7:00 P.M.

Yeah?

There's an active shooter at Pitt Fest.

- As the nearest trauma center, we are going to be getting

the majority of the victims.

Triage is gonna assess and assign

every patient to a specific zone

with a colored slap band.

- We're a MASH unit now. No charting.

No electronic medical records. No board.

- David wouldn't do this. - I really hope you're right.

- This is the monitoring center.

Do you have permission to be outside this area?

- What is the point of this fucking thing

if it doesn't even work?

- Could a drug addict do what I do?

Apparently.

You are done.

What the fuck are you doing? - I'm saving lives.

You should not be here.

- None of these people should be here.

- I know you all want information

about your friends and family.

We have a QR code you can scan

for our patient identification website.

If we get a match, we'll let you know.

- Her pulse is stronger, but she needs more blood.

- We're already rationing our blood supply.

- What if we run out? - Running very low on O-neg.

- Perfect storm. - Listen up!

Central 789 is now the blood-donor center.

- Hey, what's up with the SWAT team?

It's just a precaution

in case the shooter heads this way.

Is that a possibility?

- Hey, Javadi, I need you to find Whitaker,

go up to the helipad-- we got blood flying in.

- Okay. - Stay behind the yellow line

between 10:00 and 2:00 so the pilot

can see you the whole time. - Okay.

- We may not even be halfway through yet.

When is this gonna end?

- Fuck.

Need some help over here!

- Who called in SWAT? - Just a precaution.

They still haven't found the shooter yet.

- They need to stay out there, not in here.

- Officer down. You know the drill.

- 16 gauge in the right AC. - Definitely needs an airway.

Can you handle that bleeding?

- Need a sponge stick for the back.

- Dana, 100 of ketamine and get some 4x4s on a kelly.

You guys are doing a great job. Keep it up.

- Hang in there, Richie. You're in good hands.

You're gonna be okay, man. - Hey, guys.

Back it up. We're trying to work here.

Come on. Both of youse, go.

- And chest tube output is minimal.

Good for cardiothoracic ICU. - Nice. Okay.

As soon as transpo can lend us a hand.

What's up with the SWAT team?

- Maybe they think the shooter's coming here.

- Shit, is that true? - What?

My kid's in the break room.

- They think the shooter's heading this way?

Anything is possible.

Don't spread rumors.

I'm taking this one to the OR.

How are you doing?

- Yeah, I'm good. You?

I'm good.

How much blood are we getting? - I don't know.

I hope it's enough.

We're supposed to stop here

and stay between 10:00 and 2:00.

- Where's 12? - I think the pilot's 12.

I think we just stay back, and they bring the blood to us.

I think.

- Here. - Thank you.

Yep.

- Do we take these to our supply room

in Behavioral Health? - Trauma rooms first.

Then we'll make our way out to the patients in the hub.

- That the O-neg delivery? - Yeah, straight from the roof.

- Jesse, hang a unit, then right up to the OR.

Who else needs blood?

Everybody.

- Leave us four units, four next door,

and then check in with Robby and Abbot.

Okay, I've got next door.

- Blood's here. - All right.

Squeeze one in as fast as you can.

Bag for me.

- You guys need blood? - No, not just yet.

Leave it with Dana.

Hey, Whitaker. How you doing?

Yeah, fine.

Ask for help if you need it.

- I can't see the cords. Let's bag him.

Sorry, I'm used to the GlideScope.

Spoiled by technology.

Dana, you got a bougie back there?

- Completely out. Used them all up.

- Is he awake? - He was. Now he's sedated.

- Should be intubated by now. - Yeah, what's his pulse ox?

- All right, except for his partner,

all of you into BH-2 now.

You can watch from the window,

but you need to zip it, capisce?

Oh, God. Bridget, thank God.

Night shift to the rescue.

- What the hell happened to your eye?

Just another happy customer.

Looks a lot worse than it is. - Yeah, right.

I tried to get here sooner, but it is gridlocked out there.

It's not much better in here.

Did you hear anything about the shooter?

- They may have slipped away in the crowd with all this chaos.

Hey, where do you need me? - North is yellow.

Keep an eye on the new kids. - Got it.

You holler if you're in trouble.

Yes, ma'am.

Jamie, what do you need?

IVs on everyone.

- Hi, I'm Dr. King. - Buster Pirelli.

- I take it you're a children's entertainer.

- Impressive observational skills.

Well, no active bleeding.

Can you tell me your pain on a scale of 1 to 10?

At least a 3.

- And can you wiggle your fingers?

Uh-huh.

The--the other hand.

Oh.

- Well, it doesn't seem like you have a broken bone,

but we're gonna put you on some IV antibiotics

and some pain meds.

Got it.

You, uh, see who shot you?

- No, I'm not even sure which direction the bullet came from.

Hey, am I going to lose any dexterity? Like...

- It's too soon to tell, but probably not.

- I make balloon animals for a living.

Two birthday parties booked every Saturday, Sunday

for the next year, so...

- Wow, you must really love kids.

Not really.

- Okay, you're gonna feel a little pinprick here.

Fuck me!

- Uh, it's--it's in. It's just so we can give you antibiotics.

Oh.

That hurt just as bad as when I got shot.

You put in an IO?

- - Yeah.

Um, don't worry, sir.

There will be no more pain.

Okay.

Whitaker, um, team huddle.

- Join us, will you? - Mm-hmm.

Oh, my God.

Okay, um, why'd you do that?

- Dr. Robby said everyone gets an IO.

- If they are unconscious or unresponsive.

- If the patient is awake and alert,

it's just a standard IV, not an IO.

- Unless it's a mime. They can't scream.

Lidocaine for the clown.

More at the door.

Is this ever gonna end?

Pardon. Coming through.

- Bleed and bandage it. Bring him out.

To the other side?

Ah, too much blood.

Move that kelly to the right a little bit.

- Any better? - Not really.

Radial pulse? - Still has it.

Maybe a little weaker.

I can try and give you a bubble.

Yeah, yeah, go for it.

No, nothing. I'm not seeing anything.

Okay, let's bag him. I want to prep the neck.

You don't have a bougie.

- I have an 11 blade and a prayer.

- Without a bougie, you could create a false passage

on top of the trachea and kill him.

- You're doing a crike? - Yep.

No skin hooks, no bougie-- old school.

- I got a tactical airway in my bag here.

- What is that? - It's a control crike kit.

Oh, that's perfect.

Use that on the battlefield.

- Works in the pitch-dark when you're under fire.

I can do these with my eyes closed.

- - For you.

Okay.

The knife leaves a trach hook behind,

so you can't miss, right?

Just...

good.

You slide in the introducer.

Okay.