The Pitt

- Robby! - Whoa, whoa, whoa.

What's going on here?

I disabled my ankle monitor because it was going off

and fucking with our ability to help patients

during the mass casualty.

Tell that to your judge.

This is my resident. I need her.

Call Gloria. Can you at least wait a second

to speak to our chief medical officer?

No, but they can call the Department

if they have any questions.

We just came through the worst mass casualty incident

in this city's history, and you two are

fucking around with this? Are you serious?

You don't have anything better to do?

Officer Harrelson, can you... please.

Is there a problem here?

She disabled her ankle monitor.

It was malfunctioning.

She's in a custody battle with a restraining order

and is considered a flight risk.

That is bullshit.

It was interfering with our ability to treat patients.

I'm not sure we could have saved Officer Stefano

if she hadn't disabled the damn thing.

Is that true?

They saved Stefano's life.

They saved a lot of lives.

Take care of this first thing tomorrow morning?

I swear.

Take the cuffs off.

Thank you.

- Thank you. - Thank you.

For everything you did here tonight.

- Do I even want to know? - Probably not.

Good.

What's your status down here?

We have had 112 mass casualty patients

come through here in the last three hours.

Only six people that we couldn't save.

They are still in our makeshift morgue in Pedes.

71 people went upstairs.

Last I heard, surgery had stabilized

the 39 most critical red zone, 32 pink zone patients.

We also had 24 yellow zone patients,

many of whom are getting orthopedic surgery as we speak.

The police are still interviewing

everybody else that's still down here.

We discharged eight people,

and I don't know the status of the green zone patients

because I wasn't there.

You'll have to check with Family Medicine.

Impressive.

I need you and Abbot to turn your patients over

to the night shift now, and then...

Oh, sorry.

Hello?

What? No.

We need to be back up and running now.

Tell security to open the ER doors for walk-ins.

If you've got a triage nurse and registration clerks,

you should already be open.

You ready to give this measles kid to Dr. Shen

- and go home? - Oh, no. I'm... I'm OK.

- Are you sure? - Yeah.

It's just... we've repeatedly tried

to explain the importance and low risk of the spinal tap,

and the parents are...

they're risking their son's life.

Hopefully, they'll come around.

And if they don't?

We do the best that we can.

Some things are out of our control.

Dr. Shen, how are we progressing in here?

No improvement... in the patient or his family.

Where is your wife and daughter, Mr. Edwards?

My wife took Georgia to the bathroom.

OK.

Well, your son, Flynn, is critically ill,

and the longer that we wait, the worse this could get.

Without the spinal tap,

we don't know the best treatment to give him

to give him the best chance of recovery.

What's going on?

We were discussing the options

for treating your son.

He already looks better.

He is not.

And by refusing the spinal tap, we don't know how to help him.

The steroids could kill him if it's just pneumonia.

The steroids could save him if it's ADEM,

and the longer that we wait,

the greater the risk of him dying.

- Flynn might die? - No, honey.

He's just got a worse version of what you had.

I'll keep him intubated, hydrated,

and pumping the antibiotics.

I'll let you know if anything changes.

Mr. Edwards, may I speak with you outside please?

Go. I've heard enough.

Tell me about your son.

He's a great kid. He's kind.

He's very good to his little sister.

- You two close? - Yeah.

Not like my old man.

- Samira, finish up. - He was not around very much.

He didn't really care what we were doing.

Does Flynn play any sports?

Baseball, soccer, basketball.

David?

My wife doesn't want him playing football,

or he'd be doing that too.

Do you get to many games?

I do my best.

Vic identification.

What the hell is this?

These are the people from the PittFest shooting

that we couldn't save today.

We couldn't save them,

but we can still save your son.

You're an asshole.

Yeah.

I'm an asshole

who's trying to save your son's life.

We still need charts for two patients

in North, three in South.

All right, we're on it. Just give us a hot minute.

Hey, Lee Ann, can you check out the ones she's talking about?

Code Tan, basement receiving.

- Code Tan, basement receiving. - What's a Code Tan?

Illness or injury in a public area of the hospital.

Usually a fainting or a fall.

Hey, Gloria wants day shift to get out of here,

sooner rather than later, so wrap it up.

Gotcha.

Repeat labs back on our blue man, Max.

Running through agents that cause methemoglobinemia,

mainly drugs and toxins.

Yeah, drugs like topical anesthetics from the dentist,

antibiotics to treat malaria, leprosy.

Yeah, I can see if he's taking any of those.

Also ask about industrial toxins.

Aniline dyes, benzene.

There's also food additives, nitrates, nitrites.

Some of those are available online as suicide kits.

You think he may have tried to hurt himself?

Maybe, or he was poisoned.

I had a guy today whose wife was spiking

- his coffee with progesterone. - Jesus.

And I thought the crazies were for the night shift.

She wasn't crazy, just desperate.

Help. Police!

Officer.

I'm being held here against my will.

What else do we know about him?

Nothing, really.

He was too groggy to talk, but I can give it another shot.

- Go for it, Sherlock. - Will do.

Last pink patient going upstairs.

- You two hanging in? - Oh, yeah.

OK, start wrapping it up, and then hand off

what you have left to the night shift.

- Can we talk? - Go home.

- I don't want to tell you again. - You needed me here.

Do you have any idea how much trouble you're in?

Only if you report me.

I'm gonna pretend that I didn't...

Robby! Pelvic crush injury.

Don't even think about it.

Thought we were closed to trauma.

This is the Code Tan.

He got pinned behind a truck backing up

with replacement supplies.

Pulse is weak and thready, tachy at...

Grab me some monitor leads please.

100% non-rebreather.

Let's draw up 120 of ketamine,

100 of rock, and page trauma surgery please.

The hell did this guy come from?

- Our loading dock. - Oh, my God.

OK, I got the EFAST. Grab a binder.

- Obvious pelvic fracture. - I'm in a lot of pain!

You taking any medications?

Crestor.

- Any drug allergies? - No.

- Am I gonna be OK? - Absolutely.

- We got you, Hector. - BP 68 over 42, pulse 130.

I got a 14 gauge in the left AC.

Whole blood massive transfusion protocol.

Uh, we got whole blood coming in

from Erie and Youngstown. I'm not sure it's here yet.

Let's go one-to-one-to-one, red cells,

platelets, and plasma. We've got that.

Let's place an IJ after the intubation please.

- On it. - OK, EFAST negative.

It's all retroperitoneal. No blood at the meatus.

Pass a Foley.

Hector, you crushed all the bones in your pelvis,

and you've got some internal bleeding.

We need to sedate you to treat you.