Sam produces a vascular clamp so that Luka can MacGyver the chest tube out of Burned Woman's lung. He does it with relative ease. I'm surprised he's not all, "We didn't have tools in the Congo -- we used our hands for this stuff." Impressed, Sam watches Luka reintubate the woman and then dashes off to find a surgeon, because the woman's liver is lacerated. Luka stays behind to keep pressure on it, and also so that he can be impressed by Sam's moxie, or some such bullshit.
Olaf has a collapsed lung. In Trauma Yellow, Pratt's got a guy with left-side paralysis and a neck wound. Weaver insists that he call a vascular surgeon to repair the carotid, but Pratt says it won't work, because...look, who are we kidding, there are words being uttered but none of it really makes it clear to me what the hell needs to be done. Pratt basically thinks he knows a better and faster way to save this man, and Weaver doesn't want to hear it, because she hates the sound of Pratt's voice. "Don't do it, Pratt," she warns. No, please do it, Pratt, so that we might find out what "it" is. As long as it's nothing to do with the merger of his crotch to another, I think I can handle it.
Coop coughs as Susan notes that Reina's about to go into arrest. "She needs an amputation," Susan decides. Apropos that Chopper caused yet another person to face a limbless life. Coop sucks down the heliox and then Chipmunks that an amputation would kill her because her heart's too weak. Ah, Coop. So cute. I know he was on That '80s Show, which on principle I loathe, and by extension I loathe the cast. Except...dammit, the man keeps winning me over. Chuny expresses doubt that Reina will make it to her granddaughter's wedding.
Lester, Abby, and Neela perform quick analyses on a couple patients until Chuck lists to the side and collapses. Abby springs into action, ordering Neela to go get a Sonosite while she and Lester move Chuck onto a bed. Suddenly, Abby discovers that Chuck's back is badly cut and bloodied.
Neela heads into the trauma rooms in search of a doctor; Gallant and Weaver send her to Pratt, who gives her a snappish answer because he's trying to demand that a surgeon put a stent in his patient. Neela takes stock of this, then grabs the Sonosite, halfheartedly announces that she's taking it, and trucks back to Chuck's room.
Susan frantically tries to restart Reina's heart.
Neela reenters the room with the Sonosite. In her absence, Lester and wee Abby somehow managed to lift the somewhat more substantial Chuck onto a bed; thanks to Neela's exciting adventure in the trauma rooms, the show was able to gloss over this complete and utter mismatch. "No one's available," Neela pants. "He needs intubation," Abby answers, checking out Chuck. Suddenly, the Vomit Comet, having been sufficiently filled up with orange juice and refried beans, erupts from Chuck's mouth and cakes his face in orange slime. Easily the nastiest moment of the episode. Lester, Neela, and Abby struggle to roll Chuck onto his side, which makes it all the more implausible that Abby and Lester actually lifted him alone. Abby furrows her brow and looks around, bites her lip, and then decides to be a bit more like Pratt. She tells Neela to prep a tube. She wipes the caked puke off Chuck's face in order to position the tube, and then bends over him and brushes her hair away with the same vomitous glove. Luckily, her hair color is so abominable, you don't even notice the addition of Chuck's chunks. Neela seems a bit horrified that Abby's doing this, but she also quickly helps. Lester holds the Whatever Apparatus steady while Abby slides the tube down Chuck's throat; it goes smoothly. Abby grabs the Sonosite and determines that Chuck has a metal fragment in his spleen. "He needs a central line," Lester determines. "Shouldn't an attending be here?" Neela frets. "Yep," Abby says evenly. "See anyone around?" Neela can't argue with that one.