1. Montana to Rice!Copy !req
2. - They're on different teams.
- Since when?Copy !req
3. When I watched their last game at Carol's.Copy !req
4. - But that was way back.
- I'll say.Copy !req
5. - Go long.
- Me go long?Copy !req
6. - I'm out of shape. You go long.
- I'll go long.Copy !req
7. - Too far for the lvy League arm?
- Car!Copy !req
8. Hey, you butthead!Copy !req
9. What are you, out of your mind?Copy !req
10. Not another one!Copy !req
11. Go get a gurney, Doug.Copy !req
12. I'm not playing catch
with you anymore.Copy !req
13. - Nice of them to drop him off.
- What are friends for?Copy !req
14. Three-month-old seizing in 1.
Temp's 105.Copy !req
15. - I got him, Doug. Go!
- ls Dr. Benton—?Copy !req
16. - Give her three more of morphine.
- Five.Copy !req
17. - Call X-ray down here, stat.
- Susan, I need you in here.Copy !req
18. - What x-rays do you want?
- Move, Carter.Copy !req
19. Please, Petey. Oh, it hurts!Copy !req
20. Okay, Ma, okay.
Listen, all right?Copy !req
21. Get an x-ray of the hip,
chest and pelvis.Copy !req
22. - What about a C-spine?
- Get out of here!Copy !req
23. Carter, come with me.Copy !req
24. Pulse, weak.
He's bleeding.Copy !req
25. - Multiple trauma. Gown up!
- O-2, 15 liters.Copy !req
26. - What's Benton doing?
- His mom broke her hip.Copy !req
27. - That's bad at her age.
- What about labs?Copy !req
28. CBC, type and cross 8 units.
Run the saline wide open.Copy !req
29. Carter, Deb, the guy's out of it.Copy !req
30. Primary survey's done.
Now what do you get?Copy !req
31. - Get a CT.
- Narcan, 0.8.Copy !req
32. - And then you gotta get the—
- Glucose, 85.Copy !req
33. Get smart nurses and nod sagely.Copy !req
34. Get her another 5 of morphine.
CBC, Chem-7, UA, EKG...Copy !req
35. hip, chest and pelvis.
Move! Come on!Copy !req
36. Don't take it off!Copy !req
37. Call the chief of Orthopedics.
Tell him to get down here now!Copy !req
38. - We need to undress you, Mrs. Benton.
- Please. Not in front of Petey.Copy !req
39. - Peter. Peter.
- What?Copy !req
40. She doesn't want to be naked
in front of her son.Copy !req
41. Okay. All right, Ma.Copy !req
42. I'll be outside, okay?Copy !req
43. Here's the blood clav.Copy !req
44. I'll be right out here.Copy !req
45. He's going down the tubes.Copy !req
46. - Can I intubate?
- No. It could be a neck fracture.Copy !req
47. Always look everywhere.
We'll roll him.Copy !req
48. Ready, and now.Copy !req
49. There we go!
Single gunshot wound. And back.Copy !req
50. Heart's racing. 180.Copy !req
51. - He barely has a pulse.
- Put the blood on a pressure bag.Copy !req
52. Cap refill's bad.Copy !req
53. - No pulse. He's arrested.
- All right.Copy !req
54. Carter, take over CPR.Copy !req
55. - We gotta crack his chest.
- I got it.Copy !req
56. Thoracotomy tray!Copy !req
57. We do a thoracotomy when?Copy !req
58. - Penetrating trauma and full arrest?
- Exactamundo!Copy !req
59. I need the rib spreader.Copy !req
60. Towel, scalpel.Copy !req
61. Move your hands, Carter.Copy !req
62. Put the blood on the pump.Copy !req
63. Rib spreader.Copy !req
64. I'm in.Copy !req
65. Pericardium's dry.Copy !req
66. Aorta...Copy !req
67. Statinsky.Copy !req
68. ls O.R. on alert?Copy !req
69. - They just finished that perfed appy.
- Tell them they've got another customer.Copy !req
70. - There it is.
- Nice save, Mark.Copy !req
71. Got a faint pulse.
Let's go!Copy !req
72. I gotta go.
I'm on tonight.Copy !req
73. - I'll have the place emptied out.
- Deal!Copy !req
74. You taking the El home?Copy !req
75. I'll go with you.
I'm back tonight...Copy !req
76. - ... could you finish the nurse's notes?
- Sure.Copy !req
77. Who the hell stat-paged me here
for some old lady with a broken hip?Copy !req
78. - I'm Dr. Benton—
- Pulled me out of a meeting.Copy !req
79. This is my mother
and she broke her hip, sir.Copy !req
80. Well, that she did, Dr. Benton.Copy !req
81. Blair, put her on your O.R. schedule.Copy !req
82. No, no. Sir, I want you
to do the surgery.Copy !req
83. ER admits go to
the teaching—Copy !req
84. I don't want a resident
operating on my mother.Copy !req
85. - I'll scrub in.
- So you'll be holding the knife?Copy !req
86. I wanna scrub in too.Copy !req
87. - I'll be in there.
- That's not good enough.Copy !req
88. I know this is your mother...Copy !req
89. but you are way
over the line, son.Copy !req
90. I'll page you when we're done.Copy !req
91. Now back off.Copy !req
92. - So you tried to sand it off?
- isn't that what you do?Copy !req
93. Yeah, but we don't use
a power sander.Copy !req
94. Mr. Longet's a diabetic, as well
as an amateur dermatologist.Copy !req
95. Vera didn't want me
just crossing it out.Copy !req
96. Well, one gram of Ancef.
Update his tetanus.Copy !req
97. And get Plastics to see him.Copy !req
98. They may have to do a graft.Copy !req
99. - They can move that serpent head.
- Onto the body of a goddess?Copy !req
100. I'll be right back.Copy !req
101. - Did you eat lunch?
- No, the cafeteria's already closed.Copy !req
102. - Voilà!
- Thank you.Copy !req
103. Hey, you're gonna be an ER attending.
Congratulations!Copy !req
104. It's not a lock.
Can I borrow your pen?Copy !req
105. A lifetime of this, huh?Copy !req
106. The ER's great.
Free time's your own.Copy !req
107. What free time?Copy !req
108. After your residency, you get
skilled in every aspect of medicine.Copy !req
109. You see a variety of cases.Copy !req
110. You have an immediate effect
upon your patients' lives.Copy !req
111. But mainly it's like
joining the circus.Copy !req
112. I'm telling you,
the opening goes in the back.Copy !req
113. Oh, my God, I'm as big as a house!Copy !req
114. - I'm Dr. Mark Greene.
- Sean O'Brian.Copy !req
115. I'm Jodi.Copy !req
116. - Hop up on that bed.
- I don't think I can hop anywhere.Copy !req
117. Easy.Copy !req
118. What seems to be the problem?Copy !req
119. Our baby's due in two weeks and
I have to pee every 30 seconds.Copy !req
120. It burns and my stomach hurts.Copy !req
121. Sounds like a bladder infection.
Does this hurt?Copy !req
122. No, just don't push too hard.
I gotta go again.Copy !req
123. Thirty-six minus four.
Baby's about...Copy !req
124. five or six pounds.Copy !req
125. - You have any other medical problems?
- No, no.Copy !req
126. - Is that cold?
- Yes.Copy !req
127. Let's take a quick listen here.Copy !req
128. - I love that sound.
- It's great.Copy !req
129. It's great.Copy !req
130. - Any cramping? Any vaginal bleeding?
- No.Copy !req
131. Can you feel the baby move?Copy !req
132. Can you give me a urine sample?Copy !req
133. Are you kidding?Copy !req
134. Yes, I think I can do that.Copy !req
135. I want you to follow my finger
with just your eyes.Copy !req
136. Good. Now squeeze
your eyes tight like this.Copy !req
137. Great. Okay, press against
my hand with your face.Copy !req
138. Great. Okay, show me your teeth.Copy !req
139. - Will Grandma be able to walk again?
- Yeah, she'll be fine.Copy !req
140. I know what you're thinking, Jackie.
Why don't you just say it?Copy !req
141. - Shut up, Peter.
- No, go ahead and say it.Copy !req
142. I mean, it's my fault
that this happened, right?Copy !req
143. I'm so pigheaded and self-centered.Copy !req
144. Just shut up and sit down.Copy !req
145. BP's 90 over 60.Copy !req
146. I found him in the greenhouse,
passed out in the back.Copy !req
147. He visits at my work
and this is the shape he's in.Copy !req
148. - Hydrate with saline.
- I don't want to go.Copy !req
149. You'll go where I tell you to go.Copy !req
150. I am not losing another son
to alcohol and drugs.Copy !req
151. She's 38 weeks,
but I think her dates are off.Copy !req
152. The baby's small on exam.Copy !req
153. lnitial BP is 130 over 90,
but over a couple of hours...Copy !req
154. BP's been fine.
Around 120 over 80.Copy !req
155. FHT's normal, no cramps or spotting.Copy !req
156. I got your test results.Copy !req
157. UA shows white cells
too numerous to count.Copy !req
158. Bacteria, 2 plus protein.
CBC's normal. No fever.Copy !req
159. Simple cystitis. Fluids, rest
and a course of Bactrim.Copy !req
160. It's a bladder infection.Copy !req
161. - Who are they?
- Med students.Copy !req
162. - They're so young.
- I know. It's disgusting, isn't it?Copy !req
163. Near-term antibiotic of choice
is Macrodantin.Copy !req
164. Now, I want you to take these.Copy !req
165. Lots of fluids.Copy !req
166. Rest and follow up
with your doctor in the morning.Copy !req
167. The sulfas compete with bilirubin
for the binding sites on albumin...Copy !req
168. increasing the risk
of neonatal jaundice.Copy !req
169. He saves lives, he teaches,
he slices and dices.Copy !req
170. Deb, will you work up
a weak and dizzy in 3, please?Copy !req
171. Doctors? Would you sign a get-well card?Copy !req
172. Sure.Copy !req
173. - Who's this for?
- Me.Copy !req
174. - What is it?
- Hemorrhoids.Copy !req
175. That's right here.Copy !req
176. - Dr. Ross, kid's crashing!
- What?Copy !req
177. Alcohol level's down to 0,
his pulse is down 40.Copy !req
178. Pupils pinpoint. Haleh, get a BP.
Frothing at the mouth.Copy !req
179. - Is it drugs?
- He's incontinent.Copy !req
180. - Negative drug screen.
- BP's 70 over 50.Copy !req
181. Where do you work?Copy !req
182. - Wrigleyville Nursery.
- Nursery, as in school?Copy !req
183. No, like in plants.Copy !req
184. - Outside or in the office?
- Both.Copy !req
185. Mag of atropine, lV push.Copy !req
186. Tear off his clothes, wear gloves.Copy !req
187. Start a drip. A milligram an hour.
2-Pam. 1 gram over 30 minutes.Copy !req
188. What's wrong?Copy !req
189. lnsecticide poisoning.
What chemicals do you carry?Copy !req
190. We use everything.Copy !req
191. We were spraying in
the greenhouse today.Copy !req
192. - Will he be okay?
- I think so.Copy !req
193. I'm gonna call the nursery.Copy !req
194. - What do you have?
- Elderly man with hemorrhoids.Copy !req
195. Yuck! Everyone's so old
and sick around here.Copy !req
196. Yeah. This is a hospital.Copy !req
197. - Yeah, I guess. Where's Benton?
- He's in surgery with his mom.Copy !req
198. - Hi, guys.
- Working the graveyard?Copy !req
199. Seven p.m., no Benton. I may
get home by 8:00, for once.Copy !req
200. Somebody help me.Copy !req
201. My wife's unconscious in the car.
Dr. Greene!Copy !req
202. Please, somebody help me!
She's pregnant. Hurry!Copy !req
203. She's passed out.Copy !req
204. Freeze right there!Copy !req
205. It's my mother.
I wanna scrub in.Copy !req
206. You take one more step and I'll
have your ass hanging on my wall...Copy !req
207. right next to your residency.Copy !req
208. - I wanna help.
- Don't test me.Copy !req
209. Out!Copy !req
210. Now divide the iliotibial tract.
Hemosat.Copy !req
211. Watch her airway.Copy !req
212. Get a stat BP.Copy !req
213. Oh, my God! What's going on?Copy !req
214. Carter, help Mr. O'Brian.Copy !req
215. Mr. O'Brian, we need to work.Copy !req
216. - Start a second lV.
- BP's high, 160 over 1 1 0.Copy !req
217. You're okay, babe!Copy !req
218. She's eclamptic! Load her
with mag sulfate, four grams, lV.Copy !req
219. Do you need blood?Copy !req
220. She needs a Chem-24, a coag panel
and put her on a fetal monitor.Copy !req
221. Cap refill's fair.Copy !req
222. - Mr. O'Brian?
- Yeah.Copy !req
223. - Your wife has eclampsia.
- Is she gonna die?Copy !req
224. No, we need to get her admitted and—Copy !req
225. She's seizing!Copy !req
226. Grab a bite block!
ls the mag in?Copy !req
227. - Got it.
- Restrain her.Copy !req
228. Do something!
Somebody help her!Copy !req
229. Help her.Copy !req
230. Push another four mag sulfate.Copy !req
231. You'll be okay.Copy !req
232. lV's out!Copy !req
233. The other one's blown.Copy !req
234. I'll throw in an external jugular.Copy !req
235. Two migs of Ativan.Copy !req
236. - Where's the prep pad?
- Restrain her.Copy !req
237. Restrain her.Copy !req
238. It's in.Copy !req
239. O-2 to 15 liters.Copy !req
240. Okay, seizure's stopping.Copy !req
241. Let's hyperventilate her. Get
doptones. Let me do a quick pelvic.Copy !req
242. Let's get a blood gas.Copy !req
243. Fetal heart tones, strong at 140.Copy !req
244. - That's good news.
- 30cc's of saline.Copy !req
245. Two cm dilated. Eighty percent effaced.
Membrane's intact.Copy !req
246. Call upstairs,
see who's on call for OB.Copy !req
247. What the hell is going on?Copy !req
248. Your wife has a disorder of late
pregnancy known as eclampsia.Copy !req
249. The blood vessels spasm,
causing lack of oxygen to the brain...Copy !req
250. which leads to the seizures.
We're relaxing them with medicine.Copy !req
251. - What about the baby?
- We'll need to deliver.Copy !req
252. - When?
- Soon.Copy !req
253. Very soon.Copy !req
254. Who's in Trauma 1?Copy !req
255. A pregnant woman
with an eclamptic seizure.Copy !req
256. She's postdictal but coming around.Copy !req
257. BP's stabilized?Copy !req
258. Mag sulfate going?
I'll take over. Go home.Copy !req
259. I'd like to see her through the OB.Copy !req
260. - I can handle it.
- It's not you, it's me.Copy !req
261. I saw her earlier
and I diagnosed UTl.Copy !req
262. Sent her out and
she seized in the parking lot.Copy !req
263. I thought the protein in her urine
was due to cystitis...Copy !req
264. and I blew off one borderline BP.
I'd feel better if I saw her through.Copy !req
265. Fundal placenta. Looks okay.Copy !req
266. BP, 120 over 70.
That's very nice.Copy !req
267. - Look at little Hunter.
- Dermot.Copy !req
268. - Jason.
- Patrick.Copy !req
269. - Is that a boy or what?
- Four plus turtle sign.Copy !req
270. What's that?Copy !req
271. Looks like a little head
peeking out right there.Copy !req
272. You give a score of zero or two
for each category.Copy !req
273. - Movement?
- He seems very active.Copy !req
274. Every night, around the same time.Copy !req
275. Score two.Copy !req
276. Also breathing, tone,
amount of fluid.Copy !req
277. He's an eight. Anything less than a six,
then you worry.Copy !req
278. You do the AFl.Copy !req
279. You divide the abdomen into four.Copy !req
280. Find the deepest pockets of fluid...Copy !req
281. without fetal parts
or umbilical cord.Copy !req
282. You mark...Copy !req
283. each corner of the quadrant.Copy !req
284. Measure and then add up.Copy !req
285. Is that what this number is over here?Copy !req
286. That's the baby's heart rate.
That should be between 120 and 160.Copy !req
287. So 140's perfect.Copy !req
288. The baby's in great shape.
Biophysical profile's 8. AFl's 14.Copy !req
289. Cervix is favorable. I've got
a non-stress test started.Copy !req
290. I feel very comfortable. I've
delivered a couple hundred babies.Copy !req
291. It's 9:00, so we'll see you
in about an hour?Copy !req
292. What did Coburn say?Copy !req
293. She's at St. Luke's,
and she says she'll be here...Copy !req
294. as soon as she's finished
with her repeat C-section.Copy !req
295. She wants me to start an induction.Copy !req
296. That is, of course,
if I feel comfortable.Copy !req
297. She said that?Copy !req
298. What a bitch!Copy !req
299. Hey, Drake?Copy !req
300. - How do things look?
- Great.Copy !req
301. BP's have been perfectly normal.Copy !req
302. Oh, boy. How can l—?Copy !req
303. Excuse me.Copy !req
304. - He can't be more than 12 years old.
- He's the OB resident on call.Copy !req
305. I just spoke with Dr. Coburn,
our OB attending.Copy !req
306. And she agrees that
we need to deliver you soon.Copy !req
307. - Will you have to do a C-section?
- I want to deliver naturally.Copy !req
308. Your eclampsia's under control,
the baby's good...Copy !req
309. and the cervix is favorable.
I'd say we do a trial of labor.Copy !req
310. And if it doesn't work?Copy !req
311. I think it will work.Copy !req
312. I want to give it a try.Copy !req
313. Let's do it!Copy !req
314. Excuse me.Copy !req
315. Do you feel competent
to handle this without me?Copy !req
316. - I think I can muddle through.
- I'll check back with you at 2300?Copy !req
317. Roger.Copy !req
318. Carol, could you give Mrs. O'Brian
.5 Pitocin lV?Copy !req
319. - You're inducing down here?
- We'll start here and then get her up to OB.Copy !req
320. - How frequent are the contractions?
- Every 10 minutes or so.Copy !req
321. - Okay, let's have Dr. Greene decide.
- You're kidding!Copy !req
322. We can't call him Baby X
when we call our parents.Copy !req
323. All right.
Let's take a quick look.Copy !req
324. It's five centimeters dilated.Copy !req
325. Ninety percent effaced.Copy !req
326. Station, minus two.
Membrane's intact.Copy !req
327. - You wanna look too?
- May l?Copy !req
328. Why not? Everybody else
has been poking around in there.Copy !req
329. Here.Copy !req
330. - lan, Patrick, Dermot...
- Sounds like the cast of Finian's Rainbow.Copy !req
331. - Sorry.
- Hunter?Copy !req
332. Hunter O'Brian?Copy !req
333. You agree with my assessment?Copy !req
334. Your labor's progressing
along nicely and quickly.Copy !req
335. The baby's great.Copy !req
336. Is it normal for the heart rate
to be going down like that?Copy !req
337. As long as it's only briefly,
and it stays over 120.Copy !req
338. Jared's on both lists.Copy !req
339. It's not my favorite.Copy !req
340. Compromise is the soul of marriage.
Jared, it is.Copy !req
341. Jared.Copy !req
342. - Hope you feel better.
- Thank you.Copy !req
343. You're welcome.Copy !req
344. The OB case is still here?Copy !req
345. They're still busy upstairs.
I gotta call again.Copy !req
346. Dr. Greene! Something's wrong.Copy !req
347. The baby's heart—
The monitor's down to 90.Copy !req
348. It's not supposed to go that low.Copy !req
349. Hey, Ma. Hanging in there?Copy !req
350. How are you doing?Copy !req
351. - Why so long in the recovery?
- She's 76.Copy !req
352. - Estimated blood loss?
- 500cc's.Copy !req
353. Post-op orders?Copy !req
354. She may be your mother,
but she's my patient.Copy !req
355. We're taking the O.R. elevator.Copy !req
356. She's going to 604.Copy !req
357. It was bound to happen
sooner or later, Peter.Copy !req
358. Sweetie, let's try a deep,
cleansing breath.Copy !req
359. - Let's exhale on the count of—
- Shut up, Sean!Copy !req
360. Call OB and get the FeSS in here.
How are we doing?Copy !req
361. - I'll have an epidural.
- Contractions are three minutes apart.Copy !req
362. - No kidding!
- Tracing showing decreased activity.Copy !req
363. What's that?Copy !req
364. The baby's heart rate is reacting
less than it should.Copy !req
365. But babies sleep in 20-minute cycles,
so what we want to do...Copy !req
366. is wake him up.
Rise and shine!Copy !req
367. There we go.
He was just sleeping.Copy !req
368. The heart rate's back up.
Get an ETA on Coburn.Copy !req
369. I'm Dr. Urami, anesthesiology.
I'm here to do your epidural.Copy !req
370. Yes, please. Let's do that.Copy !req
371. - How's that epidural?
- Wonderful.Copy !req
372. I'm gonna show these pictures
of Jared to my students.Copy !req
373. - Eighth graders?
- You know, like "show and tell."Copy !req
374. In math class?Copy !req
375. Now we can get a pressure
reading inside the uterus.Copy !req
376. This scalp electrode...Copy !req
377. monitors the pulse rate
more exactly.Copy !req
378. Enjoying the show?Copy !req
379. Yeah. I mean...Copy !req
380. no.Copy !req
381. She's eight centimeters dilated,
completely effaced.Copy !req
382. - Won't be long.
- There's another decel.Copy !req
383. Variable with a late component.Copy !req
384. Let's infuse 500cc's normal saline
through the uterine catheter.Copy !req
385. - Like a regular lV?
- Yeah.Copy !req
386. And we need to get her up to OB.Copy !req
387. I'll light a fire under someone.Copy !req
388. - ls something wrong?
- No, we're okay.Copy !req
389. - Page Coburn again.
- Okay.Copy !req
390. Why can't I send her up?Copy !req
391. She's inches away
and the epidural's wearing off.Copy !req
392. Well, then find Drake!
Hurry up.Copy !req
393. Breathe. Breathe.
Wanna try some breathing?Copy !req
394. Your fantasy about me
quitting work...Copy !req
395. and staying home to have kids?
Forget it! This is it.Copy !req
396. Repetitive lates.
We need to deliver.Copy !req
397. - I need to take a look.
- Try some single breaths.Copy !req
398. Fully dilated, 100% effaced.
It's time to start to push.Copy !req
399. Already?Copy !req
400. - Here?
- Here. Carter.Copy !req
401. Run and get Carol.Copy !req
402. Try some breathing!Copy !req
403. I love you so much, babe.
So much!Copy !req
404. Shut up!Copy !req
405. Get a baby warmer and a newborn
resuscitation tray in 3, stat!Copy !req
406. Nine, ten!Copy !req
407. Take a breath, take a breath.Copy !req
408. - Welcome back.
- Did I go home?Copy !req
409. Push! One, two, three...Copy !req
410. Eight, nine, ten!Copy !req
411. I'm not ready to be a mother.Copy !req
412. - Bear down.
- I can't! It's gonna rip me apart.Copy !req
413. One, two, three, four...Copy !req
414. I can't! I can't!
Get it out!Copy !req
415. Carter! Go up to OB and drag Drake down.
Tell him to bring some forceps. Go!Copy !req
416. She's not progressing.Copy !req
417. The baby's rate is low.
I'll start the pudendal block.Copy !req
418. Okay, I'll gown up.Copy !req
419. - OB's got C-sections and deliveries.
- No one will blame you if you wait.Copy !req
420. - The monitor says now.
- Why put your ass on the line?Copy !req
421. I've come this far,
I'm gonna see it through.Copy !req
422. - Where's Coburn?
- In transit.Copy !req
423. What, is she coming by camel?Copy !req
424. Get her BP.Copy !req
425. BP's still climbing.
150 over 100.Copy !req
426. Go, Mark. Baby's bradying down.Copy !req
427. Now don't push.
Don't push.Copy !req
428. Before I break the plates,
cut a median episiotomy.Copy !req
429. Here comes the head.Copy !req
430. - Get a blanket ready.
- Damn!Copy !req
431. - Get him out!
- He's stuck.Copy !req
432. - Shoulder dystocia.
- What's that?Copy !req
433. Shoulder's hung up on the pubic bone.Copy !req
434. Oh, my God!Copy !req
435. Lead's off.Copy !req
436. McRobert's maneuver.Copy !req
437. - Push her legs up towards her head.
- Lift your legs.Copy !req
438. Straight up in the air.Copy !req
439. Somebody push on the abdomen.Copy !req
440. - What are you doing?
- Trying to free his shoulders.Copy !req
441. Carter, not fundal pressure.
Down here. Down here.Copy !req
442. It's jammed! Stat page OB!Copy !req
443. Oh, my God, do something!Copy !req
444. Let's try a Woods.Copy !req
445. I need to extend the episiotomy.Copy !req
446. if I can rotate
the posterior shoulder...Copy !req
447. I love you, baby.Copy !req
448. Try to deliver
the posterior shoulder.Copy !req
449. He's jammed in. Come on.Copy !req
450. Come on! Come on!Copy !req
451. Why can't you deliver this baby?Copy !req
452. Mr. O'Brian, please.Copy !req
453. It's not working.
Let her go.Copy !req
454. Let her go. It's not working.Copy !req
455. Zavenelli.Copy !req
456. What are you doing?Copy !req
457. We gotta push the baby back in.Copy !req
458. Then what?Copy !req
459. We're almost through.Copy !req
460. Susan, get your hand in here.
Grab a cesarean tray. Run!Copy !req
461. Climb on up, hold her head in.
Throw a sheet over her.Copy !req
462. Get her into Trauma 1.Copy !req
463. Find out if Benton's still here.
Splash and crash.Copy !req
464. - Where are you taking her?
- We gotta do an emergency C-section.Copy !req
465. - Have you done this before?
- I've scrubbed in many times.Copy !req
466. I want somebody else!Copy !req
467. if we wait five more minutes,
your baby's brain dead.Copy !req
468. Oh, my God. Go, go!Copy !req
469. Do it!Copy !req
470. Please get out of the way.
Let them work.Copy !req
471. I love you so much.Copy !req
472. We're almost home.
We're almost out of here.Copy !req
473. Call Respiratory.Copy !req
474. Mr. O'Brian, wait outside.Copy !req
475. I love you!Copy !req
476. I'm right here. I'm right here.Copy !req
477. BP's sky high. 170 over 120.Copy !req
478. - What about anesthesia?
- No time.Copy !req
479. I'll throw in a local.Copy !req
480. - She's seizing!
- Grab the bite block.Copy !req
481. Let's paralyze and intubate.Copy !req
482. Versed, four migs. Norcuron, 10.Copy !req
483. lntubation tray.Copy !req
484. - Get Respiratory down here.
- 7.5.Copy !req
485. Suction standing by.Copy !req
486. O-2 at 15.Copy !req
487. Carter, try and get in here.Copy !req
488. We're just gonna bag her for now.Copy !req
489. Get that typed blood
cross-matched and down here.Copy !req
490. - Where's that coag panel?
- Get a vent ready.Copy !req
491. BP's 200 over 130!Copy !req
492. Everybody just take
a deep breath, all right?Copy !req
493. Hydralazine, 10 migs.Copy !req
494. Another bolus of mag sulfate.Copy !req
495. Somebody call NlCU
and get somebody down here...Copy !req
496. for the baby.Copy !req
497. Somebody physically go up to the OB...Copy !req
498. and drag somebody
down here, okay? Go!Copy !req
499. Get the suction in.Copy !req
500. Scalpel.Copy !req
501. Let's see.Copy !req
502. Is that the fascia?Copy !req
503. Yeah, that looks right.Copy !req
504. - Grab with those clippies.
- Hydralazine's in.Copy !req
505. Grab an army, navy.Copy !req
506. - Suction.
- Metz.Copy !req
507. The long scissors.Copy !req
508. Retract there.Copy !req
509. - I'm in.
- isn't there something about a bladder flap?Copy !req
510. - Pickups.
- Suction.Copy !req
511. - I'm dividing the peritoneum.
- Hemostat.Copy !req
512. Okay, we're in.Copy !req
513. Grab that side and pull.Copy !req
514. Get a retractor in there.Copy !req
515. We need exposure. Pull!Copy !req
516. Oh, man!Copy !req
517. That's wide enough.Copy !req
518. All right. Now, scalpel.Copy !req
519. Cut across the lower segment
of the uterus.Copy !req
520. You're asking me?Copy !req
521. I'm asking God.Copy !req
522. Suction. No, here.Copy !req
523. - You're not all the way through.
- I don't wanna cut the baby.Copy !req
524. Open a pack of lap pads.Copy !req
525. Retract this way, more.Copy !req
526. - There, I think I'm in.
- Oh, my God.Copy !req
527. There's two liters in there.Copy !req
528. - She's got an abruption!
- She's bleeding out!Copy !req
529. - Gown up!
- Get the baby out!Copy !req
530. Open those lV lines.Copy !req
531. Hurry, Mark. Get him out!Copy !req
532. - Get the baby.
- Pump in saline.Copy !req
533. Forget that cross-match!
Eight units O-neg down here, stat!Copy !req
534. - Hurry up.
- I've got him. He's big.Copy !req
535. - Suction his airway.
- BP's okay, 120 over 80.Copy !req
536. - Come out.
- Hurry up.Copy !req
537. The cord's free.Copy !req
538. Suction his nose.Copy !req
539. Umbilical clamp.Copy !req
540. He's not breathing.Copy !req
541. Okay, clamp.Copy !req
542. All right, bag him.Copy !req
543. Carter, get in here.Copy !req
544. Get in here.
Follow my hand down.Copy !req
545. Feel the aorta?Copy !req
546. - It's pulsing.
- Yeah, I do.Copy !req
547. - Push down on it. Got it?
- I think so.Copy !req
548. - Don't think, do.
- I got it.Copy !req
549. - Is he alive?
- BP's holding. 1 1 0 over 70.Copy !req
550. Move, move!Copy !req
551. Start CPR.Copy !req
552. I'm gonna intubate.Copy !req
553. - Heel stick a glucose.
- Tone is flaccid.Copy !req
554. We need a blood gas.Copy !req
555. - I can't see. Suction!
- O-neg's here.Copy !req
556. All right, pump it in.Copy !req
557. I think I'm in.Copy !req
558. Bag him.Copy !req
559. Quick listen.Copy !req
560. - Chest expands while we're bagging.
- Okay, we got it.Copy !req
561. Tape it and keep bagging.Copy !req
562. Blood sugar's 20.Copy !req
563. Give him D-10.Copy !req
564. - He's got no veins.
- Hyperventilate him.Copy !req
565. I'm gonna try an umbilical line.Copy !req
566. What about some epi?Copy !req
567. 0.04 epi down the tube.Copy !req
568. Here's the epi.Copy !req
569. Release that clamp
after I tie this off.Copy !req
570. Release the clamp.Copy !req
571. Oh, my God. How can you see?Copy !req
572. I don't know.Copy !req
573. Grab a bag of O-neg.Copy !req
574. Stick the pins per kilo.Copy !req
575. 40cc's.Copy !req
576. Come on.Copy !req
577. That's the umbilical vein.
Hook it up while I advance it.Copy !req
578. Okay, it's going.
Glucose at...Copy !req
579. 5 mil per kilo.Copy !req
580. Follow me down.Copy !req
581. 20 mils.Copy !req
582. Come on, little guy.
Come on.Copy !req
583. He moved!Copy !req
584. It's going. 100!Copy !req
585. - Re-gown me.
- He's pinking up!Copy !req
586. She's had three units,
two liters, saline.Copy !req
587. - Vitals?
- BP's 80 over 50. Pulse, 1 1 2.Copy !req
588. I can live with that and so can she.Copy !req
589. - Baby's Apgar's much better. Eight.
- That's good.Copy !req
590. - Re-gown, Susan.
- Look who's here.Copy !req
591. What's going on in here?Copy !req
592. I intubated. Baby went bad.Copy !req
593. I tried forceps and got
a shoulder dystocia. She seized.Copy !req
594. I paralyzed and did a crash section.Copy !req
595. There were two liters
of blood in her uterus.Copy !req
596. - You knew she'd abrupted?
- Once I got in.Copy !req
597. - Baby nearly died.
- Who's this? And what's he doing?Copy !req
598. John Carter, med student.
I'm pressing the aorta.Copy !req
599. It's a mess!
What'd you use, a chain saw?Copy !req
600. I couldn't stand around waiting
while that baby died.Copy !req
601. Get an NlCU transport team
and the OB resident on call.Copy !req
602. You should've let me know
you were in over your head.Copy !req
603. We've got hemostasis.Copy !req
604. Someone call Respiratory.Copy !req
605. Okay, Carson.
You can let go of the aorta.Copy !req
606. Wait! Wait!Copy !req
607. Stop, stop.Copy !req
608. Looks good. Bleeding's stopped.Copy !req
609. Go talk to the father.Copy !req
610. Suction.Copy !req
611. - ls my baby okay?
- He was apneic at first.Copy !req
612. But his Apgar's encouraging—Copy !req
613. - Stop hiding behind that medical crap!
- Your baby's gonna be fine.Copy !req
614. Don't take my son!Copy !req
615. And Jodi?Copy !req
616. There was bleeding. She's had
transfusions, but she's stabilized.Copy !req
617. Dr. Coburn is in there with her now.Copy !req
618. - She's closing the incision.
- How can this happen?Copy !req
619. What we need to do now
is get your son upstairs. Now! Go!Copy !req
620. - Everything's okay, right?
- Go be with your baby.Copy !req
621. - She'll be okay, right?
- She's stabilized. Go with your son.Copy !req
622. I've never seen
such a chain of errors.Copy !req
623. - I did what you said.
- You miss preeclampsia!Copy !req
624. - You underestimate the fetal weight.
- I expected OB backup!Copy !req
625. You miss a placental abruption!Copy !req
626. Blood clot. Right there!Copy !req
627. You do an ill-advised forceps
delivery on a baby that's too big.Copy !req
628. Then you do a hack job
of a C-section!Copy !req
629. It was me in the barrel
with a baby down the tubes.Copy !req
630. What saved you
from disaster was dumb luck.Copy !req
631. if not for me, the mother'd be dead
and the baby a vegetable!Copy !req
632. - Who's on OB call?
- Drake.Copy !req
633. - She's just covering herself.
- She was right. It was my screwup.Copy !req
634. You were great.
I couldn't have done it.Copy !req
635. It was my fault that she went sour.
She's my patient.Copy !req
636. - No one will blame you.
- No, they don't have to.Copy !req
637. She's crashing!Copy !req
638. - How many units has she had?
- BP's falling. 70 over 40.Copy !req
639. - I can't get a blood gas.
- Run a resuscitation.Copy !req
640. - Cap refill's bad.
- I'll throw in an arterial line.Copy !req
641. - Put blood bags on a rapid infuser.
- Get the kit!Copy !req
642. Hook up the transducer.Copy !req
643. Give her a mig of atropine.
Check a manual BP.Copy !req
644. She's bleeding from the puncture.Copy !req
645. - Somebody put pressure on it.
- I got it.Copy !req
646. - lV site's oozing too.
- I don't hear it. 65 palp.Copy !req
647. Hang a dopamine drip.Copy !req
648. Pull her off that respirator
and bag her.Copy !req
649. Blood's stopped clotting.
She's going into DlC!Copy !req
650. Oh, damn! Order 10 units,
cryoprecipitated platelets.Copy !req
651. - Multifocal PVCs!
- What now?Copy !req
652. Lidocaine, 100 migs, lV push.
Start a drip.Copy !req
653. Mark the time: 0542.
Charging 260.Copy !req
654. Clear!Copy !req
655. 300. Clear!Copy !req
656. - She's oozing from every cut surface.
- We're chasing our tails in here.Copy !req
657. - Time down?
- 33 minutes.Copy !req
658. More PVC.
She's maxed out on lidocaine.Copy !req
659. Add Pronestyl, 30 migs a minute,
up to 200.Copy !req
660. - No pulse. We're losing her!
- Get a dopamine drip.Copy !req
661. - Charging to 300.
- Out of the way!Copy !req
662. Again. 360.Copy !req
663. - Give her 300, lV push.
- Blood gas is bad, 302 over 50.Copy !req
664. It's been five minutes
since her last epi.Copy !req
665. Another seven.Copy !req
666. Mark, she's gone.Copy !req
667. It's thirty minutes past too late.Copy !req
668. I'm calling it.Copy !req
669. Time of death:Copy !req
670. 0646.Copy !req
671. It's not flatlined. It's fine V-fib.
Another 7 migs epi.Copy !req
672. Dr. Greene.Copy !req
673. l...Copy !req
674. just wanted to tell you that...Copy !req
675. I thought what you did
was a heroic thing.Copy !req
676. It's one stop the other way,
right by the station.Copy !req
677. - I gotta get going.
- Come on!Copy !req
678. Not only does Shorty's
have the greasiest eggs...Copy !req
679. stuff falls from the ceiling
when the El goes by.Copy !req
680. Sounds attractive, Susan.
I got a million things to do.Copy !req
681. Are you sure you're okay?Copy !req
682. I'm fine.Copy !req
683. Scout's honor.Copy !req
684. ls Jen home?Copy !req