ER (1994–2009): Season 2, Episode 16 - The Healers - full transcript
Shep and Raul go in a burning house without the proper equipment to save three children.
[theme music]
(Raul)
'Station 134,
unit 47 to dispatch.'
(female #1)
'Uh, Roger 47,
this is dispatch.'
(Raul)
'We're heading back
to quarters'
'from "Mercy For Relief."
E. T. A. is seven minutes.'
(female #1)
'Roger, 47.
What is your location?'
Northbound on Racine
and Webster.
(female #1)
'Uh, Roger, 47.
Stand by, please.'
Buy you breakfast?
Wieners circle?
For breakfast?
Come on.
Char dog, extra peppers,
cheese..
(female #1)
'Unit 47, respond
to residential building fire'
'at North Ravenswood
in Nelson.'
'Neighbors report
occupants trapped.'
Dispatch, this is 47.
We're dead, heading
back to Station 134.
Any other units
who can fill?
'Multiple units
are requested, 47.'
[siren wailing]
I can use the overtime.
Unit 47 responding
to the scene.
'Uh, number 47
to the scene at 6:18.'
Hey, it's a fire.
At least we'll be warm.
[siren wailing]
[alarm clock buzzing]
[baby crying]
Oh!
[baby crying]
[baby crying]
Yeah, thanks for letting
Aunt Susie sleep.
You're so good.
[baby crying]
Yes, you are.
Oh, yes.
Oh, and you're wet!
Yeah, okay.
Fine now.
Yup, today is the big day.
Just me and you.
You nervous?
Are you nervous?
Are you?
(sighs)
Well, I'm a wreck.
Yeah, you'll be great.
I probably blew
the whole thing.
You wanna go take
a bath together? Huh?
Yeah, nice warm bath?
Yeah.
Dispatch,
this is unit 47.
We're first on scene
at Ravenswood in Nelson.
Third storey occupied.
Heavy fire from second floor.
(female #1)
'Three engines,
truck 58, truck 82'
'and Battalion 6
are rolling.'
Hey, everybody
out of there?
I didn't see
anybody come out
but there was
this big explosion.
Just went "boom", about two
or three minutes ago.
‐ People living in there?
‐ Yeah.
They're coming and going
all the time.
I think they're selling drugs
in there or something..
[explosion]
Everybody, move back!
Back, everybody, back!
‐ 'Raul!'
‐ 'Hey!'
Move back,
everybody!
‐ 'Come on, Raul!'
‐ 'Raul!'
Hey, hey.
Don't go in there!
Get back here to me!
[indistinct yelling]
Get down!
Is there anybody else
in there?
Is there anybody in there?
[explosion]
[indistinct screaming]
Shep!
[indistinct screaming]
Get his bag.
Get his bag!
Damn it!
‐ Roll him. Roll him!
‐ Yeah!
Help me, somebody!
Please!
Get away from
the building. Now!
No! No, my babies
are in there.
‐ How many?
‐ Three...please!
Where are they?
Where are they?
On the second floor
in the back!
‐ Okay, alright, listen.
‐ Please, get them!
Go over there
with your child.
Ambulance
is on the way.
Go! Go!
[siren wailing]
Raul, we got
three kids up there.
‐ Trucks are on their way.
‐ Call it in.
‐ They're gonna be here‐‐
‐ Second floor in the back!
Shep, damn it!
Shep, don't...
Shep! Shep!
Dispatch, unit 47
at Ravenswood.
Fire. Three kids,
second floor in the rear.
We're going in
for a rescue attempt.
Have the first due engine
back us up.
(female #1)
'Uh, Roger, 47.'
[sobbing]
[theme music]
[music continues]
Well, I just feel funny
about taking it off.
She filed for divorce and
she's living with another guy.
‐ Morning.
‐ Morning.
I guarantee you,
she's not wearing her's
while she's digging post holes
in bed with what's‐his‐name.
You know what, I don't need
any more mental images
of Jennifer's new sex life.
My imagination
is already working overtime.
You asked me why women don't
seem to be interested in you
and I said that women
do not respond well
to guys who
come on to them
while they're wearing their
wedding ring. Just doesn't add..
Randi, okay, you meet
a cute guy for the first time.
‐ What do you do?
‐ Run a credit check.
Your normal women
check on rings.
That's right, Mark,
and if he's not wearing one
you look for that
"I'm married, but..
...it's in my pocket"
indentation.
I'm telling you, you know,
throw it in the river.
Throw the ring in the river.
‐ Doug.
‐ Yeah.
Six year old with the flu.
‐ Curtain three.
‐ Okay.
You‐you gonna
have dinner tonight?
No, I'm sorry.
I can't.
What is it? Like, here I am,
pouring out my heart
about how I can't get a date
and you're probably
gonna go have dinner with
the entire KLM flight crew.
Bulls game with my dad.
Since when did he and his dad
get so close?
They aren't. They've seen each
other a couple of times.
Doug's trying, though.
Oh, man, I can't
believe this.
They cut my shifts back again?
I may as well work part‐time.
I'm down to eight shifts
a month.
Been moonlighting as a per diem
for a temp agency.
‐ Better money, anyway.
‐ Really?
Oh, yeah. Overtime,
no paper work.
Where's Susan?
She hasn't signed in yet.
‐ A‐ha!
‐ Appointment.
She called to say
she was going to be late.
Appointment? What kind
of appointment?
[radio beeping]
‐ This is county. Go ahead.
‐ 'This is unit 92.'
(male #2)
'We're en route from
a residential building fire'
'with a 20‐year‐old male.'
'Extensive second
and third degree burns.'
'Couldn't get a line or
incubate, so we spooked it red.'
'Multiple victims at scene.'
‐ What have we got?
‐ Crispy critters. How many?
'Three majors,
two minors so far.'
‐ So far?
‐ 'Still pulling them out.'
'All coming your way, county.
Our E. T. A. is four minutes.'
We'll be waiting.
Randi, page Susan. Tell her
to get here soon.
Notify the Burn Unit
and find Benton.
Lydia, make sure
that we have plenty
of Silvadene
and Ringer's Lactate.
(sighs)
Man, I hate burn cases.
[pager beeping]
Sorry. I know
it's here somewhere.
Need to use
the phone?
Ah, no. It's just my work
trying to find me.
So, uh, you were saying
about the visit?
Your home visit
went very well.
Miss Pearline expressed
a concern about the hours
you're required to work
during your residency.
Uh, yeah, I'm trying
to cut back.
But biological relation
adoptions are simple procedures.
Frankly, short of finding
you in the midst
of an animal sacrifice,
I doubt anything
could have slowed
your petition.
(laughs)
That's good news.
Have you had any luck
locating your sister?
Um, I got a Christmas card
postmarked from Flagstaff.
No return address.
And, uh, the phone company
doesn't have a listing.
It's been five months?
What about the father?
I put ads in the paper.
Well, the judge will terminate
their birth rights
and then your attorney can have
the adoption order entered.
That's it?
Except for a lifetime
of homework projects
and boyfriends, yes.
Approximately 20‐year‐old male
ran from building
with clothes on fire. Extensive
second and third‐degree burns.
‐ Singed nasal hair.
‐ Trauma One.
Unable to start an IV
or take BP.
Third‐degree burns
to all extremity.
Weak carotid pulse at 150.
Carol, get Susan down here.
She won't answer
her page.
Building caught on fire.
Just blew up a meth lab.
Pieces of pressure cookers
and chemical burners
'just blew up. Six engines,
three truck companies.'
'We grabbed this guy
and ran.'
Easy now. And go.
Alright. Let's get a blood gas
and a CO level.
CBC Chem 20,
portable chest.
Oh, God!
Two cut down trays.
Carter, Doug. Cut down where?
Femorally. You take the right.
Number ten blade, curved, Kelly.
I'm gonna do an RSI.
Pulse ox is 65%
on 100% O2.
‐ Pulse 144, weak and thready.
‐ First ed.
Don't forget the catheter.
Incise it.
‐ And thread the I .V in.
‐ Directly into the vein?
Bunch of children were
in that building.
‐ 'Adults ran, left them in.'
‐ 'How many kids?'
At least three. 47 got there
before the engine companies.
'They went in there
after them.'
‐ Veck. Ten me‐‐
‐ Unit 47?
‐ Veck!
‐ 'Second floor collapsed.'
We're headed back. There are
lots of firemen out in trouble.
7.5, apply cricoid pressure.
‐ Did they get out?
‐ Who?
‐ 47.
‐ Lydia, 7.5, please!
‐ Think one of them did.
‐ Oh, God!
‐ Who's 47?
‐ Shepherd and Melendez.
‐ Got it.
‐ Another one. Eight‐year‐old.
I'll finish up here.
Doug, you take it.
‐ Okay.
‐ Somebody ought to tell Carol.
I will.
Eight‐year‐old girl,
18% second‐degree
arms, back and leg.
Third‐degree lateral side.
‐ How's the airway?
‐ Singed nasal hair.
Non‐productive cough, denies
shortness of breath.
BP 110/70,
pulse 112, resps 24.
'Two IVs
going normal saline.'
O2 ten liters by mask.
It hurts! It hurts!
‐ Gonna be okay, sweetheart.
‐ I want my mommy.
Do we know
where her parents are?
‐ Not a clue.
‐ Alright, here we go.
On my count.
Ready? Here we go.
One, two, three.
Blood gas with
carbon monoxide level.
CBC, PT, PTT, chem 20,
chest x‐ray, urinalysis
and urine myoglobin.
Carol, Shep and Raul
may have got caught in the fire.
What?
47 was the first responder
on the scene.
They went in
after some kids.
One of them might have
gotten caught inside.
‐ Well, which one?
‐ I don't know.
Yeah, we may have
a laryngeal burn here.
Get me fiber optic
laryngoscope.
A couple of paramedics
from station 134
drive 47. You know them?
They're the ones that
pulled out the kids?
I‐I don't know. Maybe.
Are they okay?
We scooped around.
It was chaos.
But, uh, units behind us
might know.
Another run,
E. T. A. Three minutes.
‐ Carol, did you find Susan?
‐ Yeah, I beeped her 911.
Run down Benton, okay
'cause we are in over
our heads down here already.
PH 7.14, PO 260, PCO 280,
C.O. level 20.
‐ He's going bradycardic.
‐ Rate's 40. No palpable BP.
‐ No pulse.
‐ Alright. Hyperventilate him.
Carter, CPR.
One amp epi,
atropine one mig.
‐ They're here, Dr. Greene.
‐ I. V. wide open.
Malik, why don't you
help them down the front?
Lily, find out
if Doug's done next door.
Where the hell's Benton?
Also, we have to look
down your throat
to make sure
it's not burned.
Doug, more coming in. Mark wants
to know if you can take 'em?
Not yet. Triage new arrivals
and give us a breakdown.
Hi, Lily, I'll do it.
You stay with Doug.
Carol, they're going
to be just fine.
What's that?
[indistinct chatter]
‐ 'Where do you want it?'
‐ ?? three.
Twelve year old boy,
smoke inhalation. Name's Max.
Alright, Jerry, take Max
to exam one
and tell the nurses
to put him on a 100% O2
and get Benton down here.
(Jerry)
'I've been trying.
He's still in surgery.'
Well, get him out.
What do you also got?
Fireman. First and second‐degree
burns of trunk and arm.
Vitals normal.
He's in some pain.
Oh, okay. Uh, Malik, I want
him in curtain area two.
And, um, get him
an order for Demerol.
Uh, uh, did you see a couple of
guys from 47 at the scene?
Radio said they got
one out, he should
be in one of the units
behind us.
Alright,
what do we got?
‐ Second and third‐degree burns.
‐ Go, go, go!
‐ Which one?
‐ I don't know.
Um, Randi.
‐ What's the next E. T. A.?
‐ Less than a minute.
They're loading two
more from the scene.
(Wright)
'Coming through!
Coming through!'
[indistinct chatter]
[siren wailing]
[baby crying]
[siren wailing]
Jerry, what the hell
is going on?
There was a fire.
A big one.
Susan, Mark's been yelling for
you. We need help at trauma.
Yeah, well, I got to get
Susie up to day care.
I'll take her. I'll take
her up to day care.
‐ Thank you. Thank, you.
‐ Hi, Susie. Go, go!
Okay, now, Wendy's gonna
take you upstairs.
I'll check in on you.
Alright, darling?
‐ Hey, do you need a hand?
‐ No.
Why don't you check with
Mark in one?
‐ Have you seen Carol?
‐ Yeah, she's still out back.
Alright. You got her?
Excuse me.
What can I do?
Not much now.
Asytole. How long?
‐ 22 minutes.
‐ Okay, Carter. That's it.
Call it.
Pronounced at 8.20.
Where have you been?
Had an appointment.
It ran over.
You were on at seven.
I told Weaver
I'd be here at eight.
‐ Yeah. It's 8:30.
‐ It's 8: 20.
Cover him up.
'Take him to holding.
We need the room.'
Mark, I'm sorry.
It was really important.
So's your job.
[siren wailing]
‐ Did you hear anything yet?
‐ No.
‐ Is this him?
‐ I don't know.
Optimum level of
consciousness, coughing
second‐degree burns
to the hands.
Vitals normal,
BP is 110/80.
‐ That hurts!
‐ Pulse is 142.
‐ We'll fix you right up.
‐ Did you hear about unit 47?
Yeah. One saved this kid's life.
He's in here in 92, behind us.
It's okay. Go, go!
[indistinct chatter]
(male #4)
'Come on!'
Pulled two kids out.
Went in again for the last one.
The floor gave away. He fell ten
feet, landed on his leg.
Dragged himself to the front
of the building.
Still had the kid
with him.
Sub tissues running.
Right knee.
‐ Which one is it?
‐ Shepherd.
‐ Carol.
‐ Where's Melendez?
‐ They haven't found him yet.
‐ It's okay.
You're going to be okay.
‐ What do you got?
‐ Paramedic. Fell ten feet.
Complaining of pain, right ribs,
lower extremities.
Ah, shortness of breath.
Partial thickest burns
on right arm and hand.
No LOC C‐spine precautions.
IVS saline, O2 15 liters.
Vitals stable.
Morphine I. V. for pain.
We're heading
to Trauma Two.
‐ They find Raul?
‐ Not yet.
Any shortness
of breath?
No, I'm okay. The floor
went out from under us.
Gotta keep
that mask on.
I had hold of that kid.
The mask.
Raul was right
behind me.
‐ They gotta find him.
‐ Alright.
Alright, let's go.
‐ O2, 15 liters.
‐ 'Pulse is 132.'
What kind of trauma? You say
that he fell through the floor?
Yeah, but I think the paramedic
broke his fall.
‐ Pulse ox 75.
‐ CBC, chem 20.
Coag panel, chest x‐ray, UA,
urine myoglobin and ABGs.
BP's low. 80/50.
‐ He's not breathing.
‐ Nail beds are cherry red.
Intubation tray.
Jerry, call respiratory.
‐ Get a ventilator down here.
‐ Multifocal PVCs.
Lidocaine 50, IV push
and then drip
'at one milligram
a minute.'
Here we go.
Bag! Give me
the bag!
Let's go, buddy.
Okay, there we go.
I'm in.
‐ Hyperventilate him.
‐ Ventilator flying in.
V‐tach. Faint pulse.
Right. Cardiovert and hit
the synch switch at 50.
Give me that.
Okay.
‐ Clear.
‐ Move, Riley.
'Clear.'
No.
‐ Again a hundred. Clear?
‐ Clear.
‐ Now he's in fib.
‐ 'Off synch.'
Defibrillate at 200.
Clear. Move.
‐ 'No pulse.'
‐ 300. Come on, buddy.
Stay with me. Reilly, get
the hell out of the way. Move.
'Clear.'
‐ Neck hurt?
‐ No.
‐ Kid's okay?
‐ Any pain?
Yeah, my‐my ribs
hurt a little.
Tell x‐ray to run a spine
and get a chest.
‐ Those three kids okay?
‐ They're taking care of them.
Raul was right behind me.
We were on the second floor.
Stop moving your head.
The last kid was in a closet.
We'd almost given up.
Then Raul found him.
'We just wanted to get
the hell out of there.'
‐ Any pain?
‐ 'Yeah.'
‐ Yeah. What about here?
‐ 'No, no, I'm okay. Alright?'
I thought we could
make it down the stairs.
‐ 'The hall was going up‐‐'
‐ I'm touching you here.
‐ Do you feel this?
‐ 'Yeah.'
‐ Okay, wiggle your toes.
‐ He was right there.
I was looking at him.
Then there was a big noise.
And then I'm falling
with the kid.
Dorsalis pedis and posterior
tibial pulses are intact.
‐ They got to find Raul.
‐ 'They're trying.'
He was right behind me.
He's right there.
Okay, they're trying.
'ABG with carboxy
hemoglobin level.'
CBC, chem 20, coag.
‐ UA and myoglobin?
‐ Yeah!
Dr. Greene,
they found Raul.
Is he okay?
Is he okay?
Bringing him in now.
[Shep laughing]
'They found him!'
That's great!
'Oh, that's great!'
They found him.
That's so good.
‐ Short of breath?
‐ No.
‐ Coughing?
‐ A little.
Is he hacking
anything up?
Yeah, but it's
pretty clear.
Portable chest,
blood gas with CO level.
100% oxygen
by non‐rebreather mask.
‐ So you're gonna be fine.
‐ They found Melendez.
'He was on
the second floor.'
Second floor?
Yeah. Those, uh, those
paramedics didn't have any gear.
They went in anyway.
Every one of those kids
would be dead.
ABG's back.
Carbon monoxide's high,
40%, ph 7.15.
‐ He's seizing!
‐ Bite block.
Damn it! What the hell else
can go wrong with this kid?
Ativan one milligram
I. V. push.
How much do you
think he weighs?
Thirty, thirty five kilos.
Dilantin, 50 per kilo.
Load him with 450.
Who has
a hyperbaric chamber?
University of Chicago.
Call Ira Blumen.
Tell him to get his damn
chopper down here now.
Found him trapped inside,
AOLC, extensive partial
and full thickness burns to the
chest, back and all extremities.
We've got you now, Raul.
LOC improved
on 15 liters O2 by mask.
'No singed nasal or facial
hair. He's shivering.'
Complaining of severe pain.
Not able to get an I. V.
No place for BP cuff.
Fake carotid pulse 160,
resps 40 and labored.
Nice and gentle.
One, two, three.
'Blood gas and CO level,
CBC'
PT, PTT.
Portable chest.
Put in a foley.
Get a UA and a urine.
Myoglobin.
It hurts. It hurts a lot.
Yeah. I know it does. That's
what we're working on now.
‐ Can you do a cut down?
‐ Neck's not burned.
Alright. Internal jugular.
Let's go!
Let's get those moist
dressings on.
Gentlemen, you're gonna
have to wait outside, okay?
‐ It's still raw.
‐ Doc!
‐ 'Mark!'
‐ How bad?
It's too early to say.
Please.
It's bad.
(sighs)
Is Shep okay?
He, uh, broke a couple of ribs.
He's mad as hell.
(Benton)
'Morphine five,
I. V. push.'
Let's get that
ringer's going.
(Malik)
'X‐ray flying in.'
(male #4)
'What the hell's going on?'
They're examining him.
‐ 'Is he okay?'
‐ I can't tell from here.
Shooting.
‐ What was that?
‐ They're taking an x‐ray.
You got to get me off this
backboard. I wanna see him.
Hey, you also want
to be able to walk.
Take it off!
Take it off!
Hey! You could
have a broken neck.
You do that one more time,
I put you in restraints.
CO level's normal.
PO2 112, PCO 232.
Okay. Let's move him
to radiology.
No, no. I wanna stay.
‐ No, you're going.
‐ No, please, I wanna stay.
Carol, Carol, please!
There's nothing you can do
to help him now.
And we've got to make sure
you're okay.
Carol, I need to know.
‐ Will you stay with him?
‐ You bet.
Alright. I'll go
find out, okay?
‐ Hey, you'll come right back?
‐ I promise.
Tell him that I thought
he was right behind me!
'Tell him I didn't
leave him there!'
Tell him I didn't
leave him there!
Excuse me, guys.
Guys.
[sighs]
(male #5)
'Grab an ABG while
you're down there.'
(Benton)
'Hook it up
to the transducer.'
‐ Good, we're in business.
‐ B. P. 70/30.
‐ Open it up wide.
‐ Is he conscious?
Yeah.
Hey, Raul.
Hi.
It's Carol.
How you doing?
How extensive
are the burns?
85 to 90%.
Mostly third‐degree.
Oh, my God!
[sighs]
(Mark)
'Malik, let's do
a laryngoscopy.'
[sighs]
[instrumental music]
[sighs]
'Excuse me.'
‐ How's he doing?
‐ Not so good.
Coming through!
Anything I can do to help?
Ph 7.10.
PO 255. PCO 250
on 15 liters.
Respiratory rate
40 and rising.
‐ No edema.
‐ That's good, Raul.
His breathing is labored.
Due to circumferential
burn of the chest.
‐ He needs an escharotomy.
‐ Where's the burn unit, guys?
Finishing up the little girl.
Alright, Carter and I can do it.
Come on, prep and drape.
Number ten blade.
Let's go, Carter. Move.
(female # 1)
'Sterile towels.'
‐ How are the kids?
‐ Uh, one was touch and go.
I sent him to
the University of Chicago
for some hyperbaric
oxygen therapy.
The other two are okay. Little
girl's gonna need some grafts.
Any parents yet?
A mother left the scene
with an injured toddler.
The police have out APP's,
but she hasn't shown up
at a hospital yet.
‐ I'm gonna keep Raul company.
‐ How's Shepard?
Multiple rib fractures, knee
sprain, burnt. He's up in ortho.
Uh, Dr. Greene, uh, there's
a bunch of guys out here
asking about giving blood.
Send them up to the blood bank.
Okay.
His pressure is getting..
Mother was going to let
her children burn to death.
Same mother who was
cooking methamphetamine
five feet away from
where her kids were sleeping.
Okay, Raul, your
burns are constricting
and shrinking your chest.
So, Peter's going to
relieve the pressure
so you can breathe, alright?
Alright. Let's get
these dressings off.
You're okay.
Hoo, God!
Let's start with
two lateral incisions.
'Cut longitudinally
down the mid‐axillary line.'
‐ BP's still 80 over 50.
‐ Give him a 500cc bolus.
'Pulse is threading.'
Well, I don't know
if I can do this.
You will, Carter, just focus.
No, really.
Carter, just deepen your
incision until you hit
fresh tissue, come on.
'You can do it.'
‐ I'm sorry. I can't.
‐ I got it.
Dr. Ross, the boy's
back from radiology
and the police want
to talk to you.
Okay. Alright. Let me know
if anything changes.
‐ Okay, that's it.
‐ Better?
(Susan)
'Burn guys are here.'
‐ Quite the crowd.
‐ Good morning, Mark.
What have we got?
Hey, kiddo,
how's it going?
This arm hurts.
Yeah? Well, you got
first‐degree burns.
‐ You know what those are?
‐ No.
Like a bad sunburn.
It hurts really bad,
but there's no permanent damage.
‐ How's his sputum?
‐ Clear in the last hour.
Max, you like baseball?
Now, you'll be back
to spring training in no time.
‐ Where's my mom?
‐ Well, we don't know.
Somebody saw her
outside the fire
and then, she just disappeared.
Is Jessica okay?
Jessica, your sister, she
went to a different hospital
but she's going to be fine, too.
‐ And Jamie?
‐ He's a baby.
He was with your mom.
You have any idea
where we can find them?
There's a police detective here.
He wants to talk to you.
Okay?
Let's get him up to burn unit.
‐ Is he a friend of yours?
‐ Yeah.
‐ He's got a family?
‐ I called them already.
‐ Good. Tell Raul.
‐ I will.
No, I will. He's a fireman.
He already knows.
Give us room, guys.
‐ Hang in there, Melendez.
‐ You'll be okay, bro. Stay up.
We're all pulling for you, man.
Hang tough, Raul.
'You take care, now. God bless.'
[intense music]
[phone ringing]
'Excuse me.'
‐ ER.
‐ 'Excuse me.'
Hang on. I'm on the phone.
Uh, no, you need
media relations.
Yeah. They'll fill
you in. Right.
‐ Can I help you?
‐ Is Dr. Lewis around?
Uh, no. She's busy right now.
Well, if you see her, tell her
I'm up in day care. Okay?
‐ I'm her sister, Chloe.
‐ Okay.
‐ You doing alright?
‐ Hey, is Raul okay?
He's in pain.
Doesn't want the Vicodin.
How's he doing?
What's happening?
Repeat gas is normal.
Hey, what the hell is going on!
Jeanie, can you
give us a minute?
No.
Oh, no. No! No!
[clicking]
‐ Dr. Benton?
‐ Yeah, what is it, Carter?
I don't know what happened.
I thought I'd seen a lot
of things since I've been here.
‐ But that, uh‐‐
‐ You have to focus, Carter.
I know. I tried.
They announce the matches
in a couple of weeks
and I want
to be a surgeon, but that..
I don't know
if I can do that.
You can.
'Carter.'
It doesn't get
worse than that.
You stayed on your feet.
That says something.
‐ Lily, get Dr. Ross!
‐ Jerry, what's open?
‐ Trauma two.
‐ 'I'll take it.'
He‐he was fine and
then all of a sudden
he just started
having trouble breathing.
Airway obstruction!
Right in here.
‐ Pediatric intubation tray!
‐ Soot's in his airway.
CBC, Chem 20, PTT, PT
Get a blood gas with a CO level.
‐ Portable chest, cath urine.
‐ Stick him for a glucose.
I‐I fixed up those burns
on his arms and..
...I thought he was okay.
‐ Epiglottal edema.
‐ Can you get in?
Pulse ox 65.
Cyanotic nail beds.
‐ Faint pulse at 32.
‐ I don't think I can get in.
‐ 'Oh, my God!'
‐ What is it?
Airway obstruction
from laryngeal burns.
Can't get the tube in.
I'm gonna have to
needle crack him.
Please don't
let my baby die.
‐ Give me the scope.
‐ Throat's swollen shut.
Prep for a crack.
I'll keep trying.
‐ 14‐gauge angiocath.
‐ Please don't let him die.
‐ Come on.
‐ Go on, Doug, I'm going in.
W‐w‐wait!
I'm almost in. Hang on.
Grab my pulley. I'll get him.
I got him, go. Bag him.
Oh!
‐ Good breath sounds.
‐ Thank you.
Thank you so much.
I'm so sorry. I'm sorry.
I'm sorry, baby.
Is that the mother
from the fire?
‐ Yeah. I think so.
‐ Should have been her airway.
I would have let her suffocate.
Thank you.
I'm so sorry.
[sobbing]
Thank you.
His BP is unstable.
Serum myoglobin is climbing.
There's evidence
of rhabdomyolysis
and impending
renal failure.
Respiratory function
is deteriorating
but he's conscious
and alert.
He won't make it
till morning.
‐ His family here yet?
‐ In the lobby.
One brother's on vacation. He's
flying in from Florida tonight.
Hope his flight's on time.
‐ How's he doing?
‐ He's okay. Sedated.
Burns were mostly first‐degree.
Cops come for the mother?
She's in with
the homicide‐arson guys now.
The dad's flying in
from Florida, to get the kids
and you should get going.
‐ For what?
‐ Bulls game starts in an hour.
Uh, no. I've got to wait
for Keats to come down.
I want to check on
the other kids.
‐ I'll do it.
‐ It's okay.
You should go, Doug.
I mean, you've gotten this far.
You should see it through.
I'm okay.
And Mark..
Peds was supposed
to be here an hour ago.
Why don't you
give them a call?
Say hello to
"Benny The Bull" for me.
Hi.
[grunts]
Your family's here.
They're waiting outside.
Take my mask off, please.
Please.
How bad?
Over 90 percent, third‐degree.
Don't let them put
me on a ventilator.
But it'll make you
breathe easier.
No.
Okay.
[coughing]
Here, put your
mask back on.
Uh‐huh.
Are those kids
going to make it?
‐ Yeah, thanks to you.
‐ Oh, no.
It was Shep.
Balls of steel.
Are they going to let
him come up and see me?
I don't see how they'd
be able to keep him away.
Carol, I'm scared.
I know. I know.
[sobbing]
I'm really scared.
I know.
[phone rings]
[sobbing]
Lydia?
Are you okay?
Yeah.
Ah, damn it,
I hate to cry.
No damn privacy
around this place.
Yeah. Sorry.
No, no, no.
It's‐it's not your fault.
It's just, some days I..
I don't know what to do
with it all, you know?
[indistinct chattering]
[instrumental music]
[music continues]
[chattering continues]
Jamie Nielsen's being
admitted to pediatrics.
Can you find his x‐rays
and have them sent up?
They'll want it with the chart.
‐ Raul's up in the burn ward?
‐ Yeah.
His family's up there right now.
You guys want
to get something to eat?
I don't feel much
like going home.
‐ Yeah, I'm in.
‐ Yeah, sure.
[phone ringing]
Jerry, why are they still here?
Oh, those are the off‐duty
guys from station 134
where Shep and Raul work.
They've been here for hours.
I don't think they know
what to do with themselves.
I hear that.
Hey.
Um, you guys still waiting, huh?
‐ Oh, yeah.
‐ Anybody hungry?
‐ I don't know.
‐ Hmm.
Listen, we're going to go across
the street to get something.
You want to come?
Hey, Dr. Lewis,
did your sister find you?
She's been here for hours. She
said she'd be up in day care.
‐ Oh, my God.
‐ What?
[spectators whistling]
[aeroplane droning]
[lift beeps]
Oh, my God. Valerie, did she
take her? Where is she?
‐ What? No.
‐ Where is she?
There.
[baby babbling]
[singing indistinctly]
Oh, my God.
Susie...
...she is so beautiful.
Yes. Yes.
'Hey, tootsie.'
'Bye, buh‐bye.'
Shep?
You ready to go see him?
I can't.
Sure, you can.
We didn't have to go in.
Engine companies
were on their way.
We could hear 'em coming.
‐ It's not your fault, Shep.
‐ He went in because of me.
You both did what
you were supposed to do.
We didn't have the right gear.
'He knew it.'
'He looked for the fire
and then he looked at me'
and he knew it.
He followed me in anyway.
You have to go see him.
Your friend is lying up there
waiting for you.
And if you don't go,
you're going to regret this
for the rest of your life.
'Hey. This the guy tells me'
'I was here this morning
before the opening bell..'
But that was two hours ago.
Here you go,
you son of a bitch.
Doug!
Who the hell was that?
My son.
Karen, excuse me.
Doug! Doug!
‐ Ah!
‐ Doug, wait a minute.
Doug, listen to me.
Listen, I called
the hospital hours ago.
‐ I left you a message.
‐ Right. Right.
‐ It was a meeting.
‐ Yeah, it was a meeting.
What was her name? Is it Barbara
or Ann or was it Dottie?
Wasn't that the name of the
girl that I caught you with?
‐ In the front of mom's car?
‐ It was my boss.
Well, it's your boss.
I thought you owned the joint.
‐ It's complicated, Doug. I‐‐
‐ Yeah, it's complicated.
Damn it! For God's sakes,
I would have been there
if I could have.
You know that.
Look, I left you
a message. I'm sorry.
‐ Son, come on. Come on.
‐ Ha ha.
Hey, I'll get tickets
for next week's game.
We'll sit courtside, alright?
Please.
Come on. I'm freezing
my ass off. Let's go back.
It's always about you, isn't it,
Ray? It's always about you want.
‐ Never anybody else. Just you.
‐ It was business!
This was business?
I was standing there, Ray.
It was 7:30, and you were
supposed to be there.
I was standing there.
Where were you?
You know what, you were exactly
where you have always been
your entire life, Ray.
Someplace else.
That's where you were.
Now, look..
I cannot change what happened
to you when you were a kid.
I can't.
You did a good
number on me, Ray.
You did a good job.
I never committed to anything
in my entire life.
I've never been with a woman
for more than six months.
And most of the time,
it's six days.
I find a job where I see people
for, uh, a couple of minutes.
I fix them as best I can.
I send them on their way.
No mess, no fuss.
No messy details.
That's what you
taught me, right? Isn't it?
And that's your trick?
And here I am..
...dad.
I'm you.
[scoffs]
[instrumental music]
What happened to you as a child,
I'm responsible for.
You're 34 years old.
How you live your life
is your decision.
I'm going inside.
[music continues]
So the woman is butt naked
hanging over
Shep's shoulder, right.
And Raul, he's running behind
her with the damn poodle
'and the whole time
the drunk husband's chasing him'
with a
butcher knife, screaming
how he's going
to kill all of them.
"I want kill you, you bastards!"
[laughing]
Shep's afraid of heights.
Did you know that?
A fireman afraid of heights?
Hey, it's true. He is.
Raul's always making him
go up the fire escape
or pull the jumpers off the tops
of buildings stuff like that.
Raul gave Shep skydiving
lessons for Christmas.
He ever play "La Bamba"
for you guys?
(all)
Hell, yes.
I like "La Bamba."
You wouldn't if
you worked with him.
When I rolled with him a couple
of years back, had it on tape.
'Played the thing
over and over again.'
Enough to make
you kill yourself.
'Or him.'
You guys remember that little
baby they brought in
'bout a year ago?
'Found it in a garbage bag
down on the Southside.'
‐ 'I remember.'
‐ Yeah.
'Been dead at least
three or four hours'
but those boys brought her in
doing CPR and mouth‐to‐mouth.
The child was cold,
but they wouldn't give up.
Yelled at us when
we told them it was hopeless.
'Then they both cried.'
'like it was their own kid.'
‐ Hell, I cried.
‐ Me, too.
[instrumental music]
[music continues]
‐ Hey, partner.
‐ Hey, partner.
Okay.
[sighs]
Guess I missed
that free breakfast, huh?
[crying]
Oh, man.
Hey, hey.
You got to hang in there, okay?
‐ I can't do it, bro.
‐ You got to.
[coughing]
I heard those kids
are doing great.
‐ You saved them, buddy.
‐ No, I didn't.
You did.
[instrumental music]
[sobbing]
I'm sorry.
I'm sorry, buddy.
I'm sorry.
I'm sorry.
I'm sorry.
‐ It's okay.
‐ I'm sorry.
[sobbing]
[music continues]
[theme music]
[music continues]
(Raul)
'Station 134,
unit 47 to dispatch.'
(female #1)
'Uh, Roger 47,
this is dispatch.'
(Raul)
'We're heading back
to quarters'
'from "Mercy For Relief."
E. T. A. is seven minutes.'
(female #1)
'Roger, 47.
What is your location?'
Northbound on Racine
and Webster.
(female #1)
'Uh, Roger, 47.
Stand by, please.'
Buy you breakfast?
Wieners circle?
For breakfast?
Come on.
Char dog, extra peppers,
cheese..
(female #1)
'Unit 47, respond
to residential building fire'
'at North Ravenswood
in Nelson.'
'Neighbors report
occupants trapped.'
Dispatch, this is 47.
We're dead, heading
back to Station 134.
Any other units
who can fill?
'Multiple units
are requested, 47.'
[siren wailing]
I can use the overtime.
Unit 47 responding
to the scene.
'Uh, number 47
to the scene at 6:18.'
Hey, it's a fire.
At least we'll be warm.
[siren wailing]
[alarm clock buzzing]
[baby crying]
Oh!
[baby crying]
[baby crying]
Yeah, thanks for letting
Aunt Susie sleep.
You're so good.
[baby crying]
Yes, you are.
Oh, yes.
Oh, and you're wet!
Yeah, okay.
Fine now.
Yup, today is the big day.
Just me and you.
You nervous?
Are you nervous?
Are you?
(sighs)
Well, I'm a wreck.
Yeah, you'll be great.
I probably blew
the whole thing.
You wanna go take
a bath together? Huh?
Yeah, nice warm bath?
Yeah.
Dispatch,
this is unit 47.
We're first on scene
at Ravenswood in Nelson.
Third storey occupied.
Heavy fire from second floor.
(female #1)
'Three engines,
truck 58, truck 82'
'and Battalion 6
are rolling.'
Hey, everybody
out of there?
I didn't see
anybody come out
but there was
this big explosion.
Just went "boom", about two
or three minutes ago.
‐ People living in there?
‐ Yeah.
They're coming and going
all the time.
I think they're selling drugs
in there or something..
[explosion]
Everybody, move back!
Back, everybody, back!
‐ 'Raul!'
‐ 'Hey!'
Move back,
everybody!
‐ 'Come on, Raul!'
‐ 'Raul!'
Hey, hey.
Don't go in there!
Get back here to me!
[indistinct yelling]
Get down!
Is there anybody else
in there?
Is there anybody in there?
[explosion]
[indistinct screaming]
Shep!
[indistinct screaming]
Get his bag.
Get his bag!
Damn it!
‐ Roll him. Roll him!
‐ Yeah!
Help me, somebody!
Please!
Get away from
the building. Now!
No! No, my babies
are in there.
‐ How many?
‐ Three...please!
Where are they?
Where are they?
On the second floor
in the back!
‐ Okay, alright, listen.
‐ Please, get them!
Go over there
with your child.
Ambulance
is on the way.
Go! Go!
[siren wailing]
Raul, we got
three kids up there.
‐ Trucks are on their way.
‐ Call it in.
‐ They're gonna be here‐‐
‐ Second floor in the back!
Shep, damn it!
Shep, don't...
Shep! Shep!
Dispatch, unit 47
at Ravenswood.
Fire. Three kids,
second floor in the rear.
We're going in
for a rescue attempt.
Have the first due engine
back us up.
(female #1)
'Uh, Roger, 47.'
[sobbing]
[theme music]
[music continues]
Well, I just feel funny
about taking it off.
She filed for divorce and
she's living with another guy.
‐ Morning.
‐ Morning.
I guarantee you,
she's not wearing her's
while she's digging post holes
in bed with what's‐his‐name.
You know what, I don't need
any more mental images
of Jennifer's new sex life.
My imagination
is already working overtime.
You asked me why women don't
seem to be interested in you
and I said that women
do not respond well
to guys who
come on to them
while they're wearing their
wedding ring. Just doesn't add..
Randi, okay, you meet
a cute guy for the first time.
‐ What do you do?
‐ Run a credit check.
Your normal women
check on rings.
That's right, Mark,
and if he's not wearing one
you look for that
"I'm married, but..
...it's in my pocket"
indentation.
I'm telling you, you know,
throw it in the river.
Throw the ring in the river.
‐ Doug.
‐ Yeah.
Six year old with the flu.
‐ Curtain three.
‐ Okay.
You‐you gonna
have dinner tonight?
No, I'm sorry.
I can't.
What is it? Like, here I am,
pouring out my heart
about how I can't get a date
and you're probably
gonna go have dinner with
the entire KLM flight crew.
Bulls game with my dad.
Since when did he and his dad
get so close?
They aren't. They've seen each
other a couple of times.
Doug's trying, though.
Oh, man, I can't
believe this.
They cut my shifts back again?
I may as well work part‐time.
I'm down to eight shifts
a month.
Been moonlighting as a per diem
for a temp agency.
‐ Better money, anyway.
‐ Really?
Oh, yeah. Overtime,
no paper work.
Where's Susan?
She hasn't signed in yet.
‐ A‐ha!
‐ Appointment.
She called to say
she was going to be late.
Appointment? What kind
of appointment?
[radio beeping]
‐ This is county. Go ahead.
‐ 'This is unit 92.'
(male #2)
'We're en route from
a residential building fire'
'with a 20‐year‐old male.'
'Extensive second
and third degree burns.'
'Couldn't get a line or
incubate, so we spooked it red.'
'Multiple victims at scene.'
‐ What have we got?
‐ Crispy critters. How many?
'Three majors,
two minors so far.'
‐ So far?
‐ 'Still pulling them out.'
'All coming your way, county.
Our E. T. A. is four minutes.'
We'll be waiting.
Randi, page Susan. Tell her
to get here soon.
Notify the Burn Unit
and find Benton.
Lydia, make sure
that we have plenty
of Silvadene
and Ringer's Lactate.
(sighs)
Man, I hate burn cases.
[pager beeping]
Sorry. I know
it's here somewhere.
Need to use
the phone?
Ah, no. It's just my work
trying to find me.
So, uh, you were saying
about the visit?
Your home visit
went very well.
Miss Pearline expressed
a concern about the hours
you're required to work
during your residency.
Uh, yeah, I'm trying
to cut back.
But biological relation
adoptions are simple procedures.
Frankly, short of finding
you in the midst
of an animal sacrifice,
I doubt anything
could have slowed
your petition.
(laughs)
That's good news.
Have you had any luck
locating your sister?
Um, I got a Christmas card
postmarked from Flagstaff.
No return address.
And, uh, the phone company
doesn't have a listing.
It's been five months?
What about the father?
I put ads in the paper.
Well, the judge will terminate
their birth rights
and then your attorney can have
the adoption order entered.
That's it?
Except for a lifetime
of homework projects
and boyfriends, yes.
Approximately 20‐year‐old male
ran from building
with clothes on fire. Extensive
second and third‐degree burns.
‐ Singed nasal hair.
‐ Trauma One.
Unable to start an IV
or take BP.
Third‐degree burns
to all extremity.
Weak carotid pulse at 150.
Carol, get Susan down here.
She won't answer
her page.
Building caught on fire.
Just blew up a meth lab.
Pieces of pressure cookers
and chemical burners
'just blew up. Six engines,
three truck companies.'
'We grabbed this guy
and ran.'
Easy now. And go.
Alright. Let's get a blood gas
and a CO level.
CBC Chem 20,
portable chest.
Oh, God!
Two cut down trays.
Carter, Doug. Cut down where?
Femorally. You take the right.
Number ten blade, curved, Kelly.
I'm gonna do an RSI.
Pulse ox is 65%
on 100% O2.
‐ Pulse 144, weak and thready.
‐ First ed.
Don't forget the catheter.
Incise it.
‐ And thread the I .V in.
‐ Directly into the vein?
Bunch of children were
in that building.
‐ 'Adults ran, left them in.'
‐ 'How many kids?'
At least three. 47 got there
before the engine companies.
'They went in there
after them.'
‐ Veck. Ten me‐‐
‐ Unit 47?
‐ Veck!
‐ 'Second floor collapsed.'
We're headed back. There are
lots of firemen out in trouble.
7.5, apply cricoid pressure.
‐ Did they get out?
‐ Who?
‐ 47.
‐ Lydia, 7.5, please!
‐ Think one of them did.
‐ Oh, God!
‐ Who's 47?
‐ Shepherd and Melendez.
‐ Got it.
‐ Another one. Eight‐year‐old.
I'll finish up here.
Doug, you take it.
‐ Okay.
‐ Somebody ought to tell Carol.
I will.
Eight‐year‐old girl,
18% second‐degree
arms, back and leg.
Third‐degree lateral side.
‐ How's the airway?
‐ Singed nasal hair.
Non‐productive cough, denies
shortness of breath.
BP 110/70,
pulse 112, resps 24.
'Two IVs
going normal saline.'
O2 ten liters by mask.
It hurts! It hurts!
‐ Gonna be okay, sweetheart.
‐ I want my mommy.
Do we know
where her parents are?
‐ Not a clue.
‐ Alright, here we go.
On my count.
Ready? Here we go.
One, two, three.
Blood gas with
carbon monoxide level.
CBC, PT, PTT, chem 20,
chest x‐ray, urinalysis
and urine myoglobin.
Carol, Shep and Raul
may have got caught in the fire.
What?
47 was the first responder
on the scene.
They went in
after some kids.
One of them might have
gotten caught inside.
‐ Well, which one?
‐ I don't know.
Yeah, we may have
a laryngeal burn here.
Get me fiber optic
laryngoscope.
A couple of paramedics
from station 134
drive 47. You know them?
They're the ones that
pulled out the kids?
I‐I don't know. Maybe.
Are they okay?
We scooped around.
It was chaos.
But, uh, units behind us
might know.
Another run,
E. T. A. Three minutes.
‐ Carol, did you find Susan?
‐ Yeah, I beeped her 911.
Run down Benton, okay
'cause we are in over
our heads down here already.
PH 7.14, PO 260, PCO 280,
C.O. level 20.
‐ He's going bradycardic.
‐ Rate's 40. No palpable BP.
‐ No pulse.
‐ Alright. Hyperventilate him.
Carter, CPR.
One amp epi,
atropine one mig.
‐ They're here, Dr. Greene.
‐ I. V. wide open.
Malik, why don't you
help them down the front?
Lily, find out
if Doug's done next door.
Where the hell's Benton?
Also, we have to look
down your throat
to make sure
it's not burned.
Doug, more coming in. Mark wants
to know if you can take 'em?
Not yet. Triage new arrivals
and give us a breakdown.
Hi, Lily, I'll do it.
You stay with Doug.
Carol, they're going
to be just fine.
What's that?
[indistinct chatter]
‐ 'Where do you want it?'
‐ ?? three.
Twelve year old boy,
smoke inhalation. Name's Max.
Alright, Jerry, take Max
to exam one
and tell the nurses
to put him on a 100% O2
and get Benton down here.
(Jerry)
'I've been trying.
He's still in surgery.'
Well, get him out.
What do you also got?
Fireman. First and second‐degree
burns of trunk and arm.
Vitals normal.
He's in some pain.
Oh, okay. Uh, Malik, I want
him in curtain area two.
And, um, get him
an order for Demerol.
Uh, uh, did you see a couple of
guys from 47 at the scene?
Radio said they got
one out, he should
be in one of the units
behind us.
Alright,
what do we got?
‐ Second and third‐degree burns.
‐ Go, go, go!
‐ Which one?
‐ I don't know.
Um, Randi.
‐ What's the next E. T. A.?
‐ Less than a minute.
They're loading two
more from the scene.
(Wright)
'Coming through!
Coming through!'
[indistinct chatter]
[siren wailing]
[baby crying]
[siren wailing]
Jerry, what the hell
is going on?
There was a fire.
A big one.
Susan, Mark's been yelling for
you. We need help at trauma.
Yeah, well, I got to get
Susie up to day care.
I'll take her. I'll take
her up to day care.
‐ Thank you. Thank, you.
‐ Hi, Susie. Go, go!
Okay, now, Wendy's gonna
take you upstairs.
I'll check in on you.
Alright, darling?
‐ Hey, do you need a hand?
‐ No.
Why don't you check with
Mark in one?
‐ Have you seen Carol?
‐ Yeah, she's still out back.
Alright. You got her?
Excuse me.
What can I do?
Not much now.
Asytole. How long?
‐ 22 minutes.
‐ Okay, Carter. That's it.
Call it.
Pronounced at 8.20.
Where have you been?
Had an appointment.
It ran over.
You were on at seven.
I told Weaver
I'd be here at eight.
‐ Yeah. It's 8:30.
‐ It's 8: 20.
Cover him up.
'Take him to holding.
We need the room.'
Mark, I'm sorry.
It was really important.
So's your job.
[siren wailing]
‐ Did you hear anything yet?
‐ No.
‐ Is this him?
‐ I don't know.
Optimum level of
consciousness, coughing
second‐degree burns
to the hands.
Vitals normal,
BP is 110/80.
‐ That hurts!
‐ Pulse is 142.
‐ We'll fix you right up.
‐ Did you hear about unit 47?
Yeah. One saved this kid's life.
He's in here in 92, behind us.
It's okay. Go, go!
[indistinct chatter]
(male #4)
'Come on!'
Pulled two kids out.
Went in again for the last one.
The floor gave away. He fell ten
feet, landed on his leg.
Dragged himself to the front
of the building.
Still had the kid
with him.
Sub tissues running.
Right knee.
‐ Which one is it?
‐ Shepherd.
‐ Carol.
‐ Where's Melendez?
‐ They haven't found him yet.
‐ It's okay.
You're going to be okay.
‐ What do you got?
‐ Paramedic. Fell ten feet.
Complaining of pain, right ribs,
lower extremities.
Ah, shortness of breath.
Partial thickest burns
on right arm and hand.
No LOC C‐spine precautions.
IVS saline, O2 15 liters.
Vitals stable.
Morphine I. V. for pain.
We're heading
to Trauma Two.
‐ They find Raul?
‐ Not yet.
Any shortness
of breath?
No, I'm okay. The floor
went out from under us.
Gotta keep
that mask on.
I had hold of that kid.
The mask.
Raul was right
behind me.
‐ They gotta find him.
‐ Alright.
Alright, let's go.
‐ O2, 15 liters.
‐ 'Pulse is 132.'
What kind of trauma? You say
that he fell through the floor?
Yeah, but I think the paramedic
broke his fall.
‐ Pulse ox 75.
‐ CBC, chem 20.
Coag panel, chest x‐ray, UA,
urine myoglobin and ABGs.
BP's low. 80/50.
‐ He's not breathing.
‐ Nail beds are cherry red.
Intubation tray.
Jerry, call respiratory.
‐ Get a ventilator down here.
‐ Multifocal PVCs.
Lidocaine 50, IV push
and then drip
'at one milligram
a minute.'
Here we go.
Bag! Give me
the bag!
Let's go, buddy.
Okay, there we go.
I'm in.
‐ Hyperventilate him.
‐ Ventilator flying in.
V‐tach. Faint pulse.
Right. Cardiovert and hit
the synch switch at 50.
Give me that.
Okay.
‐ Clear.
‐ Move, Riley.
'Clear.'
No.
‐ Again a hundred. Clear?
‐ Clear.
‐ Now he's in fib.
‐ 'Off synch.'
Defibrillate at 200.
Clear. Move.
‐ 'No pulse.'
‐ 300. Come on, buddy.
Stay with me. Reilly, get
the hell out of the way. Move.
'Clear.'
‐ Neck hurt?
‐ No.
‐ Kid's okay?
‐ Any pain?
Yeah, my‐my ribs
hurt a little.
Tell x‐ray to run a spine
and get a chest.
‐ Those three kids okay?
‐ They're taking care of them.
Raul was right behind me.
We were on the second floor.
Stop moving your head.
The last kid was in a closet.
We'd almost given up.
Then Raul found him.
'We just wanted to get
the hell out of there.'
‐ Any pain?
‐ 'Yeah.'
‐ Yeah. What about here?
‐ 'No, no, I'm okay. Alright?'
I thought we could
make it down the stairs.
‐ 'The hall was going up‐‐'
‐ I'm touching you here.
‐ Do you feel this?
‐ 'Yeah.'
‐ Okay, wiggle your toes.
‐ He was right there.
I was looking at him.
Then there was a big noise.
And then I'm falling
with the kid.
Dorsalis pedis and posterior
tibial pulses are intact.
‐ They got to find Raul.
‐ 'They're trying.'
He was right behind me.
He's right there.
Okay, they're trying.
'ABG with carboxy
hemoglobin level.'
CBC, chem 20, coag.
‐ UA and myoglobin?
‐ Yeah!
Dr. Greene,
they found Raul.
Is he okay?
Is he okay?
Bringing him in now.
[Shep laughing]
'They found him!'
That's great!
'Oh, that's great!'
They found him.
That's so good.
‐ Short of breath?
‐ No.
‐ Coughing?
‐ A little.
Is he hacking
anything up?
Yeah, but it's
pretty clear.
Portable chest,
blood gas with CO level.
100% oxygen
by non‐rebreather mask.
‐ So you're gonna be fine.
‐ They found Melendez.
'He was on
the second floor.'
Second floor?
Yeah. Those, uh, those
paramedics didn't have any gear.
They went in anyway.
Every one of those kids
would be dead.
ABG's back.
Carbon monoxide's high,
40%, ph 7.15.
‐ He's seizing!
‐ Bite block.
Damn it! What the hell else
can go wrong with this kid?
Ativan one milligram
I. V. push.
How much do you
think he weighs?
Thirty, thirty five kilos.
Dilantin, 50 per kilo.
Load him with 450.
Who has
a hyperbaric chamber?
University of Chicago.
Call Ira Blumen.
Tell him to get his damn
chopper down here now.
Found him trapped inside,
AOLC, extensive partial
and full thickness burns to the
chest, back and all extremities.
We've got you now, Raul.
LOC improved
on 15 liters O2 by mask.
'No singed nasal or facial
hair. He's shivering.'
Complaining of severe pain.
Not able to get an I. V.
No place for BP cuff.
Fake carotid pulse 160,
resps 40 and labored.
Nice and gentle.
One, two, three.
'Blood gas and CO level,
CBC'
PT, PTT.
Portable chest.
Put in a foley.
Get a UA and a urine.
Myoglobin.
It hurts. It hurts a lot.
Yeah. I know it does. That's
what we're working on now.
‐ Can you do a cut down?
‐ Neck's not burned.
Alright. Internal jugular.
Let's go!
Let's get those moist
dressings on.
Gentlemen, you're gonna
have to wait outside, okay?
‐ It's still raw.
‐ Doc!
‐ 'Mark!'
‐ How bad?
It's too early to say.
Please.
It's bad.
(sighs)
Is Shep okay?
He, uh, broke a couple of ribs.
He's mad as hell.
(Benton)
'Morphine five,
I. V. push.'
Let's get that
ringer's going.
(Malik)
'X‐ray flying in.'
(male #4)
'What the hell's going on?'
They're examining him.
‐ 'Is he okay?'
‐ I can't tell from here.
Shooting.
‐ What was that?
‐ They're taking an x‐ray.
You got to get me off this
backboard. I wanna see him.
Hey, you also want
to be able to walk.
Take it off!
Take it off!
Hey! You could
have a broken neck.
You do that one more time,
I put you in restraints.
CO level's normal.
PO2 112, PCO 232.
Okay. Let's move him
to radiology.
No, no. I wanna stay.
‐ No, you're going.
‐ No, please, I wanna stay.
Carol, Carol, please!
There's nothing you can do
to help him now.
And we've got to make sure
you're okay.
Carol, I need to know.
‐ Will you stay with him?
‐ You bet.
Alright. I'll go
find out, okay?
‐ Hey, you'll come right back?
‐ I promise.
Tell him that I thought
he was right behind me!
'Tell him I didn't
leave him there!'
Tell him I didn't
leave him there!
Excuse me, guys.
Guys.
[sighs]
(male #5)
'Grab an ABG while
you're down there.'
(Benton)
'Hook it up
to the transducer.'
‐ Good, we're in business.
‐ B. P. 70/30.
‐ Open it up wide.
‐ Is he conscious?
Yeah.
Hey, Raul.
Hi.
It's Carol.
How you doing?
How extensive
are the burns?
85 to 90%.
Mostly third‐degree.
Oh, my God!
[sighs]
(Mark)
'Malik, let's do
a laryngoscopy.'
[sighs]
[instrumental music]
[sighs]
'Excuse me.'
‐ How's he doing?
‐ Not so good.
Coming through!
Anything I can do to help?
Ph 7.10.
PO 255. PCO 250
on 15 liters.
Respiratory rate
40 and rising.
‐ No edema.
‐ That's good, Raul.
His breathing is labored.
Due to circumferential
burn of the chest.
‐ He needs an escharotomy.
‐ Where's the burn unit, guys?
Finishing up the little girl.
Alright, Carter and I can do it.
Come on, prep and drape.
Number ten blade.
Let's go, Carter. Move.
(female # 1)
'Sterile towels.'
‐ How are the kids?
‐ Uh, one was touch and go.
I sent him to
the University of Chicago
for some hyperbaric
oxygen therapy.
The other two are okay. Little
girl's gonna need some grafts.
Any parents yet?
A mother left the scene
with an injured toddler.
The police have out APP's,
but she hasn't shown up
at a hospital yet.
‐ I'm gonna keep Raul company.
‐ How's Shepard?
Multiple rib fractures, knee
sprain, burnt. He's up in ortho.
Uh, Dr. Greene, uh, there's
a bunch of guys out here
asking about giving blood.
Send them up to the blood bank.
Okay.
His pressure is getting..
Mother was going to let
her children burn to death.
Same mother who was
cooking methamphetamine
five feet away from
where her kids were sleeping.
Okay, Raul, your
burns are constricting
and shrinking your chest.
So, Peter's going to
relieve the pressure
so you can breathe, alright?
Alright. Let's get
these dressings off.
You're okay.
Hoo, God!
Let's start with
two lateral incisions.
'Cut longitudinally
down the mid‐axillary line.'
‐ BP's still 80 over 50.
‐ Give him a 500cc bolus.
'Pulse is threading.'
Well, I don't know
if I can do this.
You will, Carter, just focus.
No, really.
Carter, just deepen your
incision until you hit
fresh tissue, come on.
'You can do it.'
‐ I'm sorry. I can't.
‐ I got it.
Dr. Ross, the boy's
back from radiology
and the police want
to talk to you.
Okay. Alright. Let me know
if anything changes.
‐ Okay, that's it.
‐ Better?
(Susan)
'Burn guys are here.'
‐ Quite the crowd.
‐ Good morning, Mark.
What have we got?
Hey, kiddo,
how's it going?
This arm hurts.
Yeah? Well, you got
first‐degree burns.
‐ You know what those are?
‐ No.
Like a bad sunburn.
It hurts really bad,
but there's no permanent damage.
‐ How's his sputum?
‐ Clear in the last hour.
Max, you like baseball?
Now, you'll be back
to spring training in no time.
‐ Where's my mom?
‐ Well, we don't know.
Somebody saw her
outside the fire
and then, she just disappeared.
Is Jessica okay?
Jessica, your sister, she
went to a different hospital
but she's going to be fine, too.
‐ And Jamie?
‐ He's a baby.
He was with your mom.
You have any idea
where we can find them?
There's a police detective here.
He wants to talk to you.
Okay?
Let's get him up to burn unit.
‐ Is he a friend of yours?
‐ Yeah.
‐ He's got a family?
‐ I called them already.
‐ Good. Tell Raul.
‐ I will.
No, I will. He's a fireman.
He already knows.
Give us room, guys.
‐ Hang in there, Melendez.
‐ You'll be okay, bro. Stay up.
We're all pulling for you, man.
Hang tough, Raul.
'You take care, now. God bless.'
[intense music]
[phone ringing]
'Excuse me.'
‐ ER.
‐ 'Excuse me.'
Hang on. I'm on the phone.
Uh, no, you need
media relations.
Yeah. They'll fill
you in. Right.
‐ Can I help you?
‐ Is Dr. Lewis around?
Uh, no. She's busy right now.
Well, if you see her, tell her
I'm up in day care. Okay?
‐ I'm her sister, Chloe.
‐ Okay.
‐ You doing alright?
‐ Hey, is Raul okay?
He's in pain.
Doesn't want the Vicodin.
How's he doing?
What's happening?
Repeat gas is normal.
Hey, what the hell is going on!
Jeanie, can you
give us a minute?
No.
Oh, no. No! No!
[clicking]
‐ Dr. Benton?
‐ Yeah, what is it, Carter?
I don't know what happened.
I thought I'd seen a lot
of things since I've been here.
‐ But that, uh‐‐
‐ You have to focus, Carter.
I know. I tried.
They announce the matches
in a couple of weeks
and I want
to be a surgeon, but that..
I don't know
if I can do that.
You can.
'Carter.'
It doesn't get
worse than that.
You stayed on your feet.
That says something.
‐ Lily, get Dr. Ross!
‐ Jerry, what's open?
‐ Trauma two.
‐ 'I'll take it.'
He‐he was fine and
then all of a sudden
he just started
having trouble breathing.
Airway obstruction!
Right in here.
‐ Pediatric intubation tray!
‐ Soot's in his airway.
CBC, Chem 20, PTT, PT
Get a blood gas with a CO level.
‐ Portable chest, cath urine.
‐ Stick him for a glucose.
I‐I fixed up those burns
on his arms and..
...I thought he was okay.
‐ Epiglottal edema.
‐ Can you get in?
Pulse ox 65.
Cyanotic nail beds.
‐ Faint pulse at 32.
‐ I don't think I can get in.
‐ 'Oh, my God!'
‐ What is it?
Airway obstruction
from laryngeal burns.
Can't get the tube in.
I'm gonna have to
needle crack him.
Please don't
let my baby die.
‐ Give me the scope.
‐ Throat's swollen shut.
Prep for a crack.
I'll keep trying.
‐ 14‐gauge angiocath.
‐ Please don't let him die.
‐ Come on.
‐ Go on, Doug, I'm going in.
W‐w‐wait!
I'm almost in. Hang on.
Grab my pulley. I'll get him.
I got him, go. Bag him.
Oh!
‐ Good breath sounds.
‐ Thank you.
Thank you so much.
I'm so sorry. I'm sorry.
I'm sorry, baby.
Is that the mother
from the fire?
‐ Yeah. I think so.
‐ Should have been her airway.
I would have let her suffocate.
Thank you.
I'm so sorry.
[sobbing]
Thank you.
His BP is unstable.
Serum myoglobin is climbing.
There's evidence
of rhabdomyolysis
and impending
renal failure.
Respiratory function
is deteriorating
but he's conscious
and alert.
He won't make it
till morning.
‐ His family here yet?
‐ In the lobby.
One brother's on vacation. He's
flying in from Florida tonight.
Hope his flight's on time.
‐ How's he doing?
‐ He's okay. Sedated.
Burns were mostly first‐degree.
Cops come for the mother?
She's in with
the homicide‐arson guys now.
The dad's flying in
from Florida, to get the kids
and you should get going.
‐ For what?
‐ Bulls game starts in an hour.
Uh, no. I've got to wait
for Keats to come down.
I want to check on
the other kids.
‐ I'll do it.
‐ It's okay.
You should go, Doug.
I mean, you've gotten this far.
You should see it through.
I'm okay.
And Mark..
Peds was supposed
to be here an hour ago.
Why don't you
give them a call?
Say hello to
"Benny The Bull" for me.
Hi.
[grunts]
Your family's here.
They're waiting outside.
Take my mask off, please.
Please.
How bad?
Over 90 percent, third‐degree.
Don't let them put
me on a ventilator.
But it'll make you
breathe easier.
No.
Okay.
[coughing]
Here, put your
mask back on.
Uh‐huh.
Are those kids
going to make it?
‐ Yeah, thanks to you.
‐ Oh, no.
It was Shep.
Balls of steel.
Are they going to let
him come up and see me?
I don't see how they'd
be able to keep him away.
Carol, I'm scared.
I know. I know.
[sobbing]
I'm really scared.
I know.
[phone rings]
[sobbing]
Lydia?
Are you okay?
Yeah.
Ah, damn it,
I hate to cry.
No damn privacy
around this place.
Yeah. Sorry.
No, no, no.
It's‐it's not your fault.
It's just, some days I..
I don't know what to do
with it all, you know?
[indistinct chattering]
[instrumental music]
[music continues]
[chattering continues]
Jamie Nielsen's being
admitted to pediatrics.
Can you find his x‐rays
and have them sent up?
They'll want it with the chart.
‐ Raul's up in the burn ward?
‐ Yeah.
His family's up there right now.
You guys want
to get something to eat?
I don't feel much
like going home.
‐ Yeah, I'm in.
‐ Yeah, sure.
[phone ringing]
Jerry, why are they still here?
Oh, those are the off‐duty
guys from station 134
where Shep and Raul work.
They've been here for hours.
I don't think they know
what to do with themselves.
I hear that.
Hey.
Um, you guys still waiting, huh?
‐ Oh, yeah.
‐ Anybody hungry?
‐ I don't know.
‐ Hmm.
Listen, we're going to go across
the street to get something.
You want to come?
Hey, Dr. Lewis,
did your sister find you?
She's been here for hours. She
said she'd be up in day care.
‐ Oh, my God.
‐ What?
[spectators whistling]
[aeroplane droning]
[lift beeps]
Oh, my God. Valerie, did she
take her? Where is she?
‐ What? No.
‐ Where is she?
There.
[baby babbling]
[singing indistinctly]
Oh, my God.
Susie...
...she is so beautiful.
Yes. Yes.
'Hey, tootsie.'
'Bye, buh‐bye.'
Shep?
You ready to go see him?
I can't.
Sure, you can.
We didn't have to go in.
Engine companies
were on their way.
We could hear 'em coming.
‐ It's not your fault, Shep.
‐ He went in because of me.
You both did what
you were supposed to do.
We didn't have the right gear.
'He knew it.'
'He looked for the fire
and then he looked at me'
and he knew it.
He followed me in anyway.
You have to go see him.
Your friend is lying up there
waiting for you.
And if you don't go,
you're going to regret this
for the rest of your life.
'Hey. This the guy tells me'
'I was here this morning
before the opening bell..'
But that was two hours ago.
Here you go,
you son of a bitch.
Doug!
Who the hell was that?
My son.
Karen, excuse me.
Doug! Doug!
‐ Ah!
‐ Doug, wait a minute.
Doug, listen to me.
Listen, I called
the hospital hours ago.
‐ I left you a message.
‐ Right. Right.
‐ It was a meeting.
‐ Yeah, it was a meeting.
What was her name? Is it Barbara
or Ann or was it Dottie?
Wasn't that the name of the
girl that I caught you with?
‐ In the front of mom's car?
‐ It was my boss.
Well, it's your boss.
I thought you owned the joint.
‐ It's complicated, Doug. I‐‐
‐ Yeah, it's complicated.
Damn it! For God's sakes,
I would have been there
if I could have.
You know that.
Look, I left you
a message. I'm sorry.
‐ Son, come on. Come on.
‐ Ha ha.
Hey, I'll get tickets
for next week's game.
We'll sit courtside, alright?
Please.
Come on. I'm freezing
my ass off. Let's go back.
It's always about you, isn't it,
Ray? It's always about you want.
‐ Never anybody else. Just you.
‐ It was business!
This was business?
I was standing there, Ray.
It was 7:30, and you were
supposed to be there.
I was standing there.
Where were you?
You know what, you were exactly
where you have always been
your entire life, Ray.
Someplace else.
That's where you were.
Now, look..
I cannot change what happened
to you when you were a kid.
I can't.
You did a good
number on me, Ray.
You did a good job.
I never committed to anything
in my entire life.
I've never been with a woman
for more than six months.
And most of the time,
it's six days.
I find a job where I see people
for, uh, a couple of minutes.
I fix them as best I can.
I send them on their way.
No mess, no fuss.
No messy details.
That's what you
taught me, right? Isn't it?
And that's your trick?
And here I am..
...dad.
I'm you.
[scoffs]
[instrumental music]
What happened to you as a child,
I'm responsible for.
You're 34 years old.
How you live your life
is your decision.
I'm going inside.
[music continues]
So the woman is butt naked
hanging over
Shep's shoulder, right.
And Raul, he's running behind
her with the damn poodle
'and the whole time
the drunk husband's chasing him'
with a
butcher knife, screaming
how he's going
to kill all of them.
"I want kill you, you bastards!"
[laughing]
Shep's afraid of heights.
Did you know that?
A fireman afraid of heights?
Hey, it's true. He is.
Raul's always making him
go up the fire escape
or pull the jumpers off the tops
of buildings stuff like that.
Raul gave Shep skydiving
lessons for Christmas.
He ever play "La Bamba"
for you guys?
(all)
Hell, yes.
I like "La Bamba."
You wouldn't if
you worked with him.
When I rolled with him a couple
of years back, had it on tape.
'Played the thing
over and over again.'
Enough to make
you kill yourself.
'Or him.'
You guys remember that little
baby they brought in
'bout a year ago?
'Found it in a garbage bag
down on the Southside.'
‐ 'I remember.'
‐ Yeah.
'Been dead at least
three or four hours'
but those boys brought her in
doing CPR and mouth‐to‐mouth.
The child was cold,
but they wouldn't give up.
Yelled at us when
we told them it was hopeless.
'Then they both cried.'
'like it was their own kid.'
‐ Hell, I cried.
‐ Me, too.
[instrumental music]
[music continues]
‐ Hey, partner.
‐ Hey, partner.
Okay.
[sighs]
Guess I missed
that free breakfast, huh?
[crying]
Oh, man.
Hey, hey.
You got to hang in there, okay?
‐ I can't do it, bro.
‐ You got to.
[coughing]
I heard those kids
are doing great.
‐ You saved them, buddy.
‐ No, I didn't.
You did.
[instrumental music]
[sobbing]
I'm sorry.
I'm sorry, buddy.
I'm sorry.
I'm sorry.
I'm sorry.
‐ It's okay.
‐ I'm sorry.
[sobbing]
[music continues]
[theme music]
[music continues]