Chicago Med

- Chicago med, we're inbound with a 24-year-old female,

cheryl martin, high-speed collision on route 30,

t-boned on the passenger side.

34 weeks pregnant, chest and belly pain.

Heart rate 124, bp 102 over 80.

- Got it. We'll be waiting.

Dr. Halstead? - Maggie?

- Incoming helo, ten minutes out.

double cappuccino.

- what are you doing with my phone?

I'm posting this.

- my little girl... Please...

baghdad.

- Page ob. - Got it.

- Maggie. - Yep.

- Dad? - I'm here, honey.

- You need an assistant? - Sure.

- Coming through. - Need x-rays, chest and pelvis.

- Got it. - Sir, what is your name?

Ray.

- Why don't you come with me and let the doctors

do their work, okay? This way.

- Dad, dad, please. - Stay right here.

He'll be right here, sweetie.

On my count, one, two, three.

I need the ultrasound.

Should I start a femoral line?

- I'll do that. - Okay, get a triple...

Excuse me.

Lungs are wet.

Belly's soft but tender.

Get a cbc, type and screen, kb and coags.

If she's rh negative, give rhogam.

- Got good heart tones and fetal movement.

Baby and placenta look okay.

I'm in.

Clear!

Natalie.

- Left hemothorax. She's bleeding.

- Put in a chest tube and give her back

all the blood you get out.

- We're going to put a tube in your chest, okay?

- My baby? - Won't hurt the baby.

Betadyne, lidocaine. - I got it.

I'm in.

- Secure the tube and let's get her over to ct.

- we're taking your daughter up for a cat scan; you can come.

Okay.

Dr. Rhodes.

Welcome to ct surgery.

Dr. Latham, thank you.

- I'll be supervising your fellowship.

I look forward to it.

- Dr. Downey thought very highly of you.

I'm curious. There are rumors.

Did you kill him?

I'm sorry?

Did you?

- Well, yes, I killed him and several other patients as well.

You're being sarcastic.

- Yes, dr. Latham. I am being sarcastic.

- I can see why you might have found that inappropriate.

Oh, I should tell you...

You weren't my first choice for this fellowship.

I preferred a young woman from groote schuur,

but I was out-voted. Hmm.

Such is life.

That being said, I hope we will work well together.

Sputum test was negative.

Chest is clear.

Night sweats?

- No. - Good.

Tb's still latent.

For now.

- No reason it shouldn't stay that way.

Anything I need to know?

- I worry about tate and his son.

- They've been tested, April, they're negative.

And you're not contagious.

I know, I know, but...

What?

I just don't feel...

Clean.

New residents settling in?

- Yeah. Now I just got to keep 'em from killing people.

- July 1st is not a good day to need a hospital.

and how are you doing?

- Cleaned out bert's desk this morning.

Thought it would make me feel better.

It didn't. - Mm.

- Good morning. - Dr. Choi.

- Our new chief resident will need this.

E.D. Staff contact list. - Thank you.

Oh, and one more thing.

I know I got the chief resident's gavel here somewhere.

- funny. By the way, maggie,

I've got some ideas to improve patient flow.

- Oh. Can't wait to hear about them.

I hate killing their dreams.

- No, you like to let them hang themselves.

Morning.

Hey.

Here are my scheduling sheets.

Last chief res gave them to me.

- Thanks, but I've got my own system.

How we ran sick bay on the carrier.

- Hey, dr. Choi, I'm taking off.

I texted you I'm switching shifts with elise baker.

Right, yeah.

And she also... she called.

She said she's going to be a little late.

She has to take her kid in for shots.

No problem, thanks.

- Sure you don't want these sheets?

No, I got it.

Dr. Choi, we need you.

Chout, talk to me.

- Emmie miles, 15-year-old girl.

Found unconscious, suspected opioid overdose.

She appeared to have smoked a fentanyl patch.

- Okay, we're going to treatment...

- six. I got it, maggie.

- All right. - You give her narcan?

- Five times. She responded in the ambo.

Just slid back into overdose.

All right, let's move her.

On my count. Ready?

One, two, three.

April, let's give her another two milligrams narcan

and hang a drip. - Got it.

- Bring her down slowly, don't want to precipitate withdrawal.

Chout, fentanyl patch. This girl try to kill herself?

No idea, doc.

- Grande quad half-caf nonfat no whip mocha.

Not half-caf.

Three shots regular, one shot decaf.

- Okay. So what happened to your knee?

- I'm embarrassed to say, I tripped over a suitcase.

Missed my conference in lyon.

At least I got to practice french

with an orthopedic nurse from montreal.

So, dr. Reese, the reason why I'm here,

uh, aside from the coffee, of course,

is that med has a residency opening for you.

- I'll take it. - On my service.

- Psychiatry? - Enough foam, enough foam.

Okay.

Um... Dr. Charles, thank you,

but I've never considered psychiatry.

I don't think I'm equipped.

- I think you have all the tools.

You're a problem solver.

You pay attention.

And look at how beautiful you're making my coffee

despite all my meddling.

- But... I don't know how to talk to people.

- It's actually more about listening than talking.

- Grande quad 3/4-caf nonfat no whip mocha.

I tell you what.

How about you come and spend the day with me,

and then see what you think.

- She has a contained rupture of the aorta.

A pseudoaneurysm.

That's how we read it.

It's leaking.

Let's get her up to the cath lab, fix it.

Cheryl's 34 weeks pregnant.

Wouldn't that irradiate the baby?

- Well, it's not ideal, but it's very little radiation.

- What about surgery? - That's the other option.

- We'd have to put her on bypass.

We can't protect the baby's heart rate.

- So let's give her a c-section.

Take the baby out of the equation.

- No. She could still carry this baby to term.

- Natalie, you are very concerned about the baby,

but what about the mother?

She is lying there with an aortic injury.

Honey. - Dad.

- Your daughter has some damage to her aorta.

It's what we call a pseudoaneurysm.

And it caused a leak in the vessel wall.

- Sometimes a leak like this will stop on its own.

If that's the case, then cheryl will be able

to carry the baby to term.

So at this point, we're just going to wait and watch.

- We're going to take her up to the icu

where we can keep a close eye on her.

Whatever you think is best.

Oh, my chest. Oh!

- Mr. Buckner? - Daddy!

- He's having an m.I. - Dad?

- Oh, oh. - Daddy, what's happening?

- No pulse. Code blue!

Radiology hallway! We need a crash cart.

- Yes, doctor. - Daddy!

- We're going to take care of him; just lie still.

Just stay here.

Nat, get a quick look.

- he's in v-fib. Charge to 200.