Jump! *cough* He's telling us to!" said a blond haired little boy from
the high crook of the eucalyptus
tree where he and his best friends had
taken refuge when the Dona Arana's beach mansion had exploded.
Now their safe haven was aflame on top and in the grass below.
Barely visible in the rising smoke,
Henry the bassett kept on barking
at the children far above him.
"I'm not jumping!" said the
sports jerseyed seven year old girl. "I'll
break something." the tiny child sobbed, her face soot
"We gotta do something or the smoke'll get us for sure! *choke* Stevie's
already getting real bad.. Just use the climbing rope. I don't
think those firemen on the hill see
us yet for all our waving."
Henry was enveloped with smoke and he disappeared. But
still heard him barking.
"Where do you think he came from?" Vicki said. "He's barking so mean."
"He's not mean. He's angry that we're still staying in the tree with the fire
I know that sound. That's what Apollo does when I climb up
onto the garage roof when I'm not supposed
to." said Christopher. "He's ok.
He's just trying to tell us to get down from here."
head drooped a little lower inside the fourth child's arms.
Becky shouted to her three other friends.
"His medicine's not working any more."
the brown haired girl said, " I think it's because of all
the smoke blowing up here."
Christopher made up his mind and he hung from his arms in mid air
his ankles gripped the rope hanging from their club tree's horizontal branch.
for help. Becky! Don't let him fall! Vicki, come with me!"
"I can't!" the tiny girl wailed.
"Yes, you can. I'll just bet this old hound dog'll let you pet him once you
get down here. Now come
on!" Chris yelled right back.
Terrified by the thickening smoke, Vicki scrambled like a monkey
after her braver friend. "I'll be right back, Becky. Just keep Stevie
warm as you can. Mom says that
helps with sick people."
Becky wrapped her legs even tighter around the gasping boy's
where they sat in the crook of the giant tree. Sparks rained
down around them, alighting tiny fires
on wind whipped limbs at
their level. She screamed.
"Becky! We're all right! We're almost to the bot--" came Chris's voice from |
somewhere below under
the thick blanket of smoke underneath them.
But then the voice choked off as smoke stole his ability
to speak and
started a fit of desperate coughing.
The scared, following Vicki soon fell into
the same breathing trouble.
"Stevie. Hang on. I got you.." Becky squeaked. "I promise we'll stay
here where the air's good. I won't let you fall."
Chris was blinded, he couldn't see.
Smoke burned his throat and eyes to
the point where he lost all sense of orientation.
he felt a grip of canine teeth take hold of his ankle. He smiled,
gasping. "Vicki we're there! Let
go! The hound's got my sock to show
us where the ground is." Chris celebrated.
A burning branch
smacked down from the tree above onto Henry's back
and he yelped, letting go of the boy. Chris and
Vicki fell to their knees
and brushed the smoking embers off Henry's coat, then they began
crawl in the direction he led them, uphill.
They struggled to breathe but then they were out of
the thick layer
of smoke on a slope.
Henry began barking in earnest at something up hill.
It was a hose team.|
Chet gladly ordered the others to drop the hose to intercept them,
over his radio. "HT 51 to Engine 51. Henry's led two children
to my location directly east of the
house." he said, pulling off his air
mask to offer it to the smallest child who was unable to stand.
"Both are suffering severe smoke inhalation."
##10-4. Two pediatric fire victims. Meeting you
on the fly!## came
Hank's radioed reply. ##Brice and Bellingham are with me.##
scooped up the older boy as he fainted, making sure
that his masked offered air was being taken in
with a listening check.
"He's still breathing."
"Get him outta here then. I got her.." Kelly
shouted. He carried her
in his arms. Chet bent down to stroke Henry's coat. "Good boy!
You're such a good boy. Come on, Henry. Stick close
behind us." and he rose to jog to the street.
"We gotta get this
little gal to Cap and some O2." his voice trailed off as he ran
away from the
Henry's happy grin fell. He glanced with a whine behind him.
Chet hadn't heard his renewed
barking at all. The basset gave a
slight cry of pain and indecision before he loped for a second
back into the choking blanket of blue white fire smoke filling the tiny
hollow around the
was just handing the senora a very soggy tan Persian
cat when Chet and his team fireman burst out
of the yard with the
two coughing children under their air masks.
"Over here!" Brice called
out, waving Kelly over, "I'm already set up!"
Gage smiled at Marco. "Looks like her ride's gonna
We've more victims. Call me if she changes."
"Right." Marco said to Johnny.
Kelly set his little girl in a sitting position leaning against Squad Eight's
rear tire. "Craig,
she's still clear. Not bubbling at all. But the boy fainted
on the way back. I think he took in a
little bit more than she did. His
words aren't making any sense yet."
Brice nodded, handing
his partner a second flowing oxygen mask for
Christopher even as he gave Vicki her own. "Understood.
you determine his consciousness level while you deliver this? Thank you,
if you'll excuse us. We've got to contact Rampart base now."
and Craig bent to his work over the
Chet rose in relief just as Johnny Gage and Roy DeSoto ran over.
Kelly nodded, testing his air regulator for remaining volume. "They're
fine. Bit of smoke but that's all. If it wasn't for Ol Henry here, we
could've had a very different
story to tell you."
Roy rubbed his nose around his helmet strap. "Henry?"
"Yeah, he found
the kids and led them to my hose team, isn't
that right, Henr--" Chet broke off. "Aw guys, I swear
he was right
behind me. I even told him to follow us back out to the street."
Roy and Gage
didn't lose their smiles. "Well, Henry does have a mind
of his own. Why don't you go check for him
by Cap and the engine?
Maybe he's already stretched out on the driver's seat getting praises
from Stoker and Hank."
"Yeah. Maybe you're right. But keep an eye out for him, okay?" and he
walked to where the white Ward still gleamed brightly in the sooty sunlight.
Five minutes after
the kids and the old woman with her tabby shipped out
code three with Brice and Bellingham, Johnny
and Roy noticed Chet
was still frowning.
"Kelly? Problem?" Gage asked the quiet fireman.
"Yeah. Cap hasn't seen Henry at all since he took off. Not yet anyway."
"That's odd." Roy
said. "I wonder where he could be?"
Johnny rubbed his chin. "Any idea where he might've scented
"I haven't a clue, Johnny. All I know is that he came at us out of a
with those two kids hanging on to his hide. He had dragged them out of
the worst of
"He did what?" Roy said incredulously. "That's amazing."
"I know. Tell me about
it." Chet's head bobbled.
Kelly glanced around where Cap was talking with Captain Stone.
this fire's practically out. I'm going out back for a bit to take a
look around. Maybe he's chasing
spooked jack rabbits or something
now that all the grass is gone."
"I'll let Cap know your
20." Johnny said. "Call me when you spot him.
I'll round up all the guys and we'll help you herd him
back to the engine.
Until then, I think he deserves to enjoy a little fun, don't ya think?"
nod was small and uncertain.
Roy noticed. "Look if it makes ya feel any better. I'll circle around
from the other side of the house, and I'll meet up with ya, ok?"
Kelly didn't say anything and
he paced off, still slightly worried.
"What's eating him? You didn't have to do that, Roy." Gage
"Henry's able to take care of himself. And he doesn't need Chet or
you fussing over him."
"I know that and you know that. But why am I starting to get all
nervous here? " Roy stated flatly.
"He still hasn't come back
despite all of Cap's whistling."
Gage's grin faded away into a frown
of doubt and concern,
"I'll let Cap know the game plan."
DeSoto saw them before he heard them. His radio's talk button
was depressed and over his mouth before
he actually knew what he
was looking at. "HT 51 to all units. I've spotted two more kids trapped
over a smoke pocket in a tree. A hundred meters south of the house."
The frequencies from Engine
Eight and 51 burst through his channel.
##Their conditions?## came Cap's voice.
girl's all right. She's just crying. The boy with her seems
unconscious and he's breathing with difficulty."
##What'd'ya need to reach them?## came Gage's question.
"Lifeline and belt. Bring the O2.
I'm heading down." said Roy.
##A rescue party is headed your way, Roy. Keep in touch.##
Roy put on his SCBA mask as his head slipped beneath the thick
layer of fire smoke and he found the
tree by its shadow and
relative coolness. His shoulder smacked into it. Groping, he
found the rope
and headed up in a climb.
At the fork in the tree, Roy removed his mask. The wind was
fresh air off the ocean to where he and the two
children could breathe it in easily. He pulled himself
the last two meters. "Hi. How are you doing? My name's Roy
DeSoto and I'm a fireman. Can I look
at your friend here?"
Becky nodded tearfully. "His name's Stevie."
"Can you breathe ok?
Sounds like you're coughing a bit
"I'm ok. The smoke's not bad now. It was worse when
that dog first came and found us."
"Dog?" Roy asked.
"Yeah, that funny hound dog. He made
Chris and Vicki leave with
him to go find us some help." Becky whimpered.
"You said when he
first came by..."
"Yeah, mister. He started to bark at us again a while ago but he
gotten tired of doing it. I haven't heard him for a couple
of minutes since you showed up."
placed that bit of news about Henry's possible whereabouts
in the back of his mind for later. He pulled
the boy's head into his
lap where he straddled the tree trunk's fork. He found a rapid pulse
Stevie's neck and saw retractions when Stevie inhaled, pushing
in above his collar bones. "Honey,
what's your name?" he asked
the sweaty scared little girl. " Your friend's doing ok. My partner
others are coming to help me get you both down from here."
"It's B- Becky. Stevie's got asthma
real bad. He says all it takes
is a little dust to set it off. I guess that's what happened to him.
We climbed up here to watch the fire. I thought we were
high enough. Christopher said we were." she
Roy bent close to the boy's nose and mouth and smelled
medication. "Did you kids give
him a blast using his inhaler?"
he said, replacing his air mask over Stevie's pale face.
Stevie told me to give him one."
"Where is it now?"
"It fell down there. That crazy dog
found it and tried to hand it
back up but he couldn't reach high enough to give it to me."
peered straight down and saw nothing but solid
gray waist high murk as the fire reacted to being washed
in the nearly extinguished house uphill with billows of steam. The
smoke layer rose to caress
his ankles. "Johnny! Over here.
In the twisted tree down below. It's the only tree top sticking out
of the smoke down here."
"I see ya. Hang tight! Chet and I and Cap are getting down
right now. How is he?!" Johnny shouted from his rocky
perch in the sunlight, looking into the shadows.
"I've got a stokes
"His breathing's tight. Asthma attack. But he's moving air. He's
gonna need a bronchiodilator a.s.a.p.!" DeSoto shouted back.
"He got some earlier but it's starting
to wear off."
Roy cradled the stridorous boy against his shoulder, leaning
the boy's head over
it backwards as he monitored Stevie's condition
and listened with an ear. "Just keep breathing Stevie.
You're all right."
DeSoto heard a creaking rope and Johnny Gage's gloves appeared
out of the
smoke layer. "Gimme him. I got the stokes right here!"
Roy handed Stevie down from the tree by
the back of his collar.
Then he grabbed Becky and carried her down with him to the ground
after. He felt Chet tie a life line to his belt as he kept his eyes
closed protectively against the
air's sooty sting.
Then he was out of the tiny depressed clearing, helping Johnny
stokes up the slope to the road beyond.
Cap radio'ed L.A. "L.A., This is Station 51. Respond an
Code Three to our l--" Roy's shout stopped him in mid sentence.
"Not enough time,
Cap. We can take him in Station Eight's squad
as soon as we've stabilized him. We'll be faster that
"Belay that request, L.A. My paramedics will be taking in a child
with breathing trouble
directly to Rampart using Eight's rescue squad."
##10-4, 51. Time out 09:32.##
Chet was peeling his air mask off, carrying Gage's unused medical|
gear to put it away, when his foot
struck a heavy warm body.
It was Henry, lying completely still, covered in dark soot.
got on his radio immediately. "Cap, Gage! On the double!
I found Henry! He's down! Bottom of the
hill along the stokes line."
Chet lifted up a leg and felt the dog's stomach for signs of
and found only a weak rocking as Henry tried to breathe.
Reaching down into the dog's mouth, Chet
hooked Henry's tongue
clear with a gloved finger until he got it hanging out between his teeth.
Henry whimpered, choking on mucous. But then he woke up.
"Easy, boy. It's ok, I'm right here."
Chet whispered, kneeling
by Henry's face. "Stay down, boy. Stay still." he said, holding
singed muzzle. Kelly glanced down and saw Stevie's inhaler
next to Henry's shivering front paws.
"You found this boy? Good dog.
I'll be sure Johnny and Roy get it just as soon as you're squared
Henry tried to wag his tail.
Chet took off his coat and covered up the
nearly smoke suffocated
station mascot. "It's ok. You're gonna be fine, Henry.."
and Cap pounded down the hill along the climbing
rope with the O2 apparatus held between them for
Kelly shouted. "Over here!"
Johnny knelt quickly, taking Henry's muzzle between
in a precautionary move to protect himself from a bite.
"Did he fall?"
think so. Man, he went back for those kids," Chet
sobbed, "..and this.." he said, holding out the
tooth indented inhaler.
Gage ran careful hands over Henry's coat, looking for
liquid. "He's not burned at all. I think that smell is just his
hair. Cap, you got him?"
Hank said gently, taking over the hold on Henry's head.
Kelly said. "He wasn't breathing too well when I got here. Tongue|
was in the way."
"Johnny.... think we can move him?"
"Yeah.. I'm not a vet, but he's not tensing up anywhere with
touching him like this. I think he's ok trauma wise. Sounds like
his only problem is the smoke
he took in. I think you can let go,
Hank did so, exchanging his hands grip for a valve
mask on high
flow over Henry's muzzle. He looked up. "Kelly, Roy's ready to
transport the boy.
Go drive him in."
"But Cap.. I wanna stay with H--"
"That wasn't a request, Chet. Johnny
and I'll handle Henry
and the little girl. Now, go.." Cap said, tossing Kelly
the medicated inhaler
Henry had carried.
Captain Stone came running down the hill with a short board, |
passing Kelly going the other way.
"I heard. Is he ok?"
"He will be if we can get some good air in him and
warm him up some."
Gage admitted with a grin.
"We'll take him to the V-E-T-S once we have that done.
Thanks for the
doggy stretcher.." he smiled, taking
the kendrick board from Stone.
The three firemen slid
Henry onto the board and strapped him
in for the trip up the hill. Cap followed keeping the O2 mask
nearby for Henry to use while he slowly woke up.
At the top, Becky met them, sitting next
to Mike Stoker.
"There he is! Our superhero dog! Is he ok?" as they set
him on the ground, freed
him off the board, and wrapped
him up in thermal sheets for insulation.
"He'll be just fine,
little miss. Although right now, I'm afraid
he's got the same problem you do." Johnny said. "You
more smoke than air in your lungs then what's actually good for
ya so before we get to
see a doctor and the vets, you both
are gonna clean some of that bad stuff out of there, ok.?"
"Ok.." agreed Becky, brushing the hair away from her face
and the nasal cannula she was wearing.
Cap held Henry personally in his lap when Captain Stone
volunteered to take over the clean up detail
on the house.
"Stoker, we'll give them five on this O2 and then we'll take
them in with the engine.
We'll relay the girl's vitals via radio
patch. Marco, get us set to travel."
On the trip in,
Henry suddenly went limp two minutes
away from Rampart.
Marco tried to keep the commotion
up front in the cab away
from Becky's notice as his crewmates hustled to help him.
almost there yet?" she asked Lopez.
Marco was watching what Cap and Johnny were doing
Henry so closely, that he almost didn't hear her. "Hmm? Oh.
We've a block to go. We'll be pulling
up to the ambulance
entrance. Can you see that door yet?" he asked the child.
her eyes and nose and cannula against
the glass, peering out. "Not yet.."
Lopez thought. ::Please
Henry. Don't be dead. Not yet.::
Roy was hanging around Dixie's desk when Lopez and
Stoker appeared around the corner with a devastated
on their faces.
Chet Kelly ran over to them instantly.
out cold. Happened a minute ago. It's something past the
smoke inhalation. Cap's with him now."
"Where's Johnny?" Roy asked quietly.
"He's with his patient in room three. You know he
leave a victim until a doc gets there."
"Show me. Maybe I can do something.." DeSoto said.
Dixie, at her desk, overheard them. She followed the sooty
firemen to the emergency entrance doors
into the driveway beyond.
Her heart just about broke when she saw Captain Stanley
trying to ventilate the limp basset hound stretched out
on an empty gurney with a mask two sizes
She snatched up a pediatric sized resuscitation kit from a
crash cart and tossed
it to Roy. "Roy! I'll make a few phone calls!
The doc at the animal shelter still has a link set
up tied to our base
"Through the HT this time? That'll work." DeSoto nodded and
he threw his handy talkie on the bed, tearing open the airway adjunct
bag as the doors shut
The firemen experimented and a baby ambu with hastily wrapped
bandage tape around
Henry's muzzle created a good enough seal
for them to finally pump in oxygen. Henry's gums began
to pink up once more.
Roy could still feel a pulse in the artery at the point inside
thigh. But it was irregular. "What?" he said
aloud. "That can't be." he sighed, as it thudded erratically
against his thumb.
Cap noticed, looking up from Marco who was bagging
Henry carefully. "What's
Kelly looked scared. "What is it?"
Roy swallowed, "I think Henry might be
having a heart attack."
From : Champagne Scott
Sent : Friday, August 27, 2004 7:09 PM
Subject : Fast Times at
Rampart Base : The Dog Day Afternoon
Dixie McCall made the fastest phone call of her life.
And then she glared the fiercest that she had ever glared
at the back of Kel Brackett's head. He
was just completing an
in house phone call with the new resident assigned to the
station. ::Boy, I sure wish Joe could've been
here or I wouldn't have found myself in such a ridiculous
Dr. Brackett finally rubbed the back of his head in sympathetic
heebee jeebies. He
turned to find the source of his chills.
"Oh, no.." he moaned in warning at Dixie who was already
batting her eyes diplomatically. "What are you up to now?
I've lunch in five minutes."
much." Dix demurred. "A single phone call. Just
take it. Here." she said passing over the phone to
meeting his eyes.
Kel took it as if it were a live rattlesnake. "Kel Brackett,
he said into the receiver.
##Doctor Kel Brackett! Land sakes! Am I glad it was
YOU that sweet
young nurse found milling about the place. Now let's get down to
we?## said the voice on the other end of the phone.
Kel buried the red phone line on his shoulder.
"Dix who the h*ll is
this? His voice sounds familiar, but I can't place him."
Coolidge. Don't you remember? Bah-ah-ah-ah-ah-ah-hhhh."
she said in a fair imitation of a Pygmy African
Kel shuddered as the sound sent chills up and down his arms as
the memory speared
home in recollection. "You didn't.." he warned.
"I thought I told you I'd tender a three day suspension
on anyone on the
staff, including you, who brings the next animal of any kind into my hospital's
Dixie didn't ruffle one iota. "There aren't any animals in here.
break any rules. I followed your stipulations to the letter."
"Henry's not inside, he's outside on a gurney being barely kept alive by ambu."
Brackett's face scowled into pure steel and he ground his perfectly
white teeth together. Already,
the eggs from breakfast decided to sit
like stones in his stomach. "Dixie. Now cut it out."
cleared her throat, tapping her foot and calmly indicated the live phone
on Kel's neck. Soon, Dr.
Brackett's better sense of decorum
among peer level colleagues finally won out over letting loose
one of his
legendary tantrums. "I'll deal with you later.." he promised voicelessly to his
head nurse, who hardly fought to keep a smile of triumph off of
Kel picked up the
chatting phone and said falsely cheerful, "Ah, Doc
Coolidge. What can I do for you this fine day?"
Dixie smacked him on the arm for interjecting sarcasm.
Then she rapidly kicked on the speaker
phone to keep Kel at bay with
civility as the conversation included any nearby overhearing sets of
Dr. Brackett glared again at Dixie but stayed silent verbally when
Barney realized that
he had the cardiologist's attention back.
Coolidge gushed his needs. ##We've got to hurry. Now
have myocardial infarcts in the same sense that people do. They simply
don't live long
enough, even with their all meat diets, to build up
the necessary placques to cause one. Besides they
all have collateral circulation
of the coronary arteries..## he bubbled, ##..which allow the clots
to "go around" an occlusion that would cause an MI in a human being. No, most likely
this basset hound
is suffering something congenital brought out
by his sudden exposure to that fire smoke. Now what
have you found,
doctor, vitals wise?##
Kel stabbed down the speaker button until it clicked
off back into phone
mode and he parked it once more onto a muffling shoulder. "Dix, how
you told him? I'm not going to look at that dog now, later,
next week, or even next year! I'm a busy
man ! And a hungry one who's
over five minutes late for his lunch hour." and he turned to leave,
about the phone.
Dixie caught the receiver as it slipped off its precarious perch.
"Kel, This isn't just a dog in need. This is Roy and Johnny's stationhouse
dog. Their beloved mascot.
And he just saved the life of that asthma case
you just saw in Treatment Two. Along with three other
children's lives. Now he
deserves a fighting chance! If you won't treat Henry right this instant,
find Stan the new resident intern and ask him to take over." She slammed
a hand down on the
transfer button which sent the connection from
the animal shelter onto the HT frequency monitor board.
Then she hefted
up a handy talkie reserved for mobile communications meaningfully.
stopped her. "I'm the senior physician here! No one
is going to tell one of my residents to do anything."
"I forbid you to do it, Nurse." he threatened.
Dixie's eyes flamed. "Ok. Shoo!
Go on. Leave now for the cafeteria. I dare you.
Bon appetit. I hope your meal sits well after you're
done cause later
you're gonna hear six full grown firefighters bawl like babies when their favorite
mascot dies for want of decent medical care a hundred feet away from
one of the best cardiologists
this hospital has ever seen!" she hissed.
Kel's face twitched and his rage immediately simmered
to non existence.
He growled and snatched away the live radio from Dixie's hand.
by. I'm going to talk to a paramedic who's been
with the dog right now."
##Roger that, we're
standing by. Both Laura and I.## Barney beamed
through the channel.
Brackett sighed like a
steam engine and bowled over half a dozen slow
staff members as he moodily plowed out the emergency
as fast as his legs could carry him.
Roy DeSoto and the other firefighters stood
shell shocked and rigid
and there was only the sound of the hissing ambu working for Henry
after Kel's stormy appearance. They all froze, locked eye
to eye, in anticipation of Kel Brackett's
The blond paramedic licked dry lips. "Uh, hi doc. I got this Mayfair
all set up. Dix
thought of i--- Uh... Let's see... I assume any care will fall around
pediatric cardiac standards.
I got alligator clips for the EKG monitor since
pads won't work,..a-a-and plenty of defib gel so
a signal can get through
Henry's...thick.....coat hair.." he trailed off as Kel Brackett's face twitched
again as he took in the expressions of all of Station 51's men who were partially
blocking his ambulance
entrance with an obscene white fire engine.
"Dix.. " he finally sputtered. "This is absolutely..
the last time I ever-" he began.
"It sure is.." McCall peeped. "Thanks a bunch."
I got the paddles ready so you can get a quick look for the doc." Roy said.
"He's ventilating well,
doc. No aspirating." said Hank.
"Starting to twitch in his tail even.." piped up Chet.
voice rose in a level above the babble.
"Everybody just... ShhhHHHHH! "
Everybody hushed. Except
for Marco, who was being Henry's lungs. He kept counting.
"Get him inside here. And close the doors before anybody sees us.|
Roy, in with me. And get Gage in
here, too, from that treatment room.
Stat." ordered Kel, embarrassed when gawkers saw the patient
wasn't a child
needing a fast unload from the parked ambulance.
"I'll handle that.." said Dixie,
dashing back through the automatic doors.
As she sidled past, she landed a wet grateful peck on Brackett's
cheek in gratitude. "I love you, Kel. Dinner tonight's on me!" she squealed,
the ambulance door in his face after she clambered out
of the Mayfair.
##Doctor. Speak to me.."
commanded Coolidge's voice over the HT.
"We haven't much time to play with from what I've heard.##
the disembodied voice from the speaker.
"I'm here, Doctor Coolidge. What should I do first?"
Kel asked over
Roy stood by with his, as a backup source of information.
me an EKG over the biophone. Now I know it already works,
since you got one off little William the
goat just fine last year.##
Kel's face twitched again as he remembered his acute
over the biophone when Johnny Gage had told him who the patient was during that little
Roy's face flushed crimson.
But Doc Coolidge caught none of the theatrics. ##Now
right lateral recumbancy, place the monitor clips on elbows
and knees. Put the negative on
the right arm, the positive on
the left arm and both commons on both legs. Got that?##
nature, Coolidge. Same as a small child's."
##Right you are!## Barney said. ##We'll get him squared
Now, send me a strip. I have a few theories as to what's ailing him
and I need your help
to help me rule em out. Oh, and if he loses
that inguinal pulse, have your defibrillator there set
to 200 J's at
the initial, then go to 300, then 360 stacked if necessary ok? The
cardiac meds are
the same with lidocaine, epi and atropine. Just
use a two year old's dosages in a Ringer's IV.##
"Roy, got that?" Kel barked.
"Already on it." DeSoto replied. He hefted his talkie. "Doc.
IV? How much to run in on the onset?"
##Best place for a puncture is the cephalic vein, top of
foreleg halfway up. 200 mls for starters. I don't know if Henry's
been pulmonarily challenged.##
"His chest is clear." Kel said, listening to the still basset's
Fine. All the better.##Barney dabbled over the radio.
##Now.. what's your strip showing on your people
Brackett's eyes rolled up at the reference. But he dutifully applied
globs of conductive
gel over Henry's shoulder and haunch and set down
the paddle rims over his body. "I'm reading some
wide or tall P-waves;
wide or increased amplitude QRS complexes and a few short-coupled
with frequent ectopics. Hear them?"
The monitor gave a fluting bell every time the comatose basset's
skipped a contraction.
##Umm hm. I'm getting the same thing over here. Doctor Brackett,
I'm trying to narrow down the field of cardiac problem candidates
for Henry by being
certain there's no chance of these three possibilities:
an atrial tumor, that's hemangiosarcoma to
you Dr. Brackett, an electrolyte
imbalance, such as hypokalemia from breathing so poorly during the
fire, or a
splenic tumor to get to my original suspicion of arrhythmogenic cardiomyopathy.
fairly common in middle aged males such as Henry.##
"What's that?" Chet said from the ambulance
driver peep window.
Coolidge heard. ##It refers to a recurrent or persistent arrhythmia in the
of a normal left ventricular ejection fraction or an irregularity in how Henry's heart pumps
oxygenated blood out to the rest of his body.##
"Oh, I get it." Marco said as he checked the flow
of oxygen to Henry's
ambu tubing from the port in the ambulance's wall.
Cap was hunched as
small as he could be at the foot of the cot where
Henry lay. "Want me to take over, Lopez?"
"Sure, my hand's cramping." Marco said.|
Cap and he traded places at Henry's head.
and Coolidge were oblivious to anything else around them.
Barney leaned into the radio speaker.
##Doctor, have your paramedic
begin treatment with a bit of nitroglycerin paste under the tongue.
Works wonders without the risks of Lidocaine. Oh, and have him
wear some obstetrical gloves administering
it or he'll drop into
a faint when the medication bottoms out his blood pressure.##
Kel said grinning.
##Let me know when it's been done. I wanna look at how Henry's EKG
said Barney the shelter vet.
Everyone held their breaths as Roy shoved in some nitro paste around
a hole in the tape wrapping Henry's muzzle with a cotton swab.
Everybody jumped when the rear
doors flew open and Johnny Gage
climbed into an already crowded Mayfair patient's cab. "How's he
"Got a pulse."
"Ruling out trauma specific cardiac injury." said Roy, Cap
"Ok. Gimme.." he said to Cap, taking over Henry's airway care.
Hank sat back down onto his butt, sliding his helmet off onto
his lap and he just watched, biting
Kel continued his conference with the shelter vet.
"Want a central line in to get
a working blood pressure?"
##Nope. Won't help. There's already been some neurohormonal cytokines
activation going on because of Henry's myocardial failure and continued
limited cardiac output.
The EKG's pointing to that.##
"I concur. Just wanted to see if your angle agrees with mine." Brackett
"How about initiating some cardioprotection at this stage of the game while
for that nitro to kick in."
##Sounds good to me. Get him armored while he's still ticking. I recommend|
sotalol as a beta blocker
to control Henry's tachyarrythmias. 10- 20 mg
by mouth every twelve hours...## said Barney.
he's still unresponsive.." Kel reasoned over the radio.
##That's no obstacle...## Coolidge's voice
bubbled. ##We'll use procainamide, in
through his IV, in conjunction with the oral. Have someone inject
half a mil for now.
Slowly. Titrate it gradually after the sotalol's fully dissolved orally. We're
non push, because that beta blocker is a negative inotropic. Don't want to
to go into sudden death, now do we? He's fought so hard
today to make it to nap time.##
firemen around Brackett chuckled.
##Don't be shy about giving Henry some taurine, Dr. Brackett.
can sometimes bring on ACM. Especially in dogs of the couch potato
variety as these boys
say Henry is.## Coolidge chuckled.
"I'm on it." Dr. Brackett grinned, injecting the vitamin into
A minute later, all medications were delivered and the alarming
warning of PVC runs faded away.
"I think it's working, doc." Roy said, eyeing the monitor.
beginning to breathe again on his own. Listen."
Brackett did, tapping Henry on the eyelid to see
if he blinked.
He did, slightly. And then he yawned, craving more 02 as
his metabolism sped up.
Johnny removed the rest of the encircling tape and left the oxygen
tube near Henry's nostrils
after he disconnected the ambu bag from it.
"Atta boy. Come back to us." he said, rubbing Henry's
and head briskly. His ministrations rewarded him with a moan
of anxiety as Henry muzzily came
to. He was aware enough to
make a face at the bad tasting medication in his mouth.
"He's gonna live!!" crowed Chet Kelly. "All right! I'll radio Station|
Eight's right now and give
em the good news. And I'll tell Stoker
to move Ivory off your door step, doc." The peek door between
them snapped shut again.
The rest of the guys and both doctors celebrated. But Barney didn't
He grabbed Brackett's ear once more. ##Now for diagnostics, Dr.
Brackett. We're going
to need thoracic radiographs for his workup...##
"Chest Xrays?" Brackett said warily, knowing
that no machine existed
inside the Mayfair.
##Umm hmm and a packed cell volume test.##
"A CBC.." Kel said in affirmation, using his human terms.
##Yep..and we'll have to get good serum
biochemistries to rule out
congenital heart failure, thromboembolism or hidden complications in
other internal organs. Oh, and an echocardiogram. I'll have to get
an accurate fix on measuring Henry's
true LV ejection fraction to map
out future impact for a quality of life estimate for your fireboys
after today's little misadventure. Least I can do for such a valiant
##Oh and we'll need more taurine to add as a nutriceutical into
some new low salt
food for him. If he's going to be responding
with his crew on fire calls regularly, he'll have to
get in tip top shape
to prevent a repeat of this ACM crisis.##
"Doctor Coolidge!" Brackett
stated more loudly.
##Yes, my boy?## came Barney's reply.
"I'm afraid I'm going to have
to draw the line with
emergency treatment only here. My board of directors
will have a hey day
if I do anything more. I could be in serious
trouble if any of them finds out I'm even doing what
##Oh, I wasn't meaning for you to run the tests there..## said Coolidge
the handy talkie. ##You can transport Henry here to me so my staff and
I can do it. After all, you're
already conveniently inside of an ambulance.
That was very clever of your ER nurse to think of doing
that ahead of
Brackett's ears began to steam.
"Doc, I know you skipped your
lunch in order to help us out. " said Hank.
"Tell you what, you've a very large, very loud, fire engine
at your disposal
to scatter any traffic out of your way going to the shelter and back again.
stay and help us with Henry until Coolidge takes over. Deal?"
And he held out a sooty, grimy hand.
Brackett just stared at it, feeling very outmaneuvered and outnumbered.
'I'm coming along,
too." said Dixie from the peek window.
"I'm the designated driver of this outfit.." she said, wearing
"Hang on." and she flipped on the Mayfair's reds.
"Oh, no you're not." Kel
boomed, immediately apologizing to the dog
when Henry sat up in surprise. Henry bolted for Roy's arms
the others struggled to keep him from tangling his I.V.
"Oh, yes I am. My shift ended
for the day five minutes ago." Dixie
McCall stuck her tongue out at her now powerless superior. "So
buckle in and play doctor quietly, Kel. The sooner we leave, the sooner
we'll get back."
"You aren't authorized to drive a Mayfair!"
"Wanna bet? You authorized me as a field training
nurse. The state says
I can. Hang on.."
And they were off under the vanguard of the white engine.
rendered the street clear before them with a healthy chorus of horn blasts and
Click the flames to|
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