Lockdown

"What do we have?"

Ivy tells her, "BPs 95 palp. Somnolent, but responsive to painful stimuli. Stats are 92 with 100 percent oxygen. On my count, one, two, three."

Bailey asks, "Its an MVC?"

"Sort of. Two people in one car drove off a cliff on Admiral Way. Haven't seen an ID yet," Ivy explains.

"They didn't find a purse?"

"They didn't even find a blouse. She came in dressed like this," Ivy rolls down the blanket to reveal just a bra.

Bailey questions, "Why are people driving around with no clothes on?"

Ivy points, "Passengers next door. Maybe he knows."

○○○○

Stepping out, Ivy sees Owen and starts to give him a run down, "He's got a head lac, and they both have abdominal injuries. Uh, Baileys here, and I paged Grey. You can jump in if you want, but we also have it covered and-"

She's cut off by a woman yelling, "Somebody please help, please! My baby can't breathe."

Ivy takes the baby as the dad tells her, "Shes choking on something."

"02 and crike kit, please?"

Owen comes over, "Move. Move!" He flips her over and smacks her back twice, forcing the object out, "How long has she been choking?"

"I don't know- a-a few minutes-five?"

"Page neuro. The baby's brain may have been deprived of oxygen for too long. Next time, call an ambulance," Owen states before walking away.

○○○○

Back with the patient, Ivy lists, "Lower extremity deformity with a large hematoma. Can't find a pedal pulse."

Bailey calls out, "Trauma panel, type and cross her eight."

Maggie comments, "I hope the sex was good."

Ivy shrugs, "I don't mind car sex."

As the patient begins to groan, Maggie lifts the oxygen mask, "Hey, you're okay. You're at Grey-Sloan Memorial. I do need you to keep still though, okay?"

"Abdomens very distended. Bring me the ultrasound now," Bailey asks.

"Is he alive?"

"Can you tell us your name?" Ivy questions.

"Alison. Please, is he-he alive?" She asks before starting to cough up blood.

They react, "Rapid intubation. I need a 7-0 ET tube."

Bailey comments, "She has a lot of blood in her abdomen. Alison, we're gonna take you up to the OR now."

Ivy notices, "Pressures dropped, 70 over 40! She's bleeding out. Hang blood on the infuser and prep her for REBOA catheter."

○○○○

April and Ivy switch out. Ivy goes to work with Edwards on the man, and sees Minnick arguing with Edwards, "Hey, what's going on?"

"Edwards didn't go to counciling like she was told to," Minnick tells her.

"Yes, I did. I went for three sessions and Webber signed off on me being back," Edwards argues.

"Okay, look, as someone who was committed to psych and still talks to a therapist, I think Edwards is fine. If you have a problem with it, go talk to Bailey. Until then, get the hell out unless your treating a patient," Ivy dismisses her.

○○○○

Ivy updates the man's chart as Edwards stitches up the head lac. Jackson comes in to check on her work, "You doing a single interrupted suture layer, then?"

She shakes her head, "No, running a subcuticular."

"Oh, even better. Not conscious yet?"

"No. The girl?" Ivy asks.

"April still has her in the OR," Jackson tells her.

Edwards tells the attendings, "His head CT is clear. He has a grade three liver lac. Dr. Grey wants serial abdominal exams and six-hour crits."

He starts to choke on the tube, "Oh, all right, sir. Hold on. We're gonna get this out of your throat. One second, I'm gonna count to three and you're gonna blow it out. One, two, and three. Great job. Sit up. Clear that airway."

"Whats happening? What are you doing?"

"Sir, you're in the hospital. You had an accident. What's your name?" Ivy asks.

"Keith."

Edwards nods, "Keith, Keith, you're safe, okay? We have Alison here, too."

He looks confused, "Alison? She's here? I-Is she all right? Did you talk to her?"

Ivy explains, "She was unconscious when she came in. She has some pretty severe internal injuries. She's in surgery right now."

"Alison's in surgery?" He asks, "Okay. Uh, uh, when will she be out?"

"Oh, well, that's hard to tell."

"I have to go," Keith tries to get up.

Jackson presses him back, "No, no, settle down. Settle down. You need to stay in bed."

Edwards adds, "You have an injury to your liver. If you move, it can make it much worse."

He pleads, "I have to..."

"Look, we are gonna make sure to let you know how she is as soon as she's out, okay?" Ivy tells him.

"Right now, we need you to relax," Jackson calms him.

○○○○

Jackson, Ivy, and Edwards walk past Minnick, "Edwards, I assume your patient's awake and stable if you felt comfortable leaving him."

Ivy jumps in, "Or I, her attending, asked her to come with me."

Edwards answers anyways, "Alert and orientated times three. Lacs are repaired. Vitals are stable. He's looking for an update on his girlfriend."