Combat Hospital (2011) s01e12 Episode Script

Triage

So the provincial reconstruction team were planning a mobile medical clinic.
But then, well I saw this place.
What do you think? I can see the possibilities.
Ample space for an O.
R.
, recovery room, pharmacy on the first floor.
Exactly.
That is exactly what I've been telling them.
But, hey, what does a simple engineer know, eh? Yeah.
Well I know a sound structure when I see one, that's for sure.
And I reckon we could have, uh, two wards and a maternity unit here.
Was the building searched for explosives? - Far as I know, yeah.
- Don't move.
Could they have missed one? Well, it wouldn't be the first time.
Whoa, whoa, whoa.
Stop.
Selvidge.
Selvidge, do you copy? Colonel, do you copy? - The building is booby-trapped.
- Still can't hear you.
The building is wired.
Don't come in here.
Don't touch anything.
- We're coming in.
- No, don't come in here! August 30, 2011 Well, you're bumping the table.
That's a clear violation of the rules, Pam.
I've got hip motion, so sue me.
Actually, I'd much rather whip your ass.
- Oh! - Oh! That's how it's done.
Oh, I bet you love hearing your name repeated like that.
I do, actually.
It reminds me of last night in bed.
Double-checking the supplies? Mm-hmm.
Does this bother you, me double-checking the supplies? Nah.
It doesn't bother me what you do in your off time.
If it was me, I'd be taking a nap.
Doesn't the colonel Ah, yes, the colonel.
Didn't he put you in charge of triage, not the entire Role 3? And no, the colonel doesn't personally double-check everything.
That would be Totally annoying.
Yeah, totally.
Hey, buddy.
Is that me? All right.
Let's go.
That's four wins, guys.
Four wins.
Who wants to make it five? Rebecca, you want to knock me off my throne.
I'm sure you do.
No, thanks.
I'll do it.
All right, Pedersen, Pedersen, none of your psychological warfare.
None-- none needed.
Just a little good, old-fashioned wrist action, big boy.
One down, five to go, darling.
Let's go.
- Let's go, Pedersen.
- Pedersen! Pedersen! Pedersenen! Pedersen! Pedersen! Major Pedersen.
Little busy here, Bobby.
No problem.
I'll just wait in your office.
See you in a few minutes.
Let's double down and go for a shutout.
Whoo! Colonel.
Colonel Marks, where are you? Are you all right? Colonel? Colonel Marks, look out! Rebecca.
Oh, God.
Don't do that.
I didn't realize I made you so nervous.
Pardon the reach.
Were you after this? Your vodka? No.
Certainly not.
Well, now that you know where it lives, if you change your mind Mm.
You know, someday, that's gonna get you in trouble.
Yeah, perhaps.
But in the meantime, cheers.
So, um If you weren't after my vodka, what brings you to thehelood bank of all places? None of your business.
Now if you don't mind Hey, look.
Look, I'm sorry I stood you up the other night, okay? I did actually - I had a good reason.
- I'm not interested, and you can take that on every level that it can be taken.
I am not interested in your excuses, I'm not interested in your problems, and I am certainly not interested in you.
Oh, S-Simon.
Simon.
Look, doc.
Hey, wait.
Simon, look, peace offering.
Uh, look, Private Stetler ain't gonna be too happy, but, uh, we got it on good authority that his mama sends him the best B.
C.
smoked salmon every month.
I-it's freakin' delicious, man.
Enjoy.
No.
No, thank you.
Look, doc.
Look, real quick, w-w-we're sorry about the the DVDs.
I-if we knew that they were your brother's, we would've never touched 'em, I swear.
How's he doing? Are you No, okay, enough.
Enough.
Okay? Thank you for this, but I don't want it, and just stay out of other people's mail.
Fitz! Colonel? Colonel, can you hear me? We need help here.
Captain Fitzharold is down.
We caught it, sir.
Johnson is down.
We need to secure the area.
E.
O.
D.
is on their way to clear the building.
We'll get to you as soon as we can.
Copy that.
Don't touch that! Don't touch it! M-move your hand away.
That that pole's the only thing that's holding that joist up directly above your head.
Now it'll hold, but you just need to Step round another way.
Yeah? Move around.
Good thing you got an engineer with you.
- Hi.
- Hey.
I kept you waiting, what, half an hour? No problem.
You were in the middle of a game.
Game ended 20 minutes ago.
Really? Well, I'm sure you were busy, right? Actually, I wasn't.
Well, it's fine.
I had my books.
Actually, fascinating books.
Uh, for instance, here's this managing anger list.
Uh, number one, breathe, two, be calm even when you're not You're not bothered by the fact that I've kept you waiting half an hour for no good reason? - Should I be? - I would be.
Well, I'm not you.
Who are you? Huh? You Yo-- look, I'll tell you who I'm not.
All right? I'm not this guy with anger issues.
- No.
- No.
No, I'm not.
Seriously, I'm not.
Okay? Look, that day at the At the hockey game, it was so unlike me, Grace.
How do you feel about it? How do I feel about it? How would you feel about it? I'm embarrassed.
I'm mortified.
You know, if it wasn't for this, stupid thing I'd have a hard time believing it actually happened.
- But it did.
- I know it did.
I'm not I'm not saying that it didn't.
I'm not denying it.
I'm not.
I'm to You know, like, all I'm saying is that there's this shooting pain climbing up my hand, there's this freakin' guy laying on the ground spitting out his teeth, apparently I elbowed Pam in the face, you know, I'm having this crazy out-of-body experience, it just-- it was like I was watching it.
- I believe you.
- Good.
'Cause it came outta nowhere.
Ah.
That I don't believe.
It came from somewhere.
Okay, all I'm saying is, it-- it never happened before, and it's never gonna happen again.
If you say so.
You don't believe me? When you're ready to get serious, I'll be here for you.
What's up? Wyverns.
What's a wyvern? It's a 2-legged dragon thing.
Well, 2-legged before the full moon and then 4-legged after.
That is impressive.
So no reports? No.
Okay.
Well, I'm around.
R-3 TOC.
Got it.
I.
E.
D.
at a village near here.
One fatality, two coalition causalities, status unknown.
- Requesting air medevac.
- What's the village? - It's Walakan.
- Walakan.
That's where Colonel Marks went.
Yeah, we know.
Sail? Colonel.
Colonel, can you hear me? What? I was asking if you sailed.
Sail? Yes, that's right.
Sail.
You know, what you do across the deep blue ocean.
Boats.
I don't like boats.
Oh, no, you don't.
This is no time for a nap! Colonel! Colonel! You've gotta stay awake.
You may be concussed.
You've gotta keep your eyes open.
Well if y-you keep talking about boats, it won't keep me awake.
Okay.
You pick a topic.
Cycling.
You like cycling? Ah, I'd never get away with those skintight shorts.
Well, it's one of life's greatest pleasures.
So pure Simple.
Ah, okay.
Yeah, now-- now I know what you mean.
It's like when I'm sailing round Ardnamurchan Point.
I'll tell you, the times I've aah! Aah! Aah! - Is it bad? - Aah! Oh, oh, oh.
Carefufu careful what you touch.
We don't want this whole structure going down on those E.
O.
D.
boys, huh? What is it, colonel? Selvidge.
Selvidge, how much longer? Evac says ten minutes out, sir.
Is it something bad? Okay.
Yeah.
Definitely something bad.
Not much time! Hurry up! We just need time.
We just need time.
Oh, jeez.
They'll be here in no time.
It's okay.
So, colonel, any chance this is one of those good news/bad news situations? I guess you could say that.
Okay.
I'll take the bad news first.
Bad news this rebar is the only thing that's keeping your insides together.
Okay.
The good news? Good news is, this rebar is actually holding your insides together.
Colonel Marks! Holy Sir, we found two other Russian mines inside the building, but they've been disabled.
Helicopter evac's five minutes out.
You hear that, Fitz? It's gonna be all right.
Ah, well, of course it is.
Hey, ch Cheer up, sergeant.
It's a bit of luck, this.
L-luck, sir? Of course it is.
The colonel here- top surgeon, Southern Afghanistan, right here on the spot.
Why, he's gonna have this sorted.
Just you watch.
God.
Roger that.
Thank you, sergeant major.
Yes, sir.
- Roger that.
- Is it Marks? They're not giving me any confirmation.
That's a good sign, right? Not necessarily.
Hey, what's going on? - Uh, we're just waiting to hear-- - hear how the leafs did last night.
You guys are crazy.
I don't know why you bother, because you know they lost, right? Let's not worry anyone unless we have to.
No, yes, of course.
Absolutely.
Role 3 M.
M.
U.
Yes.
Oh, he's gonna be okay.
He's gonna be okay.
Yes, sir.
- It's the colonel? - No.
Canadian vehicle patrol was hit by a rocket attack - E.
T.
A.
seven minutes.
- All right, let's get our games faces on.
Major Gordon, you're up, okay? I want you to page the nurses, the med techs, and the surgeons who are on standby.
Copy that.
Game face on.
Female Canadian soldier, early 20s, significant head injury, an open wound to the forehead, severe lacerations on her right lower leg and possible fracture.
All right.
Pri-one Bravo.
Bay 1! This one needs to go to the O.
R.
Let's get it prepped right away and have Simon meet her at the trauma bay.
All right.
You heard her.
Bay 1.
You're at Role 3, private.
Okay? We're gonna take good care of you.
All right, get her in.
Okay, he's got shallow breathing.
All right, pulse 130, respiration 18, we've got a lower left leg amputated.
That tourniquet's loosened up.
Apply pressure to that.
We've got a Bravo.
Bay 2.
Let's get Max on this.
On it.
Go, go, go.
Lollipop for the captain.
- Yes, sir.
- Lollipop? Come on, colonel.
You don't have to treat me like a baby.
It's'sot that kind of lollipop.
It'll take the edge off, captain.
Well, if you insist.
Colonel, sir.
There's no easy way to move him, sir.
That rebar's attached to the concrete wall.
If we move him the wrong way, it'll tear him to shreds.
Sir? Sir, what do we do when we get him back to base? We'll deal with that when the time comes Sir! You okay? We'll deal with it when we get there.
It's all right.
It looks like you have a ruptured eardrum, possible concussion, sir.
Don't worry about me.
Don't worry about me.
Okay, okay.
I look to the ocean tried hard to remember the day you sailed from Wester Ross to Nova Scotia That lollipop's kicking in.
Lochaber no more - no more - Is the saw ready? Where's the saw? Here comes the saw.
Here comes the saw.
Sky no more all right.
- When you go - Okay.
Ready? Will you send back a letter from America? All right, he sustained bruising to the chest, so keep him on the monitor.
Watch for P.
V.
C.
s, and if his vitals chanan, please notify me.
Okay, we've used five units of blood on each case.
It's really cut into our supply.
I'll call for resupply, but it's gonna take some time.
Yes, do that.
Thanks.
By the way, well done, major.
Colonel Marks made a good decision when he left you in charge of triage.
Really? Yeah.
Just don't let it get to your head.
How can I take anyone seriously who owns an Avril Lavigne CD? Hey, don't knock it until you try it.
Okay? - My 13-year-old niece loves her.
- Oh, Max.
and to be honest, Simon, to be honest, she's awesome.
All right? Awesome.
Do you hear yourself? You're going mad.
Mad in the head.
What's going on? Uh, Rebecca.
Wonderful Becca, right.
You can settle this.
Avril Lavigne, yea or nay? Yea.
What are you doing here? Max finished surgery, so the good man came in to help with the, uh, foot fracture.
Okay, and why wasn't I told? Sorry.
I forgot.
Lighten up, Rebecca.
Yeah, you're supposed to check with me, okay? I understand that I am not Colonel Marks, but there are protocols No, you're definitely not Colonel Marks.
Ooh.
Lovers' quarrel.
Oh you two.
- Major Gordon.
- What? Oh, I'm sorry, Graham.
What happened? Did you find him? Is he okay? Colonel Marks has been injured.
He's coming in with another casualty.
You're gonna need to stay in charge of triage.
What are you doing, buddy? That stuff doesn't go there.
Yeah, he gets into everything.
Kids, right? Uh, sir, I was just wondering, I'm feeling kind of useless around here.
Is there anything you can give me to do, like inventory or reporting or diagnostics? Well, we're pretty good there, but there is one thing.
- Awesome.
- Aref? Yeah, yeah, never mind.
I'm happy to do it.
- Okay.
Really? - Yeah, totally.
Come on.
Let's let's let's go for a run.
Come on.
Captain Trang.
He doesn't speak English.
I knew that.
I knew that.
Come on.
Let's go.
Uh Hey, bud, what's up? Take his hand? Yeah, sure.
Come on.
Let's go.
- Colonel Marks? - He's hurt real bad.
Sir.
Look at my eyes, sir.
You look at me.
Let's go! Let's go.
Let's go.
Let's go.
Nearly there.
Just a couple of steps.
Possible concussion.
He's got I'm fine.
I'm fine.
A ruptured T.
M.
-- Blood in the right ear, - vertigo and tinnitus.
- Let's get him into the trauma bay.
- I'm fine.
I'm fine.
- Get him checked out.
Let's just take a walk.
Okay, okay, sir.
You're good.
You're good.
Keep going now.
Hey.
How you doing? - It's okay.
- Well, hello, beautiful.
Hello.
Captain Duncan Fitzharold at your service.
But you, you can call me Fitz.
What's the matter, darlin'? You never seen a Scot on a skewer before? This is gonna be heavy, guys.
- One, two, three.
- Oh, yeah.
Hey, where'd the pretty one go? Will you send back a letter from America? Sir, the vertigo is making you want to vomit.
It's okay.
All right, we've got a 45-year-old male who's been Impaled by rebar attached to cocorete.
Combat engineers will cut away the concrete, but the rebar is what's holding him together.
How are we on blood? We're okay for right now But he's a transient bleeder, so he's losing two to three units of blood an hour.
He will need a blood infusion.
He will also need a long surgical O.
R.
time with an extensive medical team I'm really fine.
What's going on down there? Rebecca's going over the game plan for Captain Fitzharold's surgery.
Why didn't anybody tell me? Colonel.
Sir.
Sir, we're not finished.
And due to the organ damage and sepsis, he probably has a 40% chance of surviving - such a lengthy O.
R.
- We're not gonna let that stop us.
And we're gonna do everything that we can To keep him alive.
Colonel.
Colonel? We tried contacting R.
C.
South to see if we could transfer him, but because of the heavy ops going on, all the NATO facilities are full from major offensives on all fronts.
Not to mention that he is probably too weak, and we don't have the blood supply.
Look, sir, we could have all surgeons on hand, okay? But his bowels, his liver, his kidneys they're in a bad way.
His metabolic state is very poor.
Okay? So we're gonna have to throw everything we have at him and some.
That's exactly what we're gonna do.
All hands on deck, folks.
M-Max, Rebecca, Simon Start your prep.
He's gonna be fine.
We just have to make sure that he takes care of himself.
I got you.
Here you go, buddy.
Ice cream.
oh! It's okay.
We'll get you another one.
Hey, man, sorry, can I get another cone, please? Okay, just breathe.
One Two What? Nothing.
Can I get another cone and some more napkins, pleasas What's the kid's problem? He doesn't have a problem.
He's a kid, all right? Just give me the damn napkins! Here.
Thank you.
Here you go.
Okay.
You know what? This is what we're gonna do.
And, uh Oh! Let's get a pizza, okay? Come on.
Come.
Let's go.
Come.
Take my hand.
Gentlemen.
Ooh, and lovely lady.
I guess you're wondering why I've called you all here.
This is Dr.
Gordon and Dr.
Hill and Dr.
Prakash.
These are my best people, Fitz.
You couldn't be in better hands.
We're gonna do everything we can.
Well, of course you are.
You're our top priority, Fitz.
And when these people say they're gonna do everything they can, they're not kidding.
Well, do I look worried? I know when I'm in good hands.
Okay, look, you know I'm always up for a challenge, but this seems a bit too challenging.
I mean We have no idea what to expect once the rebar is out.
Well, if you're not up for it, I'm happy to take it upon myself along with a a the credit.
Like I'd let that happen.
The problem is, ,is that we're putting all of our resources on a long shot.
- Yeah, well, you heard the colonel.
- Yeah.
- He's top priority.
- I know.
Hey.
You okay? Yeah.
I don't know.
Maybe I'm Maybe I'm making something out of nothing.
- What is it? - I don't know.
Hold on.
Hold on.
What's up? Colonel Marks.
I don't think he's thinking straight.
He's too attached to this patient, and it's not like him.
You think he's unfit? I don't know.
Shouldn't you report it up the chain? Want to get some juice? Come on.
Let's go.
Stand-to.
Hands out the window! Now! Hands out the window.
Now! Don't move! Sir.
Colonel Marks.
A vehicle ran an A.
N.
A.
roadblock and got shot up.
They're just at the front gates now.
Are you with me, sir? Yeah.
You okay? It's a bad one, sir.
Three fatalities, two, uh, Bravos, a possible Alpha, and two Charlies.
E.
T.
A.
? I just told you, sir.
They're here right now, sir.
This is the mother.
Multiple gunshot wounds.
B.
P.
90 over 60 and falling.
Pulse 140.
She's decompensatingng I don't know what else we can do.
Defer her.
Make sure she's comfortable.
Okay.
Bay 1! An Afghan family got shot up at a roadblock.
Well, why wasn't I paged? They arrived at the gate with no lead time.
Okay, sir, on your feet, on your feet.
I'm fine.
I'm fine.
I'm fine.
I know.
- Colonel, you gotta go lay down.
- I'm fine.
You will be.
You will be, sir, when you've had some rest.
You gotta go lay down.
Major, take over.
Now.
- Okay.
- Take over.
Lean on me, sir, if you need to.
Doctor, take that.
Thank you.
Let's just keep walking forward.
Bay 3! Give her two units of blood, ultrasound, uh, intubated, and prepped for the O.
R.
, now.
Okay, it's a G.
S.
W.
to the head.
Let's go.
Right away.
Come on.
Go, go, go.
Got a gunshot wound to the head.
I need Simon.
What's our status? Not good.
We're doing a C.
T.
scan on the girl with the gunshot wound to the leg.
.
She needs surgery A.
S.
A.
P.
All right.
Get Max on her.
I'll take this one.
But the colonel wants you both on Fitz.
What else? Vans.
She doesn't know why they were shot at.
She wants to know where her mother and father are.
What should I tell her? Her father didn't make it.
Her mother's over there.
The colonel deferred her.
Too many internals.
You tell her that everything's gonna be all right.
We're gonna do everything we can for her family, okay? Okay, even if you do her, we've got two surgeons tied up over there.
We can't handle this.
What do you want us to do? Pull them off Fitz.
I need 'em here.
But you can't I know.
I'm scrubbing in for surgery.
Suture.
What's going on? I've got a boy with a gunshot wound to his head and a girl with one to her femur.
I need you both.
Okay, what about Fitz? Colonel Marks said he's pri one.
Colonel Marks isn't in charge right now.
I am.
And I'm putting my resources where they have the maximum chance to save the maximum number of lives.
Do you have a problem with that? No, major.
Let's go.
What's he doing back here? We were ordered to return to I.
C.
U.
Who ordered that? Dr.
Gordon.
Colonel, you feeling better? Why isn't Fitz in surgery? We're dealing with a 9-liner right now, sir.
Okay, he's feeling weaker by the minute.
We're losing our golden opportunity fast.
I am aware of that, sir.
I want to talk to Simon and Max.
Where are they? Dr.
Gordon, we need you.
No, I want to talk to Max and Simon now.
Okay, colonel, we will get to Fitz as soon as we can.
Okay? All right.
Okay.
Okay, so we've got How's it going? Just finishing up.
Okay, good.
After you're done here, we start on Fitz right away.
Absolutely, colonel.
All l rit.
I'll get Max.
Hey, buddy.
I got you some juice.
What are you playing? Looks like a big mess.
Here, let me, uh, let me show you in here.
Watch.
No.
Watch.
Like this, all right? No, really.
Enough! Stop! S-stop it! Enough, okay? Aref.
Aref.
Oh, God.
Aref! Aref, wait.
Aref, stop.
Aref? I'll get him out of here.
She's alive! What? What the hell did you do to him? Sorry.
I'm sorry.
I didn't do anything.
I Major Gordon, we've got vitals on the mother.
Pam saw her moving.
We checked her vitals.
We put her on the monitor.
What's the B.
P.
? B.
P.
's 85 over 50.
Pulse is 45.
Respiration 8.
All right, let's get x-rays on the chest, abdomen, pelvis, long bones.
Get two units of O neg and prep the O.
R.
Let's get Max and Simon on it.
This one cannot wait.
Look, we do this, and Fitz's chances go from slim to none.
Oh.
That bad, huh? There's been a delay, Fitz.
A family They came in while we were prepping you.
A family? Shot up at a checkpoint.
But, um, they've been taken care of, and, uh, we're gonna get you back into surgery.
Well Don't worry about me.
I'm not going anywhere.
Go will you send back a letter from America? take a look up the rail track to Miami to Canada I didn't make an appointment.
No, you didn't.
I'm interrupting you.
Yes, you are.
I'm not gonna apologize.
Good.
Take a seat.
Good.
You're ready.
O.
R.
1.
No, we're in O.
R.
2 on Fitz.
What? Oh, come on.
Not this again.
We finished the 9-liner, the boy is good, the girl is stabilized.
Isn't it Fitz's turn? Rebecca, you're gonna lead in Fitz's surgery.
I'm gonna scrub in to observe.
I want to be there for him.
Sir, the mother from the 9-liner, she is fighting to live, and we have a chance to save her if we can get to her right now.
We're doing Fitz first.
Look, I understand your feelings, sir.
I do.
But we prioritize patients based on their best chance of survival, not Then this time, we make an exception! Sir, respectfully, we will not.
And I say that based on everything that you have taught me since the first day I got here.
Colonel, Dr.
Gordon is right.
The odds are on the mother.
We're gonna go into O.
R.
1.
Colonel.
Let 'em do their jobs.
You can take a break.
How's that young mother doing? They say you can't hear when you're full of anesthetic.
They're wrong.
Well, she's in surgery now.
Our team is, uh Our team is, uh Taking care of her.
They're the best.
That they are.
What about the kids? They all make it? Yeah? Not all of 'em.
That's the That's the one thing I can't get used to Even after all these years.
I can't get used to what happens to the kids.
I mean, you know, the the problem is that it Treating this family, it's drained our resources, you know? But I'm still hoping I'm still hoping that we we can, um, somehow, um We're not gonna get to you in time, Fitz.
Yeah.
I think I was beginning to realize that, colonel.
But those kids They'll live along, yeah.
Yeah, they will.
Well Well That's something to be grateful for, isn't it? Whew.
You Wouldn't happen to have one of those delicious lollipops left, would you? Of course.
Eh? Nurse.
Thanks, darlin'.
Yeah.
Graham.
Let's get Max.
O.
R.
2 is free.
Let's, uh, skip the post scrub and just do fresh gloves and gown okay? There's no hurry, Major Gordon.
Captain Fitzharold passed away ten minutes ago.
Thank you.
You saved the life that could be saved.
If you want to talk about it, you should come over later.
What if I don't want to talk about it? Just come over later.
Mehra, Ford.
I'm serious.
Had to fake it.
Okay, so I'm gonna ask you something, and I don't want any questions.
Understood? Yeah, I got it.
Yeah.
All right, that package with the smoked salmon, do you still have it? look, I'm not gonna get you into trouble, I just want to know.
Yeah, we still got it, man.
While I do not condone your behavior in the least, I do want the salmon.
What, hot date? - No no questions, right.
- We, uh, we got it.
All right.
Good.
Thank you.
- He's got a hot date.
- Heck, yeah.
Oh, yeah.
Vans.
Yes.
Yes, your mother's gonna be okay.
Sir, how are you feeling? Checked me out.
Nothing serious.
I should get some rest, which I'm gonna do now.
I'm sorry.
Don't.
You were right.
I don't know what happened.
Somewhere, uh I got lost along the way.
You wanted to save Fitz.
That's not being lost.
Mass Cal policy's there for a reason and the reason is a good one.
We don't have to like it, but we have to follow it.
I undermined your command by my behavior.
If that ever happens again, you are to contact General Colvard and have me formally dismissed.
Do you understand? Yes, sir.
- Hi.
- Hi.
I was wondering how many women have crossed this threshold.
Less than you think.
We are drifting away farther every day soon will have nothing to say will be too far away August 30, 2011 too far away ooh
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