03x08 - Insomnia

[bunniefuu]

[SNIFFLES]

I thought you'd be asleep
a half an hour ago.

So did I.

You Okay?

Yeah, I'm just trying
to get to sleep, that's all.

With your eyes wide open?

It's something new I'm trying.

You don't happen to know
what's on the late movie, do you?

Yeah.

Yeah, it's a comedy
with Peter Lorre.

With Peter Lorre.
It's a classic.

Huh.

Sounds perfect.

Hey, I don't believe it,
Johnny got up early and made coffee.

The late, late, late show
was over at 4:15.

Hey, and you cleaned up
in here, too.

Yeah, it's amazing
what you can do

when you have no distractions.

Like sleep.

Yeah.

Even Terror at the Library
didn't do it for me.

Hey, no kidding! That was on?

That's one of
my favorite flicks.

If I'd known it was on,
I'd have stayed up and kept you company.

That might have put me to sleep.

[ALARM SOUNDING]

DISPATCHER ON RADIO: Station 51,
Engine 36, Truck 127.

Boat expl*si*n with injuries.

Ryerson Boulevard
and 43rd Street.

Ryerson Boulevard and


Station 51. KMG 365.

[HORN BLARING]

What?

A boat accident? At Ryerson
Boulevard and 43rd Street?

That's what the man said.

MAN: Hey!

Hey, you gotta do something!

My helper, Andy, was back in the
cabin when it blew. All right. All right.

I know he shouldn't have
been riding back there, but...

[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.

MAN: What was the guy
doing back there anyway?

We'll set up the platform here.

Thanks.

[COUGHING]

Whoa.

L.A. units
with Engine 51 canceled.

DISPATCHER ON RADIO: Engine 51.

I got a nasty cut over
here. You better take the BP.

All right. On the other arm.

Got a little cut here.

Okay, easy now.

[SIREN WAILING]

Rampart, this is Squad 51.

This is Rampart. Go ahead, 51.

JOHNNY: Rampart,
we have a boat expl*si*n with one victim.

He has a deep cut on the
upper part of his right arm.

He has facial lacerations
and possible head injury.

The vital signs
are BP 90 over 60,

pulse, 120,
and respiration's 24.

Looks like the butane t*nk blew,
doesn't it? Yeah.

Well, if you need anything,
give a holler.

Okay, Cap-

I was just...

I was just making some coffee,
that's all.

Well, you take it easy.
Everything's going to be all right.

All right? All right?

I think I broke
everything I got.

[CHUCKLING] Even my hair hurts.

[GROANING]

Johnny, there's tenderness
in the right lateral rib cage

and the same in the upper
right quadrant of the abdomen.

Rampart,

the patient has pain
in his right lateral rib cage,

the upper quadrant
of his abdomen.

There's possible
internal bleeding.


cc. Transport as soon as possible.



We're going to need
another hand.

Hey, Cap?
We can use your help now.

Bring up a Stokes.

STANLEY: Okay, you got it.

I never had a boat of my own.

I guess I was just...

Guess I was just dreaming,
you know? And I...

I decided to have
a cup of coffee, and...

And blooey.

Dumb jerk, right?

Well, look, we're gonna...

We're gonna get you
out of here okay.

Hey, Cap, grab the drug box.

STANLEY: Got it.

You guys want to give us a hand
here and we can get him down?

All right. You got him?
You got him?

Yeah, all right.

All right. Sure.

All right.

Do you wanna talk about it now?

Talk about what?

No, I just need
some sleep, that's all.

Go on.

I told you, that's all.

I just need some sleep.

Uh-huh.

All right.

Thank you.

Besides, it's stupid.

Probably, but so what?

Listen, you know how it is
to work at a big station.

You get two, three,
maybe four runs a night, right?

You're getting out of bed,

you're running off to the run

and then you come back,
you get into bed

and you go right back to sleep,
you know?

[STUTTERING] And, you know, I told
you that I worked overtime the last shift.

Yeah.

We didn't get a run
all night long.

That's pretty lucky.

[STUTTERING] Yeah,
that's lucky. Right.

That's what I thought when I...

But then I started
thinking about it.

Roy, it's not natural to not get
a run in the middle of the night.

And last night the same
thing happened again.

We didn't get a run.

I was waiting for the bell
and the bell just didn't...

Look, we're gonna be off duty
when we get back to the station.

Why don't you go home
and get some sleep?

I knew you wouldn't understand.

WOMAN ON PA SYSTEM: Doctor Jackson,
Treatment Room Number 1.

Doctor Jackson,
Treatment Room Number 1.

Doctor Mendez, Receiving Room.

Doctor Mendez, Receiving Room.

I've got to see a doctor.

What's wrong?

Well, I had this accident...

I wasn't going more than 20
or 25 miles an hour at the most,

and then this... This dumb dog comes
scooting out from underneath a parked car.

He comes right in front
of the car...

Where do you hurt?

In the arm here. I guess I must
have banged it when I hit the door.

Well, you haven't heard
the rest of the story.

You swerved to avoid the dog
and went straight into a tree.

No, it was a telephone pole.

How did you know?

Happens all the time.

Well, you got
a bad bruise there.

Doesn't look
like anything's broken.

We'd better get some pictures
just to make sure.

The x-ray's this way.
Thank you, Doctor.

Come on, Scotty. Dad's
gonna have some pictures taken.

Son, are you all right?

Were you in the car when
your father had the accident?

KELLY: Was he?

Well, yeah,
but I'm the one with the sore arm.

He hardly let out
with a whimper.

Did he have a seat belt on?

We just went around the block.

How are you feeling?

Okay, I guess.

How many fingers
am I holding up?

Four.

Did you get bumped around
during the accident?

[CHUCKLING] You know how tough
kids are. I mean, they can take a lot.

Kel, he's got a pretty severe
bruise behind his left ear.

Do you remember
the accident at all?

Let's take him to 2.

Base of the skull, fracture.

It looks that way.

That's impossible.

I told you, we weren't going
more than 30 miles an hour.

It's possible, all right.

Retrograde amnesia, too.

Let me have the scope, Dix.

Left ear is leaking fluid.

A skull fracture.

No papilledema.

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

I think so.

Dix, I want a full skull series.

We'll keep him overnight
for observation.

All right, Kel.

I can't believe it.

I mean, I was going 20 miles an hour,


As soon as we get
an x-ray room free,

we'll take a picture
of that arm.

Huh? Oh, yeah.

Hi.

I knew you were gonna say that.

[sum-nus] I slept fine,

for about an hour.

I decided maybe
I should store up

in case
I couldn't sleep tonight.

Then I couldn't sleep last
night thinking about that.

Well,

it really wasn't a full hour.

I mean, I just figured I must
have slept once in a while

without realizing it.

Hey, Johnny. Still got
a little insomnia, huh?

It's not insomnia, Chet.

Oh, my mistake.

It's just something with
the same symptoms, huh?

Chet, lay off.

I'm sorry. I forgot how grumpy
you get when you're tired.

Chet, why don't you
go polish the engine?

Just trying to help.

Oh, man.

That's all I need,
for those clowns to get on me.

Man, this could be
a very serious problem.

Look, take it easy, will you?

We've got all day
to think of the solution.

That's my problem.

[ALARM SOUNDING]

DISPATCHER ON RADIO:
Squad 51, heart attack.

Electronic Comp u-Data, Inc.

1745 Overlook Drive.

1745 Overlook Drive.

Cross street,
Jackson Boulevard. Time out, 0803.

Squad 51. KMG 365.

I'm the one who called. I'm sure
glad you guys got here so fast.

Where's the victim?
I'll show you.

All right. You're gonna
have to take this in there.

Fine. Fine. Well,
you should have seen him lying there

just gasping for breath,
eyes popping,

red in the face like he was
gonna die right on the spot.

All right, take this over there. Come on,
I'll show you.

Terrible. Terrible.

That's him.

That's your heart attack victim?

Dan. Dan. You okay?

We better go in after him.
What's he on?

Just a little grass, that's all.

Certainly nothing
to make him act like that.

Look, what else is he on?

I told you, nothing.

All right.

No. No. You're gonna
have to stay out here.

Yeah. Good idea.

[WOMAN SCREAMS]

JOHNNY: Whoa!

[DAN GRUNTING]

Just grass, huh?

I'm telling you.
That's all it is. I swear.

He's not taking any hard stuff.

Well, they just released Scotty.

Oh, the little guy
with the head injury.

Yeah.

It's a good thing his father
brought him in when he did.

I guess.

ROY: Rampart, this is Squad 51.



Rampart, we have an unconscious
male victim in his mid 30s.

He's got heavy perspiration

and respiratory difficulty.
Possible OD.

Standby for vitals.

Pulse is 120 and faint.

Respiration's 24 and shallow.

Pupils are constricted.

BP is 90 over 60.

BP is 90 over 60.

The pulse is 120 and faint.

The respiration is


and the pupils are constricted.



Stand by, Rampart.

Look, different dr*gs
have different antidotes.

Can you tell me what he's taken?

I told you already. He was
just smoking a little grass.

That's it.

The victim's friend
maintains marijuana.

Nothing else taken.



Start an IV with D5W,
also oxygen.

Stabilize him
and get him right in here.

His friend, too.



Can you ride in the ambulance
with him?

What do you need me for?

Well, now, you might be able
to tell the doctor something

that's gonna help
your friend here.

Look, I told you
everything already.

It gets real dull working on
those computers all the time,

and Dan was just smoking a
little marijuana to pass the time

and that's it.

[COUGHING]

Rampart, this is Squad 51.

Patient is experiencing
increasing respiratory distress.

Request permission to insert
an esophageal airway.





Johnny?

Okay, I got him.

I got it.

Okay. All right.

Okay, catch the IV.

Watch the IV.

Yeah, I got it.

All right.

Can you grab
this resuscitator down here?

Wheel it out behind us, okay?
Got it.

All right, I got it.

Okay, wheel it out. Let's go.

All right, come on, let's go.

Hey, look, maybe...

Hey.

Hey, now, listen,

you're already involved
in this thing

and your buddy there
is in bad shape.

Now, come on.

Okay.

Pupils small and non-reactive.

JOE: Diaphoretic,
respiratory arrest.

It sure reads like a
heroin overdose to me.

Does m me, mo.

Yet the naloxone didn't seem
to have any effect on him at all.

Send a blood sample to the
toxicology lab for screening.

Maybe they can find out what
kinds of dr*gs he's been using.

Maybe he was popping pills.

I thought of that.

The symptoms
just don't fit barbiturates.

Or speed or LSD.

Kids are always coming up
with something new.

What's the latest kick?

He's not a kid,
he's a responsible adult.

Or at least he's supposed to be.

Keep a close check
on his vital signs.

Let me know
if there's any change.

WOMAN ON PA SYSTEM: Doctor Barnes,
go to the emergency entrance.

Doctor Barnes,
go to the emergency entrance.

How is he?

Not good.

Well, he's going to
get better, isn't he?

His chances would be
a lot better

if we knew what he overdosed on.

Look, I told you
a dozen times already.

He was smoking a little grass
and that's all.

No hard stuff?

I'm telling you, no!

What about pills?

Pills. He never took
a pill in his life.

If he had a headache,
he wouldn't take an Aspirin.

All right, what about sniffing?

You guys are wild!

You're putting Dan down
as some kind of a junkie,

glue-sniffing, speed freak!

Look, we got to know
what he's on.

And I'm telling you, nothing!

Hey, look, I'm sorry.

I know you're trying
to help him.

You can help him, can't you?

I mean, he's not gonna die,
is he?

It's not real.

You can't die
from just smoking marijuana.

You can't.

Come on,
let's get a cup of coffee.

[STANLEY CHATTERING ON PHONE]

You got to be kidding me.

Oh, Roy, better not
fix me a coffee.

I... You know.

[sum-nus] Okay.

In fact, I think
I'll have a little milk.

Wonder if there's any left.

Yeah, there's plenty.

Oh, thanks, Chet.

Hey, Chet,

sorry I was so grumpy
this morning.

That's okay.

It's just that I was...

Well, you know,
I've been kind of tired lately.

Hey, it's all right.
Believe me. No problem.

Okay. Look,
I'll talk to you later. Bye.

Grab a seat,
boys. Just finishing up a high-rise drill.

Yeah. Hey, Cap,
if it's okay with you,

I'd like to, you know, stand.

See,
I'm trying to wear myself out for tonight.

What's tonight?

[SIGHING] Come on, Chet.

Now, look, I know you guys are trying
to ignore the fact that I can't sleep

so I won't think about it,

but it's not working.

In fact,
I'm thinking more about it

because you guys
are trying to ignore it.

What's he talking about?

Could we please
get on with this?

[ALARM SOUNDING]

DISPATCHER ON RADIO: Station 51,
man pinned by a semitrailer.

1483 Hillhaven.

1-4-8-3 Hillhaven.

Cross street, Ferris Drive.

Time out, 1145.

Station 51. KMG 365.

[HORN BLARING]

Over this way.

The driver was backing his tractor
into the semi to make a hookup.

He didn't know Joe was still
back there till he heard him cry out.

And then he pulled forward
and the front end collapsed.

And I don't know how
to get it off him now.

Oh,
we'll give you a hand. Come on. Right.

Hi, how we doing here?

Hey, it's about time
you got here.

I've been standing around
with nothing to do.

Now, let me check your pulse,

get your blood pressure.
We'll see how you're doing.

Lucky I ain't
got claustrophobia, huh?

Rampart, this is Rescue 51.

This is Rampart. Go ahead, 51.

Rampart, we have a male trapped
by a semi. No apparent shock.

In fact, Rampart,
he seems euphoric.

Euphoria.

This sounds like a tough one.

You know, the minute you lift
all that pressure off him,

there's a good chance
he's going to go on you.

Come on, cheer up.

Just think, I'm getting
time and a half overtime

till they get this thing off me.

Do you feel anything?

No.

How you doing?

Just about set, Cap.

Yeah, we got it. Okay.

Doesn't look too good, Kel.

He's probably losing
a lot of blood internally.

The minute they take that pressure off,
there's a good chance

he's going to fade right out.

Hey, Tony, these guys
are real lifesavers.

Yeah.

Look, Joe,
you don't have to worry.

These guys are going to get
you out of here any minute now.

Who's worried? I never had
so much attention in all my life.

Okay, it'll pull free now.

Okay.

Rampart, the tractor's
now in place.

KELLY: Would you give me
a new set of Vitals?

BP is 100 over 60.

Pulse is 120. Respiration's 24.

Rampart, BP is 100 over 60.

The respiration is 24,
and the pulse is now 120.

Also, Rampart,
there's no broken skin.

Also, there's no sign
of bleeding.

That semi is acting
as a tourniquet.

Yeah, and the minute he's free,

there's going to be a lot
of additional hemorrhaging.

Will you give him another 25
milligrams of meperidine and then pull it?



[ENGINE STARTING]

It's Tony, right? Tony.

Tony, you wanna hold this.
We're gonna move out here.

Sure.

Johnny, we're gonna
move him out.

Okay, let's get ready
to move him out.

All right,
we're gonna move you here.

You got that? All right.

This is fractured.
You better make it compound.

Right.

Rampart, the victim
is free and unconscious.

He's got a compound fracture
of the left femur.

His right leg's okay!

This left leg's cold. I'm
not getting anything at all.

Rampart, his right leg
is okay. His left leg is cold

and there's
no discernible pulse.

Splint the fractured leg and
transport him as soon as possible.

10-4, Rampart.

Carol, we've got
a major trauma case coming in.

Fractured left femur, low blood
pressure and considerable blood loss.

Draw a type and cross-match
for six units of blood.

We'll need x-rays
of the pelvis and both legs.

Heart rate is slow.

Down to 50.

Anything on the EEG?

No. Everything's
perfectly normal.

Except that he's dying.

EEG normal.

Complete toxicology screen,

tests for barbiturates,

meprobamate, bromide.

All blood levels negative.

I give up.
What else do you test for?

You know, Kel,
this may sound kind of wild,

but I ran into
a few cases like this

while I was interning
up in the Sacramento Valley.

Well, some of
the farm workers up there,

those crop-dusting chemicals
used to create similar symptoms.

The pilots used to add
parathion to the chemical mixture

to make it more effective.

Parathion!

Yeah, but they were farmers.

You said he was
a computer technician.

Hey, look, Doc,
no more questions and no more hassles.

I told you he was
smoking a little grass

and that's all he was
doing. I'm telling you.

Okay, okay. He was
just smoking marijuana.

Where'd he buy it?

Well, he...

He didn't buy it.
He's got a little yard

in the back of his house
and he was...

He was growing it.

Did he treat it with anything?

What do... What do you mean?

Chemicals. To k*ll weeds
or keep away insects.

Well, he's real proud
of how healthy his plants are.

In fact, he uses real
high-powered stuff to protect them.

In fact, you can't even get it
in the store.

The stores don't sell it
because it's illegal, right?

Oh, I didn't say that.

Would you know the name of it
if I told you?

He must have mentioned the name,

but I didn't pay any attention.

Was it something
called parathion?

Parathion?

I really didn't pay any attention
when he mentioned the name,

but come to think of it,
that name does sound familiar. Yeah.

Dix, administer one milligram
of atropine.

Then draw
a blood cholinesterase level.

Tell the lab I want it run stat.

If it's abnormal,
we'll start him on pralidoxime IV.

Wait a minute. That can't be it.

I told you,
he wasn't taking anything.

He didn't have to take it.

Parathion is so strong it can
be absorbed through the skin.

That's why it's illegal now.

Your friend was tending his
marijuana plants and poisoning himself

at the same time.

He probably inhaled more
when he smoked the marijuana.

Bring him into 4.

Blood pressure's up. That
IV must be doing the job.

We've been running it wide open.

Blood sample.

A transfusion ought to
pull him through now.

You should've heard
the guy outside.

Sounded like the
happiest guy in the world.

Right now he's also
one of the luckiest.

Kel, you're needed in 3.

Be right there.

Well, dinner ought to be ready.

Hey, guys.

Over here. Come on.

Oh, man.

Very funny.

Yeah, well,
what are you mad at now?

At least, you know, we're
not ignoring your problem.

Right. Just get in and
we'll rock you right to sleep.

Land of nod, here he comes.

You guys are disgusting.

Don't be a grouch. A lot of
effort went into this project.

You know, Johnny,
I was just thinking.

You, too?

Well, no, okay,
so they rigged it up for a laugh,

but they may be on to something.

On to what?

Well, there's a pretty
solid principle behind that.

Oh, no. Oh, no.

No. You're not gonna rock me
to sleep in a cradle like a baby.

Well, it doesn't
have to be a cradle.

You can just think of it
as a hammock.

A hammock?

Yeah, a hammock.

There you are

on a hammock lying on your back

under a nice big tree
on a lazy summer afternoon.

You're just there, rocking.

Back

and forth. Back and forth.

Now, what do you got to lose?

I'd rather be tired.

[ALARM SOUNDING]

DISPATCHER ON RADIO: Station 51,
injury at the gravel pit.

701 Commerce Boulevard.

701 Commerce Boulevard.
Cross street, Hamilton Avenue.

Time out, 1704.

Station 51. KMG 365.

[HORN BLARING]

I can hardly believe it,
almost dying like that.

You have no idea
how close it was.

I was even trying to remember
where that dark suit of mine was.

Great. Now we're going to
get two hours of funeral humor.

Doc, thanks.

Well, we were lucky, this time.

I dig. I think I'll move
into an apartment.

One without a yard.

Good thinking.

FOREMAN: Over here.

Got a boy buried
in there somewhere.

One of my men went in after him

and now he's stuck
up to his waist.

STANLEY: Okay. Look,
what do we do with the gear here?

STANLEY: Couple air masks.
All right. You're clear.

FOREMAN: Okay, follow me.

FOREMAN: We draw rocks from
a hole at the bottom of this pile.

Couple of kids were trespassing,
one of them got sucked in

when I turned it on.

The other kid told me about it

and then we shut it off,
but I don't know how deep he went.

STANLEY: All right.

FOREMAN: Then we sent Ted down,

and a bunch of rock just
slid right down on top of him.

BOY: Can you get Jeff
out of there?

He just disappeared
all of a sudden.

STANLEY: Where, son, exactly?

I'm not sure. Somewhere
near that man down there.

STANLEY: All right, Roy.
You ready to give it a shot?

FOREMAN: Any chance for the boy?

Well, there's a lot
of rocks down there.

There's a lot of air
in between those rocks.

I think it's enough
to keep him going.

You ready, Roy? Set.

Okay. He's coming over, boys!
Hang on!

Hey, careful or we're gonna
be covered by a lot of rocks.

Yeah, tell me about it.

I hope you have better luck
with the kid than I did.

You gave it a good try.

Just gonna have to try
to give it a better one.

Put this collar on you here.

Okay.

Okay, let's take it up.

STANLEY: All right,
take him up. Slow and steady.

Okay, hold it. There you go.

JOHNNY: One more. Okay.

Swing your legs on over. Okay.

Swing your arm. Okay, I got you.

Got him, got him. Okay.

Unhook him.

Haul away.

Easy!

You Okay?

Yeah.

Yeah, I'm okay.

But we're not going to be able
to get to the boy this way.

Is there a chance
of running through the bottom?

It'd be a rough ride.

Hang on to this.

Well, it's gotta be better
than staying where he is.

FOREMAN: Only room
for a couple of you.

STANLEY: Yeah. Roy, John,
you go down in there with Bill.

We'll set your
equipment up out here.

JOHNNY: Okay, you do that.

STANLEY: Just lay it all
out over in here.

All right. Let her go.

Go ahead.

Hold it. Hold it.

All right. Shut it off.

Everything. Everything off.

ROY: He's still alive.

Let's get him out of here.

JOHNNY: Okay.

Watch his back.

Okay.

All right. I got him.

Let's get some oxygen to him.

Got it.

Rampart, this is Squad 51.

This is Rampart. Go ahead, 51.

Rampart, we have a male,
unconscious.

About 9, 10 years old.

Hold on for
vital signs, Rampart.

Pulse is 70.

Rampart, the pulse is 70.

Respiration's 20.

And the respiration is 20.

Standby for BP.

Standby, Rampart, for BP.

ROY: He's coming around.

It's great what
a little oxygen will do.

Rampart, the patient
is now conscious.

Okay, BP is 140 over 80.

Rampart, BP is 140 over 80.


transport as soon as possible.



Wow!

I agree.

I know I shouldn't ask this,
but what're you doing?

I'm making cocoa.

Uh...

So you can sleep
like a little baby, right?

Boy, you are really something else,
you know that?

I've watched you psych
yourself into obsession

all day about this thing.

You couldn't sleep right now if
you had a skinful of barbiturates.

You're so convinced that
until we get a night run, you're...

Look, it's my hang-up,

and it's my cure.

This is gonna put me out
like a light.

[ALARM SOUNDING]

DISPATCHER ON RADIO:
Engine 51, rubbish fire.

1270 West Fifth Street.

Well, they're not
playing our song.

1270 West Fifth Street.

Cross street, Arlington.
Time out, 0230.

[TRUCK ENGINE ROARING]

Johnny!

Johnny, it's not for us!

[SIRENS WAILING]