What's A Dedicated Captain Like You Doing..
Note: Music soundtrack is high quality and slow loading in some cases. Patience. :)|
The Story Unfolds...
Season Six, Episode Fifty One, Season Finale
§§ What's A Dedicated
Captain Like You Doing.. §§
Debut Launch: February 6th, 2008.
From: patti keiper <email@example.com>
Date: Tue Feb 26, 2008 9:30 pm
Subject: Future Perfect..
The sun was already hot and high in the chalk colored
sky when the awards luncheon at
the fire academy next to
L.A. Headquarters concluded.
::Thank G*d that finally ended.:: thought
Roy as he pulled
off his hat and unbuttoned his black formal dress coat. He
was one of the first
officers outside and he wasn't surprised
at all to see a very familiar outline dressed similarly,
same thing. Feeling a quirk of amusement, DeSoto cupped a
hand over his mouth and shouted,
disguising his voice. "John
Gage! Stand at attention!" he barked, sounding exactly like
14. The animated shape snapped to, just like he
expected, into a rigid inspection posture, quite
complete startlement. Roy drew close enough for his jacket
to reveal themselves as well as his features.
Johnny dissolved into open surprise and total shock
dawned. His face immediately beamed a relieved crooked smile.
"Roy!" he called out,
happy. "What's a dedicated captain like you
doing in such a tedious chore bound place like this?"
"I could be asking you the same thing." DeSoto said wryly, taking
old paramedic partner's hand into an eager
finally pleased in a softening way. "My men have
been doing me proud. One of my paramedics at 36's
is up for the
medal of valor for saving three from a duplex fire."
"I saw that. Last month,
right? It was in all the papers."
"Eh. Heh..h. Unintentionally, of course, like I told the chief.."
fidgetted. He became uncomfortable, holding up a hand.
"Come on." Roy disbelieved. "You
loved every minute of it as finally
getting another one over on Brice." Roy said, leaning forward,
Gage readjusted his stance, "Well... Yes, I did. And no, I didn't hit on
reporter even though she was drop dead gorgeous."
"So you've finally grown up since we both decided
to get ourselves
promoted.." Roy demurred, letting him off the hook.
Johnny shot Roy a dirty
look. But only briefly. "Four more years since
IS a bit long."
"Yeah. And so's your hair still,
I see." DeSoto said, grabbing for Gage's
white dress hat so he could see the lack of a cut better.
Johnny avoided him playfully. "And yours. That's sure new..."
DeSoto shrugged, finally standing
still enough to cross his arms
together companionably tucked in over his elbows. "What can I say?
You started a trend everybody liked back then. They still do."
"Yeah, I'm glad of that. I've
been telling the guys at my station that their
jacket flaps are plenty to block out any falling embers."
"And having all that wet hair on your neck feels real good in a fire." Roy
agreed. "I've found
mine cuts down on burns. A lot."
Gage threw out a hand. "There you go. I've always said that the
department should be less like the military and--"
"...more like a brotherhood. I know.
And you've succeeded. Look at us."
Roy finished, grinning toothily. Then he became contemplative,
began to realize something else. "Did you know we've the current
distinction of being
the only paramedic pair holding simultaneous
captainships? The youngest ever."
DeSoto on the shoulder and gripped it affectionately for
a moment. "Yeah. Guess we did set that new
standard. Just look at how
many men are joining the department now.." he sighed expansively,
over at the recruited cadets running their skills and aptitude
tests behind them on the training grounds.
"You mean, men and women." Roy argued. "I've got two myself |
signed on at home, at 10's."
As paramedics?" Johnny asked, his dating appetite whetted.
"No, as in regular firefighters." Roy
Gage made a face as he considered that idea. "Well, can they pull their
with all the boys?" he asked seriously, all captain.
Roy scoffed good naturedly. "They wouldn't
have been signed with
the county if they couldn't, now would they?" DeSoto winked, teasing
"Aw, that's true. So, your two.. are they--"
"...married or not? None of your business. You
can't dally with anyone
not your own rank at work. Same as always, remember?" Roy prompted.
remind me." Gage scowled, slumping against the railing which
bordered the steaming parking lot where
it sizzled under a grove of
spreading, spicy scented eucalyptus trees.
Both firemen breathed
"Hey, no brush fires today.." they both said together, almost in the same
breath. Then they laughed about their parallel captains'
instincts and thought now going out strong
in both of them.
Gage continued their first line of conversation.
"Huh." Johnny grunted. "It'll
probably be thirty years before that happens.
I'll be an old man by the time a woman finally earns
her trumpets like we
"I don't think it'll take that long before the gender glass
and falls. The department's too dynamic to not utilize the best
of just about
everybody who's becoming a part of us." DeSoto speculated.
"Don't be too sure." Gage said. "Firefighting's
too popular an idea with
boys who're still growing up like me, to not foster some jealous guarding
of positions as they're being handed out."
"Let's hope not. Smashing stereotypes was what the
all about." DeSoto chuckled.
"And so now we're into the 1980s. Seems strange
writing down an eight
on all my checks nowadays." Johnny mused, grinning oddly.
Roy said, fingering his tie.
"Oh, constantly." Gage grimaced, agreeing in seconds. "I don't know
you take it as well as you do. Now that's the hardest lesson I've ever had
to learn in all
my life..." he said with exasperation.
Roy smiled gently. "You mean, even over handling your emotions
of your child down calls?"
"Even over them." he whispered. "I hate the fact that I'm
"At thirty one?" Roy giggled.
"Yeah." Gage spat back seriously.
"It's gonna happen someday. But,.. I don't see any gray hairs cropping up
just yet on ya." Roy
"Don't rush me." Johnny frowned, tactfully not mentioning the ones newly
at Roy's temples. "So, how've you been? What's been
happening with you lately? We haven't even called
each other. Not once."
"Not much. Well, .. that's not true.. Everything actually." DeSoto admitted.
"Why don't you tell me about it.." Johnny shrugged. "We're friends.
Rusty ones, but still
the best of em I'd like to think."
"I think I will. Let me buy you a soda?" Roy asked.|
Johnny reached out and stabbed him in the
chest slowly, with
a finger. "Only if I beat you over to the closest vending machine.."
quickly, suddenly taking off into a sprint for the nearest food
"You're on!" Roy
yelled, chasing after him.
Gage and DeSoto were still very much like a pair of little boys
each other on the playground. The only difference now
was that the two were finally at the very top
of their careers, and they
were still playing..
Flying off their heads, their two pristinely
white captain's hats went bouncing
onto the melting asphalt in awkward circles as the wind claimed
a winning friction game move as they began to run even faster. Their
ties and jackets
soon billowed off, carelessly abandoned, in a bid for
increased fleetness and for more breathing
room in the blistering heat.
Roy won the race.
Gage impacted the outdoor pop machine with
both palms as he stopped
his flight. Breathing hard to catch his breath, Johnny sagged onto his butt
onto the ground by the hanger's picnic tables. "Y--You're what..." he gasped.
"Forty two now?"
"Yeah.." Roy grinned, still managing his own violent air hunger while
sweating buckets. "But I'm
nowhere near slowing down, eh? Not even
a tiny bit." he crowed. "Nice to know that I can still beat
you in an honest
foot race." he gasped. "Once a Viet Nam vet--" he said, plunking down
Johnny in a like lump.
"Oh, would you just shut up and let me go grab ya that pop?!" Gage
clawing his way weakly up to the pay slot over their heads.
Roy started laughing and he couldn't
stop. It became infectious.
Soon Johnny was, too, in between his gulps of icy Dr. Pepper.
What's so funny?"
DeSoto smiled. "You know how long it's been since anybody's told
me to do
Gage giggled, then he burped loudly in celebration. "About four
years?.." he guessed,
realizing that the last one who said that, had been
"Right first time." Roy saluted with
his own glass bottle of strawberry
Crush, held aloft. "I'll never forget the last time.. Remember
"How can I forget? We were in deep auto pilot mode that day. All day."
"Yeah.." panted Roy. "We sure were. In the worst way." and soon, both
paramedic captains fell
into reminiscing that rescue in a mutual shared
memory as they rested.
doors at Rampart burst open under multiple
patient arrivals. An authoritative voice ripped out physician
dictates smartly. "Squad 36, Treatment Two with your pediatric
submersion. Respiratory and
X-ray are standing by....110? Straight
to surgery for that subdural, room 3, Dr. Welby. He's already
scrubbed in. Squad 8? Go to Room Five. We'll be delivering your
partum previa right down here
in the ER. ObGyn's booked solid
upstairs, but we have a baby doc available for her. How far along
"Dilated twelve centimeters." replied Dwyer.
The E.R. nurse calling the
shots sucked in her breath. "OOo, okay, boys.
Rush it." Then she turned to grasp the panting, fretting
as she was rapidly wheeled on by. "Ready to meet your second daughter?
here before you know it. You're still in good hands...." she
soothed, lightly brushing her sweaty
forehead. The soon to be mom
again relaxed into her next contraction, comforted. "Oh, thank you.."
she sighed as the door closed on her room, separating them.
The frantic hubbub that had entered
the hospital, ended afterwards,
With great satisfaction, Head Nurse Sharon Walters
crossed off the
latest crisis from her "now" list with a flourish of her very sharp pencil.
she said, clicking off the stop watch that she had hanging openly
from within her white side pocket
of her all white uniform. "Oh, rabbits!"
she said, peering at its face. "That resolution set of orders
was given only
ten seconds faster than the last case crunch from this morning. Must do
she muttered to herself.
Right then, the elevator doors opened up and Dr. Early and Dr. Morton
rushed out onto the floor, unfolding like pairs of stethoscopes from
their pockets to cast about their
necks. Both were clutching tone
screeching pagers. Sharon yawned in farce as they got there to
side. "What took you so long, doctors? Our current emergency
cases now are no longer incoming. They've
already been handled."
she punctuated with a crisp nod of her head. "Landsakes,.. I told
NOT to bother you on your lunch breaks for this." she
sniffed in dismay as she settled back down onto
the stool at the main
emergency room desk. "I'll let the administrator know about that little
right away.." she promised, picking up the phone.
Mike and Joe both raised their eyebrows as they
skidded to a halt
near her on the scuffed tiles before sullenly trodding back to the
to resummon one for a return trip to the cafeteria.
Morton muttered. "Was Dixie ever that fast on triaging when she|
was just starting out?"
Early said, watching the numbers fall to their level.
"Well.. I'll say right now that another
legacy is most certainly
being born today right before our very eyes." Morton said, getting
as the doors opened.
Joe joined him, suddenly sniffling as he wiped a genuine tear off
cheek. "That kinda hits you right here, doesn't it?" he said,
gesturing with a closed fist, to his
Mike smiled and shrugged. "I wouldn't know. I wasn't even a ..a..
yet when Dixie was new enough at her job...
to compare anything." he answered honestly.
missing out." Early said, getting a hold of himself and
his budding pride. "It's a miracle. Dixie's
a real protege mom
now. First class."
"If you say so. But I do like what I see in Sharon today
comes to crisis situations. Talk about a real pro. Wow.." Morton
gaped. "We may never get
to work again." he said in jest.
Early burst out laughing.
The phone rang on the huge dark oak desk only for half a second
before long elegant fingernails
picked up its receiver. "This is Floor
Five, Executive Admin McCall speaking..." she prompted.
Right away, on the other end of the line, Sharon Walters began to
laugh uproariously. ##I know it's
been years, but I'm still not used to
thinking of our hospital's own Dixie as the main paper pusher
end coordinator...## she chuckled, snorting at her friend.
McCall fired back, a warm
rasp coloring her voice."Oh, yeah? Well, I'm
not used to some blue smocked college graduate filling
my old shoes
downstairs.." she countered. "How's it going, kid?" she asked easily,
She began playing with the loosely curled waves
that now rippled down her long unbound waist length
##Oh, it's going. My total recall's coming in handy.##
"See? I told you things would
work out all right. I knew the first day
I laid eyes on you that you'd be my ultimate successor. It
too bad that a slight adolescent nursing student-to-doctor crush along
with a late dying
klutz gene prevented others from seeing your true
potential. But I was never fooled. Who do you think
signed your final
##You?## Sharon asked.
"Oh, I helped. Sure. But
it was really all the doctors you've ever worked
with who eventually decided. They all agreed that
you were the only
nurse out there who had that sparky drive already inborn, to head
the E.R. Department."
Dixie got firm over the phone. "Sharon Walters. I've never lied to
I'm not gonna start doing that now. Of course it's up to
the M.D. staff to choose their pitch hitter.
I'm mean, they're the ones
who're gonna have to come up swinging when the patients start rolling
Who better than someone who fields the starting line perfectly,
every time? Congratulations on ace-ing
your first month down there
at my old desk. But getting back to the subject of why you called?
bugging you? Is it that horrible fruit machine again? I tell ya,
all you gotta do is nudge it a little
with your hip first to--"
"##It's the operators, Dix. They're toning out false priorities on|
the physicians' pagers again.##
she groused openly.
"Oh. Uh. Well... That's a problem that even I've never been able to
That department's sort of like a nurse's schedule. You never
know where your messages are going to
go. Even if they get to the
right place, they're always messed up. Our operators don't know how
play "Operator" I'm afraid." she shared. "Try repeating yourself to
them twice once over the phone
next time you make a personnel
request and see how that goes? That may work better since that's how
they end up parrot speaking on their job anyways.." Dixie quipped.
"They always double page."
##Oh, very funny.## Walters giggled.
"Hey, now don't knock it unless you've tried it, okay?"
suggested. "It just may work."
##Okay, Thanks, Dix.##
"Anytime. Bye bye."
##Bye..## said Sharon. Then she hung up quickly with her usual
From: Patti Keiper <firstname.lastname@example.org>
Sun Mar 16, 2008 6:18 pm
Subject: Reminiscing The Past..
[(Cameo scene insert at middle by
Jill "wone3")- ETL fan writer from the
original ETL episode 00:51 Episode Fifteen]
Gage repositioned the captain's hat on his head and he sighed, actually
enjoying the heat of the growing
day. "Remember the time when Dixie got
so mule headed that she even outdid me?"
I forget?" said DeSoto, leaning back against the dew kissed soda
machine standing near the entrance
to L.A. Headquarters.
"I wonder how it all got started for her." Johnny chuckled.
she knows for sure. We can only forever wonder." Roy smiled, playing with
his half empty pop bottle
in his hands as he rested. Memory faded to black as
events of that day returned to their recollection.
McCall stretched languidly on her raft just soaking in
the southern Californian sunshine. ::It's just
been far...too... long.::she
sighed, listening to the birds nearby playing in her apartment complex's
birdbath. Max, the caretaker's cat, seemed to agree with her, stretching a
single paw down from his
perch on the poolside lifeguard chair.
Children's laughter rang like belltones in her ears as
under her sunhat and occasionally, the yips of the excited dogs
watching the other tenants
sharing the same pool, splashed and
played on the sidelines. Sighing, Dixie let the sun fry out her
one by one. ::If I ever work another double shift like the one I had last
night, may monkeys
fly out of my butt.:: she thought. "Ohhh, I hate
head colds." Dixie sniffed, ignoring yet another
tickle running down
her throat. She shifted on her inflatable, easing a sudden gut cramp.
nurse let the noonish summer's day work its magic, and
ignored it. "Guess what, Kel?" she mumbled
to herself, still quite
alone on her side of the pool. "I'm cancelling dinner plans. This
gonna be just ..for......ZZzzzzz...zzz.."
The lulling waves returned her to a state of blissful
Dixie didn't know how long she had drifted, when an uneasy pup's|
whine sliced through her dreams.
McCall made a face.
Then the kids started screaming. Dixie shot up onto her hands, blinking
the torrid sun's glare, her eyes tearing. She cast her head about towards
the frightened children,
shouting in alarm. "What's the problem here?!"
One petrified boy pointed to someplace behind Dixie.
One of the Miller dogs was still whining, standing rigid on a second
raft, looking at something down under the water.
Dixie saw a wavering form shimmer, sprouting
and motionless, drifting arms.
"Mr. Miller!" she gasped, twisting off the raft. Dixie
fast as she could across the pool, shouting as she went, "Call
the Fire Department Rescue
Squad! My patio door's open!"
she told the children. One of the oldest started running for
Dixie plunged into the pool's depths, opening her eyes. It was
deep at that end and
Gerald Miller was no tiny teenager
when she finally reached him and started hauling his spasming
body to the surface. She kicked through a plume of red.
::He's hit his head?:: McCall analyzed.
The side cramp biting her earlier made a comeback. Dixie
grunted bubbles, cursing. But then her hand
caught the edge
of the pool's rim and her chin broke into the air. The stench of
into Dixie's stuffy nose and she opened her mouth,
spitting out luke warm water.
"Is my brother
ok?" asked a tiny blond girl in active horror.
Dixie threw an arm over Ger's shoulder and rolled
face out of the water, taking care to not jar his spine. The
teenager was unconscious
now and he fountained water out
his nose and mouth when she turned him. ::Drowning.:: she
Holding him still, the nurse beckoned to the kids.
"Push something over to me!" she ordered, treading
water. "I need
a support surface to lie him on. Even a lounger will work."
But the chairs along
the sunning area were chained to the fence.
Dixie swore. "There! Use that." and she jerked her head
the blue raft from which the frantic dog was barking.
Two young boys leaped in and shoved it close.|
Dixie managed to get it floating perpendicular
Ger's chest with his head splinted level in both her hands.
She didn't bother to drain him
further and started right in
with a breath attempt. Ger gurgled, but his chest rose.
fingers found the groove in his neck.
::Sh*t. His pulse's almost gone.:: Dixie kept holding
teenager's head in alignment around her jaw thrust.
She lifted rushing eyes to the panicking children
her."Kids, we gotta get him out. Now. Remember how to
do that? Like I showed ya in
kidscouts.. We're gonna make
a ramp out of the pump pipe cover by the shed. All right?
Go get it!
I gotta keep helping him." she said, blowing another
breath through the suffocating man's chest water.
Ger's color had grayed before her eyes by the time they
got back. "No, Ger. Keep fighting!" Dixie
hissed into his ear
as she pushed air into his lungs.
The oldest boy ran back outside."The
operator said that
they're on their way! I got through!"
"Terrific.." McCall grinned up at
She used the other children swimming around
her to keep Miller's head and back unjostled.
Between the five of them, the slippery teen slid off
the long piece of plastic onto the deck quickly.
head. Don't move his neck around..." Dixie told the older
"He's bleeding!" cried the youngest.|
"It's not real bad. Head cuts are just messy." Dixie said
"His neck beat's gone! His neck beat's gone!" shouted
Ger's brother, knowing
enough to check.
"I know. He's just gone out. Don't be scared. Now. He'll need
that CPR stuff
I taught you all, so girls, dry him off your beach towels,
especially around his chest. Then nest
them about him to soak up
all of this water." Dixie said rapidly, thinking ahead for future
Hauling on a rope of floats, McCall flung herself out of
the pool. She scrambled over to the teen's
reopened an airway by lifting his jaw bone. "Michael, now take
over here. Hold his chin
just like this when you give your
breaths, ok? Move nothing else. I'll start here." Dixie told the
boy, beginning compressions. "Don't be alarmed if water
squirts out after a bit. Let it come. The
more of it, the better."
Dixie's cramp was a vice now, and her nose ran, so she
leg and crouched on her right foot to ease it. Already,
McCall was sweating and beads of it stung
her eyes. She
glanced up as Ger's brother delivered another breath mouth
to nose. "That's fine,
Mike. Give those a little deeper. Keep
going. Good job." McCall panted, keeping up her CPR.
each pulse check, Dixie lifted her head toward the
veranda's main gate listening acutely for the sound
Dixie McCall reached down yet again to the drowned teenager's
throat after another
long minute. Her chilled fingers found a thready
carotid. "Michael! Trade places with me. He's got
Hold his head still, in between your knees, as I keep ventilating
him." she requested,
keeping in line stabilization with her hold
on his airway. "Keep talking to him, hon. He's in trouble
but he can
still hear us."
Stuttering nervously, Michael leaned down to his brother's ear.
"Ger. I promise I won't tell anyone what you did in the house.
Just wake up, ok? Dad's gonna be so
mad you jumped head
first into the shallow end like we're not supposed to."
McCall looked up
at the nine year old, about to ask him what
that house comment had meant, when the wail of sirens
squealing tires heralded a paramedic squad's arrival.
It was 51's.
Non-breathing, but with a pulse now!
He was under, I'm guessing,.. less than two minutes."
and Gage flew into the yard, 02 tank clattering, with a
police officer in tow, lugging the defibrillator
and a backboard.
"Officer, set those by his head." Johnny ordered. Then he
wrapped a thick
cervical collar around Ger's neck without
getting in the way of Dixie's mouth to mouth resuscitation.
Roy moved immediately to kick the drying blankets the children
had used out of the way. "Dixie?
We thought the address was
"Sorry for scaring you fellas but this was pressing.." she replied,|
delivering another breath to
the boy carefully.
Johnny felt the teen's distended stomach. "This getting in
"More and more."
Gage got busy setting up the demand valve to take
over for the nearly exhausted
Roy finished hooking up the EKG monitor and he put the
defibrillator on charged standby.
Then he set up the
biophone's antennae and began a hail. "Rampart, this
is Rescue 5..1.."
ahead, 51## answered Brackett over the line.
"Rampart, we have a male approximately fourteen
of age. Victim of an apparent diving accident."
Dix waggled her head in agreement at Roy's guess
at mechanism of injury as she accepted the positive
pressure mask from Gage and began using it.
Johnny flung open the I.V. box and grabbed out what
he needed rapidly.
Roy continued his report.
"...He's been under active
resuscitation, non-breathing now, but with a regained
CPR. He's on 15 liters of assisted O2.
Spinal precautions have been taken. Please stand by
the vital signs." He set the phone onto his shoulder
as he tore pieces of IV tape off a dispenser
in rows onto his leg.
##Standing by, 51.##
McCall rattled off Ger's pulse and
its quality, and
his consciousness level."120 and thready. No reaction
to pain. Pupils, reactive,
DeSoto nodded, getting a quick B/P while Johnny
did a rapid head to toe survey
after listening to
the boy's breath sounds via scope. "I'm getting rales
bilaterally." he said.
"He took in a lot of water.." Dixie confirmed catching
her breath back as she used the ventilator
Gage went on. "Negative Babinski's." he said after
he ran a pair of forceps
points up the bottom's
of both of the teenager's feet.
Dixie sighed in relief. "One point in
Gage rewrapped the stethoscope around his neck. He
peered at the blood oozing
from the boy's temple.
"This looks minor. There's no depression." Then he
looked for cerebral spinal
fluid out the ears and nose.
"No CSF, Roy."
"Ok, Johnny. Better call out for the engine. His
sixty over P."
Gage jerked his head in affirmation and grabbed
his walkie talkie.
"L.A., This is Squad 51."
"Respond Engine 51 for medical assistance to
## 10-4, Squad 51. Time out, 12:51.##
Everyone ignored the broadcast tones over
frequency, double echoed through the squad's
Motorola Converta-com and the HT as Captain
acknowledged the run and gave an ETA.
Dixie felt a wave of fatigue. "Johnny, I'm tired." she
"I gotta give it up."
"All right." Gage said, eyeing her up, a little
self conscious because
of Dixie's skimpy
made-for-the-sun, two piece bikini. "Rescuing's
hard work. Why don't you..uh,,
wrap up, sit
down and rest a while. We got it."
The motorcop smoothly took over teenager's
Dixie barely felt the kids throw a flannel quilt over
offering her their gratitude with timid
pats and hugs as she parked on a lounger by
the edge of
the swimming pool. McCall shook her
head, thinking out loud. Then she snapped her
fingers. " Amy
Miller, can you go get that consent
form your mother's got hanging on the frig? These
gonna need it to give Ger some
"Ok, Dixie. I'll be right back, Ger!" cried the
child before she ran off.
DeSoto got his first orders.
##51, Start an I.V. Normal
Saline with an insulin
drip. I'm gonna assume he was coding longer than
two minutes. I want to
terminate any catecholamine
release effects before they complicate things for us.
Go ahead and
administer 1.0 mg Lidocaine IV push
to control any intracranial pressure he might have from
possible head injury. Prepare to insert an esophageal
airway and send me a strip. Add 1 mg Sodium
then turn his drip to TKO. Let me know when you've
secured your airway. ##
Rampart. I.V. Normal Saline with insulin, Lidocaine
and Sodium Bicarb. This'll be lead 2."
The reassuring sound of the Ward Pumper's deeper siren grew|
then fell away with the bark of her airhorn.
##L.A. Engine 51's on scene.## came Stoker's transmission.
##10-4, Engine 51. Time is 12:55.##
replied L.A. Dispatch.
The pool kids, except Michael, went running to fetch the
to show them the way.
Roy lifted his HT. "Cap, we'll need all hands and
the spare O2. Active
##10-4, HT 51.##
Ger suddenly started to seize and his stomach rippled.
startled. "Is he vomiting?" he asked the police
man, with his hands full of supplies.
there's nothing here yet. ....But.."
"But what?" Roy asked, impatient.
I'm getting a chest rise anymore.." the
officer admitted. "Just started happening."
Johnny swore, feeling Gerald's throat for
the beat and double checking the jaw lift. "Try
The cop triggered the thumb button. Despite a
tight seal over skin, the demand
to accomplish a finished breath. The officer
shook his head. "See? Just like I told
Johnny flew into action. "Roy, ask for a nasogastric
tube. He's really blocked and in
a convulsion from
hypoxia. His gums are blue. I wanna drain that
and updated Dr. Brackett about
the new developments.
## I confirm rising tachycardia on the
Relieve that intragastric pressure with an NG tube
and watch for signs of an obstructed
Kel snapped crisply.
Working together, Roy and Johnny inserted a well
catheter into the teen's unbloodied
nostril and got it down past a sudden odd resistance.
pink emesis welled out of the tube's end and
onto the concrete in a noisy involuntary belch. Then
Ger's bulging stomach fell flatter than it had been.
"Ok, try him now." Gage told the policeman
he quickly drew the tube back out again and suctioned
out the boy's nose and mouth. Difficult
Stoker, Chet and Lopez immediately knew what
to do at a mere glance of
the area. They shifted the
backboard until it lay flush with Ger's back as Johnny
and Roy log rolled
him onto his side for more
active suctioning. Swiftly, the head block, chest, waist
and leg straps
were settled and tightened into place.
Leaning down, Johnny examined the stain on the pavement.
It was sweet smelling. "Roy, he's been drinking...." he
said flatly, not happy.
tightened. "He's just a kid."
Roy picked up the phone again. "Rampart, we've
positive evidence of ETOH ingestion."
Brackett returned a long sigh of resignation
##10-4, Roy. Then we're all the better
for that insulin drip counteracting things."
Roy had the advanced airway prepped and gelled. "I'm|
gonna need one of you for a Sellick's maneuver."
he told the gang.
"Me." Marco volunteered and he peeled off his coat
and gloves and kneeled
DeSoto had foregone the EOA for an endotracheal tube.
"Stoker, why don't you take over
on the O2? Thanks,
Officer Palmer.." he read from the man's name tag.
"No problem." The officer
stood back to begin his
incident report, allowing the more experienced firefighter
take over the task.
Hank noticed Dixie McCall bundled up on her chair.
"So much for the day off, eh?" he grinned for her
"Nothing like a little excitement to liven up an afternoon."
Dixie just coughed at
Stanley's encouraging humor
while avoiding the bright sun beating down on
her from his direction.
She felt a glove on her shoulder that made her jump.
"You ok there, Dixie?" Cap asked. "Sorry.
mean to startle you."
Dixie afforded the helmeted captain a smile.
"I'm fine. Just
a little worried."
"About him." she gestured with her head.
"If we can't
get that airway in......"
weak, choking jolt upset Roy's positioned
laryngoscope and the paramedic yanked it out
a sudden mouth injury. "Marco, keep
up that cricoid pressure, whatever you do. Johnny!"
on it! Rampart, our victim's seizures are worsening.
So's his color."
##Have you established
that ET tube yet?##
"That's negative, doc. We're experiencing some jaw
clenching." Johnny sighed
##Knock him out, 51, for a rapid sequence induction.
Point one mg's of Vecuronium
IV push. That'll paralyze him
enough for you to get one inserted. Know that you'll be
responsible afterwards for maintaining his
airway with adequate ventilations.##
Roy, next to Johnny, gulped.|
"10-- uh, 10-4, Rampart." Gage affirmed. "RSI
with .1 mg's Vecuronium
Stoker spoke up suddenly. "Gage! Laryngospasm!
I'm getting in nothing now."
Johnny felt around Marco's Sellick hold.
He felt a foreboding rock stiff hardness surrounding
adam's apple. "Roy, ...positive on that...
"Rampart, standby... We've
a fully obstructed airway."
DeSoto dropped the phone.
##Push the Vecuronium, now! Double it
if you have to!##
commanded Kel. ## The increase may help your clearing
straddled the dripping immobilized teen while Kelly
hastily undid just the abdominal straps of the
allowing Gage access to Ger's lower abdomen. The paramedic
delivered four sharp upward
thrusts under the teenager's diaphragm
with both hands while Stoker and Chet pinned the boy's head
and neck still.
Roy sent the muscle paralyzer into Ger's high flowing I.V.
and hung it dangling
on the fence. "It's in. Is it working?"
he looked to Mike Stoker.
The engineer shook his head
and demonstrated the 02
gushing out around the mask quickly with some triggering.
a few more abdominal thrusts. Then he
scrambled to Ger's head with a long shafted pair of
forceps in his teeth. He used a jaw screw to open
the shaking teen's mouth to get at the deeper part
throat. The lengthy, scissors like instrument was guided
down, but stopped short only along
half its usable length.
Gage grimaced as he probed, biting onto a pen light
so he could see what
he was doing. "There's nothing
here, Roy. I'm not seeing any vocal cords. It's gotta
be just a
laryngospasm. These aren't threading down."
he said of his Magil forceps.
DeSoto nodded, licking
dry lips. "Second dose then,
Gage nodded, backing off so Stoker could use
valve yet again.
Roy injected a small orange labelled syringe into
the rubber intravenous delivery
port deftly. "It's in!"
Stoker and Johnny struggled to offset the teenager's
some chest rise, but they were
unsuccessful, no matter what they thought to try.
In the base station, Brackett eyed the running EKG strip
and became ansy. He had to force himself
not to interrupt
his hard-at-work men just for an update.
A dragging minute passed under the firemen's
sweaty exertions. Then Stoker detected a relaxing
jaw. "He's loose.." and then he started to force as many
feebly reaching ventilations as he could
into the boy's
lungs. He kept it up until the ominous dark blue began to
fade from Ger's face and
Johnny snatched up the abandoned endotracheal tube
that Roy had left on
the teenager's chest and said,
"Hyperventilate him a minute more, Mike. Then move
Roy lifted the phone. "Rampart, our victim's still
partially obstructed and we can't
find what it is.
The paralytic agent's beginning to work, but we're getting
vents into him only
with difficulty. Johnny's attempting
another intubation. Both the boy's work of breathing and
seizures, are now absent." Roy reported, seeing
a quiet, fully drugged stillness, settle over his
Kel let out the breath he was holding. ##Avoid any
stimulus that'll trigger V-fib.
He's sensitive to that
Gage accidently poked the back of Ger's soft palate
ET tube as he was visualizing for his vocal
Roy's head shot up when the EKG monitor warbled|
an arrythmia alarm. "Brady! Back off, Johnny!"
Gage froze and yanked out the tube, digging for
a carotid artery in the boy's neck with his other
"...Stupid! ..I'm ...stupid...." he grunted.
DeSoto flew to the open drug case when the
boy's cardiac rate continued to sink into the forties.
## I see it, 51. Point five
milligrams Atropine. Speed
him back up again. What I'm seeing here, is vaso vagal
in origin. It's
not an adverse Vecuronium reaction.##
The betablocker soon boosted Ger's heartrate back up
the low, irregular seventies. Everyone sighed in relief.
## D/C trying the endotrach. I'm authorizing
needle cricothyrotomy.## Brackett went on..
Gage tossed the ET tube aside.
##....Set up your supplies. Have your head man keep
hyperventilating your victim as best he can. Roy,
you've told me in the past that you've done one of
these before ..in Nam. You've got the ball once
"10-4, Rampart." Roy replied back, wiping sweat off his lip.
Johnny was a pure
professional. He wasn't offended in
the least for being asked to step down during a primary
action. He wanted a resolution to the problem
too badly to even care. He un-papered an adapter to
7.5 mm sized ET tube, a 10 ml syringe, and a 14 gauge
he slid a finger on a free hand over the hard
thyroid cartilage running down the midline of Ger's
he found the soft depression of the cricoid membrane. "Ok,
Marco. Keep his trachea
from moving around and put
one fingertip,.....here.." And he guided Marco's index finger
to a precise
spot on the teenager's sweaty skin. "Mark
that landmark and don't lose it.."
"Believe me, I
won't..." Lopez admitted eagerly.
"Ok, Roy. We're ready for you." Johnny said looking
together the puncture lancet."Lopez has
got the trachea splinted." Then Gage handed the whole
over to his much calmer partner.
DeSoto spoke. "Johnny, could you draw up a mil of
the syringe for me, please? I gotta trick
I like to use."
Johnny nodded. "Stoker, is he adequately
he said, filling Roy's needle with a pull of its plunger into
sterile IV bag.
"As best as he's able. His pupils are still reacting but he's
a little too
cold now to judge by his color."
Gage fitted the syringe back into place into the guiding
curious as to what purpose Roy was going to use
it for. ::Not for med absorption into the lungs, Kel
ordered any ET drugs yet.:: he thought.
DeSoto took over pressing a finger on the landmark
was guarding. Then he moved his fingertip just enough to
place the point of the needle directly
over the membrane
he could feel. He angled the syringe, end down at
a forty five towards Ger's
feet, and advanced the needle
into the skin, all the while aspirating the plunger upwards
his pinky and ring fingers. He stopped instantly when
the upward welling suctioning drew up pearling
He smiled. "I'm in the trachea.." he announced.
Roy slid a 3mm endo tube catheter
inside the syringe and
threaded it until it was well into the air passage below,
He withdrew the long needle, passing
it off to Cap to dispose of into the sharps bin.
flew into action once again. "Ah, now I see what the
water was for.." he said, listening to the teen's
DeSoto fitted the ET adapter's syringe and catheter's end
onto a high flow oxygen circulating
ambu bag. "A better visual."
"Yep." DeSoto blinked.
Lopez helped Roy tape the inserted
tenuous airway to
Ger's throat amply and then he took sole charge of
stabilizing it with both hands
so that it didn't budge
a single centimeter out of place.
"You're pure cement, Marco." Gage
"Solid, man. This is going nowhere." he said,|
watching Stoker rapidly make up for lost
time. "How's he doing now?" the
hispanic fireman asked, marveling at the heavy
bag's ability to
work through such a slender tube.
Johnny took the listening ports of the stethoscope
his ears. "He's got minimal chest rise. But it's
enough to keep him alive until we get to the hospital.
Nice work, pal." he grinned. "Thanks everyone."
"Mike, I'll break you." Roy said. "I know just
to get the most inside without distension happening.
It's a narrow band force of pressure with
this sized catheter.
It's just like a newborn's.."
"I'll learn it for next time.." said Stoker
as he traded places
Johnny picked up the phone. "Rampart, we have an airway.."
##Congratulations, guys. Now get him in here. I want a vitals
set every five minutes in route.
Keep vigilant for good or bad
lung sounds, any sign of expanding hematomas, or subcutaneous
under the skin. ##
"10-4. We're on our way, Rampart. The ambulance has just
said with a smile.
That smile fell away when Dixie McCall suddenly sagged
backwards from where
she was seated out of her blanket.
She tumbled limply into the pool when Hank Stanley failed
catch her in time. "Dixie?!" Johnny yelled.
Cap started to get out of his turnout and helmet to go
after her when Gage shouted. "I got her!"
He swan dived
into the shallows.
Very quickly, Dixie McCall was conveyed to the surface
to the edge by many hands. She was lifted up, set
onto the ground and rolled onto her back.
Johnny shook her firmly, monitoring her carotid.
He wiped streaming water away from her nose and
as she began coughing and moaning.
McCall was almost as white as her alabaster swimsuit.
ok.." Gage told the others. Stoker jogged over
with the engine's O2 apparatus. "I think this's just
episode of syncope, she's waking up already." he
said. "Let's move her to one of those chairs
get her wrapped up before you start her on that Mike."
Roy looked up from where he and Marco were|
still watching and working on Ger. "Johnny?! What's
"I don't know yet!" he shouted, letting Stoker, Cap
and Kelly transfer Dixie from
the concrete to a
head raised sunchair. "Let me check her out."
he coughed. "Keep packaging him
I'll call a second ambulance for her if I have to."
Cap reaffirmed Johnny's
plan, setting an oxygen
mask over McCall's nose and mouth. "That's
gonna be the call." He waved
on Stoker to notify
L.A. of their need for an additional Mayfair or
Cadillac. "I don't like her
breathing rate. It's labored."
"Umm hmm, something's definitely going on here.."
"Dix, can you hear me?"
She didn't answer past a few groans.
Chet Kelly continued to try
to get a legible verbal
response out of the nurse while Johnny got a B/P
off her arm.
children were scared but they stayed out of the
way, remaining maturely silent.
Gage saw that
Roy was ready to go. "You keep
"Yeah. Her B/P's no longer
low. Take Marco with you for
that airway support. Kelly can follow me in the squad
the other ambulance gets here."
Roy was a bulldog. "Use a landline, ok? The kids can
out a phone to you for you to use for her." DeSoto
said, shuffling along behind the gurney leading
carrying the defibrillator and the drug box.
"I know. I know.. Just go already.
The sooner you leave,
the sooner I'll find out some answers on her. Don't
ya on HT as soon as I find out anything."
"No, I'll do that.." Cap promised.
"All right." Roy replied, waving the ambulance men
on again. "I'm going..."
no more attention to him as Ger was carted
off Code Three to Rampart Hospital.
Cap and Johnny turned back from watching Roy
hustle away to find Chet inexplicably armed with a mug
of steaming coffee, which he was waving underneath Dixie's
nose near the O2 mask on blow by so that
Dixie sputtered, shifting her head from side to side.
that out this instant!" Hank boomed.
Gage gave out an exasperated shout of mild disgust and he
the cup away from Kelly. "Chet, would you knock it off!? Where did you
get such a crazy
idea in the first place?!" he demanded, gently
replacing the mask as McCall's eyes fluttered open.
"From them.." Chet shrugged.
"Yeah," said the oldest child standing nearby. "It was my idea.
We do this coffee trick all the time when Miss McCall won't wake
up after sunbathing. She told us
to so she wouldn't ever be late
"Well kids, I hate to break it to ya, but today
is Dixie's DAY ..OFF!
Thanks for all your help. We got it from here. Now, sCRAMMM!"
The children, all three dogs,..and the caretaker's cat, took fright
and all of them ran away as
fast as they could with screams, barks
and a yowl.
"That wasn't very smart." Hank interjected
when the noise died away.
"Huh?" Gage double taked. "Why not? They're out of our hair..Unlike
some people.." he glared at Chet.
"We don't have our outside phone yet, you twit." Cap said, smacking
Johnny lightly on the back of the head for emphasis on the word, "twit."
"I'll get it." said Stoker.
"I think I remember a phone being in the pool
party hut from last year. It most likely has a cord
on it long enough to
Johnny didn't even hear him. "I'm not the twit. Chet's the
Cap. Think about it. Reviving someone with coffee fumes? Now I've
seen it all." He
kept glaring at Kelly. "Just what were you thinking?"
he asked Chet sarcastically.
didn't it? She's almost speaking." Chet countered.
"At least java's kinder on the old nostrils than
an ammonia capsule.
I should know. You've used enough of em on me as the Phantom
in the middle
of the night when I was still sleeping..."
Hank just rolled his eyes and asked L.A. for the ETA
"No...ambulance.." coughed Dixie, sitting a little straighter in|
her chair. A flush of growing embarrassment
was staining her cheeks
and erasing all of her remaining questionable clinical signs red tagging
"I'm......fine, fellas. Really!" she protested, peeling off her
oxygen firmly. 'I'm awake, I'm aware..
I know who I am, where I am and
what happened....I'm not going anywhere.." she hissed with a little
her normal heavy guns tone. "If I see that hospital one more time this
week, I'll rip all my
hair out for sure.." she promised.
Johnny tossed his paramedic's notepad that he had been
in over a shoulder and threw his hands up, rubbing his face
in exasperation. "I don't believe this
is happening, Cap.." he whined.
"We gotta get her t--"
Hank held up his palms. "Now, Gage,
you know the law as well as
I do. The little lady's obviously fully cognizant enough, legally, to
what's best for hers----"
"Little lady?!" Dixie fumed.
Hank shrank in his overcoat.
"Sorry. Poor choice of words? To me,
everybody's little." commented the lanky fire captain sheepishly.
"I apologize if I offended you but the important thing right now
is finding out whether or not you're
really ok. We can hash over
how this is being handled afterwards, all right?"
Dixie drew up
a glare. "Cancel that Mayfair, Hank. I have a cold....
That's all." she said dangerously.
felt the back of his neck smoking from the strength of her
ire. "Ok.. canceling. ." he said reasonably
and fully respectful
of her wish to end the medical call. "Gage, she's allllll yoourrsss."
Cap.." Johnny was thrilled. Not.
"Kelly," Cap barked. "...let's give them a little earshot distance.
Come on, pal.."
"Aww, Cap. I wanna stay and help out.." Chet whined.
"Now, Chet!" Stanley
"...coming..." Kelly peeped.
The two firemen packed up the O2 and turned for the
of the Ward just as Mike Stoker came panting up with the private
phone rigged onto a
bright orange extension cord. "I got it..
Hang on while I dial o--"
Stanley didn't even bother
to turn around. "Jolly well. The
gang's all here. Now put it back. I guess she's a refusal, Stoker."
"Is there something wrong with your ears or mine, Mike." Cap
Cap." Stoker bellied up.
"Fine. Clean up this mess around here and cancel the second
while you're at it." He began to tromp away. "Oh,"
he said, retracing his tracks. "You're deaf to
those two for the
next minute or so.." he said tossing a hand at Dixie and Gage.
"I sure will
be.." chirped Stoker, recognizing a pending bit of
paramedic hardball to come when he saw it. He stooped
long enough to use a water puddle to wash off some blood
after he had policed the area free
of medical run fallout. Then
he was gone, with Cap being his bigger shadow.
Gage willfully stopped drumming his frustrated fingernails on the
arm of Dixie's poolside chair.
He laced his hands together in an
unconvincing show of amenability. "Ok.." he smiled, falsely fake.
"Now where were we?" he purred, ..tightly.
"Talking about how normal I am right now.." Dixie said,
her arms together.
"I wouldn't call keeling over backwards into a swimming
in a dead faint, quite normal, Dixie. Quite the opposite."
"Look..." Dixie purred,
just as deadly serious. "I just got
done with twenty five solid minutes of aggressive, rapid CPR."
Would you still be normal after doing that?" she fired back at him.
Johnny gaped like a fish,
then he pursed his lips, scratching
his head. "Well...." he admitted, his voice sliding up a few notes
on a scale. 'I-- uh, I'll give you that...... particular point."
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