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************************************************* The Story Unfolds...
Season Five,
Episode Thirty Six.. §§ Tower Drill §§ Debut Launch: August 1st, 2006.
**************************************************
From: "Derrick" <rescueman1962@yahoo.com> Date: Thu Aug 3, 2006 3:05 am Subject: The Morning Blues
The crew of Station 51 had reported in for their tour of duty on a sunny but cool, spring day
in the Los Angeles area. It had just thunderstormed two days earlier, which forced a rainout of a
Dodgers vs. Giants game at Dodger Stadium to which Chet and Marco had planned to go.
They
were still less than happy about it.
"I don't know how come is it, when we go to a ballgame, that
it always rains." Marco complained to Chet.
"Well, consider it this way, pal. You can't stop mother
nature from doing her thing. I guess we'll have to go some other time when the weather gets a
little nicer." Chet emphasized with a shrug.
"Who wants to see them lose again anyway?" Chet
added. "It seems that everytime we go, they lose!"
They watched with growing bemusement as
Johnny Gage came into the kitchen, wearing a sulken face, grumbling.
Chet looked up and asked.
"What's wrong with you?"
"What's wrong? I'll tell you what's wrong, Chet. My whole love life
is wrong!" Johnny told him.
"Oh, really?" asked Marco. "What happened to you?"
"Before
I knew it, Sue dumped me after our date Friday night and gave me the third degree about it.... Telling
me that I'm a- a- a loser ... and a perpetual slob. And then she had the nerve to call me a liar
when I told her that all of that wasn't usually true. All I said to her was that I had been working
a lot of overtime.."
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Marco snickered and shook his head in sympathy during Johnny's conversation while he exchanged 'what
else is new?' looks with Chet.
Chet rubbed his chin. "Johnny, you need help there. I mean, you
really need...'help.' " he suggested gently, drawing finger quotes in the air meaningfully.
Gage blinked a few times, until the suggestion sank in. "Are you telling me that I should go see a
shrink?" Johnny snapped.
Chet immediately looked away at the glare Johnny shot him when the
dark haired paramedic fired back at him in offended ire.
"Maybe that will be the best thing
for you, partner." said Roy as he entered the kitchen, just overhearing the conversation.
"All
right. Ok...All right. I hear ya. Then, I'm.. I'm..crazy." Johnny told them all, throwing up his
hands. "You all think that I am crazy? Well, I'll show you who's crazy by the time our shift ends.
And Chet, you and Henry are..are just plum crazy, too!" Gage said as he pointed to the dog on
the couch, who seemed to turn his head away from Johnny as if ignoring him.
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Then Captain Stanley walked in, barely avoiding a shoulder check with Gage as the angry paramedic
barged out of the room and stormed on past him for the quiet sanctuary of the vehicle bay. Cap
asked the obvious without even looking up from the daily mail he was sorting through. "What's been
going on here?" he asked matter of factly. "Do I sense a little unhappiness in the air?"
"Just
a little." sighed Roy, taking another sip of coffee from his mug.
"Oh. Coming from Gage? That's
normal." Hank shrugged as he sat down in a chair to finish his filing.
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******************************************************* From : Rampartbase <rampartbase@yahoo.com>
Date: Wed Aug 2, 2006 11:45 am Subject: See you later, alligator.. In a while, crocodile... Heh.
It remained a nice sunny day for the rest of the morning.
The crew at 51's were doing their
usual chores and were about to have lunch soon, when the tones sounded.
##Station 51. Man
treed by an alligator at Harper Park. 1100 Santa Monica Blvd. 1100 Santa Monica Blvd. Cross street,
Watercreek. Be aware. Animal control has been notified and they've responded that they are unequipped
to capture it. Time out: 11:06.##
Captain Stanley acknowledged the call. On the way, he picked
up the mic and said. "L.A., Engine 51. How big is the gator?" he deadpanned seriously.
The
reply came back. ##Eyewitnesses have estimated its length at six feet.##
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"10-4." Cap hung up the mic derisively. Then Hank said to his crew. "We have to be really careful."
"Thanks for telling us. I don't think we could have figured out that one by ourselves, Cap."
joked Chet as he jogged by Cap to put on his turnout and helmet from the stow.
Hank made a
face and threw a 'get in there' thumb gesture at his wise cracking fireman.
They rolled out.
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************************************************** From: "Roxy Dee" <laterrapincabesa@yahoo.com>
Date: Fri, 4 Aug 2006 18:33:33 -0700 (PDT) Subject: That Loyal Postal Stick-It-To-It-Ness~~
Station 51 rolled through the regional park's entrance, code three. Surprisingly, a Los Angeles
County animal control unit, wasn't there yet.
A scream rippled out. It was female and very,
very panicked.
The gang rushed out of their trucks, pausing at the edge of the parking lot
to get their bearings on where the scream came from, but it didn't repeat.
Then a sharp eyed
Gage spotted their subject on a tree limb. It was a girl in her mid twenties, hysterically mute and
trembling. "There, Cap. Near the eucalyptus. Forty feet to our ten o'clock. That ain't no man.
I wonder who call THAT in?" Johnny said, snatching out rope coils and life belts for himself and
Roy.
"Maybe it treed more than one victim.." Roy shrugged.
"Eh,.. the number of victims
aside, I wanna know where that alligator got to." Cap said empathetically, eyeing the ground and the
thick grass surrounding them along the lake's margin. He could just make out the remains of a shredded
german shepard lying just off the jogging path.
"Stoker and I'll go look." Marco volunteered.
"Be careful. Don't these things like to charge thirty miles an hour out of the water when they
want something to eat real bad?" Cap asked him.
"I'm trying not to remember that.." Stoker
frowned. "Don't think a charged firehose is the answer for this one."
Chet did the only other
thing he could do. He grabbed out a bullhorn for Hank.
Cap snatched it up and turned it on.
##Miss, this is the Los Angeles County Fire Department. We see you. Just hold still until we figure
out a way to get you down from there, o.k.?##
If the woman heard, she wasn't answering, petrified
as she was. Then she started panting and looking wildly around desperately when she jerked at a
sound that only she heard.
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"She's gonna fall for sure, Cap. She's panicking again!" Johnny said, running for the tree along
with Lopez and Marco.
Roy got off the engine's radio. "We can't get a snorkle, Cap. L. A.
says they're all busy at fire calls for the next forty five minutes to an hour."
Hank thought
a moment, then he pulled out his handy talkie. "Engine 51, L.A., respond a Sierra rescue team to our
location. We've a young woman trapped thirty feet up a pine tree. Code three."
##L.A., Engine
51. Sierra Bravo has been notified. Their ETA is five minutes by air. ##
Roy just looked at
him. "Park rangers?"
"Why not?" Cap replied. "They're good with trees, wild animals, and search
and rescues. Go get the life net and back up the others in case she topples outta the tree."
"Right.."
grinned DeSoto, peeling off his turnout. He ran with the folded encircled catch net quickly.
Cap
soon became aware of four state personnel in blue running down the hill from the direction of the
neighborhood houses on the cliff row above them. They were postal people, complete with their tan
canvas and bright flourescent orange handled mail bags. One of them had a portable scanner radio
in hand. "Hold it, hold it.. Where do you think you're going?" he asked them.
"To go help.
Marve said he was in trouble with an animal on his route." said one man. "We always drop whatever
we're doing to get a fellow postman out of danger."
"Wait a minute. Wait a minute. Marve's
a postman? What's he doing in the park?"
A hefty, African-American woman answered him, sternly.
"Taking a short cut. Now are we gonna hem and haw about this all day or our we gonna do something
for that poor girl?" she said, throwing a careless hand up at the woman she spotted in the tree.
Right then, another dusty postman ran out of the bushes and joined them.
"Marve! You ok?" the
mail woman asked. "We came fast as we could."
"I'm fine. I couldn't do anything for the jogger's
dog. The alligator was too big."
"Where is it now?" Hank asked, pulling off his work gloves.
"Right over there. About fifty feet. It's facing the girl's tree from the shallows." Marve pointed.
"All right. Go back there and keep an eye on it, would ya?" Cap thought for a moment, then remembered
the safety net's need for at least eight to hold onto it safely. "The rest of you, circle around
in the open and catch up with my men and take a hold of the life net." They started moving. "But get
there moving away from the water!" Cap reinforced.
Just as Cap was about to join them, Les
Taylor and Dave Gordon from animal control arrived,.. empty handed.
"Where's your tranquilizer
gun?" he asked them.
"Sorry, captain. An alligator's not a tiger. It can't be tranquilized the
way you think." replied Dave.
"Why is that?" Hank demanded, irritated and worried for his people
and the victim.
Les shrugged. "It's just their metabolism and the way that their blood flows.
We've eyeballed it. It's a male, and it's lean. It's probably starving."
Dave added more. "Being
sick like he is, his metabolism is so low that if we tranquilize him, he'll probably drown after
being darted."
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"Then let's kill it." Cap snapped. He frowned when the two officers in front of him looked at each
other."Why hesitate?" he asked them.
"American alligators are a protected species. We've been
ordered to capture it with traps and take it alive." Dave shrugged.
"That's raising the risk
for all of my men and those helping them."
"Sorry, sir. Only the police can overrule our supervisor
for a use of lethal force." Les told him.
"All right. Ok.." Cap said. "Let's see what we can
do with what we've got then, shall we?" he said impatiently when he realized that the PD was nowhere
in sight.
All three men soon joined the firemen and the four postal workers around the net.
Half of them had their backs to the net while they hung onto it, being lookouts, while Gage climbed
the tree with a nimbly tossed rope. He was moving slowly so that he wouldn't alarm the girl.
Roy
spoke softly. "Miss,.. my partner's on the way up to you. It's ok. We..we know where the alligator
is exactly and it's not gonna hurt you." he said with convincing confidence.
The girl didn't
seem to hear him. She kept mumbling a dog's name over and over again, her eyes dry and shocked. Her
hands kept slipping on the bark where her cheek rested as cold sweat drenched her. Once, both of her
palms slipped and she let out a yelp as she scrambled to keep her balance along the branch.
"Don't worry about falling. We'll catch you.." said Hank. "We've got a net just below you. Do you
see it?"
The girl didn't react. She only gripped the branch tighter.
"I'm almost there..."
Gage grunted to the others down below. "Keep her distracted. If she moves too much here, she might
miss the net before we can correct for it."
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Suddenly, there was a massive sound of hissing and an explosion of water erupted from the lake.
"Look out!" Dave shouted as the still hungry, large alligator charged them.
Before the firemen
reacted, the five postal workers let out a holler of their own and in a blink, they all leaped on
the alligator's body, pinning its head, and very dangerous thrashing tail.
Hank's mouth dropped
open as Les ran to help them with a stout roll of duck tape and a thick length of rope.
"Oh,
my..." Cap gushed, not wanting to let go of the net he still held with Dave, Marco, Roy and Chet.
The net wavered in the wind blowing off the lake and it was very difficult for the few of them who
were left to stay under the tree and in a good position.
Stanley eyed the ball of postal workers
and the animal control officer, tangling with the thrashing alligator. "They're all nuts. Absolutely
nuts!" he exclaimed.
Gage let out a shout of dismay that suddenly grabbed Cap's attention. Hank
whipped his head back to what he was doing.
The woman was falling towards the ground, off center
to the net.
Hastily, the five firemen and Dave shifted the net desperately to encompass her, but
they succeeded in only catching the girl's upper body as she landed partially in the net. Her waist
and lower back pinwheeled over the edge of the lifenet's frame and she somersaulted vertically, feet
up, before she hit the grassy ground hard.
Panicking, and in pain, the young woman sat up
and was immediately halted by Roy, who grabbed her from behind. "Easy. Don't move! You'll only hurt
yourself further." he warned into her ear firmly.
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"B-but..the alligator..He--he...*gasp*.. ohhhHH!" she grunted, feeling something broken inside. Her
face paled and began to turn blue. She gurgled into silence, still horribly conscious.
"Johnny,
go get the backboard! Marco?!" DeSoto shouted.
"I'll get the gear.." Lopez answered.
"I'll
help." Chet added.
"On the fly.." Gage punctuated as he slipped down his rope hanging from the
tree to go aid his partner. He knew the girl had been seriously, grieviously hurt as clearly as Roy
did. He knelt to help DeSoto stabilize her head and airway where she sat upright on the ground. "What
can you tell?"
"I don't know." Roy answered him. "Might be her spine, or ribs. I'm feeling blood
soaking into my shirt." he said hoarsely.
Johnny knelt down.
Cap knelt near. "Anything
I can do? The alligator's no longer an issue. He's tied up."
"Get that chopper in here faster.
She's going critical. And get us Rampart in a relay." Roy told him.
"You got it, pal." Stoker
said, running for the road.
Sighing in sympathy, Cap handed DeSoto an active resuscitator on demand
feed to give to the woman so she would get as much oxygen into her system as she could take.
He could see that she was still drawing breaths on her own; short, painful efforts that frighteningly
didn't seem like they were going to last much longer. ::This is bad. And we still have to immobilize
her.:: Cap thought. ::Oh, no.. She's got that thousand yards stare already.:: he worried mentally.
Knowing that there wasn't much he could do yet, Cap rose to his feet after nodding at Johnny that
everything was coming as fast as it could get there.
Numb, he said the first thing that came
to the top of his head. "Nice work, guys.." he said to the sweaty, grinning postmen who were rejoining
him, one by one from the lakeshore.
Marve smiled. "Believe me, we always reap our revenge every
chance we get. Have no fear of that."
"Do you guys always tackle hunger crazed alligators
when they charge you like that?" Stanley wondered.
The chocolate skinned mail woman smiled.
"You'd be surprised at what chases us at one time or another, fireman. This ain't nothing at all.
Them pound boys are.. usually off chasing stray cats in trees or something, leaving us postal
workers to fend for ourselves." she said, watching the two animal control officers who were checking
and rechecking the gator's tied up legs and taped jaws carefully to see that they were truly secured.
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"Now why would they do that?" Cap asked her.
"It's because we call em to get past all the dogs
and other guard animals in people's yards all the time. Their vet says we drain their operating
budget faster than a coke on a hot day. Doesn't seem to concern the LACoAC much that we think the
mail must go through no matter what, know what I mean?" she laughed, still high on adrenalin.
Cap tried to smile, and couldn't.
The dark skinned woman noticed. "How's she doing?" she asked
quietly, the glow of heroism slowly fading from her features.
"My paramedics are still checking
her out. We'll know more here real soon." said Cap, looking down at the five firemen now crouched
over the girl. "She's got some developing breathing problems starting up." he told the postal worker.
Silently, the postmen watched Station 51, while they worked to save a life.
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Click the drip for a music soundtrack change.
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************************************************** From: "killashandrarey01" <killashandraRey@hotmail.com>
Date: Mon Aug 7, 2006 1:46 am Subject: Tacit Care..
Roy immediately started talking as he
was holding the badly injured woman against his shoulder. "Ma'am,.. can you still hear me? Ma'am?"
The girl did not reply through her involuntary gasping.
"Hey!" Gage shouted to get her attention.
He saw that her eyes were no longer focused. Johnny pinched her earlobe firmly. She didn't move.
"She's going unresponsive, Roy." he murmured. "Marco, take control of her head with that jaw thrust.
Stoker, an ambu would be real nice right about now. Help her on it when she needs it." he said, slipping
in a lubricated nasopharyngeal airway into one of her nostrils. "Chet.. get a C-collar. Looks like
she's a small regular." he said, feeling around her head and neck in a fast check.
Periodically,
he looked at his palms, one at a time, searching for wet blood stains as he worked them down to her
shoulders. "She's not bleeding from anywhere up here, Roy." he told his partner, who was setting
up an EKG monitor.
DeSoto nodded, looking down at his own shirt to see where the large blood
stain that he had felt soaking him earlier, was located. "Try her right lower back."
Cap gestured
to his paramedics. "I'll get Rampart." Then he turned to the postal workers. "Could you folks help
us out one more time?"
"Sure.. sure.. " said the dark skinned lady. "Anything you say, mister."
"Can one of you go grab a blanket packet out of the engine? They're yellow. Right rear compartment
above the driver's back tire. Then turn around with your backs to us in a ring. We're gonna need
some privacy for her. Seems we're already gathering ourselves a crowd of the curious here." said
Hank, seeing more park goers arriving due to the unusual sight of the bound and taped alligator
and the three flashing county trucks.
The post woman took one look at the shears Gage was using
to get the girl's clothes off and nodded in immediate understanding. She put two fingers to her
mouth and let loose a piercing whistle to catch the other chattering mailmen's startled attention.
"Don't just stand there, Marve." she pegged her cohort. "Go get that cover up tarp for the little
lady. As for the rest of you,.. about face, pronto, and don't let me catch you lookin' back over
here even once." she ordered her coworkers like a bossy mother hen.
They obeyed her. Instantly.
"Don't you worry, captain. Nobody else is gonna get anywhere near her. And that's a promise from
us." said the saucy, pleasant faced mail woman.
"Uh,, thank you.." said Stanley distractedly without
looking up from where he crouched over the biophone case. "Rampart,.. this is Engine 51. How do
you read?"
Roy and Johnny were deep into their initial assessment. Gage felt for carotid pulse
quality on both sides of the woman's neck and then he compared them to those in both wrists. "Weaker
radials bilaterally... but I'm feeling no cervical crepitus. She has no signs of jugular venous distension
or tracheal deviation.. Resp rate's thirty, very shallow, and intermittent."
"Got it." said
Roy, taking notes. He had patched the woman in on limb leads so that they would have constant audible
cardiac cues to listen to. And then he placed one of her fingers inside the wired pulse oximeter's
soft rubber clamp.
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"Ok, Chet, she's set for her collar...Let's get it on." Gage grunted as he ducked around Stoker's
hands as the engineer started working the bag valve mask. "Then go get the KED ready, would ya? Marco's
still got his hands full holding her. I'll probably be finished with her entire sweep by the time
you get back."
"All right, Johnny." replied Kelly.
Soon, they were through and Chet took
off for the engine's auto extrication equipment bay.
Gage continued to search for serious
problems. "I've got a spreading bruise medial right chest..." he said, feeling and looking at the
woman's skin. He stopped when one hand came away bloody. "There it is.. Lower right side, Roy. A penetrating
wound with a single rib fracture into the abdomen.. The injury's fully below the diaphragm."
he reported as he snatched out some bulky dressings to control the bleeding. He used many layers and
taped them to her side firmly in a square to slow the heavy hemorrhaging. He moved on down each of
the woman's arms and legs in turn in a careful check for other critically bleeding wounds, but
he found none.
Quickly wiping his hands off on the woman's discarded shirt, Johnny got out
a stethoscope for a fast chest/lung check. "Roy,..mid clavicular right is hyperpercussive with diminished
breath sounds..." he said, catching his breath as he listened closely, "..But mid right axillary and
all other lung fields are clear. Her heart sounds normal but it's not at the same rate as her
pulse."
"What are you getting for a discrepancy?" DeSoto asked as he rechecked the pressure
dressing Johnny had applied to see that it was still working.
"Apical: 136 and steady. But the
90 palp's irregular." Gage replied.
"Any other life threats?" Roy asked.
"No." Johnny told
him as he placed the flat of two hands and pressed down lightly over all the areas of the woman's
abdomen that he could reach with her as she was, sitting up on her scissors split open jeans and
underwear. "Just where we know already. Right upper and right lower's firm and distended. Pelvis
is stable." he said after gripping her hips with an inward pressure. The bones didn't shift even
an inch. He looked at the woman's entire back with a pen light around Stoker knees and jacket flaps
and he double checked himself when he felt her skin, too. "Yeah, nothing else.." he concluded. Then
he added. "A change..Current LOC is causing incontinence." he said as an odor of urine and stool
rose over the blood scent. "But there's no peritoneal or rectal bleeding."
"I'll tell Cap
to relay what we have so far." Roy told Johnny.
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Gage and Chet got busy with the Kendrick device.
Kelly opened the KED and placed it between
Marco and the girl's back. He centered it and placed the wings of the immobilizer snugly under the
woman's armpits while Gage tucked some padding at the small of her dusty neck where the head
guard didn't rest. Then Johnny fastened the chest straps, taking care that it didn't interfere with
Stoker's ability to get good chest rise with his ventilations. "Is she breathing on her own?" he asked
the engineer.
"Only trying one out of every three now." Stoker replied.
"Keep at it, but
don't hyperventilate her at all."
Mike nodded. "I'm watching her sat's.." he said, throwing a
head at where he could see the numerical readings renewing themselves on the screen of the EKG
monitor. "Heart rate's still steady. 136.. PO2's 98%"
"If her tachycardia's no longer felt
at the carotid, let me know." Gage said.
"I sure will. I see that Cap's got the defibrillator
on active stand by."
Chet slid two straps under the girl's thighs and wrapped them over each
leg before he snugged them tightly at both ischial grooves.
Then they secured the woman's head
against the KED's head rest and placed the secondary straps over her forehead and chin once she
was confirmed as being placed well centered to vertical.
Marco still held onto the woman's head.
"Airway's good. Are we ready to place her on the board?"
"Yeah.." said Johnny, as he stood
up to grip a side handle on the cradle of the KED with one hand. The other, he placed under one of
the woman's knees.
Chet got set positioning himself on the opposite side to help with the transfer
after he was through tying the woman's hands together with a gauze bandage. He paused when his shifting
accidently jarred the woman's left arm. It bent into a sudden second elbow just below the shoulder.
"Ahh! Broken left humerus." he announced, holding it quickly above and below the break to stop its
falling, flopping movement.
"Must be a real clean break if I didn't feel that. We'll splint
it in route." Gage told him. "Just place that arm neutral enough so that a pulse's always felt
in that hand with her arm supported."
"Ok, I'm set." Kelly said a few seconds later when he checked
circulation.
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Locking their arms together underneath her, the gang lifted and then carried the woman over to the
long board lying on the ground. Carefully, the three firemen lowered her flat onto it and strapped
her in after covering her up snugly with the shock sheet Cap had obtained from the engine. They
left the woman's wounded side exposed to the air so they could monitor the pressure dressing's continuing
effectiveness.
Chet did one more aid by propping up the woman's boarded head on a gear box
to ease her manually helped respirations. "There you go, Stoker. She should vent nice and easy for
you now."
"That works." said Mike, watching her color closely as he bagged her.
Cap lifted
his head. "I've got Brackett on the line!" he shouted.
Roy tossed Cap his notepad. "Cap,.. she's
a 'load and go'. Tell them the NPA and that jaw thrust are doing the job ok even though her Glasgow's
seven. And I found a wallet." DeSoto said as he bent down to do a blood pressure on the woman's unbroken
arm. "Catch.." he said, throwing that over, too.
"Will do." said Hank, receiving it. "Sierra
Bravo's ETA is three minutes.." Then he turned back to the biophone. "Rampart. I have more patient
info." he said, leafing through the girl's wallet cards. "Our victim's twenty five with no prior
medical problems or allergies." he concluded after reading a few of them. "As I said before her mechanism
of injury was a thirty foot fall out of a tree to soft grassy ground after bouncing out of a fire
department life net. Status: Unconscious, nonreactive to pain. She is being partially breathing
assisted on oxygen and is doing well with just an NPA and jaw thrust. She's got a large, open wound
lower right quadrant lateral to the hip with a penetrating rib break into the abdomen. External bleeding
has been controlled. She's a second bruise on her upper right chest with slightly diminished superior
right lung sounds. Broken left humerus. All extremity pulses are palpable. She is spinally immobilized
with a KED on a longboard and is being treated for shock. Stand by for the vitals signs.." Captain
Stanley told Rampart.
##Standing by..## answered Kel Brackett from the base station.
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*************************************************** From: "patti keiper" <pattik1@hotmail.com> Date:
Thu Aug 10, 2006 7:30 pm Subject: Turnabout Intruder..
DeSoto looked up and supplied Stanley
with the information Brackett wanted. "BP is 72 over 50. Pulse is 144 and regular. Respirations
unassisted are now holding at 10, irregular and shallow. Skin is pale, diaphoretic and cool at the
extremities. Pupils are slightly dilated but reactive to light. Glasgow is nine. Bilateral Babinski's:
normal. Distal pulses are equal in all four despite that closed fracture in the left arm, now realigned
in a position of function. EKG 's showing still viable V-tach and the digital PO2 is 96% on 15L of
O2 on ambu. Breath sounds are the same still, with that extremely localized mild rhonci. Estimated
900 cc's blood loss externally from the abdominal wound."
Kel Brackett nodded, tapping the
glass with a knuckle in a hint to get Dixie to enter the glass enclosed base station just as Cap
was parroting back Roy's information over the biocom.
She had been pulling out a blank stat
chart for him for his patient to begin a surgical workup, knowing the young woman to be a trauma
case from the nature of the radio traffic going on between L.A. Headquarters, over the fire department
scanner near her head, and with the regional park's county rescue services branch.
McCall
opened the door just as the emergency room physician was finishing his initial orders. "51, start
two large bore intravenous lines of Lactated Ringers in the uneffected arm and run wide open until
she's reached effective homeostasis with an upper systolic of 90, auscultated. Don't waste time
performing an RSI. Use the addition of an OP if you have to, to maintain her airway in transit. Time
is of the essence. Splint all unstable joints later. Send me a twelve lead EKG once you're on your
way, and I want additional vitals sets every five minutes. What's your current ETA?"
Dixie
quickly joined him. "What do you have, Kel?"
"Traumatic fall, with a major disruption of a body
cavity involving a rib fracture, with possible internal bleeding. So far, she's minus a head injury
without any glaring pulmonary or cardiac symptoms and with one, apparently simple, broken humerus."
##Rampart, ETA is eight minutes by air. Coming in with Sierra Rescue to your flight pad.## reported
Cap.
"10-4, 51. Get her in here as soon as possible and notify me en route of any profound
neurological or respiratory changes." Dr. Brackett said, thumbing the talk button.
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"What now, Kel?" Dixie asked him, anticipating.
"I want to organize the care team prior to her
arrival. Get two general surgeons on stand by to form the core of the trauma team. They'll be in
close cooperation with us while a surgical room gets ready. I'll direct her further evaluation and
resuscitation. Get a mid-level provider to manage her airway along with a respiratory therapist.
I'll be conducting the primary and secondary surveys, and tell Dr. Early he'll be performing other
procedures as needed. I'll leave monitoring her vital signs to you along with drawing bloods for her
lab work. I also want an orthopedic surgeon as an immediate consultant as well as the neurosurgeon
on-call. I want to make sure her C-spine's truly intact or at least determine any new disability with
a complete motor examination performed before surgery." Kel told Dixie.
"I'll get right on
it."
"As soon as she gets in here, I'll want a foley in along with a gastric tube to simplify
things in prep for her anesthesia as soon as she's been airway secured by our therapist. Oh, and
let's stave off any iatrogenic hypothermia with additional warmed IV fluid, blankets, heat lamps,
and a heated, air-circulating blanket. Order up an anteroposterior chest radiograph, a focused
abdominal sonogram, a full C-spine series and get films of that left arm. If the room's open, order
a CT scan of the abdomen with intravenous contrast. But those spinal pictures first, so we can
get her off the long board before surgery."
"I'm assuming you want arterial blood gases, a type
and cross match, and baseline work on her hemoglobin and hematocrit levels?" Dixie blinked.
"Yep."
Kel smiled.
"And how about a dipstick urinalysis to exclude occult hematuria?"
"That, too."
he grinned. "You know me too well, Dix, you know that?"
Then his stomach growled. Loudly.
"Umm hmm.." Dixie nodded without batting an eyelash. "Do me a favor, Kel. Let Dr. Morton handle the
next paramedic call when it comes in. You haven't had your lunch yet and you definitely look it."
she pegged, with a finger stabbing the ornate tie peeking out of his white lab coat. "And neither
have I, for that matter." she reconsidered.
"Boosting our mutual blood sugars will be on me
just as soon as we've seen 51's patient safely into a surgical ward." Brackett promised.
"My
kind of guy." she winked. "I'll put her in One." Dixie said, disappearing out the door again.
Dr. Brackett hunkered down with just a plain coffee to await his cardiac strip sending from Roy and
Johnny. ::Hunger's relative they say. In more ways than one.:: he thought ruefully, admiring Dixie's
departing back and efficient, thick bun just beginning to show graceful falling strands from underneath
her paper white nurse's hat.
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gang met up with the Sierra team when the park's BK-117 set down on a nearby hillside that proved
free of obstructing pine trees and surprise daytime heating downdrafts. The red helmeted rangers met
the firemen with an extra large stokes to accommodate the fallen woman's long board so Station
51 could follow with their medical gear piled up in one of their own.
Both Roy and Johnny chose
to fly into Rampart with the rapidly stabilizing woman, and soon, they were on their way, quickly
buzzing over the cityscape of suburban Carson.
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The engine and squad reported that they were available in quarters an hour after that. Captain Stanley
found that they had returned home, to chaos.
Chief James O. Page, was waiting for them all, in
full department regalia, standing by the large county wall map.
Hastily, the gang abandoned
helmets and jackets as they pulled in and everyone tried their best to rid themselves of the thick
park dust that was still coating them.
Gage hid the bloodstains under his nails that the
alcohol hadn't cleaned up properly as everyone scrambled to the mop cupboard to get their black
inspection hats on in fast order. Then they lined up in stiff formation in the bay in front of the
fire trucks and waited until Cap quickly got into his white one.
Captain Stanley strode forward
in surprise. "Chief? You want to inspect the station? I thought Chief McConnikee had that detail this
month."
"Your rumors were correct, Hank. But I'm not here for that so please, everybody, just
relax. I'm here for another reason. I'm here to ask you all to do me a personal favor." said Page.
"Oh? And what's that?" Cap asked his boss.
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"Do you remember a fireman named Ed Marlowe from last year? He rode with your boys in the squad
for a bit while being evaluated for the paramedic program."
"How can we forget? He was a real
cocky sort of a hot head, wasn't he?" mumbled Chet under his breath to the others in line.."Glad
he failed to make the grade."
Roy elbowed Kelly swiftly into silence before their all-seeing,
easy going chief overheard him.
"I'm here to ask you, Hank, if Stoker could walk Fireman Marlowe
through the engineer's program in a stint through your station."
The others' mouths gaped
open. All except Hank's, who couldn't, because Page was still regarding him with a questioning expression.
"Uh, chief.. uh, I'm sure he'd.. Stoker? You doing any off time in the next week?"
"No, sir.
I'm available to train. Just give the word." Mike said surprisingly easily.
Stanley pegged
his tillerman with a shoulder grasp and sputtered. "That's....entirely up to you. I-I- I.. know how
busy you are studying for your potential upcoming promotion to lieutenant and all..."
"Cap,
I'll do it." he said, nodding.
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Page took in a big breath and sighed contentedly. "Great, Mr. Stoker. I knew you would. You're a
good fireman." said the chief.
"That he is..." murmured Cap, trying to stomach a very old feeling
of dread.
Page was oblivious. "You know this means that you'll all follow through and each
take a turn teaching at the Fire Tower. This year's cadet class is about to start. Their beginning
course work begins tomorrow in fact. I've already made arrangements for HQ to cover your work shifts
to accommodate.." smiled Chief Page.
The gang didn't know what to say. But then Mike filled the
gap neatly.
"When do I shadow Ed, chief? When he ships back into town?" Stoker asked, after
swallowing bravely.
"I'm already here, boys." said a country sounding drawl, coming from the
kitchen.
Ed Marlowe, the ex-Viet Nam medic and current firefighter, saundered into the garage.
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He was wearing a brown denim jacket, complete with a rope tie, blue jeans and a cowboy hat. To
the 51 gang's dismay, he had already helped himself to a sandwich from the refrigerator. "Hi, Mr.
DeSoto. You know, I was real surprised the other month when you failed to recognize me when I
helped you real estate shop for that new ranch house of Gage's." he chuckled. "I'm glad I finally
got a chance to connect up those missing memory dots for you...Know what I mean?"
Then he
began to laugh uproariously. Still standing in line, Roy DeSoto slowly took off his inspection
hat, and he began to nurse a frown... big time.
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