ER

Previously on "ER.."

There. You got us. Gates is my boyfriend.

- Ah, you got in! Yay! - Yeah!

It's a little on the pricey side

but for you, there will be a discount.

You can't abandon me in the middle of my training.

You're not my responsibility.

- You need to get laid. - Oh, is that right?

Yeah, I'm pretty certain of it.

We're gonna be okay.

So let's just get past it.

Let's just go someplace new.

'We got room for one more. Who's it gonna be?'

Gates, the board is a mess.

You're only seeing three patients.

'Feel free to pitch in.' - No, no, no.

My job is to supervise and teach.

- Your job is to move the meat. - Morris.

You know, when I was a resident

I had what was called a work ethic.

- Yes, you set the bar high. - Oh, you bet I did.

And now as an attending, it's not as easy as it looks.

I gotta keep an eye on all you guys.

'Dr. Dubenko.' - Hi.

Poor guy, heard he just quit.

- Dubenko? - No way.

- I'm looking for Dr. Lockhart. - Me too.

Well, when you see her, tell her I need one more prescription.

He's got something in his eye. He can't see.

What happened?

We were down the street from the explosion.

- Explosion? - Yeah, over on Michigan.

They said it was an ambulance.

Who went in that rig?

Get Bardelli on the radio.

Set up the trauma rooms.

- Dumar, you seen Sam? - 'No.'

- Alright, let's roll. - I didn't get a call.

'Unit 62..'

Come on, drive, that's it. Start it up.

'...800 Block South Michigan.'

This is Unit 62 responding.

Go! Drive!

Hold on, hold on. Hold on. Hold on!

Sam!

Ow!

'Grab another line..'

Greg, are you okay?

Yeah, I think so. What about..

What about the guys in the back?

Hey, Bardelli.

Hey, Bards. Come on, wake up, man.

Ma'am, you need to sit and wait for the paramedics.

I'm an ER doc at County. So's he.

- Yeah, we can help. - Alright, you can assess him.

- 'But that's it.' - How's your neck? Any pain?

My stomach..

'Oh, man!'

- 'Dannaker, we need a saw.' - 'Copy that.'

You get your guy to the sidewalk. I got him.

Alright, just hang in there, Bards.

Abby, what are you doing here?

Wrong place, wrong time.

'How's your breathing?'

Something hit my jaw.

Alright, sit down.

I think I broke my wrist.

Bardelli's impaled. We need two large bore IVs, some O2...

Don't worry about it. They're on it, okay?

- You're the patient now. - Yeah. You two, sit down.

- I can work with one hand. - 'Sit down.'

Oh, come on, guys, this is stupid.

- Whoa, Greg. - We can help out triaging.

You been walking on this? You've an open fracture.

- It just stings a little. - 'Irrigate with saline.'

It's just a little blood. I'm alright.

You know, when I said I thought you needed...

Shut up.

We've got trauma.

Okay, everyone needs to sign in at the window.

We'll get to you as soon as we can.

Coming through. Clear a path.

'Gates, are they okay?' - Yeah, so far.

Come on, come on, out of the way. Move, move, move!

- How you doing, Bards? - Alright.

- Pressure's up to 90. - Hold an OR for him.

Hey, Greg. Sorry about this.

- Broken jaw, open fibula. - Pulse ox is borderline.

- Hang tough, Greg. - Mm-hmm.

Oh, God, what happened?

He's got a facial fracture, he shouldn't talk.

Neela, Brenner, I need you with Bardelli in two.

- We're on it. - 'One, two, three.'

Trauma panel, chest, facial series and tib-fib.

- Need an ultrasound for a FAST. - Sats 93, up him to five.

'Ready.' - Open up, buddy.

I need a gram of Ancef and 100 of gent.

Some jelly for the belly.

Small lac to the oropharynx.

Hey, hey, hey.

Wait. Everybody stop, stop, stop!

Alright, get me one percent with epi, gel foam.

Morris and Sam, you stay here.

Abby, go fix your wrist. Gates, get in there with Bardelli.

- I'm fine. I don't need... - No. Go, go.

You heard the man. 27 gauge on a three cc syringe.

Hey, Brenner!

You better be teachin' in there, man.

Come on.

- What do you guys need? - Lateral C-spine.

- Deep breath, please. - How is he?

He's good enough to boss us around.

'Kaya, pre-op antibiotics.'

Ceftriaxone covers gram positives and negatives.

Okay, but not the anaerobes.

Ertepenum gets 'em all.

Tony, you mind calling my mom?

I don't want her to hear something on the news.

- No problem. - First unit of O-neg is up.

- You might as well intubate. - What for?

- He's got good airway. - He will need it for surgery.

That's why we have anesthesiologists, I'm gonna

'put in a central line, take him right up to the OR.'

I'm gonna make that call. You guys alright?

Yep.

'How's that feel?'

Much better.

Oh, there you are.

Mrs. Gaines, this is really not a good time.

Oh, oh, dear, yeah, should I...

Come back later.

Oh, yes.

Did I see Luka stop by today?

Um-hmm.

And?

And I think things are gonna be okay.

I'm glad to hear that.

Everything was going really well..

Until the ambulance blew up.

Ah. Thanks.

How about we X-ray your ankle now?

It's just a sprain.

Thank you.

Hold up here. I'll take those.

'Bleeding stopped with epi.'

'Yeah, I told you it would.'

- This doesn't make sense. - What?

There's no fracture. The tibia and fibula are intact.

- Did they X-ray the wrong leg? - No.

Pratt, that's not your bone.

- What? - Two inch bony fragment.

Yeah, someone else's.

Someone from the back of the rig?

Most likely.

Ugh, gnarly.

Good thing you sat up front.

Yeah.

Let me numb it up.

No, just pull it out.

- Without local? - You sure?

- Yeah. - Okay.

Send that up for HIV and hepatitis.

Pulse ox down to 88.

'Put him on 100 percent.'

Pneumothorax on the chest X-ray?

No diffuse bilateral contusions.

Blast lungs.

The shock wave caused bleeding and bruising

throughout the chest.

I know.

It might get worse before it gets better.

'I'll get the non-rebreather.'

How come he's not in the OR?

Surgery wants a central line first.

- How you doing, Lou? - Hangin' in there.

- How's Greg? - Uh, sats are down.

'Hang two more O-neg.'

We're giving her a real-time guidance in the sterile field.

- Is that the IJ? - 'Perfect.'

- Can you see, doctor? - It's crystal clear.

- Decreased breath sounds. - Pulse ox is dropping.

The damaged alveoli are filling with fluid.

We need to talk about intubation, Greg.

Okay. Let's do it.

- Etomidate and sux are ready. - Push it.

'Lower his head.'

'Assisting ventilations.'

Morris.

Don't screw this up.

Abby, you wanna give it a try?

With this?

Gates?

I think he wanted you to do it.

You know, I need to take a step back

and keep an eye on the big picture.

I'm running this, you're doing it.

Alright, laryngoscope and suction.

Sats up to 90.

I need a doctor in here.

I got it. Check the cuff.