As most of the episode takes place at the Black and White Ball, the transcript is only indicative of things that pertain to Nikolas and Emily.
Alexis' voice: How far would you go to help another person? Would you risk your life to save theirs?
Patrick: Suction. Retract. He's got a lacerated artery.
Robin: Can you tie it off?
Patrick: I don't know, I can't see. More suction. Can I get some more light in here?
Skye: Yeah. Is that better?
Patrick: Yeah. Ah -- he's hemorrhaging.
Thunder.
Robin: His pulse is thready and barely palpable. We're losing him.
Coop: Did you see Maxie get grabbed?
Georgie: I saw what everybody else did. There was a loud clap of thunder, the entire house shook, and I look around and she was gone. I need to find her.
Coop: Georgie, think about what you're doing.
Georgie: My sister is in trouble.
Coop: Then I'm going with you.
Logan: Coop, you're wasting your time, man.
Nikolas: What's that supposed to mean?
Logan: Oh, Maxie's just running off to get some attention, you know?
Nikolas: Oh, yeah?
Logan: Yeah.
Nikolas: Or maybe you thought this was the perfect time to get revenge against Maxie --
Logan: Oh.
Nikolas: For what she did to Lulu, and now that all hell's broken loose, you got your chance, didn't you?
Logan: Come on, man. That's beyond paranoid, all right?
Nikolas: Really?
Logan: Yeah.
Nikolas: Hey, don't walk away from me -- where is she? What'd you do to her?
Logan: I didn't do a damn --
Nikolas: Answer the question! What'd you do to her?
Logan: Get off me, man. Ahem. Forget Anthony Zacchara -- you're the one who's crazy, aren't you?
Patrick: He's crashing. I have to get this artery tied off. How's his pulse?
Robin: Same. Leyla, use the washcloth, put pressure on the vessel so Patrick can get to it.
Emily: There's a bleeder.
Patrick: More suction. Look, hold that vessel steady. It could -- can you get more light in there? Damn it, I need more light.
Emily: There's so much blood, it's hard to see.
Robin: What's going on?
Patrick: I tied off all the vessels I could see but there's still substantial bleeding. Can't control the bleeding if I don't know the source.
Robin: Okay, well, trace the anterior side of the wound. Maybe the sword nicked another vessel.
Patrick: Yeah, you're right. I got it.
Emily: Nice call.
Robin: No, just logic.
Patrick: All right, I'm going to tie this vessel off and then we'll sew him up.
Leyla: Beautiful.
Alexis: Ow!
Robin: Alexis?
Alexis moans.
Jax: What's going on?
Alexis: No.
Robin: Does this hurt?
Alexis: Oh, yeah, yeah. Oh, oh!
Robin: Okay. She's running a fever; lower right abdomen is slightly distended and tender. And it hurts more when I --
Alexis: When you let go.
Robin: Right.
Patrick: Appendicitis.
Robin: Looks like it.
Jax: Is there anything you can do to help her?
Patrick: Emily?
Emily: Yeah?
Patrick: Is there anything else in the house we can use for pain?
Emily: Um -- I think Nikolas has something left over from when he hurt himself riding.
Robin: Definitely go get it. I mean, the surgery we did on Ric was the best we could manage. There's no way we can do an appendectomy.
Jax: Emily, I'll go with you. You shouldn't be walking around alone. I wanted to tell you that I brought the supply ship around from the other side of the island. I could get Ric and Alexis back to the mainland.
Leyla: Oh, I don't think Ric can survive a trip like that.
Patrick: Ric needs a blood transfusion -- he's not being moved or he's going to die.
Emily: It was a pretty unsuccessful trip. All I got is one pain pill and a portable defibrillator.
Alexis: If I'm lucky enough to have my heart stop, let me rest in peace.
Robin: Thanks, Emily.
Patrick: Restarting Ric's heart is not going to do any good if there's no blood to pump. If we're going to give him this transfusion, it has to happen now.
Trevor: Look at him, Sonny. Look at him. He can't hurt you. What are you going to do?
Kate: Sonny won't let him die.
Sonny: All right, let's -- let's do this.
Alexis: Oh --
Robin: We can try and manage the pain here, but there is no way we can do an appendectomy.
Alexis: Oh --
Skye: How long before a burst appendix becomes a real possibility?
Emily: There is no way to know. It's hours probably -- if it even is her appendix.
Jax: Well, I have the boat waiting. I can get Alexis to the mainland.
Skye: There's no way you're going to make it. The harbor's closed and the storm's getting worse.
Jax: Yeah, it'll be dangerous, but it beats the alternative.
Alexis groans.
Jax: It's up to you. Do you feel like taking a boat ride with me in the storm -- if I can get you to a hospital?
Alexis groans.
Alexis: Yeah.
Nikolas: Lucky, you in here?
Nikolas: Lucky, can you hear me?
Door creaks. Footsteps. Creaking.
Emily: Oh –
Nikolas: What are you doing here?
Emily: What -- I was going to look for any pain medication that you might have left over from when you hurt your arm.
Nikolas: So you decided to wander around the house with a lunatic on the loose? Why would you do that?
Emily: I was also trying to find you, Nikolas, and since this is the last place you saw Lucky, I thought that you might come back here to search.
Nikolas: But why -- why would you take that risk, Emily?
Emily: All right, stop!
Nikolas: Why would you do --
Emily: Stop.
Nikolas: I'm sorry, okay?
Emily sighs.
Nikolas: I'm sorry.
Door opens.
Emily: Look, it's all right. It's all right.
Gunshot. Emily screams.
Emily: Oh, God!
Anthony: Oh, I'm sorry. I thought you might want to die in each other's arms. It's a lot easier than being left alone!
Nikolas: No! Oh! Oh!
Emily: Nikolas!
Anthony grunts.
Emily: Stop!
Nikolas: Oh!
Anthony: Agh!
Shattering.
Anthony: Move!
Anthony: Ya!
Nikolas gags.
Emily: Let him go! Let him go!