The Night Shift

Chopper's on its way!

Rescue says they're about 20 minutes out!

He doesn't have 20 minutes! We got to get him now!

Okay, I'll rig up and join you!

Huh?

Yo soy un doctor. Me llamo T.C.

Okay. He's in shock. He's got an open wound.

Tib-Fib fracture. He needs to get out of here ASAP.

I'll give you a signal to pull us up.

And tell the chopper to get his ass here.

All right, uh, use this cream three times a day,

- and the rash will clear right up, okay? - Okay.

Hey, and thank you for your service to this country.

- Thank you. - Yeah.

Woman on P.A.: Telephone for Dr. Cummings.

Paging Dr. Cummings.

Hello, this is Dr. C... oh, gross!

- - Kenny!

Wherever you are, you're dead!

I wouldn't take that crap if I were you.

Okay, give him another 15 minutes rest

then send him home with the antibiotics.

- Thanks, Mollie. - You're welcome.

- Hey, how'd it go? - Check this out. Night shift special.

Two guys fought a duel with nail guns outside of the Alamo.

- - And the first guy missed, second guy didn't.

- Well, I hope he already had kids. - Mm-hmm.

- Right. - No, please, stop! I...

I-I don't know how you handled all this paperwork

- when you were in charge. - I do not miss that part of the job.

Jordan, I need you! Male and female, both 40s.

Status post-penetrating rebar injury

- while riding a motorcycle. - Okay. Trauma 1.

Uh... rebar? What... flew off the back of a truck on 410.

Male with a through-and-through skull injury.

G.C.S. of 4-6-5, somehow.

Female with a penetrating throat injury.

She's tachy. B.P. of 90 systolic.

So far her sats are holding.

What's with the splint?

Gross abnormality of the distal radius

from the fall. It's closed.

Okay, this is gonna need sutures!

All right, I'm on it. All right,

let's get trauma down here for a consult ASAP.

Dr. Cummings is in surgery.

I got to call in Dr. Chavez, the new night surgeon.

Hell of a first shift for him.

Thank you. Really could've used T.C. on this one.

He never should have been suspended.

You don't take a doc like that out of the E.R. agreed.

But you know T.C. can't stop him from working.

Ah... hold on! He's choking.

- - Okay, I got you. Come on.

You got something in there. Cough. Hmm?

Hey! What's going on?

He's got partial airway occlusion!

If we take him up any further, his airway's gonna block!

I need you! He's completely obstructed!

- - Coming down with your med kit!

Son of a bitch.

He's got cotton balls stuck down his throat.

- Hand me a j-wire. - Cotton balls?

Yeah. Some coyotes across the borders,

they soak cotton balls in juice to feed the kids

instead of food.

But they don't digest, so they choke easy.

Come on, get in there. Get in there.

- - He's turning blue.

- You got this? - Yeah.

I need to clear his airway with the retrograde j-wire.

- - Ah, there we go. There we go.

Hang in there. Hang in there.

There we go. Yes!

You're all good. Good job, buddy, come on.

Yeah, welcome back.

Okay, let's make our way back up.

Nice and slowly.

Okay. Up...

- -

Sir, hold still! Don't even move an inch, okay?

Your wife's being sedated on pain medicine.

We need to keep you lucid to follow your neuro exams,

so we can't give you any pain meds right now.

- I don't feel any pain. - None? What about your wrist?

I don't care about my wrists!

This is all my fault! She hates the motorcycle.

- I talked her... - Sir, you need to be calm.

You keep moving around, you're gonna endanger

- both of you, okay? - Okay.

Okay, I'm done here. Let's get some...

- dressing on it. - Topher: Dr. Chavez, I presume.

- Joey. - I can take that, Doctor.

Scott will be down as soon as he can.

He's still elbows deep in a splenectomy case.

Everybody, huddle up. Let's get some information here.

We need to get this helmet off. Are they both medicated?

The wife is. The husband is conscious but reporting no pain.

- Really? - But he is pretty freaked out.

All right, I'm gonna work on getting the helmet off.

You guys complete the secondary survey on the wife.

- All right? Let's roll. - You guys okay here? I'm getting paged.

- Yeah, we got this. - Uh, what's the patient's name?

- Craig. - Craig.

Mind if I borrow this? Thanks.

All right, Craig. You do yoga?

- Uh, n-no. - No?

All right. Well, you're going to learn right now.

- How's that sound? - Uh... Mm...

All right, just follow my pen here.

Good job, Craig.

Now, I want you to focus on your breathing.

Sound of the saw can be a bit unnerving,

and breath is the bridge between the mind and the body.

The longer you exhale, the more relaxed you're going to be.

Can you do that?

I'll try.

Drill, please. Thank you.

Namaste, everybody.

So, the new night surgeon... Chavez... what's he like?

Very Dr. Granola.

A little too touchy-feely for my taste.

Oh, God, I forgot it's Ragosa's first night back.

That's just what I need. Another pain in my ass.

Evening, Gentlemen.

Mollie. Topher!

Ha ha!

Mm! Good to have you back!

Hmm. How's the wife and kids?

- Good. They're good. - Good.

Good, good. Drew.

How's Rick?

I hear you guys moved in together, right?

He's doing as well as could be expected.

Should get his prosthetic leg any week.

You tell him to never give up hope.

I didn't,

and this guy right here didn't, either.

- Isn't that right, Topher? - Yeah.

- Everything good with you? - Yeah. Couldn't be better.

You survive a tumor, cheat death,

everything else seems like small potatoes.

- - We dodged a bullet, Topher.

Mm. Well, you didn't,

- but you get my metaphor, right? - Yeah.

- We're survivors. - I get it.

- - Anyway...

First day back, lots to do.

- See you boys around. - Okay.

Okay, that was weird, right?

I don't know who that was.

Uh... hey! Hey! I need a trauma room.

- Oh... trauma 3! - Okay.

Found this little guy in the wild,

probably abandoned by a coyote,

with an open tibia fracture,

an infected leg wound, and severe dehydration.

He's gotten 40cc per kilogram bolus

through a sterile I.O. line.

Oh, come on. Send off a C.B.C.,

a C.M.P., and get Ortho here ASAP.

Here we go, here we go...

- Tee, I hate to break it to you... - All right, I'll draw the blood.

But technically you're still suspended.

Right. Sorry. Kenny, Dr. Zia is gonna ask you

to start Ancef and Gent prophylaxis

for the open fracture and the wound infection.

Got it.

Dr. Zia's also gonna tell you that Dr. Callahan,

although a brilliant doctor, has been a pain in his ass

since the day they met.

Yeah, but you still love me, huh?

I'm gonna slowly take this off of you.

Okay, the bar is stable for now.

All right.

How you doing, Craig? You feeling any pain?

It's fine. Mary, how are you doing?

- She's good. She's resting. - Can I hold her hand?

Of course.

Surgery took a lot longer than expected.

- What do we got here, Krista? - A reduced wrist fracture on the man,

a sutured knee lac on the woman,

and a large piece of rebar causing all types of problems.

So what we need to do is separate the two

- without killing them. - I don't want to cut them apart

without seeing what structures may be damaged.

There's no way we can fit them in the C.T. like that.

Well, what if we cut it at both ends? Maybe...

We'll handle it from here, Jordan.

This a surgical case now. You can go back to the E.R.

Okay.

Let me know if you need anything.

All right, we're gonna clear the bottom half of this helmet.

Let's be ready to stabilize his head.

Joey: On my count, all right?

Woman on Dr. Zia to trauma 1.

- Hey. Jordy, check this out... - Hey.

For throwback Thursday.

What you got? Oh, wow!

- Right? - Sophomore year?