Pulse (2025) s01e02 Episode Script

1
- [rain falling]
- [wind gusting]
[woman on radio] As Hurricane Abby
makes a decisive turn towards Miami,
authorities have issued
a shelter-in-place order.
However, those along the coastline
need to evacuate and get to
a Miami-Dade County shelter immediately.
Tide levels are expected to crest
six feet above normal by midnight.
This is not a suggestion.
This is, "You must evacuate
quickly and safely." Gather up--
- You know what I think is overrated?
- What?
- Dying a hero.
- No one's dying.
- [thumping]
- [gasps]
- [wind howling]
- [debris clattering]
This is our last call.
Take your mind off it.
- Think about something happy.
- Don't say it.
Dr. Tom Cole.
I'm not interested in Cole.
Right. That's why you keep asking
all kinds of questions about him.
I'm new. I ask questions about everyone.
Sure. You just happened to start with
the surgical resident with the hot accent.
- And the terrible reputation with women.
- Shan.
Please stop! Please stop!
- Please.
- Are you okay?
You gotta help me. [panting]
A tree fell on my house.
[wind howling]
My kids are in there. They're hurt.
You have to help me, please.
[dramatic music plays]
Over here.
This way.
[dramatic music escalates]
[music fades out]
- [heartbeat thumping]
- [breathy oscillating tones]
- [sharp breath]
- [heartbeat stops]
[slow exhalation]
[edgy music playing]
- You think I wanted you to stay?
- You didn't say no when Cruz asked.
It's a hurricane. I'm not risking lives
to avoid awkwardness.
34-year-old male. Waited too long
to plywood his windows.
Took a dive off the ladder.
- Only complaining of left leg pain.
- We're gonna take good care of you.
Can you wiggle your toes for me?
That's great. Good job.
Two plus DPs.
Yep. He's gonna need some X-rays.
- I can call ortho, give them a heads-up.
- I'd hold off on calling ortho.
[music recedes slightly]
Yeah. She's right.
The new ortho attending hates that.
Only wants to be called
when everything's ready.
Got it, boss.
Okay. Let's get him eight of morphine
and send him for X-rays.
I'll be back.
[edgy music resumes]
Danny. It is hard
for people to adjust, okay?
Especially when there's no indication
that you've been suspended.
You don't think this is awkward for me,
trying to help you do my job?
I can do your job fine on my own.
So you've got a plan
to address patient overflow?
I already have patients being moved
into conference rooms.
And where's the medical staff
going to sleep?
[music recedes]
I have a plan.
Good to know you're handling it.
Can you imagine? Having to work with
the guy you just accused of harassment.
I can't believe he stayed.
They suspend him
for a bullshit harassment claim,
give his job to the accuser,
then beg him to help.
- Of course he's gonna stay.
- He's a hero, and she's humiliated.
Don't act all upset about it.
You're the one who went to Cruz.
I reported a legitimate concern.
You sabotaged her
because she got your promotion.
Trust me. I'm thrilled to discover
a modicum of shittiness
under all that altruism.
- What if he turns out to be a perv?
- What if she turns out to be a liar?
- She's not a liar.
- And he's not a perv.
Hey. Sick people don't care.
Go save sick people
and stop bothering me. Hm?
Camila?
[pensive music plays]
Um… look. Don't tell anybody,
but I need you to find a room.
Enough space for a dozen beds,
somewhere the staff can sleep.
Couldn't we sleep in the on-call rooms?
With the bunk beds?
- Did you watch Grey's Anatomy growing up?
- Yeah.
Okay.
Try to unlearn that.
House collapsed in the hurricane.
Rescue pulled out a family.
Two stable, three critical.
- Uh, how long?
- I'll find out.
- And Cruz wants to see you upstairs.
- Oh God.
[music fades]
- Uh…
- [indistinct chattering]
What's happening here?
With all the pregnant people?
Overflow, from labor and delivery.
They called in anyone due to deliver soon.
Okay. I'm gonna pretend I didn't see that.
Thought you got over it.
Your little phobia.
What do you want?
I'm worried about Dad.
He isn't picking up his phone.
We're in a hurricane.
What do you want me to do?
Can you call your friend Becca
that lives down the street from him?
- [Luis] Danny, trauma six minutes out.
- I'll try when I have a minute.
- Can you give me her number?
- I'll try.
[edgy music plays]
[voicemail] Hey, you got Matty.
Say something worth saying.
Dad, pick up your phone.
I don't care if you're stoned
or whatever bullshit.
You're freaking Harper out. Call her back.
[edgy music fades out]
- [rain pelting]
- [wind howling]
I, um, heard the surgery went well.
Look, I'm… I'm sorry for what I said.
- I--
- What's the update?
We're full.
48 in the waiting room, 14 waiting
for beds upstairs, more coming in.
We're short nurses and an attending
who got stuck in the storm,
but we're managing.
Some boys from the bus are in surgery.
And we didn't lose anybody.
Good.
If there is more than a 10% chance
you need me, you call me.
And you lean on Phillips.
Uh, Dr. Cruz, I don't need him.
Then why didn't you say that?
[dark music plays]
City power's still out,
we're on generators,
but if anyone asks, business as usual.
- You paged?
- [Cruz]Yeah. You can go now, Dr. Simms.
- I can stay if there's something--
- You can go.
[dark notes rise and fall]
I have a trauma coming in anyways.
[distant sirens wailing]
How are you holding up?
[music fades]
- [siren wailing]
- [overlapping chatter]
Where's Phillips?
Upstairs with Cruz.
You can write all my mistakes
in your notebook?
Do a presentation for them later.
I'll take the first.
- [tense music plays]
- I'm here. Can you hear me?
- What've we got?
- Luz Villarreal, ten years old.
We dug her and her brother
out of a collapsed house.
She's hypoxic.
It's getting harder for her to breathe.
[crying] Luz, where is Luz? I want Luz.
Pierro Villarreal, five years old.
Bruising around the chest with
a right lower leg injury. Stable vitals.
We were told there were three critical.
Where's the third?
The third is my partner.
[dark music recedes]
Catch.
[wind howling]
Oh my God, if you save my life,
I'll never hear the end of it.
Let's get her into trauma two.
[man] We're fine. Can we see them?
If you were in the house,
we need to get you checked.
- I need to be with our kids.
- You're gonna be updated.
No, I'm going in there.
- No, don't touch me.
- Baby. You can't. You can't
Okay.
You're bleeding.
We're gonna take care of your kids.
In the meantime,
I wanna have someone check you out.
- Cass, can you?
- Yeah. Oh, of course.
She's hypoxic. I need to intubate.
- I got it.
- I can do it.
It's my trauma.
Okay. Good.
Can I feel your belly? Ooh…
- Suction.
- [woman] It's ready to go.
[pensive music playing]
- A 6.0 ET tube.
- [man] Right away.
Is my sister gonna be okay?
Ooh…
[softly] Hey. I think we should…
Hey, Pierro,
have you ever made a blanket fort?
- No.
- Well, let's do it.
One, two, three.
I need better positioning.
- Can you get that blanket?
- [woman] I got it.
[indistinct overlapping chatter]
I'm gonna make your leg feel better,
but it's gonna hurt for a bit.
So what I want you to do is,
on the count of three,
squeeze my arm really, really hard, okay?
One, two…
[joint cracking]
- [Pierro exhales]
- Yeah?
- Does it feel better?
- Yeah.
There's too much edema.
I can't visualize the airway.
Prep for a cricothyrotomy.
- On it.
- You're doing a cric?
- Is it the cric or is it me doing it?
- Neither. It's a good call.
[tense music builds slowly]
Making a vertical incision
over the cricothyroid membrane.
A horizontal incision is faster.
I'm just saying.
It's safer this way.
Just because it's not the way…
She's hypoxic.
It's the way you should do it.
With a vertical incision,
I can be sure of where I'm going.
[Gabe] O2 sats are rapidly dropping.
- Danny. This is--
- Hey, come on.
Back off.
[equipment chiming]
[Gabe] Guys, she's bradying down.
Screw it. We're gonna do it his way.
I can see the landmarks.
Right. Good. Ignore the bleeding.
Just get the membrane open.
[oxygen hissing]
[equipment beeping]
Sats are coming back up.
[tense music fades out]
You did a good job.
Yeah. With him holding my hand.
- Where are you going?
- To the bathroom.
- [heartbeat thumping]
- [breathy oscillating tones]
["Hora Loca" by Rawayana
& Monsieur Periné playing]
[indistinct overlapping shouts]
[song fades out]
[Phillips] At Kennedy, we had
conference rooms no one used.
- [Chan] That janitor keeps locking ours.
- [Cole] You can't bribe him.
There's a place downstairs.
Uh… west wing, next to Radiology.
- [Danny] Can I? Thank you.
- [Elijah] For naps? No.
Radiology does have a good bathroom
if you need to take a shit.
Yeah, or a vomit or cry.
- Why are your interns always crying?
- Where've you been?
On a case. If I'd known we were debating
bathrooms, I'd have stayed longer.
Not a debate.
Radiology does not have the best bathroom.
- It's just way too far away.
- He has an obsession with bathrooms.
That's the only five minutes of alone time
that you get. It kind of matters.
You, Danny? Your place to be alone?
Hmm.
- I do all my crying in public.
- Mm-hmm. Power move.
- [group chuckling]
- [Elijah] That's right.
- I am gonna go get a drink.
- Next round's on me. I'll help you.
It's okay, I got it.
- No, I want to.
- Okay.
- [indistinct chatter]
- [up-tempo music playing]
[Phillips] Hey, excuse me. Excuse me.
- Can we--
- Don't bother. He can smell fear.
Ha. [chuckles]
So, how are you liking it… so far?
- Maguire?
- Yeah.
Yeah, it's good.
Yeah, great. Really nice people.
[chuckling] Huh. Okay.
Okay?
Yeah.
They're not usually this nice, are they?
- Huh…
- [Danny mutters]
God, how long did it take
for people to figure out who I am?
Okay. You transferred in
as chief resident,
and your parents' names
are at the top of the donor wall.
I mean, wouldn't you rather
be working for their foundation?
Isn't it, like, all private jets
and groundbreakings
on clinics in exotic places?
- Problem is, you have to wear a hard hat.
- Oh. Hard to make a hard hat look cool.
Yeah. So instead,
I've decided to become my own person.
I respect that.
So where's your spot in the hospital?
Where you go to be alone?
- I don't give up that easily.
- And I'm supposed to?
Mm?
Okay. I have an idea.
Mm.
If you get the bartender's
attention first, I'll tell you.
But if I do… you have to put me
on the first good trauma tomorrow.
That's fair. Deal.
- Excuse me, sir!
- What? What are you doing?
Hey! Hey, get down from there!
- What the…
- Sorry! Put it on my tab!
That's not allowed!
You're cute.
First good trauma, you promised.
[slow exhalation]
[indistinct PA announcement]
[somber music playing]
[sighs deeply]
[exhaling] God.
[woman coughing]
[music fades out]
[woman] Sorry.
It's fine.
Sorry, but if you're done,
can you get out?
It's just that it's hard
when I know you're standing there.
Fine. Leaving.
How bad is it?
Oh, don't be so dramatic.
I've been a paramedic for five years.
I know it's bad.
Yeah, a paramedic in Walton County.
It's a population of ten.
On a good day.
Did you ask around about me?
No, it was a lucky guess.
So, obviously you're gonna need surgery,
but let's see what
we're actually dealing with.
Chan, grab the ultrasound.
Which three organs
are most likely to be damaged
in a penetrating abdominal trauma,
in order?
Uh… liver, spleen,
and, um…
[buzzer noise] Intestines.
[light pensive music playing]
- [groans]
- I'm sorry.
Can we get her
another 100 fentanyl, please?
And what's the first sign
of an injury to the liver or bowel?
Uh, abdominal distension?
Is that a statement or a question?
Read the image for me.
[Nia weakly] Perforated bowel injury.
There were more than ten people.
Outdone by a paramedic, Chan.
Maybe because you're a bad teacher.
Excuse me, I love to teach.
No, you love to tell her when she's wrong.
He's very…
challenging.
Not challenging. Direct.
See? You're doing it right now.
[sighs deeply]
[breathes deeply]
[music fades out]
[indistinct chattering]
Can you call up the OR?
I've got an ex-lap.
- They are slammed.
- Well, it's urgent.
This for the paramedic
you were flirting with earlier?
I wasn't flirting.
Careful. She's a patient now.
Based on what's happening with Phillips,
they'd probably send you back to Britain.
Which is exactly why I wasn't flirting.
Which means you…
are not getting rid of me, Cassidy.
- [light pensive music plays]
- So, look. Uh… here's the thing.
I'm not sleeping on the floor tonight.
Not enough juice
for a surgical on-call room?
Oh, come on.
There's got to be an empty patient room.
You know, Tom… there is gonna be a day,
someday,
when everything doesn't go your way.
It is going to rock your world.
[music fades out]
Now get out of here.
[Cole] Hm.
[wind whistling]
[Soriano in Spanish] How are you?
- [in English] Looks like she's doing well.
- She's better than expected.
She's off pressors,
minimal sedation, and PEEP requirements.
We should try to wean her off the vent.
I'm the doctor. You're the mother, okay?
You okay?
[in Spanish] I didn't know
she was on that bus.
And look, look at this.
A tattoo. Where did that come from?
Shameless. [chuckles]
Yes.
Oye.
[in English] She's gonna
pull through this, okay?
Okay, come on.
[solemn music playing]
[Danny softly] Hi.
[Pierro laughing]
All right.
- [beeping]
- [music fades]
Where's your husband?
[woman] Getting examined.
Do you want me
to bring him in here afterwards?
No.
Okay.
He cheated on me.
I was gonna kick him out before the storm.
I was so angry.
But when the house came down today,
he was there.
He saved us.
He's always been good in a crisis.
What if he hadn't been there?
You would have saved yourself.
Maybe there was a time
you didn't need him for that.
Maybe I love him for it.
- [heartbeat thumping]
- [breathy oscillating tones]
[Phillips] Hey, Simms.
That trauma I owe you. How about
some swimmers hit by a boat?
I didn't hear a trauma come in.
It's not coming in. We're going out.
Come on.
["Yeah!" by Gimme Kills playing]
Wait, wait. Really?
Come on, they don't like to wait!
I come to cut the lines
With them diamond eyes ♪
How are you doing, Docs? Here you go.
Miss. Watch your step.
I hope my style
It leaves a really pretty grave ♪
[pilot chattering over radio]
I pray to God that you scream my name ♪
But every time that I play my tune ♪
I make 'em say yeah ♪
I like it, like it like that ♪
I make 'em say yeah ♪
I like it, like it like that… ♪
Thanks again.
This is incredible.
This is one of my favorite beaches.
Not easy to get out here
without a helicopter, though.
I'll take your word for it.
Wait. You've never been out here?
Didn't you grow up around here?
Yeah, not by the beach.
I grew up in Homestead.
I don't like the beach.
Who doesn't like the beach?
Me.
[punchy alternative music ends]
I've looked everywhere, and I can't
find a place for the staff to sleep.
- Do you have any ideas?
- No.
And you're not gonna find anything.
The place is full.
[sighs] Danny said it was so important.
I told her I could do it.
[Chan chuckles]
That's your first lesson.
You can almost never do it,
whatever it is.
And even if you can,
they're not gonna congratulate you.
They'll give you
another impossible thing to do.
- She's my chief resident. I don't wanna--
- [Danny] Camila?
Dr. Simms. I'm… I'm really sorry.
I wasn't able to find a place
for the staff to sleep.
Right. Uh, not your fault.
Come here. I have an idea.
[indistinct background chatter]
Yeah. I, uh, thought about it,
but apparently it's owned
by a third-party owner.
And it's locked, so…
[glass fragments tinkling]
[exhales] Okay.
Now it's open.
[scoffing] Holy shit.
Can you, um, go get maintenance
and have them bring up some spare beds?
Absolutely.
[deep thrumming]
What's going on?
[newsman] We're receiving reports of
multiple power substations being flooded,
leaving most of Miami in the dark
and under shelter warnings.
It's only going to get worse
over the next few hours
when the eye of this storm
rolls right over Miami.
- What's going on with the power?
- I don't know.
- No one told you?
- It just happened two minutes ago.
- I don't think anybody knows.
- [Luis] Plugs are working.
All devices with batteries are charged.
So, I got nurses switching out drips.
Okay, perfect. If it were up to me,
I'd be discharging
everyone we can get out safely.
Yeah. We're doing everything we can.
But they're already closing the roads.
- [Phillips] Already? Right.
- Yeah.
You know what's going on.
Oh my God.
This what Cruz told you in private?
[sighs softly]
[man clears throat]
[low indistinct murmuring]
Go ahead. Everybody's already
looking at you anyways.
All right. Everyone, listen up.
Here's what I know. It's not great news.
But, we're running on
generators that need fuel, right?
And that fuel is being pumped up
from a tank underground.
But the pump isn't working properly,
and we're on our last generator.
If we can't get this fixed…
yeah, we might lose all our power.
- We gonna evacuate?
- Not in the middle of a storm like this.
We're the only Trauma I Center open
in the area. We're staying open.
[indistinct murmuring continues]
I know this is bad, but this morning
we showed up to help people.
All right. That hasn't changed.
For any of us.
Okay. So let's stick together.
We will get to the other side of this.
- All right?
- You got it, Chief.
Yes, let's go!
- [scattered clapping]
- [energetic chattering]
Danny, it wasn't my call
to keep it from you.
[dramatic music builds slowly]
Uh, just give the job to somebody else.
Give it to Elijah. Whoever.
- I'm not gonna do that.
- Then what are we doing?
You wanted the job. I gave you the job.
I expect you to do the job.
And I could do the job if you trusted me.
I don't trust you.
[subdued music playing]
- 'Cause of Vero?
- No.
Because you're in here
looking for reassurance.
It's disappointing.
[music fades out]
- [heartbeat thumping]
- [breathy oscillating tones]
[helicopter blades whirring]
[dramatic music playing]
- Thank God you guys are here.
- Where are they?
Down this way. Some asshole drove
over them while swimming and took off.
One girl got cut by the prop pretty bad.
I was afraid to move her.
[dramatic music intensifies]
We need everyone to get out of the way.
Clear out so we can get in there.
- Hello, ma'am. Can you tell me your name?
- Okay.
- Can you tell me your name?
- [shakily] Roxy.
[EMT] Copy.
- [gasping, coughing]
- What've we got, Simms?
Airway's intact.
Lungs sound clear.
Her skin's cold, clammy.
Pulse is 130, 140.
She's in hemorrhagic shock.
Gotta get her pressure up.
Her arms are cut bad. Anything we put in
is gonna come right back out.
We should put in a subclavian.
That's a great idea.
And you're gonna do it.
- Really?
- Uh-huh.
Okay.
Stay with us, Roxy.
We're gonna take care of you.
[wheezing breaths]
- [panting]
- [Danny] You're gonna be okay.
Remember, just below the middle
and medial third of the clavicle.
- Close to the clavicle but not too close.
- Yeah, I'm okay.
I got it.
- Shit.
- Angle it a little deeper.
Trust me.
- I'm in.
- [gasps]
[breathing normalizes]
- The sun was in my eyes.
- Mm. Of course.
- And it's windy. And sandy.
- Mm-hmm.
I'm glad I was here
to rescue you from paradise.
[soft music playing]
Me too.
[indistinct radio chatter]
Let's start two liters
of normal saline, wide open.
- Then we'll get her out of here.
- Copy.
[music fades out]
[exhales]
Would you like to
grab dinner with me sometime?
Oh. Um…
It's fine.
- Yeah, no, I… I would like to.
- That's okay, I get it.
I just, I don't wanna… I don't…
I don't want either of us to feel obliged.
Obliged?
Okay.
[EMT] Ready to go.
Great. Yeah, let's get her
loaded up and out of here.
[slow exhalation]
- [beeps]
- [line ringing]
[voicemail] Hey, you got Matty.
Say something worth saying.
Oh my God.
Can I not be alone for two seconds?
You know what? Can we just talk?
I had an offer to be an attending
at this hospital.
You know how hard I worked for that?
You know how easily
they could take it away?
It is humiliating. And for some reason,
here I am, still trying to help you.
You're only playing nice out there
because it makes you look good.
Do you want me to start defending myself?
Maybe I should tell them all the details.
I can do that too.
Maybe tell them
the real reason you got transferred.
[dark music playing]
Don't push me.
[music fades out]
Hey. You haven't called Becca yet,
have you?
- When has Becca ever been helpful?
- So that's a no.
Harps, you know he only answers
his phone when he wants to.
Just try not to worry. Okay?
- That he might be dead?
- He's not dead.
Would it matter to you if he was?
Okay. Maybe you don't care about him.
But would it be too much
to ask if you cared about me?
Of course I care.
That's why I'm trying to save you
from torturing yourself about something
that's gonna be nothing.
- Non-critical power is out.
- Love that this is on that list.
Want me to open the door
so you can storm off?
Yeah, please.
Hey, she's still tachy,
and her hemoglobin dropped from 11 to 8
even after two units of blood.
- I thought I was going into surgery.
- Surgical staff are slammed.
You can't get me in?
Thought you were a big shot here.
I'm not the one who pulled two kids
out of a collapsed house.
Look, don't worry.
I've got you.
[solemn music playing]
[indistinct background conversations]
- [music fades]
- [indistinct conversation in OR]
[classical music playing lightly]
[Cole] Dr. Soriano?
Um, I have a… a 24-year-old patient
with a penetrating abdominal injury
and free fluid on ultrasound.
[Soriano] You did notice
I'm in the middle of surgery, right?
[Cole] I'm sorry, sir,
but so is everybody.
[Soriano] It must be a very special
patient that you're advocating for.
What are the vitals? H and H?
[Cole] The BP's stable, but hemoglobin
dropped to 8 even after two units.
[Soriano] And you said she's 24,
and she's at 8 now? After two…
Okay. That sounds like
it can wait a few minutes.
I'm gonna be done here
in probably less than 20.
[Cole] Yes, sir.
[Soriano] Let's get your…
[Cole] There is an OR available.
I could get it started, get you exposure.
[Soriano] Ah. Okay, so… [chuckles]
So the person that you're advocating for
is in fact yourself.
[Cole] We might lose power.
This is a first responder.
She rescued two children.
[Soriano] And I'm not gonna
sentence her to death.
Or worse, to a junior resident
who's got something to prove.
Temp is rising, respiratory
and heart rate are climbing.
I'm worried she's starting to go septic.
[Soriano] To the right, zoom in.
Great. Now hold that.
All right, chest exposure.
Wait for me for any critical portions.
- [Cole] Yes, sir.
- No, say it back. No critical portions.
[Cole] No critical portions.
[Soriano] Okay. There you go, hold that.
Nice.
- [music ends]
- [indistinct chattering]
[solemn music playing]
[Chan] Hey. I got your message.
Be right back.
[music fades]
I heard you wrangled me
a pretty good surgeon.
Yeah, Dr. Soriano's the best.
Thank you for taking care of me.
Almost makes me think
you're not the selfish, prideful,
ladder-climbing womanizer
everyone says you are.
[chuckles]
No, they're just hobbies.
You called your family?
My mom's been calling every five minutes.
They can't make it because of the storm.
[solemn music resumes]
I'm scared.
I know it feels like you're going
into this alone right now, but…
I want you to know
that I'm gonna be right here with you.
[softly] Okay.
[door shuts]
- [exhales]
- [music fades out]
- [rain pelting]
- [wind whipping and howling]
[sighs]
[woman moaning]
- [thumping]
- [woman groans]
- Hello?
- [groans]
Are you okay?
[woman sighs] I'm fine.
- Can you leave me alone?
- Wait, are you still in here?
[woman moaning]
[water trickling]
[woman groans]
[tense music builds slowly]
Um…
- [toilet flushes]
- [woman moans]
Okay. I'm sorry, ma'am,
you're going to need to open the door.
[woman] Oh God! It hurts!
- [tense music continues]
- [woman panting, grunting]
- [Danny] Oh… Ah…
- [moaning intensely]
- Uh, what's your name?
- Mariana.
[Danny] Uh-huh.
Oh! I… I thought I just had to poop.
Ah! This can't be happening.
I'm sorry, but it… actually, it is.
I'm not due for another two weeks.
Well, this baby is here,
and it is coming now.
Uh… can you move?
Come on, let's go.
Ah! I can't! I can't!
All right. Then, we are
gonna have to do this here.
- Okay?
- Can't you just get my doctor?
We're in a hurricane.
Labor and delivery is slammed.
So right now I am your doctor.
Can you do this on your own?
[tense note lingering]
[Danny] Uh…
No. I don't know you. I don't trust you.
- I'm not doing this with you.
- If I leave, you might not have time.
- Okay.
- [yells] Get out!
- [Danny] Jesus.
- [music intensifies]
[Mariana screaming]
- [heartbeat thumping]
- [breathy oscillating tones]
[Phillips] 20-year-old female. Boat crash.
Blunt force trauma. Lost pulses en route.
- [woman] How long’s she been down for?
- [Phillips] 5-10. A thoracotomy tray.
I can assist you.
- Seven-and-a-half sterile gloves.
- [ER tech] I need some cardiac stickers.
[Phillips] I need 7 1/2 gloves, thanks.
Do a chlorhexidine scrub.
- Do you want 4x4s and some Chux?
- There are too many people in here.
I need everyone who doesn't need
to be in here to please get out.
That means all of you go.
You guys stay, you go.
- I can do compressions.
- If you're not essential, out.
[man] Please. We're getting hurdled.
- [Phillips] Get me a warm blanket, please.
- [woman] Let's go, people. Out.
[indistinct chattering]
[man] All right, clear it out.
[slow exhalation]
[tense music builds]
Hey. Go up to the ER and tell them
we got a Code Stork in here.
Yeah, you got it, Doc.
- [tense music continues]
- [Mariana groaning]
[Danny] Sorry, but I'm not leaving.
Not when I know I can help you.
So please, don't argue.
Hmm!
[sighs] I won't.
Good.
[music fades and recedes]
- Let's irrigate. Warm saline and suction.
- [man] Right away.
[subdued music continues]
- [Cole] Chan, come closer.
- [Chan] Me?
[Cole] Put your hand over my… Yes, you.
Slowly. Gentle. Gentle.
We don't want to dislodge the impalement.
Okay.
Good. Now, retract.
Okay, tell me what you see.
Take your time. Find landmarks.
[Chan] Uh, looks like the metal's
torn through the mesentery
and some of the sigmoid colon.
[Cole] Mm-hmm. And?
Look deeper. What's just
beneath in the retroperitoneum?
- [Chan] The external iliac artery?
- Which it may have punctured.
Which is why we have to be careful
removing the impalement.
How was that?
The teaching?
[Chan] Yeah, it was better.
[Cole] Okay, let's go ahead
and get a little more exposure.
[chain] Wait. Wait.
I think you hit it.
[Cole] No, I didn't.
[equipment chiming and beeping]
[Chan] Should I be getting Dr. Soriano?
[Cole] Uh, no, no, no. Um…
Let's get a little more exposure.
See if I can't get primary source control.
Keep suctioning.
Chan, now, please.
[tech] Pressure falling.
Giving two more units PRBCs.
[Cole] Ah… Shit, the source is too deep.
- I should be getting Soriano.
- [Cole] I don't have enough visibility.
- [Chan] Cole.
- [Cole] I need to remove it.
Soriano specifically said
no critical portions.
- [Cole] I can do this.
- No, you can't.
[tense notes lingering]
[equipment beeping]
[Chan] I'm getting Dr. Soriano. Tony?
[Cole] Okay, keep suctioning.
Keep suctioning. That's good.
[tense music continues]
- [exhales] Okay, I see it. Vascular clamp.
- [Tony] Right away.
Yeah, okay, push.
Yeah, keep pushing. Come on.
[yelling] Ah! It hurts!
- It hurts.
- Christ!
Call labor and delivery and peds. Now.
- There's something wrong, isn't it?
- All right. Your…
Your baby's shoulder is
stuck behind your pubic bone, okay?
You're gonna hate this,
but I'm gonna have to push hard.
Just for a second.
- Are you sure?
- Just for a second. Hey, look at me.
- I know that you're scared.
- [soft whimper]
- I'm not.
- [panting]
So trust me, okay?
Ready?
- Okay, one, two, three.
- [breathing deeply]
[Mariana straining]
- [screaming]
- [Danny] Good job, good job, good job!
- [tense music continues]
- [Soriano] What happened, Tom?
[Cole] Getting exposure,
the impalement dislodged.
- I had to remove it to get source control.
- Out of my way. Just move aside.
[Cole] Sorry.
I know you said no critical portions.
- [Soriano] I need more lap pads.
- [woman] Yes, Doctor.
[Soriano] Give me a right angle.
Suction that down there.
[man] Right away.
Okay, now one more big push, okay?
- Okay.
- Ready? And push. Push!
Push, push! You're so close.
You're almost there.
- Keep pushing. Great.
- [screaming]
Okay. Oh, I see the head.
I see the head. One more big push, okay?
- One more big push.
- [Mariana moaning]
Oh, and there she is. There she is.
- [Mariana panting]
- There she is.
- [Mariana gasping]
- Okay.
Okay.
Okay, there she is.
- There she is.
- [panting]
[Danny] Good job, Mama. Good job.
Good job, baby. Come on, baby.
Okay…
Come on. Good job.
- Good job, baby. Come on.
- Is she okay?
[breathing in rhythm]
- Oh, please.
- Come on, baby. You got it.
- Oh, please.
- Come on, baby.
- [Mariana whimpering]
- Come on. Come on.
Come on.
[Danny patting baby]
- [baby crying]
- Oh!
[Mariana exclaims]
[Danny] Oh. There she is.
- There she is.
- [hopeful music plays]
[baby crying]
[Mariana shakily] Hi.
- [Danny] Good job.
- [sniffling]
[crying]
[both sobbing happily]
[tearfully] Thank you.
You did that. You did that.
All on your own.
[breathes deeply]
- [crying] Oh my God.
- [Danny] Good job.
Yeah.
[door creaks opens and shuts]
Okay.
[panting]
- [baby crying]
- [hopeful music continues]
[music fades]
[Soriano] Okay, probing.
Okay, that looks good.
All right, let's check the field.
[equipment beeping and pulsing]
- Okay, clean lap.
- [equipment pulsing]
[Soriano] Oh, well…
Looks like we're good to continue.
Iliac looks good. We've got hemostasis.
Okay, good.
All right, Tom. Tom, come here.
You got proximal, you got distal control.
I prefer vessel loops to clamps.
Other than that,
you actually did a nice job here.
[Cole chuckles]
For first time flying solo,
actually, it's really very good.
[Cole] Thank you, sir.
- Not sure you needed me at all.
- [Cole] Huh.
[Soriano] All right, so let's get started.
We're good to continue.
[hopeful music continues]
[exhales]
[phone chimes]
[elevator dings]
[chuckles lightly]
[sighs]
[music fades out]
You got us a VIP room.
No, I got me a VIP room, and I reserve
the right to kick you out at any time.
I don't think that's happening.
Why not?
Because you were wrong
about today not being my day.
[gentle music rises]
Really? Surgery went well?
- Let's not talk about surgery.
- I heard you worked with Soriano.
It's not really the image
I want to conjure right now.
[Cass chuckles]
Well, that's fair.
[Cole chuckles]
[music fades out]
- ¿Qué pasa? You wanted to see me?
- It's time.
I wanna lower her sedation,
and extubate her.
- It's too early for that.
- Her vent requirements are borderline.
Yeah, the borderline
meaning it's risky, Natalia.
You know how dangerous it is
to extubate too early.
What's risky is having her tethered
to a ventilator in a power outage.
The vents all have battery backups.
These things, these models,
they only last four hours, if that.
If we don't get fuel by then,
we're gonna have to bag her.
- Then that's what we do.
- Introduce 1,000 human variables?
[in Spanish] It's not your call.
[solemn music plays gently]
Nat… [sighs]
[in English] Natalia, anyone would
wanna talk to their daughter again.
Okay. No, come on. And you will, okay?
But let's just err on the side of caution.
Okay? We have time.
[music fades out]
[door creaks open]
[door shuts]
Just thought you might need these.
How'd you know?
You delivered a baby
in the radiology bathroom.
Were you afraid there weren’t
enough people talking about you already?
You want to be alone?
[sniffles]
Okay.
- [sighs]
- Come on, turn.
["Hello Love" by Benson Boone playing]
[badge and pen clattering]
Hello, love ♪
- I got you.
- I missed your face ♪
But I fear you feel a different way ♪
When you look at me
With those empty eyes ♪
I could pass away
I could bleed and die ♪
[sobbing softly]
In all this time, I never knew ♪
If you were leaving me
Or I was leaving you ♪
Now I'm caught
Between the black and blue… ♪
[Elijah] You should see something.
Let's just take this one that way.
[Camila] Great.
Okay, guys, remember, Danny said
to keep track of everything you take.
Nice job, kid.
I don't know where I've gone… ♪
- Camila said you busted the glass?
- Yeah. I mean, people have to sleep.
You remember you locked me
in a psych room?
Yes, because you were staying up
all night reading medical journals.
- Danny, I was fine.
- You were hallucinating.
- You forced me to take a nap.
- [chuckles]
You covered all my patients.
Yeah.
You had my back for three years.
You did.
- And I didn't have yours today.
- It's okay.
It's not.
I'm really sorry about going to Cruz.
It's okay. You were just doing
what you thought was right.
I just didn't have to do it like that.
I believe you. You know that, right?
- You do?
- Of course I do.
Look. Just don't…
Don't do this.
Don't do it.
Everyone is gonna take his side.
They're going to hate me,
and I don't want them to hate you too.
Okay?
[sighs softly]
Forget those people.
- [emotional song fades]
- [sighs lightly]
- [heartbeat thumping]
- [breathy oscillating tones]
- [sharp breath]
- [heartbeat stops]
[elevator dings]
[indistinct PA announcement]
[door opens]
- [door shuts]
- [Danny sighs]
[Phillips] So this is it.
Your secret spot.
It's smart. There's snacks. No doctors.
Not usually.
You're pissed.
- That was my trauma.
- Danny, there were 20 people in there.
That's not why you kicked me out.
- Why do you think I kicked you out?
- [scoffs]
- Because I said no to dinner.
- [scoffing] What?
- I'm not that guy.
- No, it's not funny.
I don't think you understand
how hard I worked to get here.
Now you control my schedule,
you assign my traumas.
How do I know
you're not gonna take it out on my career
next time you get your feelings hurt?
How do I know you weren't nice to me in
the bar 'cause of what I could do for you?
No, I cleared the room,
for your information,
because I was about to crack her chest.
All right? I needed space and focus.
And by the way… she made it.
So much of that had to do with you.
Do you really think I'm that guy?
[solemn music plays gently]
[exhales]
I wanna believe that you're not.
Should I have told them I was keeping you
in there because you're my favorite?
- Um, wha…
- No, because I think you're brave.
And you're funny, and you're…
You're kind of scary.
[Danny sighs]
Because I wish it'd taken
an hour longer to get to that beach
so I could spend
that much more time with you.
You really shouldn't say that.
[gentle music fades slowly]
And you shouldn't be back here
while you're on shift.
[music fades]
- ["Reassure Me" by Charlotte Jane plays]
- Tall man, soft eyes ♪
I look away when you stare at mine… ♪
[breathing heavily]
Danny, you okay?
- [gasps] Um…
- Hey, D… Danny.
- [power clicks]
- Danny. [tsks]
Hey, Danny, wait.
[power flickering]
- What's her propofol drip at?
- One hundred.
Good. Let's turn it down to 50.
- Should I ask Dr. Soriano?
- I'm telling you to turn it down to 50.
It'll take me some time
But you can help me along ♪
I just want you to reassure me ♪
Would you be happy to do this for me? ♪
[thunder rumbling]
Like when you look in my eyes
And I look off to the side ♪
Like I'm afraid
That you'll get too close ♪
Just say you'll cradle my body
Say you don't want nobody else ♪
Say I'm what you need the most ♪
[slow pop music continues]
I always wanted to be
in the eye of a hurricane.
Surreal, huh?
Saw you and Elijah made up.
That was smart. He's a good ally.
Normal people call that a friend.
You know he's in love with you.
I guess as long as
that works in your favor.
Right?
We should go back in.
You know, the eye never lasts long.
You know what happens on the other side?
Everything reverses.
I just need you to reassure me ♪
[rain pelting]
Would you be happy to do this for me? ♪
Like when you look in my eyes
And I look off to the side ♪
Like I'm afraid
That you'll get too close ♪
My insecurities
Are taking their toll on me ♪
I wish I could let them go ♪
'Cause you're standing in front of me
And telling me honestly ♪
You're willing to take things slow ♪
[edgy music playing]
[music fades out]