6:00 P.M.

Welcome to the Pitt.

This is Dr. Jack Abbot. - Nice to meet you.

I can't tell you how excited I am to be here today, so...

- Talk to me at the end of the day.

Hey, pussycat.

Can you get a key for this?

I don't think I should.

You need a bedpan, Myrna?

- I got pregnant a few years ago.

I'm not sure I could go through this again.

- There's only an hour left in the shift.

Go home. Turn off your phone.

Turn off the TV. Go to bed.

- You know, I was thinking, since your dad's

gonna be laid up for a while, maybe you'd want

to stay with me until he gets better.

- Robby, I'm Leah, Jake's friend.

Thank you so much for letting me use your tickets.

We're having a blast.

- Could a drug addict do what I do?

Apparently.

Go home, Frank.

Robby, please.

You are done.

What am I doing to my son?

You are trying to get him

the help that it sounds like he needs.

What if I'm wrong?

Yeah?

There's an active shooter at PittFest.

Hey, Jake, it's Robby.

Listen, man, just call me or text me

the second that you get this message, OK?

OK.

I can't reach Jake.

I'm sure he's OK.

- Active shooter at PittFest. - We heard.

- Code Triage, Emergency Department now.

Code Triage, Emergency Department now.

- What does that mean? Has that happened before?

- We're locking down the hospital

and setting up a command center in Administration.

We'll coordinate logistics, supplies, communication.

How many casualties?

- Unclear, but initial reports are not good.

OK.

- The night shift is gonna be here soon,

but we are gonna need more help,

especially from Surgery and Anesthesiology.

- MCI group text and email went out to everyone,

including Transport and Environmental Services.

OK, good.

Hey, everyone's gonna want to come in and help.

Keep enough in reserve.

Tell them to come in eight hours later to give us a break.

And can you try and reach Jake?

Of course.

- Surgery's got to call in the cavalry.

We're gonna need all 25 ORs.

Ahead of you.

Four ORs are prepped and staffed,

and we're working on getting the rest up and running.

What about disaster supplies?

On their way.

- Every patient in the ER needs to go up.

Beds or no beds, they'll get better care

in an upstairs hallway than ignored down here.

Agreed.

- There's a whole wing that's empty on the eighth floor.

I don't know if that's--

But no nurses to staff it.

No comment on that one.

Waiting room and Triage can go to Family Medicine Urgent Care.

And we should turn off the TVs.

We don't need to cause any extra panic.

Will do.

The cafeteria will handle

the family members and survivors.

What else do you need?

Prayers wouldn't hurt.

Amen to that.

- Keep the press out of here. - Gladly.

Call me directly if you need anything else.

- OK, will do. Thank you.

Hey, what's going on?

Mass casualty at PittFest.

How many victims?

- We don't know. Expect the worst.

Did the police find David?

OK, everybody listen up.

There is an active shooter at PittFest.

As the nearest trauma center,

we are going to be getting the majority of the victims.

We don't know yet how many we are getting,

but we are instituting

hospital-wide emergency protocols.

We need to move every patient out of here.

They either go home, they go upstairs,

or they go to family medicine.

Call your loved ones now if you need to.

I can guarantee you cell service

will soon be overwhelmed.

Eat something. Stay hydrated.

Use the bathroom while there's time,

and meet back here for a full briefing in five minutes.

Brother, I'm so fucking glad to see you.

- I heard it on the police scanner.

How many are we expecting?

- I don't know, but it doesn't sound good.

Let's go to the back first.

- Those guys gotta get out of here.

- How many patients can you take?

- Where do we put the disaster bins?

Behavioral Health.

That's now our central supply.

Let's go.

We got more bins coming.

OK.

Right side.

Left side.

I need you to grab folding tables from facilities

to organize all this stuff. - Copy that.

Go. Thank you.

- Code Triage, Emergency Department now.

Code Triage, Emergency Department now.

- Thank you for your cooperation and understanding

as we prepare for a mass casualty event.

- Your medical records will be available to urgent care

and family medicine.

They know you're coming.

OK, please make sure to take

all your personal belongings with you.

This is stupid.

- Sorry for any inconvenience, sir,

but this is an emergency.

This is an emergency room.

It's fucking stupid.

Olsen, get back here

as soon as the waiting room is cleared.

Copy that.

Telemetry.

OB/GYN.

CCU.

ICU.

Ortho. - MCI protocols.

- Make sure you bring all these gurneys and wheelchairs back.

They're going to the ambulance bay.

We need as many as we can get our hands on.

What's next, Cap?

- Pharmacy needs to come down and open the PDS.

They also need to bring up all the narcotics,

paralytics, and sedatives that they can.

- Consider it done. - Jake?

- Not yet, but you know teenagers.

I'll keep trying.

OK, maybe try his mom, Janey.

She's in my phone. Tell her what's going on.

And try Collins.

See if you can get her to come back.

Will do.

OK, let's go. Let's go!

Bring all these gurneys and wheelchairs back.

They're all going to the ambulance bay.

Um, hi.

Can you just tell my sister, Becca,

that I'm gonna be a little late picking her up?

Um--uh, I don't--I don't know.

Hey. Hey, Mom.

I need you or Dad to come to the hospital

right now to pick up Harrison

or he's gonna be stuck here for hours.

I know, I'll explain when you get here, OK?

Love you. Bye.

Hey.

Can we leave yet?

I can't,

but Grandma and Grandpa are gonna come pick you up.

And in the meantime, you can play some games.

Can I watch a movie?

Yes, but nothing scary.

I mean it.

And don't leave this room until I come get you, OK?

OK, Mom.

- Love you. - Bye.

- We're gonna be putting four gurneys

in each of these trauma rooms, so make sure

you stock both rooms to handle the additional patients.

Not a problem.

- And let's broom all these WOWs, ultrasounds out of here.

We're not gonna have time or space for anything but gurneys.

OK.

And word on what we're expecting?

- Not yet. How's it looking upstairs?

- Should have all 25 ORs running within the hour.

We could be buried by then.

- Everyone's rolling in as fast as they can.

- Surgery is ready. We're here. We're ready.

- I am taking Primary ER. - Have at it.

Who's taking Primary Surgery?

- Heavy is the head that wears the crown.