Breakthrough

721 00:34:15,553 --> 00:34:17,155 PARAMEDIC: Rope is out. Prepare for retrieval. 722 00:34:17,255 --> 00:34:18,589 TOMMY: I got him. 723 00:34:20,258 --> 00:34:21,759 -TOMMY: Pull! -(both grunting) 724 00:34:21,859 --> 00:34:23,127 JOE: Here we go! 725 00:34:23,227 --> 00:34:24,162 TOMMY: Pull! 726 00:34:24,328 --> 00:34:26,431 Come on! Keep going! 727 00:34:29,901 --> 00:34:31,269 PARAMEDIC: He has no pulse. 728 00:34:31,402 --> 00:34:33,204 TOMMY: Start compressions. 729 00:34:33,671 --> 00:34:34,639 JOE: Go! Go! Go! 730 00:34:34,839 --> 00:34:36,107 (indistinct chatter) 731 00:34:36,908 --> 00:34:39,410 Two! Three! Four! Five! 732 00:34:39,510 --> 00:34:40,511 Stop! 733 00:34:45,850 --> 00:34:46,984 Pull! Pull! 734 00:34:47,218 --> 00:34:50,421 One! Two! Three! Four! Five... 735 00:34:52,990 --> 00:34:54,892 Nine! Ten! Eleven! Twelve... 736 00:34:55,059 --> 00:34:59,197 (indistinct chatter) 737 00:35:03,801 --> 00:35:04,902 Ventilation tube. 738 00:35:05,169 --> 00:35:06,637 PARAMEDIC: One! Two! 739 00:35:14,979 --> 00:35:21,519 (sirens blaring) 740 00:35:22,286 --> 00:35:23,721 PARAMEDIC: Come on, John. 741 00:35:25,189 --> 00:35:28,759 (ringing) 742 00:35:30,228 --> 00:35:31,162 Cindy! 743 00:35:31,429 --> 00:35:32,663 I've been expecting your call. 744 00:35:32,763 --> 00:35:35,099 CINDY: Joyce, so there's been an accident. 745 00:35:35,199 --> 00:35:36,834 Uh, the boys were out playing on the ice 746 00:35:36,934 --> 00:35:37,969 and they fell through. 747 00:35:38,336 --> 00:35:40,404 So you need to get to the hospital right now. 748 00:35:40,571 --> 00:35:42,940 (sobbing) They have John there. All the boys are there. 749 00:35:46,177 --> 00:35:48,146 (inaudible) 750 00:35:48,246 --> 00:35:49,580 (sniffling) 751 00:35:52,316 --> 00:35:56,420 (cell phone ringing) 752 00:35:56,521 --> 00:35:57,355 Hey! 753 00:35:57,855 --> 00:35:59,724 I'm just picking up that dimmer switch that you wanted. 754 00:35:59,824 --> 00:36:00,725 Brian! 755 00:36:01,058 --> 00:36:02,226 -John was in an accident. -Joyce. 756 00:36:02,393 --> 00:36:03,961 The boys fell through the ice! 757 00:36:04,228 --> 00:36:06,497 -Joyce, Joyce. Slow down. -I'm going to St. Joseph West Hospital. 758 00:36:06,597 --> 00:36:07,698 Can you please meet me there? 759 00:36:07,965 --> 00:36:10,368 (stammers) Okay, okay. I'll meet you there. 760 00:36:10,635 --> 00:36:12,436 (panting) 761 00:36:13,671 --> 00:36:15,406 (horn blaring) 762 00:36:15,740 --> 00:36:18,209 (tires screeching) 763 00:36:19,777 --> 00:36:22,647 (hyperventilating) Joyce, calm down. 764 00:36:23,214 --> 00:36:24,549 Calm down. 765 00:36:30,288 --> 00:36:32,823 (indistinct chatter on PA) 766 00:36:34,392 --> 00:36:35,593 DR. KENT: What do we know? 767 00:36:35,826 --> 00:36:38,196 Fourteen-year-old male, unresponsive and pulseless. 768 00:36:38,296 --> 00:36:39,897 He was playing on the ice and fell through. 769 00:36:40,064 --> 00:36:41,766 Five hundred cc bolus given. 770 00:36:41,933 --> 00:36:43,167 He's very cold to touch. 771 00:36:43,568 --> 00:36:45,903 Keith, take over CPR compressions. 772 00:36:46,137 --> 00:36:48,206 Let's bolus him, normal saline. 773 00:36:48,439 --> 00:36:51,709 Run the IV wide open. We use a weight of 80 pounds. 774 00:36:52,009 --> 00:36:53,611 Prepare to give epinephrine. 775 00:36:59,183 --> 00:37:00,451 Epinephrine is in. 776 00:37:05,990 --> 00:37:07,325 Hold compressions. 777 00:37:10,194 --> 00:37:11,429 No pulse. Still cold. 778 00:37:11,629 --> 00:37:13,864 Pupils are fixed and dilated. No response. 779 00:37:13,965 --> 00:37:14,999 Resume compressions. 780 00:37:15,099 --> 00:37:16,467 Prepare to give epinephrine. 781 00:37:18,536 --> 00:37:20,238 Epinephrine 0.38 milligrams. 782 00:37:20,371 --> 00:37:21,539 The temp is 88 degrees. 783 00:37:21,639 --> 00:37:23,374 How much long till the next pulse check? 784 00:37:23,474 --> 00:37:24,442 Thirty seconds. 785 00:37:24,842 --> 00:37:26,177 (whispering) Please, Lord. Please, Lord Jesus. 786 00:37:26,277 --> 00:37:27,178 Please. 787 00:37:27,578 --> 00:37:28,879 Check pulse at the next pulse check. 788 00:37:28,980 --> 00:37:30,581 If there is no pulse, we're gonna shock him. 789 00:37:30,748 --> 00:37:32,783 Gotta try something. Shock at a 150 joules. 790 00:37:32,917 --> 00:37:35,052 -Preparing to shock. -NURSE: Two minutes. 791 00:37:35,186 --> 00:37:36,687 (EKG flatlining) 792 00:37:36,821 --> 00:37:37,722 No pulse. 793 00:37:37,922 --> 00:37:38,889 Everyone, clear. 794 00:37:39,123 --> 00:37:40,057 Shocking. 795 00:37:40,191 --> 00:37:41,292 (beep) 796 00:37:44,028 --> 00:37:44,929 No pulse. 797 00:37:45,463 --> 00:37:47,098 DR. KENT: What's the outside temperature? 798 00:37:47,231 --> 00:37:48,199 Low 50s. 799 00:37:48,299 --> 00:37:49,634 Lake w...