Goof: The helicopter in this episode had no broadcasting equipment located in the interior. This is very unusual because all major news networks need tools other that what their reporters are holding.
Goof: The helicopter in this episode supposedly flies for "Channel 5 TV." However, the chopper has no identifying exterior markings showing its affiliation to the TV station.
Goof: During the scene in the tunnel, steam can be seen coming from the water, showing that the water is heated.
Joey: Is my brother gonna die?
Ross: No, he is not! No, he is not!
Morgenstern: There are reporters crawling all over this place like ants.
Greene: Did you get the job?
Ross: 90 grand a year and nobody dies. Hallelujah, auf Wiedersehen, I'll see you around.
(while in the pediatric office waiting room)
Little girl: Did you get a new job?
Ross: Yes, I did—giving big shots to little girls.
(little girl starts crying)
Ross: Big shots! There you go.
(while watching a live news report about the rescue)
Greene: What's she doing in the ambulance bay?
Carol: Ugh. TV doctors.
Greene: Jerry, get security to escort Dr. Mahoney to a less conspicuous location.
Mrs. Phillips: We won't be needing your surgeon after all. I called my own.
Mr. Phillips: Who?
Mrs. Phillips: Fred.
Mr. Phillips: Fred Mendoza? He'll cost a fortune!
Mrs. Phillips: It's only your daughter's face!
Mr. Phillips: I hate him. That's why you called him.
Mrs. Phillips: He's the best in the city.
Mr. Phillips: On lopsided breasts.
Mrs. Phillips: (slaps him)
Mr. Phillips: Touchy subject.
Greene: (About Doom II, the game the ER staff is playing at the admit desk) I've done thoracotomies that were less bloody.
Jerry:(To Carol) He just dosen't understand the educational value.
Although in the opening credits, Sherry Stringfield does not appear in this episode.
This episode received a 28.4 rating and a 47 share. It was watched by 48 million viewers, the most watched ER episode.
This episode received Emmy nominations for Writing (Neal Baer), Directing (Christopher Chulack), Cinematography (Richard Thorpe), Editing for a Single Camera Production (Jacque Elaine Toberen), and Sound Mixing.
The title of this episode is "Hell and High Water." This is a biblical reference. If you sin you will be subjected to either Hell or high water (a.k.a. a flood).