Saving Hope

Just getting home now.

Thanks for checking, Ruth. Have a good night.

She heard a commotion in the apartment.

Thinks we're fighting.

Wait here.

Freeze!

Oh.

Okay, are you happy? I've soiled myself.

Oh, my god. Luke!

I was gonna clean this up before you got home.

And yet here we are.

Look, my shift ran late.

Some old lady tripped down some stairs in the blackout.

It took two hours to get admitted.

The point is, hey, voilà, salade du jour.

Looks like compost.

That hurts.

Although I will say, I did raid your cupboards,

and I saved a few things from your fridge.

You're welcome. But try it.

I think you'll be surprised.

- That seems unlikely. - Look, I came by unannounced.

The least I can do is make you some dinner.

Mmm.

What is it?

Is this a fingernail?

Slivered almonds... that's what that is.

We don't have almonds.

Well, then, that's weird.

Oh, my god. Go. Go.

Clean this up. Pack your bags.

One more night.

I'll be gone by morning.

You won't even know that I'm here.

Okay?

Look, I'm cleaning.

I need caffeine.

We can't make coffee. The power's still out.

Hey, is there actual coffee in coffee cake?

I don't think so.

I thought he was leaving.

So did I.

Luke, what are you still doing here?

The key to battling the extreme heat, girlie, is do nothing.

Mm. That's your specialty.

And a good morning to you, as well, chuckles.

You're back at work.

You should be looking for your own place.

Oh, I will, believe me.

As soon as I get my first paycheck, I'm out of here.

And take those crotch peas with you.

"Record-breaking temperatures expected to continue all week."

"No word on when this blackout is going to end."

- My phone, please. - Okay.

Okay, the A.C. has conked out at Western Gen.

All E.R. patients are being rerouted.

Rerouted to Hope Zion. We got to go, Alex.

Hey, whoa. Can I get a ride to work?

You're not dressed.

- It'll take me like five seconds. - Gotta go.

Hey, mom, dad, remember, be the heat.

Shut up.

Shut up.

- Hey, guys, I was, uh... - Morning, Joel.

I need to... oh, I'm sorry.

Hello, Melanda.

Okay, I understand. It's not ideal. I just...

Life at the top. I don't miss it.

All right, well, I will be up there very shortly.

Um, I need you to lead a trauma team today.

- Okay. - No, I was talking to Alex.

O... kay.

Zach's pulled three graveyards in a row.

You've led the team before.

- I have. - Not under these circumstances, she hasn't.

This is a blackout, which means more mvcs,

which means more traumas.

I can handle it.

I'm sorry, I have to... Hello.

E.R. gonna be jumping.

Be the heat.

- See ya. - See ya.

Got an MVC on the way.

One minute out.

Hello, gentlemen. Hey.

- Good. - He made you trauma leader.

He did.

Do you want to go home, get some rest?

Um, you know, I'm a divorced guy living at the motor lodge.

No, I think I'd rather stay here.

- At least there's a minibar. - Amen to that.

All right, team, listen up.

The heat isn't doing us any favors,

but if we all stick together,

work togeth...

And there it is.

Bonnie Drummond, 32, high-velocity MVC versus median.

She lost control of her convertible.

Airbag facial trauma.

Gcs is 12. BP is trending down.

Bonnie, can you hear me?

Jackie?

I'm gonna do a F.A.S.T.

Reid, hand over the wand. You're team leader.

- Right. Okay, S.A.T.S? - 85.

- Air entry? - Yes.

Charlie, what do you see?

Got swelling in her left arm and no distal pulse.

Looks like compartment syndrome.

Yeah, she's gonna need a fasciotomy or she's gonna lose the arm.

Okay, Reycraft, talk to me.

Free fluid in the F.A.S.T. She's bleeding internally.

Let's get her to an O.R. right away.

Charlie and Reycraft,

I want you both working at the same time. Go.

And get her cross-matched for 6 units of packed cells.

- Come on. - Yeah.

You're team leader.

Run the show. Don't be the show.

Easier said than done.

You ready for the next one?

Do I have a choice?

This is Beth Brady, mid-30s.

I'm guessing, narcotics overdose.

Rooming-house neighbor found her groggy with dilated pupils.

To bed 4.

Jackson, .1 milligrams of naloxone.

You got it.

Okay, let's run a tox screen and urinalysis.

Welcome back.

Beth, can you tell us what you took?

I'm gonna get her some activated charcoal just in case.

- I'll grab a barf bucket. - Man: 1... 2... 3.

Thought your station was across town.

Heat wave's got all the hospitals jammed.

Your E.R.'s got the most beds, so you get the overload.

- Perfect. Got it? - Yeah.

Hey, so, uh, how long will it be until my O.D. gets admitted?

I have no idea. It's a full house.

Right. I need to get back on the road.

Can you just do me a solid and admit her, please?

We have got a system here, Luke.

I need a doctor!!

Find a bed for me.

Let's get him on the floor.

Hey, do you need some help?

Just lay him down. Here we go.

How did this happen?

I found him...

found him in the pool in my condo.

He was floating facedown. I tried CPR.

Okay, how long has he been unconscious?

- I don't know. - Somebody get me a crash cart!

Luke!

Bed's here.

Help me out here.

Does he have a name?

- Okay, here you go. - He's not gonna die, is he?

Not if I can help it.

Is he gonna be okay?

He needs a chest X-ray to make sure his lungs are clear,

but he's stable for now.

Looks like you hit your head pretty hard.

Ah. Yeah, I kind of knocked it on the ladder

when I was dragging him out of the pool.

Well, I'd like to have a look at it, okay?

Here... you should probably have a C.T. scan before you go.

Can you tell me your name?

Uh, Graham Kennedy.

And your friend's name?

He's not my friend. He's just a bum.

I see him every day outside my building, begging for change.

You having trouble breathing?

Aw, I'm just... just a little winded from carrying him.

You carried him?

Yeah, 12 blocks.

911 wasn't answering. I couldn't get a cab. So...

Smile, Mr. Kennedy.

You just saved a man's life today. You're a hero.

Yeah.

Her liver's intact.

Uh... spleen, too.

Well, she's bleeding from somewhere.

Put a stitch in it.

I will if you find it.

Suction.

There it is.

She's got a tear in her inferior vena cava.

- 3-0 prolene? - Make it a 4-0.

- How's the arm? - Um, good.

Muscle bellies are loose. No digital swelling.

And CVP is sky-high.

I'm having trouble oxygenating.

Reycraft?

It's not me. My sutures are tight.

Blood around the heart?

Yeah. Could be a bleed in her aorta,

but I'd need to do an echo to confirm.

Whoa. Is that me?

Dude, am I dead?