Tip:
Highlight text to annotate it
X
We start by getting
the patient's point of view
Though they often don't have
a clue what's going on.
So we look at the patient
from every possible angle.
We rule things out.
We uncover new information
Trying to get
to what's actually wrong.
We're asked
for second opinions
Hoping we'll see something
others might have missed.
For the patient,
a fresh perspective
Can mean the difference
between living and dying.
For the doctor
It can mean
you're picking a fight
With everyone who got there
before you.
Someone's getting fired.
Stop it.
She wasn't even my patient.
What?
Nothing.
How long is this
gonna take?
Why, you need to me
a phone call?
(snickers)
I said enough!
What happened here tonight,
What happened to that patient,
was inexcusable.
And we're gonna be here
Till I find out
who's responsible for it.
So until then,
you will sit down,
Yowill shut up
and you'll wait to be called.
Hunt.
I'm not going down
for this.
Someone is.
Dr.
Hunt, you know
larry jennings from our board.
And this is
our in-house counsel.
We're just trying to get
in front of this thing--
uh, I need you to give me
The lay of the land of your e.
R.
Tonight, from the beginning.
We were slammed with
a mass casualty, a hotel fire--
Half a dozen burn victims,
a penetrating chest wound,
A firefighter
with multiple traumas.
What doctors were working?
(owen)
yang, grey, karev, adamson,
That big kid whose name
I don't know, uh, kepner,
Avery and torres.
And who was on the patient
in question, the one that died?
Everyone.
Everyone was everywhe.
All right.
Who got the chart first?
Dr.
Yang.
(cristina)
it wasn't my patient.
I had it for two seconds,
and then I was called outside.
Okay,
start from the beginning.
I was paged to the e.
R.
Oh.
I'm putting myself
on a time-out
Before I kill someone.
Have you seen bailey?
She was supposed to sign my
discharge papers after her appy.
Oh, good.
You know, go home,
get better and then come back,
'cause I need you.
Are the mercy west people
that bad?
They're everywhere and there
are more of them than us,
And they're kicking our ***.
God, I miss izzie.
We need more "uses,"
so get back here.
I have to be discharged first.
You want to forge
bailey's signature?
No, that'll get me fired.
Ooh.
Ask one of the new ones
to do it.
Get them fired.
(pager beeps)
Time-out's over.
Well, send bailey.
Try to keep the burn unit
and the trauma rooms clear.
And call respiratory.
We need ventilators on standby.
I got a burn victim
and her kid.
Take your pick.
Hey.
Yang, come with me.
(woman) oh, we can help.
Oh, great.
Here.
Take these.
I handed it off.
To who? Who did you
hand it to?
I have no idea.
I got her chart.
(miranda) yang,
come with me.
We can help.
Great.
Here.
Take these.
Sucks.
Yang's turfing us
all the crap cases
While she runs outside
for the good ones.
Uh, cathy becker?
Yes, hi.
(reed)
and you must be danny.
I'm dr.
Adamson.
Can you
come this way with me?
Okay, sweetie.
Come on.
All right.
Uh, we were driving
up to vancouver
To visit my husband.
He's up there for work.
Mm-hmm.
And the rain wouldn't let up,
so we thought, you know,
Hey, why don't we just
stop for the night?
Bet you wish
you kept driving, huh?
All right,
can you lean forward
Yeah.
And take a deep breath.
(inhales)
(exhales)
I'm glad you made it out.
Oh, thank god we were
on the first floor.
(danny) I was scared.
My mom getted burned.
(cathy) mommy's all right,
baby.
You're safe.
Everybody is all right,
okay?
(reed) everybody's safe now.
Can you say "ahh" for me?
Ahh.
Very good.
(lowered voice)
see? One for them.
(kepner with lowered voice)
and one for us.
Stop being so paranoid.
They hate us, April.
It doesn't matter how good
we are, we're gonna fail
Because they were here first
and they rule the school
And they hate us.
I'm not gonna let them turn me
into someone they can hate.
I'm easy to like.
Actually, it takes a while.
I hated you at first.
Just shut up.
Sorry.
(normal voice) uh,kay.
Um, your lungs sound good.
Mm-hmm.
Your vitals are great.
Um, open up, please.
(gasps) oh, my god.
Well, charlie got a good one.
See? We win.
Okay, um
You look good.
These burns on your chest
are pretty minor.
But the one on your calf
might be third-degree,
So what I'm gonna do--uh,
hang on one second.
Dr.
Sloan.
I'm just gonna have
the plastic surgeon
Come and take a look, okay?
Okay.
I just did her initial exam.
She was a burn patient
and she wasn't surgical.
There was--there was nothing
more for me to do for her.
(richard) and at that point,
you went--
I went to go help dr.
Bailey.
(miranda) wh--
(doctors) whoa!
(metal clatters)
what did I just say?!
I got it!
Dr.
Bailey really needed
some help.
He fainted.
He fainted?
He fainted.
(larry) from what?
Better have a brain tumor
or something,
'cause that's
just unacceptable.
There was a blood drive today.
(jackson) this place
is a freakin' maze.
I've gotten lost, like,
I lost a patient.
That's bad, dude.
How'd die?
No, I lost her.
Parked her in a hallway,
Went to get her labs,
couldn't find the hallway.
Of course,
no one would help me.
Yeah, don't even
ask for help.
These seattle grace people
are kinda ***.
Shh.
Case in point.
***.
It's the e.
R.
Mass casualty.
Hey, I need to, um
Emergency.
I'm a surgeon.
Hello.
(siren whoops)
Apparently, he grabbed
the fire ax out of the case
And tried to run down
the stairs with it.
Mom was right.
No running on the stairs.
(miranda) okay, on my count--
one, two, three.
Okay, I want a c.
B.
C.
,
chem panel,
And make sure there's an o.
R.
Ready--wait, wait.
Just stop.
Uh, I need to see
what I'm looking at.
Um, you have steady hands?
Uh, yes, ma'am.
In college, I was--
I don't want your life story.
I need both hands
on this handle.
Do not push the ax in.
Do not pull the ax out.
Do not move.
Understand?
Yep.
In retrospect,
I should've had a cookie.
Stupid.
Stupid, stupid, stupid, stupid.
(doctors) whoa!
What--what did I just say?
(April) I got it!
Here.
Apply pressure.
Okay, come with me.
Hey, karev.
Clean that up.
And that was the last
you saw of the patient?
Yes, with dr.
Sloan,
who treated her burn.
No, he didn't.
I treated her burn.
You did?
Where was sloan?
Uh, karev, clean that up.
Okay, ready?
One, two, three, four,
I declare a thumb war.
Go.
I'd say this is
deep second-degree.
Why don't you start cleaning
while I finish debriding?
Okay.
(gasps) oh.
Does it hurt?
Yeah, a little bit, sweetie.
But it's okay.
The doctors are making it
all better.
All right, now you gotta watch
or I'm gonna get you.
(arizona) dr.
Sloan,
need you.
All right, finish debriding,
Cover the entire wound
with silver sulfadiazine,
Then loose gauze--
loose, not too tight.
I got it, I got it.
Evan lang, 16, second-
and third-degree burns
Over 60% of his body.
Hey, grey.
Come on when you're done,
'cause we need hands.
So robbins was rushing you?
You felt rushed?
No.
I-I didn't rush.
I took my time.
Sorry.
I know it hurts.
(groaning)
no.
No.
I'm fine.
Come here.
I'm just fine.
(lexie) and then I joined
dr.
Sloan and dr.
Robbins.
Okay, this is all set.
Oh! I'm sorry.
Sorry.
(callie) hey, are you free?
I need a hand.
Uh, yeah,
I'll be right there.
(arizona) it's okay.
You're okay.
(evan screaming)
we're just gonna examine you,
And then we're gonna get you
warmed up again, okay, evan?
(groaning)
My dad.
Where is my dad?
You just give me his name,
and we'll find him, okay?
'cause he's gotta be looking
for you, too.
Here.
For the smell.
Listen
Burns like this
are really Difficult.
You don't really
You wanna switch with someone--
Karev or somebody?
You think I can't handle this?
No, no, no, I-I--
because I-I can.
I'm good.
I'm here.
(richard) so you stayed
with the burn patient
In the trauma room?
I Yeah, I did.
And who was with mrs.
Becker?
(lexie) reed adamson.
Okay, this is all set.
No, I was never
with mrs.
Becker.
I was with her little boy.
Oh! I'm sorry.
Sorry.
Shed
with him, actually.
Hey, are you free?
I need a hand.
Uh, yeah, I'll be right there.
Okay.
So good news, big guy.
You are fine.
His pulse-ox looks good.
Everythi looks good.
He's totally fine.
Oh, thank you.
Mwah.
Uh, hey, can he stay in here
with me,
Just until his dad comes?
Yeah, no problem.
It's a full house anyway.
So I went to help dr.
Torres.
Roy macinaw,
Fell three stories
from a ladder.
Looks like a hip
and femur fracture.
Maybe radius, too.
He's waking up.
What happened?
Uh, I-I-I had him.
I-I got--I got to the window.
Roy, roy, you fell from
the ladder.
It was a bad fall.
But we're gonna fix you up.
Give him 10 of morphine
and get him admitted.
Where's the kid? I had him.
He was going after a kid?
(owen) shepherd.
Yeah.
He has uneven pupils.
Abdomen's rigid.
He's gonna need an ultrasound.
Yeah.
He's gonna need
a head c.
T.
, too.
Page me when you get
his scans.
He needs everything.
Let's take him now.
Let's go.
Ready? Let's go.
(richard) and you left
the e.
R.
At that point?
I took him to x-ray, yes.
Did you ever hear mrs.
Becker
say anything about pain?
No.
(jackson) the nurse did.
He said
she was in a lot of pain.
Whose patient is bed one--
cathy becker?
(jackson and cristina) not mine.
She's complaining
of pain.
(richard) at this point,
who was in charge
Of mrs.
Becker's care?
Whose patient was she?
I was never on her.
I was in the o.
R.
With dr.
Bailey.
I'm not--I-I don't--
not mine.
No idea.
Did you order pain meds?
No, yang did.
Next time I saw her,
She was
She was dying.
When you saw her,
she was dying?
No, she wasn't dying.
She said she had some pain.
Whose patient is bed one--
cathy becker?
(jackson and cristina) not mine.
She's complaining of pain.
Hey, karev.
You got bed one?
No.
Your initials
are on the chart, man.
(richard) so you checked
with karev?
I tried to.
He was on the phone.
(alex) I had never even seen
that patient.
I-I was stitching up
nosedive.
(richard) nosedive?
What's his name? The--the dude
that, uh, that fainted.
Dr.
Percy.
(larry laughs) nosedive.
That's gonna stick.
So you were with
dr.
Percy?
He was supposed to be.
Hey, karev,
you have bed one?
No.
Your initials
are on the chart, man.
(alex) iz, I'm done.
I'm done leaving you messages.
I'm done talking to your mom,
who's probably lying to me.
Hey, are you gonna
help me with this?
Listen,
it's been a week, iz.
And I don't know
if you're alive or dead.
So if I don't hear from you
by tonight,
I am calling the police
And I'm reporting you
as a missing person.
So who gave her
the morphine?
(alex) no idea.
I never even saw her.
I ordered it.
I did.
Your initials
are on the chart, man.
Holong
do I have to work here
Before they insert
a bug up my ***?
You guys are all so cranky.
(cristina) well, dr.
Avery
seemed uncomfortable
Uh, consulting on a patient
that wasn't his.
So I checked with the patient
and asked her about her pain,
And she said it was localized
to her chest burns.
So I checked her chart for any
allergies or drug interactions
And saw that she had
silver sulfadiazine
D 1 gram of cefazolin
and 800 of ibuprofen,
So I ordered 2 of morphine.
You memorized her chart?
Yeah, I checked it three times
'cause she wasn't my patient.
So you ordered the morphine.
Did you follow u
Uh, no.
My patient
had come back from c.
T.
All right, people, people,
listen up.
The burn unit
and the I.
C.
U.
Are full.
All patients are staying here
until some beds open up,
All right?
Let's keep
the trauma rooms clear
For the burn cases, please.
Head c.
T.
Was fine.
Abdominal scans show a liver lac
and possible kidney hematoma.
I'm gonna check on an o.
R.
Page me when he's stable.
Uh-huh.
That's him.
The kid--
the kid in the window.
Is he dying?
Oh, I don't know
what he's here for--
He's fine, roy.
He's being taken care of.
You saved his life.
Oh, no.
No.
I killed him.
(woman) can I ask something?
You say the patient asked for
meds for pains in her chest?
No, on her chest.
She had burns.
All right, thank you,
dr.
Yang.
What, are you saying
that she had chest pains,
That I orderedthe wrong medication?
It's hard to say.
The next entry on her chart
was dr.
Grey
Putting in a chest tube, so--
thank you, dr.
Yang.
Meredith?
No, lexie.
Well, I thought lexie
was on the burn--
thank you, dr.
Yang.
(lexie) I was.
I was supposed to be
with the burn ki--
All right, people, listen up.
The burn unit
and the I.
C.
U.
Are full.
All patients are staying here
until some more beds open up,
All right?
Let's keep
the trauma rooms clear
For the burn cases, please.
(equipment beeps)
(whispers) I can't get
a pulse on the doppler.
Okay, evan, I have to do
an escharotomy.
Noi have to cut into
the burned skin
To restore circulation
to your arm, okay?
(crying)
did you find my dad?
(arizona) you know what?
I'll ask again in a sec, okay?
Push another 25 of fentanyl.
Okay, evan, you're just gonna
talk to me, all right?
So you said you're in town
looking at a college?
Yeah, I got a scholarship
to cornish.
I'm not sure I can take
the rain.
Aah!
No! No!
I'm sorry.
I'm sorry.
I know.
You're okay, pal.
You're gonna be okay.
(arizona) that's what
I thought at first, too--
About the rain.
Dr.
Grey,
you grew up here, right?
So you get used
to the rain
(crying)
(whispers) lexie.
Dr.
Grey, step out.
Come back
when you've got it together.
Go.
She can't breathe.
Oh, it's okay.
I'm okay.
My mom.
She can't breathe.
It was a pneumothorax.
What's that?
Her lung collapsed.
One, two, three.
Danny Don't let him
see me die.
You're not gonna die.
I promise.
One, two, three.
(richard) you got
the chest tube in?
No, I w--I was getting there.
I was counting--
(richard) did you go in below
the fifth intercostal space?
You could've punctured
her diaphragm.
I know--I just--
I lost count.
Why?
(chokes)
Four
(richard) did you get
the chest tube in?
I did.
I-I did.
I-I just
She did.
She just missed a step.
One, two, three,
four, f--
Why did you do that?
I had to, okay?
She was running out of time.
It was a tension pneumothorax.
You have to relieve the pressure
So that she doesn't croak before
you put the chest tube in.
Do you want me to do it?
No, I-I can do it.
I-I got it.
Three, four, five.
(richard) and did she have it?
(jackson) yeah, I watched.
She--she was
a little distracted, but--
you were distracted?
What were you--
dr.
Yang was making
a toddler cry.
Stop!
(crying)
what the hell
are you doing?
Ugh.
(crying continues)
Okay, let me just say
for the record
That it was no toddler.
He was, like, 5
if he was a day.
Yang--
Well, you would've yelled
at him, too.
Why was he there
in the first place?
I don't know how he got there.
The patient was coding and--
the patient was coding?
Coags are stable.
Good, o.
R.
Is ready.
Yang, you're with me.
Torres, adamson will call you
When we're ready
for the femur.
Roy, your whole crew's
in the waiting room.
They'll see you after, okay?
They're saying you're a hero.
Tell him I'm sorry.
Tell him I'm so sorry.
Who is he talking about?
The kid in trauma 2.
Roy, he's fine.
He's gonna be--
almost had him.
I was at the window.
I could feel his fingers
in my hand.
I went to pull him out,
and--and I missed a step.
(crying) one stupid mistake.
You fell, roy.
It was an accident.
He was burning.
(sobs)
And then I went
(monitor beeping erratically)
V-tach.
No pulse.
Start c.
P.
R.
Bag him.
Push one of epi.
Charging to 200.
(defibrillator whines)
oh.
Or that works, too.
(exhales)
thanks.
Had it.
Stop!
(crying)
what the hell are you doing?
(continues crying)
(richard)
that's what I said.
That kid?
Hey, hey, who's watching
this kid?
I took the kid.
He was with me,
but I-I can't watch him.
I'm supposed to be
in trauma 2.
All right, I-I-I got him.
I'll take him.
Come on.
(richard) and you left
his mother alone?
(lexie) she was stable,
And--and I was supposed
to be with the boy.
But his mother
had a collapsed lung.
No, no, no, not that boy.
I was supposed to be
with the other boy.
You want something sweet
for dinner?
What the hell are you doing?
I have to sit with him
until his dad comes.
I left him alone--
No, you left him.
Come here.
Hey, can you sit with him
until his dad comes? Thanks.
You left him alone.
When were you planning to--
I'm s--I'm sorry.
I just--
I-I feel like--
no, you don't get
to feel anything
Because he's feeling
everything.
His every nerve is exposed
and raw, and we have to
Make him feel worse
before he's gonna feel better.
So if you're having feelings,
then you need tohut them down.
You need to shut them down
and talk to him about his future
And remind him that he has one
past all of this pain.
And if you can't do that,
if you can't do your job,
Then you find someone who can
and you send them to me.
(richard) did you see
mrs.
Becker again?
No.
Did you see karev perform
an emergency cricothyrotomy?
I wasn't there.
I was right there.
I saw it.
Then you find someone who can
and you send them to me.
Have you seen karev?
He didn't finish my stitches.
No, I-I-I don't
Doctor, she's not breathing.
Move.
Move, move, move.
Get me a 7 e.
T.
Tube.
Ah.
Oh, crap.
She's completely closed off.
I can't see her cords.
You can't intubate a patient?
Of course I can, I just
I was having trouble.
Her airway
was completely closed off.
I mean,
I couldn't tube her either.
What's going on?
(monitor beeping erratically)
There's too much swelling
in the airway.
Um, get me a smaller tube,
a 6-0.
Damn it.
(alex) move!
(larry) did karev
try to intubate?
First charles tried to tube her,
then reed came to help,
And then karev
performed the crike.
(richard)
I thought you didn't see it.
I did.
I--
And you didn't try
and help?
(reed) there's too much swelling
in the airway.
Um, get me a smaller tube,
a 6-0.
(woman) 6-0.
Here you go.
(alex) move!
She needs a crike.
My patient needed me.
Okay, here's the thing
about the rain--
It usually just drizzles.
It's--it's not like tonight.
(continues crying)
but when it stops,
Everything is super green,
And it's beautiful,
and it smells like trees.
You know that smell?
Dr.
Karev seemed to have it
under control.
Karev seemed
totally out of control.
Move! She needs a crike.
Get me an ambu bag.
He was pale, shaky, just
Really unsteady.
She's got no landmarks.
I was hoping that
What are you--
You're going in blind?
Uh, hit the carotid.
Hit the carotid.
(reed) and he kept
saying something
About hitting her carotid.
Did you
give blood today, dr.
Karev?
What?
You've been described
as looking,
"pale, shaky and unsteady.
"
We already had one doctor
pass out after giving blood.
I'm asking--
we all give blood.
Avery gave blood,
yang gave blood,
Uh, grey gave blood.
I give blood
every two months.
Just because some dumb-***
didn't eat a cookie--
I'm asking if you
gave blood today, dr.
Karev.
No.
And--and you haven't
heard from her since then?
You'll tell me
if she calls?
Right.
I know, robbie.
Thanks.
(jackson) these seattle grace
people are kinda ***.
Case in point.
***.
Wait, wait.
Don't stick me.
I gotta go.
Sorry.
(richard)
so what was the problem?
There was no problem.
(reed) there was a problem.
I came back from seeing
the firefighter off to surgery.
Hey.
Uh, my guys would like
to line the hall for roy
When he comes out of surgery.
You know,
make a show of support.
He's, uh, 35 years on the job,
so we figured we would--
that's great.
That's, um--
Ex-excuse me.
(reed) and there was a problem,
And charles waved me over
to help.
No, I wasn't waving at reed.
I was waving at karev, but he
wouldn't get off the phone.
He what?
Oh, crap.
She's completely closed off.
I can't see her cords.
Come home
so we can talk.
I hung up the phone.
What the hell
was so important, karev?
I hung up the phone,
I came over and I criked her.
After another doctor got there
first.
A patient was dying.
(shouts) look, I hung up
(normal voice) the phone.
Ow! Yeah, that--oh, that's
good and tight there.
O(cell phone rings)
Hello.
Izzie?
Iz.
Uh
Hello, iz.
Hey.
Where are you?
Are you okay?
No, I know.
Your mom--
your mom, she said she--
(arizona) you left him alone.
When were you
planning to--
I'm sorry.
I feel like--
Iz, I'm asking you
to wait, please.
No, I got--look, just wait.
Iz Just come home.
(tyler) doctor!
Come home
and we can talk about it.
She's not breathing.
(charles) move, move, move.
Get me a 7 e.
T.
Tube.
Wait, what does that mean?
(man) coming through.
You're not--you're not
coming back yet
Or you're not coming back?
Just wait, wait, wait.
(reed) what's going on?
Iz, just give me a number.
Give me a number,
and I'll call you back.
Give me a number so--I have to--
look, just give me a number.
Iz--
get me a smaller tube,
a 6-0.
I--wait.
Izzie, just--
damn it.
Move! She needs a crike.
Ambu bag.
She's got no landmarks.
I was hoping that she would--
What are you--
you're going in blind?
Don't hit the carotid.
Don't hit the carotid.
Don't hit the carotid.
Don't hit the carotid.
(monitor beeping erratically)
Got it.
Start ventilating.
I got there in time.
I did the crike.
I got off the phone.
I stayed with her
after that.
(richard) and at that point,
you had her under control.
It was a good crike.
She was stable.
(cell phone beeps)
Then out of nowhere,
we started to lose her.
She's got pulmonary edema.
Switch to high-frequency
jet ventilation.
Get a c.
B.
C.
,
lytes, a.
B.
G.
--
Just shotgun her,
get everything.
She had a.
R.
D.
S.
B.
P.
Was dropping.
We started
fluids.
She was sinking fast.
Trauma 1 is clear.
We should move her.
What happened? Why is she--
I-I don't know.
Hey, can you give me a hand?
Somebody page hunt
and get me those labs.
(April) I got her labs.
I was shocked.
You're a.
K.
, right?
April kepner?
Uh, no, no.
This is alex karev.
Wait a second.
What the hell?
(jackson) her carbon monoxide
level was 28,
And she was spiraling down.
(monitor beeping erratically)
what the hell?
B.
P.
Is 69 over 32.
Pulse is 158.
We're already filling her
with fluids.
Yeah.
She was acidotic.
We pushed bicarb.
They needed more hands.
Keep her on 100% oxygen.
No, no, do not.
Not until she is more stable.
Cristina, scrub out,
go see if you can help.
Go.
There was so much swelling,
we couldn't find good veins.
We--we had to start
a central line.
(monitor beeping erratically)
(charles) we can't use
the hyperbaric chamber
Until she's stable.
Her c.
K.
Level's
over 75,000.
She's got fulminant rhabdo.
Everything was failing--
the--the kidneys, liver, lungs.
Her chart was like
a phone book now.
She's in s.
V.
T.
Push 6 of adenosine.
Systolic's in the 70s.
Um,
start her on dopamine--5 mics.
She was coding
when I got there.
(monitor beeping erratically)
What the hell?
She's in v-fib.
Okay, starting
manual ventilation.
(jackson) charging to 200.
(defibrillator whines)
(alex) clear.
Uh, 300.
(defibrillator whines)
Clear.
(paddles thunk)
(beeping continues)
(reed) no, there's blood.
Wait!
She started bleeding out.
She's got blood
in her crike tube.
She's got blood in the tube.
(beeping continues)
Oh, my god.
I know what happened.
I know why she died.
(jackson) get an amp
of bicarb in her!
(alex) push one of epi.
(April) what about calcium?
Did anyone try calcium?
(cristina) get two more units
of p.
R.
B.
C.
S in here!
And bring some f.
F.
P.
!
Where is all this blood
coming from?
D.
I.
C.
--Her organs
are shutting down.
She's bleeding out.
She is bleeding out.
(derek) just stop.
(doctors
yelling over each other)
Stop.
Everybody, stop!
It's over.
You've lost her.
Somebody call it.
Well, whose patient is she?
Whose patient is this?
What?
I'm sorry.
I am so, so sorry.
Dr.
Kepner.
What--what did you tell them?
What did you say?
(richard)
I don't know you.
But dr.
Adamson just spent
Telling me what
an excellent doctor you are.
Your school records,
Your evaluation from mercy west
all say the same thing.
And I believe it.
I believe you're good.
Dr.
Webber,
I-I don't know--
So you should be able to tell me
what would've caused
Cathy becker to bleed out
and die
From multisystem
organ failure.
She had d.
I.
C.
Burns can cause
massive tissue injury--
but the burn was properly
cleaned and dressed.
Well, there must have been
more damage.
I mean, she had
a collapsed lung.
(gasps)
that's right.
She needed a chest tube.
But why would her lungs
have failed?
She She went
into respiratory distress.
They said they criked he
I wasn't there
for any of this.
And why would she need
a crike? Why not intubate?
Well, her airway was too
swollen.
They couldn't get--
but what would cause that kind
of inflammation in her throat?
Soot.
Smoke inhalation.
But she didn't have--
How did
mrs.
Becker's throat look?
No, she w--she w--
she wasn't hoarse.
She--she wasn't coughing.
How did it look, dr.
Kepner?
Her breath sounds were good.
She--her respiratory rate was--
What--I'm asking you
What it looked like.
Okay.
Your lungs sound good,
and your vitals are great.
Open up, please.
Oh, my god.
Okay.
Um, you look good.
These burns on your chest
are pretty minor.
But the one on your calf
might be third-degree.
(richard) you never looked.
You didn't look in her throat,
Because if you had,
you would've seen soot.
And you uld've
intubated immediately.
And none of this
would've ever happened.
No, that's--it's--
I got distracted.
I know.
It was--it was insane.
I know.
It was a simple mistake.
In the circumstances
you were under, I know--
I'm sorry, dr.
Kepner.
No, I m--I missed one step.
I know.
I
And look what it's led to.
(cristina) she's bleeding out.
She is bleeding out.
Just stop.
Stop.
Everybody, stop!
It's over.
You've lost her.
Well, whose patient is she?
(derek)
whose patient is this?
Time of death is 12:45 a.
M.
You're fired.
Oh, my god.
Danny.
Oh, god.
Oh.
Mwah.
Mm.
You're okay.
Oh.
Where's your mommy, pal?
Let's go find mommy, huh?
(meredith) when we're
headed toward an outcome
That's too horrible to face
That's when we go looking
for a second opinion.
It's not the doctors,
richard.
They're all good doctors.
I know that.
What do you think
this was for?
For jennings,
it was about legal.
But this was for me.
I needed to know
who finally was responsible.
At least I was able
to do that.
Hmm.
Say it, derek.
Maybe it's not one doctor.
Maybe it's too many doctors
Who don't know each other
And who don't trust
each other.
When I got to that room
There was chaos.
Because that's
the system now
Chaos.
That has been the system
That has been in place
since this merger
Your system.
I'm saying you should look again
at who's responsible.
And sometimes
The answer we get
just confirms our worst fears.
But sometimes
It can shed new light
on the problem
Make you see it
in a whole new way.
Hey, is she gone?
Did she leave?
You knowhat?
She was good.
She was a better doctor
than I am.
Just
Please shut up.
Hey, you talk to April?
No.
What?
Just waiting to see if you're
gonna try to hit me again.
I'm sorry.
I was just, uh--
Forget it.
Rough night, right?
So April missed
an airway, huh?
That's so stupid.
Airway first.
It's, like,
med school 101, right?
It's pretty basic.
(reed) it was one second.
She got distracted
and she made a mistake.
That we all nearly
got fired for.
Nosedive's got a point.
Thank you.
What?
We nearly got fired
for trying to fix
What she screwed up
in the first place.
Yeah, because that's
our job.
What, you didn't make
any mistakes today?
You've been distracted
for the entire week.
And who knows what you screwed
up? But our patients didn't die,
And that's why
we didn't get caught.
It could've happened
to any one of us.
After all the opinions
have been heard
And every point of view
has been considered
Here she comes.
You finally find
What you were after
April.
The truth.
But the truth
isn't where it ends.
Thank god.
I was beginning
to think you went home
And left me here to rot.
Go home.
That's it?
Ready to go?
Very.
I've been waiting
for bailey all night.
That's just
where you begin again
You okay?
Yeah.
Let's go home.
What happened today?
With a whole new set
of questions.
Done by mosito1001