1. ERCopy !req
2. Previously on ER...Copy !req
3. You come here every day.Copy !req
4. Sometimes you're really cooking,
and sometimes you're not.Copy !req
5. - Alright, let's autotransfuse him.
- You're kidding.Copy !req
6. - He needs blood, Carter.
- And he's gonna get it.Copy !req
7. - Dad, I told you I'd rent a car.
- Your mother appreciates you coming.Copy !req
8. Oh, here you are! Oh, I'm so glad!Copy !req
9. - Jerry!
- What!Copy !req
10. Answer de damn phone!Copy !req
11. Did you withhold treatment
from that kid?Copy !req
12. It's my decision.Copy !req
13. It was good that
you stayed focused on the patient.Copy !req
14. - Thanks
- How much time do you need?Copy !req
15. I'll wait.Copy !req
16. "Exodus"Copy !req
17. We pull into the ambulance bay
with a gunshot victim.Copy !req
18. What are you thinking?Copy !req
19. - Excuse me?
- A fresh trauma patient.Copy !req
20. What goes through your mind?Copy !req
21. The basics: Airway, breathing,
circulation.Copy !req
22. Yeah. But you docs don't think
about the scene.Copy !req
23. You see two IVs, c-collars,
backboards, monitors...Copy !req
24. all packaged and ready to go. But
you don't know what we go through.Copy !req
25. Which is why I'm here.Copy !req
26. A one-day ride-along is not
gonna tell you the whole story.Copy !req
27. Sometimes we get shot at.Copy !req
28. Sometimes we're saving a banger,
and there's airmail coming at us.Copy !req
29. Airmail?Copy !req
30. Garbage, bottles, bricks. Thrown
from the windows, from the roof.Copy !req
31. And we're in the streets
trying to save a life.Copy !req
32. You gotta keep your mind right.
It can make you cynical.Copy !req
33. Well, let's hope we have an easy day.Copy !req
34. It usually is when you docs ride along.
That's why you don't get the big picture.Copy !req
35. You're here as an observer. We have
protocols, so don't go off on your own.Copy !req
36. Don't worry.Copy !req
37. Sure picked the right day
for your ride-along.Copy !req
38. - Where do we begin?
- Right here.Copy !req
39. - Come through here.
- What do you got?Copy !req
40. 20 to 30 victims, mostly minor.
Lacerations, burns.Copy !req
41. One fatality.
We set up triage out there.Copy !req
42. We're all shored up.
I need to take a paramedic down.Copy !req
43. A guy's trapped under rubble.Copy !req
44. I'll go. I'm a trauma surgeon.Copy !req
45. County General, Dr. Corday.Copy !req
46. Have any experience
with confined-space rescue?Copy !req
47. No, but take me to him,
I'll see what I can do.Copy !req
48. Okay. Gear her up and take her down.Copy !req
49. First section's vertical, eight
to 10 feet. Better to go head first.Copy !req
50. - Head first?
- There's no room to turn around.Copy !req
51. The walls are pretty uneven so it's
easy to brace yourself with your hands.Copy !req
52. Do any rock climbing?Copy !req
53. No, I haven't.
Will I actually fit in there?Copy !req
54. It's tight at first
but opens up near the victim.Copy !req
55. You claustrophobic?Copy !req
56. No, not really.Copy !req
57. All right.Copy !req
58. Best you go first. If something
goes wrong I'll drag you out.Copy !req
59. Yeah. Okay, let's get on with it.Copy !req
60. - Okay.
- All right, it's not far now.Copy !req
61. Be careful, don't bump against
those four-by-fours.Copy !req
62. That's all that's holding
this place up.Copy !req
63. It's a little more open here.Copy !req
64. We jacked up as far as we can.
All this is pretty unstable.Copy !req
65. I can see him!Copy !req
66. We're on the way!Copy !req
67. Sir, are you okay?Copy !req
68. Get me out.Copy !req
69. It hurts.Copy !req
70. Yes, I'll give you something
for the pain.Copy !req
71. Then we're going to get you out, okay?Copy !req
72. Don't leave me.Copy !req
73. We won't.
We won't leave you, I promise.Copy !req
74. Give me the drug bag.
I need to start a line.Copy !req
75. It's okay, sir.Copy !req
76. If you just hang on.Copy !req
77. - Lilac.
- It's called "Spring Rain. "Copy !req
78. - It's nice.
- You think it's too young for me?Copy !req
79. No way. My mom wears
something just like that.Copy !req
80. I don't have time to sit down.
I'm on from 3 to 11.Copy !req
81. - How's it been going?
- Got busy after lunch.Copy !req
82. Doyle's out with the flu.
Heard from Mark?Copy !req
83. He's gonna try to catch a flight back
today or tomorrow.Copy !req
84. - One coffee, please.
- Sixty cents.Copy !req
85. Hey, Carter!Copy !req
86. How's the Optho rotation going?Copy !req
87. Only a week to go. Long week.Copy !req
88. Maybe you can help me out.
I've been getting headaches...Copy !req
89. reviewing these financial reports.Copy !req
90. I need a new pair of reading glasses.Copy !req
91. Sure, come on up. I'll check you out.Copy !req
92. - Get you a new prescription.
- Thank you.Copy !req
93. You can keep that.Copy !req
94. Jack Arteburn, 52.
Fainted at a breakfast meeting.Copy !req
95. A and O on arrival, vitals normal.
Started a line for kicks.Copy !req
96. Did you have any chest pain?Copy !req
97. No, I was just a little dizzy.Copy !req
98. My secretary overreacted.Copy !req
99. - Are you a doctor?
- I'm a physician assistant.Copy !req
100. But I'll be seeing a real doctor?Copy !req
101. County dispatch says there's been
an explosion at a chemical warehouse.Copy !req
102. They want to send us six minors
with burns.Copy !req
103. - Yeah, no problem.
- No problem.Copy !req
104. Just a little bee sting, Leo.Copy !req
105. Sorry. It's the only place
to put an IV.Copy !req
106. Get me out of here!Copy !req
107. Yep. We're working on that.Copy !req
108. Hang on. I'll give you some morphine.
Make you feel much better.Copy !req
109. Dewey, can you lift up the saline?Copy !req
110. He's got a good pulse.Copy !req
111. Some broken ribs,
and he can wriggle his toes.Copy !req
112. I can't assess the right arm.
It's pinned at his shoulder.Copy !req
113. If we could raise the concrete
just another inch or two.Copy !req
114. No. Any movement could bring
all this down.Copy !req
115. Just an inch, then we might free it.
And I won't have to amputate.Copy !req
116. No! No, please don't cut off my arm.Copy !req
117. No. We're trying to save it, Leo.
We're gonna lift up that slab.Copy !req
118. What else can we do if
we're to get him out?Copy !req
119. Okay.Copy !req
120. I'm gonna need more shoring
before we try anything.Copy !req
121. I need a bone saw.Copy !req
122. No. Don't do it, please.Copy !req
123. Only as a last resort, Leo.Copy !req
124. What about something to
reduce the friction?Copy !req
125. Grease?Copy !req
126. No, it's too thick. We need something
we can pour, like vegetable oil.Copy !req
127. - We got motor oil.
- Yeah. Motor oil.Copy !req
128. Lots of it.Copy !req
129. We'll get you slick as an eel
and slide you out.Copy !req
130. E- L-M.Copy !req
131. N- E.Copy !req
132. Very good. Very good, Mrs. Melenger.Copy !req
133. Okay.Copy !req
134. Now I want you to tell me
which one is clearer, okay?Copy !req
135. Number one...Copy !req
136. or number two?Copy !req
137. Number two is very dark.Copy !req
138. Okay, let's try that again.
Number one...Copy !req
139. or number two?Copy !req
140. It's black. I can't see through that.Copy !req
141. Yes. I think that is probably
a little too much tint for you.Copy !req
142. Is everything okay?Copy !req
143. Not really. I think your student
needs some help.Copy !req
144. Why don't I finish up here, Dr. Carter?Copy !req
145. There's...Copy !req
146. a glaucoma patient in the ER.
Needs a consult.Copy !req
147. Glenn Krakowski, 32, from
the chemical warehouse.Copy !req
148. Right tib-fib fracture.
Complaining of abdominal pain.Copy !req
149. BP 132/75. Pulse 92.
IV's in the field.Copy !req
150. What about these guys?Copy !req
151. Minor burns and lacerations
from glass.Copy !req
152. - Anything for me?
- Blood trauma, abdominal pain.Copy !req
153. - Is T-1 open?
- Yeah. Start on him. I'll take the others.Copy !req
154. - Sir, are you on any medication?
- No, nothing. I never get sick.Copy !req
155. Message from Dr. Anspaugh.
He's giving a lecture.Copy !req
156. - That's the hotel phone number.
- Is that Mr. Arteburn's chart?Copy !req
157. Yeah, yeah. Actually, check this out.Copy !req
158. Blue Cross.Copy !req
159. Not the HMO, not the PPO.
Traditional indemnity plan, gold.Copy !req
160. - Jerry, we treat everyone the same.
- I'm thinking about the budget deficit.Copy !req
161. Mr. Arteburn, I have some preliminary
results and I'd like to-Copy !req
162. If there's any cause for concern,
I'd rather go see my own doctor.Copy !req
163. Changes in your EKG suggest that you
may have had a small heart attack.Copy !req
164. - Heart attack?
- We'll check a blood test...Copy !req
165. to make sure there was no
heart muscle damage.Copy !req
166. If that's normal, we'll do
a treadmill heart scan.Copy !req
167. Would you call my doctor,
Greg Fonarow? He's up on Chestnut.Copy !req
168. I want his opinion on
what you're doing.Copy !req
169. I'll call him when I get
the test results.Copy !req
170. Don't worry. You'll find we give
the highest standard of care.Copy !req
171. It's your last quart, Leo.Copy !req
172. I raised it an inch. That's it.Copy !req
173. Right.Copy !req
174. You ready?Copy !req
175. One, two, three!Copy !req
176. Let me check his arm.Copy !req
177. - You got room?
- Yep.Copy !req
178. You said you wouldn't amputate.Copy !req
179. It won't come to that. Another good
tug and we'll get you out of the hole.Copy !req
180. - You ready?
- Yeah.Copy !req
181. Then pull!Copy !req
182. We don't have enough leverage
to lift him out.Copy !req
183. - I need a come-along.
- What's that?Copy !req
184. It's a kind of winch-Copy !req
185. - What was that?
- I don't know.Copy !req
186. Dewey here.
What the hell's going on?Copy !req
187. Explosion in the chemical area.
Abort and get out.Copy !req
188. Acknowledged. Cap says out.Copy !req
189. No. Tell them to bring what
we need so we can get him out!Copy !req
190. He won't let anyone come down.Copy !req
191. - Then you go get it.
- And leave you?Copy !req
192. Yes. They've gotta let you back
down if I'm here.Copy !req
193. Now go! I'm not leaving him!Copy !req
194. - But hurry!
- Okay. I'll be back.Copy !req
195. We're gonna die down here.Copy !req
196. It's okay, Leo.Copy !req
197. Just one more piece of equipment
and we'll get you out.Copy !req
198. I've got an 8-year-old with
altered mental status, short of breath.Copy !req
199. Babysitter called 911.Copy !req
200. - I stopped by this morning.
- I had an early morning meeting.Copy !req
201. Before 7:00?Copy !req
202. Are you monitoring me?Copy !req
203. Just offering you a ride.Copy !req
204. Sophie? This is Dr. Ross.Copy !req
205. - Hi, Sophie.
- Hi.Copy !req
206. How long's she been sick?Copy !req
207. Her mom said she's had diarrhea
for a couple days now.Copy !req
208. She said to give her a spoonful
of bee pollen and raspberry tea.Copy !req
209. How are you feeling, Sophie?Copy !req
210. - I have to practice the piano.
- She's altered. When did that start?Copy !req
211. I found her on the floor. She had
a bowel movement with blood in it.Copy !req
212. I couldn't wake her up.Copy !req
213. Give her an ABG, a CBC,
a chem 20 and a chest x-ray.Copy !req
214. Want an IV of saline?Copy !req
215. No, just a HEP block.Copy !req
216. She's gonna be all right?Copy !req
217. - Did you talk to her parents?
- I beeped her mom.Copy !req
218. Could you try again?Copy !req
219. Yeah.Copy !req
220. If you'd gone to public school, you
could've seen my science program.Copy !req
221. I started them right after the war.Copy !req
222. Try and keep your eyes still.Copy !req
223. Look at my earlobe.Copy !req
224. You know, about 1950,
I was on a TV program.Copy !req
225. I liked it so much I wanted
to make it my life's work.Copy !req
226. What happened?Copy !req
227. What happened?
I'll tell you what happened.Copy !req
228. That son of a bitch, Mr. Wizard, came
along and left me dead in the water.Copy !req
229. Yeah. Go ahead, laugh.Copy !req
230. Well, it looks good.Copy !req
231. I'm gonna need to check your eye
pressure with a tono-pen, Mr. Bikel.Copy !req
232. - Dr. George.
- Dr. George?Copy !req
233. Tono-pen?Copy !req
234. The state-of-the-art we used to get
was the big one with the air puff.Copy !req
235. I'll put numbing drops in
and then measure the pressure.Copy !req
236. Solid-state microcircuitry.Copy !req
237. But all in all, just a simple
pressure transducer.Copy !req
238. That's what-Copy !req
239. That's numbing already.
The numbing's coming fast.Copy !req
240. Press this button and it works.Copy !req
241. Don't you wanna know how?Copy !req
242. I could build you one. Out of an ink jar,
finger cot and a swizzle stick.Copy !req
243. All right.Copy !req
244. Thirty-five. Your pressure's up a bit.Copy !req
245. It doesn't look good.
Creatinine's 6.8. Potassium's 7.3.Copy !req
246. She's got acute renal failure. Get me
glucose, insulin, and Kayexalate.Copy !req
247. What's shutting down her kidneys?Copy !req
248. It could be bloody diarrhea. E. coli,
probably. Push two of Versed.Copy !req
249. Get an ET tube 6.5.Copy !req
250. That's good. She needs
a central line for dialysis.Copy !req
251. Call for a pediatric nephrology consult.Copy !req
252. When can I go home?Copy !req
253. Not for a little while.Copy !req
254. Dr. Ross will give you some medicine
that will make you very sleepy.Copy !req
255. When you wake up, you'll have a tube
in your mouth to help you breathe.Copy !req
256. You won't be able to speak,
so we'll do hand signals.Copy !req
257. Do you know what this means?Copy !req
258. Okay?Copy !req
259. Good. Are you good at charades?Copy !req
260. Here we go. Hold on.Copy !req
261. Crike, crike, crike.Copy !req
262. Honey? What's going on?Copy !req
263. All right. Hang on.Copy !req
264. I'm in, bag her. Are you the mother?
Get me an 11 French catheter.Copy !req
265. Sophie? Sophie?Copy !req
266. Why is she unconscious?Copy !req
267. We had to sedate her to get
the breathing tube down her throat.Copy !req
268. She wasn't sick when I left.
She had some diarrhea.Copy !req
269. We believe it's an E. coli infection
causing the kidney failure.Copy !req
270. E. coli? That comes from meat.
It's impossible, she doesn't eat meat.Copy !req
271. It can also come from
raw juices or sprouts.Copy !req
272. Well, however she got it,
she needs dialysis.Copy !req
273. Oh, no. I want another opinion before
you put her on some machine.Copy !req
274. There's no time.Copy !req
275. This is my daughter. I have a right
to decide how she's treated.Copy !req
276. Her high potassium could cause
a cardiac arrest. She needs dialysis.Copy !req
277. If she doesn't get it, she'll die.
Sign the consent.Copy !req
278. Please?Copy !req
279. No. My leg! I'm caught!Copy !req
280. His foot's caught.
I'm gonna try and free it.Copy !req
281. Can you reach it? Can you loosen it?Copy !req
282. - What are you doing?
- Just a tiny bit.Copy !req
283. The shoring's down! Get out!Copy !req
284. He's free!Copy !req
285. Pull! Pull!Copy !req
286. Pull! Pull! Pull!Copy !req
287. How are you doing?Copy !req
288. Last one. See you tomorrow
for a wound check.Copy !req
289. Make sure you call the employee-health
coordinator at the chemical plant.Copy !req
290. - Fax them all-
- I need some help!Copy !req
291. - What happened?
- We're from Prusack Chemco.Copy !req
292. We were behind Building 5 when the
tank blew. Manny went into the stuff.Copy !req
293. - What kind of stuff?
- Everyone got soaked. It was a mess.Copy !req
294. I threw these guys in
back of my pickup.Copy !req
295. What is that smell?Copy !req
296. Solvent. Everyone got sick.Copy !req
297. Jeanie, take the other guys.Copy !req
298. Bag and seal the clothes.
Glove up, everybody.Copy !req
299. I'm gonna open some doors.Copy !req
300. I want you to use one drop,
three times a day.Copy !req
301. Three times a day, one drop.
Thank you.Copy !req
302. What's the matter?Copy !req
303. - Benzene.
- What?Copy !req
304. It's benzene. Don't you smell it?Copy !req
305. Probably just stripping the floors.Copy !req
306. Stripping floors with benzene?
I don't think so.Copy !req
307. It's much too toxic.Copy !req
308. Doctor, before I go...Copy !req
309. find out where that smell is
coming from as quick as possible.Copy !req
310. Set up oxygen.
Pulse is weak and thready.Copy !req
311. Bilateral wheezes.Copy !req
312. - What's going on?
- Chemical spill.Copy !req
313. Yosh, bag these clothes up
and get them outside.Copy !req
314. Take slow, deep breaths.
You want me to call your wife?Copy !req
315. - You might be here a while.
- We need fans. I'll call Maintenance.Copy !req
316. Get Housekeeping to clean up-Copy !req
317. - Give me a hand!
- Oh, my God! Wait!Copy !req
318. No one touch her without gloves on.Copy !req
319. Her clothes are soaked through.
Ready? One, two, three!Copy !req
320. - Get a mask on her!
- Pulse ox.Copy !req
321. Roll her on her side.Copy !req
322. - Don't let her aspirate!
- Suction.Copy !req
323. Ativan, two milligrams IV, now!Copy !req
324. - She needs a line.
- It's Dr. Weaver!Copy !req
325. Don't walk there. It's benzene.Copy !req
326. What is that?Copy !req
327. It's a solvent. It's toxic.Copy !req
328. We don't want to spread this stuff
around. Keep it contained.Copy !req
329. - Let's go with the Ativan.
- Need to intubate.Copy !req
330. When we give an order,
it's for a reason!Copy !req
331. - I'm sorry. But we were so close.
- You could've died!Copy !req
332. - I'd have three deaths to explain!
- I was worried about you!Copy !req
333. Leo Leipziger. Crush injury
to the right arm.Copy !req
334. BP 90 palp. Pulse 110.Copy !req
335. - We had a prolonged extrication.
- No kidding!Copy !req
336. Stay to the right. We've got an
unknown solvent leaking from a tank.Copy !req
337. HazMat's setting up
for decontamination.Copy !req
338. Chuny, we need more of these to
cover the floor.Copy !req
339. I'll call Central. Here.Copy !req
340. Anna, check Ellenhorn's Toxicology
and find out about benzene exposure.Copy !req
341. Where to?Copy !req
342. Trauma 1. Move the sickest
patients away from here.Copy !req
343. Double-bag all of
the contaminated clothes.Copy !req
344. Get the clean patients to the back.
Randi, grab their charts now!Copy !req
345. You need to air this place.
Did you call HazMat?Copy !req
346. - They're on the way.
- There's another one in the closet.Copy !req
347. We'll blow it out of here in no time.Copy !req
348. No, no, no! Don't plug that in!
Sparks might ignite the fumes.Copy !req
349. - Great.
- Jerry, give me a phone!Copy !req
350. What's the ETA on HazMat?Copy !req
351. You gotta find that disaster manual.Copy !req
352. I need surgical drapes, waterproof
ones. Better send a dozen.Copy !req
353. - Dispatch, this is County General ER.
- They'll be here in five!Copy !req
354. This is an emergency!
Send the drapes up now!Copy !req
355. I need oxygen.Copy !req
356. We're closing down to all paramedic-
No, immediately!Copy !req
357. Hang in there, Leo.Copy !req
358. Trauma patient. What's going on?Copy !req
359. Benzene fumes are
contaminating patients.Copy !req
360. Dr. Corday, we're moving
everybody out.Copy !req
361. He needs x-rays, peritoneal lavage
and immediate surgery on his arm.Copy !req
362. Take him to the back hall.
I'll call X-ray.Copy !req
363. In the hall?Copy !req
364. - Prep that guy and notify the OR.
- You got it.Copy !req
365. Where are you taking me?
What are we doing in the hall?Copy !req
366. Get out of here! Fumes are
coming off the gurney!Copy !req
367. I want to get out of here!Copy !req
368. - What happened to Randi?
- She's fainted.Copy !req
369. - The lobby?
- Let's go! Clean patients only!Copy !req
370. How do we know who's clean?Copy !req
371. - Is Randi contaminated?
- If it's on her clothes.Copy !req
372. - You okay?
- Fine, but my patient's critical.Copy !req
373. If the CEO's in a meeting, get me her
assistant. I'm in disaster mode.Copy !req
374. Three victims from the blast.
Decontaminated.Copy !req
375. - What's this?
- You can't come in. ER's contaminated.Copy !req
376. - What happened?
- They came covered in benzene.Copy !req
377. - Clear the lobby!
- You shouldn't have let them in!Copy !req
378. You didn't control it!
They came in a truck!Copy !req
379. Move this gurney out of the way!Copy !req
380. Move! Just move!Copy !req
381. Somebody clear out the lobby!Copy !req
382. Send them to Mercy or something!Copy !req
383. All right, everybody shut up!Copy !req
384. - Everybody shut up!
- Send them to Mercy!Copy !req
385. We' re going to evacuate the entire ER!
Check every room.Copy !req
386. All contaminated patients and staff go
to the ambulance bay right now!Copy !req
387. How do we know who's contaminated?Copy !req
388. If you got a spot on your skin,
your gurney, or your clothes...Copy !req
389. go outside right now!Copy !req
390. Move, move!
Let's get him out.Copy !req
391. Let's get her out.Copy !req
392. - Dr. Weaver, how you doing?
- Her seizing stopped. She's postictal.Copy !req
393. I won't go outside without my jacket!Copy !req
394. Can you get some blankets for them?Copy !req
395. Send home any non-urgent cases now.Copy !req
396. If you need stitches or x-rays,
go to the lobby!Copy !req
397. Let me have this for a second.Copy !req
398. How many critical are there?Copy !req
399. I got three here in the ambulance bay!Copy !req
400. Seven, eight.
There's three outside. That's 11.Copy !req
401. All critical patients should move to...Copy !req
402. Go to the cafeteria.
It's big enough.Copy !req
403. Let's stock it with portable monitors
and oxygen cylinders.Copy !req
404. That's where we're moving. Let's go!Copy !req
405. It's not good to move during dialysis.Copy !req
406. Can this thing run off a battery?Copy !req
407. - No battery. There's a hand crank.
- Then start cranking.Copy !req
408. Pedes Unit has a bed.Copy !req
409. All right. Get her ready.Copy !req
410. Joint Admission Protocols,
Quality Assessment and Improvements.Copy !req
411. What are you doing?
I need Ellenhorn.Copy !req
412. Check under the stack. The disaster
manual has gotta be here somewhere.Copy !req
413. - What does it say?
- I just found it.Copy !req
414. What about Policy and Procedures?
Maybe something in here-Copy !req
415. Forget it. Grab all the charts and
take them to Benton in the cafeteria.Copy !req
416. - I'm sure there's probably-
- Run to the cafeteria!Copy !req
417. It's under Hydrocarbons. "Excreted
in urine as sulfate conjugates-"Copy !req
418. No, not that.
Go to Clinical Presentation.Copy !req
419. Pulmonary System.Copy !req
420. "Coughing, choking, pulmonary edema
where aspiration occurs. "Copy !req
421. I think Manny aspirated,
but not Weaver.Copy !req
422. Central Nervous System.
"Inhalation causes depression...Copy !req
423. and rarely, seizures from hypoxia. "Copy !req
424. Supportive Care.
"Treat with oxygen. "Copy !req
425. - That's what we're doing.
- She should be okay.Copy !req
426. Let's move this table
up against the wall. Let's go!Copy !req
427. - You're scratching my floor!
- You, help him.Copy !req
428. - Don't order my people around!
- Where are the outlets?Copy !req
429. Along that wall and that wall.Copy !req
430. All right, everybody, listen up!Copy !req
431. When I call the patient's name,
give me the diagnosis. Arteburn?Copy !req
432. Right here. Rule out Ml.Copy !req
433. Let's get him over here.
Center aisle.Copy !req
434. - Nguyen?
- Shock, respiratory failure.Copy !req
435. Against the wall. He'll need a vent.Copy !req
436. Where are you going?Copy !req
437. I can't wait. I need to get him
cleaned and up to the OR.Copy !req
438. Williams!Copy !req
439. We gotta get some heat.
We're gonna freeze.Copy !req
440. HazMat. What's up?Copy !req
441. There's a benzene spill.
Patients are contaminated.Copy !req
442. - We need some shelter.
- We'll set them up out here.Copy !req
443. Take these to the cafeteria
and set up a portable suction.Copy !req
444. - Where's the spill?
- On the other side. We're evacuating.Copy !req
445. - That means you too, Dr...?
- Carter.Copy !req
446. Captain Dannaker.
We're setting up a decon.Copy !req
447. We're stocking the ambulance bay
and cafeteria with supplies.Copy !req
448. We'll get you what you need.
Get everyone out now.Copy !req
449. You won't know what to look for.
Give me five minutes.Copy !req
450. - You got two!
- Okay!Copy !req
451. Grab a crash cart, defibrillator
and a bunch of mayo stands.Copy !req
452. - Right!
- You guys okay?Copy !req
453. - We're on our way.
- Okay.Copy !req
454. Chuny, get a lot of saline. Lots of it.
Anybody in Exam 4?Copy !req
455. I need you down here.Copy !req
456. Inga Paulson, coronary artery disease,
dopamine drip. Help me move her out.Copy !req
457. I'll do it. You take ACLS
drugs to the cafeteria.Copy !req
458. Grab a big cart and load it full.Copy !req
459. - You're gonna move her and bag her?
- Yeah. Go, go, go!Copy !req
460. Don't worry, Inga.
We'll get you out of here.Copy !req
461. This is ridiculous! It won't work.
There's no room.Copy !req
462. We should go to the cafeteria.Copy !req
463. No, I need her in the ICU.
Stop cranking, I'll disconnect.Copy !req
464. - Her blood's in that machine.
- I'm aware of that.Copy !req
465. - We should go to the cafeteria now.
- Hang on.Copy !req
466. All right. Now we got a loop.Copy !req
467. Start cranking and come with me.Copy !req
468. Take the other elevator
and meet us at PICU.Copy !req
469. Don't let that blood clot!Copy !req
470. Good, Inga. Big squeeze
every three seconds.Copy !req
471. Doing fine.Copy !req
472. This is the last one.Copy !req
473. Get moving.Copy !req
474. - What the hell?
- A fire alarm. I'll get it.Copy !req
475. Dannaker here.
Get me the fire control room.Copy !req
476. What's that?Copy !req
477. Fire alarm. Hang on.Copy !req
478. I lost the bag!
Can you stabilize the tube?Copy !req
479. - What did you push?
- Nothing. I-Copy !req
480. What the hell's going on?Copy !req
481. Elevator recall, down to the lobby.
Happens during emergencies.Copy !req
482. Sophie, you okay?Copy !req
483. - Why have we stopped?
- I don't know. How's her oxygen?Copy !req
484. She's got two-thirds of a tank.
20 minutes left.Copy !req
485. Look at that!Copy !req
486. - Think they'll hear that?
- Yeah, they'll hear it.Copy !req
487. - Excuse me. You're a doctor?
- Yes, I am.Copy !req
488. My daughter's a patient in the ER.
They won't let me in.Copy !req
489. - Okay.
- You can't be here, ma'am.Copy !req
490. No! Somebody help me!Copy !req
491. - Check in the cafeteria.
- Let go of me!Copy !req
492. - Captain Dannaker?
- Copy. No fire verified on floor two.Copy !req
493. Fire patrol, do a reset.Copy !req
494. False alarm. Somebody smelled
fumes and panicked.Copy !req
495. - Jeanie, why are we outside?
- We're taking you to the cafeteria.Copy !req
496. - Is she okay?
- She's still altered.Copy !req
497. It's not the benzene, it's
the seizures. She should be fine.Copy !req
498. Some may need attention
before they go inside.Copy !req
499. - You're in the cold zone.
- Cold zone?Copy !req
500. Out here. In there's the warm zone.
Nobody goes in there without a suit.Copy !req
501. Same goes for the ER, it's a hot zone.Copy !req
502. - Are you Carter?
- Yeah.Copy !req
503. Harriet Spooner, VP of Operations.
I'm the incident commander.Copy !req
504. - Did you evacuate to the cafeteria?
- Yeah.Copy !req
505. The disaster plan calls for evacuation
to Physical Therapy.Copy !req
506. It got chaotic. We had to improvise.Copy !req
507. We have an elevator stuck.Copy !req
508. - I'll get the engineer.
- Anybody on it?Copy !req
509. Don't know. The phone's dead
and the alarm's going off.Copy !req
510. Just keep your eye on it.
Now listen, Sophie?Copy !req
511. We're going on a little adventure.
You'll have cool stories to tell.Copy !req
512. Multifocal PVCs.Copy !req
513. Let me see this. Potassium's too high.Copy !req
514. Push an amp of bicarb.
Buy us a little time.Copy !req
515. Run of seven. Here, take it.
Bicarb. She'll go into V-tach.Copy !req
516. We don't have any.Copy !req
517. Did you check the box?
You can't...Copy !req
518. treat hyperkaliemia without bicarb.Copy !req
519. It wasn't my idea
to move her like this.Copy !req
520. - It's okay. It's okay, Sophie.
- What do you have?Copy !req
521. All right. We got epi, atropine.
How about lidocaine?Copy !req
522. I'll take lidocaine.Copy !req
523. 50 mg bolus,
and 5 every five minutes.Copy !req
524. How's the oxygen?Copy !req
525. Ten minutes.Copy !req
526. You'll be fine.Copy !req
527. Lavage is negative.
Let's get him to the OR.Copy !req
528. Hey, Transport! Give us a hand.Copy !req
529. Dr. Weaver?Copy !req
530. I'm sorry. Have we met?Copy !req
531. You're my doctor.Copy !req
532. We should let her rest.Copy !req
533. We got two more vents coming down.
Who gets the first one?Copy !req
534. Let's start with Inga.Copy !req
535. Are you sure, Inga?
It could be awhile.Copy !req
536. Carter, where's your Attending?Copy !req
537. Dr. Weaver's over here.Copy !req
538. - Do you need more nurses?
- Yes, we do.Copy !req
539. All right. I can float you
three from the ICU.Copy !req
540. Kerry?Copy !req
541. Harriet. What is going on?Copy !req
542. I am so sorry. I had no idea you
were debilitated by the incident.Copy !req
543. What incident?Copy !req
544. Remember I told you there
was a toxic spill?Copy !req
545. Will she be all right?Copy !req
546. Lack of oxygen caused a seizure.
We don't expect any long-term effects.Copy !req
547. This is the action packet
for the chief medical officer...Copy !req
548. which I guess,
for the moment, is you.Copy !req
549. Here's a walkie. I'll check in
with you in half an hour.Copy !req
550. I've got to deal with the elevator.Copy !req
551. - Did you get them out?
- Repairman's on the way. It'll be an hour.Copy !req
552. - There are two sets of doors?
- Yeah.Copy !req
553. - Help me when I open it.
- I can't. I gotta bag her.Copy !req
554. Reach in! Get your body in here.Copy !req
555. - Right there.
- All right.Copy !req
556. - Watch your knee. Go.
- I got it.Copy !req
557. Hang on. We're two and a half
feet short of the floor.Copy !req
558. There's gotta be a latch.Copy !req
559. Come down. What if it moves?Copy !req
560. No worries about commitment.Copy !req
561. - I'm serious.
- I got it. Right there.Copy !req
562. Pull it. Give me another pull.Copy !req
563. What's that?Copy !req
564. It's not the EKG. It's her pulse ox.Copy !req
565. The 02 sat's down to 89.Copy !req
566. Oh, God! Sophie? Sophie?Copy !req
567. - All right, I got it.
- She's unresponsive!Copy !req
568. - Anybody in there?
- We got a little girl in here!Copy !req
569. Got that?Copy !req
570. Hold that there.
We need oxygen!Copy !req
571. - Get us out of here!
- We don't have time! Let's go!Copy !req
572. It won't go any
further than that!Copy !req
573. Come on! It's gonna work.Copy !req
574. Watch your fingers. Hang on.Copy !req
575. - You all right?
- Yeah.Copy !req
576. Okay, hang on.Copy !req
577. Hold it right there. Try this.Copy !req
578. All right.Copy !req
579. - It's not gonna open.
- It's gonna open!Copy !req
580. - Come here. Get your hands in here.
- Grab hold!Copy !req
581. All right, guys. One, two, three!Copy !req
582. - She needs oxygen!
- Got it. Got it.Copy !req
583. Hook her up.Copy !req
584. Go.Copy !req
585. - Here's our little action hero.
- How does it look?Copy !req
586. Like ground beef. No, more
like chopped liver.Copy !req
587. Can we salvage the limb?Copy !req
588. Want my honest opinion?
No, I don't think you do.Copy !req
589. - I'd like to give it our best shot.
- You got it, Lizzie. 110 percent.Copy !req
590. - Can you feel this?
- It's kind of numb. Is that bad?Copy !req
591. It means the leg's tensing.
I'll measure the internal pressure.Copy !req
592. Transducer's up in the ER.
HazMat won't find it.Copy !req
593. All right. Then I need an 18-gauge
needle, IV tubing and a BP manometer.Copy !req
594. You got it.Copy !req
595. Then I watched them put you
on a gurney and give you oxygen.Copy !req
596. Then what happened?Copy !req
597. They moved me from a yellow room
to a green room.Copy !req
598. That would be Trauma 2.
But where was I at that time?Copy !req
599. Then they put you in the yellow room.Copy !req
600. That's where they removed all of your
clothes and put them into a plastic bag.Copy !req
601. Two more to go.Copy !req
602. - What about the ER?
- It'll take awhile.Copy !req
603. - Is there a doctor around?
- Right here.Copy !req
604. Hard to breathe.Copy !req
605. - I'm coming.
- No. Suits only.Copy !req
606. Suit me up. He's in trouble.Copy !req
607. It'll take 15 minutes to suit up.
He'll be out by then.Copy !req
608. Doc, do something!Copy !req
609. You won't let me in? He could die.Copy !req
610. - Mike, give him oxygen!
- Morrie!Copy !req
611. - He's not talking! Do something!
- Get me an airway kit now!Copy !req
612. Give him one more minute.
Tube him when he comes out.Copy !req
613. Morrie! Morrie!Copy !req
614. Help him!Copy !req
615. Do something! Help him!Copy !req
616. That's pretty stupid.Copy !req
617. Do something for Morrie!Copy !req
618. He's dirty now. Let him do it.Copy !req
619. - Anybody here an EMT?
- I'm a medic.Copy !req
620. Bag him when I'm done.Copy !req
621. You got it.Copy !req
622. I'm in.Copy !req
623. - Scrub him.
- Let's go, doc.Copy !req
624. - Let's go.
- Wait.Copy !req
625. Dr. Carter. Come in, Dr. Carter.Copy !req
626. I need to talk to her.Copy !req
627. I got you covered, doc.Copy !req
628. How's he doing?Copy !req
629. He's picking up. Looks good.Copy !req
630. Great.Copy !req
631. Sixty, 70.Copy !req
632. What does that mean?Copy !req
633. The pressure's too high from
the bleeding. We need to operate.Copy !req
634. I need you over here!Copy !req
635. Jerry, book a room!Copy !req
636. Charging to 200. Clear!Copy !req
637. - Still in fib.
- All right. Charge to 300.Copy !req
638. Clear!Copy !req
639. - Can we take him inside?
- In a minute.Copy !req
640. What about my shoes?Copy !req
641. Ernie, take care of Dr. Carter.Copy !req
642. His heart's up to 98.
He's waking up.Copy !req
643. He sounds pretty good. I think
you'll be okay, Morris.Copy !req
644. - Dr. Carter?
- No, man. Real shoes.Copy !req
645. Malik! Help us move him inside?Copy !req
646. Hold up. They're coding
some old lady in the cafeteria.Copy !req
647. I said charge it to 360.Copy !req
648. Wait, it takes time.
The battery's low. Okay.Copy !req
649. Clear!Copy !req
650. Asystole.
How long have we been at this?Copy !req
651. Eighteen minutes.Copy !req
652. She never had a rhythm or a pulse.
That's it.Copy !req
653. Time of death: 22:09.Copy !req
654. OR's ready for Krakowski.Copy !req
655. I've got a fasciotomy.
See if you can find her family.Copy !req
656. Did that lady just die?
I mean, is she dead?Copy !req
657. They're not gonna leave her there?Copy !req
658. - Where are the pre-op labs?
- Here.Copy !req
659. - How long will I be in a cast?
- Four to six weeks.Copy !req
660. - Anna's running the code?
- Yeah, but we just-Copy !req
661. Five rounds of epi. Two of atropine.
Lidocaine-Copy !req
662. Bretylium, amiodarone.Copy !req
663. - Should've been in the ICU.
- Wouldn't have made a difference.Copy !req
664. Might've.Copy !req
665. No. You turned this place into an ICU.Copy !req
666. This isn't an ICU. This is just
something we threw together.Copy !req
667. This shouldn't have happened.Copy !req
668. Look. Inoperable triple-vessel disease.Copy !req
669. It was only a matter of time.Copy !req
670. Mr. Arteburn, you okay?Copy !req
671. Dizzy. Very dizzy.Copy !req
672. Superventricular tachycardia.
Adenosine 6 mgs, IV.Copy !req
673. We don't have any.Copy !req
674. - Jerry, run to the pharmacy.
- Do you need some help?Copy !req
675. Jeanie, help out Dr. Weaver.Copy !req
676. Take it easy.Copy !req
677. Pulse is weak and thready.
Any chest pain?Copy !req
678. We can't wait for adenosine.
It's a cardiovert.Copy !req
679. Lily, grab a crash cart!Copy !req
680. Let's get him into Trendelenberg.Copy !req
681. I'll try carotid sinus massage.Copy !req
682. Yosh. Can you get a BP?Copy !req
683. Lily, charge to 100.Copy !req
684. Mr. Arteburn? Mr. Arteburn?Copy !req
685. - He's unresponsive.
- Give me the paddles.Copy !req
686. - Battery's dead.
- I'll find an extension cord.Copy !req
687. No, there's an outlet.
Help me move him.Copy !req
688. - Move that gurney out of the way!
- BP's 60 palp.Copy !req
689. He's not moving much air.
I gotta tube him.Copy !req
690. Carter? Carter?Copy !req
691. Get ready to start CPR.Copy !req
692. I need an intubation tray.Copy !req
693. Carter?Copy !req
694. Lily, when we get power,
we need to move him.Copy !req
695. Get over here!
I need you to bag him.Copy !req
696. Almost ready!Copy !req
697. Hold that.Copy !req
698. Normal sinus rhythm.Copy !req
699. What are you people
doing to me?Copy !req
700. You had an abnormal heart rhythm.
We had to treat you.Copy !req
701. - By drowning me?
- It's a diving reflex.Copy !req
702. It slows the heart,
breaks the tachycardia.Copy !req
703. You call this the highest standard
of care? Get my doctor on the phone!Copy !req
704. I got the adenosine. We're okay.Copy !req
705. I'll meet you in Recovery. I want
to be there when he wakes up.Copy !req
706. Yes.Copy !req
707. - Elizabeth.
- Hello, Peter.Copy !req
708. I'll be right there.Copy !req
709. Oh, your eye looks worse.Copy !req
710. I'm sure it looks nastier than it is.Copy !req
711. Let me have a look anyway.
You could have a hyphema.Copy !req
712. So I heard about the big rescue.Copy !req
713. You were under a collapsed building?Copy !req
714. Went all out to avoid amputation.
But we had to take his arm anyway.Copy !req
715. Okay. You okay?Copy !req
716. Have to tell Leo about his arm
when he wakes up.Copy !req
717. What about you?
You on call tonight?Copy !req
718. I've got a fasciotomy.
After that, I'm free.Copy !req
719. I could do with some debriefing.Copy !req
720. Take a deep breath in.Copy !req
721. Now blow out.Copy !req
722. Can we get a blood gas in 20 minutes?Copy !req
723. My throat's sore.Copy !req
724. - Give her some water.
- Yep. There you go.Copy !req
725. That was pretty scary, wasn't it?Copy !req
726. No. We do that kind of thing
here every day.Copy !req
727. No. You were scared.
Tell the truth.Copy !req
728. - I was pretty scared.
- I was really scared.Copy !req
729. Honey, I've been looking
all over for you.Copy !req
730. Is she okay?Copy !req
731. She's fine.Copy !req
732. I heard about the fumes.Copy !req
733. - Was she exposed?
- Her lungs weren't exposed.Copy !req
734. - She was never in any danger?
- No, Mom.Copy !req
735. They took really good care of me.Copy !req
736. Excuse me. The ER.Copy !req
737. Okay. Dr. Lemley, if you'll...?Copy !req
738. I'll come back and check on you.
You're in good hands.Copy !req
739. - Thank you.
- You're welcome. Carol?Copy !req
740. - Have Pharmacy restock the drug boxes.
- Sure.Copy !req
741. - Are you still mad at me?
- I was mad?Copy !req
742. - You accused me of spying on you.
- I never said that.Copy !req
743. That's what you meant.Copy !req
744. I was annoyed. You don't
need to check on me.Copy !req
745. I wasn't. I just wanted
to see you last night.Copy !req
746. Me too.Copy !req
747. We shouldn't let that happen
too often, should we?Copy !req
748. I actually think we shouldn't
let that happen at all, but-Copy !req
749. Here goes nothing.Copy !req
750. Okay, Mr. Arteburn.Copy !req
751. Let's put you down into Curtain 1.Copy !req
752. Take Manny and put him in Curtain 2.Copy !req
753. - Morris, 2B.
- Carter, I can take it from here.Copy !req
754. Put the sickest patients
in the trauma rooms and curtains.Copy !req
755. - Jeanie.
- Yeah?Copy !req
756. You and Jerry update the board
and get the phones back.Copy !req
757. - You okay?
- Yeah. I'm fine.Copy !req
758. I spoke with Harriet Spooner,
the incident commander.Copy !req
759. I would like to thank you
for helping me out.Copy !req
760. The administration would like you
to speak with the press.Copy !req
761. We'll meet them together in the
first-floor conference room at 11:15.Copy !req
762. In terms of dealing with these people,
I've got more experience.Copy !req
763. It's important that the emphasis-Copy !req
764. - No. Morris gets that vent!
- All right.Copy !req
765. It's important that the emphasis...Copy !req
766. be placed on the institutional
response to the crisis...Copy !req
767. as opposed to any
individual efforts.Copy !req
768. They would tend to sensationalize.Copy !req
769. I think it's best to say simply that...Copy !req
770. we followed a well-rehearsed
disaster plan...Copy !req
771. and worked with HazMat
to ensure the safety of our patients...Copy !req
772. and also the staff.Copy !req
773. The fire captain wants
to speak with you.Copy !req
774. Oh, right. 11:15?Copy !req
775. - That's right.
- I'll be there.Copy !req
776. I've looked at some of
the causative factors...Copy !req
777. and I can now identify
those at blame.Copy !req
778. What are you talking about?Copy !req
779. I've been on nights,
and during that time...Copy !req
780. the day unit service coordinators
have let the central area deteriorate.Copy !req
781. Jerry, this was a chemical spill.Copy !req
782. Yes, and we were impaired...Copy !req
783. because we were unable to find
this important manual.Copy !req
784. Now that I'm back on days,
you can count on...Copy !req
785. a higher level of efficiency
at the central work area.Copy !req
786. If you pass out again,
I'll have everything under control.Copy !req
787. Dr. Carter!Copy !req
788. Want these back?Copy !req
789. No. Souvenir.Copy !req
790. How do you think your people
handled things?Copy !req
791. Oh, pretty good.Copy !req
792. No. It was a total disaster.Copy !req
793. You guys were caught
with your pants down.Copy !req
794. But you personally did okay
under the circumstances.Copy !req
795. I think you're the guy to work with
on a schedule of disaster drills.Copy !req
796. I don't have that kind of authority.
I'm just an intern.Copy !req
797. You had me fooled.Copy !req
798. You should talk to our chief of staff.Copy !req
799. It was good working with you.Copy !req
800. Hey, Carter!Copy !req
801. Hey! When did you get back?Copy !req
802. Came straight from the airport.
I'm on in five minutes.Copy !req
803. It's good to see you.
How's your mom?Copy !req
804. She's doing better.Copy !req
805. What's with the boots?Copy !req
806. It's kind of a long story.Copy !req