ER

Previously on ER:

Tony and I are done.

Well, it doesn't really matter now, does it?

Luka's father got sick. He had to fly back to Croatia.

Say bye to Daddy. Say bye.

Kevin Moretti. I'm replacing your husband.

Excuse me?

Nobody took a decent history.

What I want is for us to live in mortal fear of doing something wrong.

Neela!

Neela!

Thank you.

How's that done?

Is that a staff meeting? MORRIS: That was fun.

Yeah, can't wait for the next one.

Don't know what this guy's up to. It ain't gonna fly.

Not sure there's anything we can do.

Get Kovac to come back ASAP?

Luka's not the chief anymore. Moretti's the man now.

Well, someone should talk to Anspaugh.

- Me? Why me? - Come on, girl.

- I've seen that old Abby charm. - Old?

Anspaugh's not gonna give a damn that we don't like the new guy.

He's gonna say we haven't given him a chance.

Why? Because he's only been working here 13 hours?

Hey, let's go grab a drink while we plan the revolution.

- I could use something to eat. - You're buying.

Me? No, no, no, I'm not buying, and I'm not going.

Oh, come on. Where's that old Pratt charm?

Oh, maybe just one.

Hi. Are you the charge nurse?

Sent me down from the dean's office, I'm a new intern.

Interns don't start for another month, so you're early.

Actually, I'm late. Like, almost a year.

Had some trouble last spring with the law.

But it's all good now, you can see here.

That's just me. Kind of skyjewkuss, if you know what I mean.

- I don't. - Ah.

Oh, it kind of means off-kilter, in case you were wondering.

I wasn't.

Hey, leave her alone now. He's who you wanna talk to.

Are you Grady? Hi, I'm Kevin Moretti.

So you're my clod of unmolded clay. My tabula rasa.

Aren't you new too? I heard you just took over, like, today.

Lesson number one, take no lessons from anybody here.

That's a paradox. If I take no lessons from anyone here...

I can't take lessons from you...

Except from me, Grady.

Copy that, Rescue 49. Blanket orders for C-spine, IVs, O2.

Multi-victim incident, some crowd trampling.

- Ten minutes out. - Who's on?

You got an R3, a junior, and your lump of Play-Doh there.

We'll take two patients.

I already accepted four majors and 10 minors. That's standard protocol.

Good thing I showed up.

- Aah! - Sats are coming up.

You're doing better, Aaron. You're okay.

We'll drop you off, then get back. There's 50 more victims.

- Who picked up Neela? - I don't know.

Could have been Dumar. Check on it?

Sure, after we drop him off.

- Check on it now! - Aah!

Hey, driver, mellow out up there.

It's okay, buddy. Sorry.

Give me two of MS and a couple of rolls to stabilize.

Yeah, Bardelli in 93 is trying to locate a victim from the park.

No problem.

This will help so it won't move around.

They sound busy.

Are you gonna stick that in me again?

No, it's just gonna go right in your IV. It's pain medication. It won't hurt at all.

Yeah, a female doc, works at County.

- How old is she? - Twenty-nine.

Twenty-nine years old. Name, Neela Rasgotra.

What we need is a unified approach.

Like what?

Like a secret signal to each other...

if we don't agree with what Moretti's saying.

- What are we, like 8 years old? - No, I like it. It's good.

Say we think an intubation is called for and Moretti disagrees...

I can look at Morris across the gurney and go like this:

Heh. Abby, don't encourage him, okay? Heh.

Oh, that can't be good.

Maybe we should get out of here before Moretti decides to...

Ah...

I knew I should have gone home.

Check, please.

Daniel Harrison, 58, chest pain.

ST elevation in leads two and three, shocked him for V-fib.

- Injuries? - I was running to get away.

Heart. He's...

Aspirin, beta blockers, cath lab.

We got a protocol.

Grady, did you ever handle a STEMI?

I think so. MORETTI: Stick with the nurse.

I want door-to-balloon time in under 60 minutes.

Candice Morgan, 16, bad crush injury to the chest.

Tachy to 120, pulse ox, 90, BP, 100/60.

I can't breathe. REIDY: Multiple rib fractures.

Flail chest. She got trampled?

Public-address speaker fell on her. Must weigh 200 pounds.

- Where do you want her? - Trauma 2.

Get her labs cooking. I'll be right in.

We heard there was a riot or something.

Yes, you're back on.

Aaron Gonzalez, chest trauma, crushing to the pelvis.

Gates, what you doing?

I was there, I saw him get hurt.

Get it out, pull it out.

You gotta see more doctors first.

Piece of a protest sign.

Doris, you see Neela? You with her?

Not me.

Hey, Bards, who took Neela? Who transported Neela?

- Never heard. - Neela got hurt?

I tried to get to her but that kid was critical. I had to stay.

Maybe she didn't need an ambulance.

Probably helping.

Guys, come on! We got another 10 victims coming in.

Gates, come on, let's go.

Pulse ox, 92 on 5 liters.

Let's put her on a non-rebreather.

Where are we?

Paradoxical movement in the flail segment.

- X-ray's cooking. - Don't place a chest tube... c.

Unless there's a definite hemothorax. We know.

It hurts a lot. - Another four of morphine.

No, you'll decrease her respiratory drive.

What? She's in pain.

She'll need a good tidal volume. Let's try an epidural.

Look, we can't wait for anesthesia to come down.

You don't have to. I'm credentialed in the procedure.

Call Central for a tray, please.

My granddad, is he coming?

I'll be right back. CANDICE: Does he know I'm here?

Patient ID?

Rasgotra, Neela Rasgotra.

Patients are ID'd by run number, not name.

She's a doctor. The drivers know her.

A minute. I'll run it. MORETTI: How is he doing?

Second intercostal space, midclavicular line.

Another 500 of MS and fresh dressing.

Where's my mom? - She's coming soon, buddy.

I resuscitated the kid in the field, told his mom I'd stay with him.

Where did they take all the other patients?

- I need another two of Kerlix. - Damn it, where is it?

- Check the cart. - Do your secondary survey.

Casualties were transported to multiple hospitals.

- Yeah, which ones? - St. Rafe's, Northwestern...

Hey!

This kid needs your undivided attention.

Give it to him.

How's the pain, sir? - Still a nine.

Another nitro spray.

- When can the cath lab take him? - Five minutes.

- He's had a heparin bolus? - Oh, yeah.

Two B3A receptor blocker?

- Sam? - Uh...

- Like abciximab? - Yeah.

- Eptifibatide? - Yeah.

Oh. They give that to them sometimes down in the cath lab, but not here.

Well, they should.

If you believe The Journal of Cardiology...

that stuff can reduce in-hospital mortality by 50 percent.

Very good. Excuse me.

Should bring that up with Dr. Kayson.

- I will, don't worry. - Dr. Moretti.

This guy on a backboard is miserable.

Pressure's down. MORETTI: Titrate dopamine.

Can you clear his neck?

No. Give him a limited C-spine series.

Okay. Lady in 3, dislocated hip.

No, let one of the residents take her.

They're all busy.

- Sam, start another IV. - Doing it right now.

All right, a little prick here.

Four of morphine, tell her we'll get to her.

- How long? - Are you the attending?

Yeah. Tell her we're busy.

Foreign body to the eye, 10 pain.

Two drops of Alcaine.

- Where do you keep that? - You're asking me?

I got floated from Surgery. I don't know the ER.

Channel 4's outside with a video crew.

No, no.

Also, I got an elderly man with a bad nosebleed on Coumadin.

Just keep pressure on it for now.

Yes, this is County General ER, we're looking for a Neela Rasgotra.

I'm familiar with HIPAA, but she's one of our doctors.

Lab from Trauma 1. You try calling Lutheran and Rush?

Frank, no. Try Ophthalmology, Cardiology and General Surgery.

Let's focus on the patients who are actually here and need our help.

You ready to do the epidural?

I'll be right there.

- Chest film's back. - Does it hurt, mi hijo?

I'm okay. DAWN: Morphine's on board.

Lung's partially collapsed.