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黑色警报
病患大量涌入医院 没有足够的医疗资源进行治疗
一般的急诊室每年平均会遇到五次黑色警报
洛杉矶天使纪念医院每年会遇到三百次黑色警报
警报级别：绿色
警报级别：黄色
警报级别：红色
警报级别：黑色
放射科 X光室
急诊严重指数
组织型纤溶酶原激活剂
-医生 -今天随时都可以 - doctor? - any time today.
各位住院医师大家好 Hello, residents.
洛里斯医生一会就来 Dr. rorish will be here shortly.
现在 先跟著我 For now, you got me.
我是杰西·萨兰德 I'm jesse sallander.
接下来的三年 我就是你们的老妈 For the next three years, i'm your mama.
我是急诊室护师 我可以向你们保证 I'm the senior e.r. nurse, and i can promise you
这里发生的所有事情 There's nothing that goes on in this house
没有你老妈不知道的 Your mama don't know about.
胆敢有所隐瞒 老妈都会发现 Try hiding something, your mama will find out.
你以为自己有个医学学位 You think you're smarter than your mama
就能比我聪明吗 Because you got an m.d.?
其实不然 Well, you are not.
老妈知道你何时在撒谎 何时哭或何时死 Your mama knows when you're lying, crying, or dying,
我的工作不仅是要教会你们辨别对错 And it's not only my job to teach you right from wrong,
还要确保三年后你们离开这里时 But to make sure you don't leave here in three years
不会幻想著自己绝不会犯错 Thinking you can do no wrong.
各位 能把那边处理一下吗 Guys, can we clean this up, please?
你是住院医师还是主治医师 You resident or attending?
住院医师第一年 跟你一样 First-year resident, like you.
我叫克丽斯塔 My name's christa.
马里奥 你在哪实习的 Mario. where'd you intern?
加州大学洛杉矶分校 Ucla.
付不起学费啊 Can't beat the tuition, right?
不知道 我是纽约大学 Wouldn't know. nyu.
我要到你这个年纪才能付清贷款 I'll be paying off loans till i'm your age.
谢谢了 Thank you.
每年有成千上万个像你们这样的新晋医生 Thousands of newly minted doctors like yourself apply every year
申请来这所医疗圣殿学习急诊医学 To learn emergency medicine in the civic cathedral,
也就是你们接下来要进入的地方 Which you are about to enter.
这里 就是你们来这儿的原因 This is why you're here.
全国最知名的医疗机构 The most famous strip of hospital real estate in the nation,
国内急诊医学的起源地 Where emergency medicine was born,
特勤局也在本院为美国总统预留了床位 Where the secret service reserves a trauma bed
特勤局也在本院为美国总统预留了床位 For the president of the united states
以备总统莅临洛杉矶时之用 When he is in los angeles.
这是天使纪念医院的创伤一室 This is trauma-1, angels memorial.
沿著周边的这些小隔间叫做「边床」 These stalls around the perimeter, which we call the sides,
用于救治那些暂时还不会死的患者 Are for the patients who put off dying for a few minutes.
这边呢 And then this here,
是供那些分分钟都可能会断气的病患所用 This is for the ones who are trying to die on you right this second.
这里 女士们先生们 This, ladies and gentlemen,
就是「主战场」了 Is center stage.
人们来这里只有一个原因 People come here for one reason and one reason only --
来见证最后的奇迹 To get one last miracle.
在老妈的地盘上 有一条首要规则 Now, in your mama's house, there is a number-one rule,
而为了让你们遵守这一规则 And in order that you properly obey this number-one rule,
什么白痴的问题都可以来问我 Ask me all the questions you think are stupid.
为什么 因为老爸会让你们怕得不敢发问 Why? because you're gonna be too afraid to ask daddy.
所以为了不违反首要规则 最好来问我 So better to ask me than to violate the number-one rule,
也就是 任何情况下 你们都不许 Which is that you are not, under any circumstances,
在我的地盘上搞死「客人」 Allowed to kill a guest in my house.
如果他是老妈 那谁是老爸 If he's mama, who's daddy?
门口有人 Somebody's at the door!
小弟送货来了 跑起来 Homeboy drop-off! let's move!
那就是老爸 That's daddy.
拿上手套 跟我走 Grab some gloves, follow me.
「小弟送货」是什么意思 What the hell's a homeboy drop-off?
小混混把受伤成员留在了过道上 Gangbangers leave their wounded on the sidewalk.
杰西 把门铃声关了吧 Jesse put up a doorbell.
「小弟送货」 种族歧视啊 "homeboy drop-off"? that sounds racist.
他们取的名字 不是我们 They gave it that name, not us.
我的天 Oh, my god.
这是怎么了 What the hell?
大家一起来 快点 Keep it together! come on!
前座伤者大出血 检查下后座 Got a heavy bleeder up front. check the back.
后面没人 Back's empty.
颈部中枪 动脉撕裂 Gunshot wound to the neck, obliterated carotid.
他失去了一半的血 He's lost half his volume here.
杰西 我们得把他抬出来 Jesse, we got to get him out of here.
-快把轮床放到他身下 -走 - let's get the gurney underneath him, please. - go.
好了 你去另一边 All right, you -- get over there on the other side
用脚踹一下 And push with both legs.
一 二 三 走 One, two, three... go!
把他抬起来 小心他的头 Put him up. watch his head.
再一次 开始吧 One more time. let's go.
一 二 三 走 One, two, three, go!
好了 你去前面 All right, you, ride up top.
我去吧 I can do it.
你上去 Get up there.
好了 小心 小心 All right, careful, careful.
把你的手指放在我手指那里 找到了吗 Put your finger down where my finger is, right?
感觉到那个像小虫子蠕动一样的东西了吗 You feel that little thing wiggling around like a worm
尽量别碰到 Trying to get away?
那是颈动脉 Okay, that's the carotid artery.
现在这个人的命就按在你的手指之下了 Your finger is now the only thing keeping that man alive.
好 走吧 Okay, go.
在这里 生命是按秒来计的 Life is measured here in split seconds.
稍有犹豫 患者就会死 Hesitate, and people die.
我需要进行抽吸 I'm gonna need some suction.
艾拉 艾拉 准备经气管穿刺吸引 Ella, ella. call a t.t.a.
杰西 给血库打电话 Jesse, call the blood bank.
告诉他们我需要六到八个单位 再通知手术室 Tell them i need 6 to 8 units and notify the o.r.
收到 Copy that.
去一层 Off to level 1.
枪伤患者 男性 All right. got a gunshot wound, male.
有一处伤口 不确定其他地方还有没有 One hole. i don't know if there's more.
乙烯基吡咯酮 马上 N.v.p. now!
注射依托咪酯 二十毫克 R.s.i. etomidate. 20 milligrams.
琥珀酰胆堿140 听我口令再推 Sux 140, please. push it on my mark.
药物准备完毕 Meds are ready.
现在推注吧 Push it now, please.
好了 你现在可以下来了 Okay. okay, now's a good time to get down.
-快点快点 -收到 - come on, come on. - copy that.
需要我去实验室 Do you want me to get the labs
去做血型检测和交叉配血吗 For transfusion type and cross match?
不用 你来接手做心脏复苏吧 No, but you can take over cpr.
但是他失血很严重 But the blood loss is critical.
看他的脉搏 医生 Look at his pulse, doctor.
他的心脏需要外力帮助 This man's heart needs assistance.
停止按压 进行插管 Stop compressions so we can intubate.
-准备好了吗 -好了 - you got it? - yeah.
谁能告诉我为什么该伤患不能输 Who can tell me why this patient cannot be transfused
相同血型或是交叉配型的血 With type and cross-match blood?
有谁知道 Anyone?
因为这需要一个小时 他等不了一个小时了 'cause it takes an hour. he doesn't have an hour.
他需要o型阴性血 现在已经有了 He needs o-neg, which is here now.
谢谢你 杰西 Thank you, jesse.
但这是六个单位已经不少了 But six units? that's a lot of blood.
等他缝合好了 他失去的血量会比这还多 By the time he gets sewn up, he'll have lost that and more.
等等 她说得对 Hang on. she's right.
没错 Yeah.
血管外科医生需要一个小时 It's gonna take a vascular surgeon an hour
才能修复好血管 他撑不了一小时的 To replace that vessel, and he doesn't have an hour.
他连十分钟都撑不住 He doesn't have 10 minutes.
地上会血流成河 And all that blood's gonna end up on the floor
这人也就死了 Underneath a dead man.
今天是周五晚上 老妈 血得省著用 It's friday night, mama. we're gonna need that blood.
没错 Yes, we will.
你不给他输血吗 You're not gonna transfuse him?
等等 你就这么让他等死吗 Wait. you're just gonna kill him?
怎么回事 What's going on?
我要在他左锁骨下插入导管 I need a vas cath in his "l" subclavian
把所有冷生理盐水都拿来 And all the cold saline that i can get.
琳恩 解释一下 Leanne? a word?
谁知道我为什么这么做 Who can tell me what i'm doing?
冷盐水 马上就到 Cold saline, coming in.
我去拿 I'll get it.
谁知道 Anyone?
我要用冷盐水替换伤者体内所有血液 I'm replacing all the patient's blood with ice-cold saline.
我为什么那么做 Why am i doing that?
你不应该这样 他现在已经代偿失调了 You shouldn't be. - he's already decompensating.
我需要协助 哈德森医生 I need assistance, dr. hudson.
请不要添乱 I'll take it black with no sugar.
那是条生命 琳恩 That's a man on that table, leanne.
你 准备好回答了吗 You -- are you ready to speak yet?
冷盐水输注的原理是通过降低体温 The theory of cold infusion is that it can create
使患者产生暂时假死的现象 A temporary suspension of animation through hypothermia,
理论上能在外科医生修复动脉之前 Buying the patient, in theory, the hour it'll take a surgeon
为患者争取时间 To repair the artery.
答对 你说的没错 Bingo. so you were right.
我们要杀死他 We are going to kill him.
杀死他是为了救活他 We're going to kill him to save him.
好了 继续 继续 All right. let it go, let it go.
冷盐水输注 只是一种试验性的手术 A cold infusion. - it's an experimental procedure.
甚至还没被机构审查委员会批准 It doesn't even have i.r.b. approval yet.
听起来不错 Sounds exciting.
你是急诊主任 马克 You're the director of the e.r., mark.
你怎么无动于衷呢 Where's your concern?
我习惯遇事镇定了 Left it in a bottle of xanax.
伤者毕竟活下来了 尼尔 The patient survived, neal.
这次算他走运 Well, this time.
琳恩遭遇的事情的确很糟糕 Look, it was a horrible thing that happened to leanne.
我们感同身受 We all felt it.
但三年来 在她手下退出的医生 But in the three years since, she's had more dropouts
其数量之多简直是我院之最了 Than any residency director we've ever had.
她变得更危险 更鲁莽轻率 She's become more dangerous and more reckless.
她都被调查四次了吧 She's been investigated -- what -- four times by the state.
四次都证明无罪 Exonerated four times.
说这些干什么 I mean, where are we going with this?
她特立独行 你很清楚 She's different. you know she is.
不 我清楚的是 虽然那场意外悲惨异常 No, what i know is that while the accident was deeply tragic,
但愤怒令她更加出色 All that rage made her better.
确实有很多医生退出 You know, more dropouts, yes,
但通过她考验的那些医生 But the ones that got through her
也在更好的医院找到了更好的工作 Went on to better jobs at better hospitals.
她能培养伟大的医生 尼尔 She makes great docs, neal.
医院董事会喜欢她 所以我也喜欢她 The board likes her, which means i love her.
你找我 You wanted to see me?
是的 你让伤者假死了 Uh, yeah. you put a patient into suspended animation.
他情况如何 有没有超生到多维空间 How's he doing? has he, uh, reached hyperspace yet?
他在手术室 颈动脉已被缝合好 He's in the o.r., getting his carotid sewn up.
他的血已经安全输回自己身体了 And all of his blood is safely back inside him.
以后别在我的住院医师面前挑衅我 Don't ever challenge me in front of my residents again.
你在给患者施行未经批准的治疗 You were performing an unapproved procedure on a patient, leanne.
尼尔 这位老太太想要起来 Uh, neal, your old lady here, she's, uh, trying to get up.
女士 女士 你还不能起来 Miss? miss, you can't do that, okay?
伤患都一脚迈进棺材了 是我把他救了回来 The patient was in the grave. and i brought him back.
这对哪个医生来说 都算赢了一次 That's a win in anyone's book.
对你不是 Not yours.
当我做住院医师时 You know, when i was a resident,
你总说患者不是医生的记分卡 You always said they're not scorecards.
他们是活生生的人 They're actual people.
说话小心点 我想我比你更清楚 Careful. i think i know a little bit better than you
那孩子是个活生生的人 That kid is an actual person,
他也有家人在祈祷著 That he has an actual family who's praying
如果儿子以esi-1级状态入院 That if their son gets brought in here esi-1,
会有医生在不违反人道的情况下 He'll be treated by a doctor who will do everything
竭尽全力救治孩子的性命 Humanly possible to save his kid's life,
而不是谨小慎微 关心规则 Not by a timid one who's more concerned about the rules
甚于关心眼前的生命 Than he is about the life on the table in front of him.
我知道 他们想要你 而不是我 I see. they want you, not me.
不 你是他们想要的医生 No. you're the doctor they want.
我是他们需要的医生 I'm the doctor they need.
有意思 但我刚收到信息 Fun stuff, but i just got a text
我们窝里斗的这一会儿功夫 That 40 people just checked in
又有四十位患者刚被送入医院 While we were having this little menage,
如果还打算穿著医生袍的话 So if nobody's taking their clothes off,
你们俩现在就都给我下楼去 I need you both back down on the floor now.
尼尔 你的患者 Neal, your patient.
你对他态度有点粗暴啊 You were a little rough on him, huh?
我们不是患者的亲友 也不是精神科医生 We're not their friend, their family, or their shrink.
我们只是医生 他没搞清楚罢了 We're their doctor. he gets confused.
他不是没搞清 He's not confused.
他是在乎 在乎你 在乎患者 He cares -- about you, about them.
你把他教成这样的 只能怪你了 And for that, - you have only yourself to blame.
从滑板上摔下来的吗 Fall off your board?
铁轨还没铺好 我觉得是骨折了 The rail was sketchy. i think it's broken.
我能感觉到里面的骨头嘎吱作响 I can feel bones - crunching around in there.
你药磕多了吧 You high right now?
怎么了 你要来点吗 Why? you want some?
别闹了 过来 Cute. come on.
你们只要在这里就要坚守职责 You're only as good as your wait time out here.
你想爱你的患者 没问题 谢谢 You want to love your patients, fine -- thank you --
但你们最好也同样爱惜那边的患者 But you better love the ones out here just as much,
因为他们更需要你 Because they may need you more.
安格斯·雷顿 Angus leighton.
马拉娅·皮内达 Malaya pineda.
等等 你是迈克·雷顿的兄弟 Wait. you're mike leighton's brother?
他提到过你 He talked about you.
你认识他吗 You know him?
他当上住院医师时我还只是个医学生 I was just a med student when he was a resident,
但迈克可是鼎鼎大名 But everyone knew mike.
他就像个明星 He's a superstar.
他夏令营时在床上拉裤子了 He crapped his bed in summer camp.
虽然才12岁 但也够丢脸的 He was 12, but it counts.
我们按敏度分为三个类别 We separate them into three categories of acuity --
Esi-1 2 3级 E.s.i.-1, 2, and 3.
Esi-1 情况危急 E.s.i.-1 is critical.
枪伤 心脏病发 Bullet wound, heart attack.
2级很棘手 但不会即刻致命 The 2 is rough, but it's not death's door --
肺炎 血栓 Pneumonia, blood clot.
Esi-3级 小打小闹 E.s.i.-3 -- meh.
流感 偏头痛 小伤口 The flu, migraine, minor laceration.
我们今天会独自诊治患者吗 Are we gonna be seeing our own patients today?
目前你们会负责小病例 For now, you'll be taking light cases
协助主治医师 And assisting the attendings
除非板上显示「黑色警报」 Unless that board says "code black,"
届时洛杉矶一半人口都在这里急救 In which case, half of l.a. is in this room,
所有规定都不作数了 And then all bets are off.
医生 75岁男性 Doctors. 75-year-old male.
晚餐时开始胡言乱语 Started speaking gibberish at dinner.
推到第四区 Bay number 4.
他需要tpa溶栓治疗 He's gonna need t.p.a.
雷顿医生 Dr. leighton.
Tpa 我想他需要tpa溶栓治疗 T.p.a. i think he needs t.p.a.
我没问你 但我想格思里医生会很高兴 I didn't ask, but i'm sure dr. guthrie will be thrilled.
跟著他 小心别杀了人 Follow him and try not to kill anyone.
洛里斯医生 我也想观察那个病例 Dr. rorish, i'd really like to observe that case, too.
你人真好 How nice for you.
还等著正式邀请吗 赶紧去吧 Waiting for a formal invitation? go -- now.
我现在要安排活了 I'm gonna need you at dispatch.
有两位病患即将入院 其中一位很危急 I got two coming in, one critical.
哈德森医生马上会下楼来跟大家汇合 Dr. hudson's on his way down now to meet you.
你 还有你 跟著我 You and you -- follow me.
杰西 找点事情给皮内达医生做 Jesse, find something for dr. pineda.
她为什么忽视我 Why is she ignoring me?
因为只有你搞得好像还在医学院一样 Because you're the only one who went to school here.
今天是他们第一天跟她 It's their first day around her.
你得放轻松 You need to relax.
我不是来这里放松的 I'm not here to relax.
-我知道 -我想要 - i know. - i want --
你又要说「我是医生」这种豪言壮语了吗 This is your big "i'm a doctor now" moment?
算是吧 Kinda, yeah.
很好 因为我需要一个英雄 Good, good, 'cause i need a hero.
其实我一直坚持等待一位英雄 In fact, i'm holding out for a hero
直到今晚结束 Till the end of the night.
*她得要神速又强壮* * and she gotta be fast and she gotta be strong *
*她得要刚从战场归来* * and she gotta be fresh from the fight *
别害羞 Don't get shy now.
*我需要一位英雄* * i need a hero *
来吧 Come on.
来吧 我们找位病患让你烦恼 Come on. let's go find you an attending to annoy.
那位病患 Someone who...
*需要一位英雄* * needs a hero! *
找寻一位英雄 Looking for a hero.
琳恩 Leanne?
哈德森医生 这是沙维提与劳伦森医生 Dr. hudson. say hello to doctors savetti and lorenson.
尼尔·哈德森 恭喜来到天使纪念医院 Neal hudson. congratulations on matching to angels.
你们正在跟最好的老师学习 You're learning from the best.
我之前讲的话不是真心的 I didn't mean what i said before.
我对你的看法不是那样 I don't think those things about you.
你就是那样想的 Yes, you do.
我们只是有不同的人生哲学 Well, we just have different philosophies.
我们以前没那么不同 琳恩 We didn't always, leanne.
病患状况怎样 What you got?
36岁男性 汽车安全气囊故障 36-year-old male. airbag malfunction.
无反应 头部创伤 多处撕裂伤 Nonresponsive, head injury, multiple lacs.
脉搏65 血压120/90 Pulse 65, b.p. 120 over 90.
艾瑞尔 脸部 头部及上半身多处撕裂伤 Ariel -- multiple lacs to the face, head, and upper body,
几乎所有伤口都有玻璃碎片嵌入 With glass embedded just about everywhere.
她非常激动 She is highly agitated.
爸爸 爸爸 Daddy! daddy!
不不不 亲爱的 别激动 No, no, no, no, no! darling, please!
放开我 Let go of me!
-别这样 -他会死吗 - no. - is he gonna die?
绝对不会 No way.
你想要我直说还是医生的客套话 Do you want it straight or do you want doctor talk?
我想要你直说 I want it straight.
-你叫什么名字 -艾瑞尔 - what's your name? - ariel.
艾瑞尔 我是洛里斯医生 事实是 Ariel, i'm dr. rorish, and the truth is
我们不知道为什么你爸会无意识 We don't know why your father's unconscious,
而且这里一片漆黑我也无法查明原因 And i can't learn anything out here in the dark.
所以 如果你允许 我想带他进去 So, with your permission, i want to take him inside,
我跟你保证 只要我一有什么消息 And i promise you i will tell you everything i know
我会告诉你所有情况 As soon as i know it.
-好吗 -好 - okay? - okay.
好 Okay.
你 You.
不要再对病患说谎 Don't ever lie to a patient again.
她可能年纪还小 但她有权知道真相 She may be young, - but she's entitled to the truth.
一 二 三 小心 One, two, three. and careful.
好 很好 现在慢慢放下 All right. and great. back down easy now.
好了 There we go.
脉搏微弱 血压60/30 Pulse is thready. b.p. 60 over 30.
好 我需要中心静脉导管来注入升压药 All right, i need central lines prepped for pressors, please.
去甲肾上腺素 Norepinephrine?
对 拜托了 Yes, please.
请联络x光室 Somebody call x-ray, please.
正在联络 I'm on it.
谢谢 Thank you.
你评估状况如何 医生 What's your evaluation, doctor?
病患无意识 低血压 四肢温暖 Uh, patient unconscious, low b.p., warm extremities.
应该是脊髓休克 He's in spinal shock.
不用作额外检查了吗 No additional examination?
症状已经很典型了 It's pretty textbook.
-很典型是吗 -对 - pretty textbook, huh? - yeah.
好 你呢 医生 典型吗 Okay, what about you, doctor? textbook?
-针头给你 -谢谢 拿到了 - here you go, needle. - thank you. got it.
-导线 -导线 - wire. - wire.
他是1-1-1吗 Is he 1-1-1?
-对 -那就说出来 - yes. - then say so.
在这里 恐慌是足以致命的 Trepidation is a deadly quality in this place.
让我出去 Let me out.
教你们一课 Life lesson.
如果你被问到是否想再对病患多做些检查时 When asked if you want to examine your patient some more,
就像在问你是否想要颗薄荷糖一样 It's like being asked if you want a breath mint.
唯一的回答就是「好」 The only answer is "yes."
好 进去了 Okay, we're in.
1-1-1到底是什么 What the hell is a 1-1-1?
我想她是指格拉斯哥昏迷评分量表 I assumed she was referring to the g.c.s. scale.
6-5-4表示为正常脑部功能 6-5-4 is normal brain function.
1-1-1则是最低脑部功能 1-1-1 is the lowest.
他脑死亡了 He's brain-dead.
可怜的孩子 That poor kid.
艾瑞尔 我认为你该联络你阿姨了 You know, ariel, i think it's time you called your aunt.
她到明天才能坐飞机来 She can't get a flight until tomorrow.
在知道我爸没事前我不能跟她讲 I can't talk to her until i know my dad's okay.
我妈垂死时 她没办法好好接受 She didn't handle my mom dying very well.
那你怎么接受的 How did you handle it?
我当时才8岁 所以 I was only 8, so...
那位女医生会很快过来吗 Is that lady doctor coming in soon?
就是那位照顾我爸的医生 The one taking care of my dad.
我去看看 I'll check.
同时 这是我的手机 Meantime, here's my cellphone.
你打给你阿姨 You call your aunt.
她听到你的声音会好受点 She'll feel better hearing your voice.
-他很疑惑我听不懂他的话 -嗯 - he was confused - that i didn't understand him. - yes.
这叫做表达性失语 Called expressive aphasia.
就是词语杂乱 It's word salad.
他自己听起来是对的 Sounds right to him,
但说出来的话都不成句子 But the words come out all tossed around.
呼叫卒中小组 Activate the stroke team, please.
年轻人 我听你刚才提到了tpa Young squire. - i heard you mention t.p.a.
你觉得是那个 Is that what you're thinking?
北四层 ...sides, north 4.
血压55 55 p.m.
对 Yes.
症状显示可能是大脑中动脉栓塞 The symptom profile suggests m.c.a. distribution.
我也这么觉得 I think so, too.
但愿吧 Fingers crossed.
好了 克利里先生和夫人 Okay, mr. and mrs. cleery,
Tpa是一种很神奇的药 T.p.a. is a kind of miracle drug
它可以打碎血栓 治好中风 That has the potential to bust the clot up and reverse the stroke,
但只在没有出现脑出血的情况下 But only if there's no actual bleeding yet in the brain.
我们需要做个扫描才能确定 We're gonna need a scan to know for sure.
做扫描用不著十二个人 Doesn't take 12 people to run a scan.
来吧 伙计们 现在可是周五晚上 Come on, folks. it's friday night.
分散开来 去攻克别的难关 Let's divide and conquer.
年轻人 你能到护士站转转 Young squire, would you check in at the nursing station,
看看哪里还需要你吗 See where you can be useful?
他们给他拍好x光后 When they're done x-raying him,
带他到一边去 然后给他上个石膏 Take him down to sides and put a cast on him.
懂了吗 Are you good?
打石膏 这么简单 A cast? that's it?
-这个人 -交给我吧 - this one. - you got it.
等等 在哪拍x光 Wait. where is x-ray?
别告诉别人 好吗 Let's just keep that between us, okay?
他脑死亡了 He's brain-dead.
上帝啊 Oh, god.
她要一个人等到明天了 And she's all alone till tomorrow.
有打电话叫儿童与家庭服务中心来接她吗 Has someone called child and family services to come get her?
有 但你知道流程 可能要好几个小时 Yeah, but you know how that goes. it could be hours.
还有更糟的 It gets worse.
他是器官捐赠者 He's an organ donor.
移植小组在来的路上了 Transplant team's on the way.
我们等不了签知情同意书了 我得告诉她 Then we can't wait for c.f.s. i have to tell her.
尼尔 Neal.
这该我来做 I should do it.
为什么 她是我的病人 Why? she's my patient.
我向她保证过 I gave her my word.
我觉得不太妥当 到时场面会不太好 I don't think it's a good idea. it won't be pretty.
你是在保护我还是保护她 Are you protecting me or her?
他是我的病人 He was under my care.
我们一起吧 Let's do it together.
他醒了吗 Is he awake?
艾瑞尔 你父亲送来时受了很重的伤 Ariel, your father came in with some terrible injuries,
很多情况我们刚开始时并没有发现 Most of which we couldn't see at first.
你在... What are you...
你在说什么 What are you saying?
没什么委... There is no g--
委婉的说法 ...good way to say this.
我很遗憾 I'm sorry.
遗憾什么 For what?
我们没能救得了他 We couldn't save him.
我不明白 I-i don't understand.
你父亲死了 艾瑞尔 Your father died, ariel.
技术上说 Well, technically --
技术上说 是脑死亡 Technically, it's a-a brain death.
-所以他没死 -不 不 那是 - so he's not dead? - no, no. that's --
我的意思是 What i mean is,
在机器的帮助下 他的身体能... Machines are keeping his body in a state of --
你在说什么 What are you saying?
我在向你解释 I'm trying to explain to you.
你没有 不是说好了要直说的吗 No, you're not! what happened to just giving it to me straight?
我的说法就是直截了当的 I'm giving it to you straight.
所以他死了 但技术上说没死 对吗 So he's dead, but technically, not really, right?
不 我要见他 我要见他 No, i want to go see him. i want to see him.
我必须要见他 I have to see him!
请坐下 坐下 Please, sit down. please sit.
-听著 -不 - listen. - no.
艾瑞尔 你爸爸是器官捐赠者 Ariel, your father - chose to be an organ donor.
所以我们用机器保持他器官的活性 That's why we have machines keeping his organs functioning.
你要明白 他再也不会醒过来了 You have to understand -- he's never going to wake up.
他走了 亲爱的 He's gone, sweetheart.
我真的很遗憾 I'm terribly sorry.
不 No.
艾瑞尔 Ariel.
不 No.
别这样 我明白 No, i know.
不 不 不 No, no, no.
你们不能拿走他的器官 You can't have his organs.
我是他的女儿 我说不行 I'm his daughter, and i'm saying no.
不幸的是 这不是你说了算的 Well, unfortunately, that's not your decision to make.
这是你父亲的决定 他很久之前就决定好了 It's your father's, and he made it a long time ago.
不 你们不关心我爸爸 No, you don't care about my father,
你们也不在乎我 And you don't care about me.
你们只想把他切开 You just want to cut him up.
艾瑞尔 Ariel.
不是这样的 That is not true.
住嘴 住嘴 Shut up! shut up.
抱歉 Sorry.
我 I'm...
我真的很遗憾 I'm so sorry.
移植小组在路上了 Transplant team's en route.
我想告诉你 你现在看起来棒极了 I want to tell you - how fabulous you look right now.
是吗 I do?
不 我想这么说 但那就是骗你了 No. i want to tell you that, but then it'd be a lie.
你看起来好像被绑在船头上一样 You look like you've been strapped to the bow of a ship.
是吗 Is that so?
不 不 别这样 No, no. don't do that.
相信我 你的笑纹够多了 You don't need any more laugh lines, believe me.
我 你最近有照镜子吗 Me? have you looked at yourself in the mirror lately?
我真的很爱你 爱到想把你掰成两半 I love you so much, i want to break you in half.
我真的很爱你 爱到想把你的脸揍扁 I love you so much, i want to punch your face in.
好了 回去工作吧 All right, back to work.
今晚可能会出现黑色警报 We might hit code black tonight.
知道了 老大 You got that, boss.
你的病情可以使用tpa Well, you qualify for t.p.a.,
我们依然认为这个药能起作用 And we're still inside the window for it to be effective.
那问题是什么 What are the complications?
只有7%的患者出现了奇迹 Only 7% experience the miracle.
然而 也有相同比例的患者 However, the same number experience
在身体的其他地方出现了大出血 Catastrophic bleeding somewhere else in the body.
在症状出现之前 我们不知道哪里会出血 We wouldn't know where until it was actually happening,
我们也可能没办法停止出血 And we might not be able to stop it.
如果我们什么也不做呢 And if we do nothing?
会一直是现在这个样子 What you see now.
还可能变得更糟 And possibly worse.
汉娜 下一个是谁 Hey, hannah? who's next?
26岁 Uh...26 year old...
孕妇 上呼吸道感染 发烧 Pregnant, u.r.i., fever.
送她去分诊区了 Parked her in triage.
听著像是流感 Sounds like the flu.
诊断评估后来找我 Evaluate, then come find me.
-我该去 -评估后来找我 - should i go -- - evaluate and find me.
下一位 Next.
你怎么懂这么多 How do you know so much?
我真没有 Believe me, i don't.
我们俩都上过医学院 都实习过 We both went to medical school, we both did an internship.
你现在是做第二实习吗 You pulling second residency?
什么意思 What do you mean?
我是说 你是否已是医学博士 I mean, were you already an m.d. and then went back
现在回来试试不同领域什么的 To try a different specialty or something?
不 当妈当老婆已让我够忙的了 No. i was too busy being a wife and a mom.
当妈当老婆 你确定自己能面对这一切吗 Wife and a mom? you sure you're ready for this?
你觉得我多大了 How old do you think i am?
我只想说 所有急诊科中 All i'm saying is, there's no tougher place to work
在天使纪念医院创伤一室工作最痛苦 In all of e.r. medicine than trauma-1 at angels memorial.
这地方异常艰难 对于... This place is hard enough for...
年轻人 The young.
未婚人士 For the unattached.
别觉得我威胁到你了行吗 Stop being threatened by me, okay?
你那么想吗 我受威胁了吗 Is that what you think, that i'm threatened?
我觉得我们该一起检查病患 I think we should - examine this patient together.
没准我们俩都能有所收获 Maybe we'll both learn something.
好啊 Why not?
最糟的就是头痛了 The worst part is the headache.
我住在锅炉房楼上 I live above the boiler room in my building,
吵得我头都要炸了 And the noise just keeps cracking my head open.
你们对此有何建议吗 Is there anything - you can give me for that?
你怀孕九个月了 You're nine months pregnant.
除了让你吃泰诺并没太好的办法 There's not a whole lot we can do other than give you tylenol.
我吃过了 没什么效果 I've tried that. doesn't work.
又犯瘾了 Using again?
-你说什么 -马里奥 - excuse me? - mario.
你手臂内侧的伤疤 The scars on the inside of your arm --
是以前注射留下的 对吗 They're old track marks, right?
跟你毛关系都没有 None of your damn business.
你觉得自己是谁啊 Who the hell do you think you are?
只是个想查清患者病情的医生 Just a doctor trying to figure out what's wrong with a patient.
你混蛋 我没必要听你废话 You're a jackass. i don't have to listen to this.
放松 放松 Take it easy. take it easy.
没关系 他要走了 It's okay. he's leaving.
我能和你谈谈吗 Can i talk to you for a second?
刚才是怎么回事 What was that about?
她吸毒 She's a seeker.
海洛因戒毒者常出现类似流感的临床症状 Heroin withdrawals often mimic flu symptoms.
你并没有证据 You don't know that for a fact.
怎么没发热 Where's the fever?
如果是流感 会严重发热的 If it was the flu, would've hit her like a freight train.
你对戒毒很有经验吗 You got a lot of experience with drug withdrawals?
抱歉 我没有 只是觉得她没吸毒 No. i'm sorry. i just don't think that woman is using.
我这方面比你懂的多点 I know a little bit more about this than you do.
很久前的事了 我并不感到羞耻 It was a long time ago. i'm not ashamed.
我自己戒干净了 现在状态很好 I pulled myself out, and i'm fine now.
你俩是没事干了吗 What, do you two just not have enough to do?
我们对患者的看法有分歧 We're having a disagreement about a patient.
是吗 哪个 Oh, yeah? which one?
上呼吸道感染的孕妇 The pregnant u.r.i.
我认为该做毒理学检查 I think we should run a tox screen,
排除戒海洛因的可能性 Rule out heroin withdrawals.
你觉得呢 Huh. and you?
不知道 感觉不太对劲 I don't know. something's not right.
我觉得不是流感也不是因为海洛因 I don't think it's the flu, i don't think it's heroin.
要是能再给我点时间 我能... If i just had a little bit more time, i could --
你没时间 或是阳性的毒理检测结果 Well, you don't have time, and a positive tox screen
并不会改变她的治疗方案 Doesn't change the management of the case.
就算她有毒瘾 Even if she has an addiction problem,
我们在急诊室也做不了什么 There is nothing we can do for her in the e.r.
推荐个社工 把她转移出院 Recommend a social worker, ship her out.
你关于发热的观点很有道理 You make a good point about the fever,
但我不觉得是因为海洛因 But i don't think it's heroin.
无所谓了 你听到她说了 Doesn't matter. you heard what she said.
不会影响治疗方案 Doesn't change the management of the case.
对 但我们得知道 该做个毒理学检查 Yeah, but we need to know. we should run a tox screen.
没有「我们」 你听洛里斯说了 There's no "we" here. you heard what rorish said.
她还说恐慌可以致命 She also said - trepidation is a deadly quality.
我已经惹到她了 这不关我的事 I'm already on her bad side. there's nothing in this for me.
但可能会挽救患者的生命 Except maybe saving a patient's life.
马拉娅 停下你手里的活儿 跟我来 Malaya, whatever you're doing, log out, follow me.
你会很喜欢的 You're gonna love this.
听起来很令人兴奋啊 Sounds exciting.
你显然不说我们国家的母语 Clearly, you don't speak the native tongue of my people --
我是在讽刺 走吧 Sarcasm. come on.
来吧 像这样把手臂举起来 Hey, come on. hold your arm up just like this.
-安格斯 -什么事 - angus. - yep?
格思里找你 他和那位中风患者在一起 Guthrie wants you, he's with the stroke patient.
马拉娅可以打石膏 Malaya can finish the cast.
等等 格思里让他负责注射tpa Wait. guthrie's gonna let him administer the t.p.a.?
而我干护士的活儿吗 And i'm gonna do a nurse's job?
护士的活儿 A nurse's job?
我不是那个意思 I didn't mean it.
你想融入团队 马拉娅 You want to be part of a team, malaya,
工作无关伟大或渺小 No job is too big, no job is too small.
-雷顿医生 请快过去吧 -好的 - dr. leighton, go now, please. - yep.
抬起手臂 Arm up. come on.
我也不会去的 I won't go, either.
你别犯傻了 That's ridiculous.
我瞎说的 我当然要去 I didn't mean it. of course i'm going.
等等 这滑板少年怎么了 Wait. what's up with skater boy?
他... He's, uh...
-打瞌睡没留神 -很好 - just sleeping it off. - great.
去吧 注射tpa的机会可不多 Go. t.p.a. has a short window.
我们多久能知道它起效了 How soon will we know if it worked?
几秒就行了 要是有效的话 Just takes a few seconds -- when it works.
快点啊 宝贝 Come on, baby.
让我们见证奇迹 Show us the magic.
克利里先生 Mr. cleery.
我希望你能试著讲话 I want you to try and speak.
爱你 Love you.
太好了 Yes.
天灵灵地灵灵 Abracadabra.
这就是我们工作的意义 年轻人 That's why we're here, young squire.
永远别忘记 Never forget that.
-放松 放松 -不 不 不 - take it easy! take it easy! - no! no! no!
十岁男孩 呼吸困难 10-year-old male, breathing labored,
可能是过敏反应 Possible allergic reaction.
他没乱吃乱喝什么 He didn't eat or drink anything out of the ordinary.
你从哪儿来 Uh, where are you from?
挪威 Norway.
主战场 Uh, center stage.
您儿子是肺萎陷 我们会帮忙救治的 Your son has a collapsed lung. we're gonna help.
你怎么知道 How could you know that?
如果挪威孩子不能呼吸 就是气胸了 If a norwegian kid can't breathe, it's a pneumothorax.
是遗传的 It's a genetic predisposition.
谁能帮我在开条静脉 Can someone run another i.v. for me, please?
我没有护士可用了 I'm all out of nurses.
-我来 -好样儿的 - i got it! - my girl.
注意点他的头 Okay, watch his head.
准备好了吗 Ready?
把他抬起来 抬起来 Back him up, back him up.
您儿子叫什么 What's your son's name?
巴斯蒂 塞巴斯蒂安的简称 Basti -- short for "sebastian."
好的 巴斯蒂 Okay, basti.
看著我 I need you to look at me.
来个氧气面罩 Need a mask.
借过 借过 Step it out. step it out.
你不会有事的 You're gonna be all right.
只需要从胸腔抽点空气出来 We just need to let a little air out of your chest.
你很快就会好起来的 You're gonna feel better right away.
没事的 It's okay.
琳恩 移植小组 Leanne, transplant team
刚把艾瑞尔的父亲运到楼上 Just took ariel's father upstairs.
明白 Understood.
我们在巴斯蒂的胸腔里插管以降压 Uh, we're gonna put a tube into basti's chest to relieve the pressure.
这只是常规步骤 在这就能做 This is very routine. we can do it right here.
她想和你谈 She asked to talk to you.
我 为什么 Me? why?
她和你有共鸣 She connected with you.
才没有 No, she didn't.
护士 Uh, nurse.
安格斯 你来做胸腔插管 Angus, you're gonna do the chest tube.
-我 -对 - me? - yes.
医生 他有点心动过速了 He's got a little tachy,doc.
你干嘛呢 What are you doing?
找我的文凭好确认那上面有我名字 I'm looking for my diploma to make sure it has my name on it.
我给你准备插管盘 我们得开个切口 I'm prepping the tray for you, and we're going to make an incision.
琳恩 我能应付这里 去和她谈谈 Leanne, i can take this case. go and talk to her for a minute.
听著 你要是想让我做社工 Look, if you want me to be a social worker,
挑个该死在候诊室里的患者 You pick the patient who should die in the waiting room.
琳恩 她也是患者 去和她谈谈 She's a patient, too, leanne. go and talk to her for a minute.
四下看看吧 就快启动黑色警报了 Look around you, doctor! we're about to be in code black.
我有湿疹 痒起来要人命 I have eczema, itches like crazy.
不过你们不在乎 对吧 You don't care, right?
这里的人也不在乎你们的问题 These people here, they don't care about your problems either.
好 塞巴斯蒂安 All right, uh, sebastian,
放慢呼吸 好吗 I want you to slow - your breathing down, okay?
能做到吗 Can you do that?
我们会帮你的 We're going to help you.
那孩子在这儿干嘛呢 What's that kid doing in here?
他还好吗 这是谁的患者 Is he okay? whose patient is this?
-我的 -精力集中 - mine. - hey. focus.
这孩子头部有伤 This kid has a head injury!
来架轮床 I need a gurney.
我这儿没有轮床了 I'm out of gurneys.
谁能给我个轮椅 拜托 Guys, guys, can i get a wheelchair? come on.
来个轮椅什么的 A wheelchair or something.
我得从这儿调个人出去 I got to pull somebody out of here.
需要静脉插管 I.v. tubing.
我们正式启动黑色警报了 We are officially in code black.
上帝帮帮我们 God help us.
没错 我们正需要神经外科医生 Yeah, exactly. that's what we need -- a neurosurgeon.
我们当然要做ct扫描 娜塔莉 Yeah, of course we're gonna get a c.t. scan, natalie,
Ct室一空下来就做 As soon as the room frees.
我知道情况 No, i know it is,
但我这眼下就需要神经外科医生 But i need a neurosurgeon down here right now.
我觉得这是内出血 娜塔莉 I think it's an internal bleed, natalie!
我们这里乱死了 等下 We're slammed up here! hold on a second!
我在查 得个几分钟 I'm checking. it's going to take a few minutes.
等等 娜塔莉 Wait! wait, natalie!
Ct扫描准备好了 C.t. scan is ready.
太好了 转移 All right, great. let's move him.
杰西 胸腔插管而已 对吧 Jesse. simple chest tube, right?
嗯嗯 马上就切口 Yeah, yeah. about to start the incision.
等下 你要走 你要走了吗 Wait. wait. you're gonna move -- you're leaving?
这位患者需要医师 黑色警报已启动 This patient needs an m.d., and we're in code black.
我觉得你能胜任 I think you can handle it.
我们走 我们走 我们走 杰西 Let's go, let's go. let's go, jesse.
走吧走吧 有老妈我在呢 Go, go. mama's in the kitchen.
精力集中 Hey. focus.
你能行 You can do this.
让开 快 Out of my way! come on!
再见 谢谢 See you. thanks.
血压 Blood pressure.
很好 快点 Great. hurry up.
情况稳定了 等他准备好了通知我 Stabilized, let me know when he's ready.
好了 管子已插入 Got it. tube is in.
生命体征在减弱 没道理啊 Vitals are dropping. doesn't make sense.
小弟弟 坚持住 Hang in there, pal, okay?
为什么不管用 Why isn't it working?
怎么回事 拜托告诉我 What is happening, please?
也许管子坏了 Might be a bad chest tube.
再来一根胸腔插管 I'm gonna need another chest tube.
不是管子的问题 这根卡住了 I-it's--it's not the tube. this one's just stuck.
拜托做点什么 他没有呼吸了 Please do something! he's not breathing!
安格斯 Angus!
卡到他背部筋膜上了 It's stuck in the fascia of his back.
帮他疏通气管 抓住管子 Get him out of the way! grab the tube!
得把管子拉出来 You need to pull!
我们需要一位医生 We need to get the doctor in here!
我是医生 I'm a doctor.
你也是 听著 And you are, too. listen.
-听我说好吗 -好 - listen to my voice, okay? - okay.
-感觉到了吗 -嗯 - do you feel it? - yes.
-它插到脂肪组织里了 -是 - just stuck in the fatty tissue. - okay.
所以我们只要轻轻拔出来就好 So we just pull gently.
好 好 Okay. okay.
干得好 皮内达医生 Good job, dr. pineda.
您儿子没事了 Your little boy's gonna be okay.
干得好 Good job.
我需要三块尼龙布 I need a 3 of nylon.
把这拿起来 Pick this up.
给伤口敷点药 Someone put up some dressings.
谢谢 谢谢 Thank you, thank you.
很好 All right.
洛里斯在找你 Rorish is looking for you.
她取消了那位孕妇的毒理学检查 She canceled the tox screen on your pregger.
总之患者已经走了 Patient left anyway.
抱歉 Sorry.
呈现椭圆形超浓相 Which is showing a hyper-dense increased attenuation
不断衰减 In an elliptical pattern,
符合硬脑膜外血肿症状 Which is consistent with an epidural hematoma.
不 不许又让我等 No, do not put me on hold again!
洛里斯医生 我知道你生气 Dr. rorish, i know you're angry --
你故意无视主管医师的 You deliberately ignored direct instructions
直接指令 From your supervising physician.
你说过恐慌可以致命的 You said trepidation is a deadly quality.
我觉得我是在为我的患者好 I thought i was acting in the best interest of my patient.
你没有患者 You don't have patients.
你是第一年 第一天上班的住院实习医师 You're a first-year -- a first-day resident,
意味著你看的每一位患者都是我的患者 Which means every patient you see is my patient.
如果我无法信任你 就不能让你留在这 If i can't trust you here, i can't have you here.
再见 克丽斯塔 Goodbye, christa.
慢著 什么 Wait. what?
回家吧 结束了 Go home. it's over.
对对对 我在听 Yes, yes, yes, i'm here.
不 得钻个洞 No, well, someone's gonna have to drill a hole, then,
因为血液得有地方可去 Because the blood has to go somewhere!
她把我开除了 She fired me.
你告诉过她我知道吗 Did you tell her i knew?
没 马里奥 但感谢关心 No, mario, but thanks for the concern.
我很抱歉 但你忙著挑幼儿园的时候 Look, i'm sorry, but while you were busy picking up preschools,
我正开卡车赚医学院的学费呢 I paid for medical school driving a truck,
被柴油机的烟呛到咳嗽 Choking on diesel fumes.
慢著 慢著 Wait, wait, wait.
柴油机的烟 Diesel fumes!
-天啊 -什么 - oh, my god! - what?
如果是一氧化碳呢 What if it's carbon monoxide?
一氧化碳中毒的症状和感冒类似 Carbon monoxide poisoning can mimic flu symptoms.
她说她住在锅炉房上面 She said she lived above a boiler room, right?
天啊 马里奥 我真想亲你 Oh, my god, mario, i could kiss you.
我开玩笑的 But not really.
拜托 拜托 快接 快接 Come on, come on, come on, come on, come on, come on.
大家行动起来 Let's move, people.
静脉注射管和导尿管已插好 Iv and foley are in.
卡车从他腿上碾过 至少四处骨折 Truck ran right over his leg, broke in at least four places.
股骨中部因挤压而严重变形 Big mid-femur deformity from the crush.
你叫什么 先生 What's your name, sir?
韦恩 我感觉不到我的腿了 医生 Wayne. i just can't feel my leg, doc.
骨头压迫著神经 我们会帮你的 Bone's pinching a nerve. we're gonna help you.
静脉注射 输液 马上注射20毫克吗啡 Iv, fluids, 20 milligrams morphine stat.
马上好 Flying it.
那是干什么的 What's that for?
翻新缝合室 Renovating the suture room.
你要做颅骨钻孔 You're drilling a burr hole?
足部冰冷 下肢没有脉搏 Foot cold. there's no pulse down here.
我们得把这条腿掰直 We got to get this leg straight.
他需要那个轮床 He's gonna need that gurney.
-明白 -推过来 - got it. - bring it in.
你不能在急诊室给那孩子的颅骨钻孔 琳恩 You can't put a hole in that kid's skull in the er, leanne.
你需要神经外科医生 You need a neurosurgeon.
是硬膜外出血 他失去知觉了 It's an epidural bleed. he's out cold.
我得钻孔 I got to drain it.
在他旁边站好 一 二 三 Line him up. one, two, three.
有时你得当个牛仔 尼尔 Sometimes you just got to be a cowboy, neal.
如果你想拽直那条腿 得找人帮忙 Hey, you're gonna need some help if you're gonna yank that.
马里奥 过来 Mario, get over here.
韦恩 这能帮你缓解疼痛 Okay, wayne, this is gonna help with the pain.
给导管室打电话 Phone the cath lab.
告诉他们我们马上就到 Tell them we're on our way.
洛里斯医生 Dr. rorish,
你可能不会对此感到惊讶 You might not be surprised by this,
但有个实习医生 But one of your residents is calling you
正在101高速路的急救车上给你打电话 From the back of an ambulance on the 101 freeway.
什么 谁 What?! who?
-美女 我得走了 -克丽斯塔 - blondie. i got to go. - christa?
洛里斯医生 肯定是一氧化碳 Dr. rorish, it's definitely carbon monoxide.
他们得打破所有的窗户 They had to break all the windows.
她依然昏迷 我们正给她输氧 She's still unconscious. we're giving her oxygen.
我坐在这 I'm sitting here --
克丽斯塔 深呼吸 告诉我生命体征 Christa, deep breath. give me vitals.
脉搏微弱120 收缩压60 舒张压无 Pulse faint at 120, bp 60 over palp.
她的患者快不行了 Her patient's crashing.
她怀孕了 你得让她回到这 She's pregnant. you need to get her back here.
她需要高压氧舱 She needs a hyperbaric chamber.
克丽斯塔 预计到达时间 Christa, what's your eta?
短时间内到不了 Not soon.
你不会喜欢的 尼尔 但是... You're not gonna like this, neal, but...
她得在车上完成一台剖腹产手术了 She has to perform a c-section on the rig.
有时你得当个牛仔 对吧 Sometimes you got to be a cowboy, right?
我们来吧 Let's do this.
慢著 克丽斯塔要做剖腹产手术 Wait, christa's gonna do a c-section?
马里奥 集中注意力 Mario, focus.
你去架住他的胳膊 帮我增加力度 I need you up by his shoulders to give me leverage.
我要尽力保住他的腿 I'm gonna try and save his leg.
克丽斯塔 听好 Christa, listen.
告诉救护车上的医生 I need you to tell the medic
准备紧急手术包 To prepare an emergency surgical kit.
慢著 慢著 我做不到 Wait, wait, wait, wait. i can't do this.
你能做到 Yes, you can.
你刚刚从产科轮班下来 You've done an o.b. rotation.
这种情况你见得多了 You've witnessed plenty of these.
请深吸一口气 先生 Take a deep breath for me, sir.
克丽斯塔 确保患者一直处于昏迷状态 Christa, make sure the patient stays unconscious.
这没问题 Uh, no danger there.
好 Okay.
让骨科准备好 Get ortho ready to go.
我们的朋友韦恩之后得马上进手术室 Our friend wayne here is gonna need an or right after.
在什么之后 After what?
苏茜 帮我按住他的骨盆 Susie, i need you on his pelvis.
确保他不会滑动 Make sure he doesn't slide.
杰西 过来一下 Jesse. need you over here for a sec.
血压下降 Bp dropping!
我得让杰西回来 见鬼 I need jesse back, damn it.
你听见了吗 Okay. you got that?
大家准备好了吗 Everybody ready?
准备好什么 Ready for what?
按住他 Hold him.
一 二 三 One, two, three.
脉搏下降 Pulse is dropping.
那我们就得快点行动 Okay, then we got to move fast.
这样还有机会救下母子二人 To still have a chance to save both of them.
克丽斯塔 你先开一个腹部切口 Christa, i need you to start with an abdominal incision
从肚脐开始 Beginning at the umbilicus
一直到耻骨联合 And straight down to the pubic symphysis.
3号过道需要清理 I need a clean up in aisle 3.
你得切开五层腹壁 You need to cut through all five layers of the abdominal wall,
包括腹膜 Including the peritoneum.
我能行的 I've got this.
那是什么声音 What is that noise?
别管这个了 生命体征 Ignore it. vitals?
血压下降 脉搏30 Pressure dropping. pulse 30.
没问题 集中注意力 It's okay. stay focused.
开始切口 Start your incision now.
克丽斯塔 在腹壁正下方 Christa, right under the abdominal wall,
你能看见发亮的东西 You're gonna see something shiny.
那不是子宫 That's not the uterus.
是膀胱 It's the bladder.
当心 别划破它 Careful not to nick it.
你要把它返折过去 You're gonna want to reflect it distally,
让它别挡住你 Get it out of your way.
生命体征在下降 Okay, vitals are dropping.
我快好了 Yeah, i'm almost there.
-琳恩 -快好了 - leanne? - almost there.
脉搏下降 Okay. pulse is dropping.
琳恩 他出现脑疝了 Leanne, he's herniating!
我知道 快好了 I know. almost.
子宫露出来了 Uterus is exposed.
-等一下 -「等一下」 - hang on. - "hang on"?!
快到了 Almost got it.
开始引流了吗 Is he draining yet?
好了好了 马上就好 Come on. come on. almost there.
好了 放引流管 I got it! okay, get it in.
心率逐渐稳定了 Heart rate normalizing.
瞳孔 Pupils...
-有反应 -很好 克丽斯塔 - reactive. - all right, christa,
现在在子宫上做一个垂直切口 Time to make the vertical incision in the uterus.
小心外侧的血管 Watch the lateral vessels.
上帝啊 Oh, god.
好了 Okay.
接下来动作一定要快 Now, this is gonna happen very quickly.
我需要你努力快速地将手伸进去 I want you to reach your hand inside as fast as you can,
小心感觉到胎儿的存在 Carefully feel for the baby.
什么时候伸 When?
-你切好了吗 -好了 - have you made the cut yet? - yes.
-动手 -动手 - now! - now!
好 我好像感觉到了 All right, i think i can feel it.
好 Okay.
我摸到了 I got it.
我抱出来了 I got her!
小丫头漂亮极了 She's so beautiful!
我抱出来了 Oh, i got her.
我的天哪 Oh, my gosh.
好了孩子们 手术室空出一间 Okay, kids, we got one open in o.r.
我这边稳定了 你去吧 Mine's stable. you should go.
好 转移吧 All right, let's move him.
轮床 Gurney.
送他上楼 Get him up.
伙计们 走吧 快快快 Okay, guys, let's go! go, go!
借过 借过 让一下 Move it, move it. move aside.
你以为洛里斯医生无视你是因为她不信任你 You think dr. rorish ignores you because she doesn't trust you?
其实恰恰相反 她知道你很优秀 It's just the opposite. she knows you're good.
她是在考验我们这几个人 She's testing the rest of us.
我觉得我肯定通不过了 And i don't think i'm gonna pass that test.
你在说什么啊 What are you talking about?
你其实掌握得很不错了 哥们 You know your stuff, dude.
你只是需要一点...自信 You just... need confidence.
你之前问我怎么进来的 You asked how i got in.
我爸在医院董事会里 Our dad is on the hospital board.
我哥从来没告诉过别人 My brother never told anyone.
他觉得如果大家知道了 就不会认真对待他 He thought people wouldn't take him seriously.
其实根本就没什么关系 Wouldn't matter anyway.
他天生就是吃这行饭的 He was born for this.
我却跟他不一样 I am not like him, though.
那你干吗来这里 Then what are you doing here?
我讨厌精神科 I hated psych.
讨厌死了 Hated it.
我想做点更刺激的事情 I wanted something more exciting.
我想象迈克一样 I wanted what mike had.
我爸说他能把我弄进这里 我立马同意了 So when my dad said he could get me in here, i jumped at it.
大错特错啊 Big mistake.
你知道这个地方是于1932年开始经营的吗 Did you know that they opened this place up in 1932?
当年电灯还没那么明亮 Light bulbs weren't bright enough back then,
所以他们开了这么大的窗户 So they put in all these big windows
这样就能清楚地看到自己在做什么 So they could see what they were doing.
想象一下吧 Imagine that.
你俩今晚过得都不容易 Hell of a night for you two.
从拯救某人生命开始 以差点害死某人结束 Started off saving a life, ended up almost killing someone.
其实是差点害死两个人 Two people, actually.
我还忽视了一例硬脑膜外血肿 I missed an epidural hematoma.
我也没注意到 I missed it, too.
你知道在我听起来像什么吗 Know what that sounds like to me?
这个地方很正常的一夜 A typical night in this joint.
你做的不错 You did good.
你也一样 So did you.
妈妈已经被送入高压氧舱了 We've got her mom in the hyperbaric chamber,
正在吸氧 她应该没什么事 Oxygenated her. she's gonna make it.
感谢上帝 Thank god.
能问你个私人问题吗 Can i ask you something personal?
你为什么来这里 Why are you here?
什么 Pardon?
上医学院 做实习医 Med school, internship,
现在又要干全国最苦逼的住院医 And now the most punishing residency in the country.
大部分人都是二十几岁做这些事 Most people do that in their 20s.
是什么让你决定... What made you decide --
我儿子死了 My son died.
脑胶质瘤四期 Stage 4 glio.
当你孩子生了病 你会学习到很多医疗知识 You learn a lot when your kid gets sick.
所以我想著不如正式学起来好了 So i thought maybe - i should make it official.
我进了医学院 I got into med school...
来到了这里 ...and here i am.
在我看来 In my experience,
悲剧之事要么会让你变得温和要么会变得强硬 Tragedy either softens you or hardens you.
对于我来说 是前者 For me, it was the former.
对于你 我想应该是后者吧 For you, i suspect... it was the latter.
你长时间地驻守在群体治疗中 You spend enough time in group therapy sessions,
你开始有所意识 You start to recognize it.
你失去了谁 Who'd you lose?
所有人 Everyone.
你最好回家睡一觉 You better go home and get some sleep.
今晚你还要值班 You've got a shift tonight.
真的吗 I do?
嗨 艾瑞尔 Hi, ariel.
嗨 Hi.
这位肯定是琳达阿姨吧 And you must be aunt linda.
很高兴能见到你 So nice to meet you in person.
感谢你能来 Thank you for this.
准备好了吗 You ready?
我就在这里等你哦 I'll wait for you right here.
谢谢 Thank you.
我叫瓦妮莎 I'm vanessa.
我是艾瑞尔 I'm ariel.
我喜欢你的房间 I like your room.
谢谢 Thanks.
你愿意的话可以再靠近一点 You can come closer if you want.
没关系的 It's okay.
你听到了吗 Can you hear it?
嗯 Yeah.
我听到了 I can hear it.
我听到你了 爸爸 I hear you, daddy.
我听到你了 I hear you.
开什么玩笑 You got to be kidding me.
所有重症监护室多出来的呼吸机 Every ventilator i.c.u. can spare.
一栋公寓著火 目前有22人受伤 Got an apartment fire. we got 22 in so far.
有烧伤 浓烟吸入 骨折 Burns, smoke inhalation, broken bones,
-还有一例心脏病发 -明白 - and a heart attack. - got it.
我们得需要一大桶吗啡了 Yeah, we're gonna need a barrel of morphine.