From: "patti keiper" <firstname.lastname@example.org>
Mon Feb 20, 2006 6:38 pm
Subject: Like A Pride Of Lions...
The wonderous smells from
a well cooked meal permeated
Station 51's kitchen and the primary cook, Chet, stirred some
potatoes into consistency in a bowl as fast as he could
whip his wooden spoon.
gathered around Kelly in a hungry circle, waiting
for the spuds eagerly.
Gage made a snatch
for the bowl and got it. "These are done
already." he pounced and ducked with it to the table and
the others leaped just as fast into their own chairs to eat.
"Hey! I haven't tasted the seasoning
yet.." Chet protested.
"We can season our own." said Marco.
The bowl of potatoes shifted
from hand to eager hand as it
was dished out.
Chet reluctantly untied his apron and sat down.
He frowned when
the potato bowl finally got to his seat, empty. "What about me, guys?
gone. Do I look like I need to lose some weight here?"
"Yes.." said Gage, stuffing
his mouth. He immediately snatched up
a water glass to down when his mouthful of steak proved too
Cap immediately glowered. "Gage, quit burning yourself into a still
Eat slower. I wanna get through a full meal and dessert once
and for all,.. and today's the day!"
he mumbled through a slice
of well buttered Italian bread.
Johnny ignored his superior, recognizing a non threatening threat|
when he heard it. "Oh, sorry, Chet.
Here you go. Have some of mine."
and he forked over the tiniest mound of potatoes onto Kelly's plate.
Chet didn't even blink an eye. When Johnny was still busy reaching
for a saucer of mushrooms,
Kelly made off with Gage's entire lunch
plate, trading it for his potato-less own, and dashed off
with it to
reseat himself next to Cap for what he considered the ultimate protection.
ever tries a retaliation around Hank while he's ravenous.:: Chet
thought gleefully, shovelling in
his newly stolen food.
Roy grinned when Johnny started cutting into the steak in front of him
without realizing that he'd been victimized. "Johnny."
"What?! Can't you see I'm eating here?"
Gage insisted, chipmunk cheeked
and chewing desperately hard in an attempt to fill his gnawing stomach
as quickly as possible like everybody else was doing.
"Try looking down." said Stoker, chuckling.
Johnny did, and immediately started sputtering. "Chet.. now give it--"
he broke off when Cap fired
off the look of death with no bones about
it. "I - I mean.. uh...pass the steak sauce." he wilted
verbally, even while
his eyes shot flames.
"Sure, Gage. No problem. Here you go.." said Chet
straight faced, "And
here's some extra napkins, too, pal." he added with a smirk, ducking around
Johnny all but shredded them out of Chet's hand.
Cap tuned out the reaction, having gotten the quieter conversation he|
demanded while he ended starvation.
Marco ladled out some green beans for Gage. "Here, Johnny. Have my
portion of these. At least,
they're fiberous. I like potatoes better anyway."
"So do I..." hissed Gage from the corner of
his mouth. Then softer, "Thanks."
"I'll get even with him later."
"There might not be a later
if you get blocked up on that whole shitake." Roy said.
"Cut it up already."
"Why don't you
just mind y--" Gage immediately piped and his hands flew
to his throat.
Cap's head snapped
up. "Gaagggee, are you choking on me?" he growled.
"What part of 'no still alarms' at the lunch table
don't you understand?!"
Roy smacked Johnny's back over his lungs with a firm whack that cleared
him out violently and the offending fungus sailed clear over the table and
across the room. Henry's
beefy head shot up from the couch and intercepted
it in midair gleefully as a token handout.
"... I..got..the..hint..clearly, ..Cap..." Johnny rasped hoarsely as he coughed
to find his wind again.
"I'm..*cough* fine.." he peeped, downing the last of his
"Good, now shut up and eat."
Hank said, tucking his napkin neatly at the collar
so he wouldn't soil it with sour cream.
snorted. "Aw, Roy. Why'd have to go and save him for? If Gage kicked off,
there would have been more
food for the rest of us guys."
"You got plenty enough already." Johnny said, feeling his neck
Hank instantly dished out discipline. "Kelly, you just lost your part of the apple
pie to Gage here for wisemouthing."
gushed lightly with some dangerous speed.
Kelly's face flushed bright red just a little
bit faster than his lips as they
Gage grinned. "Cap..." he said with admiration.
"You gotta teach me that dressing
down wither real soon. If I'm gonna be making Cap when you get promoted
the chief's spot, I'd better be ready to handle these turk--"
"Who said I'm leaving the
department?" Hank asked matter of factly, letting
his knife sharp glare at Chet fall away.
gang moused down.
Roy broke the pregnant pause. "Well, Cap. It's not exactly a secret that you've
been studying from manuals none of us have ever seen before."
"You know about that?" Cap asked
"Yes.." said absolutely everyone.
"What gave me away?"|
Marco lifted his head from blowing on his too hot cup of coffee. "We can't
sleep somedays without hearing your snoring, Cap." Lopez shrugged.
"On those days, we usually
wake up and find that you've gone into the
It was Cap's turn to blush. "I do not
Henry, from the couch, barked in betraying negation.
Hank lowered his eyebrows,
"Oh... I do. Uh, ok. Geez you two.." he said
pinning a stare at Roy and Johnny accusingly. "You're
Why don't you ever flip me over or something to stop me from doing it?"
usually too tired to, Cap." sighed Johnny. "Putting pillows over
our heads is far easier than braving
the chill in our underwear just to
get up to correct your noisy airway."
"Huh.." grunted Chet.
"Don't they have nose tape nowadays for dealing
with that kind of thing?" he said, scraping his plate
clean of the last of
the mushroom gravy with a soup spoon.
"Well, why didn't any of you tell
me that I had a problem at night?" Hank
"It wasn't erotic dreams mumbling or anything
to tease you about. So why
bother?" Kelly said.
"I do not have erotic dreams."
wailed one out again, this time, two times louder.
The rest of the gang stayed politely silent, giving their entire attentions|
to clearing their divested
plates from the table.
Only Roy met his eyes sympathetically. "We're all men, Cap." And then
got up to help wash the dishes. "It's no biggie."
"Oh, yes it is." said Chet sotto voce. But no
one heard him.
Gage laid out the still warm apple pie with a flourish
with a pair of red checkered
pot holders and started cutting it
into six pieces. Then he checked himself. "Oh, that's right. I'm
supposed to cut only five pieces now outta this." he said straight
Chet sighed. "Ok,
Gage. Touche. Now let's talk about our little
becoming the-new-cap-of-51's-competition in earnest,
Roy winced in embarrassment for Stanley out loud. "Guys, he's
not going anywhere
yet. The tests are still a week away for
just the preliminaries of battalion chief consideration."
Chet wiped his mouth and reached over for Marco's coffee pot.
"Well, you know what younger pushier
male lions do whenever
the dominant one in the pride shows even the slightest hint of aging."
"Uh oh." Stoker trickled.
"I beg your pardon." Cap scoffed in surprise.
Chet eyes got big
when he realized that his mouth had led him
astray once again. He immediately grovelled. "Well, I
Cap, I didn't mean it quite ...the way things sounded.. I
was speaking figuratively...
hehehe, of course..." and he sank
deeply down into his chair.
"Front and center.. Right now."
Cap said, getting up in stiff anger,
stabbing his butter knife very near Chet's vulnerable spread
"Marco. Go grab both of our Manikin Andys. ASAP."
Kelly yelped and tucked them into
his lap. "Oh..boy. Cap..what're you
gonna do with me?" he peeped.
Hank's eyes narrowed and
the guys couldn't tell if he was actually
being serious...or not. "You wanna challenge me for my job?"
not using his greater height to press into his much smaller man, at all.
Cap. Uh, that's not how it's done I thought. I thought that HR had
roared quietly. "Ok... you're on. Let's do it."
Chet's eyes got real big in real fear. "Let's
"On the floor. On your knees. Right now." he said cracking his knuckles
"Cap. You don't mean to do that..." Stoker said, catching on instantly.
"Oh yes I do.." chorused
Cap, taking the place opposite Chet in a like
position. "Marco lay them out right here." he said smacking
Lopez grunted with the heavy weight of the two manikins locked against|
his chest with laced fingers.
He dropped them and they fell on Kelly.
Chet flailed a bit until he got them off. "What's the
meaning of this?"
Roy and Johnny started grinning and they began to help turn the Andys
both dummies were lying parallel to each other on their backs.
"I had to go through it when I
got engineer, Chet." said Mike Stoker.
"Had to go through with what?" Kelly said suspiciously.
Hank cracked his knuckles again and said. "You got three seconds,
Chet. You wanna play games?
Fine. Go longer than me and I'll
help you study for the captain's test even before I get my promotion
paperwork in order."
"Uh,,. I don't understand.." Kelly murmured, feeling his knees press
the hard floor.
Henry thumped down from his cushion sympathetically and came
over to lick
Hank met Chet's eyes and held them. Then he gestured. "Your man
right there is
in full arrest." Cap said, poking Chet's Andy in the chest.
"This guy's mine. He's got the same problem
and the squad's ETA is
ten minutes. You have no gear whatsoever to work him past your bare
Got it now?"
Chet squeaked. "Uh,, this is a CPR exercise scenario?"
"You bet your a**."
Cap said no nonsense. "Gage give us ten seconds
so we both can start in fairly. Chet, you wanted to
test yourself against
me saying I'm the weaker one? You're on." And he ripped his manikin's
shirt open. "This exercise will include all the necessary
rescue breathing, too." Hank glowered.
Then he nodded at Johnny.
"An inadequate chest rise will count as a failure. So will
or missing any compressions."
"10...." Johnny began.
Chet blithered. "Cap, should we be
tiring ourselves out like this?"
"9..." said Roy, too, joining in with Gage.
on, "I mean, what if we get a huge fire call to go on? Neither
one of us will be in any shape to even
pick up an empty hose.."
"8...7...6... ! " chimed the rest of the guys.
"Are you saying
that you're too out of shape to handle your firefighter's
position, Chet? Hmm, this might put a different
light on things entirely.
Nothing that a tiny board of inquiry can't investigate in more detail.."
"Don't miss your mark.." Hank hissed.
" 1..! Go!"
hollered the gang, getting into things big time.
Kelly sweated and bent down to listen in a breathing
Henry bent down, too, with all his bad breath glory. "Eeoow.
Henry, ya big bum.. Get outta
Henry just wagged his tail a little harder.
Chet forced himself to begin his
mouth to mouth, under duress,
miserably, and with high fear of falling behind Cap's own dummy
Chet was feeling for a "pulse" when Henry laid down contentedly
right on top of Chet's manikin's
lower stomach. "Cap.. look
"Consider him a piece of fallen debris, Kelly. Work
he said, groping his Andy's neck for the required ten seconds
whined. "He's gonna make chest rise harder for me."
"Too bad.." Gage whispered. "Pretend it's
pneumothorax.." and he started laughing to beat the band.
Compressions began in
earnest at 100 a minute and both firemen
worked in perfect concert to each other.
minutes passed under the din of the gang's cheering
and enthusiastic egging. Then Cap issued a comment.
"Just like arm wrestling contests, eh, Chet?" he said giving
his Andy a full set of breaths. "How
are your butt cheeks
faring right now, hmm? Are they burning yet? If they are,
that means you're
really FAR outta shape, pal.." he mocked.
::Oh sh*t..:: Chet thought as he felt a bead of sweat
off his face to land right in the most inconvenient place in
the world. Right on Andy's
rubber sternum where it posed a
slipping danger. Kelly wiped it off with a calf during his next
cycle. ::Why did I open my big fat mouth?:: he gasped,
beginning to feel another kind of burn from
lack of air deep in
The CPR war went on.. And on.. until..
From: Jeff Seltun <email@example.com>
Thu Feb 23, 2006 4:07 am
Subject: "Watch Me Pull A Rabbit Out Of My Hat."
looked up with his ears perking back towards
the station house.
He barked three times in a
new urgency that was very different
from the kind of excitement that he had shown during the CPR
"Visitor's doorbell." Mike Stoker said.
Cap broke off immediately and got
to his feet."Which one?"
"The front office's entrance by the street. He's looking that way."
"I'll get it." said Roy and he jogged off with Henry trucking alongside of
him with a firm doggy
"We'll go, too." said Marco about himself and Stoker.
They disappeared after
"I don't know about you, but I got thirsty just watching you two. What do
you say I
pour a pair of tall ice teas with lemon for the both of ya." Gage
said. "I'll leave them on the kitchen
table after I check out what the buzzer's
all about." and he ran off after the others.
covered his true out of breath state by laughing. "Henry's better
than L.A. for intercepting incoming
traffic, don't you think, Cap?" he
said, not getting up from where he was kneeling on the ground.
practically folding over his middle in an effort to loosen cramps.
Ruefully, Cap offered
him a hand up. "Come on. Let's see go what the
problem is along with the rest of them."
allowed himself to be pulled off the ground. "Thanks.. *gasp*..
Why aren't you puffing yet, Cap?
You were pulling mean sets there
same as me."
"I'm a good faker, Chet." Hank said, finally
gaping his mouth to suck in all
the air he could get in a few cleansing breaths. "Here's.....*gasp*..
for .....you. A good captain never lets his men see the full extent of ........how
he is after doing something having anything to do with the business."
"But, Cap, you're letting
me see it."
"That's because I like ya, Chet. You don't give ground under pressure, |
in spite of how you might
act outwardly." he grinned. He looked behind him and
started walking as fast as he could for the
bay. "It's too quiet over there
for just some casual housecall. My sixth sense is starting to fire
off big time here."
"Mine is, too." said Chet, following, rubbing away the goose bumps dotting
breeze chilling skin.
Roy started running for the window framed entryway next to the garage door
when he heard a constant
car horn blowing. It cut off alarmingly. DeSoto got
there just in time to see a frantic woman pounding
on the glass.
"Please... Please! Help us.." she cried when he jerked the door open and
it to stay that way with a loose brick from the flower bed.
"What's the problem, ma'am?"
my husband." she said, trying to calm herself down in his steadying grip.
"He's having some bad chest
pain. I - I was driving him to the doctor's office
when he began throwing up and sweating. It's not
the indigestion he says it is.."
she told him.
"Cap!.." DeSoto shouted. "There's a medical
situation out here. One victim!"
Gage skidded on the floor after punching open the main doors.
"I'll pull the
squad forward into the drive out until it's out by you, Roy. Is he conscious?"
Roy looked over the woman's head and saw a fifty something year old man
sitting in the passenger
seat with a worried look on his face. " Yes!" he
shouted to Johnny.Then he focused his attention
back on his panicking
visitor. "Ok...It's all right. Why don't you have a seat on this stone bench
right here by the flag pole."
She was almost beyond listening as she let herself be guided
to sit. "I had to
do something fast. I knew I couldn't wait to reach the doctor's office even
it's only three minutes away.."
"Ma'am, you did the right thing by stopping when you did. We can
take care of
him right now." Roy said soothingly with a calming smile. In the background,
hear Cap in the communications alcove calling out a still alarm.
"I figured that you, over anyone
else nearby, probably could. My mother told
me that you guys have specialized doctor training or
something similar to
that." The woman startled when Henry interceded his wet nose under her
for a pet.
"Yes, ma'am, I'm one of those trained as a rescue paramedic with the department.
I'm gonna go have a look at him right now, ok? Good ol' Henry here will keep ya
company along with
Fireman Lopez, all right?" DeSoto said, seeing Marco
taking a seat next to her.
quickly, her tears just beginning to come.
Roy pulled open the passenger car door and knelt in
front of the man. "How
are you doing, sir?" He saw that the man was ashen and drenched in a cold
sweat in spite of the heat of the afternoon.
"Not... so hot, fireman. I've.. had this.." he
winced in a spasm that made Roy
reach out to open his collar and undo the man's belt for breathing
"..pain for about forty five minutes."
"What does it feel like?" Roy asked, glancing
over as Johnny swiftly parked
the squad parallel with the car with its lights turned on so the ambulance
be able to spot them better from the road. He heard Chet Kelly and Captain
to break out a full array of gear onto the pavement next to him.
Bending down, Roy set the emergency
brake on the manual stick driven car for
Click for a music change.
Mike Stoker opened the driver's side of the car and crawled in with the resuscitator|
case. He unlatched
it and got a nonrebreather mask going for Roy to use
as soon as he had his initial impression.
"It's bad.. Crushing me.. Right under the breastbone."
"Does it radiate anywhere else? Mike, go
ahead and put him on that. 15 liters."
"No." replied the distressed man. "I've had these chest
pains before. The docs
at Rampart performed one of them angioplastys on me nine months ago.....I
understand it. Why am I having problems now? They tell me I had a very
know the answer to that question, but a doctor soon will. We'll hook
you up to a monitor and let
him take a look at what your heart's doing to figure
out why you're in so much pain now. Just breathe
deep and regular. This
oxygen will help you feel a little better." Roy took the slumped man's pulse
at the wrist and found that it was very slow. "Johnny. I've got severe bradycardia.
saturated but he's got no jugular distention or any difficulty breathing."
he said, opening the man's
"I'll tell him.." Gage said, holding up the phone receiver from the biocom.
Brackett on the line."
The husband tried to relax his clenching fists. "The....only other problem
was some high cholesterol. The day I heard that test result, I started eating that
margarine right away." he chuckled. "But I've never felt pain like this
before. It's a ten outta
ten, mac.." He stiffened in another surge, gripping his
chest with both hands. "I was ....dragging
the garbage cans out to the street when
all of this came on.." he said through his oxygen mask. He
didn't even notice Stoker
climb into the back seat to keep tabs on his carotid around the headrest.
Cap got busy pulling the leads out of the Tetronix case. He tried to apply the
the manual pads but they wouldn't stick to the man's chest.
He ran to go get a rag from the mop closet
to dry off his skin.
"Johnny.. Hand me a benzene swab so I can dry him off a little faster here
until Cap gets back." DeSoto said reaching behind himself with a look
for the foil package.
A groan from the man under his other hand drew back his attention. The sick
husband's body had arched
up into an active shudder. Suddenly, he fell limp
and became breathless. Stoker cried, "I'm getting
no carotid, Roy."
Together, he and Mike pulled the man out of the car and laid him out
on the driveway, in a patch of full sunlight, on his back. Cap shadowed
them with the oxygen equipment
he had snatched from the car seat.
"Alphonse!" said the wife as she tried to get up. |
Marco grabbed her firmly by the shoulders
and prevented it. "Easy.. let's keep
giving them room to work. They're going to do everything they
possibly can for
"Cap. Let's skip these." DeSoto said about the manual pads. "Let's
the combination ones from the monitor." He quickly intercepted the clump of
stickers and wires
that Johnny had already pulled out of the EKG pouch. "Mike?"
"I got him.." said Stoker as he began
CPR. Chet Kelly started active ventilations
using the heavy, black rubber demand valve after he had
pulled the other clear
oxygen mask off.
"Rampart.. Our M.I.'s gone into full arrest..." Roy
heard Johnny say behind him.
DeSoto sighed when the pads proved to be gummy enough to stick to
husband's clammy skin with good contact points on all three leads. He accepted
from Stanley who had tackled the defibrillator setup after being
shooed away. "Ok, Stoker, Chet. Hold
off for five seconds and let me scope him.
Turn the screen so Johnny can see it, too." Roy told them
as he laid uncharged
paddles on the man's dripping ribcage.
"Yeah," Johnny agreed while still
on the phone line. "Rampart, this will be
lead II." Gage leaned forward from where he was writing
down doctor's orders
and he got his EKG interpretation faster than Roy could tell him about it. "We
have a confirmed ventricular fibrillation. I'm sending you a strip now." he
said turning a dial on
the biophone's communications panel.
##Defibrillate, 51.## ordered Brackett over the phone receiver,
for the rest of the firemen to hear.
Hank hit the orange charge button and called
out the rising wattage. "One, two...
three,..four hundred watt seconds."
Roy yelled out, "Clear!"
and shocked the man firmly. The erratic bouncing line jolted
in a snarled peak but then fell ominously
level again. "Nothing. Continue CPR."
he ordered. Stoker and Kelly immediately started in again with
"Charge it again, Hank." DeSoto whispered hoarsely as he regelled the paddles
by using some teeth to re-unscrew the lubricant tube's cap. "Make sure his
EKG wires aren't touching
the car. Henry's sniffing around in there."
"They're not....Henry, get out of there.." Cap hissed
at the dog tail he could
see waving through the window next to his ear.
The basset hound dutifully
returned back to Marco and sat down uneasily by the
wife's side. His instincts were telling him to
guard the fallen man.
Captain Stanley got his final number. "Ok, 400.."
Roy got his clearance
and delivered a second shock. The dying rhythm rose up
at the energy jolt but otherwise didn't respond
as he was desperately hoping that
it would. He could still see V-fib on the monitor. "Going for a
third, Johnny. He's
still in V-fib." he announced in a update without turning around to look at Gage.
"It's quickly becoming a fine one."
Hank sighed as he held the I.V. bag that Johnny was swiftly
::Fine V-fib? With that, he's nearly asystole with hardly any cardiac activity.
always real bad.:: Cap thought as he spared the wife a sympathetic
look. He could see Lopez offering
her an accepted comforting hug.
Kelly anticipated Johnny, and in between breath to compression
he switched out the positive pressure valve for a gentler transparent green
bag. He pointed to the array of wrapped endotrach tubes in the
case with an elbow and Gage answered
his unspoken question.
"He's an eight French."
Chet read a label and got out the proper one
and unpapered it, laying a
laryngoscope along with the airway onto the man's stomach where Johnny
would have easy reach of them when he was set on his medication syringes.
Hank helped prime
the I.V. tubing while Roy grabbed a tourniquet, tape and
alcohol prep to start the man up with his
fluid access point.
Gage set down the phone. "All right. Roy's ready to intubate him, Mike. Brackett
wants an ET as soon as we get him on a long spine board. Kelly, we'll lift at
the end of the next
CPR cycle. Just slide that underneath him. Cap's got it in
his hands. We're gonna need it for his
transfer to the gurney later." Johnny told
"I'm waiting.." said Chet, never slowing
on his squeezed ventilations.
"So am I." replied Stoker, keeping his compressions even.
the end of a fifteen set and two breaths, all the firemen lifted the husband
rapidly by his clothes
until the longboard squared him.
Then the core of the medical work began.
the head of the board up onto the splints box just enough
so DeSoto would have a way to drop the man's
head back for his intubation
Roy used Cap's abandoned closet rag to wipe away a splash
of vomit left
behind after suctioning. The he quickly tubed the man using the strong
sun that was still lighting up the top of the man's head.
"How's that?" he said, folding up the laryngoscope
and tossing it into
the case next to him.
Johnny left Cap holding the I.V. bag and an array
of sheathed syringes
while he checked for equal lung sounds. "Pull it up a bit, Roy. The left's
muffled. Chet go easier for a few breaths until we're sure of his placement."
he said to Kelly, glancing
up from where he crouched low using his
DeSoto jostled the ET out an inch,
not getting into Chet's way where
he was bagging and applying cricoid pressure. "How about now?"
Gage paused, moving the drum around Stoker's stationary laced
fingers as he listened. "Ok, he's equal
bilaterally. No sounds over
Mike continued his CPR at a nod from Gage.
placed at twenty two centimeters.." Roy said for Johnny's notes.
"Got it." he replied. After
writing, Johnny took back the I.V bag and medications
Roy secured the man's airway
with an ET holder and bite block. A minute later
he asked. "Cap, found a vein site yet?"
He's flat everywhere on both arms and legs." replied Stanley. He had
cut away the man's pants legs
and sleeves with Roy's shears looking for
"Ok, we'll go ET for his epi loads."
"Yep. Brackett wanted those first. Here." said Johnny passing off two epinephrine
1:10,000 doses that he had cap popped, air squirted and screwed together
a few minutes earlier.
Roy grabbed them both. "Ok, Stoker. Stop CPR. Chet, go ahead and pull
off the ambu for a second."
Then he injected both syringes down the airway
through its mouth port. "Give him three breaths now.
Make sure they're deep."
Kelly did so. "Ok, Stoker. Start up again." Chet said when he was through.
CPR resumed to begin circulating the stimulant.
Roy shook his head at the monitor. The V-fib
still hadn't coarsened for
them. "Ok, I'm shocking again." and he hit the charge button on the defibrillator
until its whine built up to the top level. He delivered the charge, but afterwards,
the fine ventricular
fibrillation returned to plague him horribly. ::Not another
death so soon. Please...:: he wished mentally.
Then his knee bumped the man's
head as he was setting down the paddles. He let out a grunt of discovery.
would you look at that." It was one of the nicest jugular veins he had ever seen.
I got one."
"It's about time.." Johnny murmured as he wrote down another order
"I was beginning to wonder if we'd lost our touch." he grinned.
Then he set about getting a new course
of medications prepared.
Roy swiftly inserted a sixteen gauge catheter in the man's neck and attached
the tubing. He dialed up a wide open to see what would happen. He got a rapid
flow of fluid with
no swelling or infiltration to the site. He quickly secured it with
tape and turned the rate down
He barely noticed Johnny delivering Brackett's one amp of sodium
bicarb right behind
his taping. He was pure thinking instead. "Does he
want Lidocaine or the new one?"
300 mgs I.V. push." Gage replied.
Roy pulled two vials of 150 mgs and snapped the tops off their
ampules, drawing both into a syringe. He stopped himself when he
remembered that the anti-arrythmic
had a tendency to foam on pressure
without a saline bolus. He calmed it down with 10 cc's from the
Cap was holding up for him. Then he filled his mix the rest of the way
into his injection
syringe. The foam disappeared. A glance told him that
V-fib still existed on the monitor around the
CPR waves. He injected all
of the cardiac stabilizer and ran in fluid wide open to complete its delivery.
They all started gaping in disbelief when the fine V-fib started to grow|
into a very coarse pattern.
"There's our window. Defibrillate him again." said Johnny. Post shock, the
V-fib remained coarse.
"Ok, it's been four minutes." he said, popping the caps
off another Epi 1:10,000 and twisting them
together. He shot the stream into
the air before giving it into another port on the I.V. tubing.
The man was shocked again with the same result on CPR.
"Let's go with what works." Roy muttered,
cracking open another ampule of
Amiodarone. He glanced at his watch. "Here's his second shot. The
time of his
half dose, at 150, is 17:03." he reported to Johnny as he pushed it into the I.V.'s
med port followed by a saline flush.
Cap looked up at Henry's bark. "The Mayfair's here." A
minute later, a siren
began to build from the distance, coming fast from the east.
shock showed a change from V-fib to a more normal looking sinus type
rhythm. Chet checked for a pulse,
but found none. "It's not there yet." he said.
"Resume CPR." DeSoto said, looking up, leaving
the I.V. set at a wide open rate
to encourage all the medication. "We'll ready him for transport."
"Four minutes since the last epi." offered Hank, looking at his watch.
Roy gave the man another
loading dose of epinephrine to keep up the
required stimulant intervals that Brackett liked his paramedics
Captain Stanley planned out their next move. "Chet, Mike, stay with DeSoto.
along in the engine in case he crashes again. You'll need
a CPR switch off with us if that happens.
Stoker, you ok for now?"
"Yeah, I'm fine. Guess I'm used to long CPRs now." Mike replied.
thanks to you." he teased under his breath so only Cap and
Chet would hear him. Then he winked at
The husband was carted off without a break in his CPR to the waiting ambulance.
he was situated and locked down, Roy rechecked the tube's placement.
It was still secure with good
breath sounds. Marco quickly got the wife into
the Mayfair's passenger seat. The ambulance attendant
Chet's cricoid pressure hold to prevent the man from stomaching his oxygen.
on the side bench getting another dose of epi and
bicarb set and ready for Kel's next move.
Mayfair took off for the hospital Code Three.
In transit, Roy was all business. Hopefully, he
checked for a carotid.
And found one. "Hold off, Mike. I think he's got a pulse of his own now."
Stoker stopped while Kelly kept bagging.
Roy nodded again, smiling happily at the neck pulse bounding
fingers. "It's there."
Johnny looked at the monitor. "He's in the nineties. All right.." he celebrated.|
He followed up with
a blood pressure check. "98/48." He snatched up
a smaller 250 ml bag of normal saline and added 250
mgs more of Amiodarone
with a microdrip set. He piggybacked it into the main I.V. line. He left it
at a rate of 60 gtt to keep up the perfusable rhythm with 1mg of the
medication a minute for some
The tweeking brought better results. Roy checked and got a second BP
"108/50. He's on a definite recovering curve."
All four of them looked at the EKG. It was showing
a very good normal sinus
rhythm. Seconds after, the man started gasping with some chest rise through
his unconsciousness. Chet shifted to assisting him with light vents on inspiration
with his ambu.
Johnny got back onto the biophone. "Rampart, vital signs are responding towards
the rhythm you can see. Respirations are beginning. Our ETA
is one minute."
##10-4, 51. We'll
be waiting.## replied Kel. ##Nice job, fellas. Congratulations on
a successful turn around. We have
cardiac catheterization specialists standing
by. Rampart Hospital, out.##
The next day, Roy and Johnny asked Brackett how their surprise visitor had
replied. "A twelve lead indicated an acute inferior MI. We drew labs and did
his second angioplasty,
which revealed numerous blockages of the right circumflex
artery. He went through a triple bypass
last night. He should be fine once
again after a bit more of extensive rehabilitation."
was he lucky." sighed Roy.
"He sure was." Gage said, equally impressed. "I thought he was a goner
sure the way he crashed like that."
"Well, it helped that his arrest was witnessed and
that care was rendered
immediately to rectify the situation." said Kel, beaming.
you smile knowing that you've got so many paramedics
around these parts nowadays, doesn't it doc?"
Gage asked Dr. Brackett.
"Smile, Johnny? He gets positively effusive at everyone whenever he thinks
about it." replied Dixie McCall, looking up from her chart. "It's a welcome
change from his usual
grumbling mood, let me tell you."
Click the panicking Roy and Johnny to go to |