02x02 - Episode 2

[bunniefuu]

Mom, where are you? Please, help me!

It hurts.

Mom, where are you? Please, help me!

Mom!

Attention please.

Due to the accident that has occurred,
for your safety...

Please move to the emergency exit.

Hurry! Call an ambulance!

-There was an expl*si*n!
-So terrifying!

-Be careful!
-My goodness!

-Hurry!
-Run!

-Hurry!
-Run!

Emergency! Please evacuate!

Emergency! Please evacuate!
Please move towards the exits!

-Where are you going?
-To save lives.

Be careful!

What happened?

There has been an emergency!
Please evacuate this building!

Miss, are you okay?

Miss, what's wrong?

Sir, can you hear me?

Miss, are you all right?

I feel dizzy.

Sir! You in the black shirt.
Can you help me?

I need you to help me lay him down.

Do me another favor.
He's bleeding right here. Come over here.

Put pressure on it.

Sir, can you hear me?

Just rest here, all right?

-The ambulance will be here soon.
-Okay.

I'm a doctor. I'm going to help you.

Give me your hand.

Miss.

Please move to the emergency exit.

Her knee is hurt.
She probably bumped into something.

-Take care of her for me.
-Okay.

Zai.

Are you okay?

Miss, can you hear me?

Sir, where are you hurt?

-My foot.
-Here.

-It hurts.
-Okay.

Miss, can you hear me?

Glass...

Miss, can you hear me?

I'm Rou-yi Shen. I'm a journalist.
An expl*si*n just occurred here.

We don't know how many people got hurt.

A surgeon from Kanglian Hospital
is here helping the wounded.

-The firefighters have arrived.
-Hand me that cloth.

This is the current situation.

Come help me.

Put pressure on the wound.

Is he conscious?

This is going to hurt a little.

-I'll be quick.
-That hurts!

Gauze.

Sir!

Dr. Xiong, this man is stuck under a rock!

-Give me your hand.
-Okay.

Press here. It'll hurt a bit.

-Keep pressing.
-Okay.

We need to stop the bleeding.
Don't let go.

It hurts so much.

Sir!

Help me.

Sir.

I'm a doctor. Do you need help?

Get me those scissors.
We need to check the upper body.

He's bleeding. I'll try to stop it first.

-What's the situation?
-No radial pulse.

Weak carotid artery pulse.

Blood pressure around 60.

-Use the AMBU.
-Okay.

-Do you have saline solution and gloves?
-Yes. Wait a second.

-We need support. Come over here.
-All right.

-Do you have lidocaine?
-Yes.

-Povidone-Iodine?
-Yes.

All right.

Do you need help here?

He's stuck. How long
until the excavators get here?

Large machines can't get in.
Smaller machines are on their way.

Around 15 minutes.

-Fifteen minutes.
-That will be too late.

-Syringe?
-Yes.

-Povidone-Iodine?
-Yes.

Okay. Clear the area.

What are you doing?

An amputation.

According to
the WHO amputation guidelines,

three out of five
of his major tissues are injured.

There are only two doctors here.

If you're okay with it, we can start now.

We don't have sterile equipment.
He might get an infection.

If we wait, it'll be too late.

What about anesthesia?

He's already unconscious. I did
a femoral block plus local injection.

-I need support.
-Are you in or not?

Okay.

Good. I need help.
Hold down his leg with your knee.

Put one hand on his radial pulse
and the other on his artery pulse.

MURDERERS

Are the ambulances there yet?

Okay. Keep in touch.

Okay, I understand.

I'm going to the hospital now.

Our hospital is the closest one.

They're going to send them
to Kanglian Hospital.

Notify the hospital and tell them
to prepare for the patients.

Wei-yu.

Call me when you get to the hospital.

Okay.

-Mr. Zhu.
-Mr. Wan.

Is your hospital able
to take in all the patients?

What about that trauma team
I mentioned last time?

We don't have enough money
or staff to organize one.

That's not good.

You should try to start one
as soon as possible.

For big incidents like this,

if you do things right,
you'll get good coverage in the media.

-That's true. I'll do so right away.
-Yes.

If you have any other suggestions,
please let me know, Mr. Wan.

No, who am I to give suggestions?

Improving healthcare quality
is our job, right?

If you successfully set up a trauma team,

I can put in a few good words
during the evaluation, okay?

-Thank you, Mr. Wan.
-All right.

Do a good job.

Thank you.

Please move to the emergency exit.

Esmarch bandage.

-You can move him now.
-Okay.

Contact the hospital.
Get him in surgery within 20 minutes.

All right. Right away.

We need support.
We're moving the patient now.

A little help, please.

One, two, three.

Hello, this is Yi-cai Lin at the ER.

Yes. No problem. I understand.

Thank you.

Dr. Wang, we need to hurry. The patients
with major injuries are coming in.

I got it. Thank you.

DECEASED, IMMEDIATE, DELAYED, MINOR

Take the cart out.

Motorcycles are not allowed here.

Normal heartbeat.

Let's go outside first.

Get him outside first.

Put it outside!

Grab the back! Hurry!

Motorcycles are not allowed here.

Motorcycles are not allowed here.

Which hospital do you work at?

Kanglian Hospital.

Which department?

Thoracic. Chief Resident.

You?

Anesthesiology.

An anesthesiologist
performing an amputation?

Where did you learn that?

Abroad.

Yemen, Syria and Jordan.

I'm at the hospital now.

Yes, I'm on my way to the ER.

Okay, bye.

Prioritize the b*mb attack patients.

BP 80 over 40, heart rate 130.

Give him 1000cc
of Ringer's lactate solution.

Put the tube in and prepare everything.
He's going into surgery right away.

Let's switch beds over there.

Yes, an emergency.

I understand.

-Tell everyone to be prepared.
-A patient is coming through.

Thank you.

Nurse!

Watch out, the bed is coming through.

Clear the way.

Too many beds in here.
Take care of it, Xiao-yu.

Dr. Wang, what's the situation?

Three major injuries.

We don't have space for the later ones.

I'm considering
telling the center we're full.

Take in as many as possible.

We need to show
the ministry our sincerity.

Understood.

-Dr. Hsiao!
-Chen-yu.

You're hurt?

It's not my blood. These are old wounds.

If you need help, just let me know.

When did you come back?

-I...
-This patient needs intubation.

Can I get a doctor here?

Dr. Hsiao, can you help?

Dr. Hsiao.

Jing-xin, he's a doctor.

-Where should we move this patient?
-Excuse me, let's go this way.

-Okay.
-Thank you.

-Let's go inside.
-Let's go.

-Dr. Yang, what's wrong with him?
-Diarrhea.

Bi-hao, why are patients
with minor issues taking up space?

The amputation patient
should be prioritized.

-I see.
-What's going on?

Patients who were categorized
as non-urgent minor issues,

please move outside. Don't hog the beds.

We have an emergency right now.
Please cooperate.

-Why should we leave?
-We need more space.

What are you talking about?

Are you kicking us out?

-We're not kicking you out.
-But you are.

-Sir, a b*mb attack just occurred.
-So?

-We have many patients coming in.
-What about my son?

-We need this space to help them.
-That's your problem.

Can't you be sympathetic?

-Think about other people!
-So what?

Excuse me.

We have seriously injured people
coming in right now.

-So?
-Attention!

Minor injury patients need to move.

Clear the beds.

Please cooperate. Get up and move outside.

We're sorry. Please cooperate.

We have news about a major incident
coming in right now.

There was an expl*si*n
at a downtown MRT station just now.

At least 30 people were injured.

Authorities are still
calculating casualties.

Someone at the scene
said there was a doctor there

who performed an amputation

at the b*mb expl*si*n scene
without surgical equipment.

The operation was successful.

We found out that this anesthesiologist,
Zheng-xun Hsiao,

was a w*r zone doctor
and has rich surgery experience.

Doctor!

How is the amputation patient right now?

The bleeding stopped a while ago,

but the patient is still showing
symptoms of hypovolemic shock.

We need to make sure
there's no internal bleeding

in his chest and pelvic cavity.

-Which hospital do you work at?
-Why did you choose to amputate the leg?

Can you tell us what happened?

Did the patient bleed a lot?
Can you answer these questions?

His name is Zheng-xun Hsiao.

He worked for an international
medical organization

and just returned from the w*r zone.

We were fortunate to have him
at the expl*si*n scene.

The emergency room helped a lot.

Excuse me.

Is Dr. Xiong in the ER?

-You are?
-I'm his...

-Zai, I...
-Don't move.

Come with me.

That hurts.

I didn't even notice it.

It's a shallow 6cm wound.
No need for stitches.

I'll clean the wound for you.
Remember to get a tetanus shot.

Okay.

Hey, were you nervous doing
the amputation at the MRT station?

Do you know Dr. Hsiao?

He doesn't work at our hospital.
He just came back from Jordan.

Dr. Xiong,
they're discussing the surgery sequence.

Can you come over here?

Okay.

You shouldn't be working when you're hurt.

Thank you.

Don't let the wound get wet.

I'll come by later.

Thank you.

No problem.

I thought you weren't hurt.

Is your eye injury serious?

It's fine. I just wrapped it up.

-I can see just fine.
-Okay.

I didn't think I'd meet you here.

How have you been over the years?

-Zheng-xun, I didn't know you were back.
-You're here.

Dr. Zhu.

Are you okay?

It's just a scratch. I can see just fine.

That's good.

You know the situation here,
so I'll just get to the point.

We are in desperate need of surgeons
to perform surgery on the patients.

We also need an anesthesiologist.

So, maybe you could help us out.

If you need me, I'd be glad to help.

That's great.

-Yi-cai.
-Yes?

Please bring Dr. Hsiao
to the operation room.

No problem. Dr. Hsiao, this way, please.

Wei-yu, come with me.

I have something urgent
to discuss with you.

My name is Bo-en Peng, I'm a neurosurgeon.

He's very experienced.

He's been working here
for eight years now.

Zheng-xun Hsiao, anesthesiologist
and emergency care specialist.

Are you performing the surgery?

No, it's my junior, Dr. Xiong.
He's a thoracic surgeon.

Why is your junior doing it?

Because I'm not a VS yet.
Also, he loves doing surgery.

He always volunteers to do it.

-Dr. Zhong.
-Hey.

Dr. Zhong, are you working with Dr. Xiong?

Yes.

Be careful.

He never follows the SOP.

It's risky.

Well, I'll go get ready.

Dr. Hsiao, follow me.

-I'll take you to the changing room.
-Okay.

You know we're on a tight budget.

If we set up a trauma team now,
we won't be able to pay for it.

We have no choice.

The trauma team is the main focus
of the evaluation this time.

But for this trauma team,

you need beds, equipment
and you also need to pay salaries.

These are all expenses.
It won't last one year.

We'll find a way to do it.

Worry about that later.

Here.

If we get downgraded,

our subsidies will get cut drastically.

Kanglian Hospital
won't be able to make it.

If that happens,

our hospital will surely be merged
with a bigger hospital.

I'm the head nurse of the ER, Yi-cai Lin.
Let me introduce you to the doctors here.

Plastic surgery R4, Dr. Yang.

Orthopedics R3, Dr. Dagun.

Thoracic chief resident, Dr. Xiong.

They come from different departments,

but they're working together now.

Excuse me.

I need your attention.

This is Dr. Zheng-xun Hsiao.
The director asked him to help out.

You can ask him for help
with anesthesia for surgery.

Dr. Hsiao, it's good that you're here.
I need an anesthesiologist.

We'll start in thirty minutes.
Two at the same time.

What?

But one is a splenectomy

and the other one is an amputation patient
who might have hemothorax.

We don't have enough people
for two surgeries.

We shouldn't have taken in
so many patients.

We'll be fine.

If you guys hold with the anesthesia,
I can do both.

We could transfer the amputation one.
He only has a 50% chance of survival.

No.

We decided to amputate his leg.
We need to be responsible for it.

Okay.

Are you sure he's up for the job?

He was the one who amputated the leg.

I'll let you anesthetize
the amputation patient. Thank you.

Move it. Hurry up, everyone.

Okay.

Thank you, Dr. Hsiao.

Dr. Peng and I will do
the splenectomy first.

Dr. Yang and Dr. Dagun will prepare
an endoscopy for the amputation patient.

I'll be over as soon as I finish.
Dr. Hsiao, please put in a double lumen.

Dr. Hsiao, over here, please.

Dr. Xiong, maybe you
should do an open surgery.

No need. I'll use an endoscope.
We'll do one-lung ventilation.

The patient's artery burst. I can
only stabilize the BP for 30 minutes.

How fast can you be done?

I can finish in ten minutes.
Just stabilize the patient.

I'll handle the surgery. Don't worry.

I understand.
I'll set it up within two weeks.

I'm going to hire Zheng-xun
as the head of the team.

With his w*r zone experience,

he is much more skilled
than most surgeons.

He is also all over the news right now.

I think hiring him will be a good way
to promote ourselves.

This is all for our hospital.

Don't overthink it.

I really need Zheng-xun's help.

I hope this will be an opportunity
for you and Zheng-xun to communicate.

-Dad.
-Put the past behind.

I'll set up the team as soon as possible.

Don't worry about me.

I can handle it.

Remove the tube.

That's the spot.

-Fix it at 29 cm.
-Okay.

Patient is Min-hao Huang, 52 years old.

Possible spleen rupture.
He's about to have a splenectomy.

Predicted splenectomy duration
is ten minutes.

Total procedure duration is one hour.

Predicted blood loss is 1500ml.

Vital signs?

Heart rate 110, BP 90 over 65.

-Scalpel.
-Scalpel.

-Teeth.
-Teeth.

Dr. Yang, Dr. Hsiao said that he can
only stabilize the BP for 30 minutes.

What if Dr. Xiong can't make it in time?

-Then, he'll have to do CPR on the table.
-What?

CPR?

Oh.

SURGERY IN PROGRESS

-Abdominal retractor.
-Abdominal retractor.

Maximum suction.

-Spread it wider.
-Okay.

I need more pads.

-Give me some more.
-Pads.

Come on.

Hurry up, down there.

Suction is full. New bottle.

At this speed, he'll bleed out


He'll need CPR.

I can stop it in one minute.
No need for CPR.

-Massive bleeding. Prepare blood units.
-Okay.

Four units of packed red blood cells
and fresh frozen plasma.

Okay.

Massive bleeding
from ruptured spleen. Pads.

Okay.

Give me your left hand.

Get in there.

-Don't move.
-Suction.

-Bleeding stopped.
-Retractor.

-Tissue scissors.
-The spleen is done.

I'm taking it out.

Maybe just do a spleen-preserving surgery?

We can't keep it like this.

Take it out.

-Suction.
-Okay.

-Sutures.
-Okay.

BP is stable.

Please finish up the surgery for me.

Dr. Hsiao only gave me 30 minutes.

The bleeding has stopped.
I'll take care of this with the others.

I'll get going then.

Clean up.

We'll count the gauze.

I'm heading out.

How is it going?

It's a mess.

There's more than one bleeding point.

The suction bottle is almost full.

He bled at least 2000cc.

Here.

-Dr. Dagun, standby.
-All right.

Dr. Yang, the trocar is too low.

The smooth forceps should have been
one interspace higher.

I was in a rush.

Turn the table toward me.

That's good.

Lower.

I can't even see.

Stay right here.

Legs down, head up.

Head up.

Okay.

Bleeding point is near the upper lobe.

-Dr. Xiong, wait.
-What's wrong?

Saturation is dropping.
We need double lung ventilation.

Buy me some time.
I can find the bleeding point.

His blood oxygen saturation is low.
BP is unstable.

-I'm going back to double lung.
-Wait. Just wait for me.

I need some time. We'll be okay.

Levophed, eight micrograms.

-We need to stabilize the BP.
-Levophed, eight micrograms.

Prepare suction.

Okay.

Dr. Xiong, five minutes.
Or you'll have to do CPR.

I found it.

Electrocoagulation.

Set it at 50.

How's the BP?

BP is 90 over 50.

Okay, bleeding has stopped.
Give me the scope.

Give him some time. We'll be fine.

BP 100 over 60.

BP is stable. It is 110 over 72.

Dr. Dagun, insert the chest tube.
Close the wound.

Okay.

Wei-yu Yang

Doctor!

Would you be willing to be
the head of our trauma team?

-Me?
-Yes.

I know it's kind of sudden,

but if we can set up this team,

it will allow us to start taking care
of the b*mb attack patients.

When do we start?

As soon as possible.

The patients can't wait, can they?

As for the administrative part,

Wei-yu will help you.

Just focus on what you do best.

If Wei-yu helps you, you can rest assured.

Will she be willing to?

She can separate work from other things.

I hope that the two of you
can cooperate well in this project

and help this hospital.

Okay.

I'd be happy to help.

Dr. Xiong, do you have a shift tonight?

Yes.

The shifts have been tight
and now they're setting up a trauma team.

We don't have enough people.

An able man is always busy.

Trauma teams are somewhat necessary.

When serious incidents happen
and a lot of patients come in,

the ER gets flooded. We can't handle it.

So, who's the thoracic
department representative?

Me, of course.

The director recommended me already.
Who else do you think it could be?

I heard that Zheng-xun Hsiao
will be the head of the team.

Can you handle him?

I'll be okay.

The patients have a long way
to go for recovery.

I hope they can get back
to their regular lives soon.

After this incident,
I realized how important doctors are.

Of course.

But people don't realize it
until something bad happens.

Did you just realize that?

No, they did two surgeries
at the same time.

People will see how hard we're working.

Yes, Zai always works
so hard to save lives.

He's a lunatic.

No, he's not.

It's because his dad
was in a car accident,

but they couldn't save him in time.

That's why he's so passionate
about being a doctor now.

-Really?
-Yes.

No wonder he's crazy.

Come on.

Everyone in Taiwan has been focusing
on the MRT b*mb attack.

Some people have even started
to leave flowers at the attack scene.

They hope that
the injured will recover soon.

A total of 53 people
were injured in the attack.

The suicide b*mber died instantly.

According to the police,
this MRT b*mb attack

was caused by a homeless person
who had mental problems.

The police are still investigating
the b*mber's motive.

We have received CCTV footage
of the suicide b*mber.

According to statistics released by
the Ministry of Health and Welfare,

all of the patients who were wounded
by the attack are stabilized.

Firstly, I would like to thank all of you

for your willingness
to take on this new challenge,

the trauma team, on such short notice.

On behalf of Kanglian Hospital
and the hospital director, thank you.

The b*mb attack...

The b*mb attack prompted us
to establish this trauma team.

The hospital director has asked Dr. Hsiao,

who played a crucial role in organizing
and delivering emergency care

at the attack scene, to lead the team.

Let us welcome Dr. Hsiao.

Hello.

The trauma team requires doctors
from different departments.

So we have brought over some
staff members from each department.

I thought we could seize this opportunity
to introduce ourselves today.

First of all,
from the neurosurgeon department,

Dr. Bo-en Peng.

From the plastic surgery department,
we have Dr. Jie-na Yang.

From the orthopedics department,
we have Dr. Bi-hao Dagun.

Just call me Bi-hao.

Also, from the ER,
we have the head nurse, Yi-cai Lin.

We also have colleagues

from cardiovascular surgery
and anesthesiology

who will take on some shifts.

These staff members

will be supporting
our trauma team regularly.

I appreciate the help
from all the head of departments.

I will need help from all of you

regarding personnel
and resource management.

We organized this trauma team

because in Taiwan, traumatic injuries rank
sixth among the top ten causes of death.

Our average traumatic injury death rate
is among the highest...

Dr. Hsiao, wait.

Well...

Excuse me.

The head of our department told me
to come to the meeting.

But there wasn't anyone
from our department in the team.

Did you forget or something?

Oh, I forgot to tell Dr. An.

We're still discussing who we want.
I'll be in touch with Dr. An.

What is there to discuss?

Didn't he recommend me?

I'm still considering it.

Dr. Zheng-xun Hsiao
Patient rescued from bleeding on the spot

Zheng-xun Hsiao.

I see.

He was an anesthesiologist
at Renxin Hospital.

Who made this?

The breaking news unit just uploaded it.
We've gotten a lot of views already.

This is a random person's video.
Add some subtitles and you call this news?

I think it's pretty good.

It's a hot topic and it's sensational.

Zoe, this is what you should do.

News nowadays are all like this.

That's what readers prefer.

Latest news from Wake Up Times.

Punk Doctor Disses Patients

Sen Xiong, the doctor who saved lives
during the MRT b*mb attack

is actually a doctor at Kanglian Hospital.

We were told that he had
no patience with patients.

He yelled at family members in the ER
and accused patients of hogging beds.

What the hell?

We also found out that Dr. Sen Xiong's

rap songs are full of lyrics
expressing anger and violence.

Move outside! Don't occupy the beds!

Don't deserve to be treated like that

Don't occupy the beds!

Don't deserve to be treated like that

Now that we've seen Dr. Xiong
as a punk doctor,

the public is curious
whether a doctor with anger issues

-will be able to help patients.
-No.

You guys are the same outside!

You didn't ask for Dr. Xiong's permission.
It wasn't even fact-checked.

Is that what you call news?

Miss, let me just cut to the chase.

If we get hits and people read it,
that's news. Okay?

This is the material
I collected on Dr. Xiong.

I have to gather this much material
to write one article.

We need in-depth articles,
not soap operas.

Find a topic, do research,
interviews, fact-check.

We need to tell readers the whole story.

That's what journalists are for.
Am I wrong?

Fine.

Go write your groundbreaking article.

Okay?

But I'm telling you,
that's what breaking news should be like.

Dr. Xiong?

You're downstairs?

Dr. Xiong.

Did your company release this video?

Yes, we did.

So, you're like a paparazzi, aren't you?

It wasn't me who did that.

Some of the photos...

-Most of the photos...
-Stop making things complicated.

Did your company release it or not?
Did you take those photos or not?

I did.

Okay, I got everything correct then.

I thought you were smart
because you went to medical school.

Are all journalists so dumb?

-Do you need a doctor to check your brain?
-Not all journalists are dumb.

I'm working very hard on writing...

Yes, you're working very hard
on being a paparazzi.

Where's your conscience?

Dr. Xiong, I'm a real journalist.

I don't want to listen to you.

Don't let me see you
in the hospital again.

The video was made by another team...

f*ck.

Number 2028, you have a visitor.
Get ready to leave your cell.

Jian-de, how have you been?

Dr. Xiong, why aren't you
on the trauma team?

If you're so curious about that,
why don't you go ask Dr. Hsiao?

Use packed RBC,
then FFP if that's not enough.

No, we need to use whole blood.

He thinks he's awesome
because he's been abroad.

He called me a technician.

In my opinion...

We should do a CT scan now.

CT?

Are you in charge of the budget?

But I am curious how the deputy director
is going to handle Kanglian Hospital.

You scratch my back, I'll scratch yours.

Wouldn't that be nice?

Ms. Shen, what seems to be the problem?

Director Chen.

I refuse to be interviewed.

Thank you.

NEXT EPISODE

Mr. Editor-in-chief,
you got the wrong target for the news.