The Pitt

I'm in.

Bag him.

Defib pads are in place.

OK, holding compressions.

Good square line on the End-Tidal CO2.

V-fib, charge to 200.

Charged.

Clear.

Stand by with epi.

Suction that tube.

You're not in the esophagus, are you?

Definitely not.

I passed right through the cords.

Good breath sounds. End-Tidal CO2 confirmed.

His lungs are filling up with blood.

I know.

OK, rhythm check.

Asystole. Push the epi.

Fuck.

Patients with lunch trays have been admitted.

They're boarders.

They're waiting for a bed to open upstairs.

- And what about the others? - Non-admitted patients.

They can have sandwiches or juice boxes.

Just make sure they're not NPO.

That's "nil per os."

It's Latin for "nothing by mouth."

NPOs are waiting for surgery.

They'll beg, spit, and curse for food,

but you got to stay strong.

Hey, I've been waiting for an hour.

When am I gonna see a fucking doctor?

Excuse me!

Perhaps you didn't see this, which is strange,

because they're all over the place.

Aggressive behavior toward healthcare workers is a felony.

$2,000 fine, possible jail time.

Got it?

OK. I was just asking.

We're busy today.

It's a holiday weekend.

We see the sickest patients first,

so be happy you're still waiting.

Jag-off.

PTMC charge nurse.

Go ahead, Medic Command.

OK. Got it.

Incoming trauma.

Come on.

Three minutes since the last epi.

Hold compressions.

Asystole.

Resume CPR. Another amp of epi.

Needs more suction.

Pulmonary hemorrhage from liver failure.

Is he going to make it?

Should we give PCC?

Too late for that.

And he's not an ECMO candidate.

Nothing else we can do?

No, I think we're done.

Louie.

12:07.

Should we do a debrief?

We've got another motorcycle injury coming in,

ETA 10 minutes.

Why don't we get Louie cleaned up,

move him to the viewing room? - Yeah.

Anybody that wants to pay their respects can join us in there.

Thank you, everyone.

I'll clean him up.

Why don't you take five first?

Or ten. Yeah?

Yep.

This is Dr. Jefferson from psychiatry.

Why do I need to see a psychiatrist?

Jada, why do I need to see a psychiatrist?

It's gonna be OK, Jackson.

Dr. Jefferson says he can help.

Do you know how you got here?

The medics brought me.

I don't really remember. I... I was in the library.

What were you doing there?

I was... I was studying.

I was trying to study.

But then they wouldn't stop talking.

Who wouldn't stop talking?

They don't want me to pass the bar.

Who doesn't want you to pass the bar?

- That's what they told me. - Hey, hey.

Hey, look at me. Look at me.

Who doesn't want you to pass the bar?

Let's give them some privacy.

Dr. Jefferson will let us know when he's done.

They don't want me to pass the bar.

I'll be right outside, OK?

I'll be right outside, Jackson.

Why don't they want you to pass the bar, Jackson?

They're afraid of me becoming a lawyer.

They're afraid of you becoming a lawyer?

He must have been studying with his law school friends.

They... they should know what happened.

I'm gonna call them.

If you need anything, let me know.

- OK, thank you. - Mm-hmm.

Louie.

Pulmonary hemorrhage.

That was quick.

I'm gonna go clean him up.

I'll help.

Go, go.

Everything OK, Roxie?

I can't get off the bedpan.

Oh, that's what I'm here for.

Your husband seems like a saint.

How long you been married?

Too long.

Almost 20 years.

- OK, put your arm around me. - Mm-hmm.

And I'll pull the bedpan on three.

OK.

One, two, three.

One more.

Great. - Mm.

20? Wow.

Yeah.

He's been by my side through all of this.

I've watched the light go out of him.

So have the kids.

That's what happened to my auntie

when my Uncle Gerald got sick.

But your husband does it because he loves you.

Mm.

I don't know how you do it,

care for people day after day.

I'll tell you my secret.

I go home at the end of every shift,

leave this all behind,

and escape to "Love Island."

How's it going in here?

The higher-demand dose of morphine helped a little,

but she's still in pain. - OK.

I got your order. 0.1 per kilo.

- Thanks. - Mm-hmm.

This is a very low sub-dissociative dose

of Ketamine.

You might feel a little weird,

but I think it's gonna help with the pain.

Is my husband still in the cafeteria?

I think so. Want me to get him?

No, no.

It's good for us to have a little time apart.

I'll get you another blanket.

Here. I'm headed that way.

Thank you.

Back here for good?

Officially out of triage.

They need extra hands with all the Westbridge hullabaloo.

How many cups have you had today?

- Don't judge me. - Just asking.

You're judging.

Did you hear about Louie?

No.

Pulmonary hemorrhage. Didn't make it.

- Shit. - Mm.

He's been here a hundred times.

I know.

Debrief in the viewing room later.

On a happier note, Perlah and I are planning

a birthday party for Javadi.

She's turning 21.

You two are thick as thieves.

I don't have much of a social life these days,

but I'll be sure to keep an eye out for the Partiful.

Let's discuss our incarcerated patient Gus.

Prison infirmaries tend to be short-staffed,

so we need to be thorough.

What's in the differential diagnosis for malnutrition?

Inadequate intake, methamphetamine use,

severe alcoholism, ADHD medication.

What else?

Cancer of the oropharynx, esophageal strictures,

prior strokes, malabsorption, inflammatory bowel disease,

none of which were in his medical record.

What about psychosocial causes?

Could be an intentional hunger strike.

Or refusing food to get to the infirmary.

Could also be abuse or neglect.

Let's start with a nutrition history once he's back from CT.

Do you have a second to talk about Westbridge?

Mm-hmm.

Hey, we need to start moving some patients out of here.

These walls are starting to fill up with gurneys.

Santos, Ogilvie, and King

all have patients on the launching pad.

I'll check in with them.

How many patients have we had rerouted from Westbridge?

Ten, and God knows how many more in the waiting room.

Ambulance will be here in a few minutes

with the accident victim; I'll stick him in Trauma Two.