HOME COURT (TV-14)

11/02/2009 09:00 PM

A ROUTINE SHIFT TAKES A DANGEROUS TURN – The tables have turned as Nancy (Anastasia Griffith) and Glenn (Taylor Kinney) find themselves on the other side of the trauma. Meanwhile, Boone’s (Derek Luke) priorities on the scene are called into question. Elsewhere, Rabbit (Cliff Curtis) has a surprising reaction while treating a patient. Aimee Garcia, Kevin Rankin and Jamey Sheridan also star. John Terry and Scottie Thompson guest star.

Tonight's episode was awful. The Rabbit character is his most out of control in this episode. Every week he should be fired. There needs to be consequences for his awful behavior every week.

Rabbit's PTSD is finally coming to a head, and likely they will be dealing with it before the arc resolves itself. As someone who enjoys the character and who has also been through PTSD, I know firsthand what the illness is like. Rabbit has to hit his bottom before he can begin to find his way back, he has ignored his feelings about the accident and what it did to him for over a year, and now he is finally connecting with the emotions, it may not be pretty, but neither is the illness. I'm looking forward to seeing how he overcomes the challenges ahead and what kind of changes he will go through before the process is over.

JD minus Admin Hat

Let's see tonite the new guy is guilty of improperly operating his rig and is at fault for the accident. ( I never saw him slow down and and hit the alert horn at the intersection) The black guy and the gay guy are guilty of Pt. abandonment and Rabbit is guilty of battery. FWIW as soon as the obese Pt. refused treatment and Rabbit continued to treat him he was guilty of battery and would have lost his job and everything he owned in the lawsuit following that call.

Add to that that fact that once again spinal precautions were ignored and we have an EMT that can't even do an initial pt assesment (rabbit in the bar) ?

On the plus side this makes two episodes in which Paramedic Barbie didn't get laid and Aimeeeee Garcia managed to have her flight suit zipped all the way up tonight.

Why do you feel it was awful? Just because of Rabbit? It should be no surprise that Rabbit would be the "Damaged Character" on the show. Every good show has one, (i.e. Dr. House on House). It's called character developement. Would you want to watch everyone just be perfect? What is entertaining/interesting about that?

I really enjoyed last nights episode. I think that we are begining to see both Rabbit and Nancy have a breakthrough. Rabbit finally has a partner that will not just let him do whatever he wants and calls him on it when he does. Nancy will eventually begin her residencey making her father and Dr. Joe very happy men. Especially Dr. Joe since Nancy will no longer be his subordinate. Then he could finally tell her that he is in love with her.

Avid Rabbit Fan...

Treo,

Hows do you get that Tyler and Boone are guilty of paitent abandonment for triaging, I missed that?

In addition, Rabbit was drunk in the bar, he knew he was not capable of clearly assessing the man's condition himself, that was why he talked the other person through it. Had he done it himself you would have called him on the inappropriateness of treating the man while in that condition, in your eye it was a no win either way. I think he made the right call.

Tyler and Boone ( Black guy Gay guy? I don't know names) Abandoned their pt. as soon as they got out of the rig (Notice I am overlooking the fact that they'd never call them in the middle of a run no matter how mundane) and left him alone. Once you begin treating a pt that pt is YOUR
py until he/she/they/it is in a hospital or refuses treatment.

The guy Rabbit was talking through the initial pt assessment was an EMT-B he should have known how to assess LOC, AAO and PEARLA W/ out a drunk talking him through it. Also since Rabbit was drunk his level of legal involment should have ended W/ "Call 911" If he is treating by proxy while intoxicated he is treating while intoxicated. I'd have told him to STFU and get off my site and if necessary I'd have him arrested .

Thanks for clarifying your statements, guess we'll once again just have to agree to disagree on how we saw their actions.

Treo, come on man. If you're going to nitpick every little thing on this show then you're going to have to do the same for every single show ever based off a real life profession.

It's not a documentary. NYPD Blue, The Shield, Grey's Anatomy, and Taxi weren't all accurate representations either. And my high school experience was fun, but wasn't quite Saved By the Bell.

I thought it was great how they didn't breach protocol. Yes there was patient abandonement; but who is to say how it would have really played out if there was an MCI with 50 plus patients including two critical traumas that were friends of mine. I'd be very tempted to say the 5150 ran away. I'm not saying I would; but i'd be tempted.

Rabbit has PTSD and freaked out on a patient after yet another critical incendent. He needs CISD; but i'm not surprised he flipped out on that patient. I know some medics would have given that guy a lecture.

And if I was your sup I'd nail your ass to the wall



As I said earlier Rabbit committed battery as soon as that pt said, "I don't want treatment. " (BTW is this the same Rabbit that told the new guy " we do medical triage not moral.)?"

I would love to have some paramedic do that to me if the city wasn't smart enough to say that his actions were outside the scope of his duties and therefore not under the city's liability I'd own San Francisco.

I can't remember the wording and I'm not going to dig out my Med Law and Ethics Text Book but the basic idea is that if a HCP willfully commits an act that a reasonable person would see as outside the scope of his duties (I.E. CNA fondled an unconscious pt in a hospital and the hospital couldn't be held responsible for her actions because she acted on her own and contradictory to hospital policy) you can’t hold that agency responsible for that person’s actions. (FWIW I went and looked for the ML&E textbook but I gave it away after I smoked the class)

This episode made my blood run cold. I was in my rig a couple of cars behind another rig. They made the left turn and we caught the red light. Just as they were passing an off ramp, they were T-boned by a car that ran the light. I lit up our rig and were there within seconds. Our first priority were the EMT and Medic. The driver of the car was not on our radar at all, until we made sure everyone in the other rig was OK. The driver of the car was totally OK, but she sure acted like a meth head. I really wanted to beat the crap out of her, but that's against protocol. We made the radio call as we got to the other rig, and the response was really fast, and it seemed like the whole EMS world showed up. Luckily, the other crew were not seriously injured.

Well on last night's episode they never showed the viewers what the letter said. At the end of the episode Nancy's Dad, Dr. Carnahan, really ripped Dr. Joe a new one over the letter's wording and basically accused Dr. Joe of being a letcherous perv! Well, today they have the letter posted on the NBC website and I got to read it. http://www.nbc.com/trauma/exclusives/dr-joes-letter.shtml I've got to say that it is no smoking gun! It looks like the typical run-of-the-mill recommendation letter that most employers, supervisors, or family friend would write. IMHO, Nancy's Dad is a Jackass and is looking to blame other's for the poor relationship he has with his daughter. This would also explain Nancy's poor self respect and permissive behavior.

Whoa Greig, that is CRAZY!!! Take care out there, Big props to you and your coworkers. Thank you for sharing that.

Dear Treo, please at least use their names. You watch EVERY episode so I know you actually DO know their names. "Black guy, gay guy, etc..." it's just weird.

I do watch the episodes ( Mostly to see what they are going to get wrong next) but I'm not invested enough in the show to know names (except Rabbit and Marisa) I tend to cruise along on auto pilot until the get a call then i focus on the procedure and then go "That's wrong, that's wrong, that's tee totally wrong. OMG who is their medical advisor!!!!!" Then i go back on cruise control and think about what I'm going to post here after the show is over.

You can disagree with Treo all you want, but he's exactly right. Once you have a patient, you're completely "off the grid" until you transfer care to the hospital or the pt refuses care. Dispatch would never call a rig to a scene that is already en route with a pt. Responding to another scene while leaving your current pt unattended in the truck is pt abandonment. Rabbit committed battery as soon as he placed the BP cuff on the guy's arm. Also, as an EMT, I was a little insulted by the way they treated the EMT in the bar. I don't need a paramedic, drunk or not, to tell me how to do a simple initial assesment. Overall, I thought it was a pretty entertaining episode. The inconsistencies with the real world are to be expected as with any show or movie.

I can't remember the wording and I'm not going to dig out my Med Law and Ethics Text Book but the basic idea is that if a HCP willfully commits an act that a reasonable person would see as outside the scope of his duties (I.E. CNA fondled an unconscious pt in a hospital and the hospital couldn't be held responsible for her actions because she acted on her own and contradictory to hospital policy) you can’t hold that agency responsible for that person’s actions. (FWIW I went and looked for the ML&E textbook but I gave it away after I smoked the class)

FWIW the above wouldn't apply to Rabbit because he has a history of acting outside the scope of his position and disregarding established protocols and his Med Director knows it. If this was the real world and the fat guy sued ( and believe me he would ) any good lawyer would hold the city directly responsible for allow Rabbit to continue to work. Which is also why in the real world rabbit would be unemployable.

BTW as has been stated earlier, you can disagree W/ me all you want. You're a moderator on an NBC message board, I actually do this stuff for a living ( granted I do it in clinic now instead of a rig). Who do you think is going to have a better handle on how this stuff works in the real world?

Treo,

Trauma isn't a documentary, if they did everything by the books and it was all a perfect world, there would be no story. Every drama plays with their storyline, adding whatever twists they need to bring in viewers. Personally, I like Rabbit because of his flaws, it's what makes him who he is, and the process of how he comes to grips with them and begins the healing process is called character development. Plus, just to clarify, my being an Admin has nothing to do with my views on the show.

I was replying to your statement about disagreeing W/ me about how you saw their actions.

My biggest issue W/ this show is that it depicts EMS taking incredibly stupid and unprofessional actions WRT patient care. I have stated several times that I would do backflips if they would do one thing and strictly observe spinal immobilization techniques. It would also be nice if they'd throw in some dialog stating that they were doing such and why. Maybe a scene where Paramedic Barbie tells the new guy “You know more spinal injuries are caused by improper handling at the scene then by the accident itself, that’s why we always immobilize the pt. before moving them."


And FWIW all my comments have to go through the Moderator before they appear on the board that's why it takes so long for me to respond to a post

I do agree. I have been in EMS for 30 years so when do Emergency Vehicles run Code 3 without their headlights on...they need to get back on with reality and show true items and treat them appropriately.

Treo, and everyone who is critiquing this like they are writing a PCR. Ya'll are ridiculous. Do you realize this is entertainment? To me, the fact that it is remotely close to reality is awesome. You come on here to call out every single fact that isn't correct. Are you doing that to disprove the show, or so that everyone can see how much you pretend you know. I am confused why you wouldn't want a show that is about what I, and I am assuming what you, do on a daily basis to be successful?

The fact that someone is bringing attention to the profession that I have always wanted to do, to be a part of, is awesome to me. And, if ya'll are in this field, then you're missing the point.

If you are a paramedic... do you really think that if we got technical that the Glascow Coma Scale was incorrect and the limited intrusion to the interior compartment of the medic unit would cause those injuries or what ever else.... do you really think that would be entertaining to the general demographic that watches NBC on a nightly basis.... if you do, then you're way off...

Good job NBC on creating a great series; that depicts what we do and show's how amazing this profession really is. I will, and I know many people in my department, who do this for real, will continue to watch TRAUMA. Keep up the good work!

AMEN. Wow, that was put extremely well. Thank you for saying all of that. EVERYONE on this board feels the same way about the nitpicking that is going on. ROCK ON SCFirefighterMedic.

I don't generally post to boards, but had a question and hoping someone might be able to answer it. I miss some of the dialogue (I really think the background noise is too loud or the actors pronounciation is garbled as I prefer that over going deaf). Thus, never quite sure if either I've actually not heard what was said or maybe they didn't say it. I still haven't quite figured out exactly what Glenn 'had'. I know TBI was shuffled around (I know TBI means traumatic brain injury) but didn't know exactly what he had and what happened in the bar other than him collapsing. Next thing is he's talking and then 'whirling' down to see Nancy. Did they say what he had? I'm not usually this stupid, really.

I am almost afraid to give my opinion after reading the comments about the latest episode. Yes, there were a number of inaccurate procedures and protocals. However, did you ever watch ER?? And yet, it was a wonderful series primarily because of the character development. I have been an ER nurse more than 40 years so yes, I do know what I am talking about. To me, this week's episode touched my heart. It was equally powerful to the ER episode when Dr. Green lost the woman delivering a baby in the ER. It was so incredibly portrayed on Rabbit's face how very deeply he cares for Nancy, the person who kept him from going insane after the helicopter crash. Their's is not a teenage crush. His focus on keeping her alive probably made him appear more crazed than usual. His eyes never once left hers once he got to her rig. Come on guys, enjoy the moment. It concerns me that this show may be cancelled.

Thank you!

I do think they were involved before; when she mused, "Ah, it's all about you," at the end there he leaned in an whispered in her ear. The body language was....interesting. Either they're really really comfortable with one another, or they've been involved. He did say he drove her for three years. And I did like how he asked Glenn to forgive me at the ER. Those are nice little touches that tell you a lot about the character.