Pulse (2025) s01e09 Episode Script

1
[light percussive music playing]
How's Ms. Peterson doing?
Not good.
Her kidney function is getting worse.
Mmm… You look tense.
Let me help you loosen up those deltoids.
[chime dings]
[chiming]
[Cole] Is that the first one
you got right?
I'm literally waiting for you
to show up in this video.
Yeah, they couldn't make a deal
with my agent, so…
[light chuckle]
- I see you got your Chief badge back.
- Yeah.
What about Danny?
She decided not to pursue the case.
["This Isn't Helping" by The National
(feat. Phoebe Bridgers) plays]
You're an idiot.
I'm not going to apologize
for helping you.
What did Cruz say?
[scoffs]
So, what happens now?
Uh, nothing really changes
as far as I know.
Still offering me attending.
Danny, what did Cruz say?
There's a chance I might get dropped
from the program.
- It's not 'cause of the fight, though.
- What is it for?
The HR claim.
Xander's parents want me gone,
and… now Cruz has cause.
- [Elijah] Why'd she change her mind?
- Um…
I don't really want to speak for her,
but… we met with HR,
and… yeah, it's over.
Sorry, I… I don't understand.
Why did you drop your complaint?
It's…
For the last year, it's like I've had
this huge weight on my chest.
And after the residents' retreat,
I really just needed somebody
unbiased to tell me that
what was going on wasn't right.
And… I'm glad I went,
because it felt so good
to hear that I wasn't overreacting,
that I wasn't crazy, that this…
this weight… wasn't something
that I had made up in my head,
because that's how he made me feel
every time I talked to him about it.
But I didn't drop it
because it wasn't true.
I dropped it because I realized that…
what they can offer me
isn't what I need anymore.
What I need is…
acknowledgement, from him.
What I need is…
is for him to apologize.
You still get to be her boss,
and everybody's happy?
Well… [grunts]
[Harper] And if he doesn't apologize,
you're okay working with him?
Yeah. In spite of everything, I loved him.
I… I still do love him.
And I know that that might be hard
to understand… [inhales] …but it is true.
I never wanted him to lose his job.
[Harper] Yeah.
Well, now he might be the reason
that you lose your job.
This isn't helping ♪
This isn't helping ♪
[Cole] Yeah, of course he's happy.
Gets to work one last shift as chief
before the end of year party tomorrow,
then come Monday,
he gets a promotion. It's brilliant.
This isn't helping ♪
[emotional song ends]
Hey, you're gonna want to see this.
This just happened.
[newsman] …remnants of an illegal
after-hours club this morning.
Apparently, about 5:00 a.m.,
a pyrotechnics misfire on stage
engulfed the building in flames
and caused a stampede for the exit.
We hear there are no fatalities,
but a lot of injuries.
- Oh shit.
- [Luis] Mm-hmm.
- [Elijah] Where is that?
- Fifteen minutes away.
- They're all coming here?
- Oh yeah.
Welcome back, my friend.
Let's go.
- [heartbeat thumping]
- [breathy oscillating tones]
- [sharp breath]
- [heartbeat stops]
[slow exhalation]
[in Spanish] How are things
with you, Natalie?
Ruben, how are you?
You know. You know. Another year done.
- They go fast.
- Yes, yes, yes. [chuckles]
[in English] If Vero's morning labs
and her chest X-ray look okay,
I can get her out by the end of the day.
[exclaims]
She's counting the minutes.
Actually, the seconds.
[in Spanish] Why? She doesn't love you
checking in on her ten times a day?
I don't think so.
[in English] Hey, so I, uh…
I heard what happened with Danny Simms.
Shoving a family member?
- Not her best moment.
- Okay. Can I be direct?
Aren't you always?
Get rid of her.
She's a good doctor
with potential to be great.
[in Spanish] Natalie. Listen.
[in English] You know
it's finally happening, right?
They're splitting the departments,
taking the ER away from you.
And who's the board tapping
to take over my ER?
They're discussing various names.
But there is still a card you can play.
Okay. You're almost out of time.
Libby Phillips. She wants Danny gone.
And now you have cause.
[scoffs] That's not why
they want her gone.
[in Spanish] Wait.
[in English] Get rid of Danny
and she'll kill the split.
Getting fired from residency
would torpedo her career.
You know that.
You don't recover from that.
And they put somebody else
in charge of the ER.
And the people that they're talking about,
it's going to cascade for you
in a very negative way.
And it's not gonna be good
for the ER either.
But you gotta take care of it today.
- Good morning.
- Hey.
I like your hair today.
[chuckles] Okay. Someone's in a good mood.
[sighs] Yes, ma'am. I am.
In exactly seven hours and 14 minutes,
my intern year, AKA hell on earth,
is over.
- How you gonna celebrate?
- Mm, I don't know.
I'll just probably have a drink
at the party tomorrow
and surgery with Soriano today.
- Are you joking?
- No.
- He asked me to scrub in on Nia's surgery.
- And what about Cole?
[chuckles wryly]
He is so pissed at him right now.
And honestly,
it is making my day so much better.
- Soriano's pissed at Cole?
- Yeah.
Why? What happened?
[sighs] He went to some boat party
with Dr. Hoffman
and a bunch of his plastic surgery bros.
What, he didn't like that, or…
No. No, very bad move politically.
Also, hey, um…
I'm pretty sure he's involved with Nia.
Involved?
With a patient?
- Does Soriano know about this?
- Oh! No, that would be…
Yeesh!
Damn.
Hey, um…
[chuckles] What's going on with you today?
- What do you mean?
- I don't know. You just seem kind of down.
Yeah, I know. Um…
No, nothing. I just…
I lost an earring.
They were really special to me.
I had them this morning,
but I must have dropped one, I guess, so…
Dang. I'm sorry.
Yeah.
Fire and estampida at a club downtown.
Bunch of trauma coming in.
[in Spanish] Camila, come with me.
[in English] Thank you, Chan.
- Hey, good luck finding your earring!
- Oh yeah. Thanks!
[edgy music builds]
- Morning.
- Hey.
You okay? I heard about you getting
into it with that guy in the lobby.
Yeah, fine.
[wailing sirens approaching]
Where do you want me, Chief?
Uh, you and I will take the first one.
Elijah, you and Harper take the next.
Camila, stick with me.
[music intensifies]
- How'd things go with Cruz?
- She wasn't thrilled.
Sounded like that guy was being a dick.
I'm sure she understands.
[EMT] Coming through!
- [Phillips] What we got?
- 22-year-old trying to leave the club.
Broke a glass window,
leapt from the second story.
Has difficulty breathing with large glass
lacerations along his arms and his legs.
- Vitals are stable with a GCS of 14.
- All right. Trauma one's open.
[Danny] Okay, on three. One, two, three.
- What's your name, sir?
- Garrett Donnelly.
All right, man. We're gonna take
good care of you, okay?
Whoa. Deep laceration
to the upper right arm.
- Can I get a stapler?
- [Luis] Yes.
- [Garrett] That was nuts, man.
- [Phillips] Was it?
All right. This is just gonna feel
like a few pinches, okay?
[Garrett] Okay.
[stapler clicking]
- How are you feeling, Mr. Donnelly?
- Oh, I feel fine.
Yeah? Are you on anything right now?
- [chuckling] You mean like drugs?
- Yeah, like drugs.
Yeah, I'm on G and some Tusi.
[Phillips] Hmm?
Tusi is a mix of a lot of things.
MDMA, ketamine, psychedelics, cocaine…
[music recedes]
I've… heard.
- Fun.
- [music resumes]
It's your last day of
your year of rotation, isn't it?
- Mm-hmm.
- Alright. Gown up.
Let's see what you learned
about running a trauma.
Oh, okay, yeah.
Thanks.
What would you do first?
Well, I would start
with the primary survey, ABCs.
He's talking, so airway's intact.
- And breathing--
- Lungs clear bilaterally.
Circulation, two plus DPs,
good strong pulses.
- What next?
- Next, I would do a FAST.
Go.
- Kidney and liver good.
- Yeah, make sure you check the--
- [Camila] Spleen's good.
- Nicely done.
And heart.
Wow, impressive.
Danny's a great teacher.
[nurses chatting indistinctly]
And then bladder.
- Yep, bladder's clear. Negative FAST.
- [Phillips] Okay, good.
Mr. Donnelly, my name is Dr. Phillips.
This is Dr. Simms.
- Can you tell us what happened?
- Yeah, bro.
People were stampeding everywhere,
so I went upstairs,
and then there was so much smoke
and nowhere to go.
I jumped out the window.
Feels like a closed femur fracture
on the right, and also maybe the left.
We should get him to CT.
I was falling, and,
you know, it was so far,
and then I was like,
"Oh, shit, that's gonna hurt."
- And it did.
- Yeah, I bet it did.
Camila, anything else we need to do
before sending him to CT?
Um…
Any suggestions for our student here?
No, she's doing great.
Exposure. Make sure
you check everything on the patient.
Yeah, I did. We did.
[Phillips] You sure?
Oh! I forgot to roll him.
[Phillips] Mr. Donnelly,
we need to cross your arms.
[Luis] One, two, three.
[Phillips] There we go.
Oh, shit.
And that is why
we always roll the patient.
It's superficial. It's in there sideways.
You can pull it out.
- [monitor beeping]
- [edgy music continues]
[squelching]
Nicely done.
All right, ready? Three, two, one, down.
You doing okay, Mr. Donnelly?
- Yeah, bro.
- [chuckles] All right.
You guys got it from here, right?
I'm gonna go see about the other traumas.
[male staff] Can someone call C
and tell them we're coming.
[EMT] Multiple crush injuries, first and
second-degree burns. Vitals are stable.
[Harper] Hey, can you tell us your name?
Penny Navarro, are my friends here?
- Do you guys need help?
- Uh, sure. Let's see what's going on.
Hey, Penny. How are you feeling?
What hurts?
My skin. It burns.
My legs. It's hard to breathe.
Lungs clear bilaterally.
I lost my friends,
Charlie Ramirez and Fiona Arnez.
- Are they here?
- You're one of the first patients.
Abdomen's soft.
[Penny] We were having one last night out
before summer and college, and…
then the fire started,
and the crowd went crazy.
I got knocked down, and I… I lost them.
That sounds really scary.
Yeah, it was.
They're my best friends.
You have to find them.
Um… here are their IDs.
[Danny exclaims]
Uruguayan driver's licenses?
They're fake,
but the names and photos are real.
Clever. Looks better than
the European student union cards we had.
Those were great.
Do these work?
Most of the time, except when
the bouncers are Uruguayan.
[chuckling lightly]
- How old are you guys, really?
- Uh, we're all 18.
- FAST is negative.
- Okay. I'm gonna let you keep yours.
And I'm gonna go try
and find your friends. Okay?
- Thank you.
- You're okay.
[music ends]
[indistinct PA announcement]
[door opens]
Dr. Soriano.
- What can I do for you, Dr. Cole?
- Um…
I just wanted to let you know
before you scrub in on Nia Washington
that I had GI radiology
go back over her CT scans
to check the intra-abdominal
abscess wasn't a problem
given its proximity to the IVC.
[Soriano] Mm-hmm…
With the surrounding inflammation,
they said they can't say for sure
that it's not eroded into the outer wall.
[Soriano] Mm-hmm…
Is that all?
Well, actually, I just wanted to say, sir,
it's an honor to work with you
and learn from you,
and I don't want
to do anything to jeopardize that.
I'm sorry that I wasn't here yesterday.
But Nia's my patient, and I'd appreciate
the opportunity to scrub in today.
I mean, everyone's entitled to a day off.
Yeah, uh, you can scrub in.
Let's see if your homework paid off.
Thank you, sir, I appreciate that.
[overlapping indistinct chattering]
Yo, Elijah, can we talk?
Sure.
Are we, uh… are we okay?
You and me?
Sure.
Come on, man. I'm not buying it.
- It doesn't matter, man.
- Yes, it does. It matters to me.
You matter to me.
All right, look.
I don't like how Danny handled this.
I don't like that she didn't talk to me.
Or… trust me.
But you're our chief,
and you knew a relationship with her
would complicate everything.
We fell in love, man.
[low pensive music plays]
I didn't know what was gonna happen
or how it was all gonna play out.
It wasn't some… some calculation.
But there was fallout.
And it affected everyone.
It'd just be nice to see you
take some accountability.
[music fades out]
Hey.
Where have you been?
I'm sorry that I wasn't here.
- How are you doing?
- [softly] Okay.
Not too excited about this.
Clearly.
Complications happen all the time, okay?
You should try not to worry.
Is it bad?
It's bad, isn't it?
You don't have to sugarcoat it.
You're going to be fine.
You're going to pull through this, okay?
[gentle music plays]
See you on the other side, okay?
[softly] Okay.
Okay.
[music fades out]
You're scrubbing in?
Yeah, Dr. Soriano invited me to.
You got a problem with that?
[Chan] Uh…
No.
Maybe.
[Cole] And why exactly might that be?
Uh, well, because of
your relationship with the patient.
My relationship?
I'm not gonna tell Soriano, but if you're
emotionally involved with the patient--
I'm not emotionally involved
with my patient.
I'm not sure what
you're implying here, but,
if this fiction in your head
is making you uncomfortable,
then maybe you shouldn't be scrubbing in.
[low tense music playing]
Dr. Cole, Dr. Chan, what's going on?
Who's not scrubbing in?
[Cole] Uh…
We were just discussing
the nightclub fire.
There are a lot of traumas coming in.
Dr. Chan thought she might
be more useful down in the ER.
Is that right?
Well, that's… that's very generous of you,
to give up a surgery for the greater good.
Good for you.
[scoffs lightly] Uh, thank you, sir.
[Soriano] No. No, thank you, Dr. Chan.
[music fades out]
Hey, uh, come look at this.
Yep.
So he's got small pneumothorax
from some busted ribs.
It's only about 15% of his lung volume.
He's an otherwise healthy guy,
so I don't think he needs a chest tube,
but I just wanted to get your opinion.
Do I think you should do
a painful invasive procedure
on a pneumo that'll
likely heal on its own?
No.
- Is that all?
- Yeah.
Yeah, thanks.
Hey, if… you know, you're not comfortable
working with me, you should just say it.
I'm fine.
Okay, look, I…
I would understand if you weren't,
but I'll be one of your attendings,
so no matter what happens with chief,
I'll be supervising you.
I get that.
- I don't have a problem with that.
- Okay.
Do you?
No, not at all.
I'd understand if you wanted me gone.
- What are you talking about?
- Just…
Be honest.
No, I don't want you gone.
Where's this coming from?
- Danny, why would you think that?
- I don't.
Just checking.
Uh, Dr. Simms?
Those IDs you gave me,
one of those girls just showed up.
Okay. Thanks, Luis.
Okay.
[edgy music builds]
- [EMT] On your right. Coming through.
- Trauma one's open. Dr. Simms.
[EMT] Patient is Fiona Arnez.
Was trampled at the club fire.
She had no LOC.
Patient has facial trauma,
she has some contusions,
she also has sporadic burning
as well as a dislocated shoulder.
Let's get her moved, folks, get her clear.
On my count.
One, two, three.
[all grunt]
Our patient's been speaking
with slurred words,
is also asking questions repeatedly.
From suspected substance use.
All right, let's go.
Hey, Fiona. My name is Dr. Sam Elijah.
How are you doing?
[slurring] Just great. Peachy.
What'd you take tonight?
[sighs]
It's okay,
you're not gonna get in trouble.
We all took some MDMA.
Me and my girlfriends.
Do you have any other medical problems?
Are you on any medications?
Just myocycline for acne.
[Elijah] Let's send out trauma labs,
get her a liter of NS.
Fiona, I'm Dr. Simms, and I wanted
to let you know that Penny is here.
Oh, my God, thank you. Is she okay?
She is. She has a few injuries,
but she's going to be just fine.
What about my other friend, Charlie?
Charlie Ramirez?
We're looking for her.
We haven't seen her yet.
Did people die? Is Charlie dead?
We're looking for her,
and we're gonna focus on you right now.
I promise when we find her,
we'll let you know, okay?
- [crying] I can't lose her.
- I know.
We're going to find her.
It's going to be okay.
[solemn music plays]
- [music fades]
- How are you doing, sir?
Uh, fine. Just, you know,
a few burns from the fire.
Mm. And how's your pain?
Eh, not too bad.
I'm gonna grab some disinfectant
and clean those up.
Hey, you should really use soap and water.
Disinfectants cause delayed wound healing.
Hey, what happened to Nia's surgery?
Cole thought I would be
more useful down here.
Wasn't it Soriano
who asked you to scrub in?
Yeah, and Cole asked me to scrub out.
Are you kidding?
No. Get this.
I saw him holding hands with Nia,
and I said something, and he was like,
"Maybe you shouldn't scrub in,"
because I'm an idiot.
[sighs] I shouldn't have said anything.
No. No, you definitely
should have said something.
Whatever. It's fine.
Let's just do some
world-class triaging, shall we?
Hi, I'm Dr. Chan.
[light music playing]
When she's out of CT, we should put her
in the same room as Penny.
Keep them together
while we look for Charlie.
That's a good idea. It's not like
we've got the extra bed space anyways.
Yeah, how far over capacity are we?
[Elijah] Uh, I don't know exactly.
A lot?
Crazy day for our last shift.
I heard Dr. Cruz is gonna announce
Chief Resident tomorrow at the party.
Yeah.
Look, I just wanted to say,
if it'll help, I'll talk to Dr. Cruz.
I mean, I was there for the fight.
You shouldn't lose Chief
over a one-time thing
with some crazy out-of-control parent.
I just think it might be bigger than that.
What do you mean?
[solemn music plays]
I just don't think
you can fix this one for me.
[elevator dings]
But I love you for trying, Sam.
- [music fades out]
- [monitor beeping]
[Soriano] Wow, look at that. Right there.
Sitting right on top of the IVC.
Oh, shit.
Ah, why don't you give me the 15 blade?
Cole, we've got to be careful here.
[woman] Here you go.
All right, Tom. Make an incision
right there, and we'll drain the pus.
- [suction hissing]
- [classical music playing]
[Soriano] That's good.
Wow, that's a lot of pus.
Oh shit, it eroded right through the IVC.
Suction, we've got to get control.
Clamps?
Here, put your finger in right there.
[Cole] Looks like there's a small hole
that the abscess adhered to.
- [Soriano] Need to control venous inflow.
- [Cole] Vascular clamps.
[Soriano] No, the IVC's extremely friable.
That's going to tear it open even more.
Give me a sponge stick.
Thank you. Keep it there.
Now move your finger. One, two, go.
- Suction.
- [Cole] Mm-hmm.
[equipment beeping and chiming]
Come on.
[music peaks and fades]
- [Cole] Okay.
- [Soriano] All right, we have control.
[Cole] Yeah.
- [Soriano] It's a small linear tear.
- [Cole] Okay.
[Soriano] Don't make it bigger.
I don't want to have to do a graft.
A running suture should do the trick,
[fading out] Why don't you grab some
6.0 Prolene, Cole, and get started. Okay?
- [breath echoing]
- [heartbeat thumping]
[Soriano] Hey. Is everything all right?
- [Cole] Uh…
- [high-pitched tones playing]
Yeah, this portion… uh, it's just tricky.
[Soriano] It's okay.
No, I'll talk you through it. You okay?
[Cole] Um… I'd love to see how you do it.
You sure?
Yeah.
All right. Yeah, just take over
holding pressure here for me.
Okay?
I'll show you how it's done.
[high-pitched tones continue]
[music fades out]
Look who I found.
Fiona? Oh, my God, Fiona.
- I wish I could hug you. Are you okay?
- Yeah, are you okay?
What happened? Where did you go?
I got knocked down, and then
all these people were trampling over me.
- What happened to Charlie?
- I don't know.
I saw her, then she went down.
I couldn't see her.
What? You were supposed to watch her.
You know how she likes to disappear.
You're not blaming me.
You're the one who left.
- You said you'd stay with her.
- I always stay with her.
It's not my job
and it's my fault if she dies.
Hey!
Hey.
Hey. It's okay.
It's okay.
Ugh, I know.
It's hard being the purse girl.
You know,
the one that carries everyone's IDs?
That was me in college.
Yeah.
It makes sense, right? Plenty of storage.
[groans softly] My eye. It really hurts.
All right. Let's see what's going on.
[unsettling music plays]
[Danny] Um…
- How's your vision out of that eye?
- I can't see anything.
- Nothing?
- [Fiona] No.
- Fiona, what's going on?
- [Danny] Turn away from me for one second.
Okay.
[Fiona] What?
What?
[music fades]
["Autotuneame" by Pantera Blue playing]
Why can't we go now?
I'm waiting for the results
of your chest X-ray.
Oh my God.
I know. We're monsters.
What's the first thing
you're gonna do when you get home?
Go out?
Very funny.
[both laughing]
I told Ria she can come over
and see me later.
She can.
Is there anything else, Mom?
No.
No.
I have paperwork to do.
[in Spanish] I love you, Mommy.
And I love you, my love.
[in English] What's happening?
Why can't I see?
It's called orbital compartment syndrome.
The pressure in your eye
is preventing the flow of blood
to your optic nerve and retina,
and we have to relieve the pressure.
How are you gonna do that?
She's gonna do something
called a lateral canthotomy.
It'll relieve the pressure behind the eye
and save your vision.
- Penny.
- I'm here. I'm right here.
[Fiona] Thank you.
Okay.
Let's get you fixed up.
That was dope. I've never seen
one of those done before.
Thank you, Harper.
So, uh, did you talk to Phillips?
Yeah.
I did. His, uh…
He has no idea
his parents are trying to fire me.
Did you tell him?
No.
I didn't.
Why not?
If his parents want me gone,
he's not gonna be able to stop them.
- Maybe that's what he wants you to think.
- Harper.
I know him. I know his parents.
They’re doing all this shit
on some higher level,
and he would be devastated
if he found out.
So, you're just giving up?
You don't care if you lose your job?
Of course I care.
- Then what are you gonna do?
- I don't know.
I don't… I don't know what I'm gonna do.
I don't know if I can fix this.
[light music plays]
[Harper sighs]
[music fades out]
[dispenser whirring]
- More serious than we thought.
- Yeah.
Why don’t you come with me?
We'll go talk to the family.
[unsettled music playing]
- [Soriano] Mr. and Mrs. Washington?
- [woman] Yeah.
[music fades]
How is she, Doctor?
Well, she's out of surgery.
Yeah, she's in critical condition,
but she's stable at the moment.
She had a deep infection in her abdomen.
She had some issues with bleeding
that we were able to control.
Is she going to be okay?
[Soriano] We're hopeful that she will be.
We're doing everything we can for her.
How soon will you know
if she's gonna be okay?
We're keeping her closely monitored.
We really should know a lot more
in the next day or two. Okay?
In the meantime I'm sorry.
This is Dr. Cole.
He's my surgical resident.
And Dr. Cole is gonna be running point
on Nia's post-surgical care.
- Tom Cole?
- [Soriano] Yes.
Oh, you've already met.
Nia's told us a lot about you.
Yeah, well, um… I'm her doctor.
I like to think that we've become friends.
You're a lot more than friends.
Can we call you, Doctor?
Yes, absolutely.
Of course. I'm here for you.
And like I said, we should know
a lot more very soon, okay?
- Thank you so much.
- You're very welcome. Okay.
[tense music builds]
- Dr. Soriano. I--
- Shh… Shut up.
You're gonna tell me
exactly what the hell that was.
Honestly, I don't know.
Was she implying
you're romantically involved
with a patient you just operated on?
No. Well, um, what she said
was not completely accurate.
You're parsing this.
Which means it's at least partially true.
Look, I'm very committed
to Nia as a patient.
And because of that care,
maybe she got the wrong impression about--
- Did you sleep with her?
- God, no!
I've never even seen her
outside of this hospital.
- How do you explain what just happened?
- Maybe she got the wrong impression.
No. People don't just get
the wrong impression about that.
I'm not an idiot. You do know that?
- Of course I do.
- You never, ever…
[footsteps receding]
Never, ever get involved
with a patient, okay?
It compromises your objectivity,
and it puts their life in danger.
I know. I know.
That… That's why you had me do
the primary closure on her IVC, isn't it?
No.
No, I swear.
I wasn't compromised in any way.
Tom. There's only one way
this gets worse for you,
and that's if I find out
that you lied to me.
[tense notes swelling]
No.
[sighs quietly]
- [heartbeat thumping]
- [unsettling music builds]
[music rises to crescendo]
- [edgy music playing]
- [overlapping chatter]
Hey.
[Luis] Hey.
Any new surgical patients?
One of the traumas has
a small pneumothorax.
I didn't hear about that.
- It's Phillips' case.
- Which room?
Uh… two.
[edgy music intensifies]
Yo, what's up?
- Hello, sir. How are we doing?
- Just gave him 8 of morphine. He's out.
- Why doesn't he have a chest tube?
- Because I don't think he needs one.
You're a surgeon now, huh?
It's less than 20% of his lung volume.
No need to do an invasive procedure.
It'll likely resolve on its own.
Likely? Completely disagree.
It's a traumatic pneumothorax.
Set the chest tube when it's controlled,
so we're not scrambling
if something goes wrong.
- They're not gonna go wrong.
- That's a stupid assumption.
Excuse me?
- Can you set me up for a chest tube?
- Do not set him up.
Set me up. Now.
Don't talk to her like that.
What the hell is going on with you?
- I'm trying to save your patient from you.
- I'm asking you to slow down for a minute.
So now you're back,
you want to throw your weight around?
This is a surgical procedure.
- I make the call.
- Wanna force the issue?
I'm the Chief. You don't have authority
in this ER unless I give it to you.
Come on, you're barely Chief.
Hey, critical trauma just unloaded.
Coming into trauma one. Come on.
[edgy music continues]
No, you're not going in there. I'm calling
for a different surgical resident.
You're so out of line,
I don't know what to say.
You can't say anything.
I don't work for you.
No. But we both work for Dr. Cruz.
You want me to call her? I'd be happy to.
Nah, there's no need.
We know whose side she's on.
How it works for you
versus the rest of us.
Probably the only reason
Danny took it back, right?
[edgy music continues]
[EMT] Patient's female, 18,
found buried under rubble.
Altered.
She's hypertensive and tachycardic.
What's her name?
- Charlie Ramirez.
- It's the third girl.
All right, guys, on my count.
Three, two, one.
[grunting]
Charlie? I'm Dr. Simms.
Can you tell me your last name?
Can you hear me?
[frenetic music playing]
- Pupils are dilated.
- Any obvious head trauma?
[Danny] Uh, I'm not seeing any.
Why so hypertensive and tachy?
- Does she feel warm to you?
- Yeah, and really diaphoretic.
- Hey, Luis, can we place a Foley catheter?
- On it.
[tense music playing]
Hm. FAST is negative.
This girl and her friends,
were they on drugs?
[Danny] Her friends said
they all took MDMA.
- Anyone have a reflex hammer?
- A reflex hammer?
Yeah. It's right there
next to the piano tuner.
Ha-ha-ha. Very funny.
That would actually work.
Wait, I got it.
Oh, she's hyperreflexic.
[Phillips] Mm-hmm.
And she has clonus.
Foley catheter's in.
[dull tone beeping]
[Gabe] 40.6 Celsius.
Whoa. That's over 105 degrees Fahrenheit.
Altered mental status, tachycardia,
hypertension, hyperreflexia,
and hyperthermia.
I think… I think she's got
serotonin syndrome.
- Whoa. That's pretty rare.
- Yeah. It makes sense, though.
Still need a CT to rule out other traumas,
but she meets all the criteria.
Let's get some ice packs
under her arms, a cooling blanket,
and cold IV saline now.
You wanna intubate?
- Yeah.
- [Danny] We gotta sedate her.
- Let's get her 20 of etomidate, 60 of roc.
- [Gabe] On it.
- [Gabe] Administering sedation.
- Count of three. One, two, three, up.
[grunting]
All right, give me a Mac blade.
I see the cords.
Give me a 7.0 ET tube, please.
[female staff] Got it.
[monitor chiming]
[Gabe] Vitals are not good, guys.
Okay, I'm in. Let's bag her.
[female staff] Okay.
[air hissing]
[Gabe] Vitals are stabilizing.
Look at that. Good chest rise.
- Clear breath sounds bilaterally.
- Good catch.
Thanks, man.
When she's out of CT, we should put her
in the same room as her friends.
Yeah, good idea.
Let's get her on a portable monitor
and ready to go.
- Good job, everyone.
- [Luis] Thank you, man.
[indistinct chattering]
[music fades out]
Okay, that is the last of them.
Every last patient
in the hallway is triaged.
All right. Good for you.
Yeah, Camila's actually learned a lot.
- Fast.
- Yeah.
It's too bad she's leaving.
What?
Oh, uh… Shit. I'm sorry.
I… I thought you knew.
You guys are so close.
Hey. I got these for us.
It's like a reward.
You're petitioning to work
at another hospital next year?
Gabe told me. Apparently, everyone
around here knows except for me.
Look. I'm sorry.
I love working with you,
but this place is toxic.
- Like, the way Cole treats you--
- No, you can't leave.
This place has
the best surgical program in Florida.
- You have your surgical rotation next.
- I don't wanna do it with Cole.
It's not gonna be any different
at any other hospital.
This is how teaching hospitals work.
Put your head down, learn what you can,
and you just deal with whatever comes up.
No.
No, I'm sorry.
You put your head down way too much.
Yeah, I'm an intern. That's the job.
No, I don't think that's actually why
you put up with the way he treats you.
I… I think you like it.
[solemn music plays]
[scoffs] Okay, you know, maybe, uh…
[inhales] Maybe I see that he's hard on me
because that's the way I'm going to grow.
Maybe I appreciate toughness
because it's gonna make me tough.
Like, maybe you just need a thicker skin.
Okay, Sophie.
[music fades out]
[in Spanish] Natalie,
I've been looking for you.
They say Vero is getting out today.
How can I help you, Patrick?
[in English] I was hoping we can catch up.
I don't know, maybe grab lunch.
[in Spanish] No. Thank you.
[in English] Come on.
Look, I know Isabel
got you in the divorce.
She got everyone in the divorce
because you cheated on her.
Okay, well, that's oversimplifying it.
A lot of time has passed.
We were friends.
I don't know, maybe you can
give me a second chance here?
Patrick, you are an ER attending in my ER.
That is the extent
of our relationship right now.
So I'm not interested
in continuing this conversation
unless it's work-related.
Well, it is.
Bed two… [indistinct]
Patrick Sanchez?
[in Spanish] No shit…
[in English] Thank you.
Wow. No…
God, he was the dark horse candidate.
- Why in God's name would they choose him?
- He must have really worked it.
Which, knowing Patrick,
is not exactly a shocker.
- He's a good ER attending.
- Really?
[in Spanish] But a tremendous ass-kisser!
[in English] I mean, as an administrator?
The head of a department?
Well, then stop complaining
and do something about it.
Just fire Danny Simms
before they make it official.
[pensive music playing]
[music fades out]
Right here.
It doesn't hurt too bad. It's just a burn.
[Phillips] All right, ladies.
Here's Charlie.
- [Sofia] Look. Hi.
- [Penny] Charlie!
- She okay?
- [Elijah] But she's doing great.
[Penny] Yeah, we were so worried.
["Syncing" by Miss Grit plays]
Those girls are gonna be forever bonded.
[indistinct chattering]
Yeah.
If they don't kill each other first.
[chuckles quietly] Sounds familiar.
- Harper.
- No, I'm sorry.
[tearfully] It's just…
Your shift is almost over. And…
I'd really hate to be part of the reason
why you never come back again.
[inhales sharply]
I know you didn't like me
defending you from that dad.
[sniffs] But I need you to know
that no matter where I am,
no matter what I'm doing…
I'm always gonna worry about you.
And fight for you.
And take care of you.
I'm always gonna be your purse girl.
When we sync up ♪
When we sync up ♪
Because you've loved me
more than anybody else ever has.
And I love you back.
I don't want you to leave.
When we… ♪
[singer vocalizing softly]
Yeah, I don't wanna leave either.
[indistinct chattering]
Xander?
Yeah?
What's wrong?
[song ends]
I think I'm getting fired.
What?
- Because of the argument in the lobby?
- No.
No.
Because of your parents.
- Because of the HR claim.
- [sighs]
I know you didn't know,
and I know you probably can't stop them.
["Dreamers" by Welshly Arms playing]
But my sister is here.
My friends are here.
My entire life is here.
And if I lose this job,
I don't have anything left.
I've put everything into this,
everything I've ever had,
more money than I'll ever be able to pay,
especially if I lose this residency.
[inhales deeply]
And I know
you don't owe me anything.
I do. I really know that.
And I hate… that I am begging you,
but I am begging you,
please just talk to your mom.
I know. It's an impossible thing
to ask you to do.
But please, try to call her off.
I've dropped the claim. I took it back.
I'm nothing.
I don't matter.
[inhales sharply]
Can you just tell her that?
[Luis] Hey, guys. Um…
Look, I know your shift is over,
but there's a huge accident downtown,
the new team's not in yet, and I have
a car crash coming in by helicopter in 5.
Yeah, got it.
Thanks.
I'm coming with you.
The cold of the water ♪
Okay.
Can't hold on any longer ♪
To these memories ♪
They curse and they haunt me ♪
But I won't let 'em pull me down ♪
My heartbeat is steady ♪
It's telling me, it's telling me… ♪
I told her not to get involved.
Obviously, she didn't listen to me.
She didn't care.
I know.
I know you can't stop it.
No, I can't.
But you can.
Because I'm gonna give you
the ammunition to do it.
Even if the world's on fire ♪
Even if my soul's on trial ♪
It won't stop mе, I still believe ♪
In keeping thеse dreams alive ♪
Even when it's hard to see… ♪
Something bad did happen at Kennedy.
I should've been held accountable.
But instead, my parents
covered the whole thing up.
I signed an NDA. I got transferred.
I want you to go to my parents.
I want you to tell them
you know the whole story, okay?
Tell them you'll go to the press,
or put it all up on social media.
Tell them you could destroy me
if you wanted to.
What happened?
I killed someone.
Even when it brings me to my knees ♪
It won't stop me, I still believe ♪
A dreamer never dies ♪
A dreamer never dies ♪
[moody indie song ends]
[edgy music playing]
[music fades out]