Miami Medical

And mint double chip on the top.

It's 10:30 in the morning, Anna.

In that case, better make it a triple.

You are going to explode.

Yes, I am.

And the first thing this baby's going to say is, "thank you

"for that cool,

sweet, wonderful..."

Ice cream, two o'clock!

Okay. All right.

Stay here.

You better enjoy this,

because the next time we're going to be able to afford

a trip like this will be when the kid is 20.

And because, this one last time, it's just you and me.

So chocolate fudge on the bottom

and mint double chip on top.

You want a cup or a cone?

-(Explosion) -(Screams)

What the hell was it?

I don't know.

Are you...?

I'm... I'm fine. Are you okay?

Yeah.

Yes.

Yes.

♪ ♪

Mukesh! Mukesh needs help!

Jonathan. Jonathan.

Anna. Anna?

I need a doctor!

Doctor! I need a doctor!

Anna, Anna...

man: Miami trauma one is a joint you don't want to end up in.

'Cause being here means that you're staring at your last

hour on this big, blue marble.

What we don't do: Bloody noses or puking teenagers

or sprained fingers or any of that

sit-here-and-wait-till-we-got- time-to-look-at-you junk.

We leave that to the good folk in the Er.

What we do: Golden hour.

Last 60 minutes for doctors to save a soul.

If you're dying, well, then being here is better

than being anywhere else in the world.

'Cause our one and only purpose is to get you stable

and save your damn life.

Not your break yet, Andrea.

We've got five trauma suites,

two helipads, and 15 trauma surgeons

who are the envy of the known universe.

Nurse Carol will now take you upstairs,

'cause we got incoming.

Hey, Eva.

Hey, caballero, how was the morning commute?

I'm clocking like 23 miles an hour

coming over that causeway. Oh?

And some Nimrod in a Hyundai forgets to check his blind spot.

(Chuckles)

We got incoming, right?

Yes. A gas explosion in Biscayne Bay.

We've got at least four incoming.

First up, auto versus pedestrian,

it's about six minutes out.

We've also got a third- trimester pregnancy

with multiple lacerations.

EMTs are trying to stabilize her on the scene

before they put her on a bird.

Rayner here yet?

Whatever happened to "on time is two hours early"?

Third shift in a row.

Wait. No one's seen Rayner?

Man: I have...

and he looked like crap.

Alpha team only, please.

Chris, Eva,

when things quiet down, I need five minutes of your time.

Our gunshot wound to the neck from this weekend

will be discharged this afternoon,

thanks to Dr. C's elegant jugular vein repair.

Nice job, Dr. C.

Way to go! And we should offer

our congratulations to Dr. Warren on having achieved

her three-months mark in the discipline of team trauma.

Well done.

All right, let's get to work.

Man: Jonathan harding, 16. Auto versus pedestrian.

Collapsed lung left side. Help!

I don't know what happened. There was an explosion.

My son rushed in to help. He never even saw

the car coming.

Hey, don't you mind us, Jonathan, all right?

We're just turning these into rip-away pants

in case the '80s come back.

Where's my dad?

Just in the other room, Jonathan, all right?

Calm down. I can't breathe.

I can't breathe! I can't breathe! Keep your mask on, Jonathan.

Keep your mask on. I can't...!

Jonathan? Jonathan? Chris: He's out.

Rayner: Dr. Warren, let's intubate.

Eva, place a chest tube on the left.

Got it.

How about stabilizing that blood pressure for me, kid?

BP's up to 85 systolic.

All right, thataboy.

Nice. Man: We've got six more incoming.

Three critical red bands. What about our pregnant woman?

She's on the next bird. Four minutes.

Okay, Chris and Eva...

Yeah. Yeah, we're on it.

Tuck, can you make sure we type

and cross for four units? Got it.

Rayner: You assigned your nurses, tuck?

Yep. Ob's been notified and the boa cart is standing by

in case we're birthing some babies.

Pressure's dropping. 50 systolic.

Did you say "50 systolic"?

Chris: What, did a lung go down? No, it's not possible.

He's crashing.

Lung is up. Bilateral breath sounds.

E.A. No pulse.

Starting compressions.

Chris: I need two more units.

Will you pass me the ultrasound?

A little room, please. A little room, please.

Pull it back. Pull it back. Pull it back.

Too much fluid around the heart.

It won't beat.

Tuck: Systolic's up to 82. Sinus rhythm.

Hot damn.

You saved him.

Everything all right, Dr. Rayner?

William?

Where is he going?

Well, that was interesting.

Naked, buck naked.

Stark-raving,

fleshy-birthday-suit naked.

I was there, Serena. First day on my trauma rotation

at Hopkins, the attending said something like

60% of trauma doctors wash out.

Yeah, in the first five years, yes.

But Rayner? He's been around since before

trauma was housed in its own building, right?

Put your gloves on.

27-year-old, pregnant, 30 weeks.

Ejected from vehicle with lacerations.

Hypotension and tender gravid abdomen.

Hear any fetal heart sounds?

It's a helicopter.

I could barely hear myself think.

Can you tell me your name?

Anna.

Well, Anna, I'm Dr. Zambrano

and with me is Dr. Warren.

Any problems with the pregnancy so far?

The baby... is the baby okay?

We'll find out. I need you to stay as still as possible.

50 of Fent for the pain?

BP's too low.

Hey, Anna, can you tell me where you are?

Bermuda.

Okay, let's run the ABCs.

Airway's clear.

Breathing.

Mild respiratory distress. Write it down.

First rule of Rayner: Always be documenting.

Circulation...

Low BP: 70/40.

Want me to get the portable Doppler, check on the baby?

The only way to save the baby is to save the mother.

Oh, we got a bleeder. Gauze.

Flexible.

If you could just take this from me.

Trauma 2 is prepped and ready.

Anna, this is our charge nurse, tuck Brody.

He's going to take you the rest of the way.

So...

With Rayner gone, who's in charge?

Well, it's straight seniority.

Chris outranks you by three years, and I outrank him by two.

So you're in charge.

Yeah, I'm in charge.

All right. Hey. All eyes on me, people.

All right? Listen. I know we've had a lot of chaos

this morning, all right? But you've got to shake that off,

we've gotta laser in to the task at hand here, all right?

So, Dr. Zambrano and I? We're taking pregnant,

multiple lacerations into trauma 2.

But we still want an update every ten minutes

on our 16-year-old auto-versus-peds.

And I need a five-minute heads-up

before hand amputation and burn guy hit that door.

All right?

Come on. Let's do it.

Get me a fetal monitor