boogieman said:

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chick79 said:

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I love the show. I think it's the best thing on TV right now. ...

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Man I enjoy the hell out of this show. Soo intense. Totally reminds me of the first few seasons of ER.

I can't freaking believe we saw the crowning. Wow

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Just finished this week's ep. Saw a lot more than just the crowning.

It probably wasn't too tough of a call to make but the second Robby's son FaceTimed him from the festival I knew there'd be a mass shooting. Great show. Noah Wyle is phenomenal in this.

Does anyone remember the ER episode when Anthony Edward's character had a baby delivery and the mom died? I had flash backs to that. Glad that story line didn't play out. Dr. Rabinovich reminds me a lot of Dr. green.

mazzag said:

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Does anyone remember the ER episode when Anthony Edward's character had a baby delivery and the mom died? I had flash backs to that. Glad that story line didn't play out. Dr. Rabinovich reminds me a lot of Dr. green.

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That's actually considered one of the all time greats of the series.

Incredible show. The scene where she reveals the abortion stood out.

They had a relationship, she aborted, and didn't bother telling him about it until then? Wild stuff. I was irate during that scene. My wife told me that it clearly wasn't his kid. I looked it up and Noah Wylie did an interview stating it was certainly his, which is why he got mad inside the hospital on the next scene when he asked people to be honest. I can't imagine holding that secret for so long only to find out you miscarried later. Incredible acting all around.

He quickly forgave because he cared about her and understood what she was going through, but he was clearly upset.

Then 5 min later his stepson may be dead but he has to compose himself… (knowing that he could have been a biological dad)

I'm hooked just to see if he makes it through the day. He is clearly an outstanding doctor but a human can only take so much.

I need a smoke after the most recent episode

Cannot believe the Severance season finale wasn't the best episode of TV that came out yesterday.

The major inspiration for this episode was obviously the Vegas shooting in 2017, but the biggest inspiration and likely written based on this exact article was the heroic work done at Sunrise Hospital and specifically by Dr. Kevin Menes.

https://epmonthly.com/article/not-heroes-wear-capes-one-las-vegas-ed-saved-hundreds-lives-worst-mass-shooting-u-s-history/

I can't imagine there is a single ER doctor in history that helped save more lives than Dr. Menes and his team did that evening. The dude is literally a real life ****ing hero.

Dr. Not Yet Dr. Ag said:

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I need a smoke after the most recent episode

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Amen. What an intense episode. Fastest 40 minute episode.

The series won right here. Very well done and excellent not only TV, but lots of valuable lessons in this episode to be taken away.

What an episode

Total wounded was just above 400, total killed was 60. Dr. Menes estimated that Sunrise Hospital cared for around 250 total.

As for the accuracy of the hospital's response, this is basically the ideal response to an MCI and is how we are trained during our mass casualty simulations, although they added some things that aren't typically done. The wrist slap bracelets were an invention of the show as were the toe tags. The "pink" designation for triaging patients is not part of the START triage algorithm which only designates patients to black, red, yellow, green. Dr. Menes added an "orange" designation during his response to the Vegas shooting, and that is likely where the show got their inspiration.

Having been a part of a major MCI in the past, it is much more chaotic than this, and the processes are not this smooth. Unless the hospital and staff had training and MCI processes in place, there can be major hurdles to patient care. Even with excellent preparation, it will typically be much more chaotic. Patients screaming. Family members and victims showing up en masse to the waiting room. Difficulty finding patients due to significant delays in patients being placed into the EMR. Difficulty with getting controlled meds (fentanyl, ketamine, etc.) available quickly. Issues with getting radiologic studies performed and read. Most hospitals, even level 1 trauma centers don't have an attached urgent care that they can redirect non-emergent patients to, so many of the patients in the waiting room will likely leave when told of the MCI or have significant delays to being cared for if they decide to wait. Getting boarding patients admitted upstairs isn't difficult, but the ones that are difficult are the sick, non-MCI patients that haven't had their work up completed, so many of these beds cannot be cleared, outside of the patients with obvious pathology needing admission.

Dr. Menes does a great job of discussing some of these hurdles or "bottlenecks" during his experience.

As I mentioned previously, I've been a part of three major Mass Casuality incidents. One I won't mention, but the other two were the West Fertilizer Plant explosion and the Twin Peaks shooting.
Each had their own challenges.

For example, my ER usually sees 200 people a day. For West, we saw 110 in 2 hours.
Although we have an EMR, we did everything on paper, including paper towels and napkins, and it took us weeks to sort through all the details.


We had rival gang members for the Twin Peaks shooting, and we were taking care of both sides.
This led to interesting room, floor and security assignments for the duration that both gangs were in the hospital.

rjhtamu said:

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As I mentioned previously, I've been a part of three major Mass Casuality incidents. One I won't mention, but the other two were the West Fertilizer Plant explosion and the Twin Peaks shooting.
Each had their own challenges.

For example, my ER usually sees 200 people a day. For West, we saw 110 in 2 hours.
Although we have an EMR, we did everything on paper, including paper towels and napkins, and it took us weeks to sort through all the details.


We had rival gang members for the Twin Peaks shooting, and we were taking care of both sides.
This led to interesting room, floor and security assignments for the duration that both gangs were in the hospital.

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Fascinating. Thanks for sharing.

Another incredible episode this week. And, uh, good luck to anyone not named Noah Wyle who's looking for a best actor Emmy over the next few years.

I now tell people that Scrubs and The Pitt are the two most accurate shows that give outsiders a glimpse into what medicine is like. It used to be just Scrubs.

Solid episode but lol at shoehorning measles anti-vaxxer mom at the end. Kind of spoiled the whole thing

Best part of the show for me

DannyDuberstein said:

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Solid episode but lol at shoehorning measles anti-vaxxer mom at the end. Kind of spoiled the whole thing

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Why did that bother you? Are you denying there are dipsh/t anti-vax parents out there? And I assume this would've been written/filmed months before the current outbreak we're seeing though I certainly could be wrong.

DannyDuberstein said:

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The snippet was fine in a vacuum or elsewhere in 15 episodes. Squeezing it in as the first and only other case they see in a 2 episode mass shooter story was really odd. Also lol at them being at the movies. The show is trying a bit too hard to touch all the bases.

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What base is being touched by having the parents be at the movies?

DannyDuberstein said:

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Solid episode but lol at shoehorning measles anti-vaxxer mom at the end. Kind of spoiled the whole thing

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I mean, we covered just about every other woke BS topic in a 12hr shift, why not that one?

I'm failing to see how an anti-vaxx measles case is "woke BS" when a Texas child literally just died of it this past month, well after this episode was shot.

I miss the days when we all just pointed and laughed at anti-vaxxers as the morons they are.

Dr. Not Yet Dr. Ag said:

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I'm failing to see how an anti-vaxx measles case is "woke BS" when a Texas child literally just died of it this past month, well after this episode was shot.

I miss the days when we all just pointed and laughed at anti-vaxxers as the morons they are.

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Were you asleep in 2021/2022?

You mean when 100s of thousands of people died from a disease that had a readily available vaccine that a certain side of the political spectrum refused to take leading to disastrous consequences for many of them unlucky enough to contract said disease? Meanwhile deaths from those vaccinated was orders of magnitude less. And while trying to save so many of these people from themselves, we had family members or the patients themselves yelling at us to give bizarre, nonsensical drug cocktails and vitamins or flat out telling us we were lying to them about the severity or that they had the disease to begin with.

No, I wish I was asleep for all of 2021/22, but unfortunately I had to sit through some of the most traumatic and difficult times you could possibly imagine for the patients and those caring for them. Entire units with patients with whited out lungs on CXR, on 100% FiO2 and max PEEP settings on the ventilator with O2 sats in the low 80s and literally nothing else we could do for them. Meanwhile I had people on here claiming the death we all saw around us was made up or that the vaccine was somehow worse than the disease despite clear evidence to the contrary as a true testament to human stupidity.

Pretty cool that Brad Dourif made a cameo in this last episode playing the dad of his real life daughter.