[ siren wails in distance ] mmm. What is it . Is this a fingernail . Slivered almonds thats what that is. We dont have almonds. Well, then, thats weird. [ muffled ] oh, my g. Go. Go. Clean this up. Pack your bags. One more night. Ill be gone by morning. You wont even know that im here. Okay . Look, im cleaning. [ thud ] captions by vitac i said, heyo, lets go every day, i wake up to the same thing time to stop living the dream, dream i need caffeine. Alex we cant make coffee. The powers still out. Hey, is there actual coffee in coffee cake . Gimme some of, some of that fun, fun i say, oh, oh, oh, ohoh oh i thought he was leaving. I said, heyo, lets go so did i. Luke, what are you still doing here . The key to battling the extreme heat, girlie, is do nothing. Mm. Thats your specialty. And a good morning to you, as well, chuckles. Youre back at work. You should be looking for your own place. Oh, i will, believe me. As soon as i get my first paycheck, im out of here. And take those crotch peas with you. Recordbreaking temperatures expected to continue all week. No word on when this blackout is going to end. My phone, please. Okay. Okay, the a. C. Has conked out at western gen. All e. R. Patients are being rerouted. Rerouted to hope zion. We got to go, alex. Hey, who can i get a ride to work . Youre not dressed. Itll take me like five seconds. Gotta go. Hey, mom, dad, remember, be the heat. Shut up. Whoaoh shut up. Oh, oh i ed to oh, im sorry. [ cellphone vibrates ] hello, melanda. Okay, i understand. Its not ideal. I just life at the top. I dont miss it. All right, well, i wilbe up there very shortly. Um, i need you to lead a trauma team today. Okay. No, i was talking to alex. O. Kay. Zachs pulled three graveyards in a row. Youve led the team before. I have. Not under these circumstances, she hasnt. This is a blackout, which means more mvcs, which means more traumas. I can handle it. [ cellphone vibrates ] im sorry, i have to. Hello. E. R. Gonna be jumping. Be the heat. See ya. See ya. Got an mvc on the way. One minute out. Hello, gentlemen. Hey. Good. He made you trauma leader. He did. Do you want to go home, get some rest . Um, you know, im a divorced guy no, i think at least theres a minibar. Amen to that. All right, team, listen up. The heat isnt doing us any favors, but if we all stick together, work togeth [ siren wails ] and there it is. She lost control of her convertible. Airbag facial trauma. Gcs is 12. Bp is trending down. Bonnie, can you hear me . Jackie . [ monitor beeping ] im gonna do a f. A. S. T. Reid, hand over the wand. Youre team leader. Right. Okay, s. A. T. S . 85. Air entry . Yes. Charlie, what do you see . Got swelling in her left arm and no distal pulse. Looks like compartment syndrome. Yeah, shes gonna need a fasciotomy or shes gonna lose the arm. Okay, reycraft, talk to me. Free fluid in the f. A. S. T. Shes bleeding internally. Lets get her to an o. R. Right away. Charlie and reycraft, i want you both working at the same time. Go. And get her crossmatched for 6 units of packed cells. Come on. Yeah. Youre team leader. Run the show. Dont be the show. Easier said than done. [ siren wails ] you ready for the next one . Sighs ] do i have a choice . [ police radio chatter ] this is beth brady, mid30s. Im guessing, narcotics overdose. Roominghouse neighbor found her groggy with dilated pupils. To bed 4. Jackson,. 1 milligrams of naloxone. Okay, lets run a tox screen and urinalysis. [ gasping ] welcome back. Beth, can you tell us what you took . Im gonna get her some activated charcoal just in case. Ill grab a barf bucket. Man 1. 2. 3. [ sighs ] thought your station was across town. Heat waves got all the hospitals jammed. Your e. R. got the most beds, so you get the overload. [ sighs ] perfect. Got it . Yeah. Hey, so, uh, how long will it be until my o. D. Gets admitted . [ sighs ] i have no idea. Its a full house. Right. I need to get back on the road. Can you just do me a solid and admit her, please . We have got a system here, luke. I need a doctor find a bed for me. [ indistinct conversations ] lets get him on the floor. Hey, do you need so help . Just lay him down. Here we go. How did this happen . [ breathlessly ] i found him found him in the pool in my condo. He was floating facedown. I tried cpr. Okay, how long has he been unconscious . I dont know. Somebody get me a crash cart luke beds here. Help me out here. [ police radio chatter ] okay, here you go. Hes not gonna die, is he . Not if i can help it. [ panting ] more than 3 Million People already know the feeling of feet so silky smooth that you cant help but touch them. Discover the latest innovation in the amope foot care line. The new amope pedi perfect with diamond crystals and extra coarse roller head. It softens callouses effortlessly and efficiently for beautiful, soft feet in an instant. 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Here you should probably have a c. T. Scan before you go. [ sighs ] can you tell me your name . Uh, graham kennedy. And your friends name . Hes not my friend. Hes just a bum. I see him every day outside my building, begging for change. [ sighs ] you having trouble breathing . Aw, im just just a little winded from carrying him. You carried him . Yeah, 12 blocks. 911 wasnt answering. I couldnt get a cab. So. Smile, mr. Kennedy. [ sighing ] yeah. Her livers intact. Uh. Spleen, too. Well, shes bleeding from somewhere. Put a stitch in it. I will if you find it. Suction. [ suction gurgles ] there it is. Shes got a tear in her inferior vena cava. 30 prolene . Make it a 40. Hows the arm . Um, good. Muscle bellies are loose. No digital swelling. [ monitor beeps ] and cvp is skyhigh. Im having trouble oxygenating. Reycraft . Its not me. My sutures are tight. Blood around the heart . Yeah. Could be a bleed in her aorta, but id need to do an echo to confirm. Whoa. Is that me . Dude, am i dead . [ gasps ] um, we cant wait. Somebody page dr. Bell, please. Okay, well, the o. R. S are full. We need to free up some beds for the postop patients. And how many beds will that give me . Four, max. Thats not enough. Joel, i know youre under a ton of pressure, so i say this with love and the utmost respe. If you need more beds, youre gonna have to pull them out of your good morning. Dont worry, im not gonna sneak into the o. R. I know that im suspended. Shouldnt you be studying for your boards . Well, i figured i could study here, where the a. C. Is pumping, or in my boilinghot apartment. Oh, well, since youre here, why dont you lend a hand and check in on your favorite postop patient . Happy to. [ monitor beeping ] maggie morning, roddy. Good morning, maggie may. You and your rod stewart. Oh, come on, you have to respect any man who can achieve superstardom with that hair. And that mole. Flash cards. Hows the studying going . If by studying, you mean staring at my flash cards with fear and dread. Well, then flashcard me. Let me quiz you. Okay. Come on. You know it helps. All right, question one dont overthink it. Just blurt out the first answer that comes to your mind. Do an iron stain of a bonemarrow aspirate. Okay, second answer that comes to mind. Liverbiopsy specimen. There you go, dr. Lin, huh . Kickin ass, takin names. Okay, one of those . Were od with that. Yeah . You think the legs gonna be okay . Yep, edges look good. Tissues pink and healthy. Keep healing like this, youll be good as new in a couple months. Ooh, nice. Okay, good. I got a mustang fastback 67 waiting at home for me. Oh, yeah, yeah. Put it together with my own hands, too. You do know they sell cars that are already put together, right . No, when you get your hands in there, you learn how something works, what it can do, how far you can push it. Mm. My dad used to say the same thing about becoming a surgeon, which is the one thing i wont be when i fail my boards. Okay, all right, well, then, next question. Um, ooh, why does a patient with, uh, uh, the nec necrotizing fasciitis. Too ch potassium in the blood. Dialysis is the only way to get rid of it all. There you go. Speaking of which, its about that time. Want me to walk you down . Walk . Im gonna walk . Really . Lets jog. Yeah. Oh, oh, tease, taunt. Nice. Dawn okay, its a torn aorta. Im trying to locate the hole. Suction . Im woing on it. [ suction gurgles ] all right, were gonna have to go on pump to fix this. Lets go on circulatory arrest. You want to freeze and flatline her . Yeah. Kill her to save her life. Puher in a hypothermic state, stop her heart, drain her blood. Gives me a clear view of the tear, gives her a shot at living. Could work, but. Could also cause brain damage if we dont work fast enoh. Also, we dont have a perfusionist. Wh . Larrys kid has heatstroke. Hes at home with her. You got to be kidding me. Yeah. No, this is part of my standup routine. Hows my timing . We cant run a bypass without a perfusionist. Okay, so, aside from the patient bleeding to death, does anyone se have an alternative . Bonnie [ scoffs ] but [chuckles] i have never had a rush like this. Ill run the pump. Seriously . Yeah, hell, why not . Larry can do it. How hard can it be . [ cellphone buttons clicking ] hey, larry, its charlie. Yeah, hows the kid doing . Good. Listen, um, im going to use the pump to do a circ arrest with dr. Bell. Thinyou can talk me through it . Pump is primed and circulated. Ill run it, you hook it up. Reycraft since you guys got it under control, im gonna go use my skills elsewher so. Good luck. Thank you. My body is buzzing. [ laughs ] i feel electric. [ laughs ] this is it, charlie. [ chuckles ] crikes, id give anything to feel like this forever. [ laughs ] [ sighs ] this had better work. Lets get her hooked up. [ suction gurgling ] okay, if you will just put this around your neck, we will be with you as soon as we can. Woman okay. Crazy from the heat. Hows your mvc patient . Charlie and dr. Bell have it under control. All rit, then. Page more junior residents. We need more bodies. So bossy. [ police radio chatter ] i have a body. What . Before you say anything, my o. D. Is stable. I was just with her. Okay, then what do you want . Well, since im stuck here until my o. D. Gets admitted, maybe i can help. Or i could just sit here and not use my advanced medical training. Want to pass out triage tags . I do. Green is for the walking wounded. Yellow for the serious, red for oh, my god, hes bleeding out, black for dont bother. I do this for a living, too, girlie. Alex stay out of trouble. Yes, maam. Okay. So, your neck, right . [ monitor beeping ] victor this looks like the organic salmon i bought last week. A. C. T. Is 450 and climbing. Okay, were at 450, larry. Turning pump sucker on. [ suction gurgling ] hows it look . Like someone pulled out the stopper. A. C. T. Is 480. Okay, larry, our numbers are good im going on pump. [ pump gurgling ] [ beep ] the blood is being cooled and then fed back into her body. She should be one cold salmon. [ chuckles ] uh, internal temperature is 30. 8 degrees. [ monitor beeps ] victor, howd you cook that salmon . Larry wants to know. Cedar plank. Cedar plank. [ beep ] yeah. [ beep ] uh, 30. 4 degrees. 12. 4 to go. This is taking forever. Someone get dr. Bell a magazine. [ beep ] hey, let me give you a hand with it. Sure, thanks. Roddy gray, this is joel goran our illustrious chief of surgery. How you doing . Being pushed by the chief thats not too shabby. Let me guess. You drive a classic bmw . Actually, i did have a 635. Oh, silver . It was gray. What, did she tell you that . Oh, no, ive just been able to tell what kind of car people drive. Thats impressive. What else can you tell about me . You make more money than i do. Graham . Hi, im gonna need you to put this around your neck. And your wait isnt going to be the shortest. Theres a long lineup for the c. T. Scanner. Thats all right. I thought you might want to know, the guy you brought in i think he might have a couple of broken ribs. Did did i break his no, no, you didnt. Its a common injury with cpr, but its worth it. Broken ribs, we can deal with. The not breathing, not so much. Anyway, hes stable and sedated, so hes not in any pain. How long will he get to stay . Because i think he was in the pool trying to cool down. Well makeure he gets hydrated before we discharge him. And after that . We will call a social worker, see if we can find a shelter bed. Yeah, guys like that, they dont like going to shelters. You know . Unfortunately, no. I wish there was more i could do. You saved his life. Thats pretty good for one day. Were out of triage tags ill get you some in a second. Okay. I should get back to work. Or you could stay here in this lovely airconditioned waiting om until i make sure that your heads okay. Im just im a lawyer. Days off make me nervous. I understand that, but if you could just hang out a little bit longer. Okay. Great. You know what they say about lawyers, right . Its like a pieeating contest with a prize of more pie. That man carried a stranger 12 blocks. He can have as much pie as he wants. I dont think youre getting it. The piis a bad thing in the scenario. You understand . I understand what you mean, but i like pie. [ electricity poweri down, alarm beeping ] i thought we had backup power. We did. [ alarm continues beeping ] thanks. [ male announcer ] fedex has solutionto enable Global Commerce that can help your company grow steadily and quickly. Great job. mandarin cut it out. See you tomorrow. Mmmm. Mmmm mmm mmm mmmm mmmm, yoplait [coughing] hey, pal. You gotta cough this winter . May i suggest. Tough love, mentholyptus halls with big time cooling flavor. 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Moaning ] okay, sir. Just sitack, all right . Just sit back here. All right. I need to get you some. [ sighs ] emergency lights are not great for the trauma bay, but well manage. This is so bad. The ventilators are dead. Were gonna have to bag every trauma that comes in here. Yes, but the monitors and defibs are on battery backup, maybe we suld shut down the e. R. , transfer patients. Where to . Every e. R. In the city is backed up. Drink up. Hydration is key. Right. Man there was a small fire, and the backup generators are fried. Were working on getting everything back online. How long will it take . Um, should be anytime now. Okay, we have a dialysis patient here, so tell them to step on it. How are you doing, roddy . Honestly . Im not feeling so great. Well, hang in there, sir. It shouldnt be too long. Left . Yeah. Thats good. Can someone get joel on the phone . [ pounding in distance ] find out what the hell is going on, please. The heater cooler doesnt have backup power. Yeah, i can see that. Thank you. [ sighs ] shes still at 22 degrees, and we still have 4 to go. Okay, well, we can still do the surgery. We just have to do it faster a lot faster. How are we gonna warm her back up with the power still off . Id rather build that bridge right now, dawn. Well, shes frozen, and her heart has stopped beating, so we cant exactly change horses midstream. [ monitor beeps ] if youre not up for it no, its not that. I just, um. Charlie, i got to say, this whole [chuckles] whatever this thing is, you know, kind of killing my buzz. Youre just what . Im just not sure we have a lot of time. [ indistinct conversations ] hey. Scans came back from your drowning victim. Check it out. Wow. Two badly heal arm fractures and a broken clavicle. These scans look like a rodeo riders. Mmhmm. Sorry to interrupt. Beths fishing out again. Fishing out . Its a st. Catharines thing. Means shes o. D. ing. Yes, i know. Did she have any more drugs stashed on her . Im a medic, not a cop. 2 milligrams of naloxone. No, stay. I already tried naloxone. It aint gonna work this time. Her pupils are pinned. Beth . Where did she get these drugs from . Shes a junkie in a hospital. She probably stole a bottle of pill shes going into defib lets get the crash cart over here [ monitor beeping rapidly ] how about insulin . Uh, jackson [mutters] 70ccs. 70ccs of insulin, jackson. 70ccs of insulin . Are you insane . I worked with a guy in ajax who would carry a syringe of insulin out with him every friday night. Itll work on an o. D. , alex. Luke, leave it. Im not giving her three times the therapeutic dose unless im absolutely sure. Out of the way charge it to 200. [ defibrillator whines ] 200, charg. Clear alex, move. Luke, what are you doing . Youve got to clear. Dont worry. What the. Its okay. [ beeping stops ] what did you just do . [ breathing rapiy ] [ gasping ] [ monitor beeping ] and were back. You need to get back on the road now. Push 1 amp of d50, 2 grams of calcium carbonate. Lets evenut this insulin. Wow. Angry and quiet. Thats the best kind we had a problem. Ii solved it. No, you could have killed her. But i didnt. I know what im doing. No, you dont, luke. Actually, you have no idea what the hell youre doing. Right. Im the disaster. Youre the genius. I forget that sometimes. Im sorry. Thats not what this is about. Whatever you say. You know, its a hard enough day without you flying in here like a bat out of hell, leaving me to clean up your messes. You need to leave right now. Hows she doing . Shes good. [ sighs ] hes bradycardic, and his radial pul is thready. Yeah, his potassium levels must be through the roof. What are my numbers . Uh, theyll be a lot better once we get you down to dialysis. [ cellphone ringing ] [ beep ] hey, gav, when are they getting us out of here . Theyre working on it. 20 milligrams albuterol, and 1 amp bicarbonate. Are you okay . Im fine, but my patient could use a little help. [ breathing heavily ] okay, how am i gonna get these drugs to you . Tell him to get a gavin, go up to the fourth floor and try and pry open the elevator doors on the righthand shaft, and drop the drugs down like that, okay . Did you get that, yeahgot it. You rock. All right, roddy, um. Im formulating a magnificent plan called [sighs] im gonna stand on your bed. Hey, whatever you need, boss. All right. Watch his leg. Its locked. [ hatch rattles ] do you have a hairpin . Uh, no. Its probably a good thing. I wouldnt know what to do with it anyway. [ sighs ] think you can bust through that thing . I can give it a try. You know, i think i might just lie here joel . Yeah, tell gavin not to bother. Theres no way were getting through that thing. rustling sound effects, spooky music did we put away all the food . Define all. Ahhhhhhhhh cheetos crunching such majestic creatures. Caring foromeone with alzheimers means i am a lot of things. I am his guardian. I am his voice. 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Call to learn more. Switch to Liberty Mutual and you could save up to 509. Call Liberty Mutual for a free quote today at see Car Insurance in a whole new light. [ monitor beeps ] bonnie i dont know what it is. Um, i kind of feel like like maybe im not supposed to be here. You know, like, uh [sighs] like maybe im missing something. [ sighs ] charlie, im kind of freaking out here. I have this feeling i forgot something. Dawn . Yes, distract the heart surgeon while shes working in the dark. Im gonna do something a little odd here. Im going to talk to the patient as though she could hear me. You know, theres rumors going around that youre getting really flaky. Yeah, tell me about it. Hey, bonnie, um, listen, the reason youre so cold is because we made you hypothermic. Why . So that your brain cells would slow down enough that wcould fix your heart without giving you a stroke. I dont think thats what it is. [ monitor beeping ] i think i i kind of screwed up years of my life. I feel like i got this weight, like [sobs] right square on my chest. [ gasps ] i cant breathe. [ gasping ] dawn, im gonna step outside for five minutes. No, youre not. Yep, got to go. Carol, you watch the pump for me. If anything changes, page me. Charlie bonnie, i just want you to know youre gonnae okay. Dr. Bell has done this surgery many times before. I dont care. Whatever youre doing to me, i want you to undo it, okay . Because i was perfectly happy before all othis. You know, ii went for a drive. Yeah, and you crashed into a median and tore your heart open, which is exactly what were trying to fix right now. No. No. I went and iii gassed up the car, and ii went for a drive with jackie and. Wheres jackie . I forgot about jackie. Whos jackie . Jackies my girlfriend. She was in the car with me. Uh, as far as i know, the paramedics brought you in alone. Shes out there. I dont know. Okay, well, you got to find out. You are my priority right now, okay . And in case you havent noticed, you are a ghost, which which carries with it a number of problems. So, need to get back to your surgery before we run out of time. No. No no okay. It was it was my idea, okay . It was my idea to go for a drive in the middle of the night in the blackout. You know, drive down rosedale valley with the lights off and. [ groans ] im always the one thats, you know, forcing her to take these stupid risks. [ sighs ] jackie only did it because i asked her to, because she knew it would make me happy. You got to help me find her. Please. [ sighs ] i really need you to help me find her. Oh, my god. What if the woman that you loved was lying in a ditch somewhere,