Pr�c�demment dans Urgences:
- On va nettoyer cet endroit.
- Gallant sera l� dans 3 jours.
Je veux juste que ce soit bien pour
lui.
Il a �t� l� bas trop longtemps.
- Salut, je suis Zoe.
- 14 ans ?
- Pourquoi tu m'as pas dit ton �ge ?
- T'as pas demand�.
Voici une ordonnance de
doxycyline pour la chlamydia.
On t'a pr�venue trois fois et
On va devoir vous laisser partir.
Qui est ce Clemente ?
J'en ai fini de me disputer
avec un �cran de t�l�.
On pense que �a supprime
la formation radicale.
Vous venez de m'appeler
"�cran de t�l�" ?
Ca va �tre le nouveau
chef des Urgences ?
On forme un comit� de recherches.
Il serait pas l� si il ne
briguait pas le poste, hein ?
Tu vas manger tes oeufs ?
Ils sont froids.
Et tes gaufres ?
- J'ai pas faim.
J'ai mal au ventre.
- Vraiment ?
Tu veux les apporter � la maison ?
M.
Cougy voudra peut-�tre
les manger plus tard.
Il n'aime pas les gaufres.
Excusez moi.
On peut avoir l'addition ?
D�sol�e.
La caisse est
toujours hors service.
Vous voulez plus de caf� ?
- Non merci.
- Ca ne prendra que quelques minutes.
Viens, on s'en va.
Prends ton manteau.
D�p�che toi.
Tu veux ton dessin ?
Non, par ici.
Allons y.
Vous pouvez pas passer par l�.
J'aime ton dessin.
On devrait le garder.
Je suis touch� !
Ne bougez pas.
Restez � terre.
Doucement
On va s'occuper de toi.
Ne bouge pas.
J'appelle une autre ambulance.
Ici 73, on a besoin de renforts.
Posez-le.
S�curit�.
Vous fa�tes quoi ?
Je v�rifie si il y a une
h�morragie interne, c'est tout.
En me mettant un doigt dans le cul ?
On appelle �a un touch� rectal.
Eloignez �a de moi.
- Il y a de la merde sur mon nez.
- Ca va ?
- C'est d�gueulasse.
- Je vais bien.
C'est d�gueulasse.
Donnez moi une serviette.
Touch� n�gatif.
Deux d'ativan, non, quatre.
Clich� des cervicales et
cherchez ses r�sultats.
Je vais le dire � votre sup�rieur.
- Oui ?
- Vous avez vu votre pote KJ ?
- Non.
- Moi non plus.
Je vais le saquer.
Vous pouvez pas le
virer.
C'est un b�n�vole.
C'est pas vraiment
un b�n�vole b�n�vole.
Il me faut des gosses sur
lesquels on peut compter.
D'accord, je vais lui parler.
Rassemblement.
C'est l'heure.
Lockhart, Barnett, approchez.
Toi aussi Pratt.
D'accord.
Dans le but d'apporter ces
urgences dans le 21e si�cle,
on va r�guli�rement pr�senter des
nouveaux �quipements et proc�dures.
Pour commencer
Mon adorable assistante
va faire la d�monstration
du tableau de communication
avec les patients.
Plus de papier ni stylo.
Ca facilitera la vie de tous.
A partir de maintenant,
les patients intub�s
peuvent pointer, entourer ou marquer
toutes leurs questions ou demandes.
Magnifique.
Ensuite, on a les attelles libre.
Les r�gulations f�d�rales d�couragent
l'utilisation de contentions,
qu'on doit v�rifier toutes les 10 mn.
C'est bidon.
Qu'y a-t-il de si dr�le, Barnett ?
J'ai juste du mal � y croire.
Il y a eu plusieurs cas
o� les patients ont �t�
laiss�s sans surveillance
pendant plusieurs heures, qui ont
perdu une main � cause d'une isch�mie.
Donc, on va commencer
� utiliser les attelles libres.
Des volontaires ?
- Merci Jerry.
- D'accord.
Les attelles libres sont
moins restrictives
et devraient �tre utilis�es avant
toute contention, l�g�re ou non.
L'attelle est tr�s utile pour �viter
que les patients combatifs ou agit�s
retirent leurs sondes,
touchent leurs blessures
et perturbent les appareils
qui leur sauvent la vie.
Yo, co�o, mami.
Que sexy.
Merci.
Je crois.
C'est pour quelle occasion ?
Playboy fait une audition
- pour "La fille des Urgences" ?
- La ferme Frank.
- Tu es tr�s belle.
- Michael rentre aujourd'hui.
Bonjour soldat.
Victor.
Il vient de se cogner
la t�te contre le placard.
Donne lui 5 d'aldol.
Non, 10.
Ce type est comme une b�te sauvage.
On doit lui tirer dessus avec
une fl�chette tranquillisante ?
On en a ?
C'�tait une blague.
Ray, toi et moi ensemble.
Tu le distrais je le pique.
Je le distrais comment ?
Fais le clown, je sais pas.
Fais quelque chose.
Apr�s toi.
Attention, de multiples
plaies par balles arrivent.
Abby, avec moi.
Neela, appelle le
bloc.
Assure toi qu'ils sont ouverts.
Pratt, pr�pare les
traumas un et deux.
Je vais vider les pi�ces.
Frank,
appelez la banque du sang;
d�tes leur de pr�parer du O-Neg.
C'est une histoire de gang.
Un type s'est servi de sa
fille comme bouclier humain.
Super.
T'as loup� la r�union d'informations.
Clemente met en place des
changements nouveaux �quipements.
Vous allez faire de lui
le chef des urgences.
C'est ce qu'il dit.
Le type qui t'as suspendue toi et Neela
pour une semaine � cause d'un singe ?
C'�tait un chimpanz�.
Si il veut �tre chef, il peut l'�tre.
Il peut peut-�tre ouvrir une
animalerie en salle de repos.
Fille de 10 ans.
Plaie par
balle au thorax droit.
Tension � 85/60.
Pouls � 120.
- Saturom�tre ?
- 96 sous deux litres.
Comment tu t'appelles ?
- Vincent m'appelle Mlle Oddy.
- Qui est Vincent ?
L'homme avec qui elle �tait.
Elle s'est faite kidnapp�e.
Le kidnappeur a commenc�
� tirer, on a ripost�.
Vous lui avez tir�e dessus ?
J'ai eu un tir clair.
L'arme du type a
du se d�charg� quand il est tomb�.
Vincent est mort ?
La 73 l'emm�ne.
Il a �t� touch�
plusieurs fois dont une � la t�te.
- Il a touch� un de nos hommes.
- Tu t'en charges ?
Je prends le suivant.
Viens.
On va te soigner, ok ?
- Ca fait vraiment mal.
- Je sais.
On va arr�ter la douleur
tr�s vite, d'accord ?
- O� est Cougy ?
- Qui est Cougy ?
Mon ours en peluche.
La police a du le trouver.
Je suis s�re qu'il va bien.
La Un est ouverte.
Le sang
arrive.
Besoin d'aide ?
Non, je crois que c'est bon, merci.
Bonjour.
Jolie moustache.
Ian Somerland.
Vos copains vous ont fait �a ?
Je les appellerais pas
comme �a, mais oui.
- On vit dans le m�me dortoir.
- Premi�re ann�e ?
Comment vous savez ?
La vie du campus est
cens�e �tre amusante.
J'ai l'impression d'�tre tortur�.
Vous avez vomit ?
J'ai vomit toute la nuit.
Soir�e �tudiante vous
tombez dans les vappes,
vous vous r�veillez avec la gueule
de bois et du marqueur magique.
Quelque chose comme �a.
Vous n'avez pas de fi�vre
alors c'est s�rement pas viral.
Votre tension est un peu faible.
Vous �tes s�rement d�shydrat�.
Merci.
Si j'ai encore envie de vomir ?
Tenez.
Vous avez rien de plus gros ?
Si ce n'est pas la coupeuse de t�te !
Quel employ� bien aim�
tu vas virer aujourd'hui ?
Arr�te un peu Frank.
J'envoie � Haleh son dernier ch�que.
Tu veux lui �crire un mot ?
Haleh, c'�tait l'id�e d'Eve.
Je n'ai fait que suivre les ordres.
C'est ce qu'a dit Hemler.
J'ai une lettre ici de
ton copain taulard.
Il va s�rement se marier
avec son compagnon de cellule.
Jimmy Hap, 25 ans.
Plaie par balle
dans le bras.
Grosse perte de sang.
N'ayez crainte.
Le Dr Pratt est l�.
- C'est pas le tireur.
- Non, c'est le flic qu'il a touch�.
C'est ma premi�re semaine.
Je viens de sortir de l'acad�mie.
On dirait que la balle a
ricoch� contre le gilet.
J'ai dit � l'autre type que j'ai
d'autres blessures critiques.
On nous a rien dit.
Tension � 100/65.
Pouls � 120.
- Ca a du toucher l'art�re brachiale.
- Je sens plus ma main.
- Le nerf m�dian aussi.
- Je vais perdre mon bras ?
Quand on arr�tera le saignement,
on pourra r�parer l'art�re.
- Tu t'en charges ?
- Oui.
- Je vais voir Abby.
- Je suis dessus.
- T'�tais o� ?
- Je faisais des trucs.
Je vais t'en faire
des trucs sur la t�te.
On a besoin de O-Neg de la
banque du sang.
Maintenant.
Je l'ai jamais vu bouger aussi vite.
- Je peux pas bouger la main.
- Un nerf a du �tre touch�.
C'est quoi ?
Trauma axillaire p�n�trant
avec d�ficit vasculaire.
Tu veux clamper l� o� �a saigne ?
Seulement si on peut visualiser.
J'ai le vertige.
Me laissez pas mourir.
- Vous n'allez pas mourir.
- Ne me laissez pas mourir.
- Vous �tes de la 23e ?
- Pourquoi ?
Pr�ts ? 1, 2, 3.
Mon p�re et mon fr�re
�taient la 17e et de la 109e.
Vraiment ?
Vous connaissez Joe Buccaccelli ?
Il �tait � l'acad�mie.
C'est votre fr�re ?
Non, il m'a donn�
mon premier orgasme.
Quoi ? C'�tait un �v�nement marquant.
- Comment est le saturom�tre ?
- Il se maintient � 92.
Comment vont les autres patients ?
Pratt a un policier avec
plaie par balle au bras
et une autre victime est en chemin.
D'accord.
J'arrive.
Le poste a confirm� son identit�.
Elle s'appelle Sydney Carlyle.
On l'a enlev�e dans un camp
dans l'�tat de New York en Ao�t.
Ton vrai nom est Sydney ?
C'est bon, tu peux me le dire.
On va devoir faire un kit de viol.
Je vais ouvrir le kit.
On va regarder entre
tes jambes, d'accord ?
Vincent est mort ?
Vincent Jansen.
Le tar� qui l'a enlev�e.
Je sais pas.
Ils lui ont tir� dessus.
L'h�mothorax est gros comment ?
Abrasions multiples adjacentes
aux parties g�nitales ext�rieures.
Quatre lac�rations sur les l�vres
et diff�rents stades de gu�rison.
Vincent t'a fait du mal ?
Il t'a touch�e les parties priv�es ?
Seulement quand on jouait
aux mari�s.
Vincent m'aime.
Systolique � 70.
Le tireur est l�.
Tu penses � un drain thoracique ?
- Quoi ?
- Drain thoracique.
Ils �tudient le clich�.
Vas-y.
Fais le maintenant.
D'accord.
B�tadine et drap st�rile.
Vincent Jansen, 34 ans.
Multiples
plaies par balle, thorax et abdomen.
Et une au cr�ne.
- Vous l'avez pas intub� ?
- Respiration spontan�e, sat � 96.
- Il lui faut des perfs.
- On y va.
Exam Deux.
- Comment va la petite ?
- Stable, je crois.
- Tony Gates.
- Dr Rasgotra.
Tension � 100 palp�e apr�s un litre.
He's bleeding out!
This guy shot a bullet through our
windshield.
Almost blew Gates' head off.
It's true.
I saw my life
flash before my eyes.
- I think we were on a beach.
- Stop it! Can we focus here?
I lost the radial pulse.
He needs two chest tubes and a central
line and call for four units of O-neg.
Yowza, look at that head shot.
This guy's
gonna need a couple chest tubes and a central
Isn't that your patient?
What, that? I could do
with my eyes closed.
It's probably best if you didn't.
I'll call you if I need help.
Yeah, you'll call me.
His head could roll off,
you wouldn't call me.
- 110/70.
- Is that good?
Couldn't be better.
Just sliding off the vest.
Damn.
Okay, we need to lift up
your arm and take a look.
Whoa! Got it.
- Oh, God.
I'm bleeding out.
- No, you're not.
Hey, Jimmy, look at me.
Look at me.
Is Marty Stats still the desk
sergeant at the 23?
What? Yeah.
He used to baby-sit me.
You know he's got a metal plate
in his head?
- I need a procedural tray.
- Okay, right away.
- Oh, what's happening?
- Sterile gloves, please.
What's happening?
We need to clamp the artery
you severed.
Oh, man.
- Can I steal your hemocue?
- Help yourself.
Eve, you want me to take over
for you? Sure.
Yeah, that would be good.
I gotta go check on the others.
Hang in there, Jimmy.
I'll be
right back.
Cut, please.
Did they find Coogy?
Who is that?
Um, her stuffed animal.
He's a puppy.
- Yeah.
- Great, hang on.
I got her mom.
Okay.
Vaseline gauze dressing on that.
Hi, Mrs.
Carlyle.
This is
Abby Lockhart,
I'm treating your daughter.
Uh, yes, she was shot in the chest,
but we're doing all we can for her
and she's doing well.
She's a
very brave little girl.
Sure.
Just a minute.
It's your mom.
Mom?
I miss you, too.
I am.
Yeah.
I will.
I love you, too.
Okay.
I'm going to give you back to the police now.
We have to continue treating your daughter.
But we'll see you in a couple of hours.
Okay.
Mrs.
Carlyle, Officer Yau.
It's okay, Sydney.
You're
safe now.
Your parents are coming to get
you.
Nobody can hurt you here.
- What about Vincent?
- You don't have to worry about him anymore.
How's the chest tube output?
Less than 500cc's.
Small
hemothorax.
Good.
Should be able to manage
her conservatively.
Hey, nice lid.
You get a free
bowl of soup with that?
Pressure's down: 80/50.
Okay, call for type-specific
and run in 500 of saline.
No, let's not.
Hi there.
I'm Dr.
Clemente.
We're going to put a little
glop on your belly,
then I'm going to take this
camera to look inside, okay?
Are you the little princess
I heard was coming this morning?
I'm not a princess.
- She's hypotensive.
- Hypotensive can be a good thing.
What are you talking about?
Leave her systolic at 80.
Right, Dr.
Dubenko?
Right.
Permissive hypotension.
Landmark papers by Bickell and Mattox.
When you have a vascular injury
you need a low pressure
to stabilize the clots.
You blast away with blood and
fluids, you raise the pressure
and blow out the clot.
Lots of sub-q air in the chest
wall, but the belly is dry.
Okay, well, we never allow the
pressures to drift this low.
So I'm checking with Kovac.
Abby, the chief of surgery
agrees with our plan.
We're going to make you brand-new,
all right, sweetie pie?
Okay, I'm in.
Hooking it up.
Sounds like tension pneumo here.
- O-Silk and Xeroform next.
- Five centimeters in the thoraseal.
La pression monte: 120/70.
Excellent.
He just needs a little blood
to his brain.
Nice work.
I heard Gallant's home on leave.
I didn't get a chance to see
him last time.
Actually, he gets home today.
Hopefully he'll be here longer
this time.
Well, tell him to stop by.
I'll buy him a beer.
Hey, this guy just looked at me.
spontaneous eye opening.
- Lie back down!
- Son of a bitch!
Stop! You have tubes in your chest!
- Push four of versed.
- Stop it.
You're hurting me!
No! Don't shoot! Don't shoot!
J'essaie.
You okay? Yeah.
I guess his head injury
wasn't as bad as it looks.
It's a clean frontal lobe injury.
No vital functions are affected, but he
will have ongoing impulse control problems.
- Wh-Where's Sydney?
- Safe from you.
Je l'ai pas touch�e.
- I didn't hurt her.
I took care of her.
- You raped her.
You don't understand.
I need to
see her, please.
Okay? Sydney!
Shut up.
- Oh, God, I didn't do anything wrong.
- Sounds like the lung is back up.
You think you know me, but you don't.
She loves me.
- Not much blood from the chest.
- It's all in the belly.
She needed me.
- She wanted me.
- Looks like hemoperitoneum.
- Yeah, and a grade 4 hepatic injury.
- Grade 4?
AKA chopped liver.
I know what you're thinking.
- You want me to die.
- I want you to shut up.
Tachy at 120.
Hemocue is eight.
Okay, transfuse another two units.
- How soon can he go to the OR?
- No vacancy.
I can turn over a room in 20 minutes.
Okay, you've got ten.
Have the blood bank stay ahead
four units.
Maybe you should just let me die.
A little more exposure?
Sure.
Suction?
- I got your blood.
- Great, thanks.
Give it to her and get your
butt over here.
- More 4x4s, Ray?
- Read my mind.
Can you visualize the brachial?
I'm working on it.
Eve was
complaining about you today.
I don't even know who that is.
The nurse manager.
Tall blonde.
- Oh, yeah, that Amazon? She doesn't like me.
- Hey, show some respect!
This is her turf, and you're
damn lucky to be here.
You want to do the rest
of your community service in
some smelly-ass soup kitchen?
- Well, do you?!
- No.
Well, you'd better get your
act together then.
- Okay, there it is.
- Okay, ease up on the gauze.
Sorry about that.
Proximal pressure.
I'm telling you, I hear one more
complaint about you, and your ass is
That's one hell of a pep talk.
Let's get a gurney in here!
- How much saline has she had?
- Very little.
It's TKO.
BP is 80 palp.
Why aren't you giving her fluids?
Permissive hypotension-- don't
want to disrupt hemostasis.
- When is she going to the OR?
- Waiting to hear from them.
You can't do permissive hypotension
without a definitive plan.
Abby, give her a liter wide open.
No, look, I've had experience
with this, and it works.
I don't want our residents put in the
position of using unproven therapies
on critical patients.
Dr.
Kovac, we need you back in here.
Get her pressure up to 100 systolic.
Dr.
Clemente.
Just a minute, please.
Well, CT's calling about
your patient Darrel Insley.
Yeah, so what did Big Darrel
do now?
He stopped breathing.
And why the hell would he do that?
Don't give a fluid bolus
unless the MAP drops below 70.
BP's down to 60 palp.
- Where are we on the packed cells?
- Units three and four.
Hang another two.
Mr.
Jansen? Vincent, can you
hear me?!
Sux and etomidate, 8-0 tube.
How fast we can
get him upstairs?
- Won't have an OR for at least ten minutes.
- Move him to pre-op.
He'll bleed out in the elevator.
Our job is to save lives,
not judge them.
Death is the easy way out.
He deserves to rot in jail.
I'm in.
Bag him.
- What are you doing?
- Exploratory laparotomy.
Here? Now?
Sterile drapes, cut-down tray,
masks and gowns.
Scrub in, Neela.
You want to save this guy?
It's the only way I know how.
Sydney? Come on, honey.
Come on, baby.
Hey, Luka!
Sydney Come on, Sydney.
Come on.
Let's stay awake.
Say hi to your mom and dad,
huh? Sydney.
Somebody get Kovac in here.
Tachy to 150, BP not registering.
Starting CPR.
Can't get a pulse.
- What do you need?
- Help.
She's going down.
Squeeze in the saline and
give me two units packed cells.
- You did type and cross her, didn't you?
- Of course I did.
- Where is she bleeding?
- I don't know.
Chest tube slowed down at
You need to stay ahead
of a patient like this.
- My attending felt otherwise.
- I'm the attending now.
Prep the chest.
If she doesn't come back with a
saline bolus, we'll crack her.
- I was just talking
- Go ahead and intubate.
Okay, got it.
Well, here goes nothing.
- All right.
Looking good, dry as a bone.
- Okay, moist 4x4s.
- Let down the Weitlaners.
- Did you save my arm?
Yeah, the bleeding is controlled.
You got this from here?
- Piece of cake.
- I'll keep my eye on him.
- Dry Kerlix, please.
Okay, what's his damage?
- One and half centimeter scalp lac.
Am I going to have a scar?
Nothing anybody would be able
to see.
What if I shaved my head?
Not such a good idea--
not with that helmet.
Two to three staples ought
to do it.
- Okay, I got this.
- I never fainted before.
It's probably the best thing
you could have done today.
- What do you mean?
- Eve was going to give you the boot.
Now she'll probably let you
stay just out of pity.
Hold still.
Ow!
Yeah, that's going to burn
a little.
It got a little tricky, but he's a tough
kid.
He's going to be just fine, okay?
Good to see you.
I'll come find you guys
when I have more details.
Got a thing for the boys
in blue, huh?
No.
I know half of them.
My dad was as cop,
retired.
My brother, fiance
- You're engaged?
- I was-- a few years ago.
He was killed on the job.
I'm so sorry.
Thanks.
Still have a thing for that
uniform though, you know.
- Yeah.
Can I ask you a question?
- Sure.
Under what circumstances
would a prisoner
be transferred from one state
to another?
Your ex?
He wrote me a letter saying he's being
moved from Ca�on City in Colorado
to Cook County.
There could be a lot of reasons,
but I can check it out for you.
Thanks.
- Sam, this man is looking for Dr.
Rasgotra.
- She's with a patient.
That's what I told him.
- Dad, please, can we just go
- Zoe
Excuse me, I want to talk this
doctor right now.
Yeah, well, you're going to have
to wait, unless I can help you.
She wrote this prescription for my
daughter, and I want to know why.
- Doesn't your daughter know?
- She won't tell me.
Dad, you're making a scene
Shh.
Well, if your daughter won't tell you, sir,
there's nothing that we can do about it.
Excuse me.
Yes, there is.
You can get
this damn doctor for me right now,
before I hit this whole place
with a malpractice suit.
- I've got lawyers, lady.
- Yeah? Well, I've got Jerry.
So unless you want to be carried
out of here like a dirty diaper,
I suggest you take a seat.
Come on, Zoe.
Thanks.
You know, I abhor violence.
Yeah, I know that.
But he doesn't.
So put on your
best tough guy face.
Here we go.
From the xiphoid to the
symphysis pubis.
What kind of retractor do you
need?
The human kind.
Lots of exposure.
- What's this?
- Linea alba.
Straight through it
to the pre-peritoneal fat.
- Retract the deep fascia.
- Got it.
Neela, you got a call on line
one.
Sounds urgent.
Take a message.
You need scissors?
No.
Poke a finger through the
peritoneum and tear it open.
It's from a Lieutenant Strickland.
He's calling from a camp in Iraq.
Okay, stand back.
Oh, God.
Can't take it, Jerry.
Get a number.
Okay, suction.
Lap pads.
She's not responding to fluids.
She's in PEA.
- Brady to 60.
- 10 blade to Abby.
Rib spreader to me.
I'm not really used to doing
this on kids.
Pretty much the same.
It's
just everything's smaller.
The pleura is dry.
Check the pericardium.
Oh, my God, it's full of blood.
Really full.
- Damn it.
She's in tamponade.
- Too much pressure on the heart.
She's collapsed her ventricles.
Pick up and metz.
Where's Clemente?
Three lap pads around
the suprahepatic space.
Three around Morrison's.
- And the liver is packed off.
- Eight units in.
- Pressure's up to 90 systolic.
- That'll do.
OR's ready.
Okay, it helps to compress the liver
up against the diaphragm.
That was brilliant.
Another five minutes and we would
have been taking him to the morgue.
Let's go.
Sorry about your floor.
Ready for another unit?
- What the hell happened?
- Cardiac tamponade.
That's impossible.
It was a
peripheral wound.
You know a bullet's trajectory
can go anywhere.
She had a hemothorax.
She was
only bleeding in the chest.
No, she was bleeding into
the pericardium.
The pressure kept her heart
from filling.
That's impossible.
There was
no indication of tamponade.
Didn't you check for effusion
on the ultrasound?
Of course, but there was sub-Q air.
I couldn't get a clear view.
She needed volume to fill her
ventricle
and you withheld fluids.
Based on what we knew, permissive
hypotension was reasonable.
You killed her.
Um, her parents are coming here
to take her home.
They think she was rescued.
Can we keep her alive
until they get here?
Okay, let's cross clamp
the aorta.
She's not bleeding in her belly.
She's gone.
Well, this will help perfuse
her heart and brain
until we get more blood into her.
Vascular clamp.
Vascular clamp!
Dr.
Rasgotra, what's the word
on that little girl?
They're still working on her.
The guy you brought in
is going to pull through.
I wish it was the other way around.
Well, at least child molesters
don't last long in prison, right?
Are you a 'Hawks fan?
- Excuse me?
- Chicago Blackhawks.
Hockey.
I have two tickets to Friday's
game against the Kings.
You interested?
You, me, hot wings, cold beer?
Sorry.
You more of a theater gal?
See, I figured as much.
I also have tickets to the
opera and the Philharmonic.
- You moonlight as a scalper?
- No.
Actually, my cousin does.
You know, I appreciate the offer,
but I don't get much time off.
Oh, yeah, I know that story.
Well, you know
what.
We'll just stay home.
We'll stay home.
Order a deep dish.
You can quiz me
on renal pathophysiology.
- And what do you know about renal pathophysiology?
- Not enough.
That's why I need your help.
- It's one of my fourth-year electives.
- Fourth year of what?
Medical school.
I just do this for the free coffee.
Maybe some other time.
I'm sorry.
I have to deal
with something really urgent.
No problem.
I'll see you around.
Doc.
Jerry, do you have that Lieutenant's
phone number for me?
- Yeah.
Didn't say what it was about?
- Sorry.
You have something sarcastic
to say, Frank? No.
Hey.
Hey, is this you?
Dr.
Rasgotra? Yes.
Great.
You mind telling me what
these are for?
See the patient's name below
mine on the bottle?
That's who the prescription
is for.
Unless you're Zoe Butler,
I can't tell you anything.
Look, if you treated my daughter,
I need to know why.
I'm sorry, sir.
There are
confidentiality rules.
Confidentiality?!
She's a little kid.
You didn't have my permission
to treat her.
You know what? I want to see
your supervisor.
Dad, let's go.
He won't tell you anything different.
In these situations, we
What situations?
Is she pregnant? Is she using drugs?
What? I'm her father.
I have
a right to know.
- Dad, please.
- If you want information,
it has to come from Zoe,
not from me.
Excuse me.
- I'm Dr.
Barnett.
- I've got this.
You the boss? Ray
Yeah, um, Mr.
Butler,
- my name is Ray Barnett,
- and the thing is I need to speak with you in private.
Neela Ray Let me deal with this.
No.
You know, I can handle this.
- No, you can't.
- Yes, I can.
How?
By talking to him? Telling him his daughter
has a sexually transmitted disease?
Because if you do, it's
a breach of confidentiality.
Look, I just want to do the
right thing.
Now you want to violate her
privacy, too?
What you did is a crime, Ray.
If you tell him the truth, you'll
go to jail.
You know that, right?
Best thing you can do is just let it
go and allow me to deal with this.
Clear.
Asystole.
Resume compressions.
See if you can find a hole
in the right ventricle.
- Did she have a high-dose epi?
- Five minutes ago.
If there's a cardiac injury
to occlude,
we'll get better ventricular
filling.
Pulseless V-fib and asystole
for 25 minutes.
Still not perfusing with open
compressions.
I'm giving her another chance.
All you're giving her is more
abuse.
Stop it.
Just stop it.
I'll sew up the chest before
the family gets here.
Camp Claiborne.
Hello, I'm trying to reach
a Lieutenant Strickland, please.
Can I ask your name and what
this is regarding?
Neela Rasgotra.
I'm returning
his call.
One moment, ma'am.
Come on.
Miss Rasgotra?
Yes?
Lieutenant Strickland.
I understand
you're a friend of Michael Gallant.
Yes, yes, I am.
Well, I have some bad news,
ma'am.
There was an incident outside
of Mosul.
Hello?
Lieutenant, can you hear me?
Lieutenant Strickland, are
you there?
There were several casualties
and Michael's unit had a
heavy patient flow.
He'll be unable to make it home
on leave as anticipated.
His CASH is incommunicado
right now.
He's asked me to pass this
information on to you.
But Michael's all right?
He's not injured or anything.
No, ma'am.
A little homesick and sand-weary,
I imagine, but he's fine.
Uh, thank you, Lieutenant.
I appreciate the phone call.
You're welcome, ma'am.
You have a good night.
Hey, does this look like a
subdural to you?
Right here.
No.
No.
would have worked in this situation.
Make sure you tell that to
her family.
Come on.
There's no way she should
have had a tamponade and you know that.
All I know is that she did.
And if she'd been given fluids,
she would have survived.
That's not a certainty.
We would have seen the signs.
We
could have drained the pericardium.
Look,
I did what I thought was in
her best interest.
Even when two other doctors
disagreed with you.
Dubenko agreed with me.
You would have done the same
even if he hadn't.
That's your style; do whatever
the hell you want,
regardless of what anyone
else thinks.
You don't like my style?
What is that?
We were all here a long time
before you.
We work together.
You're the new guy.
You need
to fit in with us
- not the other way around.
- What is this, a damn social club?
If you can't do that,
then we have a problem.
I take risks to save my patients.
I'm sorry if that scares you.
Especially if you start
sucking in the residents.
How about cutting-edge medicine?
I see a problem, I fix it-- bam!
What?
Maybe you should fix that.
Here you go.
Does that happen often?
Only after five or six beers
and a bar fight.
God, you know, people just seem really
wired after what happened the other day.
You picked up on that, too, huh?
Maybe we should have a critical
incident debrief after shift.
That's a great idea.
Ooh, Dr.
Barnett, we're going to have a critical
incident debrief in Exam 3 after shift.
- Why?
- Why do you think?
Look, this was a tough shift
for people.
Helps if we can get a chance to
decompress before we go home.
Yeah, well, that's why
God created beer, right?
- This thing's mandatory?
- Yes.
Pass it on.
What do you think? Kovac versus
Clemente in a street fight?
Kovac has size, but I have a feeling
Clemente's kind of squirrely.
I think you need help.
What are you doing?
Nothing.
What happened to your nose?
Kovac.
He hit you?
No, but I bet he would like
to have.
The last time I got one of these
was when Tina Marino
caught me with her cousin.
Let me see.
Let me see.
- You're going to need to be packed.
- No, it's tapering off.
- Yeah, that's not working.
- Lockhart, I'm fine.
I'm fine.
I'm really sorry about the
little girl.
Me, too.
I was trying to save her, despite
what Dr.
Kovac might think.
I know.
Okay.
I'm really, really sorry.
Okay, put your head back.
Hey, Kerry, have you found someone
to replace Susan as chief of the ER?
We're still looking at candidates.
- Is, uh, Clemente the favorite?
- He's certainly up there.
Why?
I'm just not sure he's the right
person for the job.
Yeah, well, if you think of somebody
better, feel free to give me a call.
Uh, what about me?
You?
I didn't think you wanted to
be chief.
Luka, it's really not your style.
Well, maybe it's time for me
to change my style.
Look, I've been here for a long
time.
I know the people.
I know the department.
I just want
to put my name into the mixture.
The mix.
All right, I'll let the committee
know you're interested.
Thank you.
Eve's waiting for you guys
in Exam 3 for the big powwow.
- She said it was mandatory.
- Yeah, so did Clemente.
They want us to express our feelings
about what happened today.
Well, today sucked.
Good night.
Great.
Was it mandatory for
everyone except the attendings?
Edna Casselman, 56, found down
in the park,
altered, no sign of trauma.
Thank you, Edna.
Tell Eve
I'm with a patient.
It can't be that bad, can it?
It's not that.
Michael's leave
has been postponed.
I'm sorry.
Hey, can I come by the house
tonight, pick up my amp?
Whatever.
I really don't feel like sticking
around for this dumb thing.
Mm-hmm.
I'll ditch if you do.
I've got
dinner reservations at Gibson's
if you want to grab a drink
or five.
Wow.
I like the way you think,
roomie.
Your treat, right?
As long as you stop calling
me that.
How's the nose?
Seems to be working.
Thank you.
The hell with this.
Go home.
See you later.
Eve, I thought it was a great
idea.
I really did.
This department needs
a lot of work.
This department needs a kick
in the ass.
Yeah.
Parents show up?
No.
They should be here soon.
After all she's been through.
Maybe she's better off.
I'm not sure anybody's better
off dead.
Yeah.
I recovered this in the
parking lot.
She was asking for it earlier.
I got to go check in on
Officer Howe.
I hear he's driving the nurses
upstairs crazy.
How much trouble do you think we're
going to get in for not showing up?
Well, I'm not working again until Saturday so
hopefully things will have blown over by then.
You're kidding me.
I'm working tomorrow.
That's great,
Ray.
Now I'm going to get punished for both of us.
Whoa! Stop it! Stop it!
Security!
Someone call security!
Security!
Mr.
Butler! Mr.
Butler!
Stop it!
You ever come near my daughter
again,
and I'll kill ya.
You hear me?
Ray? I'm fine.
Right.
I'm fine!
Hey.
Hey.
Want to come in?
You didn't, uh you didn't
go to that debriefing.
- Did you?
- Yeah.
It was just me, Eve, and Clemente.
- You hungry? You want some pizza? I can warm it up in the microwave.
- No, I'm not hungry.
Okay.
Mad about something?
What do you think?
Yes? I didn't need to go to
the briefing.
I don't care about that.
- What are you talking about?
- I'm talking about you and Clemente
and whatever it is that is going
on between the two of you.
If you want to get into a pissing match with
him, that's fine; just leave me out of it.
He was wrong.
Yeah.
And that's the most important
thing, isn't it?
He was wrong and you were right.
And while you were arguing
about it, the little girl died.
As if she hadn't suffered enough.
God, she was ten years old, Luka.
And he had her for months, and I just,
I just can't stop thinking about
what she must have gone through.
I can't stop
thinking about how afraid she must have been,
and I can't stop thinking about why
we couldn't save her.
I just
Sous-titres: Bendef