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S1 E13

The Pitt · Season 1, Episode 13

“7:00 P.M.” quotes from The Pitt

3 quotes

“7:00 P.M.” · Season 1, Episode 13

In this episode: Robby Robinavitch (1), Dr. Frank Langdon (1), Dennis Whitaker (1), Dr. Samira Mohan (1), Dr. Trinity Santos (1)

[to his adopted son, about his girlfriend] Leah's injuries were really serious. She stopped breathing. We put a tube down her throat to deliver oxygen. We were able to drain the blood that was collapsing her lungs. We gave her as much blood as we could. We even transfused some of her own blood that was in her chest. But we were unable to get ahead of the massive blood loss. Her heart stopped. You saw me doing CPR. We did everything that we could.

JMJake Malloy

She's dead?

Robinavitch: Her heart was damaged beyond repair. There was nothing that we could do to save her. And I don't know how many people I've helped today, but I can tell you every other person who has died. There was a man named Mr. Spencer, who died in front of his children, and an 18-year-old who who was brain dead from a fentanyl overdose and a guy with a heart condition and a little girl who drowned trying to save her sister. [sobbing] And I'm gonna remember Leah long after you've forgotten her.

What are you doing?

Giving this guy a chance. He needs a big central line for fast transfusion.

Mohan: You can't do an IJ without an ultrasound, especially on a guy this big.

MDMateo Diaz

You'll kill him if you collapse a lung or hit the carotid.

I'm not doing an IJ. Unhook that blood line. Bring it up here. This is a supraclavicular subclavian. If you have to go in blind, this is the only safe way to access a giant vein. And hold compressions. A centimeter from the lateral head of the sternocleidomastoid, a centimeter off the clavicle, aiming at the contralateral nipple. I'm in. Okay, resume compressions. And squeeze blood.

Where'd you learn that?

"EM: RAP" podcast. We'll be ready for a second unit in under a minute. Boom.

What are you doing?

Prepping for REBOA.

Are you crazy? Did Abbot approve this?

He said, do what you have to do. Attendings are all tied up. If I can blow up a balloon in the aorta, it'll stop the bleeding.

It'll cut off the blood supply to half her body.

I'll only go in a few inches, zone three, below the kidneys, until she gets up to the OR. Glove up, Huckleberry.

Okay, you're gonna need an ultrasound, X-ray.

Not today.

Have you done this before?

It's a central line. I just need to hit the femoral artery like that. Piece of cake. All right, guidewire, then introducer sheath.

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