04x16 - Smoke Eater

[bunniefuu]

Hey, John, who's taking Captain
Stanley's place while he's on vacation?

Don't know. Haven't met him.

Captains like me. You know why?

'Cause I know
how to handle them.

It's a knack.

Yeah, some of us have it
and some of us don't.

I agree,
Chet. There is something about you.

But I just can't
put my finger on it.

Well, you hang in there, pal.

Hi.

Hi. Bob Robertson,
Station 10, Encinal Canyon.

Roy DeSoto, nice to meet you.

Hi, John Gage.

I'm pulling some overtime
shifts while Stanley's off.

Encinal Canyon,
that's a two-man station, isn't it?

Yeah, yeah. Be good to see
how things are going in the big city.

Well, we're certainly
glad to have you, Cap.

Chester B. Kelly
at your service.

Captain Stanley usually counts
on me when things get tough.

Oh yeah, I've heard
about you, Kelly.

We'll have a lineup
as soon as you're changed.

JOHNNY: Okay,
we'll be right out, Cap.

Bob Robertson.

Remember that fire they had
about seven, eight years ago?

What, the Lambert fire?
Is he the one?

If I remember right.
JOHNNY: Is that right?

Oh, well, him being such a big hero, maybe
I shouldn't have bragged quite so much.

Oh, but then he probably
knew I was kidding.

Chet, I just put
my finger on it.

Yeah?

You're boring.

[CHUCKLING]

[ALARM SOUNDING]

DISPATCHER: Station 51.
Engine 47. Engine 15. Truck 106.

Structure fire,


1115 North Van Nuys.

Cross street, Hazeltine.
Time out, 0802.

BOB: Station 51, KMG 365.

[SIRENS WAILING]

[HORN BLARING]

[COUGHING]

Must've fallen
asleep in the chair.

Woke up, and the whole
thing was on fire.

I'd been juicing it up
a little last night

and wasn't in full
control of my faculties.

JOHNNY: Well, don't worry
about a thing. We'll take care of it.

Captain... Give us a hand.

Here, Cap...

[BOB COUGHING]

You all right?

Yeah. Just a little smoke.

What's the matter with you guys?
Where the hell were you?

What do you mean where were we?

The whole place could've been involved
by the time you got those tanks on.

Cap, this is standard
procedure. We have...

I know procedure.

I don't believe...

Let's go help Marco.

Looks like that old chair's
bought it, all right.

You know, this day just isn't starting
off very well, you know what I mean?

Yeah, I know exactly
what you mean.

[SIRENS WAILING]

DISPATCHER ON RADIO:


toxic chemicals are stored
in a tanker.

Use caution.

KELLY ON RADIO: Squad 51,
this is Rampart. Can you send me some EKG?

JOHNNY ON RADIO:


We're sending you a strip.
Vitals to follow.

Pulse is 160. The victim
is in extreme pain, Rampart.

[INTERCOM BEEPING]

This patient is in V-fib.

Rampart, we have lost the
victim's pulse. Beginning CPR.

[RAPID BEEPING]

We're defibrillating victim,
Rampart.

Rampart, we've defibrillated
victim. Decent sinus rhythm.

JOE ON RADIO: Administer 2 amps
sodium bicarb and insert an airway.

KELLY ON RADIO: Start an IV,


DIXIE: Squad 51, continue monitoring
Vitals and transport immediately.

JOHNNY ON RADIO:
We're on our way, Rampart.

You know, we really
didn't need all that stuff.

Yeah, I know,
but I thought it would be a good excuse

to get away from Captain
Robertson for just a while.

Would you like to
have a cup of coffee?

Yeah.

Hi, Doc, how's it going?

Great, if you like oranges.

I hate them.

What's the matter?

Well, see, I put a quarter in,

and I pressed the apple button,
and I got an orange.

Oh, I like oranges. Look,
I'll put a quarter in and get you an apple.

Oh, thanks, Roy. No problem.

Hey, but what if
the same thing happens?

Well, life's a gamble.

Well, it's not really a gamble
because I like oranges, too.

Yeah, if you've got nothing to lose,
you always win, right?

Right. That's right.

What are you doing, Doc?

I'm learning to like oranges.

Oh, Doc, that's
a defeatist's attitude.

So, what?

Look, I've got an idea.
I've got an idea.

Genius over here.

Watch this.

Now, you just have to understand,
gentlemen, the psychology of a machine.

Watch this.

I pushed orange
and I got orange.

Hi, Dix. Hi.

Excuse me.

Excuse me.

Roy, about this new captain...

Johnny, you just got to give
the guy a chance, that's all.

Yeah, I know. I know.
It's also a two-way street.

Yeah, well.

All right,
okay. If he lets it drop, fine...

You know, I can remember
when we didn't have those things.

Still got the fires out somehow.

Yeah, well, they used to have
horse-drawn fire engines, too.

Yeah, maybe I belong on one.

Well, they teach you to put on masks now,
so I can't say you're wrong.

Just seems like a waste of important
time to me for a little fresh air.

I've never used one yet.

Well, maybe they just don't build
firemen like they used to, Cap.

Yeah, maybe.

So, this is where you carry
your medical gear, huh?

ROY: Yeah.

You guys really think

you and this squad can compete
with a hospital full of doctors?

Cap, we're not trying to compete with
the doctors. We're trying to help them out.

Only you are using time the
victim could be in a hospital. Right?

Right, just like we're wasting
time when we put on our air bottles.

Cap, the department's had a lot of
success with these squads. That's a fact.

Maybe you don't
care about that, but...

Look, DeSoto,

I've spent my life caring
about this department.

I've seen plenty of good improvements,
seen a few failures.

I've seen them,
not been lectured to by a couple of...

Cap, have you seen
my human fly shoes?

Captain Stanley thinks they'll
revolutionize the fire service.

Kelly. Huh?

Get out of here.

I'll see for myself,
and I'll decide for myself.

Got it?

[ALARM SOUNDING]

DISPATCHER: Squad 51. Possible
heart att*ck. 502 Sylvan Road.

502 Sylvan Road. Cross street,
Vermont. Time out, 0947.

BOB: 51 responding, LA. KMG 365.

BOB: Come on,
we're going with them.

[SIREN WAILING]

[KNOCKING]

Hi. Hi.

I'm Betty Johnson.
This is my husband, Walt.

Hello, Walt.

What seems to be the problem?

I hope I'm not
wasting your time.

I've got this heavy pain
in my chest over here.

In your left arm here? Right.

BOB: Wait by the engines
till we see what we got here.

Kind of young
for a heart problem,

but Betty said we shouldn't
take any chances.

Yeah, well, I think
she's absolutely right.

Okay, look, can we get you to lay
down here so we can check you out?

Here, you can just put your head
right here. I'll move this for you.

Okay. There we go.

All right, can we lose these?

Sure. All right, thank you.

All right.

Now, Walt, what we're gonna do
here is we're gonna patch you up.

And then we can monitor
your heartbeat on the scope

so we can see it and
the hospital can see it.

There we go.

You know, maybe it is my heart.

Betty's been keeping me
pretty busy lately.

Silly, just take it easy
and let them look at you.

ROY: Do you have a history
of any heart trouble, sir?

No.

JOHNNY: How old are you, Walt?

Well, right now I feel 112.

I'm 45.45. Okay.

Boy, I tell you, this
thing really hurts.

He's gonna be okay, isn't he?

He's in good hands. Why don't
you come over here and try to relax?



Okay, now I'm just gonna check
down here. You're in quite a bit of pain?

WALT: Right. JOHNNY: Okay.

ROY: Okay, you're looking
pretty good over here.

But I think we better get some
confirmation from the hospital, all right?

Well, I tell you, I'd much rather
stay here if everything looks all right.

ROY: Well,
what we're gonna do is

we're gonna get a record of this EKG
transferred over the bio-com here, all right?

Rampart, this is Squad 51.

KELLY: We read you,


Now, that's real service.
How about that, Betty?

Yeah, just lie still, honey.

Complaining of a heavy chest pain
radiating down towards his left arm.

He has no history of heart disease.
We're gonna send you a strip.

Go ahead, 51.

KELLY: 51, we read sinus rhythm,
too. What are the Vitals?

Rampart, the vitals are
BP 130 over 75.

Pulse is 86. Respiration is


10-4, 51. Start an IV with D5W
TKO and administer 5 milligrams MS.



This is going to
hurt just a little bit,

but it'll take away some of that
chest pain you have, all right?

All right,
just so I don't have to look at it.

BETTY: My hero.

[GROANS]

Wasn't bad.

You guys are okay.

Okay.

[SIREN WAILING]

Rampart, |V's in, MS is in.
Sending another strip.

10-4, 51.

Ambulance is here.

All right,
have them wait outside.

Roy, he's throwing PVCs.

Hey, what's going on?

Something's wrong, isn't it?

KELLY: 51, I'm now reading PVCs.

We concur, Rampart.
You want lidocaine?

10-4, 51.

Administer 100 milligrams lidocaine
IV push, and then start a lidocaine drip.



[MONITOR BEEPING]

You okay, Walt?

Betty!

[BETTY GASPS]

KELLY.' V-fib, 51.

V-fib. Yeah.

ROY: Come on, we need
some help in here.

Come here!

Lopez, get in here.

Start IV.

Move that stuff back.

[MONITOR BEEPING RAPIDLY]

JOHNNY: One, two, three,


ROY: Okay, clear.

Four hundred.

Oh!

Let's hit him again.

Clear!

What are you doing to him?

ROY: Okay, let's get
some CPR going here.

KELLY: 51, insert esophageal
airway and administer one amp bicarb.

I got the airway.



Okay, stop CPR.

No.

All right, Chet.

Stop CPR.

[sums]

Good ventilation.

Rampart, bicarb's in,
airway's in. We've got good ventilation.

10-4. Defibrillate again.

JOHNNY: One, two, three.

Clear.

Flat line.

Rampart, asystole.

KELLY: 10-4. Give 1:10,000
epinephrine IV and continue CPR.



Oh, my God. Oh!

ROY: All right, it's in.

Oh, my God, Walt.

Rampart we're still
unable to get a rhythm.


and bring him in fast.


I'll take that, Marco.

Bring in the gurney, will you?

MARCO: Bring in the gurney!

JOHNNY: Okay, Marco, can you get over
here? Keep doing this while I lift him up.

MARCO: All right.

JOHNNY: Okay, stop
when we lift him up.

Okay, on three. One, two, three.

Stop, Marco.

Okay, lift him straight up.
Lift him further up this way.

Okay. Okay, hit him, Marco.

ROY: All right,
yeah. Why don't you take these to Johnny?

All right, I got it.
Thanks, I got it.

He... He's dead.

He's dead, isn't he?

JOHNNY: Watch your leg, Doc.
Watch your leg.

All right. All right. Hold it.

Ready, on three.
One, two, three.

All right.

Dix, epinephrine iso.

MIKE: Center.

Stop CPR.

Start. Okay.

Ventricular rhythm of 30.
Start isoproterenol again.

Dix, let's try
the transthoracic pacemaker.

The O2 is not good, 30.

[PANTS]

Hold it, Johnny.

No capture.

I'm afraid that's all we can do.

Howdy.

Hi.

Hi, guys.

Your food is in the oven.

Oh, hey, Mike, thanks anyway.
I'm not very hungry right now.

CHET: Hey, Marco,
pass the salt, will you?

I'm so tired of my own cooking,
this is really great for a change.

Thanks, Cap. The guys really
like my cooking. Right, guys?

Look, we all feel lousy about
this. But these things happen.

Yeah. I know, Chet. I know.

Nothing else to be done,

under the circumstances.

Well, what exactly
does that mean, Cap?

Just what I said.

The Fire Department shouldn't even be
in this business. You guys aren't doctors.

Nobody expects
any more out of you.

It's not your fault. Okay?

No.

No. It's not okay.
It's not okay at all.

We've been on maybe
a hundred of these, Cap.

ROY: We lose somebody
every now and then. It's not okay.

CHET: I've seen
these guys in action

for four years,
and they're the best.

Best what? Just what is it these
guys are supposed to be so terrific at?

'Cause I haven't seen it yet.

Can you tell me, flat out,

if that man had gone straight to
the hospital, he still would've d*ed?

No.

Well, let's eat.

[ALARM SOUNDING]

DISPATCHER: Station 51.
Child trapped at the storm drain.

West end of Peabody Road.

West end of Peabody Road.

Cross street, Oakdale. Police
are at scene. Time out, 1338.

BOB: Station 51, KMG 365.

[SIREN WAILING]

[HORN BLARING]

VINCE: Hey, down here.

Nine-year-old kid going
through some sort of initiation.

Got stuck in
the storm-drain gate.

I can't budge him. He's
having a lot of trouble breathing.

JOHNNY: Okay,
let's go get our gear.

[GASPING]

All right, you kids,
come on. Come out of there. Come on out.

Come on outside. We'll
get him out in a minute.

All right, boys, over here.
Go on, clear out.

Okay, just settle down.
We got you. We got you.

Boy, he's really jammed in here.

But he shouldn't be having
that much trouble breathing.

Cap, why don't we tie off a line at
the engine, wrap it around that rail,

and then tie it off
at the bottom of this gate?

Yeah, that's a
good idea, DeSoto.

JOHNNY: Calm down.
We're gonna get this off of you.

Bring the engine up and get me
a heavy line down here.

Guys, give us more slack here.

All right, Billy, what we're doing
right now is we're bringing a rope down.

We're gonna get this
gate off of you, okay?

JOHNNY: All right,
here comes the rope. ROY: More slack.

JOHNNY: Pull this.
BOB: Little more slack.

That's good. ROY: More slack.

[BOY GASPING]

Okay. All right. Got it.
JOHNNY: All right.

Don't struggle. Now,
I want you to relax, okay?

When this gate goes up,
I want you to just relax.

You need any help there,
Johnny? I got it.

ROY: Okay,
it's starting to lift.

BOB: That's it. Pick them up.

Okay.

JOHNNY: That a boy.
That a boy. All right.

Billy! Oh no, Billy. What...

JOHNNY: He's all right, ma'am.
He's going to be all right.

VINCE: Are you the boy's mother?

Yes.

Okay, there we go.

Come on over here,
will you? Sit down over here.

He just got stuck in there.
He's all right.

You're his mother, correct?

Yes.

Well, has he had
an asthma att*ck before?

Yes, he does.

Is he gonna be all right?
He's gonna be all right.

We're gonna get a hold of
the hospital. He's gonna be fine.

Rampart, this is Squad 51.

Go ahead, 51.

Rampart, we have a male
patient, nine years of age.

We've just rescued him
from a storm drain.

The patient has a confirmed
history of asthma,

and is now undergoing an acute
asthma att*ck. Stand by for vital signs.

Easy, Billy. Easy, now.

Easy, Billy.

BP is 135 over 90.

[GASPING]

BP, Rampart, is 135 over 90. The
pulse... What'd you say the pulse was?



The respiration
is 28 and shallow.

Request permission
to administer epinephrine.


epinephrine IM and then transport.



Hey, Gage, what are you doing?

Cap, this boy needs
epinephrine right now.

He has to be treated
before we move him.

This boy needs to be in a hospital,
and quick. Now, let's get him up the hill.

Please give him something.
He's never been this bad before.

Easy. Easy, honey.

It's all right,
you're gonna be fine.

Easy.

Thank you.

How you feeling, Billy?
Feel a little bit better?

All right. Now, let's
get you in that gurney.

You just grab a hold of me.
I think I can get it, Roy.

All right.

Here we go.

Is he going to the hospital? Yes,
ma'am, with your permission.

Oh, of course. All right.

It's all right, honey.
I'll come with you.

But you are going,
and that's that.

You feel a little better
now? BILLY: Yeah.

You sure? Yes.

Billy,
come here. I want you to meet the Doc.

Hey, Doc, this here is Billy.

Hi, Billy. Hi.

He seems to be okay now.

At least, there was no
problems on the way in, anyway.

Really, there's nothing wrong
with me. I don't need a hospital.

I wish you'd examine him, Doctor.
He's been trying to do too much lately.

I'm just doing
like the other kids.

Hey, why don't we just take one quick look,
just to be certain. Okay, Billy?

Now, it's up to you. You make the decision,
all right?

[sums]

Well, all right,
but make it fast, okay?

Thanks, Johnny.

All right, see you later, Billy.

Bye.

Will you excuse us a moment? Oh,
sure.

You can wait right
over here. Thank you.

Okay, Billy, can you
get up on that table?

Sure.

Can you take off your shirt?

All right.

This may be a little cold, okay?

All right.

You've got a good, strong heart.

Thanks.

Go on, take a deep breath.

One more.

One more.

Excellent.
Your lungs have cleared up.

So why can't I do the things
like the other kids?

Well, you might be
able to before long.

What, you're gonna make some
kind of a transplant or something?

No, you're just going to have
to grow a little bit more.

Is that all?
Well, that's enough.

You see, your asthma is going to go away,
I think, when you grow a little older.

But you've got to give your body that
chance by taking care of it right now.

You mean I may not be
like this all my life?

That's right.

And you know something? I know that
every day may seem like forever right now,

but you've got to learn to be
patient. You know something else?

A lot boys your age aren't
mature enough to understand that.

But I think you are.

You know something, Doc,
I think you're right.

Yup, you are right.
Come on, let's go tell Mom.

Okay, put on your shirt.

Doctor, is he all right?

Oh, he's just fine.
Right, Billy?

You bet. But I'm gonna have to
take it kind of easy for a little while.

Is that okay, Mom?

Oh, that's very
all right, Billy.

Thanks.

Hey, you come back
and see me once in a while.

'Cause I'd like
to keep in touch, okay?

Me too, Dr. Early.
Come on, Mom, let's go.

Thank you again, Doctor.
You're a miracle worker.

Gage, DeSoto.

Cap. Come in here a minute.

ROY: Sure, Cap.

[JOHNNY SIGHS]

Sit down.

Oh, that's okay.
We'll just stand.

Say, what was that stuff
you used on the kid?

Epinephrine.

Oh, yeah, epinephrine.

How does that work?

Well, in an asthma case,

it dilates the bronchial tubes,
it relaxes the walls of the...

[ALARM SOUNDING]

DISPATCHER: Station 51,
Station 33, Truck 127.

Structure fire
at the Eastman Building.

4207 Willis Avenue.


Cross street, Foley.
Time out, 1605.

BOB: Station 51. KMG 365.

I want a bandage for my head.

If you'll just fill out this
form and have a seat right...

I want a bandage now.

Well, I'm sorry.
I'll have to wait...

Now!

Hey!

What's the problem?

Well, it's like I told this broad,
I want a bandage.

That's all, just a bandage.

Come with me.

Sit down.

How'd you do that?

I got hit with a chain.

Well, you're gonna have
to have some stitches, Mr...

My friends call me Spike. But I don't
need no stitches. All I need is a bandage.

Well, I'm sorry, but the doctor is
gonna have to look at that, and...

I don't want no stitches!
All I want is a bandage!

Now, are you gonna give me the bandage,
or am I gonna tear this place apart?

What's the problem, Dix?

Mister, you picked
the wrong day to do that.

Well, it looks
like he passed out.

Yeah.

What was his complaint?

Well, he has scalp lacerations.

He needs stitches,
but he doesn't agree.

Well, why don't you get a couple of
orderlies, and we'll take a look at him?

What's his name?

Well, his friends
call him Spike.

Spike?

Hey, man, what's happening?

What's happening is
you need some stitches.

Now, you wanna get up on that
table and let me take a look at you?

Hey, Doc. Yeah?

While you're there,
you wanna look at my jaw?

Engine 51, this is 33.
Take the hydrant in the alley.

Take two lines up to the
third floor and make a search.

Bring up two
inch-and-a-half lines.

Anybody up here?

Hey.

Anybody here?

ROY-

Chemicals.

When we inspected this place there was
a lab up there in the rear, wasn't there?

Yeah, I'm afraid
that's ethyl bromide.

Hey, anybody in there?

Anybody here?
Hey, anybody in there?

Hey, anybody in there?

Yes, yes, yes.

Come on out. Fire Department.

Is it safe now?

No,
but it's safer out here. Come on.

I'm so afraid of fire.

Well, so am I. Hurry up.
Come on, hurry up.

Get out this way. Okay.
Thank you. Thank you.

You're a nice man. All right,
all right.

You're a good man. All right,
go on down. Right down here.

Okay, 0 Kay-

[COUGHING]

Come this way, sir.

I'm coming. I'm coming.
Take me out.

BOB: Hey!

[CHOKING]

He's got to be up there.

Chet, hit the stairwell.

I'll take the north end of the building
and work my way back to you, all right?

All right.

Johnny!

Johnny! Yeah?

Captain. He's unconscious.
Last room on the right.

Marco! Chet! Help Johnny,
last room on the right down there.

We got another inhalation
victim coming out.

We're gonna need some O2
off the engine, Mike.

You hang in there,
Cap. We're gonna get you some oxygen.

You got some more
oxygen coming? Yeah.

You got a drug kit
anywhere? Drug kit!

Give me a stethoscope
out of there.

Somebody is still
in there. Captain.

North end of the corridor.

All right, you just settle down.
You just settle down, you hear?

Come on, we already got her out. Here,
breathe in. There we go.

Hang onto it.

Rampart, this is Squad 51,
how do you read me?

We read you, 51, go ahead.

Rampart, we have a female,
approximately 30 years old.

She's a victim of a chemical smoke
inhalation, possibly ethyl bromide.

She's cyanotic.

I'm getting rates on both sides.

Looks like pulmonary
edema, Johnny.

Rampart, repeat. She's cyanotic.

We're getting rates in both
lungs. We're ventilating now.


TKO and rotating tourniquets.



She's gone into
respiratory arrest.

Marco, hold onto this
mask for me, will you?

Let me get in there, Marco.

You got enough tourniquets?

Yeah.

I'm setting it in this arm here.

All right,
she's breathing on her own.

Thanks, Marco. Okay.

I'm gonna go ahead
with vitals, Johnny.

All right.

Is she gonna be okay?

Yeah, Cap,
I think she's gonna be okay.

[SIREN WAILING]

Hold this up.

Rampart, this is Squad 51 again.

Go ahead, 51.

Rampart, victim went
into respiratory arrest

but now she's
breathing on her own.



ROY: How about a cup of coffee?

JOHNNY: Yeah.

I slept all night last night.
Made me tireder than usual.

Morning, Cap.

Morning.

Something wrong
with the squad, Cap?

No, no, I was just thinking how all we
used to carry in here was a resuscitator.

Big as a dinosaur. Dropped one on my foot
once, thought I was gonna have to retire.

Yeah, we've got so many pieces of equipment
in there, now it's still a struggle.

Yeah, I was wondering how
you keep track of all those things.

Well, we usually keep the most
important dr*gs in this box here.

The others we just put
in these two down here.

Yeah, like epinephrine, right?

Morning, Cap, can I make you
some eggs Benedict for breakfast?

Will you get out of here, Kelly?

I finally thought we had somebody
around here that appreciated me.

So show me how you
hook up that scope

so you get the information
back to the hospital.

Well, we have a connection that goes
from the Biophone here to the datascope.

Well, here, look.
I'll just show you.

See, this way, the hospital can
see exactly what we're seeing.

And they pick up on the
heartbeat of the patient,

which is connected
to these two...