05x04 - Equipment

[bunniefuu]

Hey! Good morning,
guys. Your overtime shift has just arrived.

Hey there, Johnny! Welcome to Station 8,
the house with all the action.

All the action, huh?
All the action.

Listen, a trash fire is a
really big deal to you guys.

I'm only here
for a... For a rest.

Yeah, well, you know about the
borrowing time off, you gotta pay it back.

Like I said,
just a paid vacation.

Hey, where's Stoney?

In his office. Since
we just started the shift,

he's probably only working
on his second batch of papers.

You know how new captains are.

Listen,
that new captain used to be a paramedic.

I've trained with him, you know.

Oh, which shows how
forgiving the department can be.

They promoted him anyway!

[ALARM SOUNDING]

DISPATCHER: Squad 8 with
Engine 7. Unknown-type rescue,

315 West Highland Terrace.

315 Highland Terrace.
Cross street, Maywood.

Ambulance is responding.
Time out, 08:12.

Squad 8. KMG 356.

[SIREN WAILING]

Captain Stone? Fireman
Gage reporting for duty, sir.

Johnny! It's good to
see you. How you doin'?

Ooh,
look at that. The Bugles. Very impressive.

Congratulations, Stoney.

Well, thank you.

Are there any more congratulations?
You and Connie, are you...

Five weeks from next Tuesday,
I'll be a married man.

Well, all right.

Let's get some coffee.

How do you like playing captain?

Well, it's exciting.
Lots of responsibility.

Remember how we felt those first
few weeks we were paramedics?

Uh-huh. Just like that.

Like a sore thumb.

Stoney,
you miss being a paramedic?

More than I thought I would.

Well, you're gonna keep up
your certification then, aren't you?

You better believe it.

I worked too hard as a
paramedic to just let it go.

Besides, I want to be able
to keep my eyes on you guys.

[ALARM SOUNDING]

DISPATCHER: Engine 8.
Squad 39 in place of Squad 8.

Man unconscious
at construction site.

741 Third Street.
Cross street, Vista Crest.

Time out, 08:22.

Engine 8. KMG 356.


Take Toronto to Third.

[SIREN WAILING]

Right in here. We better hurry.

Here, guys, let him have it.
They're the Fire Department.

All right. Okay,
let's lay him flat.

Okay, what happened here?

He had a bad
heart att*ck last fall,

and he wouldn't lose the
weight the doctor told him to.

Well, what happened today?

Well, about a half hour ago,
he had that pain.

It got real bad,
and he took one of those pills.

What kind of pills?

I don't know. They're
in his pocket there.

Here?

Yeah, he seemed to feel better,
but then he passed out.

He's going to be all right,
isn't he?

What kind are they?

Nitroglycerine.


for at least 25 minutes.

But our squad could be here in
less than 10, if they're available.

Oh! My chest! It feels
like somebody's crushing it.

All right, you just take it easy, okay?
We're going to get a little air to you.

Just take it easy. All right,
take some deep breaths.

All right.

L.A.? Engine 8.

DISPATCHER: Engine 8.

We're with a victim at 741 Third
Street. Is Squad 8 available?

DISPATCHER: Stand by, Engine 8.

I took one of them pills...

DISPATCHER: Squad 8,
what is your status?

All right,
now you just take it easy, okay?

DISPATCHER: Engine 8.

Engine 8, go ahead.

DISPATCHER: Squad 8
is not available.

W-A, LA.

We won't have a squad
here for at least 20 minutes.

Well, Cap, why don't
we find a phone?

Get on the phone to Rampart,
at least give 'em what we've got.

The vitals and everything.

That's all we can do
until the squad arrives.

I just hope he's still
around when they get here.

[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.

[BEEPING]

DIXIE: Rampart Base Station.

Dix, uh, this is John Gage. I've
got a heart att*ck victim here.

Stand by. Dr. Brackett,
Base Station, stat.

I have John Gage
on the hot line.

What've you got, Johnny?

Brackett.

Uh, Doc, I've
got a victim, age, uh...



JOHNNY: Age 51.

He's got a history of
myocardial infarction.

He's conscious
and he's coherent.

He's suffering from what
appears to be another att*ck.

The victim is cyanotic
and diaphoretic.

He's complaining of
severe chest pains.

His extremities are
cold and clammy.

He took nitro,
but no relief. We've got him on O2.

He's lost consciousness, Johnny.

Uh, Doc, the victim
has lost consciousness.

All right, start an IV with D5W,
administer two...

Uh, Doc, we can't do that.

I'm with Engine 8,
with Captain Stone. We have no squad here.

We have no paramedic
equipment available to us.

Well, what's the squad's ETA?

What's the ETA?
About 10 minutes.





What's the victim's pulse?

You got the pulse on you?

Pulse is weak and rapid. 130.

Uh, weak and rapid,
and 130. You got respiration?

Respiration's... Breathing
is shallow. 30 per minute.

Breathing is shallow.


Johnny! No carotid.

All right, Johnny,
as soon as the squad arrives,

start an IV with D5W,
administer two amps sodium bicarb,

and transport
as soon as possible.



Two of the best paramedics we've
ever trained and we're all helpless.

Now, all we can do is
wait for the squad to arrive.

[SIREN WAILING]

Is that the Squad
or the ambulance?

JOHNNY: Ambulance.

Yeah.

Two, three. One, two, three.

Rampart,
as soon as the Squad arrives,

we'll establish radio
contact and send you a strip.

[SIRENS APPROACHING]

You better let me replace you.

JOHNNY: On three.
One, two, three.

Squad, Stoney.

We've got a full arrest. I'm gonna use
you're drug box. We better step on it.

Get the D5W started
and get an airway in.

All right.

Patch him.

Did you get the airway?

Throw that over there. Ah, good.

STONE: Get the sodium bicarb
as soon as they get the IV started.

JOHNNY: Got him patched yet?

STONE: Yeah.

Is he all right?

Take over.

JOHNNY: V-fib.

Defibrillate.

Clear.

Three, four.

[BEEP]

Still nothing. Again.

Hold it. Three, four.

[BEEP]

Administer 5 ccs


Administer 5 ccs epinephrine.

Take over, three, two...

W-A, LA.


transport as soon as possible.

STONE: 10-4, Rampart.

Okay, let's move him.

That a back board?

Okay, start CPR. Yeah.

I gotta get his arms
around. Ready?

Be careful, now.

Up, easy.

Easy. Good, Curt.

Okay, got him? Ready to go?

Watch the legs.

Watch the legs.

Get up there.

JOHNNY: Okay,
you gotta keep it, Curt? Okay.

Easy, easy-

JOHNNY: Where's his IV?
STONE: Got it.

JOHNNY: Okay.

Grab his IV there.

JOHNNY: I got it.
You keep doing CPR.

Hey, keep that CPR going.

[SIREN WAILING]

You know, Stoney,
I think we could have held on to that guy,

if we only had the equipment
just a little bit sooner...

Well, we did the best we could.

Let's clean up.

STONE: Bye, guys-

L.A., Engine 8's available.

DISPATCHER: Engine 8.

MAN 1: Full arrest. Number 4.

MAN 2: Let's get him elevated.

Okay.

Backboard loose.

All right. Pump there.

You got it? Ready?

Okay-

All right,
let's get an endotracheal tube in.

Mike,
hook him up to the monitor. Right.

Laryngoscope.

Dix, arterial blood gases.

He's hooked. Connected.

Epinephrine, 1 to 10,000.

Hold CPR,
I'm going directly into the heart.

Okay. I got it.

Resume CPR.

Mike, let's try a
transthoracic pacer.

Here you go.

Hold CPR.

MIKE: Turn it on, Dix.

Black to black.

Thread. All right, turn it on.

It's on.

No capture. He's gone.

We did everything we could.

If he'd have gotten
help five minutes sooner,

just five minutes sooner,
he might have made it.

How you doing? Nothing like a
day off to make a man feel good.

Took Joanne and
the kids to the beach.

Wide ocean, a lot of sun,
a lot of pretty girls.

What's the matter?

Oh, nothin'.

Nothin'?

Worked overtime at 8's.

Yeah.

Went out on a cardiac.

Squad wasn't available,



Did you lose the patient?

I don't know. I don't know.

He was in V-fib. We
did everything we could.

We just didn't have
any equipment.

Yeah, I know.
It happens sometimes.

Yeah, I suppose. I guess.

It just doesn't make
any sense to me.

You know,
that man is probably dead right now

because we just didn't
have the basic equipment

that we have right now.

It doesn't make any sense.

[ALARM SOUNDING]

DISPATCHER: Station 51,
Station 18, Engine 54, Truck 93.

Water flow alarm,

417 East Main.
Cross Street, Fourth.

417 East Main.

Time out, 08:17.

STANLEY: Station 51, KMG 365.

[SIRENS WAILING]

STANLEY: Station 51 at
the scene. Nothing showing.

DISPATCHER.' Station 51.

STANLEY: Better check this out.

Roy,
you and John check around the front.

Marco, go around that side.

Chet, let's go "P the alley."

I still don't see anything.
You look up there.

Okay.

Cap, I got a warm wall
and a real hot door here.

Okay, better get lines
and air masks. We got a...

[SIRENS APPROACHING]

L.A., Engine 51. We have a man
down at this fire. Request an ambulance.

This building is now fully involved.
Have all the other units come on in.

DISPATCHER: Engine 51.

Marco, a short line up there.

[INDISTINCT CHATTER]

Are you burning anywhere,
Chet? Huh?

Let's check you out here.

Okay, lay him down.

Chet,
your eyes are... Pulse's 90.

A|| right.

His pupils are responsive.

Okay.

How is he?

Pretty good. Pretty lucky.

Terrific shock.

Get a BP on him, Johnny.

Rampart,
this is Squad 51. How do you read?

Go ahead, 51.

Rampart, we have a fireman
down at this location.

He's just got minor cuts,
no lacerations.

Stand by for vital signs.

Pupils are responsive,
stand by for BP.



Rampart, vital signs are,
BP, 105 over 70.

Pulse is 90, and respiration is


Squad 51. Continue to monitor vitals
and transport as soon as possible.

You two get on to Rampart with him.
We don't need the Squad here at all.

Okay.

Take care, Kelly.

Johnny,
you want to go in with him? Sure.

Okay, I'll take this stuff
and meet you at the hospital.

Here you go. Will you pick
up my helmet and things?

Yeah.

Truck 93,
come down the alley and open up the roof.

[SIREN WAILING]

Room 1.

There you go. That didn't hurt,
did it?

Tell her mother to bring her back in
about a week, take out the stitches.

She's gonna be fine.

JOHNNY: Okay, UP YOU go, Chet.

His eyes.

How're you feeling?

CHET: Like a fool.

No, he's not talking about your
personality, he wants to know how you feel.

Let's get a BP, Carol.

And, Dix, have x-ray stand
by. I want a full skull series.

You don't need me, do you, Doc?

No.

He, uh... He is going to be okay,
isn't he?

Listen, if he can stand your jokes,
he can stand anything.

What joke?

X-ray? Dr. Early is sending up a fireman,
Chet Kelly.

He needs a full skull
series as quickly as possible.

Yep, fine. Thank you.

Dix,


History of asthma. Appears to
have a collapsed lung and broken ribs.

ETA is about five minutes. His
name is Fletcher. Set up 2, will you?

Mmm-hmm.

Uh, Doc? Listen, about that
full arrest that we brought in...

Yeah, flat-line, Johnny.

We did our best.
You did your best.

[MAN GROANING]

KELLY: Mike,
draw blood for CBC and gases.

MIKE: Right. Now, Chris,
bring me the ice tray.

Easy.

[GROANING]

Easy.

KELLY: Thanks, fellows.

BP is 100 over 60.
Respiration's 36.

Oxygen.

All right, I want an AP of the chest, and tell
the lab I want a report on his blood, stat.

How did this happen to you?

[GROANING]

I've been a tree surgeon
for almost 50 years.

Today I was taking a dead
limb off an elm tree.

Were you up in a tree,
or on a ladder?

Of course on a ladder.

[GRUNTS]

You don't see any wings on me,
do you?

All right, you just relax. We're
going to take some pictures now.

This limb was tough

and started bouncing,

and I guess I hadn't
tied that ladder.

And then, next thing I knew,
that limb...

Okay, Malcolm,
let's ease him in.

FLETCHER: Bounced me
right over...

Easy, easy-

[GROANING]

MIKE: All right,
get him up. Good.

All right. Sorry.

All right, now you just take
it easy. We'll be right back.

When I get back there,
I'm gonna...

Tie some dynamite to that...

Yeah, well,
if there's broken ribs,

I'm pretty sure there's a


Malcolm,
those films are a rush, huh?

Mr. Fletcher? Mr. Fletcher.

Have you ever had any
lung trouble besides asthma?

Not yet.

FLETCHER: It's not my eyes, Doc.

It's my chest that hurts.

Please don't talk.

[GROANING]

Normal? Normal.

Mr. Fletcher,
I want you to breathe as deeply as you can.

Come on, deep.

Doctor, he has a PO2 of 44,
a PCO2 of 60, and a Ph of 7.38.

Looks like his whole left lung is
collapsed. Probably three broken ribs.

Severe bronchial spasm.
Check on his x-rays, will you, Dix?

His pulse is 130 and weak.

Mike, let's go in
with a chest tube.

We've got to re-expand
that collapsed lung.

Got the x-ray.

Pneumothorax.
Multiple rib fractures.

No wonder he has pain
and trouble breathing.

Thank you.

These gloves never do work.

He's unconscious, Kel.

Scalpel.

All right,
hold him steady, Mike.

Got to re-inflate that
lung or we might lose him.

Retractor.

Looks better. You
wanna get this to lab?

Doesn't hurt so much.

Yeah, well, you're a tough one,
Mr. Fletcher.

I'm betting on you,
not that elm tree.

[GROANING]

Hey, Cap! Hello, John.

I just got off the phone with Sarah,
the duty nurse.

She said Chefs gonna be fine,

but they're going to have to keep
him for observation till the morning.

Glad to hear he's all right. We'll have
a replacement here in an hour or so.

You havin' fun, Cap?

Oh, yeah. This is wonderful. Why don't you
grab a towel and have some fun yourself?

[ALARM SOUNDING]

DISPATCHER: Engine 8,
Squad 51 in place of Squad 8.

Charl Town, 11155 Lemon Grove.



Cross street, Brighton.
Time out, 14:58.

STANLEY: Squad 51, KMG 365.

[SIREN WAILING]

Cap, what we got?

Got a fall victim.
Breathing is labored.

Are you the mother? Yes,
yes, I am.

When he fell, I didn't
think it was too serious,

but he can't move his legs.

He can't move his
legs? MARGARET: No.

STONE: Pulse is 70.

All right.

I've checked him over,
there's no apparent signs of trauma.

All right. Get a
respiration on him here.

Pupils are responsive.

Pupils are responsive?

Yeah,
we got a respiration of 20. JOHNNY: 20?

Yeah, stand by for BP.

How old's the boy?

He's 8.

Uh, Rampart, this is Squad


Squad 51, go ahead.

Rampart, we have a young boy,


And, uh,
apparently he can't move his legs.

Stand by for BP.



Rampart, BP is 85 over 45.

The pulse is 70. Respiration is 20,
and the pupils are responsive.

Start an IV, lactated Ringer's.

Got it. 10-4, Rampart.

Cap, you wanna give me
a hand on this, please?

Oh, yeah, you know,
he said his legs felt weak, but

I just thought he was worn out from
the camping trip his father took him on.

He said his legs were weak?

Uh, Rampart. Additional
history on the young boy.

Mother says that he was
complaining of weakness in his legs.


has had his polio immunization.

[SIRENS APPROACHING]

Oh, yes! He's had all his sh*ts.

Affirmative, Rampart.

JOE: 51, transport as
soon as possible.



We gotta get an IV going here,
then we'll transport.

JOHNNY: Are you going,
too? ROY: Yeah.

Thanks.

Okay, see you later.

Okay, Stoney, see you later.

Oh, Johnny? Yeah.

That heart patient we
worked on the other day...

Flat-lined when we
got him to the hospital.

Brackett said he
gave it the whole sh*t.

All right, see you later.

All right. See you later.

Any change in the vitals, Mike?

No.

Every symptom for Acute Polio for a patient
whose mother insists he had his sh*ts.

Maybe it's a bad vaccine? Faulty
memory by the mother? Or guilt?

She says Pediatric Clinic
treats her son,

and they're about the best in town,
you know.

That's true.

I got a call in. They're
checking their records right now.

The original report said he'd fallen,
so I'm gonna double check his skull series.

[INTERCOM BUZZING]

Must be my call.

This is Dr. Early.

Well, look,
would you confirm his address for me?

Right. And you say he's been
immunized for poliomyelitis?

How recently?

Is there any possibility the vaccine
could be outdated or defective?

Yeah. Okay, thank you
very much, Doctor.

The Clinic confirms the
immunization. It was four years ago.

And he's had his booster.

And there are no case
histories of vaccine failure.

Hmm.

Joe.

Yeah.

I think I've found something.

Look right here.

It looks like some
kind of a tick.

Mike,
could you get me a scalpel and a test tube?

Got a match, Dix?

Yeah.

You know, if you scrape it,
you don't get it all.

But ticks don't like heat.

There you go.

I'm going to take this
to the lab myself.

JOHNNY: Hey! Hey,
I've got an idea.

I've got a sensational idea.

I've got an idea.

What do you think about this?
What do you think that we have a...

A dinner or something for
Kelly when he gets back.

You know, like,
"Welcome home from the hospital, Kelly."

ROY: How about a cake?

A cake!

Yeah, a cake could do it.

Yeah, have a fire truck on it and just say,
"Welcome back, Kelly."

That's a great idea. I'm
gonna go call the deli right now.

You know, I never thought
I'd miss that guy, but I do.

I think.

[ALARM SOUNDING]

DISPATCHER: Station 51,
Engine 116, Engine 8, Truck 127.

Structure fire,




Cross street, Olympic.
Time out, 16:12.

STANLEY: Station 51. KMG 365.

[SIREN WAILING]

JOE: How is he?

Much better! His pulse, respiration
and blood pressure are almost normal.

What happened? He was so sick.

You see, Bobby picked up a tick,

and this particular type of
tick duplicates poliomyelitis,

from the weakness in the
legs to the respiratory problems.

He must have gotten it
when he was backpacking.

That's a good possibility.

You see, when I removed the tick, why,
the poisons stopped entering his system.

So, his body should
return to normal.

When can I take him home?

I'd like to keep him
overnight for observation.

But by tomorrow, he'll
be ready to go camping again.

FIREMAN ON RADIO: Engine 51,
Engine 8. Where do you want us?

STANLEY ON RADIO: Engine 8,
Engine 51. Lay a dual reverse

from the northeast
corner to the hydrant.

FIREMAN: 10-4.

Hey, are you the boss?

That's right, what happened?

Uh, I'm not exactly sure. I just
bought the place a couple of weeks ago.

Is anybody still inside there?

I'm not sure,
everything happened so fast.

Okay, you check with your
people and you make sure.

If there's any doubt,
let me know. Okay.

Marco, grab an inch-and-a-half.
We're going inside.

Engine 116, Engine 51.
Bring your crew,

and help us man some lines
in the front of the building.

Truck 127, ladder the front
of the building and ventilate.

Let's go, Marc.

All right, watch the hose.

Come on, easy.

Okay, now you're
gonna lay down easy.

Easy, easy, there we go.

Johnny, want to
get the equipment?

Yeah, okay.

[BOTH GROANING]

Easy, come on, take it easy.

STANLEY: Hey, Stoney,
just so you know,

they've changed the whole floor plan
of this place since we inspected it last.

STONE: No. I've got
my men around the side.

They've got their lines laid.

I should go and check it out.

Okay.

He's got a bad gash over here,
in his leg.

Look's like he's
lost about 1,000 ccs.

How you making out?

Well,
we're gonna need an ambulance, Cap.

L.A., Engine 51.

DISPATCHER: Go ahead, Engine 51.

L.A., respond me an ambulance,
and also an additional Engine and Squad.

DISPATCHER: Engine 51, 10-4.51,
this is Rampart. Go ahead.

Rampart, we have two victims at a fire,
both unconscious.


vitals on the first victim.

First victim has a gash in his thigh,
he's lost about 1000 ccs of blood.

Stand by.

He's cold and clammy, and he's
ashen in color. Stand by for vitals.

DISPATCHER: Engine 11,
Squad 39 in place of Squad 8.

Structure fire,


Cross street, Olympic.

1192 Sixth Avenue.
Time out, 16:24.

Rampart, uh, first victim.

We've got the bleeding
under control now.

He's male, about 35 years old.

His extremities are cold and clammy.
He's ashen in color. Stand by for BP.

Get a pulse on him, too.

BP is 60, systolic by palpation.

Pulse is 150 and thready.

Okay, 60 by palpation?

Yeah.

Rampart, vital signs. Systolic BP,




immobilize and transport as soon as possible.



They got the other
ambulance here.

Oh, great.

He's got third degree
burns on both his legs.

Rampart, second victim has third
degree burns on both of his legs.

Transport immediately, 51.



Everything under control?

Uh, pretty much, Cap.

We're gonna run out of equipment

if we don't get some
relief pretty quick.

Got another Squad coming.


but we're getting 39.



That's a long way away.

Well, hope they get here pretty quick,
these guys have got to be transported.

Okay,
let's bring that in over here, huh?

Hey, I checked with my foreman,
and everybody who's outside.

Yeah?

Well, it looks like nobody saw Willie.
He's the janitor. Nobody saw him come out.

Any idea where he might be?

I don't know.

ROY-

HT to HT 51. I'm going inside,
looking for a victim.

Come to the north
side and take over.

DISPATCHER: 10-4.

Can't see a thing!

All right.

Watch yourself.

Yeah, what is it?

I didn't tell him. I
make fireworks in there.

Fireworks! You
better get out of here.

Hey, clear that whole area.
There's fireworks inside that building.

Gage! Can you spring loose?

JOHNNY: Yeah.

We'll pull in the two-and-a-half.
There are expl*sives inside.

Okay.

[RUMBLING]

[EXPLOSIONS]

Nothing's here, Roy.

Cap! Cap, I found him.

[RUMBLING]

Hey, Cap, over here.

Yeah, that's fine, thanks.

[INDISTINCT CHATTER]

[RUMBLING]

[SIRENS WAILING]

Roy?

[RUMBLING]

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

KELLY: This is Rampart,
go ahead.

JOHNNY: Rampart,
we have two victims.

STONE: Grab that. I'll
grab this side. Ready.

Go.

Okay, easy now.

Let's get it inside.

Thanks,
Cap. We'll ride in with him.

Okay.

Now let's see if we
can get this fire out.

Thanks for helping
there, Stoney.

Well, I just happened to be at
the right place at the right time.

Well, if I was running things,

I think I would scrounge up every
piece of paramedic equipment I could find.

I don't ever want to be 25 minutes
away from equipment again.

ROY: Hey! Hey! How you doin'?

Fine. How about
yourself? Pretty good.

You're looking okay.
How do you feel?

Well, I still hear some fireworks,
but otherwise, I'm fine.

[LAUGHS] Good.

Well, what's in the box?

Oh, uh, it's for him.
It's for you.

Oh, all right, wow.

Though you might like that.
Well, thank you.

It's okay.

Why don't you open it for me?

You want me to open it? Yeah.

Well, sure.

All right.

JOHNNY: Get that off.

Pull this one.

Can't you hurry it up?

JOHNNY: I'm working
as fast as I can.

Who is he?

Okay.

ROY: "Welcome back, Kelly!"

You know how that happened,
don't you? I mean, uh,

when Kelly was hurt,
he took two days off,

and we went to give it
to him and he was...

Who's Kelly?

Looks pretty good, though.