Extreme Measures

Shit, man! Get the fuck down!

lt's them. Shit!

They follow me. You go the other way. l'll try for the corner.

One of us will make it.

Listen to me.

You go and try to make it back to The Room.

Wish me luck, brother.

lt doesn't seem to be serious. Just passed out from alcohol.

-Anyone been able to lD the guy? -Nothing yet, Officer.

We'll get him cleaned up a little.

l gotta go.

-Paul, l need you in here now. -Right away.

What've we got?

32-year-old cop, multi-gunshots. Right chest and leg.

-Vitals in the field? -Stable.

Type of weapon?

Ask him.

He shot him.

Multi-shots also. A crack pipe was in his pocket.

Let's get lines, pressure and fluid back here, please.

l need two teams. Simon, he's yours. Martin, Christina, over here.

l need you out of here now.

Do us a favor.

Father, you're too early, as ever.

Get him stable and upstairs. Jodie?

Call the ORs. l want two rooms in about three minutes.

Hi, how you doing? My name's Dr. Luthan.

l'm the doctor in charge.

You've been shot but you're doing fine. Mind if l look?

Let's take a little look.

lt's not so bad. Do me a favor. Take a deep breath when l say, ''Now.''

Jodie in Trauma. We've got two patients with gunshots. We need two ORs.

Deep breath.

Great. No breath sounds on the right. Get a chest tube...

...and rays here. Stat, Paula, stat.

-Got a name? Talk to me. -Simon, how're we doing?

-A shot in the neck, one in the arm-- -And the wild look in your eye.

Let's relax. Same goes for everyone.

lncluding you. You've been doing crack?

Who the fuck are you?

You been doing heroin? l need to know if l'm gonna help you.

l'll look at your arm.

Get a combine and pressure on that.

-How're we upstairs? -Nothing yet.

Of course not. Stupid of me.

That's it. Right through there.

One room up. OR 3 standing by.

That's no good. l need two rooms. Two patients need two rooms.

Motherfucker shot me. He fucking shot me!

But you shot him first, didn't you?

Calm down. Help us out. We're getting a urine sample.

Are we in?

We're in.

-Good. Joel, do we have x-rays? -Nothing yet.

-Where's Paula? -Don't know.

Gentlemen, please? Thanks.

Doc, you remember me, right?

How's my guy?

Obviously he's been shot, so.... Excuse me.

He's got a family.

-Good. Point taken. Thank you. -This is his wife.

Your husband will be okay. He'll be fine.

Thank you.

Talk to you later.

The other guy, go easy on the painkillers, will you?

X-rays are good. Let's get them both upstairs.

l can't shake another room.

They've just gotta open one, that's all.

They just did. They're full.

What's the move?

We got an expanding hematoma. Pressure's dropping.

Joel?

BP's stable but we already lost a liter through the chest tube.

Take the cop. Whole team goes with him. This team stays with me.

Here, Daniel, you're gonna need this.

Jodie, tell them he's coming.

l need a basic tray set-up, sterile gloves.

l need to get him intubated and l need light on this subject.

l wanted to thank you. You did a great thing for my guy.

Listen, it's-- No, not you.

This is one hell of a doctor, l tell you.

She knows, she knows.

Good. Thank you very much then. Thank you.

Tara, can you get Mrs. Gomez up to the pulmonary unit? Excuse me.

-You need anything, call me. -Will do.

-l owe you one. -Sure.

Anytime. Name's Stone, as in Sharon.

Listen, they only gave me one room.

Yes, l know. But you knew the other guy was in much worse shape.

-They'll both make it. -You didn't know that.

l did.

Look, you made a moral choice, not a medical one. l guess l'm just....

-l'm surprised, that's all. -Hang on. Wait.

This is New York. Gunshot wounds aren't entirely unfamiliar to me.

My opinion was that they were both stable.

l wanted two ORs, l didn't get them. l had to choose.

On my right, l see a cop with his wife in the hallway, and pictures of his kids.

On my left, a guy who pulled a gun on a city bus.

l had ten seconds to make a choice. l had to make it.

l hope l did the right thing. l think l did.

Oh, shit.

Maybe l didn't, l don't know.

Listen, l'm sorry. l'm just....

lt's okay, it's okay.

You may well be right and l appreciate it.

l will resign first thing in the morning.

That's fair.

Good night.

Look, Jodie?

Are you doing second shift tomorrow?

Yeah, why?

Well, it's just l have to...

...get these intern evaluations done.

l'm supposed to get a nurse's input and l was wondering if maybe l could...

-...get yours. -Mine?

l was just thinking, your critical faculties seem quite...

...sharp.

l'm sorry l got upset. This week has been bad.

l know it's been bad. ln fact...

...you're too busy. lt's ridiculous.

l'll do it. lt's fine. l'll do it.

Thanks.

Great.

Bobby, please go away.

l've got 16 patients out there.

l gave you a prescription for pain meds yesterday.

l lost it. l got mugged.

How many times you get mugged a week?

Come on. l need some damn medication.

No, take the vitamins l gave you. Try to exercise occasionally.

Sorry, but my membership to the tennis club just expired.

Should l do dips on the turnstiles in the subway?

You're not sick, so l can't give you a prescription.

Okay? Give us a break.

Okay, sure. l can respect that.

-Appreciate it. -Guy!

l need a consult. Urgent.

Excuse me, Doc. Are you an American?

Can l talk to you? Yo, bro!

Where was your ass at when l got mugged the other night?

They picked him up passed out on Third.

Off the bus, he looked okay. They left him ten minutes.

Hi there.

Jeez, he's really hot.

-What's this stuff? -lt's what he came in.

-Do we have a name for him? -He won't talk.

Can you tell me your name, sir?

We started to work him up. He looked sour.

We only left him ten minutes.

Can you tell me your name, sir?

Jesus! Hands, please!

Get him in the back room.

Oxygen. Joel, 10 of Valium.

You'll have to calm down for me.

Calm down. Simon, how's my EKG? l need some numbers.

Any second.

-Valium's in. -Hold the oxygen. We're getting him.

Can you hear me?

lf you can hear me, it's very important--

Okay, Foley. How's my Foley?

We're already in.

Let's get a tox and let's get labs. l want an ABG, l want a VDRL...

...l want a CBC, l want a--

Just get some serology tubes. We'll work out what we want.

Can you run the bloods?

Look at this.

On his wrist.

All right, so we've got a hospital wristband.

Hold him. Hold him!

No name, no hospital. Anyone seen one of these? Silver.

Pressure's 90 over palp and dropping.

Where's it going?

He could be septic.

Look at this.

He's post-op. Recent surgical scarring, fresh tracks.

Possible lV, possible intravenous drug user. Simon, how's it going?

180, 60, 120....

Fix the machine, for chrissake!

-Here's what l want. -70 over palp, Guy.

Jesus, okay. Turn up the fluids.

Dopamine. Run at 500, now.

lt's 240, 120. lt's not the equipment. l'm getting good tracings here.

Get the samples to the lab.

The tests you wanted--

l don't care. Get everything! Go!

Now it's going up, 180 over 100.

180? Back off on the.... Don't do that! Back off on the fluids.

-Cut the dopamine. We overshot here. -The dopamine's not even in yet.

Come on guys, help me. Theories.

-What's happening? -l don't know.

We're stabilizing. l'm getting a normal sinus rhythm.

120 over 80.

-Did we do anything? -lt's holding.

80 and steady.

Think it's viral?

l hope not.

Could be.

Maybe there's a virologist hiding here somewhere?

Hi. Can you hear me?

My name...