Chicago Med

- Oh, so here we go. What letter are we up to now?

J's.

So, Jeremiah if it's a boy,

or Jacinta if it's a girl.

- Hmm... Jeremiah Sexton-Jenkins.

I like it. - Oh, my god, it's a boy?

Or Jacinta Sexton-Jenkins.

You're having fun torturing me

by not telling me the gender of the baby, aren't you?

A little, but hey,

if I can wait 21 more weeks, so can you.

Dr. Rhodes?

Page me if you need me.

Case coming your way.

Window washer fell 33 stories.

Should be DOA, but still alive... Barely.

- 33? - Press will be all over this.

Hospital pr's gonna be involved.

Get ready for your close-up.

Okay, who's next?

Damian butler.

- Damian butler? - That's me.

oh, god.

Won't be much longer.

It's just I have the flu.

It's low priority. I get it.

Sir?

- Maggie, how many minutes out? - They're here.

Baghdad's prepped. - Thanks.

- Justin pepper, 23, long fall, axial load injury

after his window washing platform gave out.

GCS, 3... BP, 70 over PALP... Heart rate, 135.

- All right, that long a fall, we're looking at

injuries to the brain, spine, chest, and abdomen,

let alone long bone fractures.

Maggie, I need extra hands and an O.R. On alert.

Done.

- What's he got for iv access? - 16 gauge on both arms.

- All right, very gently, everybody.

On my count, one, two, three.

- Good luck. - Thanks.

All right, likely cavitary bleeding.

Wheeler, get a groin line. Start the MTP.

Hang two units of o-neg on the rapid transfuser

until we type and cross. X-rays...

I need chest, pelvis, and c-spine.

And let's get the ultrasound over here

to fast his belly.

- Lungs are clear. - All right.

- I'm gonna start the groin line.

- Help me reduce this leg fracture.

Come on, come on. One, two, three...

- x-ray. - All right, step back.

pelvis down.

C-spine. - On the box.

- chest x-ray is up. - Tension hemopneumothorax.

Trachea shifted, venous return is down.

Give me a chest tube.

Show me the pelvis.

Got it.

- Vertical shear of the left hemipelvis...

It needs traction.

Pull up the c-spine.

Up.

Multiple c-spine fractures.

Wheeler, how's that groin line? - Done.

- All right, chest tube's in too.

Let's move.

Justin didn't survive a 330-foot fall

just to die in my trauma bay.

Let's go, let's go! - Go.

- Witnesses report that Mr. Pepper clung to

the window washing platform as it fell,

almost riding it like a surfboard.

Physicists surmise this likely created wind resistance

that not only slowed his plummet,

but also absorbed some of the force from impact.

That might explain how he survived

such a horrific fall.

I'm running the bowel.

Feeling tears.

Hemostat.

Pelvic hematoma and mesenteric bleeders are tied off.

Let's resect the bowel quickly and move on.

Gia 80 stapler with a reload.

- 50% of people who fall four to five stories die.

Ten or 11... it's almost 100%,

so this is a first.

- There's an exception to every rule.

- all right, got some more spaces... next.

Laura Pastino.

Laura Pastino?

No, melody Sayers.

- Okay, uh, treatment 3. I'll be right there.

I'm sorry. - No, this one's on me.

I thought I could sneak in and see a doctor

on my lunch break.

It's bad planning.

- Okay, I'm April. Can I get you anything?

Water? Snack from the meal cart?

- No thanks. Not much of an appetite.

If I need something, I'll just...

Melody?

Are you okay?

Yeah, sorry.

- You just zoned out. That ever happen before?

Probably.

I'm a first-year associate. My law firm's specialty.

60-hour weeks.

Can I see your wrist?

Yeah.

Pulse is really weak.

I'm just exhausted.

I'm gonna go home and sleep.

I'll come back tomorrow.

Your feet hurt?

- Yeah, I've just been sitting for awhile.

Do you mind if I take a look?

Sure.

Ankles are swollen.

Pitting edema.

Do me a favor.

Stick around for a little longer.

I'm gonna get you in.

Okay.

- Americano. - Thank you.

Wow, all this for Connor's trauma?

If it bleeds, it leads.

- Help! I need help!

My husband!

- what happened? - He called me at work.

He said he wasn't feeling well. But then...

But when I came home for lunch, I-I found him like this.

Hey, hey, can you hear me?

Thready pulse, diaphoretic. He's burning up.

- He take any drugs? Could it be an overdose?

No, never.

Septic shock?

- I think so. We gotta get him inside.

- All right, I'm gonna get techs to bring out a gurney,

and set up for central access if we need one.

- I'm gonna help you out of the car, okay?

- No, get back. I can do it myself.

- No, nick, let him help you. Don't let him, please.

- Easy. - Nick, please, no...

Julia... Julia...

I need your help. - I know, baby, I-I...

I'm sorry.

okay, okay.

My legs don't work.

- It's okay, nick. I got you.

Here.

all right.

Let's go.

- Dr. Choi, you're going to treatment 5.

Dr. Manning's already there. - Thanks, mags.

Dr. Reese?

- Oh, my... - This woman needs aid.

Dr. Wheeler!

- I saw her fall crossing the street.

When I got to her, she was unable to speak.

Think she's having a stroke. - Treatment 2.

- Weak pulse... right side of the face is droopy.

Right side body, limp. - What do we got?

Possible stroke.

- Okay. Thanks, super-dude.

You're safe now, ma'am.

oh, lord.

We need a stretcher!

- right now, your son is in shock.

There is massive blood loss from extensive injuries

to his liver, his pelvis, his intestines.

We've packed his abdomen to control the bleeding

and removed a portion of his bowel.

He's still open.

- That's what we call a negative pressure dressing.

It helps to temporize the abdomen...

is Justin going to survive?

- When he arrived in the E.D., he was minute to minute.

Right now, he is hour to hour,

and that is a very good first step.

This is Dr. Rhodes.

Who is this and how did you get this number?

No, my patient is very much alive, thank you.

- Sounds like the press got to you before we did.

Dr. Connor Rhodes, this is Evelyn Kumer,

public affairs rep for the hospital.

She'll be coordinating all media platforms.

So, reporters got your number?

- Yeah, they wanted to know if Justin had died

on the operating table.

Where do they get this crap?

- Who knows? But the rumor mill is grinding.

And you're in the spotlight.

A man falls 33 stories and is still alive?

People are gonna want to know,

is this a miracle or a setup for tragedy?

Excuse me.

- Until we know for sure how this is gonna turn out,

let's stick with "no comment."