Code Black

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Hello, residents. Dr. Rorish will be here shortly.

For now, you got me.

I'm Jesse sallander.

For the next three years, I'm your mama.

I'm the senior E.R. nurse, and I can promise you

there's nothing that goes on in this house

your mama don't know about.

Try hiding something, your mama will find out.

You think you're smarter than your mama

because you got an M.D.?

Well, you are not.

Your mama knows when you're lying, crying, or dying,

and it's not only my job to teach you right from wrong,

but to make sure you don't leave here in three years

thinking you can do no wrong.

Guys, can we clean this up, please?

Mario: You resident or attending?

First-year resident, like you. My name's Christa.

Mario. Where'd you intern?

UCLA.

Can't beat the tuition, right?

Wouldn't know. NYU.

I'll be paying off loans till I'm your age.

Thank you.

Thousands of newly minted doctors like yourself

apply every year to learn emergency medicine

in the civic cathedral, which you are about to enter.

This is why you're here.

The most famous strip of hospital real estate

in the nation, where emergency medicine was born,

where the secret service reserves a trauma bed

for the president of the United States

when he is in Los Angeles.

This is Trauma-1, Angels Memorial.

These stalls around the perimeter,

which we call the Sides, are for the patients

who put off dying for a few minutes.

And then this here, this is for the ones

who are trying to die on you right this second.

This, ladies and gentlemen, is Center Stage.

People come here for one reason and one reason only...

To get one last miracle.

Now, in your mama's house, there is a number-one rule,

and in order that you properly obey this number-one rule,

ask me all the questions you think are stupid.

Why? Because you're gonna be too afraid to ask daddy.

So better to ask me than to violate the number-one rule,

which is that you are not, under any circumstances,

allowed to kill a guest in my house.

If he's mama, who's daddy?

Somebody's at the door!

Homeboy drop-off! Let's move!

That's daddy.

Grab some gloves, follow me.

What the hell's a homeboy drop-off?

Gangbangers leave their wounded on the sidewalk.

Jesse put up a doorbell.

"Homeboy drop-off"? That sounds racist.

They gave it that name, not us.

Oh, my God.

Mario: What the hell?

Keep it together! Come on!

Leanne: Got a heavy bleeder up front. Check the back.

Malaya: Back's empty.

Gunshot wound to the neck, obliterated carotid.

He's lost half his volume here.

Jesse, we got to get him out of here.

Let's get the gurney underneath him, please. Go.

All right, you... Get over there on the other side

and push with both legs.

One, two, three... Go!

Put him up.

Watch his head. One more time. Let's go.

One, two, three, go!

All right, you, ride up top.

Malaya: I can do it.

Get up there.

All right, careful, careful.

Put your finger down where my finger is, right?

You feel that little thing wiggling around like a worm

trying to get away?

Okay, that's the carotid artery.

Your finger is now the only thing keeping that man alive.

Okay, go.

Life is measured here in split seconds.

Hesitate, and people die.

I'm gonna need some suction.

Ella, Ella. Call a T.T.A.

Jesse, call the blood bank.

Tell them I need 6 to 8 units and notify the O.R.

Copy that.

Off to Level 1, all right.

Got a gunshot wound, male.

One hole. I don't know if there's more.

N.V.P. Now!

R.S.I. Etomidate. 20 milligrams.

Sux 140, please. Push it on my mark.

Meds are ready.

Push it now, please.

Okay. Okay, now's a good time to get down.

- Come on, come on. - Copy that.

Do you want me to get the labs

for transfusion type and cross match?

No, but you can take over CPR.

But the blood loss is critical.

Look at his pulse, doctor.

This man's heart needs assistance.

Leanne: Stop compressions so we can intubate.

- You got it? - Yeah.

Who can tell me why this patient cannot be transfused

with type and cross-match blood?

Anyone?

'Cause it takes an hour. He doesn't have an hour.

He needs O-neg, which is here now.

Thank you, Jesse.

But six units? That's a lot of blood.

By the time he gets sewn up, he'll have lost that and more.

Hang on. She's right.

Yeah.

It's gonna take a vascular surgeon an hour

to replace that vessel, and he doesn't have an hour.

He doesn't have 10 minutes.

And all that blood's gonna end up on the floor

underneath a dead man.

It's Friday night, mama. We're gonna need that blood.

Yes, we will.

You're not gonna transfuse him?

Wait. You're just gonna kill him?

Neal: What's going on?

I need a vas cath in his "L" subclavian

and all the cold saline that I can get.

Leanne? A word?

Who can tell me what I'm doing?

Woman: Cold saline, coming in.

Anyone?

I'm replacing all the patient's blood with ice-cold saline.

Why am I doing that?

You shouldn't be. He's already decompensating.

I need assistance, Dr. Hudson.

I'll take it black with no sugar.

That's a man on that table, Leanne.

You... are you ready to speak yet?

The theory of cold infusion is that it can create

a temporary suspension of animation through hypothermia,

buying the patient, in theory, the hour it'll take a surgeon

to repair the artery.

Bingo. So you were right.

We are going to kill him.

We're going to kill him to save him.

All right. Let it go, let it go.

- You have the cold saline? - Yep. Stat it.

Jesse: Suction.

A cold infusion. It's an experimental procedure.

It doesn't even have I.R.B. approval yet.

Sounds exciting.

You're the director of the E.R., Mark.

Where's your concern?

Left it in a bottle of Xanax.

The patient survived, Neal.

Well, this time.

Look, it was a horrible thing that happened to Leanne.

We all felt it.

But in the three years since, she's had more dropouts

than any residency director we've ever had.

She's become more dangerous and more reckless.

She's been investigated... What... four times by the State.

Exonerated four times.

I mean, where are we going with this?

She's different. You know she is.

No, what I know is that while the accident was deeply tragic,

all that rage made her better.

You know, more dropouts, yes,

but the ones that got through her

went on to better jobs at better hospitals.

She makes great docs, Neal.

The board likes her, which means I love her.

You wanted to see me?

Uh, yeah. You put a patient into suspended animation.

How's he doing? Has he, uh, reached hyperspace yet?

He's in the O.R., getting his carotid sewn up.

And all of his blood is safely back inside him.

Don't ever challenge me in front of my residents again.

You were performing an unapproved procedure on a patient, Leanne.

Uh, Neal, your old lady here, she's, uh, trying to get up.

Miss? Miss, you can't do that, okay?

The patient was in the grave. And I brought him back.

That's a win in anyone's book.

Not yours.

You know, when I was a resident,

you always said they're not scorecards.

They're actual people.

Careful.

I think I know a little bit better than you

that kid is an actual person, that he has an actual family

who's praying that if their son gets brought in here E.S.I.-1,

he'll be treated by a doctor who will do everything