ER

Staging area, north of County...

Coming through.

Callahan, cordon off the area.

Don't let the witnesses leave.

All right, come on, here.

You folks back off the perimeter.

- Back off the barricades. Come on, now, listen to him.

There's a car coming in.

What happened after that?

Lift those cords up, right now.

- They took one of our nurses. - Got in the van and just plowed right by.

Was Sam...? Was there a nurse with them?

- I saw a lady, guy was dragging her. - She works here, Samantha Taggart.

You need to find her.

Holding area to the left.

- Lily, how'd you get through? - Through Oncology, everybody okay?

I'm not sure yet. Call OEMC and put us on medical bypass.

We're closed for internal disaster.

- And page Kovac, it's his damn ER. - I'll get on it.

- Dr. Weaver. - Yes?

- Main area clear, working our way back. - Thanks.

Admitted patients need to go up to the wards, don't wait for open beds.

They can board them in the hallways for now.

Okay, everybody else is getting triaged.

We need to assess all equipment for any possible damage.

Some of the techs are starting on that.

- I came in as soon as I heard. - Thanks, Frank.

Call Pratt, we need him here. Frank.

Requesting backup, any available...

Jerry is gonna be okay.

I found this lady near the stairs.

- Finish checking the back hall. - Hey, is somebody with this boy?

It's okay, honey. It's okay.

Hi, I'm Kerry. Are you with somebody?

Jerry was taking care of me.

- Where are his parents? - They were on their way in.

I'll take him up to Daycare until they get here. Come on, honey.

Have somebody take a look at that.

- I'm good, this is nothing. - Looks like something to me.

Lots of folks got it worse.

Haleh, how's Jerry doing?

We're waiting on a second Thora-Seal. Abby's getting it.

- I'll be right in. - Dr. Weaver.

Any word on Sam?

- I told you we should've waited. We waited long enough.

We would've walked out if you hadn't let her play doctor.

He okay?

His insulin level is peaking. He needs some food.

- Peaking? - Yeah, he's diabetic.

What, did you forget?

- How far till the switch? About 10 minutes.

Hurry up.

We'll get him something soon.

- Systolic's down to 70. - Call for type specific.

- Another two liters on the infuser. - How you doing, Jerry?

- Breath sounds on the right. - His chest tube is clamped.

- You want him to bleed out? - He needs to get up to the O.R.

- Still waiting on that Thora-Seal. - I'll go find it.

- Hey, sats are dropping. - 8-0 ET, sux and etomidate.

Abby? Abby.

Abby, open your eyes.

Open your eyes, come on. Come on, wake up.

I need some help, now.

I'm coming in right now.

There's been a shooting. Jerry took a couple hits.

- They're trying to stabilize him now. - Abby?

Found her in a pool of blood.

Frank wasn't sure about anything else. I'm dropping you off before I go in.

- I'll check on you later. - I'm coming with you.

County General, as fast as you can.

Sats, 98 on room air.

Deep breath in and out.

What the hell happened?

That trainee girl stabbed me with Beck.

Sam did the intubation. How's Abby?

I need to check on her. Six liters O2.

Call me if his pulse ox drops below 94.

- Easy, Luka, come on. - I'm fine. Oh...

You need to be monitored for at least an hour.

- I'm fine, Kerry, okay? - Luka, you were paralyzed and intubated.

You belong in the ICU.

Hey.

All right, get him a stool.

Pressure's up to 110 on two liters, crit's 35, fetal heart tones, 160.

- Sounds good. - Hey, Abby. How are you doing?

- How'd I get here? - You passed out, you were bleeding.

I had a cramp.

- Probably vagal from the pain. - Has it stopped now?

It seems to have slowed down.

No sign of abruption, baby's moving around.

Looks healthy.

Congratulations, it's a boy.

Could be a placenta previa.

Uh... No, I don't have previa.

They saw a low-lying placenta on the 20-week ultrasound.

That would explain the bleeding. You may need a C...

- I don't need a C-section, call Coburn. - She was paged.

- Dr. Weaver, Psych's here. - I'll be right there.

Kerry, move me to OB.

- No, we still need a sterile spec exam. - Dr. Weaver, send me up to OB.

- Vitals? - Pulse, 85. BP, 112/78.

All right, take her up.

- Having a rough time with the airway. - It's okay, I got it.

- Help with the intubation. - I'm staying with you.

No, no, I'm just going up for NST.

- Just come up after he's tubed. - No.

Luka, it's Jerry.

Page me if something changes, okay?

County ER.

Sorry, we're closed. You have to call Mercy.

Clinic's taking any walk-ins with stress reaction.

Good, thanks. Abel, stay with him until he's settled upstairs.

Okay, Dr. Weaver.

We should discuss a critical-incident debriefing.

In a few hours, let's get through this.

- I don't care, you can't just barge in. - Chris, it's okay, it's okay.

- What's up with Jerry? - He is redlined to the O.R.

- And Abby? - She's good.

We sent her up to OB, just to be safe.

They just called. Dr. Coburn is on her way in right now.

- Okay, great. - Abby, how are you?

Oh, I think I must have hit my belly when I fell, I'm fine.

- How's the baby? - Fetal heart tone is 155.

- Thank God. - I'm just going up for monitoring.

- I'll come with you. - No, no.

Come on, it will be fun. We can play Who Had the Worst Day?

I'm fine.

Really.

All right, I'll come and check on you later.

Come on, come on, let's go.

- Mom, I don't feel good. - He needs to eat something.

No, gonna get some miles behind us first.

No, he can't wait.

Okay, get him something to hold him over, but make it quick.

- Come on, Alex. - No, Alex stays with me.

- I'll take her, let's go. - I'll be back, okay?

Hey, get me some chips.

I'm hitting the head.

Come on, stand up straight.

Be a man. You're not a little kid anymore.

Oh, shoot.

I think you're gonna really like Canada.

I like Chicago.

More cricoid, Ray. I'm about to crack the larynx.

It's a big floppy epiglottis. I can't see, it's a long neck.

Eighty-two on the pulse ox.

Pull out the bag. Give me the flipper.

If we can't get this in...

...then we're gonna need a straight long blade.

You okay?

Let me know when the sats are up.

Tight wheezing throughout.

All right, sit down. Get him an albuterol neb.

- I'm okay. - It's bronchospasm.

- You probably aspirated some saliva. Guys, I can do this.

If you don't get treated, I'm gonna have two patients to intubate.

Grab an LMA, just in case.

Pressure's down again.

Autotransfuse from the Thora-Seal. - Okay, let me take a look.

How is he?

He's okay, Frank. Did somebody call his mom?

I'll do that right now.

She can meet us up in the O.R.

Yeah, let's hope so.

Hey, grab what you need.

You planning on paying for those?

No stealing, baby.

Yeah, these people work for a living.

He's bradying down. - Should I get Weaver?

If you enter the trachea, you'll feel clicks...

...when you pass over the cartilaginous rings.

Heart rate's only 50.

Click.

Click.

- Click. Hold it right there.

Ray, pass an 8-0.

All right.

Here you go.

Okay, advance the tube.

- No, it doesn't wanna pass. - Down to 40, amp of atropine.

Rotate counterclockwise.

It's caught up on something.

There we go.

Okay.

End-tidal CO2.

- Sensor is yellow. - Yellow means yes.

- Thought you were bringing him. - Problem. We're ready.

- His pressure? - Up to 95 systolic.

Four units. Two liters autotransfused off cell saver.

Everybody upstairs is doing everything we can to help you guys out.

Well, baby looks good, but you are definitely contracting.

- I don't feel anything. - Sometimes you don't.

I think the belly trauma put you into preterm labor.

Baby's head dropped down, caused placental bleeding.

Okay, well, it's too soon, so give me terbutaline.

Come on, you need magnesium. I know you know that.

I remember all the times you gave it when you were a nurse.

Mag makes you feel like crap. So why don't we just start with terb?

Terbutaline can mask the signs and symptoms of abruption.

I didn't know that.