Grey's Anatomy

Researchers and patient safety experts

are still trying to answer this important question...

How many people die every year from medical mistakes?

Mistakes include misdiagnoses,

hospital-acquired infections,

medication errors, patient falls,

and discharging patients too early.

Happy Halloween.

Ugh.

As terrifying as it can be for patients

to think they might die from a medical error,

it's also terrifying for doctors.

Oh, Schmitt, Ms. Rose needs an N.G. tube.

I already put that in. She pulled it out.

That is the third time she...

I will reinsert it and bridle it this time. Mm-hmm.

Um, you also need to get the family's consent

for the PEG tube in 1204.

Uh, consent, right.

Uh, is that it? Is that it?

Schmitt.

Come on. Princess Leia?

Also Senator and General.

Pru is on her way

to go trick-or-treating around the hospital.

She's gonna be an Ewok.

It's her third costume of the day.

It's cute, right?

It's so cute.

Yes. Oh, no. That's, um...

Yes. Ah, better.

Hey, and don't forget

Webber's pumpkin-carving contest, Dr. Schmitt.

I wasn't invited to that.

Even if our mistakes are innocent,

they become etched onto our souls like tombstones.

And if you never do anything to process these memories,

they will come back to haunt you when you least expect it.

What are y'all watching?

Oh, "First Year Scrub Room Freak Out."

Someone posted it this morning. It's all over the place.

Oh! Ooh! Ohhh!

Now Bamm-Bamm's throwing stuff.

"The Flintstones."

What is she doing with that box of...

Ah!

Out the window. Nice.

Well, maybe she lost a patient?

Well, she lost something.

Her privacy.

Focus.

Creativity.

Surgical dexterity.

All qualities an amazing surgeon must master

to be a success in the O.R.

Welcome to the Grey-Sloan Memorial

Pumpkin Carving Contest.

I already hate this. Do we get a prize?

Pumpkin carving is an excellent way

to practice delicacy and precision.

The more elaborate the vision, the better.

Uh, Dr. Pierce needs an intern in the pit.

Griffith, you go.

We'll save you one.

All right, who's ready to choose a gourd?

Woman over P.A.: Dr. Wagner to radiology.

Oh, hey, uh, Mr. Jancy's chest X-rays looked clear,

so I just discharged him.

I think he wanted to get home for trick-or-treating.

I see you're scheduled for vascular procedures tomorrow.

Yeah, Dr. Param is still out on paternity leave,

so I just offered to help out.

Is that a problem? No.

No, I just... Hey.

Hey. I'm headed out.

I'm gonna take the kids trick-or-treating.

Do not bring them candy from the lounge. They have enough.

How am I supposed to maintain my favorite-auntie status?

Okay. Boom. We got them. Bodies.

You got them? Yeah, we got them.

Winston: Bodies? Yes.

Freshly deceased, releases signed,

ready to get hooked up to the machines and everything.

Okay, so we're doing this tonight?

Yes. Fresh tissue decomposes quickly. We have to.

Okay, so you go find the interns.

Okay. I will find Owen.

Hey, can one of you stay and help?

I find this conversation disturbing.

Are you in? Yeah.

Let's go. Okay.

Woman over PA: Dr. Andorka to the NICU.

Dr. Mary Andorka to the NICU.

Ta-da!

Hey.

Ooh. We get anything good?

No, oh, we are all waiting until after dinner, Uncle Link.

What are you doing for your cancerversary tonight?

I was thinking... you, me, dinner, foot rub...

Okay.

Or just dinner.

Or... nothing?

They asked me to take an extra shift. I'm sorry.

Yeah. No problem.

No, really, don't feel bad.

These are the exact moments for... Tinder.

Tinder? On Halloween? What's your costume?

Businessman?

Sexy doctor. Ha! Okay.

Oh, perfect for this sexy nurse, huh?

That's sexist.

We could start a sexy practice.

What is wrong with you?

Oh. Oh, there's a lot of them.

No.

Bye.

How far out?

Any minute.

Please say that Webber sent me more than one intern

for Halloween night.

I'm actually with Dr. Pierce.

You remember how this night is for cardio.

A lot of jump scares, a lot of heart attacks.

What do we got?

16-year-old male, fall from 30 feet

with blunt trauma to chest, negative LOC,

possible left upper extremity fractures.

Hypotensive. Tachy in the 130s.

Sats 92%. Do we know what happened?

He and his buddy took a flying leap off a roof

trying to land in a swimming pool.

This one missed. Friend's in the other rig.

All right, take him to Trauma One.

What do we got?

16-year-old male, fall from height,

no loss of consciousness.

He landed in water.

No visible injuries, heart rate's 130.

Jarah? We flew!

We flew, man.

They both took LSD.

All right, Trauma One.

Why do they always think that they can fly?

Oh, nice job, Adams.

Classic.

They ate too much.

What? I'm scared of pumpkins.

The smell, the texture, everything.

Pumpkin spice? Bread?

Candles?

What did I ever do to you?

[cellphones vibrating and chiming]

It's Dr. Marsh. Trauma alert.

It just says Sim Lab.

There's a trauma in the sim lab?

You'd better go.

It shouldn't take you five minutes

to respond to a trauma page.

Where's the trauma?

Ever since we moved towards more minimally invasive techniques

in nonsurgical management,

interns have had less and less opportunity

to train on open traumas.

Right, there’s blunt trauma, penetrating trauma, open wounds.

Every hospital may not see them everyday,

but you still need to learn them.

And you will. Starting tonight.

Every year, Dr. Hunt runs a trauma training session,

usually in the parking lot with dummies.

This year...

Fresh tissue cadaver.

Real body, fake blood.

You're welcome. Happy Halloween.

Okay, 32-year-old male, stab wound to the left chest,

B.P. is 90/40, tachy in the 120s, sats in the high 80s.

Oh, w... what are we supposed to do?

Save him.

Come on. Uh, okay.

Sorry. That's mine.

Ow! Sorry, sorry.

He has a hemothorax. Prep for a chest tube.

Dr. Pierce.

Flail chest. Tell me why.

Because he has five broken and displaced ribs,

which disrupted the stability of the chest wall.

After we stabilize him, we have to get him to C.T.

Jarah! Oh, God, that's my son!

What happened to him?