New Amsterdam

Whoa.

I don't think I've seen the ED this quiet since...

I don't think I've ever seen the ED this quiet.

Could be the new moon.

Or because NYU's on spring break.

I'd say I hope it stays like this for you,

but I know you're a masochist.

Uh, no, not anymore. I've changed.

Mm.

Incoming!

32-year-old woman, restrained passenger in MVA.

A van hit an embankment.

02 sats in the 80s and dropping.

Okay, she may need to be tubed.

I'll get an airway box.

Casey, draw up etomidate and sux.

We got this. One, two, three.

Okay, let's bag her with 100% O-2.

Looks like a class two airway.

Incoming!

Okay, use a rapid sequence technique.

Casey, when you finish,

get a 12 lead EKG and a stat portable chest.

You got it.

- Restrained passenger in MVA. - Man, I was good and asleep

and then all of a sudden, boom!

Glass was flying everywhere and whatnot.

- Let's get her to bay 27. - God bless...

just trying to get an early start

back home to Alabama.

Okay, ma'am.

We were at this church convention.

- Ma'am. - Oh, no, excuse me.

- Ma'am. - I am not a ma'am.

I am a Miss. Miss Verdene.

Miss Verdene, well, I am Dr. Bloom,

and this here is Nurse Brunstetter.

And they're gonna take care of your lacerations.

Okay, thank you.

Okay, let's expose the skin,

irrigate the wounds, and set up a suture tray.

Yeah.

This is Kaye Henry, restrained driver of the van.

Airbag deployed resulting in chemical burns

and a bleeding nose.

We're from Holy Gethsemane Christian Fellowship.

Everybody from our group has insurance.

- That's okay. - No, we can pay.

Well, today, I am fixing broken noses for free.

Bay 24.

40-year-old woman in respiratory arrest.

Seriously? Let me guess.

Restrained passenger in MVA.

Please, somebody help her!

Can someone please help with her leg?

Please, please, someone.

Please, please, don't let her die.

Mariana? Mariana, bay 26.

Pneumothorax, let's place a chest tube.

Someone, please, please, help her.

Please don't let her die. Lottie's got babies at home.

All right. All right.

- Why's it so hard? - Okay, ladies, I need for you

both to breathe for me, okay?

Turan, compartment syndrome.

Measure lower right extremity for anterior pressure.

I'm not getting a good seal.

Mariana, angle the tube posteriorly

for better blood evacuation.

Yes.

- Okay, Nurse Jackson. - I'm right here.

Nurse Jackson, let's get this going.

Where's my cane?

All right, how you feeling, Kaye?

- Okay. - Good?

- Yeah. - Okay, keep that... that's right.

That's right.

Chest pressure's equalizing.

- Great. - Bloom, leg pressure's 40.

Okay, do a fasciotomy using the two incision

four compartment technique.

- I need my cane. - Ow, it hurts.

All right, Kaye.

First time you've broken a bone?

- Yeah. - All right.

This is gonna hurt, hopefully not too much.

Okay.

- Auntie Kaye. - Chante!

- That's my niece. - Kaye.

- You need to relax. - I need to get to her.

Auntie Kaye, where are you?

Restrained passenger in the MVA.

She has chest bruising from the seatbelt.

My chest really hurts.

Okay, we're gonna take a look at that.

Let's move Chante to a side bay

and get chest x-rays, both PA and lateral.

Okay.

She's been sick the last few days.

- Nausea, vomiting. - Kaye, I got her.

I promise.

The best way for you to take care of her right now

is to take care of yourself.

All right? You need to rest.

Alfreeda Watson, 54-year-old...

Restrained passenger in MVA.

- Got it. - Her leg was trapped

under the seat in front of her.

Okay, Ms. Watson, does your... does your leg hurt?

Well, it ain't childbirth,

but I 'spose it does ache a touch.

Now, I'm not one to complain,

but I think that New York is tired of all us ladies

here from Alabama.

Uh, bay 28.

Let's get some x-rays and page Kapoor.

- Looks like nerve damage. - Dr. Bloom?

- Dr. Bloom. - Yes?

Yes?

Your nurse cut my blouse... brand new blouse

- clean off of me. - And I've apologized several times.

- Okay, Miss Verdene... - It was a final call sale.

Now, what are they gonna do about that?

They're stitching up my face. They're gonna stitch up my shirt.

Uh, Brunstetter, what have you got?

Sister Mary Joseph node.

Good find. Okay, let's page Sharpe.

Bloom, pressure's bottoming out!

- I'm gonna be right back. - What?

Someone, I need my cane.

Restrained passenger, hit her head during an MVA.

And this fool done put an ice pack on it.

- You're in pain. - But the damn thing leaked.

It's full of all kinds of fake-ass chemicals.

Okay, we're gonna irrigate your head,

make sure all the chemicals are washed away.

Irrigate? Oh, no, ma'am.

- This is not wet and wild hair. - Brunstetter!

Okay, this is Nurse Brunstetter,

and they're gonna take great care of you.

- Bloom. - Ooh.

I can't wait to get back home.

Take a look at this.

She's hemodynamically unstable.

SVT. We need to cardiovert her.

Come on.

She's in defib. Charged.

Clear.

Go again, increase to 150 joules.

- Charged. - Clear.

- We have sinus rhythm. - Back to normal rhythm.

Blood pressure's rising.

All right, vitals are stabilizing.

Casey, pull up the portable chest X-ray that you did.

What are you thinking?

EKG is showing low voltage in the lateral leads.

Cardiac tamponade, probably from that right there

on the chest X-ray.

- What? - There's a shadow.

Contusion?

It's more like a mass.

Let's put Zoll Padz on her chest

to shock her heart back to a regular rhythm

next time it goes off and page Reynolds.

If one were more conspiratorially minded,

one might think that you were actually trying to avoid me.

Uh-uh.

- Rough night? - You could say that again.

Well, surely not because of this adorable munchkin.

Yeah, well, to her credit, it does take commitment

to sustain six straight hours of screaming.

Well, like her father,

it would appear that she's only content inside a hospital.

Yeah, cruel, cruel irony.

Let me help. I mean, after work,

I could take her for a couple of hours,

give you some me time.

That's very kind, but I couldn't ask that of you.

What if I insisted?

Yeah, thanks anyways,

but we kind of got a whole system going.

So we're good... for the most part.

You're right, looks like a mass.

Well, based on the size, she's had it for a while.

Any of these women know her health history?

- Not that I can figure out. - Where'd you want me?

Sister Mary Joseph node in bay 29.

Let's take her up.

Dr. Bloom, point me.

Uh, bay 28, nerve damage.

Okay, Ms. Watson, I'm Dr. Kapoor.

I realize it might not look this way now,

but you ladies really were lucky,

considering that there were so many of you in the van.

So because I'm a black woman, I must be

with all the other black women you got up in here?

No, that... not... that's not what I...

what I meant was...

Relax, I'm with them.

But you should see your face.