From: "Patti" <firstname.lastname@example.org>
Date: Wed, 17 Nov 2004 14:08:06 -0800 (PST)
Subject: [EmergencyTheaterLive] Complications
Johnny Gage bent close to the woman's face, holding her shoulders
to prevent their muzzy patient
from trying to sit up. "Hey there. Can you
hear me? What's your name? Can you tell me that?"
The girl groaned wetly, closing her eyes, still coughing weakily.
Gage moved the O2 mask aside
and cross scissored her mouth open,
using her teeth, looking for blood or any other fluid that might
be there. He
accepted an active suction line that Roy shoved over to him with a foot but
soon found that it wasn't needed.
"Nothing's here Roy. Her airway's doing fine. Ma'am? Hey! Can
me?" Johnny asked again, letting go of her mouth. He dug several
knuckles into her
The girl immediately shoved his hand away with only her left arm and her face
up at the painful rub. *choke* Ugghh.." and she took a deep breath
from the mask Starsky replaced
back onto her face. "Aaaah..." she sobbed.
Johnny rocked back onto his heels.
"I know. Easy. Just lie still. Can you tell me
" I...mmmgh.." and fright suddenly
filled her dirt crusty eyes as the rest of the
woman's words faded into incoherency.
try to relax. My name's Johnny Gage and I'm a Los Angeles County paramedic.
We're gonna take real
good care of you, all right? Keep holding still until I can
check you out a little better. Tell me
where your pain is besides your head. Can you
tell me that?"
The woman, looking groggy and
heavily stunned, didn't reply, but tears leaked
out of the corner of one of her eyes as she finally
"You're still waking up a bit. Don't be scared. Try and take as many deep full
from this oxygen as you can, ok? It'll help you focus a little better." Gage suggested to
her as he rechecked the status of her pupils. "I'm just gonna take another look here
with a flashlight
to see how you're doing. Just relax."
Hutch picked up the girl's cut away clothes and started
searching for a wallet in
a jeans pocket. He found one. "I've got a name. Mary Malone. Age 22 from
14 North Crescent in Anaheim. The photo I've got here matches her in a
positive I.D. Starsky,
California driver's license." he told the paramedics and
his partner. "There's also a student's pass
here to the University down the block."
Gage nodded while Roy called Rampart Base on the biophone.
After a half minute or so of watching Mary take breaths under the mask, |
Gage spoke again. "Mary.
Talk to me now. Do you hurt anywhere else
besides your head?"
Johnny noticed that she was
growing more and more agitated. Finally,
her lips opened and she let out a fully coherent sentence.
But it wasn't
a reply to his insistent question. It was about something else entirely
"...Tob... He's... Toby?!" she started calling out. "Where are
"Toby? Who's Toby?
Mary! Take it easy. Don't move around so much.
You're gonna hurt yourself!" Johnny grunted, keeping
her shoulders pinned
and immobile while Hutch kept firm hands across her forehead and over
dressing on top of the gaping wound ripped open on her temple.
"Mary..." Hutch started in, being
closest. "Who's Toby? Easy hon. Just
answer the question without fighting us.."
He took him.." she cried frantically. "Ohmyg*d. That man
had a gun!" and she started wailing and
struggling in her panic. Johnny
and Hutch both restrained her tightly.
Starsky took the wallet
Hutch had dropped on the ground and leafed
through its photograph section. He found several of a
young boy with blond
hair. "There's a couple photos of a kid in here,.... about four years old. He
looks a lot like Mary. I'll put out an APB." and he got up to radio headquarters
from the Torino.
Hutch nodded and then he looked down once more."Mary.. Mary! Lie still! |
We've got nearly a dozen
police officers in the area and we'll look for him
immediately. But you've got to start cooperating
with the paramedics here so they
can start treating you! I'm Detective Hutchinson and I promise you
that I'll do
everything I can to find your son, but my first concern right now is you, and your
injuries. Let these firemen get you to a doctor and to some help at the hospital. The
best way for
me to help find your son is for you to start answering their questions
about what happened to you,
Mary Malone went limp, sobbing in resignation. "Please...I'll do anything you ask.
find my little boy...."
Hutch sighed and so did Gage. Ken let go of the T shirt over Mary's temple.
"The bleeding's pretty much stopped here. I'm letting go." he told Johnny. "I've
gotta go help
my partner get out that possible kidnapped hostage bulletin. I'll
be right back to help you with
Mary's spine board. I'll also make
sure an ambulance is well on the way."
Johnny nodded to
the fair haired policeman and got to work over Mary.
"Thanks, Detective Hutchinson."
call me Hutch. It's easier, Mr. Gage."
"O.k.." replied Johnny. "I'll remember that."
got up and joined Starsky by the Gran Torino and a couple of other
officers who were heading up the
grid search for the rifle armed Metford.
He also helped Starsky give Captain Dobey a preliminary report
of the chase and circumstances surrounding the girl's assault,
over their car phone.
bent close to Mary's face once more, wrapping a Coban elastic
wrap around her head to hold the blood
soaked T shirt and dressings
into firm place against her temple. "How are you doing, Mary?"
"I...feel so dizzy, sir..."
Gage smiled at her. "Well then it's a good thing you're still lying
now, isn't it? How's your neck?" he added quickly.
"How about back here?"
he said, gently feeling the bones in the back
from the base of her skull and down to the top of her
"It hurts just in front where he grabbed me. The left side of my neck's
and she pointed over the biggest of the angry fingermarks
wrapping around there.
gently for equality on both carotid pulses with a
couple of fingers. "Can you still breathe all right?
Is your throat swelling
up at all?"
"No.. I think its ok. It's just my head. It hurts real
bad." she gasped.
"On a scale of 1 to 10, if one's nothing and 10's the worst, where's your
right now, Mary?" Johnny asked.
"Are you nauseated?"
just let me know if you think you're gonna get sick and we'll tip you
"O.k.." and she
grimaced rubbing her right arm with her left hand.
"What's wrong?" Johnny asked.
pick up my arm."
"This one here?" he said, gripping her hand on that side.
"Yeah.. it feels
...kinda tingly and numb."
Johnny got both her palms in both of his. "Squeeze my hands. Hard
you can." he encouraged her.
He noticed her grip was weak but still there on the right
her ability to keep her arm uplifted above her, was absent.
He moved down to test both her legs'
strength, moving the
shock sheet aside. "Ok, can you feel me touching you
down here?" he said
pulling out a scissors point and tapping
her shins and the tops of both her feet.
Johnny put the scissors back into his hip holster.
"All right. Push both feet down
onto both my hands. Ok, good. Now try and
lift your legs against my holding them down, hard as you
can. Good. That's
fine." He looked for a Babinski's. Her toes curled down to his forceps point
check, normally, on both sides.
"I'm ticklish." she said, trying to smile. The grin was nonexistent
on the left
side of Mary's face.
"Sorry." Gage grinned, looking up. He didn't miss seeing
the face droop and he didn't alarm Mary by mentioning it.
He went on to get a full medical history,
which he wrote down onto a
small tablet with his neurological findings. Gage handed it to his partner.
Roy had reached a physician through the biophone line. |
"Rampart. We've a 22 year old female. Victim
of an assault. She's got
a large left temple wound due to a blunt force blow to the head. Bleeding
has been controlled. I estimate her blood loss at under 500 cc's.
Rampart, it seems she was a
victim of a near strangling.
"She was respiratory arrested for a couple of minutes but was aided
by a bystander to spontaneous recovery. She's now awake and oriented
to 12 on the Glasgow on 15 liters
of O2. There's signs of non invasive
crushing injury to the soft tissues of the neck. She's complaining
tenderness in the left anterior throat without airway distress. She's been
spine immobilized. Apparent restlessness has proved to be
emotional in nature.
for vasovagal signs. Carotid pulses are equal. BP
initially was depressed at 64/40. Pulse's now 50
beats a minute, up
from 42, and regular. Respirations are 18 and shallow. Pupils were
and reactive, but sluggish, when we first arrived, but now the ipsilateral
side's dilated. She has
contralateral hemiparesis of only her right arm with
partial sensation and face drooping on the left.
Negative on Babinski's.
"There's no indication of further injuries or allergies. Nor does she
a prior history of medical problems. She's negative for any medications."
Dr. Early replied
## Start a large bore I.V., 51, of Normal Saline. Run in 500 ml's to offset her
hypotension. Then turn the intravenous to TKO. Give her mannitol
IV 1 g/kg in a rapid push once you're
in transit. After she's been long board
immobilized, raise her head up. Closely watch for signs of
consciousness level. If she develops Cushing's, administer 1.0 mg/kg of
slow IVP. Use 5mg diazepam for any agitation.
##If her Glasgow drops below 8, hyperventilate
her, 51, and make preparations
for a rapid sequence induction ET intubation. I'll advise you on
what to use for
a paralytic agent.
##Give her .5 mgs atropine IV for that bradycardia. Get
a strip for me, 51, I want
to look for any arrythmias. Monitor her vital signs every five minutes
as soon as possible, without sirens, to prevent possible seizures.##
back all of Joe's orders and then he and Johnny, along with
the two plain clothes detectives, got
Mary situated onto a backboard.
A minute later, the Hearse ambulance arrived and Mary was gurney
loaded onto it with DeSoto and all the gear boxes. They used the squad's
splint box turned onto one
side to lift up the spine board's head end 30
degrees. Roy repeated to Gage. "Johnny. Doc wants
silent mode in."
"Ok.." said Johnny, putting on his helmet onto his head.
at DeSoto, holding the ambulance door so the paramedic
wouldn't have to shut it himself. "Traffic's
not gonna do anything to get out
of the way with just your ambulance reds flashing by themselves."
"We've no other choice in the matter. Mary has to stay perfectly quiet
and calm. She's got an
active intracranial bleed ongoing and any further
excitement, like loud noises, are liable to complicate
things for her."
"Mr. DeSoto, you have an alternative. We'll go ahead of the
Our siren faces forwards and isn't heard past the rear of our car. Now
girl headed?" Hutch asked, his question sounding more like
"Rampart General Hospital
in Torrance." said Roy.
"Let see, that's.. 6th to Ventura Freeway North, to 101 North to 226th
Street. Hang a right... Right?" Starsky asked the paramedic quickly
after his mental map drawing.
"Yeah, that's the shortest route. And if I can't talk ya out of an escort, I'll
DeSoto grinned and got on board the ambulance.
"We gotta go anyway to talk to Mary for more details
before she heads
into surgery. We may not get another chance to learn from her about what
happened if she doesn't make it." Hutch said grimly.
Roy frowned when his hidden paramedic worry was stated so openly.|
"If Mary's got just an epidural
hematoma, she's got every chance in the world
to survive it. The neurosurgeons at Rampart are absolutely
surgeons around these parts."
"DeSoto, we're counting on them to do their d*mned*st
to save her.
Those doctors, and my partner and I, are little different. Little Toby's now
on the both of us,...to save HIM." said Hutch with conviction,
meeting Roy's blue eyes evenly with
"Let's go. Time's wasting." said Starsky gently. "Be sure to let that attendant
that he's following our unmarked police car. It's the striped candy apple
nodded. "I'll let him know."
Hutch shut the door until it latched. He then patted the glass to
let the driver
know that he could start turning around back towards the main drag.
sprinted ahead to the Torino to precede him in the same move.
Then he picked up his partner in a spin
of tires and dust and soon, the
siren blaring Torino and silent, lights only running squad and ambulance,
to Rampart as fast as Starsky and Hutch could scatter the city traffic.
Roy set up an EKG tracing off Mary. She had fallen into
a litany of calling out her son's name. She
no longer opened her
eyes to Roy's questions nor followed any of his suggestions.
up the phone. "Rampart this is Squad 51, how
do you read?"
##Go ahead, 51.##
LOC is 9. Stand by for a Lead Two and vitals."
The paramedic sent on the
telemetry to Dr. Early and
waited, biting his lip. Roy picked up his HT to Johnny.
"HT 51 to Squad
##This is Squad 51.## answered Gage driving behind
into unconsciousness. We might have
to pull over for that intubation before we get there."
51. Watching out for a curbside. I'll let the detectives
know that we might emergency halt on their
Tach Two. ##
In the striped Torino,
Starsky had one eye on the ambulance
behind them and the other on the road. He shouted to
driver in front of him. "Come on, buddy! Move it!"
he shouted, hanging his badge out the open car
for the startled motorist to see. "What part of the color
red don't ya see?! Maybe this
badge'll talk better!"
Hutch ducked down in embarrassment. "Starsky, go easy on them.
the other drivers'll only make'em slower in pulling out of our way.
We're making good time. I estimate
Rampart's only three minutes away."
"More like six minutes, Hutch. Did you forget the seven o'clock
already? I'm speeding because we're a minute away from it cutting us off
at the pass.
Look over there buddy boy." and he pointed out to their left,
where two city blocks sideways from
their own position, the guard rails
of the train crossing intersection, were already lowering and
Rows of cars were damming up in front of them in anticipation of
their own street's
train rails coming down.
Then Gage's transmission about Mary's potential future ambulance
stop came over the radio through their police dispatcher.
"O.K. Nobody's stopping for anything
else that's as unnecessary as
a freight train here." said Starsky and he drove onto the sidewalk to
around the halting cars. Then he threw the Torino into a sharp left onto the
wooden rails as he waved on the ambulance and squad to
start coming towards the tracks normally,
via the street.
Starsky jerked the wheel and spun the Torino sideways until the locomotive
was sure to see the red car obstructing his way. He pounded
on the dashboard happily when he heard
the blast of the train's klaxon bite
down in rapid succession and when blue sparking arcs started
to fly as
the train's emergency brakes were frantically applied.
Hutch paled, seeing that his
passenger door was the side facing
the oncoming train. "Starsky, what the h*ll are you doing?!" he
shouted in a high panicked voice.
"Slowing him down. The gates won't flash for our street |
until he's an eighth of a mile away. Remember
your train stats?
I'm buying us an extra thirty seconds. At least." said Starsky.
crazy! Are you sure you didn't jam the tires into the rocks?!
We might not be able to work free again
The smile of success faded from Starsky's face into a white wash.
Until he tested
the stick and the forward and reverse gears until the
Torino rocked in response comfortably. "We're
not stuck, Hutch. And
we only gotta stay here long enough for the squad and ambulance to
past the traffic jam and get past that R/R crossing. Then we
can rocket outta here.."
just stared at his partner and back at the oncoming train again
in a panicked flurry of glances. "St...ar..sk..That
train's going over
forty miles an hour!" he shouted.
"Just a few.....seconds.....more..."
said Starsky, watching the
intersection crossing the avenue they had just left for the Hearse ambulance
and rescue squad, in the rear view mirror. "There goes Mary.." he
wiped his hands on his jeans. Then
he started to re-grip the Torino's
steering wheel, ignoring Hutch's shouts of alarm.
next horn blare all but split their eardrums.
"StarskyyyYYY!" said Hutch.
goes Johnny..." said the curly haired detective with a
crow of delight. "They did it.." he laughed,
highly pleased. "They beat the train!"
Then he caught sight of the immense train bumper scoop and
a whole lotta
of steam boiling down on them less than ten yards away from Hutch's
Hutch was scared into completely frozen immobility.
"GaahhhHH!" gasped Starsky and he punched
the gas pedal to the metal
with all the strength he had in his leg. The Torino scooted off the tracks
feet before the train barreled by in a high speed squeal of sparking brakes.
He caught the
barest glimpse of its terrified train conductor before the
young stripe hatted man in the locomotive
was swept past and then
Clouds of dust roared into the detectives' car in an angry
made both men cough and choke violently. When the dust
cleared, they both eyeballed each
other from underneath a thick coating
of grit and sand. The dusty assault had snapped Hutch out of
"....Starsk... if ..you ...ever...." he began, holding up a now trembling
Then he sneezed.
"I promise. I won't. Not ever again. Hey, let's catch up with them now,
I can still see them on the merge ramp leading onto the freeway."
And he spun the car's tires until
they dug them off the soft soil of
the intertracks and back onto a sidewalk. He cut over onto the
lane and boiled up onto the freeway in long peels of noisy rubber.
A plume of dust accented
their departure from the car's interior.
Belatedly, Hutch fastened himself tightly into his seat's lap belt.|
"I should turn you in for reckless
endangerment Starsky! I'm sure
the captain will LOVE to hear about this latest stunt." he said,
to brush off the dust coating his tan leather jacket in vain.
"How can you rat on me? It'll have
no credibility at all. There were no
witnesses visible for the last fifteen seconds. The dust cloud
was too big
for anyone to see through."
"I saw everything just fine with perfect one hundred
clarity. That's all I'll need you big lummox!"
"You mean you'd doom our six year long
partnership to a dissolvement?
Hutch I'm thoroughly surprised at you. I only made that move to save
a risk to
a life. Mary's."
"By risking ours?!"
"I had everything perfectly under control."
"Let me tell you something Starsky. If you wanna go around rescuing
lives, do it with your Wesson
39-9mm. You're far better at shooting than
you are at playing chicken."
Hutch was still fuming when he killed the siren long enough for them
to slide past
the speeding squad and ambulance to get back into the
leading escort position they had before the
"Or better yet. Why don't you join the firehouse guys to do that sort
and work it out of your system?!" he snarled angrily.
"You know, that's not such a bad idea, Hutch.
All this ambulance
and emergency medical stuff's addicting." And he flipped their forward
back on with a fancy florish. "I wonder if those two paramedics'
stationhouse ever takes on police
Hutch just stared at his partner in utter disbelief. "I was kidding,
"I don't think I was." Starsky replied back, keeping tabs on their
two tails in the rear mirror.
"When I was a kid, I always dreamed of
becoming a fireman."
"You've got the wrong kind of badge
for that kind of work. Forget
"Guess you're right, Hutch. Ah, here's our exit."
And he calmly
signalled his right hand turn off the freeway.
see that, Roy?## Gage came over DeSoto's HT.
"See what, Johnny?" answered Roy over his radio
as he counted Mary's pulse at her carotid. The woman had quieted
significantly verbally and had
accepted a simple nasopharyngeal airway
without a fuss. So far, her Glasgow rating was staying a
##That police car. It just took on a train so we could get across.##
noticed. Mary's fair. Still a 9. And Joe's still going over
her EKG. She's showing inverted T waves,
and non-specific ST
depressions. Pressure's rising."
"In the hundreds
palpated. She's still breathing ok. I put
a nasal airway in and she took it."
##Keep me posted.##
##See you at the entrance. We're gonna make it in without
my call, too. Whatever those detectives did back
there bought Mary a whole lot of time."
sure they knew that, doing it. Man, I wish I could've
become a policeman. Seems like a d*mned fun
I wonder if their department ever takes on fireman ride alongs.##
useful sometimes, Johnny. But a lot of them
are hot headed risk takers who'll do anything for the
outcome. They're not your kind of people."
##Who says? I won't know if I don't try..##
"I've never heard of volunteer fire in a police station."
##Oh. That's too bad, Roy. I'll
see you in one.##
Soon, the Torino, ambulance and rescue squad were lined up
at the emergency
entrance and powered down.
Mary Malone was quickly bustled inside to Dixie awaiting there.
From: "Cory Anda"
Date: Mon Nov 22, 2004 7:11 pm
Subject: Hallway Duty
3." said Dixie quickly as she took the hanging I.V. from
Roy DeSoto's hand so he could manage his
chattering HT radio.
The two other men, she recognized as police detectives. " Gentlemen,
Early's called for a neurosurgeon and I'll be the one helping you fill
out your crime report after
we're through examining Mary. Johnny,
could you stick around and help x-ray out with her films? I've
out an extra lead apron."
"How's she breathing?" Joe Early
asked as Gage and DeSoto wheeled
Mary's gurney into the indicated room.
"All right." Roy replied.
"Still reacting to pain on both sides of her body.
All except that one arm. She was talking a minute
ago, but now she's
just mumbling." And the three of them disappeared inside the treatment
Detective Hutchinson sped up his walk until he was parallel with Dixie.
"Ma'am. Is there any way
my partner and I could ask Miss Malone a few
questions? She's not unconscious yet."
seriously doubtful." Dixie said, as she whirled to prevent the two
men from entering after Mary and
the two paramedics when they tried to
follow them. "Excuse us. We've films to get and then she's
into a ward for an immediate craniotomy."
She nodded to the two policemen she
had anticipated needing to thwart
the detectives' meddling, to stand fast on either side of Mary's
"Miss.....McCall." said Starsky after reading Dixie's name tag
quickly. "You don't
understand the urgency of the situation! Malone's four
year old little boy has been kidnapped by
her attacker and only Mary
knows the critical details. This'll only take a couple of minutes. If
before we find out anything...."
Dixie's hand slammed into the frame of the treatment
"She'll die for certain if you two delay us or her treatment for even a minute..."
snarled. "Please! Go sit down in the waiting room! If she says anything
during her exam and stabilization,
I'll send Johnny or Roy out here to let you
know about it!"
The richly varnished set of doors swung shut into their faces. |
Starsky was about to go barging
in after Dixie, when Hutch grabbed
his shoulders, and stopped him.
Starsky knocked his hands
away. "What are you doing?" he said with a
low warning glare. "You know we've gotta get her side
of it for the boy's sake."
"Starsky. Think about it. Just how much could Mary've learned from
during the brunt of the attack? He was strangling her."
"Adrenaline sometimes does
some pretty powerful things on memory, partner.
I'm banking on Mary having had a total recall effect
because of her mother's
instinct firing off for her child's protection." and he started to push on
around Hutch's larger frame.
The two very large officers started to tense up their
well muscled arms.
Hutch once again prevented his smaller partner from moving. "Don't, Starsk.
Be happy. We've managed to save Malone long enough for the doctors to
get their shot at finishing
the job. Let's go grab a cup of coffee."
"No way in h*ll, Hutch. I'm not getting the wool pulled
over my eyes
by skipping an interview with another material witness against Metford again.
this time. We lost the last one when he died on the surgical table."
"I insist." said Hutchinson,
spinning his partner around toward the front
reception desk of Emergency's ward. "Sorry officers.
He's a bit gung ho
when it comes to cracking female victimization cases. Come on, Starsky.
coffee brewing over here and you look like you could seriously use
some right about now."
let himself be herded, finally realizing that he should retreat
rather than embarrass them both with
a public scuffle with two fellow
policemen. Then he shivered. "I am kinda cold."
do that." said Hutch matter of factly, grinning at the nurses
who hurried by them, going about their
business. He absently patted
Starsky's shoulder reassuringly as he guided him away from Mary's
and the two head nurse appointed guards. "We've been hunting
Metford down like an animal for ...what?
Two days straight?"
"Three. I remember that because that's how long it's been since
of us got any sleep." Starsky grumbled unhappily. Then
he shrugged out of Hutch's grip, cooperating
at last, and he adjusted
his brown leather jacket back into comfortable place around his fatigue
"Homicidal maniacs always give us a run for the money. It's the price we
pay before we get to nab the bad guy." Hutch reasoned. "Haven't
you ever noticed that?"
Starsky reached out an arm in a grab and collapsed his weary butt on an
empty gurney stored along
the side of the hospital hallway with a sigh, before
they had even walked thirty steps. He toppled
over onto his side, nesting a cheek
on an elbow and then he closed his eyes. "Wake me when those
two fire monkeys
get back out here, Hutch. I want a decent prognosis on Mary for Captain Dobey
You know how he makes our life a living h*ll until he hears the final results
or at least some decent
progress news on any of our felony cases."
"That may take a while. They've got to clear her C-spine
can even move her."
"That's ok by me. Why don't you grab the other end of the bed
and lie down.
This feels....absolutely....divine...." he murmured sleepily, curling up under
wheeled gurney's antiseptically clean white sheet.
"Starsky?" Hutch inquired, staying on his feet.
"I don't think you should
be doing that.. I mean, what if it gets busy later and they need this stretcher?"
A loud snore peeled immediately from Starsky's lax face.
There was no answer.
Hutch finally yawned uncontrollably and then he gave in
to a mild grin. "All
right. I guess you deserve a nap, pal. Looks like we've a long night ahead of
us." he said angling Starsky's chin, so he slept silently without noise.
To keep nosy hospital
staff at bay, Hutch threw the sheet over his partner's
face, took over a chair, and snatched up a
magazine to read. Then he sat
next to Starsky's gurney as if on a corpse watch.
detective's badge that he put out on his shirt's lapel kept anyone
from asking any questions about
either the man shaped lump under the
crisply pressed sheeting on the bed, or him.
Date: Tue, 23 Nov 2004 15:20:34
From: "Jeff Seltun" <email@example.com>
Subject: The Lead..
Brackett was already in the Treatment Room on the phone.
"Joe, I've got an anesthesiologist coming
right now to get
her squared away with an endotrach tube."
"Thanks, Kel." said Joe as he began
a funduscopic exam on
Mary. "The sooner the better. There's retinal petecchiae in
"Intracranial changes?" Dr. Brackett offered.
Joe nodded. "At the very least, a linear skull fracture.
I'm feeling a crack
that's non depressed right along her parietal bone just above the left ear.
that same side dilated pupil and partial hemiparesis that Roy found,
I'll bet there's a strong possibility
that she's got an active epidural bleed
"No bet." said Kel. Then he turned to
Dixie while he continued waiting for
the X-ray tech to lay out the lateral and frontal cranial film
series on the light board.
"Dix, I want you to set up a foley before she hits the OR. Take care of
she's under and intubated. Also draw blood for electrolytes, blood urea nitrogen,
glucose, a complete blood cell count with platelets, prothrombin time,
activated partial thromboplastin
time. Have the lab do a toxicology screen and
serum alcohol level and get a blood type and crossmatch.
Her chart's not up from
records yet." said Brackett.
"Right away, Kel." and she went to the
wall phone in the back of the room.
He moved to the woman's right side and uptook her hand and
"Johnny, what's her pressure?"
"It's up, Dr. Brackett. 150/98. Respirations are only
ten now. The heart
rate you already know." he said pointing to the audible cardiac monitor
they all could hear pacing off a slow beat.
Joe completed his physical check of Mary's head and
he moved to
her legs to test their reactions with a reflex hammer. He looked up
when the anesthesiologist
arrived with his equipment.
Brackett pressed his thumbnail on top of Mary's middle finger nail
sliding it along until his clicked over the end of hers at the finger tip. The
rest of Mary's
fingers on that hand flexed, transiently exaggerated. "Joe,
I've a positive Hoffman's response."
Kel checked. "Yes."
Dr. Early frowned. "That means there's a problem at
C5 or above
in addition to her head injury."
"Good thing she was collared." Dr. Brackett said.
"Did you get cervical
"Yeah, they're almost set. Hang on."
her ready, fast. Cushing's is just around the corner." Kel
said to the anesthestist.
then, Mary moaned. Roy, by her right side, leaned in close.
"Mary... can you hear me? The doctors
are right here. They're gonna
take real good care of ya. We're at the hospital now."
more agitated, as if feeling Dixie's tap for the lab's arterial blood,
and she started to fidget restlessly.
"Keep her down." Brackett warned the two paramedics to hold her
He drew up a 3 mg syringe of pentobarbitol and injected it into Mary's
I.V. "Mary. Mary. Listen to
me. You hurt your neck when you hit the
ground. It's very important for you to lie as still as you
can and don't move."
"TTttttt---oob. Money's on the dress...e..r. Tooower's Plaazzz-zz."
"Shhh.." Kel soothed holding her forehead. "Don't try to talk. We've
given you some medication to
"Brrrrriing....ittt th---" Mary's face slacked off with a sigh as Brackett's
took effect and she quit fighting actively.
Mike deftly took out the nasopharyngeal airway and
suctioned the blood and saliva out of her mouth and nose.
He prepared for an in-line intubation
with the endotrach airway tube he
had ready to place. He nodded to Kel to signal that he was ready
doctor to inject the second syringe full of succinylcholine to paralyze her
of the way until her breathing stopped.
Gage pulled the sheet down so the anesthesiologist could
chest for landmarks and its eventual rise for when the ventilator was turned
on. He read
off the numbers on the billows gauge. "She's got
mild hypocapnea.. I'm reading,...30- 35 mm Hg,
"That's fine, Johnny.." said Joe Early. "That carbon dioxide level will
prevent any severe
vasoconstriction and it'll eliminate her existing cerebral
ischemia. Do you have good breath sounds
yet for Mike, Roy?"
he asked as the tube doc finished his work.
Roy listened carefully over
both of Mary's lungs and her stomach
with the stethoscope he still had around his neck.
no gastric gurgling. You've got your placement right first time."
he shared. Mike nodded and taped
off the breathing tube so it wouldn't
move around during her transit into surgery.
"Ok, let's go. Dixie, make sure the lab results and those X-rays meet|
up with us while we scrub up.
We'll stall with starting Mary's tapping
burr holes as long as we can."
Dixie nodded as the
two paramedics bundled Mary up again in
warm heated blankets and helped the orderlies gather all her
tubes and IV from around the wheeled bird vent.
Hutch rose immediately from his chair hopefully, as Mary was wheeled
out into the hallway. But
his smile died when he saw that she
was tubed and not breathing on her own, hooked up to a machine.
"Do you need us any more, docs?" Gage asked Joe Early and Kel Brackett
from alongside her bed.
"We got it from here." Kel said, helping to keep Mary's airway from jostling.
two detectives we'll give them a call as soon as Mary hits the
Recovery Unit." Joe added as they put
some fast distance between
"Will do.." said Roy and the two fire paramedics slowed their
the surgical entourage entered the metal doored elevator.
Hutchinson met up with them
as the doors snicked shut on the sight of
Mary's pale, still face. "Gentlemen? Did she speak anymore?"
"Hmm?" Gage said, looking up thoughtfully. "Oh, oh.oh. Uh. Let me
think back. We really had our
hands full. Uhhhh. She was
really worried about her son, Toby." he offered.
"Yeah, she called
out his name a few times." Roy agreed. "And..and
and.. she mentioned something about some money.."
"About what money?" said Hutch starting to walk back down the hall
to where he had been reading.
The two firemen followed, next
Gage blinked a few times. "She didn't specify.. but
I think she said something like, 'It's on the dresser.' "
"Yeah, and about a place that it
had to go to." DeSoto frowned, rubbing
his head wearily.
"Did she give an address?" Hutch asked,
pausing by the gurney along the
"Not exactly. We had a hard time making it out." Roy
"She was getting doped up pretty good by that point. It was
just a few syllables."
"Where?" asked Hutch amicably.|
"Well,... it sounded like Tauser's Pass or... Tower's...Pl..."
broke off, trying to remember.
Hutchinson snapped his fingers. "Tower's Plaza?"
that might have been it..." Roy nodded.
"Thanks fellas. We'll get right on it."
Hutch before he turned away again.
"Uh, who's we? I don't see your partner around here anywhere."
Hutch took his radio out of his pocket and said, "Zebra 3 to
Headquarters. We've a lead on the
Malone kidnapping. Tell
Captain Dobey to call us on our automobile phone in two minutes.
headed to Mary's residence right now. Come on, Starsk, rise
and shine..." he said, tickling something
on the gurney. "We've a
ransom to deliver."
Johnny Gage startled badly when the "body" moved
Detective Starsky pulling off the sheet in a tangle of bleary panic.
Gage as the two hastily departing detectives
ran quickly down the hallway for the ambulance doors.
pal. Don't have a coronary. We've got that dinner bet to collect
on, so don't die of fright
on me. I don't wanna work that hard."
"D-dd-ddid you see that?" Gage said, breathing fast and
down the hall. "Why'd they pretend a body was a sleeping guy like
that? What a nasty trick."
Roy shrugged mildly. "I don't think it was a trick. More like an inadvertant
crash. I've seen
you do it enough times around here."
"Nothin. Come on and walk it off. Let's go,
I'm getting hungry." DeSoto said,
thinking about how bad the end of rush hour traffic was going to
and how long their ETA back to base was gonna take. "L.A., Squad
From : Cory Anda <firstname.lastname@example.org>
Sent : Wednesday, December 1, 2004 1:57 PM
Subject : Mary's Deal
Starsky and Hutch
ran up the stairs leading to Mary Malone's
spanish shingle house and to its vine wrapped front door.
In their hands, they held a property search warrant, fresh from Captain
Dobey's hands. Lock picking
the door, they went inside steathily, guns
drawn and hugging the walls.
They put them away
when they saw that things were completely
undisturbed in every room they could see. Together, the
detectives sighed in relief.
"Metford hasn't been here yet." said Hutchinson.|
"How could he come around to look for the ransom
He's got a kid in tow. And one who probably isn't very happy
about being apart from Mary
right now. Besides, Metford still
knows he's got every cop in the city looking for him." said Starsky.
Hutch frowned. "There's one thing about this whole affair
that really stinks." he said, as he
and his partner searched every
dresser in each room for anything resembling something that
hold hidden money.
"And what's that, Sherlock?" smiled Starsky.
"If Metford kidnapped
Toby on the spur of the moment, how
could Mary have had time to make arrangements to have
available on hand to try and get him back so fast? We've all
been assuming that attack on her was
a first meeting between
the two of them." reasoned Hutch, leafing through the stack of mail
on Mary's desk for clues.
Starsky didn't like the feeling that washed over him. "A prior
of some kind?"
Hutch nodded. "Not necessarily a romantic one. I can't see a college
getting involved with a man Metford's age. He's old enough to
be her father. Perhaps she knows him
as some shady, obscure family
"I'll buy that. But if that was true, why didn't
she tell us about knowing him,
when we were there, right up front?"
"She had a head injury
Starsky." said Hutch. "I speak from experience
that you can't always think clearly having one. I was
amazed that Mary
could even talk after coming to like that after not having been able to
"She sounded pretty lucid talking to that dark haired paramedic for
those few minutes.
What was his name again?"
"John Gage." supplied Hutch, moving on to the next room.
looking in the bedroom."
"Ok, Hutch, I'll go along with your line of thinking. So, ....You're
she changed her tune, once she woke up the rest of the way in that alley, because
wanted to try and handle the situation with Metford on her own. I'll buy that. She was
her boy." Starsky surmised. "But then, at the hospital, the seriousness of her
convinced her to change her mind about getting some help with him
when she realized that she was
heading into surgery. She must've figured out that going
under the knife would run over being able
to keep Metford's ransom delivery deadline."
Both detectives stopped when
they spied a very masculine black briefcase,
sitting on a nightstand by the bed that didn't jive
with the rest of the
floral or child's home decor around them. They rushed over to it and
open the lid. Jewels and a large sum of money sparkled up at them.
Starsky picked up some documents lying next to the case and started reading|
out loud. "I, Mary Malone,
co-signer of the contents of this safety deposit
box, so avow, affirm and agree that I have made
this withdrawal in good
faith and sound mind...." He looked up at his partner. "Metford coerced her
to get into her dead grandmother's savings withdrawn."
Hutch had found a notepad next to the phone,
written in a curling feminine
hand that was also shaky looking with stress. "This says eight o'clock,
Starsky. At Tower's Plaza.. the 1010 Interchange Building." and his face fell into
angry lines. "This whole day's turning out so like Metford's usual MO.
A targetless shooting spree
for kicks to celebrate a heist going his way...."
"He's gonna conclude this deal and then
go back into deep hiding again where we'll
never find him. We're taking all of this with us! Who can
say Toby won't get on
his nerves and get beaten up like Mary did?" Starsky said, shutting the briefcase
and snatching up both the bank withdrawal papers and the phone notepad along with
the money and
"No one." said Hutch. "That little boy's still in danger even if it isn't deadly danger."
"We don't have time enough to go to headquarters to get the FBI in on this whole
deal. It's 7:10,
"We're gonna haveta find time," he said in a burst of an idea. "I know, we'll make
on the way to the Plaza through Captain Dobey and call all the watch
dog units to close on in." agreed
Hutch. "Most of those offices at that tower
are empty now and unoccupied. It's way after their business
"We'll startle Metford out of any target practicing on the streets by calling
the fire department."
The two detectives ran out of the house, secured its front door tightly,
raced for the red Gran Torino as fast as they could in the falling night time
From: Katherine Bird <email@example.com>
Date: Tue Nov 30, 2004 4:50 pm
Subject: Ring of Fire
Roy DeSoto and Johnny Gage skidded
into Station 51's kitchen,
each doing fair imitations of Bonnie scampering claws on the slippery
but with their shoes, in their hurry to get to their plates.
Marco was grumpy, having just finished
peeling twenty potatoes to
go along with the steaks Kelly had grilled up. "Hey, watch it you
you'll scuff up the tiles! I just got done mopping that."
Gage and DeSoto ignored him as they
scooted their wooden
chairs a little closer to the table and their silverware.
"Ah, I can't
wait to sink my teeth into... Sorry for winning the bet, Chet.
This looks absolutely fabulous." he
said tucking a napkin around his neck.
"What'ya sauteed them in?" he said reaching for the steaks
a taste of the marinate glistening there.
Chet smacked his fingers. "Shittake mushroom
and yellow onion. Mitts
off until you get served." he said. "Cap wasn't too pleased about being
into the bet. But he did his part. He's got a couple of bowls
of salad chilling in the frig."
Johnny looked around, stuffing a dinner roll into his mouth as Kelly
forked over two steaks onto the
paramedics' blue and white swirled
china plates. "Where is he? Usually he'd be here pulling rank on
us to get the biggest steak."
Mike Stoker looked up from some carrots he was shoving into his|
mouth as quick as he could. He mumbled.
"He's on the phone
with somebody named Captain Dobey from the Bay City Police
Department. Do you
know anything about that?"
Gage and Roy exchanged glances. "A fair amount. That police
standby call turned into an assault and kidnapping. Our
victim was a mother and her four year old
son's now missing.
The cops think he's being held by her attacker."
"Ooo, that's rough. She
gonna make it?" Kelly asked.
"Yeah. Rampart was really on the ball today. Her anesthetist was
already in the room when we got to the hospital. She's got a head
crack that seemed to be just epidural
in nature. Easily mended." Roy
replied, cutting his steak calmly and chewing on a center piece stabbed
onto a fork. "Pass me the pepper, Stoker. Thanks."Johnny was eating so
fast that Roy was amazed
that he didn't choke. DeSoto frowned a little
and tried not to watch.
Johnny added his two
cents worth. "The whole run was just plain
weird, guys. Bullet casings lying around us like scattered
running around everywhere. Our two detectives' car had its
windshield shot through
with a couple of bullet holes. "
Marco's eyes got real big. "We're you in danger?"
It was over by the time we got there." Roy reassured Lopez.
"The shorter cop reminded me a lot
of you, Chet. Complete with moppy
hair and tennis shoes." Gage interjected.
Kelly said with feigned interest. "Didn't know I had
a twin out there. What'd he do for you guys?"
"He got our lady breathing again. She'd been choked and thrown too hard
onto some concrete. Starsky
did pretty well considering the fact that he
thought he shot her with his gun the whole time he and
his partner were
helping her out."
Stoker chuckled. "Starsky? What kind of name is that?"
"It's probably Jewish." Marco guessed.|
"Probably. His taller partner was named Hutch." Roy nodded
"As in a piece of furniture?" Chet laughed, stuffing a pile of potatoes into
"I think it was a nickname." Roy said. "But I sure appreciate them both
and what they
do for a living. They ran escort for us on the way in and
played chicken with a train to slow it down
long enough for the squad
and ambulance to get over the tracks before the gates came down."
that took guts." Gage agreed. "They seem like a real crazy
pair of partners. Funky and impulsive."
"Kinda like the pair of partners sitting in front of me right now, huh?"
nailed Kelly in the shoulder with a towel. "I meant that in a good
"So did I." Chet
said, mildly, tossing the kitchen towel right back at
him. The whole thing turned into a tossing war
between the two,
until Cap's entry into the room, suddenly ended it.
Nonetheless, Cap's eyes
had missed nothing. Hank hurried to his chair
and sat down. "No horseplay at the table, you two.
You know the rules."
"Not unless you can get away with it.." Chet said under his breath to
Cap was too busy filling his plate with food to notice him.
Hank ate half his steak,
before he flipped open a file filled with hand written
notes that he had hastily scrawled onto a blank
log sheet. "Johnny.
Roy. Gang. We're all on special duty for the rest of the day. Apparently
a man hunt going on downtown for some nut case the cops
want real bad. They think they've cornered
him in a high rise office
building somewhere near Tower's Plaza and we're gonna be part of a
back up response crew in case any tear gas's needed."
"That's probably our kidnapper.." Johnny
snorted, chewing his third
dinner roll loudly.
"What?" Hank asked.
"Nothing, Cap. When
do we move into position?" Roy wanted to
"They'll call us just as soon as they get a
bead on their perpetrator. He
could be anywhere inside that building. And sixty stories is a lot
ground to cover manually. We'll probably make it through dinner."
"Knowing the pace our two detectives like to work at, better|
hurry up with your steaks everybody.
We're bound to be called
out sooner than you'd think.." Roy warned.
The tones went off.
All the firemen stood bent over their food and they shovelled in a few
last hasty cheekfuls, before
they fled for the vehicle bay and their trucks.
##Station 51. Truck 99. Foam 127. Battalion 14.
L.A. and Bay City
Police request a non code R multiple station response to 1010 Tower
Cross street Interchange Blvd. 1010 Tower Plaza Drive.
Cross street Interchange Blvd. Time out: 19:12.##
"10-4, Station 51, KMG 365." said Cap into the alcove mic.
They rolled out.
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