ER Episode Scripts

s12e07

Précédemment dans Urgences: - On va nettoyer cet endroit.
- Gallant sera là dans 3 jours.
Je veux juste que ce soit bien pour lui.
Il a été là bas trop longtemps.
- Salut, je suis Zoe.
- 14 ans ? - Pourquoi tu m'as pas dit ton âge ? - T'as pas demandé.
Voici une ordonnance de doxycyline pour la chlamydia.
On t'a prévenue trois fois et On va devoir vous laisser partir.
Qui est ce Clemente ? J'en ai fini de me disputer avec un écran de télé.
On pense que ça supprime la formation radicale.
Vous venez de m'appeler "écran de télé" ? Ca va être le nouveau chef des Urgences ? On forme un comité de recherches.
Il serait pas là 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 à la maison ? M.
Cougy voudra peut-être les manger plus tard.
Il n'aime pas les gaufres.
Excusez moi.
On peut avoir l'addition ? Désolée.
La caisse est toujours hors service.
Vous voulez plus de café ? - Non merci.
- Ca ne prendra que quelques minutes.
Viens, on s'en va.
Prends ton manteau.
Dépêche toi.
Tu veux ton dessin ? Non, par ici.
Allons y.
Vous pouvez pas passer par là.
J'aime ton dessin.
On devrait le garder.
Je suis touché ! Ne bougez pas.
Restez à 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.
Sécurité.
Vous faîtes quoi ? Je vérifie si il y a une hémorragie interne, c'est tout.
En me mettant un doigt dans le cul ? On appelle ça un touché rectal.
Eloignez ça de moi.
- Il y a de la merde sur mon nez.
- Ca va ? - C'est dégueulasse.
- Je vais bien.
C'est dégueulasse.
Donnez moi une serviette.
Touché négatif.
Deux d'ativan, non, quatre.
Cliché des cervicales et cherchez ses résultats.
Je vais le dire à votre supérieur.
- Oui ? - Vous avez vu votre pote KJ ? - Non.
- Moi non plus.
Je vais le saquer.
Vous pouvez pas le virer.
C'est un bénévole.
C'est pas vraiment un bénévole bénévole.
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 siècle, on va régulièrement présenter des nouveaux équipements et procédures.
Pour commencer Mon adorable assistante va faire la démonstration du tableau de communication avec les patients.
Plus de papier ni stylo.
Ca facilitera la vie de tous.
A partir de maintenant, les patients intubés peuvent pointer, entourer ou marquer toutes leurs questions ou demandes.
Magnifique.
Ensuite, on a les attelles libre.
Les régulations fédérales découragent l'utilisation de contentions, qu'on doit vérifier toutes les 10 mn.
C'est bidon.
Qu'y a-t-il de si drôle, Barnett ? J'ai juste du mal à y croire.
Il y a eu plusieurs cas où les patients ont été laissés sans surveillance pendant plusieurs heures, qui ont perdu une main à cause d'une ischémie.
Donc, on va commencer à utiliser les attelles libres.
Des volontaires ? - Merci Jerry.
- D'accord.
Les attelles libres sont moins restrictives et devraient être utilisées avant toute contention, légère ou non.
L'attelle est très utile pour éviter que les patients combatifs ou agités retirent leurs sondes, touchent leurs blessures et perturbent les appareils qui leur sauvent la vie.
Yo, coño, 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 très belle.
- Michael rentre aujourd'hui.
Bonjour soldat.
Victor.
Il vient de se cogner la tête contre le placard.
Donne lui 5 d'aldol.
Non, 10.
Ce type est comme une bête sauvage.
On doit lui tirer dessus avec une fléchette tranquillisante ? On en a ? C'était 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.
Après toi.
Attention, de multiples plaies par balles arrivent.
Abby, avec moi.
Neela, appelle le bloc.
Assure toi qu'ils sont ouverts.
Pratt, prépare les traumas un et deux.
Je vais vider les pièces.
Frank, appelez la banque du sang; dîtes leur de préparer du O-Neg.
C'est une histoire de gang.
Un type s'est servi de sa fille comme bouclier humain.
Super.
T'as loupé la réunion d'informations.
Clemente met en place des changements nouveaux équipements.
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 à cause d'un singe ? C'était un chimpanzé.
Si il veut être chef, il peut l'être.
Il peut peut-être ouvrir une animalerie en salle de repos.
Fille de 10 ans.
Plaie par balle au thorax droit.
Tension à 85/60.
Pouls à 120.
- Saturomètre ? - 96 sous deux litres.
Comment tu t'appelles ? - Vincent m'appelle Mlle Oddy.
- Qui est Vincent ? L'homme avec qui elle était.
Elle s'est faite kidnappée.
Le kidnappeur a commencé à tirer, on a riposté.
Vous lui avez tirée dessus ? J'ai eu un tir clair.
L'arme du type a du se déchargé quand il est tombé.
Vincent est mort ? La 73 l'emmène.
Il a été touché plusieurs fois dont une à la tête.
- Il a touché 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 arrêter la douleur très vite, d'accord ? - Où est Cougy ? - Qui est Cougy ? Mon ours en peluche.
La police a du le trouver.
Je suis sûre 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 ça ? Je les appellerais pas comme ça, mais oui.
- On vit dans le même dortoir.
- Première année ? Comment vous savez ? La vie du campus est censée être amusante.
J'ai l'impression d'être torturé.
Vous avez vomit ? J'ai vomit toute la nuit.
Soirée étudiante vous tombez dans les vappes, vous vous réveillez avec la gueule de bois et du marqueur magique.
Quelque chose comme ça.
Vous n'avez pas de fièvre alors c'est sûrement pas viral.
Votre tension est un peu faible.
Vous êtes sûrement déshydraté.
Merci.
Si j'ai encore envie de vomir ? Tenez.
Vous avez rien de plus gros ? Si ce n'est pas la coupeuse de tête ! Quel employé bien aimé tu vas virer aujourd'hui ? Arrête un peu Frank.
J'envoie à Haleh son dernier chèque.
Tu veux lui écrire un mot ? Haleh, c'était l'idée 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 sûrement 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 là.
- C'est pas le tireur.
- Non, c'est le flic qu'il a touché.
C'est ma première semaine.
Je viens de sortir de l'académie.
On dirait que la balle a ricoché contre le gilet.
J'ai dit à l'autre type que j'ai d'autres blessures critiques.
On nous a rien dit.
Tension à 100/65.
Pouls à 120.
- Ca a du toucher l'artère brachiale.
- Je sens plus ma main.
- Le nerf médian aussi.
- Je vais perdre mon bras ? Quand on arrêtera le saignement, on pourra réparer l'artère.
- Tu t'en charges ? - Oui.
- Je vais voir Abby.
- Je suis dessus.
- T'étais où ? - Je faisais des trucs.
Je vais t'en faire des trucs sur la tête.
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 être touché.
C'est quoi ? Trauma axillaire pénétrant avec déficit vasculaire.
Tu veux clamper là où ça 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 êtes de la 23e ? - Pourquoi ? Prêts ? 1, 2, 3.
Mon père et mon frère étaient la 17e et de la 109e.
Vraiment ? Vous connaissez Joe Buccaccelli ? Il était à l'académie.
C'est votre frère ? Non, il m'a donné mon premier orgasme.
Quoi ? C'était un événement marquant.
- Comment est le saturomètre ? - Il se maintient à 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 confirmé son identité.
Elle s'appelle Sydney Carlyle.
On l'a enlevée dans un camp dans l'état de New York en Août.
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 taré qui l'a enlevée.
Je sais pas.
Ils lui ont tiré dessus.
L'hémothorax est gros comment ? Abrasions multiples adjacentes aux parties génitales extérieures.
Quatre lacérations sur les lèvres et différents stades de guérison.
Vincent t'a fait du mal ? Il t'a touchée les parties privées ? Seulement quand on jouait aux mariés.
Vincent m'aime.
Systolique à 70.
Le tireur est là.
Tu penses à un drain thoracique ? - Quoi ? - Drain thoracique.
Ils étudient le cliché.
Vas-y.
Fais le maintenant.
D'accord.
Bétadine et drap stérile.
Vincent Jansen, 34 ans.
Multiples plaies par balle, thorax et abdomen.
Et une au crâne.
- Vous l'avez pas intubé ? - Respiration spontanée, sat à 96.
- Il lui faut des perfs.
- On y va.
Exam Deux.
- Comment va la petite ? - Stable, je crois.
- Tony Gates.
- Dr Rasgotra.
Tension à 100 palpée après 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 touchée.
- 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 Cañon 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