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| Page Eleven |
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Johnny said. "Victim One. Earlier laryngeal spasming. Independently resolved on its own, following a return to clear air. Oral airway is in place. She's on sixteen liters of 02, dry. BP 130/102, Respirations shallow and deep alternating, at 20. Pulse 100. Pupils equal and reactive. No response to verbal. Slight to pain on the consciousness level." "10-4, 51. On Victim One, Keep monitoring for any deterioration in her respiratory status. Stridor, wheezing, ineffective lung draws, and then treat the symptoms when they arrive with 2 mg 1:10,000 epinephrine into an IV, 51, of normal saline, TKO. On both victims, keep them warm at as near normal a body temperature as possible. Make up a burn chart as needed, showing any areas of ammonia exposure, it usually takes a few hours after exposure for an ammonia freezing to show on the skin. Include suspected pulmonary involvement and any burns of mucosal membranes, such as in the nose, surrounding the eyes, and involving the throat. Do not cover any burns found. Keep them open, 51." "10-4, Rampart. Burn charting percentages, and open air for burn protocol." Gage replied. "Rampart ambulance is on scene." "Ok, 51. Notify me of any negative change in their vitals signs and transport as soon as possible." "10- 4, Rampart." Johnny, Mendelson and Peters had just finished starting the three IV's when Roy rushed back over to Johnny's side, his hair wet, with dry night turnout trousers on and a clean T-shirt someone had gotten for him from the engine. "How are they?" he asked. Gage handed his partner his notes from the biocom call and said. "Chet may have a ruptured spleen on top of his other problems." he said unhappily. "I probably didn't help him hauling him by the belt like I did. Doc's got him marked for light vents if he quits breathing on us." "Don't feel bad, jarring an internal injury was better than us just leaving him behind to be melted to slag by a corrosive cloud, don't you think?" "I guess. We broke quite a few patient extrication rules today. On both of them." "We had to." Roy admitted. They both turned at Cap's shout. "Gage, we're through. So's Peters." he said, tossing a head at Chet. Stoker and Hank began to wash the runoff from Chet off the roadway and onto the grassy margins. Roy and Marco helped Johnny bundle the chilled Chet rapidly into the mast suit and then very warmly inside a crush of wool run blankets from head to toe. Mendelson said. "He's still holding fine. Pulling his air adequately here." he said, of the demand valve he was still using on Kelly. "Haven't needed to trigger even once yet." "Good, if you do, go 50% only, all right." Gage told him. "You got it." |
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Roy leaned down to Chet's ear. "Chet.. Can you hear me? " Chet's eyes stayed closed for they were swelling from all the water that had streamed over them from Peter's irrigations but his thick eyebrows rose slightly at the sound of his name. Roy smiled. "We're almost on the way to Rampart where they'll take really good care of that belly pain. Just keep breathing regular on the 02 like you are. If you have trouble, we've been authorized MS if the pain gets too great, just let us know." Chet lifted his eyebrows once more before he gave into his involuntary shivering from being water chilled under the hose. "hhhhhmmphhh." he said incoherently. That worried Johnny. But then a touch of Chet cussedness presented itself a few minutes later. Kelly all but broke Roy's hand, hanging on to it, for reassurance. --------------------- John and Mendelson rode with Chet and Daphne in the ambulance while Roy drove behind the Mayfield. Johnny's hands were full keeping them both on their flowing oxygen, double handed, while Mendelson looked them over inch by inch for burns for the charts. Chet had several. The woman, none. Dr. Early and Dr. Brackett both met them at the entrance doors. Dixie was there, too. She pointed and said...... -------------------------------------- |
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****************************** From : "Roxy Dee" <laterrapincabesa@hotmail.com> Subject : Patch Job~~ Date : Tue, 03 Dec 2002 15:25:14 +0000 "Treatment Three for the woman. Let's put your coworker in Two, Johnny. Mendelson, stay with her long enough to give Dr. Morton your report, all right? Joe Early's taking your friend here." Gage nodded gratefully to Dix for bending the rules and allowing him to remain by Chet's side. Roy took full advantage of the favor, too, slipping inside the treatment room doors with his walkie talkie on the heels of orderlies arriving with an xray machine. Another set of them came from nowhere with a standby bird respirator. ::That Dr. Early's on the ball. Let's hope Chet doesn't need it.:: Dixie drew the line on the rest of the gang, still in heavy overcoats smelling faintly of ammonia stench, keeping them lined up along the wall outside the treatment room. Gage said, "Cap, I'm all eyes. You'll know faster than Brackett will about what's going on with Kelly." Johnny said, lifting his HT. "You called the squad and engine out of service for a bit?" Cap's grin and smiles from the rest of them lifted Johnny's own anxiety a whole heap, "H*ll yeah. Using the close call to get ourselves all checked out by the docs. We might be burned without even knowing it, don't you know." he winked. "Tell Kelly his family already knows and is on the way if he wakes up." "I will.." Gage said. The Treatment room doors closed in on Cap's face, making him wish for the dozenth time that its wooden surface had a window to see through. He gave the red "do not enter" sign a light smack in frustration. ---- ---- ---- ---- ---- ---- ---- ---- Dr. Early had a full respiratory therapy team there to assess Kelly's current pulmonary status. "Johnny, did Chet need the MS in route?" he said, taking his otoscope and using it to look for burns inside Chet's nose and mouth. He shifted to his penlight to examine the membranes in Chet's eyes. "Yeah. About five minutes ago, just before we pulled up here. Look doc, he's really out now. His pressure's barely holding low normal with that suit on." Gage said, helping the nurses and techs shift Chet from the portable EKG to the hospital one and to trade his D tanked O2, for the wall port source. "I decided not to monkey with an oral airway with that wheezing going on." |
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"Ok, Johnny, we'll take it from here." Joe said. Then Dr. Early noticed the usually talkative Gage growing as quiet as Roy usually was, and then he saw the matching looks of worry blooming suddenly on their faces at the idea of being driven out of the room. He reconsidered, saying. "Roy, why don't you check his feet for pedal pulses so we can rule out descending aorta involvement..And Johnny, tell me exactly, what burns you found on him and where.." Then he turned to Dix, while Carol took a set of vitals on Chet. "Dixie, page Dr. Brackett for me would you? He's with his father. And call for a surgical team. We're going to have to do an exploratory on Kelly's abdomen to see what's going on. Carol, get a warming blanket will you? Seems his core temp's still a little low." ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- Twenty five long minutes later, Johnny and Roy left the treatment room reluctantly, leaving the pre-op team scurrying to prepare Chet for his emergency surgery. Cap and the gang immediately surrounded them. Every one of them had their helmets off and respectfully in their gloves. "How is he?" Hank asked. "Did we get that wash in Kelly's eyes in time?" Johnny said. "His pupillary responses are still reactive, Cap. That's a good sign doc says. That means his eyes aren't burned that badly." Roy added. "Chet's going to be wheeled into surgery any minute now. Dr. Early seems to think his spleen isn't that badly torn. I think his abdominal guarding was going away." "Can we see him?" Marco asked. Right then, Dixie McCall stepped through the doors with a tray full of blood samples for the lab and handed it off to a passing nurse. "Take these to the lab, stat." she said. She sealed the door after herself before the gang could peek through. "Now boys, you know we're doing everything we can for your friend. Just give him and the doctors some space so they can do their work, all right? Chet's vitals are stabilized well enough for his surgery now so relax.." Sighs of relief erupted from all the men towering above her diminutive stature. Then she pegged them all with an appraising stare. "All right, who needs to be seen about ammonia exposure..?" Roy raised his hand. "I do. I took some on the arm." "This way.." Dix said to him. She smiled when the whole station crew followed, crowded behind Roy into treatment four, on the hope of wringing more reassurance out of her about Chet. She patted the bed, "Hop up, Roy. Kel's here and he'll take a look at you while Chet's being readied for surgery." "Dr. Brackett's here?" Roy said, "I thought he had the night off? You know, since...." he broke off, he even paused in pulling off his T- shirt for his coming exam when he realized he might be on confidential ground. "Since Kel acted like a belligerent school kid and drove his fist through a deck door window? Pretty amazing, I know. But what son isn't prone to his father pushing some sensitive buttons, hmm?" she quipped. "Is Dr. Brackett all right?" Johnny asked, concerned for the senior physician. "We were pretty shocked when Mendelson told us what happened on the way in with Chet and the woman." "He's sore, with thirty two stitches, but at least, he's got a reason to smile tonight. Brent Brackett and Kel have decided to mend some fences even after THIS long.. " she said with intense secrecy. "Kel told me the news only an hour ago from the restaurant." she whispered. Then aloud. "Quit cowering, all. You fellas are all family so, of course, I'll tell you everything about this whole stupid complex of Kel's. And I'll tell you more too. Just as soon as I understand enough of it to voice into legible words..I'm a woman, remember, and it usually takes me a while to fathom out father/son feuds. Especially when the two involved are good friends of mine." she grunted, partial laughing, while taking a BP on Roy. She finished and wrote it down. "Any dizziness, Roy? Odd things going on with your eyes?" "No. I'm fine. The hosing wash I took in the decontam tent took care of all that." Dix slid over a blood draw tray and tied on a tourniquet to obtain samples from him. "Yeah? Well, Dr. Brackett is still giving you his own once over just to be on the safe side. I'm just the front line of defenses.." "But..." |
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"Don't worry. Kel'll tear right out of here to scrub up the second Chet's fully prepped and anesthetized." They piped down when Kel came through the treatment doors not alone, but accompanied by Brent Brackett, the tyrannical father figure they had heard so much about through Mendelson in the hall. Dix cast significant eyes at Johnny and Roy and the rest of the gang in the room and angled her head to show her statement about their making amends was really quite true. She started heading for the door. Kel called out after her. "Say Dix, did you get Roy's blood samples for the l--?" he broke off when Dix held up the three vials already clasped in her long fingernails without turning around. "oh... ok." Dixie winked at the gang on her way out. Dr. Brackett noticed the unusual presence of Roy's coworkers in the room, trying to blend in with the glass medicine cabinets. "Roy, you've quite an entourage of fans here. Didn't know you were so popular. Thought Gage here was the star in your outfit." "They're worried about Chet, doc." DeSoto said without smiling. "Nothing to worry about." Brent Brackett spoke up instantly. Dr. Brackett stiffened at his father's intrusion into his patient / doctor territory, but the firemen all saw Kel relax a bit when Kel realized Brent was actually bringing his own skills to bear accordingly as was his right as senior attending house psychologist. "We just left him and his chest Xray, young man. Looking good. Both of them." Brent told Roy and the rest of the firemen in the room, hanging on to his white coat's lapels. |
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