(Holding a pressure pad)He’s not stabilizing, Charlie! The rhythm is all over the place. He keeps mumbling about ‘the next stop.’

(Leaning in close)Listen to me, Dixon. You’ve pushed so hard you’ve jumped the tracks. If you don't let us help you now, there won't be another journey. No more gains. Just a dead stop. KATE (Whispering)BP is dropping. 80 over 50.

A frantic Emergency Department. The rhythmic thump-thump of a heart monitor mimics the sound of a train on tracks. CHARACTERS: CHARLIE: The veteran nurse, the anchor. KATE: A young trainee, breathless and panicked.

(Calmly checking the monitor)He’s an athlete, Kate. His heart is a high-performance engine that’s just run out of oil. He doesn't know how to stop.

The title typically refers to an episode of the long-running British medical drama Casualty , which aired during its 8th season .

Mr. Dixon, you’re in the hospital. You had a cardiac event. You need to breathe.

(Gripping Kate’s arm)No train... no gain. You don't get it. If you don't push... you’re just standing still on the platform.