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Hesitate, and people die. I’m gonna need some suction. Ella, Ella. Call a T.T.A. Jesse, call the blood bank. Tell them I need to units and notify the O.R. Copy that. Off to Level , all right. Got a gunshot wound, male. One hole. I don’t know if there’s more. N.V.P. Now! R.S.I. Etomidate. milligrams. Sux , please. Push it on my mark. Meds are ready. Push it now, please. Okay. Okay, now’s a good time to get down. Come on, come on. Copy that. Do you want me to get the labs for transfusion type and cross match? No, but you can take over CPR. But the blood loss is critical. Look at his pulse, doctor. This man’s heart needs assistance. Stop compressions so we can intubate. You got it? Yeah. Who can tell me why this patient cannot be transfused with type and cross-match blood? Anyone? ‘Cause it takes an hour. He doesn’t have an hour. He needs O-neg, which is here now. Thank you, Jesse. But six units? That’s a lot of blood. By the time he gets sewn up, he’ll have lost that and more. Hang on. She’s right. Yeah. It’s gonna take a vascular surgeon an hour to replace that vessel, and he doesn’t have an hour. He doesn’t have minutes. And all that blood’s gonna end up on the floor underneath a dead man. It’s Friday night, mama. We’re gonna need that blood. Yes, we will. You’re not gonna transfuse him? Wait. You’re just gonna kill him? What’s going on? I need a vas cath in his “L” subclavian and all the cold saline that I can get. Leanne? A word? Who can tell me what I’m doing? Cold saline, coming in. Anyone? I’m replacing all the patient’s blood with ice-cold saline. Why am I doing that? You shouldn’t be. He’s already decompensating. I need assistance, Dr. Hudson. I’ll take it black with no sugar. That’s a man on that table, Leanne. You… are you ready to speak yet? The theory of cold infusion is that it can create a temporary suspension of animation through hypothermia, buying the patient, in theory, the hour it’ll take a surgeon to repair the artery. Bingo. So you were right. We are going to kill him. We’re going to kill him to save him.



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