Chicago Med (2015) s08e13 Episode Script

1
Sean's being paroled.
That's great.
I just want him to have a fair shot.
I want to do it right this time, Dad.
And I've tasked Dr. Grace Song here
with finding ways to make
your jobs more efficient.
We're deciding how to use
tech so that it's empowering.
I wonder if you might train
me on that new EMR program.
The longer we don't talk,
the bigger
the divide between us becomes.
Maggie, you lied to me.
I'm not gonna give up on us.
Hi. You've reached Ben Campbell.
Leave a message after the beep.
Hey.
I know this is the third
message that I'm leaving.
And I really want to respect
the space that you ask for,
but if you can text me and let
me know that you're all right,
it's getting pretty brutal out there.
And OK.
Uh, love you. Bye.
You hurt?
- Injured?
- Mm-mm.
Stay to the right and settle in.
Someone will swing by
with a blanket soon.
- Hey. What's our count?
- Pushing 60.
60? And it's not even 10:00.
Hey. How long are we supposed
to keep letting people in?
Well, the worst of the storm
is still ahead of us.
The weather center is expecting
70-mile-an-hour winds
and at least ten inches of ice.
If we don't open our doors,
most of these people
won't survive the night.
I understand, but, look, pretty soon
we're just gonna be
standing room only here.
Well, we're setting up cots
and the entryway
for the overflow.
What about our patients?
I'm short doctors,
and everyone I do have
is coming off a double
with no end in sight.
Well, I just got word
from the governor's office.
The National Guard will be making runs,
picking up essential medical
personnel who can't make it in.
Look, I know
this isn't easy, Dr. Archer,
but I promise,
reinforcements are coming.
All right.
Well, I guess,
if you don't believe in omens.
Hey, Mags, let me know
when my OR is ready.
I'm gonna grab a coffee.
You've been on your feet
for 72 hours now.
Might want to make it a double.
Tell me about it.
Dr. Halstead, we've got incoming.
You're going to Baghdad.
Can you give Dr. Song a hand?
I'll see what I can do.
Thank you.
So Dayton's got you in the trenches
with us grunts tonight, huh?
He's concerned you're
running out of ammo, yeah.
We're going to Baghdad.
Where's the ambo?
The tires started
spinning out in the driveway.
Nina Simonds, 53 years old.
Carbon monoxide exposure
from lighting an old gas stove.
Fell from a third-story window
trying to vent the apartment.
That's her nephew, Lucas. No complaints.
Tubed in the ambo for GCS of 5.
Gross deformities
on the left arm and leg.
18-gauge in each arm.
Total of 500 milliliters
of normal saline.
Heart rate 120, BP 104/78.
- She's hypotensive.
- She's bleeding somewhere.
Two units of blood
on the rapid transfuser
and an X-ray, chest and pelvis.
On my count. One, two, three.
Thanks, guys.
- OK?
- Yep.
We were getting dizzy.
She was just trying
to let in some fresh air.
OK. Good to know, Lucas. Don't worry.
We're gonna take good care
of your aunt, all right?
- Doris?
- Hey.
Let's get you looked at, OK?
Lungs are clear bilaterally,
but pressure's fallen to 90 systolic.
OK. Let's get an ABG, 2 grams of TXA.
- And, Dr. Song, fast her.
- On it.
I don't see any fluid.
Me neither.
That's weird.
She's already sucked down
two units of blood,
and her pressure hasn't budged.
X-ray.
Chest looks good.
Mike, get her pelvis quickly.
Open-book pelvic fracture.
It's completely shattered.
- She's falling.
- OK.
Let's get a binder on her pelvis now.
We need to lock it down
before she bleeds out.
Let's go.
- You set?
- Don't wait for me.
Tighten it.
Looks closed.
Pressure's coming up.
Let's get another X-ray
and keep pushing blood.
That was close.
So it looks like the storm took
out the West Loop substation.
Anyone experience disruptions
to ventilators, monitoring equipment?
No, no, no, everything kicked
over to emergency backup.
All right, good.
Let's all get back to work.
I'll keep you informed
as we get updates.
Maggie, let's start getting
everyone who's stable
into the entryway.
They can hunker down there
for the night.
All right.
1979, You remember that one?
God, I remember that one.
4 degrees, 22 3/4 inches.
- Wow.
- Yeah.
But then there was 2012.
16 1/4 inches, 10 below zero.
Cold, very cold.
But tonight is much colder.
You know what then? It's really
good that you came in when you did.
Yeah, good. No, good for sure.
Felix, tell me how are you
doing with your lithium?
Are you taking it regularly?
Yeah, pretty much.
Pretty much?
OK. Well, then, let me ask you.
How are you dealing
with the change of seasons?
You know, the shorter days,
the darker days?
- Are you holding up OK?
- It's never easy.
I try, but
- Hi.
- Hey there, Felix.
How are those toes feeling?
Slowly but surely getting
better, as the saying goes.
- Slowly but surely.
- Great. Great.
Dr. Charles, can I speak
with you for a moment?
- Be right back.
- Yeah.
I've got a cot ready
for him in the entryway.
He's already got a bed.
I can't tie up a room all night
for some frostnipped toes.
Thing is, though, Mags,
Felix is bipolar II
with history of noncompliance.
I just don't think that's an
ideal situation for him out there.
Well, we don't really have a choice.
We have patients with greater need.
OK.
- Excuse me, Dr. Archer.
- Yeah?
26-year-old male with an eye injury,
possible orbital fracture.
I can put in the orders, but I thought
you might want to see this one.
What? Why?
- Sean?
- Oh. Hey, Dad.
- Hey. Are you hurt?
- No, I'm fine.
It's Clint, my roommate
from the reentry center.
I heard a lot about you, Mr. Archer.
- It's Doctor.
- Right.
So what happened?
I was picking up some essentials
before the storm hit
You know, eggs, milk, and such.
Got jumped leaving
the Mariano's over on Wabash.
- Is that right?
- Yeah.
It must have been, like, ten dudes.
Didn't have a chance.
Sean was nice enough
to pick me up in his four-by.
Well, that's my boy.
Let's see what's going on.
- Can you see out of it?
- Yeah, but kind of blurry.
It's really swollen.
All right, well,
keep ice on it and get a CT.
Can I talk to you for a minute?
OK. What are you doing?
City's on lockdown.
He needed help.
Well, then get somebody else
to bail them out.
You got no business driving
around in an ice storm,
especially after curfew.
All it'll take is one violation
to land you back in county.
He's my friend. I couldn't just
leave him out there to freeze.
- Sean
- Dr. Archer.
You have an OB patient in treatment six.
Where's Dr. Asher?
She couldn't get her car
out of the garage.
Don't go anywhere.
Let's add a tox screen to those labs.
- Hi. You must be Katie?
- Uh-huh.
Hi. I'm Dr. Archer. This is Dr. Hudgins.
I see you're experiencing mild
contractions and some dizziness.
I almost fell off the ladder
undressing my Christmas tree.
Mm.
Well, I like the festive spirit, Katie,
but Christmas in February?
I know. I'm a little behind schedule.
I've been a bit preoccupied.
When is your due date?
Not for another seven weeks.
I was hoping he'd hold off long enough
for my husband
to get back from Auckland.
Your contractions
could just be Braxton-Hicks.
So there's nothing to worry about.
But I see that your blood
pressure is slightly elevated.
What does that mean?
Hopefully, it's just
a response to the pain.
But we could be looking at preeclampsia.
Oh, God.
Well, hang tight. Stay warm.
Before anybody jumps to conclusions,
I'm gonna have lab work done
and OB weigh in.
Thank you.
Nina Simonds' latest scans.
As you can see, binder's
holding pressure on her pelvis,
but she's still leaking blood
from the left iliac artery.
- So she needs surgery.
- Ideally, yes.
But the second we open her up,
we'd release the pressure.
And she'll bleed out
and likely die on the table.
So we take her to IR,
embolize the vessel.
OK. But even
if we can reach the artery
And that's a big if The second we do,
she'd go into hypotensive shock.
So we give blood and resuscitate.
Which would require continued
use of massive blood products.
We'd gut our supply.
Until the storm blows through,
there's no telling
how long it'll be
until we get re-upped again.
So how about we cut to the point
where you're recommending
a course of action?
Look, I don't want
to be a downer here, but
I ran an algorithmic simulation
with inputs from patients
with a similar trauma profile.
It puts Nina's odds of survival at 7%.
So what are we gonna do?
Honestly, nothing.
My recommendation would be
to transfer her to ICU
and make her comfortable.
You're kidding.
If it was any other day,
I'd say go for it,
but we have an obligation
to prioritize blood products
and other precious resources
for patients who have
the most favorable outcome.
And unfortunately, that's not her.
That kid lost both
his parents in a car accident.
His aunt's all he's got left now.
I feel you.
But it's not clinically relevant, is it?
I just thought you should know
before we orphan him again.
I'm taking her to IR.
And if you don't want to help,
that's fine.
I'll find somebody else.
I've been trying to reach Ben.
It's his bowling night, and I'm worried
that he's out there in the storm.
I never thought that it would
take him this long to come around.
I'm starting to think
that it's never going to.
Well, you know what they say.
Absence makes the heart grow fonder.
Just give it some time.
Felix, how are those frostnipped toes?
Here.
Felix?
Felix?
Felix?
Felix?
He's been stabbed.
Stay with me, Felix.
OK, I got three clean points of entry
to the lower right quadrant.
- I'm gonna fast him.
- I don't get it.
Why was this guy moved to the entryway?
He was being treated for frostbite.
It was frostnip.
And we needed the room.
What the hell's wrong with this thing?
- I'll take a look.
- No, no, no, forget it.
We gotta get him up to CT anyway.
- Let's get him upstairs.
- All right, let's go.
Let's move. Let's move. Thank you.
Hey. I heard Felix got stabbed.
What happened?
CPD's been notified, but their
entire department is underwater.
So it's going to be a few hours
before they can even get here.
- Jack.
- Yeah?
What are you still doing here?
We got delayed finishing up
the OR 2.0 sensory upgrades,
and then I couldn't get the helicopter
launched before the storm hit.
So I, um I was told
there was a stabbing.
It seems awfully calm.
Well, we're trying to keep it quiet.
As far as anyone is concerned,
we had a medical emergency.
- OK. Then what happens now?
- My team is pulling
the surveillance footage as we speak.
But in the event
this is an active situation,
I think we have to call a code silver,
evacuate the building
before anybody else gets hurt.
I'd really prefer not to do that.
A code silver would require us
to lock down the hospital
and kick all of these people
back out onto the streets.
Then what are we supposed to do?
Well, we can start by quietly
notifying essential staff of the threat.
And if everyone could have just
a little situational awareness,
we'd give Chief Madsen and his team time
to review the surveillance
footage and ID a suspect.
I don't know, Sharon. We might
have a lunatic loose in our hospital.
I think we should call the code.
Jack, these people
don't have anywhere to go.
I get it, but I'm not
gonna have this whole thing
blowing up in my face.
Shut it down.
I am not letting you
send people out there.
And that's it.
Yeah, we've got a couple more pickups,
and the roads are a mess,
so I'd say about an hour or so?
What are her liver
and kidney function numbers?
Creatinine at 1. PC ratio of 200.
Mild contractions,
and her blood pressure's
persistently higher than 140/90.
OK, she could be preeclamptic,
but we're a bit shy of where we'd want
to induce right away 33 weeks.
Admittedly, I'm a little out of
my depth, but I am open to ideas.
Give her a shot of betamethasone
to help mature the baby's lungs
and magnesium to prevent seizures
in case we are dealing
with preeclampsia.
I'll be there as soon as I can.
OK. Got it.
And, Hannah, be safe out there.
I'll be there before you know it.
We got Clint's imaging results,
which confirmed an orbital fracture.
I'm just waiting until ophtho
can get down and do a consult.
OK, yeah. So is there anything else?
Yeah. Um
his lab results.
All right.
Hey, with me now.
So do you mind telling me
what's really going on here?
- What? I don't know
- Clint's lab work.
Amphetamines, benzos, opioids.
I mean, that guy's got
an entire pharmacy
- in his bloodstream.
- OK. OK.
Look, Clint called me for a ride
because he relapsed
and he got into some trouble.
- Are you using again?
- No!
No, tell me the truth.
You know, this is exactly
why I didn't tell you the truth
about why we were here
in the first place.
When are you ever gonna
have some trust in me?
When you stop making bad decisions.
That's when.
I swear I'm clean.
You don't believe me,
give me a drug test.
Maybe I will.
Advancing the catheter.
I'm barely keeping her pressure up.
I'm working as fast as I can.
Having some issues.
All right, give an amp
of calcium and bicarb.
And keep going with the blood products.
Lost pulse. She's arresting.
Starting compressions.
Push a milligram of epi.
Push it.
Epi's in.
Pulse is back. I have ROSC.
All right. Let's keep going.
No. I think we're done here.
- What?
- I tried.
The pelvic binder's in the way,
and the hematoma is too big.
It's distorting the anatomy.
I can't pass the wire.
- What if we loosen the binder?
- No way.
As soon as you remove the pressure,
she'll bleed out on the table.
Well, come on. We have
to think of another way.
Gave it our best shot. Sorry, Will.
Security's still investigating.
In the meantime,
we're just telling people,
you know, just keep an eye out
for anything suspicious.
Wow, a stabbing. OK, will do.
Dr. Charles, can you confirm
this pharmacy dosage, please?
Thank you.
- Dr. Marcel.
- Yeah?
- So?
- Not good.
A CT scan showed that
part of the knife broke off
and is lodged somewhere
in the middle of his liver.
So he's gonna need surgery?
Yeah, but he has
three tracts in the liver.
From the surface, it'll be challenging
to know which one
has the retained blade.
And, well, if we go in blindly,
then he could bleed excessively.
So I'm I'd like to go up to 2.0.
I'm hoping the enhanced imaging
will give us the roadmap we need
to, uh to make the repair.
OK.
Um, I'll call upstairs and let
them know that you're on your way.
- You get another cup of coffee.
- Yeah.
Liver injuries are brutal.
Poor Felix.
I know it's chaotic tonight,
but how does something like this happen?
Doris, please.
This is not helpful.
What happened?
Pressure is falling.
Oh, man.
Hang with me. Hang with me, Katie.
All right.
Reflexes close to absent.
Diminished urine output.
All right. Let's hold the magnesium.
Give 500 cc fluid bolus
of lactated ringers.
And let's repeat all her labs,
including a mag level.
Copy.
Where the hell is Hannah?
This doesn't look good.
No, we gotta get him out of there.
Yeah.
- Hey.
- Hey.
- What's your name?
- Paul.
Paul, take a few deep breaths for me.
OK. Are you OK? Are you in pain?
- No.
- No?
No? Do you think you can walk, Paul?
- I think so.
- OK.
Good, 'cause we're
gonna get you out of here.
- Grab an arm.
- Yep.
On three. One, two, three.
Here we go.
- We gotcha.
- Gotcha.
I'm dizzy. I gotta stop for a sec.
- OK, let's put him down.
- Yeah.
I think there's a blanket
in the back seat.
Stay with him. Keep him on his side.
- Watch his neck.
- Will do.
We gotcha.
Hey, Paul?
Hey.
Did you get hit?
I don't think so.
OK, good.
Hang tight for a beat.
I'll be right back.
I think I took some shrapnel.
Oh, let me see.
We got to stop the bleeding.
I have a tourniquet in my vest.
Hold pressure. Watch your hand.
That should do.
I'm gonna get you to the hospital.
None in that, you're not.
What?
Where are you taking her?
Up to the ICU.
Dr. Davis couldn't access the vessels,
just like you said.
I'm sorry, Will.
Auntie N!
Oh, easy, buddy.
Auntie N? Is she gonna get better?
We're gonna do
everything we can for her.
It's my fault.
Lucas, why would you say that?
She was lighting the stove 'cause of me.
I was cold. That's why she fell.
Lucas, there you are.
Let's go back
to the doctor's lounge, OK?
I'm so sorry. It's all my fault.
Will, wait a sec.
What if we take her back
to the hybrid room?
And if we can loosen the pelvic binder,
maybe we can find the vessels.
I thought of that.
Dr. Davis was not on board.
Then I'll do it myself.
One person said they saw a guy
in a red T-shirt leaving the area.
But there were some inconsistencies
with their account.
How about security footage?
Cameras never came back online
after we shifted over
to the backup generator.
Remind me to jump down
IT's throats over that, please.
But what can we do now?
We need to find out who did this Felix.
If I had to hazard a guess,
I'd say whoever did this
already exited the hospital.
At the moment, our top priority
needs to be ensuring the safety
of our patients and staff.
Were you able to get in
any extra security personnel?
They're trickling in.
I wanted to talk to you
about how best to deploy them.
Why don't we do a walkthrough?
I'll fill you in
if I get any more information.
- This is unacceptable.
- It is.
But, look, we're gonna have
to accept the possibility
that we might never
find out who did this.
Yeah, but Felix wouldn't
even have been in the entryway
had I not insisted on turfing him.
Look, you've been on
your feet for, what, 20 hours?
What do you say let me
pass the brick off to Doris
and you get some rest?
No, I'm gonna power through.
- Doctor's orders, then.
- Daniel.
Margaret, I'm not messing around here.
I'm worried about you.
You need some sleep.
Thank you.
Still can't tell
where the retained fragment is.
2.0, rotate the image
to feature the right hepatic lobe.
What's this?
Intentional motions
are at 74% efficiency
compared to your normal metrics.
What are you talking about?
You're too fatigued
to continue operating.
You're kidding, right?
I've done hundreds of cases
far more exhausted than this.
It's recommended
you have another surgeon
complete the operation.
- There is no other surgeon.
- I can take over.
I just started my shift
a few of hours ago.
I'm plenty rested.
You're not qualified.
You're a junior resident.
I need you to override the
system and give me my image.
I can't.
Mr. Dayton upgraded the code
to make it impossible to override.
Then get Jack up here to do it.
You're wasting your breath.
He doesn't want anyone operating
at a capacity
below the system's threshold.
This is ridiculous! I-I feel fine!
I can do it.
Damn it.
Under your supervision, of course.
2.0, transfer primary surgeon
to Dr. Tanaka-Reed.
Focus on the right lower lobe.
Your show.
Katie's platelet count
dropped to 70,000.
And her LFTs doubled. Mag level was 7.
All right, we're gonna
need to induce labor.
All right, start her on oxytocin
and restart the mag at 1 gram an hour
as long as she's doing better
and her reflexes are back.
Oh, any ETA yet on Dr. Asher?
Just got off with OEMC.
Seems she encountered a trauma
in the field.
- What kind of trauma?
- He didn't have any details.
Only that the guard vehicle was disabled
and they were having difficulty
finding transport.
Thought it might be another hour.
An hour? How is she
gonna survive out there
for that long in this cold?
All right, you know what?
I'm gonna pick her up myself.
- Where'd they say she was at?
- Canal and Lumber.
I'm sorry, Dr. Archer,
but Katie's delivering.
Right now? She's only
one centimeter dilated.
I want you staying on this guy
until Hannah gets back here
safe and sound.
All right. You got it.
You think this is serious?
Why? You got big weekend plans?
Actually, I do.
My fiancée and I are supposed
to have cake tasting.
I'm getting married next month.
- Is that right?
- Yeah.
Well, don't worry.
I'll make sure you're fixed up in time
to walk down that aisle.
How you doing back there, Paul?
I don't know.
It hurts pretty bad when I breathe.
OK, let me take a look at you.
OK.
- Where's the pain?
- My side.
Your side? Give me your flashlight.
I'm gonna lift up your shirt.
Uh-huh.
OK, it looks like the shrapnel
might have penetrated your chest well.
Hold that for me.
Do you have any medical supplies?
Uh, no, but there's
a toolbox under your seat.
Hey, that that bag, hand it to me.
OK, here.
All right, Paul.
You have a hole in your lung.
I'm gonna stabilize your breathing
with an airtight patch.
- That's your patch?
- Yes.
Here we go.
It's going to conform
to your body contour
to create a better seal.
All right.
Now take a big inhale for me.
- That better?
- Mm-hmm.
OK, good. Good.
Good, good, good.
There we go.
The cavalry better get here soon.
Yeah.
This is all the blood we have left.
Do you think we should use it?
We don't have a choice.
All right.
A-line pressure's down.
I don't think we're gonna make it.
I only need another 30 seconds.
I'm almost there.
All right. Come on. Come on.
Come on, Nina.
I'm in.
Launching the coil.
Pressure's coming up.
All right.
Let's get her up to the ICU.
Hi. You've reached Ben Campbell.
Leave a message after the beep.
I, um
Are you all right?
It is so cold.
- What happened?
- I slipped on the ice.
OK. Come on. Let's get you inside.
OK. Oh, my God.
You're frozen.
How long were you out there for?
I don't know, a couple of hours maybe.
OK, stay right there. Stay right there.
Let me take a look at your ankle.
- No!
- OK.
I'm gonna go get a wheelchair,
and we're gonna get your ankle
all fixed up, OK?
OK, stay right here.
It feels like
there's a boulder on my chest.
OK.
OK.
All right, when you feel
that pressure building up,
I want you to just
pull that flap back, OK?
Try that for me.
- OK?
- Uh-huh.
Good.
Hey. Is that EMS?
Looks like a civilian.
Sorry. I got here as soon as I could.
Were you looking for us?
I was in the ED with a friend of mine
when I heard you needed a lift.
I'm Sean. Sean Archer.
- Wait. Dean's son?
- That's right.
Huh. OK.
Well, let's get these guys
in your truck.
OK.
Katie, I know delivery didn't
go exactly as you'd planned,
but, uh, your baby
looks healthy and strong.
Isn't he? Hmm?
I was so worried.
Because he was born prematurely,
we're gonna have to have him
evaluated up in the NICU.
It's a perfectly normal protocol.
- Nothing to be concerned about.
- OK.
And what about the preeclampsia?
Well, in most cases,
it's resolved by giving birth.
We'll keep an eye on that,
but in the meantime,
I'll have you transferred upstairs
where you'll be a lot more comfortable.
Thank you. Thank you both.
Sure.
Can you believe it?
That was my first delivery.
I can, actually.
- It's such a rush.
- Yeah.
Dr. Archer, just spoke to OEMC.
Hannah's on her way in.
She should be about 15 minutes out.
- Thank you, Doris.
- And I also need a consult,
Dr. Archer, for treatment five.
Patient's name is Heidi.
She fell and twisted her ankle
trying to enter the hospital
over on Polk Street.
Who do you have?
Dr. Hudgins here would be happy to help.
- Great.
- Absolutely.
Let's get an X-ray.
That's Kathleen.
Hi.
We're gonna get you all patched up
and back on your feet, Heidi.
I promise.
Stop smiling so much.
It's creeping me out.
X-ray.
OK, Heidi. Unfortunately, it is broken.
I don't think you'll need surgery,
but I'll inject a numbing agent
until ortho can weigh in.
In the meantime, let's get you out
of this parka and under
some warm blankets, OK?
Oh, no! Stop! Stop handling me!
- I-I can do it myself.
- OK.
Everybody, all night,
just hovering over me,
just crowding my space.
Zach, can you, um,
come out here for a second?
Yeah, one second.
I just gotta draw this up.
- Zach.
- Get away from me!
- Get away from me!
- Ow!
No! No! Let go of me!
Can I get some help over here?
Patient armed!
- OK, sweetie.
- Pushing 5 of haldol.
- Right here.
- No.
OK, sweetie.
Why won't anyone leave me alone?
OK. OK.
Daniel, do we know
why she stabbed Felix?
Because he was talking too much
and in her personal space.
What, she stabbed a guy
for being a close talker?
She's a seriously ill person.
Diagnosed with paranoid schizophrenia
when she was a young woman.
Last time she was here,
she was on thorazine,
but that's, like, ten years ago.
I'm pretty sure she has not had
any kind of consistent care since.
Without her meds,
she's gonna be very volatile.
Well, hopefully, she'll get
the kind of help she needs
moving forward.
In a prison-affiliated psych ward?
- I wouldn't count on it.
- Hey, Jack.
- Hmm?
- You got a minute?
Yeah, of course. Excuse me.
Look, we need to
- We need to talk about 2.0.
- Yeah, let's.
Now, I'm told that it delivered
another tremendous success.
- Success?
- Yeah.
2.0 walked an inexperienced surgeon
through a complicated procedure.
Yeah, I'd chalk that up as a win.
Sure, the patient had a good outcome,
but 2.0 glitched again, Jack, big-time.
Well, come walk with me.
Now, I'm listening, though, sir.
Keep talking.
Well, this new feature,
locking surgeons out
because of some preprogrammed
metric of fitness,
it's got to go.
2.0 is a tool that was
designed to help surgeons,
not keep them from doing their job.
I think it needs to be disabled.
Listen, I gotta disagree with you there.
Now, look, I was told
that you had some difficulty
with this thing earlier, yeah?
Uh, I couldn't get it to work.
- Yeah.
- Mm-hmm.
Well, maintenance
took a look at it, and
yeah, it turns out
that it was working just fine.
Well, it wasn't working when I tried it.
Look, regardless,
it was an emergent situation.
- I was in a rush.
- Or could it be
that maybe you were more
fatigued than you realized?
Now look, it's common for all of us,
maybe even top surgeons,
to underestimate
the effects of fatigue
on our reflexes and judgment.
But isn't it great to have a tool
that can take all the guesswork
out of it?
OK, 40-year-old male involved
in a motor vehicle crash.
Blunt trauma. Possible head injury.
Penetrative wound to the left flank.
- Applied an occlusive dressing.
- All right.
- Take him to Baghdad.
- This way, guys.
This is Corporal Parker.
28 years old. National Guardsman.
Isolated arterial hemorrhage
to the right leg.
Applied a tourniquet
about 90 minutes ago.
Vascular surgeon is waiting upstairs.
OK.
- How you feeling?
- Good.
Yeah, much better
now that my patients
are stable and in hospital.
How did you get here?
I was worried about you.
Hey, Dad.
Sean.
I gotta move my truck.
All right.
I'm not sure we would have made it
if he didn't show up when he did.
Did you know
that he spent a year in Alaska
driving a snowplow?
No, I didn't know.
You got a good kid there, Dean.
Nina, can you hear me?
Hi, Nina. I'm Dr. Halstead.
Can you hear me OK?
Good.
Come on. Come on in.
Auntie N, you're all better now.
You're gonna be OK.
I'll give you two a moment.
Which one of you two drongos
is responsible
for blowing through
our entire blood supply?
I'm sorry. Who are you?
The surgeon who just performed
a miracle cardiac bypass
with only two units of blood.
Justin, take it easy.
Hey, we were all strapped today.
You ate through 40 units
on a single trauma.
Now, if my patient wakes up
with deficits because of this,
that's on you.
Don't worry about him. He's a prick.
No, he's right. It was a bad call.
How can you say that?
I mean, look what we did for that kid.
That's my point. I shouldn't have
let my decision-making
be influenced by this kid
or anyone else.
I should have followed the data
like I always do.
Doesn't sound very compassionate.
I mean, remember, we're
treating real people here.
Sticking to the data,
remaining objective,
that's how we save the most lives.
That's what makes us
objective and compassionate.
Hey.
How's Paul doing?
Ah, he's making a full recovery.
And Corporal Parker?
He's just out of surgery,
and he'll be up and around
and walking in no time.
Listen, uh, about earlier, I
Oh, no.
I'm guessing the roads are
pretty ugly out there, huh?
Well, I've seen worse,
but yeah.
Well, in that case, I haven't
put my snow tires on yet,
and I was wondering
if I can get a lift home.
Hey.
Pretty impressive
sleuthing there, Maggie.
Not to mention stepping in
before Zach got hurt.
Is your arm OK?
Yeah.
And guess what?
Felix is no longer critical.
Crockett is confident he's gonna be OK.
That's good news.
Yeah, it is.
Isn't it?
Yeah. Um
Things haven't been that great
between Ben and I.
Oh. Sorry to hear that.
You want to, uh
You want to go get
a quick coffee or something?
No.
Actually, no.
I just want to go home
and crawl into bed.
I hear that.
Thank you.
Of course.
Yeah.
Ben?
Maggie.
I'm sorry it took me so long.