*Unit 219 to Dispatch Incoming Medemerg " Standby ISBAR*
*Dispatch 219 Clear for ISBAR*
*219 Inbound ETA 10 minutes. Caucasian. Human. Male I.D.'d as Elitia Vance Turner, repeat Elitia Turner D.o.B. 12-3-83.
On scene triage " Arrhythmia with Tachy BP 78/37 primary hypovolemic shock secondary pericardial embolism; ARDS due to pneumothorax from fractured rib puncture; multiple GSWs to left and right shoulder, right leg; likely concussion, spinal cord injury, and/or intracranial swelling from glancing GSW to cranium, multiple lacerations, contusions, fractures, and moderate burn severity with concentration third and fourth degrees of right hand and arm; ocular loss right side. GCS 4, E1 V1 M2 at 03:33. Appears malnourished and with poor capillary return or oxygenation.
On transport fell into cardiac arrest times two reversed with defibrillation, aspiration of embolism, and intracardial administration of PRN medication. Airway established via trachial intubation and mechanical ventilation, pneumothorax alleviated by aspiration. Lacerations and GSWs maintained with dressing and pressure, right arm dressed and isolated. Spine isolated, pressure tap intitated secondary to convulsions and suspected intercranial hemorage with xanthochromic aspiration. Oculr loss stable. IV fluids started. Current Condition " unstable with rapid degradation.
Recommend OR ready for receipt with cardiac and wound teams on standby.*
*Christ 219....you sure this isn't a straight to fridge"*
*The bastards still hanging on dispatch. Anyway, we have a second ride along that will be requiring medical assistance as well.*
*Ride along requiring aid"*
*Yeah dispatch, a Watch officer acting as first responder on scene. She refused to wait for a second unit and demanded to ride along, was faster to let her.*
*You're getting soft -pause- Wait, a pushy female Watch Officer, you wouldn't happen to be talking about a Hope Jubal would you 219"*
*Great, their known. Yes. I.D. Hope Jubal age 30 with lacerations and contusions to right leg and side, possible crush injuries from motorcycle MVA, possible cracked right rib, sprain to right knee. GCS too cognitive for her own good. Recommendation ER to triage.*
*Roger that. -pause- 219 you're cleared for bay 4 on arrival, team to meet and greet at door.
*219 roger. See you in 8*
- - - - -
Ruth wore a scowl as she finished off her cigarette, the butt thrown down and ground out under a rubber shoe as she heard the rapidly closing wail of the ambulance siren. The medical team that amassed with her joked and conversed and fiddled with their cell phones in those last few minutes of freedom they would have to do such before that critical patient came rolling in. As for her, she should have been asleep and still felt as such having had only an hours worth of pillow time before there was the rude buzz of her pager, the rap on that call room door rousing her from a few hours much needed sleep to inform her that her favorite patient was being brought in - Lt. Elitia Turner....a military Mage Hunter from Tang. She wouldn't have given it another though to tell the orderly what she could do with herself in regards to such but that list of problems that had been radioed ahead worried the aged physician. A hunter like Mach with his regeneration potions shouldn't have been in such a state, certainly not in such a state of catatonia that he'd score a mere four on the Glasgow Coma Scale.
And so there she was, shivering her ass off in the early morning hours wearing only her smock against the chill of the air with her medical bag in hand. She didn't mind the cold so much; it reminded her of the home that she abandoned to come to this world. As well, it worked about as well as a cup of coffee which she'd thrown down one of those too, lukewarm as it was, just before she came out here. Watching the rhythmic flicker of lights that suddenly filled the bay with mild interest she moved to pull out a specialty point of care instrument from her bag, priming it as the ambulance snapped a three point pull in to the receiving door.
She'd have the device ready by the time the doors flung open on the amulance, the crew of EMTs and the Paramedic within pouring out in as gentle a rush that they could with the cooked lump of hamburger that had been called ahead as the hunter strapped to an orange backboard. Dr. Ibanez blinked at the state of the man that was settled on that stretcher, a look of mild shock crossing her for a tick before the veteran military doctor kicked in. "Alright, lets roll people!" A sharp yell to her team that were already moving to help take the man over from the EMS team and start an moving triage.
Without even waiting the gathering started in at a quick clip, the doctor already snagging the tablet from the Paramedic to look over the full list of interventions already performed on the man that just smiled up at nothingness. She hardly even noticed the discord that attempted to follow in their wake.
"You can't come with us he-"
"The hell I can't, he's my partner!"
"And he's going to OR, you need to-"
"I need to make sure tha-"
"Ma'am you need to go to the ER for treatment and let these professionals do-"
"I'm with the Joint Task Force and that..."
The sliding door snapped shut on the argument between the busted up Watch officer and the nurse and security officer that stayed behind to try and quell the woman. Ruth felt a little sorry....for the nurse and guard, but she was thankful for the reprieve of just a little of the pandemonium that was this situation as she moved, mindlessly jabbing the sharp prongs of her specialty device into the downed hunters stomach much to the shocked horror of the staff that rolled along with the breathing corpse. She paid them no mind as she focused on reading the report in hand. "So the injuries aren't healing?"
"Healing?" There was a pause of thought from the eleven paramedic, one that may have been thought was from shock that the hunter could do such. But then this was an emergency responder in Rhy'Din and so more than likely he was m entally going over the treatment he'd just administered without the colored lens that they had just been dealing with a normal human. "No, I didn't see any evidence of healing occurring while we were bandaging him up."
"Hmm..." She looked over the list of interventions one more time before hazarding a look to the device that rode along atop of Mach's stomach, particularly the three small windows on the top of the instrument....that were painted a deep vermilion working on being black due to the indicator strips within. Emerald green eyes widened some at the reading of the man's potion saturation, magic saturation, and spirit attachment. That was bad....that was really, really bad. "Okay people, we're going to CT first, tell the OR team to prep for a multilateral treatment."
There was a ripple of shock of everyone as they looked to the older woman as if she'd just lost it. "M-Multilateral" We need to stabilize his cardiac and respiratory conditions first before we go looking for more problems! If we can't stabilize him than trea-"
"This man doesn't have the time for that!" Ibanez snapped at the charge nurse, silencing the rest of the group. "We are literally working with a golden hour here. His regeneration abilities are about to give out and when that happens everything that that they are keeping contained will stop, and we need to have those plugged up before that happens!"
The nurse blinked as if trying to process what was just said. "Wait, so you're saying this guy is being held together by magic right now" Then we should see about getting a restoration mage down here to-"
"To kill him, because that's what it'll do. We'll need a healer for the OR to provide support care but no, any direct healing will push this guy over the edge." There was a hard edge to her voice that was laced with just a touch of fear. It had been a good number of years since she'd seen a triple black on a Digs tester and when she had, well, it was never a good thing. "We need STAT labs on him. CBC diff, BMP, blood gas....the rest ca-" That frown found her once more as the body started a rhythm of tensing and releasing, the EKG and vitals monitor suddenly squawking as the man's vitals ramped.
"He's going into cardiac arrest! We need to get him to the Resus Room and..."
"No..!" She ground her teeth as she spoke up against every sane medical practice imaginable. Now this certainly got her some crazy looks.
"Excus-!"
"He can survive ten minutes for the scan, we can bring him back on the operating table." There was a edge of serious uncertainty that fell over the group as the slowed now to a halt.
"Are you suggesting we let him die!?" The aged nurse gave the woman a hard look, his expression grim. There was certainly some great points working with an emergency medicine team but then again there was a lot to be said about gathering a bunch of Type A personalities and telling them to solve a stressful problem....a fair amount of such was not very positive and a bit was even just sheer cursing.
"No, I'm saying he'll pull out of the arrest or even the flatline with a little work, but unless we fix all the problems that aren't problems yet within the next hour or two than when the regeneration quits he will die no matter what effort or work we put into him because it will all come at once. Now do as I say or get out of my way because I will save this man's life!" She all but growled those last words as she cast a hard look to each of the team. "Now MOVE!"
And with a start the team continued, working up to that brisk jog once more for the imaging department even as those alarms blared and cried the failing of the man's body once more. She was taking a gamble that if the man survived getting to this point he'd fight a little longer, cling stubbornly to life until she could fix him. It was a drive that she had not only as a doctor but also as someone who'd watched far, far too many hunters die and damn it all if she wasn't going to fight! "Come on you S.O.B., show me your stupid...? Muttered words as the alarm blared out his flatline that was ignored as the crash team flew into imaging.
*Dispatch 219 Clear for ISBAR*
*219 Inbound ETA 10 minutes. Caucasian. Human. Male I.D.'d as Elitia Vance Turner, repeat Elitia Turner D.o.B. 12-3-83.
On scene triage " Arrhythmia with Tachy BP 78/37 primary hypovolemic shock secondary pericardial embolism; ARDS due to pneumothorax from fractured rib puncture; multiple GSWs to left and right shoulder, right leg; likely concussion, spinal cord injury, and/or intracranial swelling from glancing GSW to cranium, multiple lacerations, contusions, fractures, and moderate burn severity with concentration third and fourth degrees of right hand and arm; ocular loss right side. GCS 4, E1 V1 M2 at 03:33. Appears malnourished and with poor capillary return or oxygenation.
On transport fell into cardiac arrest times two reversed with defibrillation, aspiration of embolism, and intracardial administration of PRN medication. Airway established via trachial intubation and mechanical ventilation, pneumothorax alleviated by aspiration. Lacerations and GSWs maintained with dressing and pressure, right arm dressed and isolated. Spine isolated, pressure tap intitated secondary to convulsions and suspected intercranial hemorage with xanthochromic aspiration. Oculr loss stable. IV fluids started. Current Condition " unstable with rapid degradation.
Recommend OR ready for receipt with cardiac and wound teams on standby.*
*Christ 219....you sure this isn't a straight to fridge"*
*The bastards still hanging on dispatch. Anyway, we have a second ride along that will be requiring medical assistance as well.*
*Ride along requiring aid"*
*Yeah dispatch, a Watch officer acting as first responder on scene. She refused to wait for a second unit and demanded to ride along, was faster to let her.*
*You're getting soft -pause- Wait, a pushy female Watch Officer, you wouldn't happen to be talking about a Hope Jubal would you 219"*
*Great, their known. Yes. I.D. Hope Jubal age 30 with lacerations and contusions to right leg and side, possible crush injuries from motorcycle MVA, possible cracked right rib, sprain to right knee. GCS too cognitive for her own good. Recommendation ER to triage.*
*Roger that. -pause- 219 you're cleared for bay 4 on arrival, team to meet and greet at door.
*219 roger. See you in 8*
- - - - -
Ruth wore a scowl as she finished off her cigarette, the butt thrown down and ground out under a rubber shoe as she heard the rapidly closing wail of the ambulance siren. The medical team that amassed with her joked and conversed and fiddled with their cell phones in those last few minutes of freedom they would have to do such before that critical patient came rolling in. As for her, she should have been asleep and still felt as such having had only an hours worth of pillow time before there was the rude buzz of her pager, the rap on that call room door rousing her from a few hours much needed sleep to inform her that her favorite patient was being brought in - Lt. Elitia Turner....a military Mage Hunter from Tang. She wouldn't have given it another though to tell the orderly what she could do with herself in regards to such but that list of problems that had been radioed ahead worried the aged physician. A hunter like Mach with his regeneration potions shouldn't have been in such a state, certainly not in such a state of catatonia that he'd score a mere four on the Glasgow Coma Scale.
And so there she was, shivering her ass off in the early morning hours wearing only her smock against the chill of the air with her medical bag in hand. She didn't mind the cold so much; it reminded her of the home that she abandoned to come to this world. As well, it worked about as well as a cup of coffee which she'd thrown down one of those too, lukewarm as it was, just before she came out here. Watching the rhythmic flicker of lights that suddenly filled the bay with mild interest she moved to pull out a specialty point of care instrument from her bag, priming it as the ambulance snapped a three point pull in to the receiving door.
She'd have the device ready by the time the doors flung open on the amulance, the crew of EMTs and the Paramedic within pouring out in as gentle a rush that they could with the cooked lump of hamburger that had been called ahead as the hunter strapped to an orange backboard. Dr. Ibanez blinked at the state of the man that was settled on that stretcher, a look of mild shock crossing her for a tick before the veteran military doctor kicked in. "Alright, lets roll people!" A sharp yell to her team that were already moving to help take the man over from the EMS team and start an moving triage.
Without even waiting the gathering started in at a quick clip, the doctor already snagging the tablet from the Paramedic to look over the full list of interventions already performed on the man that just smiled up at nothingness. She hardly even noticed the discord that attempted to follow in their wake.
"You can't come with us he-"
"The hell I can't, he's my partner!"
"And he's going to OR, you need to-"
"I need to make sure tha-"
"Ma'am you need to go to the ER for treatment and let these professionals do-"
"I'm with the Joint Task Force and that..."
The sliding door snapped shut on the argument between the busted up Watch officer and the nurse and security officer that stayed behind to try and quell the woman. Ruth felt a little sorry....for the nurse and guard, but she was thankful for the reprieve of just a little of the pandemonium that was this situation as she moved, mindlessly jabbing the sharp prongs of her specialty device into the downed hunters stomach much to the shocked horror of the staff that rolled along with the breathing corpse. She paid them no mind as she focused on reading the report in hand. "So the injuries aren't healing?"
"Healing?" There was a pause of thought from the eleven paramedic, one that may have been thought was from shock that the hunter could do such. But then this was an emergency responder in Rhy'Din and so more than likely he was m entally going over the treatment he'd just administered without the colored lens that they had just been dealing with a normal human. "No, I didn't see any evidence of healing occurring while we were bandaging him up."
"Hmm..." She looked over the list of interventions one more time before hazarding a look to the device that rode along atop of Mach's stomach, particularly the three small windows on the top of the instrument....that were painted a deep vermilion working on being black due to the indicator strips within. Emerald green eyes widened some at the reading of the man's potion saturation, magic saturation, and spirit attachment. That was bad....that was really, really bad. "Okay people, we're going to CT first, tell the OR team to prep for a multilateral treatment."
There was a ripple of shock of everyone as they looked to the older woman as if she'd just lost it. "M-Multilateral" We need to stabilize his cardiac and respiratory conditions first before we go looking for more problems! If we can't stabilize him than trea-"
"This man doesn't have the time for that!" Ibanez snapped at the charge nurse, silencing the rest of the group. "We are literally working with a golden hour here. His regeneration abilities are about to give out and when that happens everything that that they are keeping contained will stop, and we need to have those plugged up before that happens!"
The nurse blinked as if trying to process what was just said. "Wait, so you're saying this guy is being held together by magic right now" Then we should see about getting a restoration mage down here to-"
"To kill him, because that's what it'll do. We'll need a healer for the OR to provide support care but no, any direct healing will push this guy over the edge." There was a hard edge to her voice that was laced with just a touch of fear. It had been a good number of years since she'd seen a triple black on a Digs tester and when she had, well, it was never a good thing. "We need STAT labs on him. CBC diff, BMP, blood gas....the rest ca-" That frown found her once more as the body started a rhythm of tensing and releasing, the EKG and vitals monitor suddenly squawking as the man's vitals ramped.
"He's going into cardiac arrest! We need to get him to the Resus Room and..."
"No..!" She ground her teeth as she spoke up against every sane medical practice imaginable. Now this certainly got her some crazy looks.
"Excus-!"
"He can survive ten minutes for the scan, we can bring him back on the operating table." There was a edge of serious uncertainty that fell over the group as the slowed now to a halt.
"Are you suggesting we let him die!?" The aged nurse gave the woman a hard look, his expression grim. There was certainly some great points working with an emergency medicine team but then again there was a lot to be said about gathering a bunch of Type A personalities and telling them to solve a stressful problem....a fair amount of such was not very positive and a bit was even just sheer cursing.
"No, I'm saying he'll pull out of the arrest or even the flatline with a little work, but unless we fix all the problems that aren't problems yet within the next hour or two than when the regeneration quits he will die no matter what effort or work we put into him because it will all come at once. Now do as I say or get out of my way because I will save this man's life!" She all but growled those last words as she cast a hard look to each of the team. "Now MOVE!"
And with a start the team continued, working up to that brisk jog once more for the imaging department even as those alarms blared and cried the failing of the man's body once more. She was taking a gamble that if the man survived getting to this point he'd fight a little longer, cling stubbornly to life until she could fix him. It was a drive that she had not only as a doctor but also as someone who'd watched far, far too many hunters die and damn it all if she wasn't going to fight! "Come on you S.O.B., show me your stupid...? Muttered words as the alarm blared out his flatline that was ignored as the crash team flew into imaging.