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english ER (1994) - 12x22 - 21 Guns
 
Plot Outline

In the aftermath of the tragedy befalling the ER, it’s a seemingly ordinary day with the usual collection of patients. But soon, the day becomes anything but ordinary as two prisoners intent on escape come to the ER for treatment, along with a hidden conspirator. Their desperate actions place one doctor in harm’s way, and forces one nurse to become a tool in their plan. Soon, gunshots ring out, another doctor hits the floor, and a staff member’s life is in jeopardy. The medical staff rush to the aid of the injured and quickly discover one of their own is missing!


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Episode's Cast
Main Stars:
Linda Cardellini as Nurse Samantha Taggart
Scott Grimes as Dr. Archie Morris
Laura Innes as Dr. Kerry Weaver
Parminder Nagra as Dr. Neela Rasgotra
Mekhi Phifer as Dr. Gregory Pratt
Maura Tierney as Abby Lockhart
Goran Visnjic as Dr. Luka Kovac
Shane West as Dr. Ray Barnett
Guest Stars:
Phyllis Applegate as First Old Lady
John Aylward as Dr. Donald Anspaugh
Abraham Benrubi as Jerry Markovic
Laura Cerón as Nurse Chuny Marquez
Garret Dillahunt as Steve Curtis
Dane Farwell as Hospital Police Officer
Yvette Freeman as Nurse Haleh Adams
Skyler Gisondo as Timmy
Natasha Gregson Wagner as Mary Warner
Tim Griffin as Capt. John Evans
Lynn A. Henderson as EMS Pamela Olbes
Royce Herron as Sveta
Ernie Hudson as James Gallant
Louis Iacoviello as Officer Rovner
Dominic Janes as Alex Taggart
Brian Lester as EMT Dumar
Keith L. Lewis as Bystander
Keith Lewis as Bystander
Philip Newby as Mike
Sheryl Lee Ralph as Gloria Gallant
Monté Russell as EMS Dwight Zadro
Fred Saldone as Stetson
Connie Sawyer as Second Old Lady
Christian Svensson as Sheriff Pohler
Paul Webster as Sheriff Radford
Michael Weston as Rafe Hendricks
Details
Director:
Nelson McCormick

Writer:
David Zabel

Broadcast: 2006-05-18

Production No.: 2T6072

Episode Overall No.: 268

Episode Type: Regular Episode

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Featured Music
Snow Patrol [Eyes Open] - Open Your EyesSnow Patrol, Eyes Open, Open Your Eyes
Episode Notes - EDIT EPISODE
Season Finale

Ratings data: This episode had 16.73 million viewers, the largest number of the season. It retained 92.5 of its lead-in audience (versus 77% for it's competition) and won the key 18-49 demographic by a large margin.

Trivia:
Sam struggles to intubate a paralyzed, but not sedated, Luka)
Sam: Luka, I'm sorry. I'm so sorry...
Steve: He can hear you?
Sam: He's paralyzed, but he can hear and feel everything.

The drug Luka was given, which Sam called "Veck" is vecuronium, one of a number of fast-acting paralytics used for rapid sequence intubations, such as are done in the ER. The procedure for these is to administer a sedative, such as etomidate, followed by a paralytic such as vecuronium. The sedative puts the patient in a brief coma state, while the paralytic prevents reflex muscles from fighting the intubation. Both medications are given via IV and dosage is based on a height/weight ratio.

In this scene, Luka was given the shot of Veck intended for the much smaller Rafe, a dosage that would most likely have been too small to paralyze him for long. It was also injected in to a large muscle in his shoulder, further limiting the effect of the drug. Thoughout the Sam's painful struggle to intubate him, Luka would have been conscious, and thus able to hear and feel everything, but unable to control any muscles, including those in his eyes.

Quotes:
Luka: (in response to Abby's apparent refusal of his spontaneous suggestion they get married) Don't we love each other?
Abby: It's not about that. Of course we do!

Abby: Listen..I know we don't say it, because I guess that's just how we are, but I hope you know how much I love...this. All of this. (hesitates, then continues) But since we are on the cusp of this hugely life-altering event, and we haven't been as specific as we could be about us, um, about our relationship... (trails off)
Luka: (abruptly) You're right...lets get married.

Zadro: Hey, Jerry, man! What did you do?
Jerry: I'm a big target. Tell Frank I can't cover for him on Friday.

Kerry: What the hell happened here?
Ray: The OK Corral.

Abby: Is it just me or are pandas kind of creepy?
Luka: They're terrifying.

Morris: I call no more kids. I'm sick of getting bit, kicked and pissed on.
Abby: I guess that means you stopped dating too, huh?
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