06x17 - Bottom Line

[bunniefuu]

Okay, Henry, if you're not gonna help us,
would you kindly move?

Hey!

Where you guys been?
Goofing off some place?

Oh, yeah, right! "Goofing off"!

Where's the coffee?

It'll be ready in a
couple of minutes.

We were on a follow-up
on that last rescue.

On that last rescue? Mmm-hmm.

That was nothing.
That was a garbage run.

[EXHALES]

At least I thought so
when we took off.

Well, you know that and we know that,
but Morton doesn't.

He had us start an IV and we
blew 40 minutes on the follow-up.

Yeah. That Morton is
becoming a real pain in the...

How clean are your feet?

Oh.

Becoming a real pain.

[ALARM SOUNDING]

DISPATCHER ON RADIO: Station 51,
back injury, 2411 Ruth Street.

2411 Ruth.
Cross street, Hazeltine.

Ambulance responding.
Time out, 1220.

Station 51. KMG 365.

[SIRENS WAILING]

[HORN BLARING]

Fire department!



STANLEY: Must be the place.

Fire department!

[DOORBELL RINGING]

Just a second. I'm coming.

Now, hold...

[GROANING]

Come on in.

JOHNNY: Ah! What
seems to be the problem?

I don't know. It's my back.

Okay, here,
let's just sit you down here on this seat.

No, no, not on
the love seat, no.

Put me on the floor. Okay.

Take it easy, now. Watch it.

What's your name?

Bill Duke.

Bill Duke?

I'll never live to see
this place redone.

It's the fifth house
I've restored.

I was warned. The
realtor said it was a jinx.

Uh-huh. Did you lift something heavy,
move anything?

No, I woke up this morning with this
excruciating pain darting down my back.

Has this ever
happened to you before?

No.

All right,
we're gonna get a BP on you.

Can I, uh...

Can I have your right arm there?





That hurt when you
move your arm like that?

A little.

JOHNNY: A little, huh?

Mr. Duke, how old are you?

Forty-two.

It's normal. 120 over 80.

Did you think
of calling your doctor?

I called him. He said take two
Aspirins and call him tomorrow.

I'm suffering. Can you
guys do anything to help?

Now, you just hang on
for a second, okay?

Just hang on.

You don't believe me, either.

[SOFTLY] He's right. I
don't. I think he's faking.

[SOFTLY] He does seem to
be in right much pain over there.

Better call it in.

Rampart, this is County 51.

[BEEPING]

Unit calling, go ahead.

Rampart, this is County 51. We
have a male patient, age about 42,

he's complaining
of back problems.

He has severe shoulder pain
radiating down the back.

No history of heart problems
or hypertension.

The vital signs are,
the BP is 120 over 80,

pulse is 90,
respirations are 20.

Take your vitamins this
morning? No. I forgot.

DIXIE: 51,
get me a BP and pulse in both arms, please.

All right, stand by, Rampart.

Hmm. You take any kind
of medication at all?

No, not since I've gone organic.

Yeah, bet you didn't know that
certain types of dr*gs are organic.

[SIREN APPROACHING]

[GROANING]

Okay. 120 over 80.
It's the same.

Rampart, County 51.

BP is 120 over 80 on both arms.

Pulse is 90 on both arms.

Hi, Dix, what you got?

Oh, routine.

Anything interesting?

Oh, a back ache. Probably no worse
than the one I woke up with this morning.


send him on in.

Hold it, Dix. We don't know
what we have out there yet.

Stand by, 51.

It could be anything.

Tell them to start
an IV D5W, TKO.

Well,
that will commit the squad to a follow-up.

Well, I know. I know.

Why take chances?

Why risk sending a patient
in without any lifeline,

when we have services like
this available at our fingertips?

Mmm?

You're the doctor.



Transport immediately.

What?

Wanna repeat that, Rampart?

IV D5W, TKO.

IV D5W, TKO.

Transport immediately.
ETA would be 15 minutes.

10-4.

Well, I wonder who that was.

Well, you heard it. It's Dixie.

Uh-uh! Five-to-one
it was Morton.

Well, we'll soon find out.

Thanks, guys. Sure am glad
you're able to help.

Roy?

What's wrong with him?

I don't know.

Probably nothing.

[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.

[GROANING]

[SIREN WAILING]

Please, I...

Please, I gotta see a doctor.

[GASPING]

What's wrong?

I've been burnt.

DIXIE: Easy. Easy. Easy.

Get a gurney.

[MUMBLING] Doctor... I gotta...

[GASPING WEAKLY]

Excuse me. Let me through.

His arm is burning, Kel.

It's a white phosphorus
burn. Is that towel wet? Yes.

It's gonna blow! Get it
around his arm! Tight!

[SCREAMING] Get out! Smoking!

Relax! Take it easy! You're
all right! You're in a hospital!

We're gonna get you
in a treatment room.

Let's get him in Two, huh? Get
me a 1% solution of cupric sulfate.

Yes, Doctor. All right,
let's get him on the gurney.

All right, move it.

[MAN MOANING]

All right. Don't bother to
transfer him. We can handle it.

Dix, keep that towel
on him arm, tight.

What've you got, Kel?

White phosphorus burns. Get his vitals,
will you, Mike?

Sure.

Dix, be ready to take that towel off,
so I can cover his burns with pads.

Ready?

Now.

[SCREAMING]

KELLY: Easy. Easy.

[MAN GASPING]

All right, continue
pouring the solution on.

[MAN GROANING]

BP 130 over 90,
pulse 130, respirations 20.

All right. Start an IV
with normal saline.

Give him 50 milligrams
meperidine IV.

All right.

How did this happen?

[PANTING] I was defusing
a phosphorus hand grenade.

An old w*r souvenir
I'd picked up.

It started to smoke. The next thing I knew,
my arm was on fire, Doc.

All right. Well,
you've got several fragments

of white phosphorus
adhering to your arm.

I'm gonna remove it.

Doc, is it gonna start burning
again when you take those off?

No, white phosphorus
doesn't burn unless it has air.

I've coated it with a solution
to keep it from burning.

Doc, I...

I didn't know what to do.
I couldn't put the fire out.

Yeah, you're a lucky man.

Just relax, you're
gonna be all right.

[SIREN WAILING]

Okay. Leave him outside Two

until something opens up.

Laura,
why don't you get his vitals?

Dix?

[SIGHS] Who ordered the TKO?

Well, Dr. Morton,
as a precaution.

Dixie, what is his problem?

Look, that's his prerogative,
John, you know it.

The base station doctor
has the last word.

We were out of service for
quite awhile on a nothing run.

Look, just don't
drag me into it.

I mean, if you have a beef,

why don't you talk
to Brackett about it?

See you guys later.

How long were
we out on that run?

I mean, just the follow-up?

About 20 minutes.

A man could have
had a heart att*ck

while we were bringing
that guy into the hospital.

I mean, we should talk to
Brackett about it, like she said.

Oh, yeah, what good
is that gonna do?

It's the system,
haven't you heard?

Yeah, well,
maybe we can change the system.

Johnny, Roy. Back so soon?

Doc,
we just had a man with a backache.

He was in considerable
pain, discomfort.

We established contact with
the base station. It was all routine.

Yeah.

[SIGHS] Dix had
us ready to ship out,

and along came Morton,

and established an IV.

The rest is history.

[sums]

Well, maybe sometimes Mike
goes a little bit too much by the book,

but he's an excellent doctor.

He keeps dragging us
in here for nothing runs,

and the rest of the guys
are complaining, too.

We never know what kind of complications
are gonna arise on the way to the hospital.

Better to be safe than sorry.

Doc, how safe is safe?

[sums]

Beats me, Johnny.

See what I mean?

Oh, come on, Coach, I'm okay.

He just rang my bell.

Really. If my mom was here,
she'd have taken me home.

Yeah, well,
I'll handle it my way.

Good afternoon.

This young man was hit on the
head with a ball. I'm his coach.

Okay. Fill out these forms,
please.

Mmm-hmm.

Where did the ball hit?

Here.

What's your name?

Randy Sherwood.

Randy, do you remember
what day it is?

Uh, sure, it's Saturday.

Did you black out at all?

Mmm. Uh-uh.

Were you wearing a helmet?

You bet he was.
That's a strict regulation.

When do we see a doctor?

As soon as one's available.

He looks okay.

Well,
I don't want to sit around here all day

because I didn't call
an ambulance.

That has nothing to do with it.

We triage all patients
once they get here.

Can you reach his parents?

They're on vacation.

He's staying at my house
while they're away.

His mother gave me this
in case of emergency.

I think that's all you need.

Sure is. Thanks.

Someone will be
with you shortly.

Thank you. Randy.

Look at this guy.
Do you believe him?

Good grief!

Henry, you're too much.

I mean, you wouldn't really think a
dog would even eat chili, but he likes it.

It's the way I make it, Chet.

Hmm. That's true.

That was a good line
you had for Brackett.

Uh-huh? Thank you.

Which one?

"How safe is safe?"

Oh, yeah, right.

Yeah, I mean,
everybody in the county could be a victim.

That's right. We can't have
paramedics following everybody around.

Mmm-hmm.

We gotta stay available for the
people who need us, that's all.

Yeah.

Who're we gonna convince next?

[SNICKERS]

I got a question.

What?

Why're you guys wasting all these
eloquent arguments on each other?

[ALARM SOUNDING]

DISPATCHER ON RADIO: Station 51,
man down, 3860 Rexford.

3860 Rexford.
Cross street, Woodcliff.

Ambulance is responding.
Time out, 1345.

STANLEY: Station 51, KMG 365.

[SIRENS WAILING]

[HORN BLARING]

[SIRENS CONTINUE BLARING]

What've we got?

Right around the back
there. Family argument.

I think the husband's having
some kind of emotional att*ck.

All right.

ROY: Straight ahead?

VINCE: Straight ahead. Yeah,
straight through to the back.

What happened?

Oh, he just started
breathing fast and hard.

Uh-huh. Has this
happened before?

Oh, a couple of times,
but never this bad.

Has he been seeing a doctor?

What for?

Every time we have a disagreement,
he gets uptight,

goes outside
and works on the lawn.

He pays more attention to
the privet than he does to me.

How long has he been like this?

About 20 minutes.

Now, you just try
to relax, okay, sir?

You feel any pain?

[GASPING] No,
I just can't catch my breath.

All right. Well, look, just try to
relax and take a deep breath for me.

Come on,
now. Relax and take a deep breath.

George! Stop acting like a baby!

Can't you see all the trouble
you're causing these men?

Cap?

Uh, ma'am, why don't we
go on out in the front...

You can't throw me
out of my own backyard!

Ma'am, I'm gonna need
some more information.

Do you wanna come over here with me,
please?

[HUMPHS]

Sympathy!

That's all he wants is sympathy.

Why, he'd call out the whole
country just to win an argument.

[MUTTERING] I think the poor
guy needs a marriage counselor.

[MUTTERING] A
baseball bat. That'd do it.

Take slow breaths, okay?

Take another deep breath.

There. That's it. Not too much.

Rampart, this is County 51.

[BEEPING]

Unit calling in, go ahead.



Rampart, this is County 51...

All right, why don't we try breathing into
this bag, okay? You're just hyperventilating.

All right? It's nothing serious.

You just try to relax and
take some breaths in this bag.



It's Morton.

[SIREN APPROACHING] Rampart,
vital signs. 145 over 100 on the BP,

pulse is 80,
respiration is 30 and labored.

We have a paper bag
over his mouth now.

He has improved,
but he is very distraught.

We have an ambulance at scene.

Bet you he TKO's him.


five milligrams

diazepam IM.

We have to transport him?

Rampart, I repeat,
the victim is much improved.

We feel there is no
need for a follow-up.

County 51, administer
five milligrams diazepam IM.

Start IV D5W, TKO
and transport immediately.

Rampart, five milligrams
diazepam IM. IV D5W, TKO.



I don't believe it.

If we're supposed to be the
eyes and the ears of the doctors,

why don't they listen to us?

Because we're not the brains.

[sums]

Okay,
we're gonna give you an injection here,

it should make you feel
a lot better, all right?

ROY: Okay. That should
be enough. I'll take it.

Okay, think we can walk
over to the gurney there?

Easy LIP-

You gonna be able
to make it okay? Good.

You're in fine shape.

All right.

Okay.

WOMAN: [SHOUTING] Help! Help!

Johnny. Somebody help me!

Cap!

I think he's drowning!

You better get
your resuscitator.

WOMAN: Oh, hurry!

Johnny,
we got a possible drowning over there.

You want to get
the defibrillator?

JOHNNY: You got it.

Rampart, this is County 51.

Go ahead, County 51.

Rampart, victim number one is now on
his way on the gurney to the ambulance.

We have another victim here. A man
down next door, possible drowning.

Request permission to transport
without the follow-up on the first victim.

Negative, 51.

Hold the ambulance,
but go ahead with the second victim.

A drowning won't wait, but an emotionally
unstable man on mild sedatives will.

All right,
hold it. His foot's stuck. Wait a minute.

Okay. JOHNNY: Okay, you got him?

Yeah. All right.

Hal, we're gonna need that gurney
over here as soon as you can get it.

STANLEY: [GRUNTING]
All right. I got him. I got him.

No carotid.

On.

V-fib.

Clear.

All right. One,
two, three, four.

[DEFIBRILLATOR BEEPS]

Sinus rhythm.

Roy, it's hot in here, about 100 degrees,
and he was drinking.

All right.

Rampart, this is County 51.

MORTON: Go ahead, County 51.

Rampart, we have a male victim here,
age about 30, ETOH,

possible drowning victim.
Victim is now unconscious.

He was in V-fib. We've defibrillated
him. He's now on sinus rhythm.

We got him on O2 and we're about
to patch him in. Stand by for vitals.

John, I'll give you
a hand over there.

Junctional bradycardia
rate of 45.

Junctional...

Uh, Rampart,
BP on our patient is 90 over 60.

The pulse is 70. We're
all set to transport.


as soon as possible

and keep me posted
on the vitals.



Okay.

Let me get out of your way here.

Can I give you a hand?

Is he gonna be all right?

He's doing a lot better. We're
gonna take him into Rampart Hospital.

You can come along with us if you want,
all right?

Okay-Okay-

Honey, it's okay.
I'm gonna go with you.

All right, ma'am,
he's gonna be okay.

Why don't you ride
up front, all right?

It's the door right
over there on the side.

Shall I go, too?

Do you drive? Of course!

Well, why don't you meet your
husband at the hospital, then?

Gladly.

[SIREN WAILING]

ROY: Okay. You can hop on this
gurney that's coming up here, all right?

Easy. There we are.

Okay.

You wanna carry
that in for me? Thanks.

All right. It's lucky we were next
door. You know, I can't believe that.

Yeah? Well,
what if we had been way across town?

Hey, Mr. Duke, how you doing?

Fine. The doctor hasn't
looked at me yet,

but I'm sure
he'll let me go home.

Can't wait to get back
to my new bed.

This contraption
is pretty uncomfortable.

You slept on a new bed?

Yep. First night on a waterbed.

Yeah, well, maybe
that's your problem.

You think so?

But they're guaranteed
for perfect comfort.

[GROANING]

Yeah, well, good luck
on your new house, huh?

Thanks, guys.

Doc, you remember Mr. Duke?

The man with the bad back

you had us bring in
this morning? Certainly.

Don't you think that the IV could
have waited until we got here?

No, not really.

You have us bring him in here

like it's a
life-or-death situation.

Look, he's down there in the
corridor. Nothing's happening.

Well, you see, I prefer
not to take chances.

He could have had
a dissecting aneurism.

Doc, don't you think
we ruled that out

when we had matching BPs
on both arms?

Well, the aneurism
could have been bilateral.

It's probably nothing, though. If it were,
he would have developed some symptoms.

We've been jammed here. I'm
on my way to examine him now.

[SNORTS]

And you kept us
tied up for that?

Kept you tied up?

Excuse me. You're tying me up.

You know,

supposing it were an aneurism

and it went down on both
sides and we didn't have an IV...

Yeah.

But it is a one-in-a-million.

[BREATHING SHALLOWLY]

Randy, you okay?

Hey. Randy. Randy!

Don't fall out
on me, kid. Randy!

Now, Coach? Now?

Randy,
please. Try to stay awake, okay?

Nurse, he's acting strange.

Now, if I don't get someone
to look after him immediately...

What do you mean, strange?
What happened to him?

He was hit on the head
with a baseball.

He's sluggish, tired.
That's not him.

John,
come here. Get this boy into Four.

Call Early and Brackett.

WOMAN ON PA: Dr. Brackett,
Dr. Early, Treatment Room Four, stat.

Would you wait outside, please?

[GROANS SOFTLY]

Hi. Hi.

There we go, now.

Hi, number five.

I'm Dr. Brackett.
What's your name?

Randy Sherwood.

Randy, huh? What happened,
Randy?

Nothing. The coach makes
a big deal over nothing.

I got beaned. So what?

You could count the stitches
on the pitcher's fastball.

Well, that slow, huh?

Did you go to the ground
after you got hit?

Yeah.

And then did you get up
and go to first base?

I don't remember. I mean...

I think the coach
put in a runner for me.

Blood pressure is 120 over 80.

Pulse is 50.
Respirations are 15.

How long ago did this happen,
Dix?

I don't know, Kel.

Do you remember my name?

Yeah. Uh, Dr. Brown?

Let's see. I want you
to do something for me.

I want you to put both
your hands on top of mine

and push down slow and easy,

but as hard as you can. Okay?

Okay. Attaboy.

A little harder.

Okay,
okay. That's good. That's good.

Okay,
let me look at your head here a little bit.

Ow! Don't! Don't! Okay, okay,
son. I'm sorry. I won't do it again.

Looks like you got hit
below the helmet, huh?

Okay. I want you to follow
my finger with your eyes, okay?

No, no, no. Just with your eyes.
Don't move your head, okay?

Attaboy.

All the way, up and down.

Okay,
I'm just gonna look in your eyes here now.

Head injury, Joe.

Okay. Randy, this is Dr. Early.

He's gonna take a look at you too,
huh?

Just lay back there.

How are you, Randy?

He got hit behind the left
ear there with a baseball.

Okay, now stay still.
This won't hurt at all.

I'm just gonna look
in your eye, all right?

Okay.

Right discs are blurred.
Pupils are starting to dilate.

[GROGGILY] What happened?
I was just sitting up.

I don't feel so good
at all. I just...

Come on, lie down, Randy. We'll
take good care of you. Come on.

Negative Babinski, Joe.

Dix, I want an echoencephalogram

and a portable x-ray, stat.

We need an echoencephalogram and portable
x-ray in Treatment Room Four, stat.

What do you think, Joe?

Endocranial pressure
is building.

Start an IV D5W. And draw
blood for type and cross-match.

And give him 10 milligrams
of dexamethosone IV push.

Here's X-ray, Joe.

George,
I want a complete skull series.

JOE: There's a definite
mid-line shift, Kel.

I'll put OR on stand-by.

Yeah, I'll talk to his parents.

Okay.

How's Randy?

Are you his father?

No. I'm his coach.

Well, we've got to
locate his parents.

Well, they're on vacation.

They gave me a letter of
consent in case of emergency.

I left it with
the reception nurse.

Dix, will you try
and contact them?

Do you know where
his parents are staying?

Yeah, but I'd hate to disturb
them for something minor.

Well, I'm afraid it's
a little more than minor.

Randy's going to
require surgery.

I'll call my wife.
She has the number.

Here, you can use this phone.

MORTON: The moment I answer that radio,
I am committed,

committed,

to giving that patient the best
possible care that I know how.

I know that. But why make the
squad do a follow-up on a TKO

when the patients
don't even warrant it?

As long as a patient
is in the field,

I'm going to have you
get a vein.

Just in case. Precautionary.

You know as well as I do that a
patient can go sour, boom, just like that!

All right. But why make the
squad do a hospital follow-up

on a precautionary IV?

Because it's policy. That's why.

Well,
why don't we try to change policy?

Gentlemen,
let's continue this in my office, huh?

Sorry, Kel. Gage got a little
carried away here. Let's go. Let's go!

I'm not getting carried away!

Okay, now, spell it out for me.

They want me to cut too
many corners on treatment.

That's wrong. That is absolutely
wrong. I never said that at all.

[sums]

Look,
we wanna be there when we're needed,

but when we're really needed.

Doc, when you order treatment...

When you order treatment,
any kind of treatment,

I don't care what kind
of treatment it is,

we're obligated to
a hospital follow-up.

You were out there talking
about precautionary IVs,

it takes us 30 minutes
for an IV follow-up.

And with the amount
of runs that we've got,

we can't afford that luxury.

You are on the scene.
You have control.

If it is not an emergency,
don't phone it in.

It's not that simple.

You know, sometimes,
somebody here has to make a decision.

Right. Exactly.
Like, "What is an emergency?"

And "What is
a critical emergency?"

I agree.

Then, Doc, why do you start
an IV TKO on every patient?

We don't. Eighty to
ninety percent of the time.

Okay, when a patient
needs it, he gets it.

That's the whole point, Doc.

The probability of a patient without
definite symptoms of instability

dying before we treat him
here at the hospital

is less than me choking
to death on a chicken bone.

[SCOFFS]

Whatever the risk is,
we do not wish to take it.

All right, risk.

What about the risk
to a second patient

who may need the squad but
has to wait an additional 20 minutes

while we transport the first
victim who may not be critical?

Second victim?

Your second victim is
purely hypothetical!

All right, hold it,
Mike. Johnny and Roy have a valid point.

Call that morals, ethics,
anything you like,

but emergency medicine
is specialized.

When they need us,
they need us right now.

Exactly. And right now,
there is no policy

for a second patient
who might need us.

Well, then,
perhaps the public shouldn't call in

every time they have
a cut and scrape.

I mean, they're the ones
who seem to be tying us up.

No, they should call. It's our
responsibility to diagnose, not theirs.

The average citizen isn't equipped to
decipher an Ml from indigestion. We are.

So, until we get
stronger guidelines,

I suggest we assess each
situation a little more carefully

on its own merits.

Right. That's the bottom line.

And somebody's got to draw it.

Well, Brackett may
understand the problem,

but unfortunately, he alone
doesn't make the policy.

Well,
give him time. It can't happen overnight.

But it's got to happen.

Yeah, I certainly hope so.

[RADIO BEEPS]

DISPATCHER: Squad 51,
stand by for response.

Engine 51, with Squad 51.
Vehicle accident with injuries,

corner of Olive and Devonshire.

Olive and Devonshire. Ambulance
is responding. Time out, 1520.

STANLEY: Engine 51, KMG 365.

[SIREN WAILING]

Squad 51, 10-4.

[SIREN WAILING]

[SOFTLY] I see.

Yes.

Okay.

Kel, that boy, Randy,

they just lost him in surgery.

[sums]

Oh, no.

How do you figure it?

We demand absolutes from
the paramedics in the field

and then we let something like
this happen right here in the hospital.

Dix, I want to know who was
on that admitting desk,

and I wanna know exactly how
long that boy was kept waiting.

That's inexcusable. Somebody's
got a lot of explaining to do.

I'll get right on it, Kel.

[SIRENS WAILING]

What happened?

This unit was in hot pursuit of
a couple of robbery suspects.

They hit that parked car
over there, fishtailed,

and caught our guy
with their rear end.

Anybody in the parked car? No,
it's empty.

I thought that was you.
How are you doing?

Okay,
I guess. That was quite a smack I took.

Yeah,
you got a little cut on your lip.

You hurt anyplace else?

I don't know. Hey,
how about the guys over there?

Johnny is taking care
of them. Don't worry.

Look,
we got a pry bar coming in.

We just go through that
door right over there, all right?

Okay, fine. Okay, hang loose.

STANLEY: Everybody alive?

JOHNNY: Well,
the driver's in a real bad way.

I can't get to him. Can
you get the window down?

I can't reach it.
I've already tried.

The passenger isn't moving.

Hang on, I'll climb on here.

We're gonna have to pop this windshield,
Marco, I think.

LA, Engine 51,
we have three victims at this incident.

Extent of injuries is unknown.

Request two ambulances
and additional squad.

DISPATCHER: Engine 51,
ambulance are responding.

The only squad available
has an ETA of 20 minutes.

Do you still want us to respond?

Start them, LA. Will advise.

10-4, 51.

Can you open the door? No,
it's jammed.

And I can't get at this.
This is jammed, too.

That's good. That's good.

Now,
let's lay this blanket down. This'


protect him from any of that.

All right, this is real sharp,
so... Yeah.

Okay, here. Okay.

Easy now, Vince.

How you doing?

I'm okay. Just had my bell rung.

That helmet sure
came in handy, though.

Yeah. That and a lot of luck.

Come on, we'll sit you right in back
of the squad and take a look at you.

Easy, now. You sure you're
not hurt anyplace else?

I'm okay. How about
the guys over there?

Well, I thought I'd go over and
take a look at them, if you're all right.

Yeah,
I'm all right. Okay. Chet? Wanna...

Yeah, I got him.

There you go.

What have we got?

This one here is dead.

This one here is not
in good shape, either.

He's got a fractured femur
and a possible head injury.

All right. I'll get
the vitals on him.

You want to hand
me the BP cuff? Yeah.

Vince is okay.

He is? Yeah.

Okay. Here you go.

LA, Engine 51. We have
one code after this location.

Cancel second squad.

DISPATCHER: Engine 51.
Squad 43, cancel.

Rampart, this is County 51.

Go ahead, 51.

Rampart, we have had a
two-car collision at our location,

we have three victims.

Victim one is apparently okay,

superficial cuts and bruises.

Victim number two is DOA.

Victim number three is
about 35 years of age,

male, he's unconscious,

possible head injuries
and a fractured femur.




Vitals on victim three are,
the BP is 130 over 90,

the pulse is 90,
the respirations are 24.

Unequal.

Pupils are unequal. We
have splinted the femur.

We request permission
to start an IV.

51, is there an ambulance
at the scene?

That's affirmative, Rampart.

Start an IV with normal
saline and transport.

Continue to monitor vitals.



You get all that? Yeah. You
wanna hand me that tourniquet?

All right.

Here, I'll give you a hand.

Okay, good.

All right, I'll get your doors.
I'm waiting on the equipment.

Hey, what do you
think you're doing?

What? That's my prisoner.

What? You're trying
to help him escape?

Vince, are you okay?

I want him out of there. All right,
all right. Just...

You gonna get him out of there? Vince,
cut it out, man!

You're pointing a g*n at me!

Take him out of
there! All right! Fine!

Just don't point the g*n
at me, Vince!

[SHOUTING] Hey!

He's got a g*n!

[STAMMERING] Watch his g*n!
Watch his g*n! JOHNNY: Hey!

Watch his g*n!
VINCE: I want him out of this!

I got it. Grab his g*n!

VINCE: Nobody move!
Come on, Vince!

[GROANING]

JOHNNY: Vince.

[ALL PANTING]

What happened?

I don't know.

He damn near sh*t me
with this thing.

Roy? I'm gonna check
on him. I'll be right back.

Okay.

[STAMMERING] Roy? What happened?

You must have really
hit your head, Vince.

[GROANING]

Try to relax and lay back, okay?

Oh, man, you're fuzzy.

Yeah, well, you went out on us.

Rampart, this is County 51.

JOE: Go ahead, 51.

Yeah, on patient number one,

we're gonna have a delay here.

Patient number one got aggressive
and had a syncopal episode.

We suspect a head injury.
Stand by for vital signs.

I must have a concussion.

All right, just stay still,
okay, Vince?



ROY: ETA, 15 minutes.




Please alert Kel and Mike.

Yeah. Thanks.

All right, here you go.

Meet you at the
hospital. All right.

Hey, Hank, sorry
if I caused any trouble.

Hey, don't worry about it, pal.

I just don't know
what got into me.

Well, whatever it is,
they'll straighten it out in the hospital.

You just relax.

ROY: See you later,
Vince. Okay, see you.

Take care.

[SIRENS WAILING]

Hi. Hey, Cap.

Hey, how's Vince?

He's okay. Doing okay.

Glad to hear that.

There's some dinner left
in the oven if you want any.

We picked up a hamburger
on the way in.

Vince. Boy,
I sure dropped the ball on that one.

I thought he was okay.

Well, I wouldn't worry
about it too much.

I mean, that sort
of thing happens.

Yeah,
I just don't like it happening to me.

Well, nobody does.

[SIGHS] You know, if you think about it,
Morton isn't entirely wrong

when he talks about
playing it safe.

I know.

[CHUCKLES] That's the whole
problem with being reasonable.

It complicates your convictions.

It's much simpler to be dumb.

You mean ignorance is
bliss, huh?

No. It's much simpler
to be dumb.