Hell and High Water (ER)

"Hell and high water" is an idiomatic expression used to describe a situation where someone is determined to do something, or something will happen, regardless of any obstacles or difficulties that may arise. The phrase implies that nothing, no matter how extreme or catastrophic, will prevent the fulfillment of the stated intention or the occurrence of the described event. It suggests a resolute and unwavering commitment, even in the face of the most daunting challenges. The "(ER)" suffix is likely an indicator of emergency room usage of this expression, highlighting its relevance to situations of intense pressure, critical timelines, and unwavering focus in the face of significant medical or logistical obstacles. In the emergency room context, it conveys the sense that all possible actions will be taken to save a patient, regardless of resource limitations, protocol deviations, or any other impeding factor.