The Pitt

Structural collapse at the water park...

Two victims coming in via helicopter.

ETA, five minutes. - Time to rally the troops.

I'll get environmental

to clear and prep the trauma rooms.

Emma, restock the crash carts.

Makedah, take the latest scripts to the drug cage.

- Should be a fun one. - "Fun one"? What's up?

Slide broke at the water park...

Two victims, five minutes to touchdown.

No information on extent of injuries.

I can jump in with...

Ogilvie, grab some goggles, gloves, gown.

Go up to the roof.

First patient that lands, bring 'em down.

We got two choppers.

You want to grab some bodies and meet me?

What injuries are we expecting?

Structural collapse. Could be anything.

I can increase the morphine drip to manage the pain,

but that could also slow down your breathing.

You will likely feel very drowsy.

You may lose consciousness.

And it could cause you to stop breathing altogether.

I'll be right back.

Hey, you okay? - Yeah.

Yeah. Sorry.

Look, it's hard seeing your patients die.

But as professionals, we have to create emotional boundaries

for ourselves.

It's not about us. It's about them.

She's so calm. I just...

Yeah.

She's had a long time to prepare for this moment.

What she's doing for her sons...

Managing this with so much grace...

It's a real gift of love.

I feel like an asshole.

All they want is more time with their mother.

All I want is less time with mine.

Don't feel guilty.

I mean, you can be grateful and gracious from a distance.

Just talk to her. Tell her what you want.

She'll understand.

I just... I doubt that.

Give her a chance, you know? She may surprise you.

Hey.

Two birds headed our way. Need a hand?

That's the rumor.

Santos, trauma incoming. Grab a gown.

You can assist Dr. Langdon.

Fuck me.

Jesus, I got blood tubes growing moss over here.

Ticktock, people.

Hey, Olive, do me a solid... Run these to the lab.

No problem.

Uh, I got more lab results.

Start putting them on the patient clipboards,

PTMC Emergency. Go ahead, Medic Command.

Do cyber attacks happen often?

- More than you realize. - I blame the Russkies.

Dr. Mohan, it's your mother?

She sounds pretty upset.

Says she really needs to talk to you.

You're shitting me.

Um, tell her I'm not available.

How's your shift going?

It's been a lot already.

You know, I worked in an ER before, up in Vermont,

and we had MVAs and ODs, MIs.

But this place

this place is relentless.

Holiday weekend. We're not normally offline.

I think we have a very different idea of normal.

It's not for everyone.

I'm not sure it's healthy for anybody.

Here's her leg.

Jesus.

I need more runners.

Oh, you could shut down the gift shop.

They always have a couple of volunteers there.

Most of those volunteers use walkers.

Beggars can't be choosers.

Go get 'em.

Okay, I'm gonna grab a smoke first.

No time. Nicotine gum... Take the edge off.

You two, head to triage to help out the front of the house.

They're running out of space,

and there's a line out the door.

- Okay, let's go. - Hang on, Mohan.

Sign this.

Nicotine patch, 21 milligrams.

Who's it for?

Monica. This nicotine gum's shit.

She'll never survive the shift,

and I need her so I don't lose my goddamn mind.

Thanks.

Is Dr. Abbot still around?

He went to get some sleep

before his night shift starts in a couple hours.

Shit. Okay, I should have planned this better.

I was hoping he'd write me a letter of rec for an elective

so I could have a shot at a fellowship next year.

Which one?

Whichever will take me.

Didn't the electives fill up a while ago?

Don't remind me.

I'm gonna throw myself at the mercy of the court,

beg for them to take me anyway.

Just kill me now. It'll be less painful.

Dana, I can't read this handwriting.

It says

1,000 milligrams acetaminophen orally,

4 milligrams ondansetron under the tongue,

and trial of clear fluids.

Seriously? It says all that?

If it's not in a text with emojis,

you kids can't read for shit.

What do we have?

A fall from 10 feet onto a metal fence.

Right below the knee. Good vitals.

Oh, it hurts. Oh, my God.

- What's she had so far? - 50 of fent, repeated 25.

No meds, no allergies.

- Where should I put this? - Just hang on to it for now.

On my count. One, two, three.

Okay, Whitaker, E-FAST. Donnie, primary survey, please.

Pupils equal and reactive.

What's your name? - My leg hurts really bad.

Did I break it?

Um, I-I wouldn't say that it's broken exactly.

We're gonna get an X-ray to determine that.

Put that on the gurney, line it up for X-ray,

keep your fucking mouth shut.

Good lung sliding right and left.

Airway patent, breath sounds bilaterally.

- Please, it hurts. - BP 100 over 60.

Pulse 118, pulse ox 98%.

- Does your belly hurt? - No, asshole! It's my leg!

Okay, she's really moving here.

100 of Ketamine?

Yeah, we can't evaluate like this.

Hey, Ogilvie?

Deep breaths, yeah? - Yeah, okay.

Whitaker, what's next?

Uh, once she's sedated, finish the E-FAST,

plain X-ray, check her back, straight to CT.

What if the Ketamine wears off?

Right. Uh, we should do

a popliteal nerve block before the CT,

anesthetize from the knee down.

- Two view tib-fib. - Pushing Ketamine now.

What's the bullet?

42-year-old male with 20-foot fall.

Blunt chest trauma with hand injury.

Where's my son? Where's my son?

He's tachy to 108, sats 98 on 2 liters,

BP 122 over 84.

We'll pan scan due to mechanism.

You? - Tib-fib amputation.

Hoping ortho can, uh, give us a little hope for replantation.

- Derek, where are you hurting? - Chest and my finger.

Did they find my son?

- Did you hit your head? - Don't think so.

I need to find my son!

We'll find him for you,

but we need to take care of you first.

Pericardium's clear. No fluid in Morrison's.

Move both arms, wiggle your feet.

Good. Any pain in your neck? - No.

- Spleen looks good. - Start with his chest.

That's where he hurts.

No hemotympanum. - Normal sliding.

Best to start with the side he's complaining about first.

Uh, I don't see much sliding there.

His name is Zack. He's seven.

- Pneumothorax? - Set up for a chest tube.

Not yet. Uh, let's go posterolateral.

Look for fluid first.

Traumatic pneumothorax. We should prep the chest.

Not necessarily. He's hemodynamically stable.

Okay.

Does that look like some fluid there?

Hard to say for sure.

Okay, he's tachycardic hemopneumothorax.

He needs a chest tube.

BP and sats are fine. We can wait for CT.

If it's small, it'll resolve on its own.

We observe and reimage. - I agree. He's stable for now.

Let's wait for the scan, Dr. Santos.

- Okay, let's order... - Okay.

A CT chest, abdomen, pelvis, and X-ray left hand.

- Whoa, major degloving. - Focus on the primary.

Dr. Langdon's correct. We need to log roll him.

- - Oh, okay.

How about another four of morphine?

Put it in. Hang in there, Derek.

- We got you. -

Fuck off already.

- Boyfriend? - Wish. My mom.