ER 9-25-08

We start off in the ER with a father rushing in his young son, saying they were near the explosion. 'What explosion?" He explained an ambulance had blown up on Michigan Street. When we left last season Sam and Pratt were deciding who was going to do a ride along with a witness protection patient. As Gates is leaving in an ambulance to go check he sees Sam in the ambulance bay.



Next we see Abby passed out in the street, a little bruised, a little bloody. Near a fire being attended to by fire fighters. We see Pratt in the front of the ambulance, he is conscious. The driver has been impaled. Pratt and Abby are now patients, Pratt is vomiting blood. Pratt claims to be alright.



Next we see Neela and Brennan getting dressed after their rondevous in the break room. Everyone is rushing to help Pratt who is dictating orders for everyone else. Abby has a broken wrist. Mrs. "Gharrett" is a patient, and is demanding Abby's time. Abby gets her wrist set and goes back to break the news to Pratt that the bone sticking out of his leg isn't his. He also has "blast lung" which caused bruising on his lungs. His sats are going down and he needs to be intubated.



Another patient who has asthma was in a car near the blast. She knows a lot about her condition, and her nanny is calling her mom.



They are having trouble intubating Pratt. The ambulance driver is going up to surgery. They still can't intubate, they are going to "Crike" him, opening his throat to provide oxygen. There isn't a crike tray in the room so they improvise.

Pratt's brother finds out he's in the ER and goes in to visit him. Pratt can't talk because of the crike.

Asthma girl is "acting weird" according to her mom, and she passes out.

Meanwhile Pratt has developed a mass in his neck, and is going to need surgery. And Abby is going to run test for the asthma girl. There is a very weird web tester guy with a broken leg bugging Abby and then Pratt starts spraying blood out of his mouth. Neela has to tie off his carotid to stop the bleeding. They are calling his girlfriend and the asthma girl is crashing too. They figure that the asthma girl inhaled cyanide, and Abby runs back to Pratt's room.

They pull a bone out of Pratt's throat. Abby pushes meds on the asthma girl, and then Pratt goes into V-fib. Pratt needs to go on bypass and they are performing CPR. When they get Pratt stabilized on bypass. They determine that Pratt may have had an air embolis. He is currently has no brain activity, but they think he may recover, they'll wait four hours and reassess.

Morris tells everyone to get back to work, but not in the normal jerky Morris way. Pratt's brother stays behind. They perform an ultrasound after two hours, they see no cardiac activity. Gates asks Pratt's brother if it's ok they honor Pratt's wishes to be an organ donor. If necessary.

At four hours they determine that Pratt is brain dead. They are all standing by when they pronounce that Pratt is dead. They explain that he is going to stay on bypass to keep his organs vital. Pratt's brother pushes his gurney upstairs so that they can harvest his organs. Frank helps them with the elevator and touches Pratt as he's wheeled by.

The next scene is one week later. Everyone appears to be returning from Pratt's funeral. Dr. Weaver and Dr. Carter have sent gifts in memory. Pratt's fiance' tells them all that they were Pratt's family.

Broken leg weirdo gets wheeled into the ER, they remember him and that he was annoying. Neela is needed in Trauma and doesn't have time to change out of her clothes. Weird broken leg guy has sepsis in his leg and they decide to wash his leg in the ER.

Abby tells Haleh that she and Luka were thinking about moving, but don't know now.

Morris is in a room with Betina, Pratt's fiance' he asks how she's doing after her surgery for colon cancer. Morris fumbles around a lot. Morris tells her he's been holding on to something. He pulls the ring Pratt had bought in the last episode out and gives it to her. She cries, they hug.

Gates and Sam are walking and talking. Sam tells him that she could've been on the ambulance, and she doesn't want to waste time. She thinks they "have something real". Morris interrupts and they decide to go to Ike's. Anspaugh calls and tells his nephew or whatever he is, that they were going to offer the ER Chief position to Pratt. Gates leaves to chase after Chaz, Pratt's brother and invites him to Ike's. He says he can't handle it, Gates encourages him to come. Chaz regrets not knowing him for the first 18 years of his life. He tells them to "have a good time at your party".

Broken leg guy caused his sepsis by scratching under his cast with a wire coat hanger. The woman that he saved when he broke his leg comes to visit him.

They are all gathered at Ikes. Morris asks if anyone wants to say anything. Neela tells everyone how Pratt helped her through the death of her husband. Chaz shows up, and says he was clueless before he met Pratt. Abby reads a letter telling of the people who got Pratt's organs. He saved three lives that day. Morris tells how he and Pratt used to go to Ikes for Mozzarella sticks and then several orders come out and they toast him with cheese sticks.