ER (1994–2009): Season 8, Episode 22 - Lockdown - full transcript

Just when the ER is understaffed and swamped, two children who were brought in turn out to have full blown smallpox. The entire ER must be locked down. The staff needs to improvise while they battle not only the disease but also frayed tempers.

Previously on E.R.

Mark's gone.

That means you've been here
longer than any other doctor.

People will look to you
to step in

and fill the void.

Are you guys insane?

I need to cross-clamp
the aorta

with that
big-ass clamp.

If you don't know
what it's called

you sure as hell
shouldn't be using it.

You want to stay here



you do what I tell you,
when I tell you.

It's that simple.

This meeting
starts at 1:00.

Oh, that's great.
Go on ahead.

When's the last time
that you went?

What do you think?

Well, then what's
it going to hurt?

Well, it'll kill my buzz
for starters.

One step at a time.

You went for you?

You promised me
you would.

I went for you.

How come the dog bite's
still here?

I don't know.
Waiting on his
I.V. Unasyn.



Any particular reason?

Nurses aren't back
from ACLS class yet.

The sooner he gets his meds,
the sooner he gets discharged.

Yeah, well,
I've done my
share of I.V.s

at the V.A.

There's no "I"
in team, Pratt.

People really say crap like that
around here?

No, but
they should.

What happened to her?

Chipped her tooth
in Barbados.

Told her to stop
opening beer bottles
with her teeth.

So, Pratt, you want
to check orthostatics

in Exam Three?

Why are you asking him?

I don't know.

He's got a cute ass?

We're down three nurses.

Yeah, we can help.

The point is,
why should we?

Let's all pitch
in, shall we?

Pratt, why don't
you check vitals

Gallant, why don't
you start I.V.s

and I'll discharge
Martinez here.

All this because
a nurse tells us to.

No, because Abby is

the Obi-Wan Kenobi
of nurses.

So, what's that
make you? Yoda?

Learn from her
you will.

WOMAN:
Might have to
separate these two.

Partial thickness burns
on the soles of the feet

from hot coals.

Firewalkers?

Lawyers.
Attorneys.

Why walk on hot coals?

It was a bonding exercise.

We're partners
at the same firm.

Stupid idea.
If I could walk,
I'd kick your ass!

It would have worked

if she hadn't
pushed me.

My feet were
burning, you idiot!

Somebody smell smoke?

Yeah, kind of.

Of course you do.
We were char-broiled.

No, it's coming
from your cuff.

Oh, my God!
Whoa!

I'm on fire!
I'm burning!
Don't panic!

Oh, my God!

Don't panic!
Don't...!
I'm burning!

( man grunting )

( gasping rapidly )

( coughs )

Oops.

This is not a hotel, Stan.

But I got the chills
so bad, my teeth
are rattling.

I can't get no rest
behind a Dumpster.

Okay, I have the flu

and you don't
see me in bed.

Might like to.

What about that hippo oath
you guys took?

Do some good, be nice...

Yep. Ask Dr. Pratt.

He's handling
you today.

Is this 'cause
I'm new?

No. Because
you're annoying.

Sure could do
with a rub down, my brother.

Who wants
the first tetanus shot?

Me, so I can get away
from this moron.

You know you both
have to come back

for a wound check tomorrow.

I'd rather have
my feet amputated.

You don't have
to do it together.

What about showers?

You don't have
to do that together, either.

That's fine. Just,
uh, pat the burns.

Dry with a
clean towel.

Dirty water running down
to the foot increases

the chance
of infection.

Okay. How about
the bathtub?

How about just
keeping them dry?

How about y'all
kiss and make up?

Multiple MVA,
two minutes out.

Marge Satterfield,
restrained driver
of a gambler's special.

50 years old,
altered at the scene.

How's her airway?

Wide open.
Pulse ox 98,
B.P. 110/80.

You were in an accident, ma'am.

We're going to try
and help you.

Let's take her to Trauma One.

How many do we have?
I'm not sure.

Then where are you going?

I'm going to
work up this
blunt head injury.

I'll take her.
The first one out triages.

She could have a
subdural hematoma.

The next one
might be worse.

Colin Prentice,
21-year-old driver

high velocity
head-on collision
with a bus.

Was he restrained?

Not very well--
two-inch scalp lac

and he broke the
steering wheel
with his chest.

This guy driving
a matchbox?

Worse. A Gremlin.

We intubated
for a G.C.S. 2-2-3.

B.P. is 120/70,
pulse 96.

All right,
Trauma Two,
let's go.

Not by yourself though.
Get Dr. Lewis to help you.

Hey, Doctor, Doctor,
how's Marge doing?
Our driver.

We don't know,
Mr....?

Ralph Meyers, 73, obvious
forearm fracture with deformity.

You having any chest
or belly paint?

No, but how the hell am I
supposed to play the slots now?

Just use the other arm.

Hey, got another one
for you, Doc.

Facial lac?

From broken glass.
Name's Lenore Fong.

Neuro's grossly intact.

How old is she?

You got me.
Doesn't speak
English.

( speaking in Mandarin )

What'd she say?

Uh, it's rude
to ask a woman's age.

Take her to Curtain Two.

Get it out of her, Deb.

Good. That might be it.

( siren wails )

Or not.

Did you call back
the nurses from
the ACLS class?

I would if I could,
but they're all on a break.

Well, then, get some
clerks or something.

We're dying down here.

Could we have our aftercare
instructions, for God's sake?

I'll be right with you.

Miss, my colostomy bag
is leaking.

All right, just
a minute, okay?

Uh, my family
has been here

for a long time.

I'm sorry,
we just got hit

with a really big accident.

Yeah, both of my kids
are sick.

And someone will see them
as soon as we can.

Okay, we were here first.

Are my passengers okay?

They're all so old.

No hemotympanum,
toes downgoing.

She need the O.R.?

Nothing surgical so far.

Marge,
any pain here?

Good breath sounds
bilaterally.

No tracheal shift.

Look, I got to go.

Not until
you get a vent.

Call for a c-spine,
chest and pelvis.

Nurses usually call.

I don't know the numbers.

Systolic's
down to 80.

Run a two liters wide open.

This really
isn't my job.

It is today.

Feels like
a pelvic fracture.

Hello, this is Dr. Pratt
at the E.R. I need...

Draw blood for a C.B.C.
and chem panel.

I'm on hold.

Type and cross for four,
and find some O-neg.

Found the sonosite.

Oh, good. I need to rule out
an intrabdominal bleed.

Chem panel goes
in red top or green top?

Abby, help.

Excuse me?

Go see if Kovac
needs you.

Dopamine?
What?

I need to start
a dopamine drip.

Top right drawer.

How's it going
up there?

Oh, we might get
some more criticals.

Everybody's got
multiple medical problems.

Is this 400
in 250?

That's the premix.

Hey, where's the head?

It's not in here.

Then where?

No fluid in
Morrison's pouch.

Carter, take him
out with you.

Yeah, sir,
you can't be in here.

But I got to take a whiz.

Yeah, come with me.
Hang a left.

Can you call
my daughter?

Okay, I need everybody to move
to the Admit Area

so I can assess
all of your injuries.

You want to see
my bruises?

Not right now.

It hurts
when I walk.

She's expecting
to hear from me.

Hey, Gallante,
deal with this.

Listen, everybody,
proceed to the north

and we'll get you
all taken care of.

Where the hell
is north?

All right,
got the pressors.

Oh.

I thought you said
she was hypotensive.

Sorry. She probably just
vagalled with the blood draw.

You know, you could check him
for compartment syndrome.

( speaking Mandarin )
Why not?

Can you wiggle your fingers
for me. Mr. Meyers?

Damn foreigners ought
to just get their own bus.

( shouting in Mandarin )

What'd she say?

That I had a fever

and then something
about his mother.

Probably what set
the driver off

all that gibberish.

Marge was twitching,
she was so mad.

Twitching?

Like a holy roller.

Excuse me.

She might have had
a seizure.

Before or after
the accident?

Before.

She have
a medical alert bracelet?

Check her wallet.

Mental status
is consistent

with a postictal state.

GALLANTE:
Dr. Carter, I've got
a couple of really sick kids.

I'm a little busy
right now.

Let's do a half load
of phenytoin

and send off levels.

Listen, they were seen here
a week ago with fever

then developed a rash.

No myoclonus.

It's pretty bad.
I think you need to see them.

Go, Carter.
We got this.

Okay, let's take a look.

We thought it
was chickenpox

but I've never seen
it as bad as this.

Can you lift up her shirt?

It's not on her chest
or her stomach.

Adam doesn't
have it as bad.

When did the rash start?

Three days ago.

How long have you been waiting?

Too long.

I tried to tell that nurse,
but she said

it was busy.

Could it be
an allergic reaction?

No.

Would you, uh, excuse me?

Get-Get masks on them.

Hey, what's up?

Where are the, uh, tubes?

What?

You know those tubes
with the posters in them?

Oh, those public health things?

Yeah, they send
them every month.

Yeah, they should be
over there, man.

( clattering )

Oh, man.

Oh, man...

What?

What's going on?

Michael?

Yeah?

Go get Dr. Lewis. Now!

I'm going to move you
to a private room.

Can you take Adam
and follow me quickly?

What is it?

It's just a precaution.

Excuse me.
Coming through here.

Can you move out of the way?

Why are we running?

Just stay with me.

Right up here.

( kicks door )

All right, stay here.

I'll be right back.

What is going on?

Where is she?

Getting a
central line kit.

Susan, just
come with me.

I think I got two
cases of smallpox.

Oh, my God.

Firm, deep-seated
pustules

all in the same stage
of development.

No, it's probably just
a bad case of the chickenpox.

No, centrifugal
distribution,
sparing the trunk.

It's all the
major criteria.

We haven't had a case here
since the '40s.

It's airborne.

We need to lock
this place down.

Okay. Elevator lobby,
north stairwell

and south corridor
are all secure.

Security's trying to lock
the ambulance bay doors.

Isn't that
a fire safety violation?

Okay, we're close
to trauma.

Is Public Health
on the way?

Do I call the
city, the county

or the state
department?

Check the emergency
response plan.

This is the emergency
response plan.

I don't know;
call all three.

Hey, hold on.

You think maybe
you're jumping to conclusions?

You ever seen
smallpox before?

No, but that's my point.

It could be anything--

scabies, pityriasis,
chicken pox...

This is not chicken pox.

...herpes, impetigo...

Are you 100% certain?

You want to risk exposure
to the city?

Whoa, how bad is it?

It killed half of Europe.

Yeah, but they have
a vaccine for it now.

The C.D.C. should have
a stockpile of it.

In Chicago?
Atlanta.

Oh, great.

No, Luka's right.

Smallpox has been
eradicated.

I heard the Russians
had some on ice.

If a terrorist group
got hold of it...

Shut up, Jerry.

Damn, I should have
called in sick today.

What did they say?

Lock it down.

They're on their way.

The entire hospital?

The E.R.

So, what do we do
about the critical patients?

You're asking me?

The infected kids--

they're brother
and sister.

Five and ten?
Yeah, why?

I think I treated
them last Tuesday.

They presented
with the flu.

I have a fever.

Well, you need
to be quarantined.

Oh, God.

Hey, come on,
slow down, guys.

No, no, no, Susan

you got to come up
with a plan, like, now.

Okay, okay;
Deb, Carter's right.

You're quarantined
to Exam Four.

Jerry, pull
the staff schedule

and the patient log
from last Tuesday.

Luka, reassess all the patients,
group the criticals.

I'll take care
of Public Health.

What about the kids?

Nobody panics,
nobody starts any rumors.

This is just routine.

Okay, then you'd
better tell them why
the doors are locked.

LOCKHART:
Carter, wait.

Did you know that family
sat in chairs for 45 minutes?

They should have been isolated
right away.

Yeah, and they
would have been
had I seen them.

Pretty hard to miss.

We had a huge trauma

and we're down
three nurses.

I told you that.

What are you doing?

Well, if you're
right about smallpox

they could get septic.

Well, let's hope
I'm not right.

You're going to
need some help.

You don't have
to come in here

if you're worried
about exposure.

I've already
been exposed.

MAN:
Who's in charge here?!

I got some rent-a-cop
telling me I can't go.

Why are you detaining us?

I'm about
to explain.

Look, honey,
if I don't get a cigarette...

Ma'am, please.

Jerry, Jerry, does
this thing still work?

( clamoring )

It did in '95.

What the hell
is going on, huh?!

Does this place
even have a license?

Uh, sorry.

I'm Dr. Lewis.

Uh, as you may
have noticed

there are guards posted
at all the exits.

This is because we have

a potential
public health concern.

I would like to emphasize
the word "potential"

because at present, we don't
have any conclusive evidence.

The city authorities
are on their way to assist.

However, until we have
more information

we ask that no one enter

or leave the
department.

( angry clamoring )

This is purely
a precaution.

Why?! What's happening?!

When I know more,
you'll know more.

( angry shouting )

Thanks for your patience.

You can't force me
to stay!

I want out of here!

I'm getting out;
now, move!

Let me go!

LOCKHART:
Is that helping?

ADAM:
Do I look like her?

Not as bad.

Was anybody
sick around you?

I don't think so.

We were at the embassies,
hotels.

We stood out.

Where?

Central Africa.

Craig works
for the State Department.

When did you
get back?

Two weeks ago.

Okay. Okay, we need
to keep you both in isolation.

Why?

'Cause you could be
incubating the virus.

You probably both are.

You said ten to 14 days.

We need to know
every place that you've been

everyone that
you've come into contact with

since your kids
developed a fever.

The kids were in school.

They could get
sicker than this?

We need to get skin
biopsies and smears

send them to the C.D.C.

biocontainment lab.

They could die?

We're just doing this
to be careful.

Nothing's been confirmed.

Dr. Carter.

Is she tachycardic?

Uh, no, but you're
freaking them out.

( whispering ):
Slow down.

Are you okay?

Yeah. Biggest
public health emergency

of the century,
and I'm stuck here.

Stuck? This is the damn Ritz,
if you ask me.

Sorry, you got
a roommate.

Oh, come on.

Were you really here
last Tuesday, Stan?

Yeah, sure I was.

You know, they say
this could be very serious.

I've had gastritis,
hepatitis, and
pancreatitis.

A little pox is not
going to bother me.

( clears throat )

You got a
temperature, too?

Ah, probably just the flu.

* Everybody's got the fever
It's not smallpox.

* This is something
we all know... *

It's not smallpox.
It can't be.

* Fever wasn't
just a new thing *
Got to be a mistake.

* Fever started long ago

* You give me fever

* When you kiss me

* Fever when you
hold me tight... *

County.

Hey, how in the hell
long is it going to be?

Sir, I really
don't know.

Well, are you
going to pay me

for the hours
I miss at work?!

Gallant,
how are the seniors?

Mostly sprains
and contusions.

Ah, thank God
for small favors.

What about Public Health?

En route, but
Chicago P.D. is here.

Gee, I feel safe now.

Where do you think
you're going?

She needs a head C.T.N.,
and she's not infectious.

Does she have
a blown pupil?

No.
Then she can wait.

She's an older
trauma patient.

Ma'am, do you know
where you are?

Looks like a hospital--
a crappy one.

I'd say she's pretty lucid.

MAN:
Dr. Lewis.

David Torres,
Department of Public Health.

We can take over now.

The crisis,
or the patient care?

This is for
contact tracing

and this is for you.
Okay.

The C.D.C. will be flying in
from Atlanta.

In the meantime, we're going
to need this area for our staff.

Kill the A.C.

It's 80 degrees
outside.

Welcome to the hot zone.

May I see the infected kids,
please?

No, the infection's
in the bloodstream

which makes the lungs
leak fluid.

But she's been responding
to oxygen.

God, we never should have been
there in the first place.

Look, you could
have stayed home.

Yeah, right, and your children
don't see you for a year.

100/60, pulse 98.

If there had been
an outbreak, we
would have heard.

Craig, we were targets.

Some maniac is using this
as a weapon.

There are
a lot of unknowns...

Dad, there's something wrong
with Bree.

Pulse ox is down
to 83 on 15 liters.

What does that mean?

That means that she's
not getting enough oxygen.

Come with me, Adam;
you're fine.

I just want a little room
to work on your sister.

Etomidate, atropine, and sux.

What is that?!

It's medication
to help sedate her.

We may need to put a tube down
her throat to help her breathe.

Abby, wait!

We don't want to infect
Pratt's patient.

We need a pediatric
intubation tray.

All right, I'll go,
I'll go around.

Keep her on a 100%
nonrebreather.

We're going to need
another room.

And a decontamination area.

You got to clear out.

Sats are down.

He could have
a pulmonary contusion.

What's his pO2?

I can't get an A.B.G.
down to the lab.

Nah, it's just
a mucus plug.

He just needs suction.

Then a vent,
a neurosurg consult

maybe even a burrhole.

I got an airborne
deadly virus in there.

What are you doing?

I'm moving him.

He could crash in the hallway.

Or smallpox could get him.

A little girl needs an airway.

I need this room.
Why don't you calm down?

We don't even know
if it's smallpox yet.

Bag him; let's go.

Need to get by.

I'm sorry, you can't.

Yeah, it's all
right; I work here.

The ER's been locked down.

- You need to move back, please.
- For what reason?

We're just trying
to secure the building.

I'm the Chief of
Emergency Medicine.

If there's a situation,
I need to get in there.

I said step back.

Dr. Weaver.
What's going on?

We had class
on the second floor.

They wouldn't
let us back down.

Yeah, hi, it's
Kerry Weaver.
Get Dr. Romano.

Don't... no, don't you
dare put me on hold.

Heard the cops say
it was something contagious.

Like what,
the plague?

Excuse me,
are you in charge?

No, find him.

They brought
my fiancee here

and I can't get in.

They're not letting
anyone in, honey.

Yes, it's an emergency.

I was following
him in the car

and he got into
a bad accident.

Marta Guzman, 18,
G.S.W. to the right chest.

Last B.P. 80 palp...

They shut down the E.R.

Nobody radioed us;
I got a G.S.W. here.

I need to
get inside.

My fiancee may be dying.
You cannot go inside.

Can you take
her to Mercy?

Not with
her pressure dropping.

No breath sounds
on the right.

You need to let us in.

Not this entrance,
not this floor.

This woman is bleeding
into her chest.

How long do you think
we'll be stuck in here?

I don't know.

Maybe a day or two.

Might have to spend
the night together.

You afraid?

What, of catching smallpox
or waking up next to you?

Okay, looking good.

No retractions.

He likes having
his own room.

You like having
a little sister?

I'll bet you two
never fight, do you?

( chuckling )

Ah, I didn't
think so.

The alarm's
going off!

Sinus brady at 45.

Push point
four of atropine.

Sometimes kids
drop their heart rate

when the oxygen gets low.

I thought
you fixed that.

I lost the pulse.

V-fib; starting
compressions.

Go get Lewis.

Oh, God!

Hey, Pratt, Pratt,
come in here!

CARTER:
Hurry up!

WOMAN:
Help her, please!

Do you want me
to start bagging?

Uh, no; charge
paddles to 50.

What's up?

Vascular clamp.

"O" silk is ready.

My children,
they need me.

Yes, they do, Marta,
so hold on.

All right,
tube's in.

Needle driver.

My kids...

Somebody say Thoraseal?

Ah, right here!

Be careful--
you break it, you buy it.

How about some
Vaseline gauze?

How about a two-ton safe?

Robert, I need to get
this girl in surgery.

Tell me something
I don't know.

Security's holding
the freight elevator.

I'll meet you there.

500cc's out so far.

Pressure's up to 100.

Doctor, why has
the Public Health Department

closed the E.R.?

I have no idea.

Elastoplast now.

Is there a communicable disease
in the E.R.?

There usually is.

Pressure bags on both liters.

Are you in touch
with anyone inside?

WEAVER:
Yes, I am.

Who the hell is that?

The Chief
of Emergency Medicine.

We don't know that anyone
is infected with anything.

What kind
of disease

can close down
a hospital?

Don't say it, Kerry.

Could it be Ebola
virus, anthrax?

I told you I don't know.

Set the chest tube
on water seal.

Are you aware that
the Smallpox Response Team...?

( pandemonium )

MAN:
We're sitting ducks.

CARTER:
Clear.

Still fib.

Five minutes
since the last epi.

Another point two.

Why isn't it working?

Charge it to 80.

And clear.

No change.

Let's try
procainamide.

You want to give that
to kids?

200 at, uh,
20 per minute.

I think
she's lighter than that.

Do you know
what you're doing?

LOCKHART:
We're following
the protocols.

Charging to 90.
Clear!

Call someone;
get someone!

I want somebody
with more experience!

PRATT:
There isn't anyone.

Well, call them now!

What he means is
nobody's seen
this disease

for 50 years.
Clear.

Why aren't you
telling us anything?!

We don't even know
if it's smallpox.

Well, give us masks!

You don't need masks.

You've already
been exposed.

WOMAN:
To what?!

We don't know,
but we can help.

Yeah, by letting us go!

( angry shouting )

No, we can't do that.

We won't do that.

We need time...

Listen!
The exits are surrounded

by the Chicago
Police Department.

If you leave,
you will be arrested.

MAN:
Arrested?

We've been prisoners
already for...

Dr. Lewis, you better
come check on Carter.

Will you please
return to your seats?

I have to go home.
I don't want my
baby getting sick.

I'm sorry.
Please! Please!

CARTER:
Clear.
LOCKHART:
Fine v-fib.

Looks like
a heart attack.

Could be a loose wire.

It's not the leads.
Charging again to 100.

If something's loose

then maybe it's
not shocking her right.

Everything is working fine.
Clear.

Asystole.

Damn it!

She could be
hypovolemic.

Check for a pulse
with compressions.

If you can't feel
a pulse

she needs a fluid bolus.

That's not the problem.

Well, maybe
it will help!

Good pulse with C.P.R.

She doesn't need fluids.

How long has it been?

40 minutes.

How about
high-dose epi?

We've done everything.

PRATT:
Could be worth a shot.

I said no; that was it.

WOMAN:
What are you doing?!

You have to keep going!

He had an idea!

You have to keep going!

( crying hysterically ):
Oh, God!

Tell the C.D.C.
we have our first casualty.

What are you doing?

I thought
I was helping.

Well, you're not.

When I call a code,
that's it.

No discussion.

You overlooked
high-dose epi.

Especially when the mother
of the little girl

is sitting there
right in the room.

And it was
worth a shot.

Well, you're wrong.

Well, now we'll
never know.

Do you ever listen?

I mean, do you ever listen?

Do you?

High-dose epi
does not result

in the return
of spontaneous circulation

or an increased survival.

And if you read the literature,
you would know this.

Or you could teach me.

You know,
I don't have time, Pratt

to stop and explain things
to you.

So I'm supposed
to read your mind?

No, your job is to shut up
and follow my lead.

Then lead!
LOCKHART:
Excuse me.

The Health Department wants us
to double-shroud her.

I'll take
care of it.

No, you're not going
back in there.

Look, the mother still
has questions.

I'll take
care of it.

She trusts me.

I said no.

Ooh, you feel hot.

What?

Abby, can you take
his temperature?

PRATT:
It's 100 degrees
in here.

Yeah. You feel hotter
than that to me.

I feel fine.

You have a fever.

101.4.

You always have to be right.

And you have
to be quarantined.

And you say you've been here
for five hours.

Six. That is outrageous.

I'll be with you
in just a moment.

Hey, where are you
going with these?

They said we can't
blow the germs around.

LEWIS:
Forget smallpox.

We'll have 100 starvation deaths
if we don't get food down here.

You've got 20 minutes,
and then I'm ordering out pizza.

Hey, what's the name of
that public health guy?

David Torres.
And your first name?

TV REPORTER:
...what can you tell us
about the situation?

Why?
Class action
lawsuit.

This is false
imprisonment

with intentional
infliction of
emotional distress.

The Public Health
Department has
the authority.

MAN ( on TV ):
History has shown that...

Malik, who
is that?
What?

That voice.

...isolation of those
with the disease

and vaccination of contacts

Jerry?

can avert a widespread epidemic.

We refer to this strategy

as "surveillance
and containment."

Now, uh, I want
to assure the public

that there is no need
for panic

and that only those
in close contact

with the infected individuals...

Jerry!
...need the vaccine.

What? I was...

REPORTER:
We're having technical
difficulties...

...just calling my mom.

I-I love you, too, Mom.

We'll come back
to Mr. Markovic just as...

Brian Meadows is now
at the scene

talking with two nurses
who are unable to report

for duty because...

What, do you have
to cover her face?

Yes, I'm sorry.

Um... do you want
to take a minute?

Yeah.

Don't.

( crying )

Mr. Turner?

My wife didn't
want to come.

We don't know
how the kids got sick.

No.

It's my fault.

Punch biopsy is next.

Private jet will
take the samples

to Atlanta for an E.M.
and P.C.R.

How's your breathing?

Dad?

Yeah.

Was she scared?

What?

Bree... when it happened.

( shallow breathing )

She was asleep.

Am I next?

No.

You... promise?

I promise.

( labored breathing )

( groans )

I have been ringing
for ten minutes!

Hell, I had to
ring for an hour.

Oh.

What do you need?

You have to use
the bathroom?

Yes, not that it's
any of your business.

How bad is it?

( groaning )

Really, really bad.

Come on, what are you doing?

What's the point?

If they bring me an N-95 mask
and a cover gown

I can at least
use the ladies room.

Don't hold your breath.

It's not my breath
I'm worried about holding.

Hey, you want...
you want to use mine?

( groans )

( chuckles )

Her Dilantin level
was eight?

Yeah.
Lab even rechecked it.

MAN:
It's a water fountain,
not a bird bath!

Yeah, come on.

Doctor, I can't take my Naprosyn
on an empty stomach.

We may have
some crackers.
Forget your pills.

We got terrorists
trying to kill us.

Crackers?
You got crackers?

Eight-er from Decatur! Yes!

( laughter )

Oh, man.

You'll have to play
somewhere else.

I need to talk
to Marge.

But she's our
lady luck.

It's important.

Party pooper.

What's up, Doc?

Oh, I bet you hear
that all the time.

How did you get a commercial
driver's license?

You have epilepsy, Marge.

Just an occasional tic.

I haven't had a
seizure in years.

Where do you get
your Dilantin?

Mexico?

The Internet?

You're not going
to rat me out

to the insurance
company, are you?

You had a seizure
while you were driving.

You could have killed
everyone on that bus.

You said they were okay.

Come here.

That's the guy you hit.

Does he look okay?

What's wrong with him?

Luka!

I'll be back.

Pressure's down to 60.

Where is he bleeding?

Probably the pelvic fracture.

I should re-scan the belly.

Looks like
the I.V.'s infiltrated.

Yeah, throw in
a central line.

Just be ready to
transfuse two units.

Yeah, if we could get
to the blood bank.

I hear you
have crackers.

I haven't seen any.

What, are people
lying to me?
Excuse me.

I will kick
someone's ass

if I don't get
something to eat!

Don't come in here.

Etomidate's
on board.

Sixty of sux.

Okay, you're going
to go to sleep now, Adam.

Not like with Bree.

Just for a little while.

Your mom and dad
will be right here.

Adam...?
LOCKHART:
He's out.

I need some cricoid pressure
and some suction.

Oh, God.

His upper airway is just
covered in lesions.

Do you see the cords?

No. I'm never going
to able to pass that tube.

Bag him.
Oh, no...

You have
to crike him.

I can't crike him.

I've seen you.

If I cut through the pox

it'll seed his lungs
and make him worse.

( sighs )

No free fluid.
It's a pelvic hematoma.

Systolic's only 50.

I get a flash,
but I can't thread.

His veins are collapsed.

I'm going
to go get a cut-down tray.

Lost the carotid.

Start compressions.

Carter's patient's
in trouble.

So is ours.

He needs
a surgical airway.

This guy's bleeding out.

Well, what should
I tell him?

To do the best
he can, okay?

We need to open the lower neck
to avoid the lesions.

A surgeon will come down
and do a formal tracheostomy.

And then he'll be better?

Definitely.

Luka's patient's
in arrest.

Get Romano.

I don't think
they're letting in...

Just get him!

How are things
in the leper colony?

You're on
with Romano.

One of the kids
needs a trake.

I'd like to bring
him upstairs.

Forget it. You'll infect
the entire hospital.

Why don't you come down
yourself?

That's easier said than done.

Look, I need some help.

Well, I'll see
what I can work out

but under the circumstances,
you may be on your own.

Just get your
ass down here.

Sats are dropping.

All right,
prep the neck.

You sure?
Yeah, I'm sure.

You said a surgeon
has to do this.

Yeah, I started
out in surgery.

What's that mean?

It means Dr. Carter
can do this.

Give me a ten blade.

JERRY:
Form a single file line.

( all talking at once )

I'm not thirsty,
I'm hungry.

Damn it, people,
we are not animals!

And we are not
children, either.

What about food?

JERRY:
Dr. Lewis!
Not now, Jerry.

Hey, it stinks
in here, okay?

Can we open a window?

No!

Bitch!

They didn't bring
any diet soda.

I only drink diet.

You know what?

We're doing
the best we can.

A little sugar
is not going
to kill you.

His thyroid isthmus
is huge-- suction.

Come on--
suction!
I'm trying.

Oh, God, there's so
much blood. Oh!

All right,
hemostat.

Bradying down.

I can't even see
the tracheal rings.

Give me another kelly.

Give me four-by-fours,
and keep suctioning.

Okay... all right,
Mr. Turner

I'm going to need you
to squeeze this bag.

No, no.
Yes, just put
your hand here.

Keep the mask secured
over his face

and squeeze
every three seconds.

One, two, three, bag.

One, two,
three, bag.

He's dropping
his pressure.

Do we spike another liter?

No. I want you
to keep this field clean

so I can see what I'm doing.

Give me some
four-by-fours.

They're not answering
the phone anymore.

Things are little hectic.

Is he still okay?

As soon as I get in,
I'll check on him.

It's Dr. Lutz!

Dr. Lutz,
over here!

LUTZ:
No statements at this time.
No comments.

I have no statements
at this time.

...if this is
terrorist-related?

No comment.

Kerry Weaver.

I chair the hospital's
Bioterrorism Committee

and in addition to
being chief of the E.R.

Why aren't you inside?

I wasn't here
when it started.

Well, at least
you weren't exposed.

Yeah, I would like
to be able to assist.

We can only bring in
necessary personnel
at this point.

This is my E.R.

Not anymore.

Sorry, Doctor.

Tracheal hook.

Okay, retract cephalad.

Short run of v-tach.

You want lidocaine?

No, he needs oxygen.
11 blade?

I got it,
I got it.
Bag faster.

All right, number
four shiley.

Pressure's 70.

Sats are down to 81.

Damn it...

What?

It won't go.

How about heliox?

I can't
pass the tube.

Help him, please!
Help him...

I just have to switch
the tank.

Yeah, okay, do it,
do it, do it.

I'll try a
cruciate incision.

You know what?
Pull off my mask!

What?

Pull off my
goggles, my mask.

I can't see,
I can't breathe.

Carter...
Do it.
I don't care.

All right, all right.

Come on.

Multifocal P.V.C.s.

Come on, Adam.

( Robin crying )

Lost the pulse.

Starting C.P.R.

CRAIG:
Oh, please.

Please...

There, there...
there, there, there.

I think I got it.

Heart rate's up to 40.

Sats are coming up.

Strong carotid.

Is he okay?

Yeah.
Yeah.

CRAIG:
Thank you.

( relieved sigh )

ANNOUNCER:
The last naturally acquired case

of smallpox occurred
in Somalia...

Oh, God. That's horrible.

It's a pox, I know it.

It's a cold sore

and I don't want
to think about
how you got it.

( man yelling )

What are you doing?

That is completely illegal.

Necessitas non habet legem.

"Necessity has
no laws."

Hey... hey, hey, hey,
get your hands off...!

( Chen moans )

Now you are just
peeing in there, right?

CHEN:
Oh, shut up.

I'm getting thirsty.

Water's the best
I can do for you, bro.

Does this help?

No.

Got a shy bladder, huh?

( Chen moans )

Thanks.

Why aren't you
guys talking?

Not exactly like we
have a lot in common.

Stan.

Yeah.

You feel like singing?

I'm not in the mood.

( moans )

( clears throat )

* Row, row,
row your boat... *

* Row, row,
row your boat... *

* Merrily, merrily...

* Row, row,
row your boat... *

* Merrily, merrily, merrily

* Life is but a dream

* Merrily, merrily, merrily,
life is but a dream. *

( groans )

CARTER:
His oxygen level's
up to 95.

ROBIN:
So he's better?

For now.

The lesions are
on the inside, too.

There's still the risk
of organ failure.

But you can prevent that?

We'll have to watch him
very closely.

How are you holding up?

Oh, I don't know.

How about your husband?

You'd have to ask him.

( sighs )

The good news is
it's not the hemorrhagic form

which is 98% fatal.

Well, that's a relief.

Do you think it would
have made a difference?

What?

If I'd gotten
to them sooner.

Probably not.

Abby, Dr. Lewis
needs you.

Really nice save, Carter.

You know what she wants?

Something about setting
up the vaccine clinic.

What does that
have to do with me?

I guess you're doing it.

CHEN:
We need Ativan!

15 liters. O2 by mask.

He needs a line.

( pants )

He needs a drink.

He's having an alcohol
withdrawal seizure.

Like I said,
he needs a drink.

Okay, I'm in.

Dr. Chen, four of Ativan.

Throw it.

CHEN:
Get sux and etomidate.

Benzo's on board.

I'm going to bag him.

Pulse is weakened and thready.

Oh! He's cyanotic.

Stan, damn it!
You're not dying in here!

You hear me!

Stan!

Guess he heard you.

Sats are up.

He's going to need
some Librium.

Not for hours.

( gasping ):
That was exhausting.

Oh, yeah.

( Chen groans )

( groans )

NARRATOR:
Prick the skin 15 times
as shown here.

This should be done rapidly,
in a perpendicular fashion

within in a five-millimeter
diameter area...

Do you have enough room in here?

Yeah, I think if we clear
this bed out, we'll be fine.

MAN:
We took a vote!

LEWIS:
Excuse me?

They told us if we get the shot,
we won't get sick. We're ready.

Yeah, unfortunately,
that's not my call.

Fine. Right here.
Let's go.

We haven't started yet.
You'll all get
the vaccine.

When?

After we get confirmation.

We're hot as hell,
we're starving to death

and you haven't done
a damn thing!

We are running the
tests right now.

Let us leave, and call us
when you know something.

Sir, move back
and give us some room.

Listen, jagoff,
you move back!

( shouting angrily )

Okay, wait.

I know you're frustrated.
I know you're upset.

Forget it.
I'm not waiting anymore.

There is a reason
we have to do things this way.

Stop stalling!
Hey, you had
your chance.

Forget the tests!

All right, please, just relax.
Okay?

It's going to be all right.
Just relax.

Please.

We can use this!

Let's go!

Come on!

They can't stop us!

Move! Move! Move!

( yelling ):
Come on!

Slow down, guys. Slow down...

Hey, slow down! Slow...

( grunting )

Come on!

( grunting )

Ready, one, two, three!

( men yelling )

Guys, guys. You don't want to...

MEN:
One, two, three!

( grunting )

Keep pulling.

Stop it!
One, two, three!

Come on, just stop it!

( grunting )

Stop it!

Carter!

What is going on
out there?

I don't know.

MEN:
One, two, three!

( grunting )

( gurney crashing into door )

Where's Abby?

( chuckling ):
I don't know.

Why aren't we doing
anything to stop this?

I tried.

( grunting )

Something bad's happened.

No one's answering?
My phone's dead.

OFFICER:
Let's go--
across the street.

What happened?

Expanding
the perimeter.
Why?

Nothing's changed.
Just a little precaution.

Look, I need to speak
to your supervisor.

Doctor, if I were you,
I would go home

and be glad I didn't
come to work today.

( grunting )

( feedback whining )

Uh... ( gasping )

this morning, a little
five-year-old girl came in here

with a rash that looked
like smallpox.

She died quickly.

Her older brother is
still critical.

We don't know what it is

and we don't know
how they got it.

But it's here,
and it needs to be contained.

This is not about denying
your civil rights.

This is about protecting you.

If we let you go, you could
carry the disease home

to your own families.

So, please, stay here,
help us...

and we'll all get through this.

Uh-huh.

Yeah, okay, good.

Let's talk in two hours.

What?

Electron microscopy shows
a brick-shaped virus.

An orthopox?

Right.
So it is smallpox.

Not necessarily.
They're still running the P.C.R.

How much longer?

Make yourselves
comfortable.

Hey, look at the bright side:
only two critical patients

and we're closed
to paramedics.

So, what now?

Well, we can watch
ourselves on TV.

REPORTER:
So far, the only suspected cases
of smallpox

are at County General
in Chicago.

50 cc's of urine output
in the last hour.

Well, I guess
that's something.

Yeah, at least his
kidneys are working.

I cannot wait
to get out of here.

I'm going to take, like,
a two-hour shower.

Yeah. I'm going to
sleep for 24 hours.

( sighs )

How is he?

He's stable.

We know it's some
form of orthopox

so we need to
limit contact.

Haven't we been
doing that?

You've been doing a
great job handling
this situation

and the department
would like to thank you.

You're welcome.

Unfortunately,
I'm afraid the two of you

are going to have to remain

in this quarantine area.

Why? We're not infectious.

It's just a precaution.

For what? Why don't you
just follow protocol
and gives us a vaccine?

We will, as soon as
we get final confirmation

on exactly what we're
dealing with here.

It's smallpox.

Nobody in the U.S. has
seen this since 1949.

And due to the unknown
origin of this outbreak

we're being extra cautious.

It won't be much longer.
Thanks, guys.

Aw, man...

How much does this suck?

"The department would
like to thank you

but we can't
bring you a fan."

Is it me? It's like
a sauna in here.

I'm... soaked.

Do you have a fever?
No!

Well, just... sit down.

I'm fine.

Sit down.

Take your temperature.

I'm not infectious.

Just stick
the thermometer
in your ear.

Today started out
like a normal day, huh?

See? 99-- I told you.

Okay.

You're still hot.

( inhaling )

Is that better?

Mm-hmm.

Worst of this is over, right?

Tell me we're going to be okay.

We're going
to be okay.

We're going to be okay.