This may be the most inaccurate portrayal of a doctor on TV since the great sitcom Frasier confused a psychiatrist as being the same as a psychologist for 11 years. I'm just gonna paste this here:
"So, he's a surgical resident? At 18? Is he a first year, I mean, you have to go through 4 years of med school, they don't let you graduate early for being smart...so am I to believe that this kid possibly started med school at 13 or younger? When did he start college, 10? I mean, with the greatest scores in the world, who would offer a 17/18-year-old a residency? Emotional maturity does count for something. Who would accept a 13-year-old (or younger, depending on what year of residency this kid is) into med school?"
--------------------------------------------------------------
"The good doctor enters the OR without his mask on and simply expects the nurse/assistant to just put it for him without at least an insult. The good doctor takes so long to think up a basic trauma diagnosis like tension pneumothorax because he's busy reading the definition for tension pneumothorax in his mind palace. Another bystander doctor does nothing more than what any other untrained bystander would have done (compress a bleeding jugular)but even then manages to screw it up because his training didn't give him the insight to realize he was crushing the victim's trachea.
The good doctor decides the same victim must have pericardial effusion because he noticed a slight decrease in amplitude on the rythm strip inside a moving ambulance on a "twenty year old ecg machine" (is what the paramedic says when he's calling him out on it but because he ends up sort of right it doesn't matter how large a leap that was).
Surgeons get sprayed by what is implied to be a mediastinal tuberculosis abscess and then these same surgeons just move on over to operate on the next patient (the trauma kid).
They decide the trauma patient needs abdominal surgery (I figure since they mention the splenic artery, but they only have two tiny surgical incisions and no laparoscopic equipment), yet they don't do the xray that would reveal the twist that this patient has a shard of glass big enough to compress a wall in his left ventricle. I repeat that this is a POLYTRAUMATIZED patient with TENSION PNEUMOTHORAX and glass is radiopaque.
This trauma patient becomes hypotensive during surgery with low voltage QRS. Someone says it's strange because he's not bleeding out (I mean, she just decides this, no one checks if it's true. Lady, you only have two tiny incisions and no laparoscopy camera, you have no idea what's going on inside this patient). The lead surgeon's decision is to stop surgery and ask for an echocardiogram. Get this, he has no idea why he's asking for an echocardiogram, he just heard that the good doctor had suggested it. So while the echo is being done, this surgeon (who has supposedly seen hundreds of echos and many more trauma patients) walks outside the hospital to ask the good doctor (a resident on his first day) for his wisdom. Turns out, if you have a POLYTRAUMA patient with HYPOTENSION and LOW VOLTAGE QRS, you should think about pericardial effusion! Who'da thunk it?
They also take the kid to surgery with the improvised one-way valve (a liquor bottle and some tubing) that the good doctor did on site, and they keep it above the sterile field and touch it after being gloved. I have to assume they at least attempted to sterilize it, but it doesn't feel like that would be enough to make it kosher.
"You should start artificial respiration. This patient is going to stop breathing soon.""