TOKYO MER: Mobile Emergency Room (TOKYO MER 〜走る緊急救命室〜)

TOKYO MER is a medical organization under direct control of the Governor of Tokyo.

They have only one mission. They must prevent any and all deaths.

Zero deaths...that's impossible.

You can't operate here!

He'll die if we don't.

The things Chief Kitami does are not what doctors should do.

Are you reluctant to work concurrently at MER?

Dr. Hina, don't you have an MER meeting?

I want to crush this MER project.

Chief Kitami's history is somewhat ambiguous.

Have you asked why?

Be careful. If people find out we're finished.

Everyone! Write your name on these.

Huh?

What are you doing?

I'm always chucking my stuff in here.

I've prepared these so everyone can use them.

Put your name on the one you want.

Handwriting on gum tape?

Isn't MER an organization under the direct command of the governor?

Well, we're still in trial operation.

We don't have such a lavish budget.

Let's do it!

First come first serve, right?

I'll go next to Natsume.

I'm in the middle!

Rock, paper, scissors.

Rock, paper, scissors!

Yes!

All done. Oh! Nice!

Dr. Otowa, here okay?

I'll leave it to you.

Dr. Hina, are you fine here?

Don't worry, I'll leave my stuff at the hospital.

What? It's more convenient to have your stuff here.

I have morning assembly and conferences at the ward.

I won't be here that often.

But you'll need to change when we get back--

I'm telling you it's fine!

Use mine as you please.

Relay from the Tokyo Metropolitan Crisis Management Office.

Koto-ku, Edagawa, 4 Chome.

An accident involving steel beams falling from a moving crane has occurred.

Several junior high school students are trapped under the beams.

It's been classified as a small-scale incident. Requesting MER dispatch.

MER roger that. Dispatching now.

Dr. Tsurumaki, we're being dispatched.

I know.

I've got video from the scene.

Share it with MER.

Video shared with MER.

This is Kitami from MER. What's the situation?

Five casualties. All conscious.

An operational mistake caused the crane to fall.

The crane is jammed at present.

Steel beams are still hanging precariously.

This is Komaba from the Crisis Management Office.

There's a risk of the beams falling. Standby until rescue activities are done.

Don't approach the danger area.

I'll perform triage,

and carry out treatment if deemed necessary.

No reckless behavior!

If something happens, MER could be dismantled.

What matters are the lives in front of us.

You think so too, don't you Komaba?

We're not in the same position.

MER arriving on scene now.

Find a crevice for the lifting bags!

Roger!

Dr. Fuyuki, Tokumaru,

prepare general anesthesia and respirators so we can start operating right away.

Okay.

I'll perform triage alone.

Seriously? Underneath that?

I'll call if there's an emergency,

so get the stretcher and be on standby.

Okay.

This'll be a problem at the review meeting again.

Doesn't matter. I have a favor to ask you.

Get the lifting bags in quick!

-Roger! -Keep watch above!

-Roger! -Check the batten.

Hello. My name's Dr. Kitami.

You again?

Don't get close until we're done rescuing!

Prolonged pressure can be dangerous.

Can you tell me your name?

-It's Kane Adachi. -Miss Adachi.

Miss Adachi, could you feel your leg being touched just now?

Sort of.

Sort of? Okay.

We'll get you to the hospital right away.

Can you feel me touching your leg and arm?

Yes.

Hello. It hurts doesn't it?

The rescue workers are working to get you out now.

Hello. I'm a doctor.

Around 10 seconds per person.

So fast.

Is it only your leg that hurts?

Inflate, inflate...

Stop!

Commander, the gap is good!

Okay. Ease him out.

Roger!

Hello, I'm a doctor.

Can you tell I'm touching your leg now?

Does it hurt anywhere else?

-My chest. -Your chest.

I'm going to have a listen to your chest.

Dr. Hina, grab a 28 French chest tube please.

Natsume, prepare disinfectant, local anesthetic and an incision suture set.

Minh, prepare an IV.

-Okay. -Okay.

I'm going to open your shirt okay?

It's alright. I'm going to treat you now.

Disinfecting.

-Okay. -What are you doing?

-An emergency operation. -Do it after he's rescued.

-There's no time to wait. -Natsume, I'm administering anesthetic.

Hurry the rescue!

Roger!

You might feel a little prick.

-Scalpel please. -Scalpel.

-Pean. -Here.

They're operating under the crane!

The beams are coming loose! They're in danger!

Dr. Hina, chest tube please.

Dr. Hina, we're fine here.

Prepare tracheal intubation and a resuscitation set.

Okay.

Inserting drain now.

Inflate, inflate...

It's in. 2-0 for fixation.

Inflate. Inflate slowly.

Fixating now.

Breathing has stabilized. Blood pressure 110 over 65.

Alright.

Commander! Gap confirmed! Rescue possible!

-Okay, extract him! -Roger!

Slowly.

Watch out!

Evacuate!

Damage report!

It's okay! Nobody was hurt.

Rescue activities are finished. No patients have life-threatening injuries!

They've not been transported yet!

Secure a route from north Shin-ohashi Street,

so that ambulances can reach the ER car.

Roger that!

Hurry up with transport!

The stretcher is here!

Are you alright? I'm going to tighten this a little, okay?

Cyanosis...

Dr. Hina...

I know...

Crush syndrome.

Is there something wrong?

No, it's fine.

Over here.

Carry out further examination at the hospital immediately.

That's okay. Take him.

Hold on a second! Excuse me!

I'm going to have a look. How do you feel?

Natsume, Minh, we're taking her to the ER car.

-Prepare for emergency treatment. -What?

-Hurry! -Okay!

She has crush syndrome. Move her to this stretcher.

Wait...

Is something wrong with me?

Miss Adachi, when a leg that was crushed is set free,

it releases a substance called potassium,

which can travel round the body and make you unwell.

But don't worry, we're going to treat you properly.

Thank you.

What will happen to me?

We're going to treat you a little here and then take you to hospital.

Please don't worry. Natsume, set up a monitor once we're in.

Minh, prepare saline and lactated Ringer's solution.

As well as sodium bicarbonate and injectable calcium gluconate.

-Grab all there is. -Okay.

Tokumaru, prepare a DC and a resuscitation set.

Dr. Fuyuki, lightly administer inhalational anesthetic as we treat her.

Okay.

TO1 air clean.

We're going into the operating room now.

Got her.

Isn't it dangerous to assume it's crush syndrome?

What if you're wrong?

Even if it is crush syndrome,

a large amount of dialysate is needed for blood purification treatment.

We don't have the materials to perform it here.

TO1 open.

The patient is fully conscious.

Shouldn't we get her to a hospital quickly?

Dr. Hina, please hurry.

Miss Adachi? Can you hear me? You can.

You'll feel a little prick.

Dr. Fuyuki,V-Sheath please.

Okay.