The Pitt

You know where your son is now?

No, but he hasn't done anything.

Officer, why are you here?

We received a call that her son, David,

has created a list of girls he would like to eliminate.

Who called you?

Do you know anything about this list?

Somebody called you. Who?

Somebody from my hospital?

Uh, Dr. McKay.

- Air retinue, ETA now. - Who is that?

Air retinue, ETA now.

I will be right back.

Teddy, 28 years old, burned in a gas tank explosion.

Paramedics estimate 90% BSA.

Trauma 1's open.

We managed to get a 20 gauge on the right AC.

First liter of LR running wide open.

Vitals are good, pulse ox 97.

Teddy, are you in a lot of pain right now?

Not as much as I should be.

OK.

Mainly third degree.

Singed nasal hairs. Soot in oropharynx.

Do you have family on the way?

Amy. My wife.

What happened?

I was transferring gas from a 200-gallon

fuel tank to my tractor.

Kaboom.

Let's set up for intubation.

Whitaker, run the Parkland formula.

OK, titrate morphine. Page Garcia.

And I will be back for the intubation.

On it, boss.

Don't, don't, don't! Don't touch me!

I'm fine.

Jesus fucking Christ!

- It's... it's OK. - OK.

- I'm fine. - OK. OK, come here.

- Holy shit! - Whoa, whoa, whoa, whoa!

- Grabbing ice packs. - I got the cart.

What happened?

Just got punched. Just took a fall.

OK. I'm fine.

Who punched you?

Just an unhappy patient.

- A patient hit you? - Yeah.

Happens all the time. I got my cheek broken.

- I lost a tooth. - Oh.

- We've all been assaulted. - Go get Ahmad.

- Did you hit your head? - Uh, yep, probably,

but no LOC, just... just a bloody nose.

OK, pressure.

OK, OK, OK.

Any trouble seeing? Any double vision?

- No. - I'll grab you new scrubs.

- What about a headache? - A little, yeah.

- We need to find her a room. - I do not need a room!

Dave, move North 1 to the hall.

- Follow my finger. -

Right, left, up, down.

EOM is intact.

Who did this?

It was a pissed off patient, but he split,

so just forget it.

Forget... hell no.

Look, I want a name.

Doug Driscoll. Doug Driscoll.

- That asshole in Chairs? - Yeah.

I'm calling the cops.

I'll get a wheelchair.

Pupils are equal and reactive.

No septal hematoma.

Should someone call your husband?

- Absolutely not. - OK.

- - Tell me when it's sore.

Ah!

Tender at the nasion. CT head and maxillofacial.

I'll give them a heads up.

Is that really necessary?

You have at least one facial fracture.

With the headache and the fall,

I want to rule out anything intracranial.

OK, who can step up for Dana

while she's getting checked out?

- Perlah. - Thank you.

OK, guys, we got about three hours left in this shift,

and I need everybody to step up.

- Is that clear? - Yes.

- Yep. - Yes, sir.

I can't believe they allow you

around med students, Langdon.

Don't pick up any of his bad habits.

You know the difference

between surgeons and serial killers?

Serial killers don't bill their victims.

Cute.

You guys staying ahead with his fluids?

Per the Parkland, 4 per kilo times 90% burned.

- Wow. - 27 liters over 24 hours.

He's had two so far.

Lactated ringers at 1.785 liters per hour

for the next seven hours.

I'll program the pump.

We got a second IV.

Hello, sir. I'm Dr. Garcia.

Need to peek under these dressings.

Are we ready to intubate?

Wife should be here any minute.

Whitaker, earlier, you said third degree.

We refer to burns as either being full thickness

or partial thickness.

Looks like 60% to 70% full, 20% to 30% partial.

Intubation meds?

- 120 Rocuronium, 100 Ketamine. - Got it.

Can you draw them up and hold them?

Vitals are good, but gonna need

a pan scan after intubation.

Oh, my God!

Oh, my God! No, no, no.

Oh, Teddy.

I... I'm Amy.

I'm Teddy's wife. How is he?

He's stable for now.

- I'm OK, honey. - OK.

Teddy, you've got severe burns

covering most of your body.

You've also burned the inside of your throat.

Just to be safe, I need to put in a breathing tube,

and you won't be able to speak.

We need to do this now before his throat swells,

and it becomes difficult for him to breathe.

So if there's anything you two want to say to each other,

this is the time to do it.

OK.

I'm gonna be OK.

Can... can I kiss him?

Yes, of course.

- -

Ready to intubate.

Push Ketamine, then Roc.

I'm right here, OK?

Code stroke, emergency department.

Code stroke, emergency department.

- Ketamine is going in. - OK, I will be right back.

Jane Doe, looks like she's in her 20s.

Obvious aphasia, right-sided hemiparesis, and facial droop.

- Hi. What's your name? -

Nod your head if you understand.

Receptive and expressive aphasia.

No motor strength in the right arm.

Open your mouth.

Gag reflex present.

Left motor intact.

BP's 150 over 88.

- Where should we go? - AccuCheck is 73.

Straight to Radiology.

CT brain without contrast, perfusion scan,

CT angio head and neck.

- Hey, Crowe, wanna hang back? - Yeah.

So you didn't get a name on her?

Uh, we looked.

Couldn't find a wallet or an ID.

But we had to jam out of there 'cause it was a Code Stroke.

- Who called 911? - Well, apparently,

our Jane Doe is a professional gamer.

She was a no-show for some big tournament.

So her teammate in Dubai calls another teammate in Houston,

who called 911 here.

Who gets a stroke in their 20s?

That's what you get to figure out.

OK, come find me after the scan results are back.

Who called the cops on David Saunders?

I did.

Mom!

Harrison?

Hey. Hey.

Are you OK? How'd you get here?

With Dad.

Chad Ashcroft, 39, skateboarding accident.

Deformity of the right ankle.

No LOC, good vitals.

Got four of morphine en route.

Skateboarding? Really?

I'm fine, by the way.

You know this guy?

Unfortunately.

- Ah! - Looks trimalleolar.

I was hoping for a dislocation.

40 hospitals in Pittsburgh,

and you just had to choose mine?

You think I want to be in this shithole?

I told him to take me to Presby.

You were the closest hospital,

so here we are. Where should we put him?

- On the curb? - Ah.

Are you two family?

- Ex. - Ex.

This is Chad, Harrison's dad.