Shane yells to Sam that Chuny's at the blood bank, and that they need a nurse in Trauma Green. Carter is bagging the kid while Malarkey gives compressions. Sam asks what she can do, and Carter tells her to work on access. Sam recognizes Thomas from earlier. Shane does an exam and lists off all the injuries. They rip Thomas's shirt off, and his chest is covered in bruises. Sam says she can't get a pressure. Wendall walks in and asks who did this. Carter says they found him down in the schoolyard. Wendall asks if his mother or brother is there, and then asks, "How did this happen?" No one answers, because no one knows.
Pratt helps Dubenko to roll Lysander to the elevator, gloating, "Isn't it funny how you can be so completely sure of a diagnosis and then find out that you were totally wrong?" Irony anvils! Dubenko suggests with good humor that Pratt write up the case. Pratt asks if they'll do the surgery laparoscopically or not. Dubenko won't know until after they run the bowel. Pratt gets Dubenko to admit that Luka might have been right. Lysander calls out a thank you as he's wheeled into the elevator, and adds that it's been the best day of his life.
Pratt chuckles and asks Chuny what's going on in Trauma Green. Chuny says, "Abused kid. You don't want to know." Pratt apparently does want to know, and he follows Chuny inside and asks if they need an extra set of hands. Someone says that it's Thomas. Pratt rushes inside and tells Shane he'll take over compressions. Wendall pouts that she should have finished her interview: Thomas had a sock shoved down his throat. Pratt is more concerned with running the code. Wendall says that she blew it. Malarkey reports that Thomas is oozing from his IV sites. Pratt wants to push more meds and continue, but Carter asks if there's an ETA on the family. Pratt continues giving compressions, and defends his actions by saying that Thomas is just a kid, and that they're not stopping yet.
Malarkey offers to switch in as Pratt says that they need central access, and tells Shane to "throw in a femoral." Carter says that won't change anything, because they've already got two IVs in with good flow. Carter asks how long they've been at it, and Shane says it's been forty-three minutes. Sam announces that the family is here. Carter tells Sam to see if they're ready to come in. Sam rolls her eyes and heads out.
Thomas's dad asks how he is, as the Stepmonster introduces him. Sam says that Thomas's injuries are very severe, and asks if they want to see him. The parents aren't sure. Wendall says that sometimes it helps to see how hard the doctors are working. Casey, the brother, walks over, and the Stepmonster yells at him to go sit down, because she doesn't think he needs to see this. Sam watches Casey carefully, for some weird reason. I guess she's trying to figure out if he had anything to do with it. Thomas's dad wants to go in, so the parents enter. Casey stands outside the door and watches and Sam continues to stare at him.