team standing by.
Okay, we're starting with flash bangs.
What about my team? - We'll do everything to keep them safe.
- Yeah.
Yeah, listen, he's not gonna make it.
I just wanna get the hell out of here.
So have a car ready for me.
He's gonna figure out he's dead.
Ragosa has to know something's going on.
- And if he does? - We're in here, so just be ready.
What does that mean? We can't just stand here.
He killed Dwayne.
- He's not gonna let us go.
- Listen up.
Change of plans.
- You are coming with me.
Come on.
- Take me.
Come on, missy.
Come on.
Now.
- Okay.
Okay.
- Come on, Dwayne.
- Stop hogging the MRI machine.
- What the hell's that? Thad! T! Jordan? - Jordan! - I'm okay.
Toph? - Topher! - Oh, God, Topher.
No, No, no.
Topher! Hey! Somebody get a crash cart! Topher, no! Topher! Ripped By mstoll
They're ready for him.
- Let's get moving.
- Little help, Dwayne? Hey.
Is he talking yet? Sorry, this is a restricted area and we need to get him to the OR.
- No one's going anywhere.
- Is that so? - Hey! - Think I'm playing, doc? - It's okay.
- Get him talking.
It's not that easy.
- Do it or I'm gonna kill every one - Don't have to point that.
- He has a severe injury.
- Just do it! - Anaesthetic is in.
- Thank you.
- What were you fishing for? - Oh, catfish, sunfish, striped bass.
- Hey, you wanted to see me? - Yeah.
This is Mr.
Perez.
I need you to stabilise the base so I can cut the barb back the rest out - Okay.
- How you doing today? - I'm doing good.
Good.
Thank you.
So everything good with you and Scott? - All good.
We'll talk about it later.
- Okay.
T, we just got a call.
Small plane went down near Government Canyon Park.
No road access.
Gotta chopper in.
I'll handle it.
Get Krista to come in.
Where were we? You're kind of sweet on him.
We're all done.
Be careful out there.
- You're gonna have the eye surgery? - In a couple of months.
Scott got me to the top of the list at Dallas Memorial with Dr.
Clodfelter.
- That's exciting.
- Yeah.
How much will it improve your vision? With the new laser technique, he says up to 50 percent.
- It's gonna change your life.
- Yeah.
- So three tours in Afghanistan, huh? - Yeah.
I did a double.
- We lost a lot of good men over there.
- We did.
Keep your head down.
It's a long way from shooting BB guns in the backyard, eh, T? Yeah.
I don't think mom would like this, but dad might.
- We're moving in.
- We should wait for support.
Quit being such a sissy doctor, baby bro.
Take the back entrance.
Watch your six.
I gotta say, I never liked riding in choppers.
Always feel like they're about to crash.
Move! Go, go! Dr.
Callahan? Doctor? Dr.
Callahan? - We're coming up on the site.
- Right.
There they are.
Get us down there ASAP.
I can't, there's no place to land with all these trees.
All I can do is drop you a couple miles back, you can hike in.
They'll be dead by the time we hike in.
Sorry, it's too dangerous.
Topher, what do you say we do this old school, huh? Son of a bitch.
I knew you were gonna suggest that.
Twenty-four, female, status post fall from pole with cervical flexion injury.
- A pole? What kind of pole? - A stripper pole.
I dance at The Bare Trap Gentlemen's Club over by the Pan Am Expressway.
I can't believe I fell off.
It's never happened before.
Let's take her to exam one and get some x-rays.
I'm Dr.
Alister.
We'll be checking you over, make sure everything's okay.
Paul, Paul? Looks like you wanna help out with this one? Yes, yes.
Let's do it.
- Dr.
Cummings, so nice to meet you.
- Yeah.
Nice to meet you.
Hey, Paul, a little hint, her eyes, like, they're up here.
- Of course.
I got Yeah.
- All right? Okay, good talk.
You ready? See you down there.
Ripped By mstoll This guy's dead.
We got another one over here.
This one's still alive.
Grab his legs.
Hey, hey, I'm Dr.
Callahan.
We're gonna help you.
- What's your name, buddy? - Eric.
We were flying back from our golf retreat.
The engine stalled out of nowhere.
- How's Barry? - You mean the pilot? I'm sorry.
He didn't Eric? Eric? I'm losing his pulse.
Start CPR.
Oh, this is not good.
- What? - His chest wall's collapsed.
We gotta pop the clavicle out or he's a dead man.
- Hold him down.
- Yeah.
All right.
Come on.
Come on.
Yeah.
Send the basket down.
We gotta get him out.
Copy that.
It's on its way.
Let's place him in a C collar and get him ready for evac.
Look at this.
Hello.
I don't think these guys were golfing.
Dr.
Sablok to OR 4.
Dr.
Sablok, please Incoming.
Krista, you're up.
Sixteen-year-old female with shortness of breath.
Unclear aetiology.
- What's her name? - Nina.
Okay.
We'll take a listen.
Sats are normal and lungs are clear.
Nina, I'm Dr.
Bell-Hart.
What's going on? There's a problem with your throat? - Holy crap.
- What is it? - She swallowed a fork.
- What? Heather, take care of the parents.
Get her to Trauma 1.
It's okay.
I'm right here, honey.
- I see the fork.
- Good.
Now, firmly grab it at the base and gently pull.
Damn it.
I lost it.
It slipped further down.
Sats are dropping.
Pulse ox is down to 83.
Okay, Krista, we have to do this now.
- I can't grab it.
- Yes, you can.
- Sats are 79 percent.
- Okay, focus.
Breathe.
Wait, I got it.
Okay, good.
Pull it out.
Okay.
Okay.
Sats coming up.
Very good, Krista.
Now all we have to do is figure out how it got in there.
Lauren, send off a trauma panel.
Notify the blood bank we're activating the massive transfusion protocol.
- Yes, doc.
- Dr.
Callahan.
This is Agent Milo Osborne of the DEA, he is assigned to the case.
FBI was tracking a small plane that was flying low over the border, carrying suspected smugglers.
Made a stop in Brownsville.
Feds blew it and lost it.
- Anybody else on board? - Pilot was DOA.
This was the only guy, and some of these.
I'll take that for evidence.
How soon can I talk to him? Hey, we have to stabilise him first.
He has a severe crush injury to his chest and abdomen.
We will let you know when he's speaking.
- So I'm okay? - Yeah, you look great.
The x-rays are normal.
We think it's just a strain, so We're waiting on the labs.
Wanna make double sure you're okay.
Boys, I appreciate the concern, but I gotta get back to work.
If I leave now, I can still make some cash tonight.
I gotta go deal with another patient.
Candy, I can promise you it's gonna be a half-hour tops.
Paul, don't let her leave.
He's cute.
Too bad he's gay.
- How'd you know that? - I get stared at by men for a living.
I know when somebody's not looking at me like the way you are now.
No, no, no.
I mean, you're my patient, so I have to look at you.
- How could I not look at you? - It's okay, I don't mind.
- You know what, I gotta get back.
- Right.
Just call me at the Trap if there's a problem.
How much money would you need to stay and maybe help me out? Because I was just thinking Thinking what? Well, my girlfriend comes into town tomorrow she has never exactly spent the night before.
I thought you might be able to help me with that.
You're a virgin.
That's so cute.
But I'm not a hooker, you know.
There is a difference.
No, no, I wasn't suggesting Could you come back, please, please? Thank you.
Look, I just thought I have a lot of questions about women if I ask the guys, they would never let me live it down.
I haven't even told them she's coming.
So look, if I paid you for your time could you may be clear up some things for me? You know, the how-tos, the when-tos.
Hi, Nina.
Are you feeling better now? Good.
I'm Dr.
Bell-Hart.
I took the fork out of your throat.
Thanks.
So listen I'm pretty sure you weren't trying to hurt yourself.
But I have a good idea how the fork got down there.
Your loss of tooth enamel.
And the calluses on your fingers.
These are all signs of bulimia.
I'm not bulimic.
You know the reason why I recognised these signs is not because I'm a doctor.
It's because I was bulimic through most of high school.
When I first saw that fork, I thought, "Maybe I should step in here.
" Then, when she didn't get it at first, the seconds, they felt like hours.
But she pulled through, so I was proud of her.
Well, you're good at it.
I don't have the patience to teach the interns.
Well, didn't somebody teach you? I'm a bit of a lone wolf.
Is it me or does Ragosa have a thing for you? He just got divorced.
He's got a thing for everyone.
I'm gonna talk to the parents.
- Let me know when she wakes up.
- Will do.
All on-duty interns, please report to Nurse Station 4 south.
And when that didn't work, I used to put my mom's cake spatulas down my throat.
So do you wanna talk to me? I know it's hard to say out loud.
I know.
But I'm here for you.
I've been making myself throw up since I was 12.
It's so hard now.
I have to dig really deep just to gag.
And you lost, lost hold of the fork.
I really wanna stop, but I can't.
I'm gonna help you, Nina.
And you're going to be okay.
I promise.
So this will be my first time and I just I don't wanna look stupid, you know? Like, I've read things, I've watched things.
I'm afraid if I do anything wrong, she's gonna laugh.
So You talk too much.
Yeah, I've been told that before.
Sure.
But you're cute.
And you helped me, so I'm gonna help you.
I'm gonna give you a lap dance, a good lap dance.
- No, no, no.
- A $200 lap dance on the house.
You don't need to do that.
Answering questions would suffice.
What'd I say about talking? You won't shut up because you're afraid.
Women don't like men who are afraid.
Your girlfriend wants a confident man.
Okay.
See what happens when you just be quiet and let things happen? Yeah.
Quiet.
Yes.
Are you just dancing until you figure out something else to do with your life? - Mood killer.
- Tell me I look beautiful.
- You look beautiful.
See? That's how you talk to a woman.
So let me ask you something.
- Okay.
- Can you get me prescriptions? - I don't know.
- I'd pay for them.
- They're for my urinary infections.
- Okay.
You wouldn't believe how many I get a year from those nasty poles.
- Yeah.
- Our manager never cleans them.
Each time at the clinic, it's a four-hour wait just to get a prescription.
So if you could help me, that'd be awesome.
- What do you take for them? - Usually cipr Cip Sorry, what? Oh, gosh.
Ca Candy? Oh, no.
Help.
Start the FFP.
Knock, knock.
He do any talking yet? Just mumbling.
He's barely conscious.
You were on the scene.
Did he say anything? - Just a lot of moaning.
- The pilot? Can you describe him? - Dead.
- Don't be a smart-ass.
- Was he Hispanic or white or what? - White and dead.
- You notice any other drugs on board? - It was dark.
We're trying to work.
- So if you could just wait outside.
- T, look at this.
What's going on? His abdomen's filled with blood.
He's gonna need surgery.
Jocelyn, call the OR, tell them to prep for an ex-lap.
We're gonna go by C for a quick chest and head.
You can talk to him post-op, that'll be a few hours.
Our waiting room is right there.
Okay.
You got your badge? I forgot mine.
Do not fret or be blue.
This badge will get us through.
Yeah, don't worry.
He's in my custody.
I said don't worry.
I got it.
- I'm not really sure what happened.
- Keep your hands up for me.
- She's having a stroke.
- God.
- She's paralyzed on the right side.
- Why'd you guys page me? - What happened to her? - She fell.
- She fell? - Yeah, let's get her up.
- We're gonna take care of you, Candy.
- One, two, three.
I'll get the door.
- How is she? - We got the fork out, she's stable.
But sleepy from the anaesthesia.
When can we take her home? I don't think that she should go home yet.
- Why? - Nina has an eating disorder, bulimia.
She needs to be treated with in-patient psychiatric care.
- Our daughter's not crazy.
- I didn't say she was.
- She needs - So she wishes she was skinnier.
You know any girls that don't? She's not missing school because some doctor's overreacting.
She swallowed a fork.
She's just stressed out from school.
If we need help, we'll call our priest.
Now where do I sign to take her home? Hey.
This a social visit or strictly business? - What do you think, Dwayne? - That was sarcasm.
- Next time, I'll text it with an emoticon.
- Grumpy tonight? I'm hypoglycaemic and I forgot my candy bar.
Here's a fiver for the vending machine.
Knock yourself out.
It only takes ones.
What? How about some old school? Hey, Topher.
Let's see your moves.
See if you can keep up with Baltimore's finest, baby.
- Oh, yeah.
- Go, Thad.
Go, Thad.
Go, Thad.
Go, Thad.
Go, Thad.
Come on, now.
You're up, Topher.
Jordan, this is Capt.
Topher, M.
D.
He's a newbie, so don't expect too much.
Okay.
Go.
- What? - What? This dance floor I be hoarding to send love to you, Miss Jordan.
What? Jordan's gonna fall for this guy.
She's never gonna marry you.
- Oh, you're engaged? - Well, look, if she says yes.
I'm gonna ask her when I get back.
T? T? - T? - Yeah? - Little help? - Yeah.
Yeah, let's do it.
She's gonna be out of it for a little while.
- What did the MRI Say? - MRI's clean.
- It doesn't make sense.
What's wrong? - I don't know.
- So, Paul, give it up.
What happened? - Sorry.
She was dancing.
- Dancing? - But what were you doing in the? - You paid her for a lap dance.
- You paid? Look, can we just find out why she's stroking out? Sorry.
Look, see? Maybe it was all your built-up virgin pressure.
- Not funny.
- It's Candy's condition's not funny.
You getting a lap dance in the closet is hysterical.
Give us a heads-up.
I'd cover for you.
Drew can keep a secret too.
There's not gonna be a next time.
You're not gonna tell Jordan about the lap dance? I don't think her gyrating on you is related to her condition.
Let's get her in the room and run some tests.
Well, you can send the detective over, but he'll have a long wait.
From what I understand, the patient is getting a scan, heading to the OR.
Besides, we already have a DEA agent here.
You wanna talk to him? Okay, hold on.
Agent Osborne, S.
A.
P.
D.
They may wait a while before they get here but they wanna talk to you.
- No, God, no, no.
My boss will kill me if I get involved with the locals.
No.
I don't wanna get in the middle of your crap.
You hear me? Hey, listen, we're really busy here.
You can handle all your jurisdictional stuff when you get here.
Well, then talk to him tomorrow.
I gotta go.
Nurse needed in ICU.
Nurse needed in ICU.
What? What do you mean you can't put an involuntary hold on Nina? - Is she an adult? - No, no, she's 16.
- Is she suicidal? - No, not yet.
Okay, then.
If she is not suicidal, homicidal, or gravely disabled Just so you understand, there's a stigma against psychiatric care in the Latino community.
They tend not to seek it out.
The best I can do is offer outpatient resources.
- This is just so messed up! - Yeah, trust me.
I get it.
Hey, Krista, you need to show Dr.
De la Cruz some respect.
Yelling at an attending isn't gonna help your patient.
You're right.
I'm sorry.
Isn't there anything you can do as a chief? No, and look, I would love to.
You need to learn that the hardest part of residency is that you can't save everyone.
So, what do I tell her? I promised her that I was going to help her.
I already spoke to the parents.
I can try again.
- But I wouldn't get my hopes up.
- Okay.
So what did you mean by, "God knows Drew can keep a secret?" - We cool? - Yeah.
It was nothing, man.
- I was just kidding.
- Were you? Because I thought I heard a little edge in there.
You know, had a little something to it.
Okay, I know this sounds Wow, I was about to say gay.
Look, man, I just I don't care, man.
I really don't.
Rick seems like a cool guy.
I'm glad he's feeling better.
Hey, just spit it out.
Fine.
I was pissed that you didn't tell me.
Quite honestly, I still am.
Come on.
It's me, it's me.
Dude, I would never turn my back on you, ever.
Knowing that you felt like you had to shoulder this whole thing by yourself and live a lie around me? Man, that kills me.
I just thought we're better friends than that, that's all.
You're right.
It sounded a little gay.
Come on, man.
You can't take it personal.
It's not about you.
It was about me.
It was my thing.
Okay? So we cool? Yeah, we're good, man.
Stupid face.
All right.
About that Krista situation, now that she's done bearding for you you gonna help me out with her or not, huh? I've tried.
If you stop playing, you'd get somewhere.
Playing? I'm not a player.
I'm not a player.
I crush a lot.
The OR called.
They're ready.
Let's get moving.
Little help, Dwayne? Hey, is he talking yet? I'm sorry, agent.
I didn't get your name.
This is a restricted area.
We need to - No one's going anywhere.
- Is that so? - Think I'm playing, doc? - It's okay.
- Get him talking.
- It's not that easy.
Just do it, or I'm gonna kill every one of you.
- You don't have to point that.
- What? How's that? Dwayne? Dwayne? - He's dead.
- Well, now I have your attention.
He has a belly full of blood.
He's gonna die if we don't get him to the OR.
Shut up and get over there against the wall.
And turn around.
I'm gonna have a little conversation with him and then I'll be on my way.
- Oh, God, Dwayne.
- You, come on.
Shut up over there.
- I'm sorry.
- What? - I'm sorry.
- You're right, you're sorry.
What are you trying to do, double-cross me? Tell me where our money is.
Brownsville.
- Tell me! - Brownsville.
Hey.
Wake up, you bastard.
Come on.
What's the address? What the hell's wrong with him? Get over here and make him talk.
Wake him up.
He's losing his pulse.
If you ever want him to speak again, he needs an OR now.
He's not going to the OR.
I need him to talk for a minute and then I'll be on my way.
You don't understand.
Blood pressure's dropped too low for him to wake up.
No, you don't understand.
I vouched for this piece of crap, okay? If I don't get what I need from him, I'm a dead man.
So he dies and you two are gonna join your friend over there.
I got nothing to lose, pal.
She had all the symptoms of a left MCA stroke.
Loss of speech, weakness, but her MRI was normal.
- She collapsed as she was leaving? - Actually Yeah, by the storage room.
She was looking for the restroom.
- What's her status now? - The symptoms are resolved.
She's having migratory weakness, loss of vision and speech.
This all started with a fall on her neck? - Can you push? - Yes.
She fell off her pole.
- They are very dirty and slippery.
- Somebody's doing his homework.
It sounds like she has a vertebral artery dissection.
That's a tear in the wall of the artery that causes a flap that blocks blood flow to the brain.
We order a CT angiogram.
Start on heparin, call vascular.
- Exactly.
- On it.
Don't worry, honey, we're gonna take care of you.
Hey, bud.
It's not your fault.
If you hadn't gotten the lap dance, she might've stroked out while driving.
You're like our little virgin hero.
What's wrong with his breathing? The crush injury to his throat must've caused swelling.
- Well, fix it.
- That's why we need an OR.
You're not going to the OR.
- Not taking that chance! - We know.
We need to get him tubed before we lose his airway.
- We're on it.
- Just do it.
We have an ET tube, but no laryngoscope.
We'll never get it in.
We won't able to see what we're doing.
- What is that? What's the beeping? - I told you.
He needs the OR.
- What are you doing? - He's going into respiratory failure.
His throat's closed.
We need to breathe for him.
This'll act as a light stylet.
It might work.
Turn down the light.
Do it if you wanna talk to him.
It'll let us see where we are.
Okay.
Come on.
Come on.
Let's go.
Why is this taking so long? - Come on.
Get in.
- You better not lose him.
You're almost there.
- That's it.
- Advancing the tube.
Okay, good.
Is that it? Is it gonna work? - You're in.
- Good.
Good.
So when do I get my room upstairs? You're gonna come visit, right? I'm sorry, Nina.
Your parents won't let us admit you, and they wanna take you home.
But you can force them.
You're the doctor.
I can't.
I did everything I could think of to make it happen, but it didn't work.
But you promised.
I shouldn't have.
But I can still help you.
You can come here when I have my shifts and you can call me anytime.
We can talk, even when I'm off duty.
I'm feeling a little tired.
Can you let me sleep, please? Yeah.
Cycling pressure.
Systolic's down to 70.
- Sat's 88.
- What's going on? - Blood pressure and O2 cratered.
- Hanging pressors.
What'd the scans say? Was it a dissection? - No, it was clear.
- Then what's causing this? I don't know.
I'll get TC and Topher.
Just start her on high flow oxygen.
Molly, page TC and Topher.
- Any more sutures? - This is it.
He's on to you, think.
- Have you stopped the bleeding? - The clips on the folders.
We can use them to clamp the bleeders.
I need you to either bag or pull the clips off the folders.
No, you stay right there.
- I'll get the clamps.
- This is a mess.
Yeah.
Half his blood volume is in his abdomen.
- We're out of supplies.
- He's not gonna make it.
That's great.
Get all of them.
This'll have to do.
Yeah.
They're looking for us.
Why don't you take off? Yeah.
Okay.
Listen to me! I'm getting sick of your mouth! Back off, you! Page them back and tell them everything's cool.
You understand? Go.
TC and Topher said they're still there.
They'll be down.
- Okay.
I'll be in Trauma 3 with Drew.
- Gotcha.
Okay.
Sign here, date there.
That states that you are leaving against advice.
We wish you'd reconsider.
We can get Nina treated and be out in a few days.
- Thank you, but we know our daughter.
- I need a doctor in here.
I came to get her dressed, but she was unresponsive and hypotensive.
- Nina.
- Nina.
Nina, talk to me.
Talk to me! - I think she swallowed a scalpel.
- What? - What? - Molly, get Dr.
Alexander, please.
She's gonna vomit! - Oh, my God! - Get them out of here! - Get them out! - What's happening? Pressure's up.
Two units running in.
Good.
Opening the fundus now.
Suction.
There it is.
I see it.
Easy, Krista.
Nice job.
- Unbelievable.
- I know.
Now her parents will realise that she has a problem.
Yeah.
Jordan, we need you.
- It's Candy.
- Okay.
Close her up, run in two units and move her to the OR.
Will do.
Come on, come on.
That looks really bad.
- You need to keep him alive.
- His vitals are dropping.
Stay with me, Thad.
Okay.
Stay with me, Thad.
Come on.
Come on.
I gotcha.
Hey, Doc? - What? - I got an idea.
Hand me those clips.
She didn't respond to the pressors or the high flow oxygen.
She's on 100 percent non-rebreather her sats are in the 80s.
Send a stat arterial blood gas.
Need her acid/base status.
- On it.
- Where's her chart? Where are TC and Topher? They should've been down here.
Could be PE, but her D-dimer is negative.
It could be an MNI, but her troponin is negative.
- Could be cardiogenic shock.
- Her echo is normal.
- What the heck? - That's way too dark for arterial blood.
I know when I'm in a vein and when I'm in an artery.
It doesn't look like venous blood.
It looks like chocolate.
Go get methylene blue.
Now, now! Why? When Candy as giving me a lap dance she mentioned UTIs and having trouble to see a doctor.
If she was taking over-the-counter meds like phenazopyridine, and took too much it would cause - Methemoglobinemia.
That explains the altered mental status the stroke symptoms, and the oxygen level.
That's why she fell off the pole.
Come on.
Gotta get this running.
It's working.
It's definitely working.
Paul, did you say "lap dance"? Are you getting lap dances in my ER? I need to recheck her vitals.
Jordan, I need you.
We are not done with this.
I gotta hand it to you.
I did not think you had the balls to get a lap dance.
Little boy's growing up, huh? TC and Topher have been gone for 45 minutes.
- They're not back from Radiology? - No.
There's a chemical explosion in Selma.
This place is gonna be swamped.
I'm going up there.
- I'll meet you in the OR.
- Yes, doctor.
Her vitals are stable.
We're moving her to the OR and we took this out of her stomach.
Is this real enough for you? - What is she doing? - Let her do it.
Your daughter is sick and if you don't admit her something like this will happen again.
Oh, my God, Robert.
Oh, my God.
Just tell us she'll be okay.
We're gonna do our best.
Pretty ballsy.
That's the kind of thing that gets you fired.
I couldn't help myself.
I was so mad.
Good.
There's nothing wrong with being pissed off.
Just remember, it's not gonna work every time.
Guess I'm just gonna have to get fired a lot then.
TC, open the door.
Who the hell's that? Come on, guys, why is this door locked? Just get the door and make her go.
- And don't, don't do anything stupid.
- What's going on? TC, hello? Dwayne? Move this.
I'm watching you.
What's going on in here? Why is this door locked? Yeah, sorry.
The guy kept moving, so we had to scan him.
- Dwayne went to get contrast - T, you're bleeding.
- What in the - It doesn't - Get in here! - Oh, my God.
Don't move.
Now close the door and block it.
Don't think I won't use it.
Get against that wall now! - Right there.
Right there.
- Okay.
I'm going, I'm going.
- Oh, my God.
Dwayne? - Stop it! - Jordan.
- Take it easy.
It's gonna be okay.
This factory fire in Selma continues to rage out of control.
Let's clear out the trauma rooms.
I'm setting up rooms with intubation and chest tube trays.
Have Jordan page me when we know the number of patients we're getting.
- I will when she gets back.
- She's not back yet? - Not yet.
- Mr.
Ragosa? - Security's on the line for you.
- Let's go.
Let's go.
Yes? Okay.
Put it on the ER Monitor.
Son of a bitch.
Yes, this Michael Ragosa, San Antonio Memorial.
I need to call in a hostage situation.
- This guy is dead.
- How are we gonna get out of this? Jordan, look at me.
Jordan, look at me.
We need him to think he's alive.
We gotta trick him.
Hey.
Is he dead? Because he looks dead.
- No.
He's not dead.
- No? Then why's that thing still beeping, huh? And why you pumping his chest? It means he's got no pulse.
Do you think I'm stupid? We're working it out.
We need to get the blood up to his brain and then we can fix him.
But I need that bag over there.
Get me the bag if you want him to talk.
- All right.
This red one? - Yeah.
Here's your bag.
Shoot.
- I'll get it.
- You got this? Just calm down, everybody.
Topher, keep going with the compressions.
I think we've stopped the bleeders.
Hey, hey.
It's working.
We stemmed the bleeding.
Okay, okay, okay.
But he's still not talking.
- He'll talk.
I need time.
- I don't have time.
I need to clamp off the aorta to get the blood to his brain.
That'll wake him up and then you can talk to him.
- We got the heart beating.
- It'll work, I've seen it done before.
Okay, all right, you have five more minutes.
- That's it.
- Perfect.
Ambulances are two minutes out, people.
Hey.
What the hell is going on? TC, Topher, and Jordan are in a hostage situation.
- What? - Listen.
I need you to step up.
Scott is on his way in and we have a lot of victims en route, it is on you.
Okay? Krista, Paul, come here.
You're in Trauma Three.
You're in Trauma Four.
Whatever comes in, you assist on.
You'll see scary things.
- The patient is more scared than you.
- I'm ready.
Jocelyn, you're gonna be with me.
Landry, can you help with intake and assist them with triage? Whatever you need.
And, Drew, you got this.
Thanks.
Commander.
There are three doctors one technician in the Radiology suite.
This is the man who has them.
My men are ready.
We have to shut down this hospital.
We can't.
There's a chemical fire.
Shut down the second floor, but the ER can't close.
But that's not safe.
We're the only trauma centre in 10 counties.
Victims are coming.
- You gotta figure something else.
- Second floor.
Show us.
Around the corner, up the elevator.
I'll be right up.
I think you gotta tell people what's going on.
Okay.
Oh, man.
I'm not going to lie to you.
There is a possible hostage situation with TC, Topher and Jordan.
The SWAT team is here to take care of it.
Okay, okay, now just, just listen to me.
No matter what you are feeling no matter how much we are worried about them, we have a job to do.
I know it's hard, but everybody is depending on us.
Let's focus, dig deep, and treat these people like our own families.
Okay? Let's go! I got patients with 40 to 50 percent second and third-degree burns.
There's more, guys.
- Trauma Three and Four.
- Let's do this.
We're on.
Molly, set up triage.
Trauma Four all the way down.
I need two nurses in the ambulance bay now.
Mr.
Ragosa, I need you to evacuate this area.
It's almost go time.
We have eyes on the subject.
Nothing's happening until you review the plan with me.
Those are my guys in there.
I need a medical team standing by.
Okay, we're starting with flash bangs.
What about my team? - We'll do everything to keep them safe.
- Yeah.
Yeah, listen, he's not gonna make it.
I just wanna get the hell out of here.
So have a car ready for me.
He's gonna figure out he's dead.
Ragosa has to know something's going on.
- And if he does? - We're in here, so just be ready.
What does that mean? We can't just stand here.
He killed Dwayne.
- He's not gonna let us go.
- Listen up.
Change of plans.
- You are coming with me.
Come on.
- Take me.
Come on, missy.
Come on.
Now.
- Okay.
Okay.
- Come on, Dwayne.
- Stop hogging the MRI machine.
- What the hell's that? Thad! T! Jordan? - Jordan! - I'm okay.
Toph? - Topher! - Oh, God, Topher.
No, No, no.
Topher! Hey! Somebody get a crash cart! Topher, no! Topher! Ripped By mstoll