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    Rescue Me, Chapter 27

    Story written on October 21, 2005 by medicfromhell.
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    45 votes, average: 4.11 out of 545 votes, average: 4.11 out of 545 votes, average: 4.11 out of 545 votes, average: 4.11 out of 545 votes, average: 4.11 out of 5 (45 votes, average: 4.11 out of 5)
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    Number of Comments: 21
    Words: 3036
    Story Shortlink: https://lesfan.com/?p=57220
    Author Notes:

    Back to the daily grind, sort of.

     

    “Chief, what’s your extrication plan?  We have to get him out quickly,” says Bette as she starts to suction the victim’s airway.  She applies a non-rebreather oxygen mask and cranks up the O2 to 15 liters per minute. She brings his head into a neutral position and inserts an oropharyngeal airway to try and keep his airway open. 

     

    Chief:  “We’re going to try to cut the roof away from the car so we can pull it out of the way and get a board in to him on the other side of the pole.  We have to be careful though because of the hydraulic used to raise and lower the hardtop.”

     

    Bette:  “Great, how long do you think it will take?”  “Chris, can you get in here and help me get a collar on him?”

     

    Chief:  “10, maybe 15 minutes.”  Chris is climbing over Bette and trying to position himself so Bette can maintain manual stabilization on the victim’s cervical spine and he can get a collar on him.  Once the cervical collar is in place, Chris takes over manual stabilization.

     

    Bette:  “I don’t know if he has 10 or 15 minutes.  Chief, can you call dispatch and have them advise Community to prepare for a Trauma Alert, unconscious head trauma?”

     

    Bette:  “Here Chris, hold pressure on that head would with this trauma dressing.”

     

    He slowly rolls his fingers up as Bette applies the Trauma dressing, never letting go of the patient’s head or endangering his cervical spine.  Bette reassesses the patient’s pulses. 

     

    Bette:  “He’s not tachycardic, but I’m not happy about his airway, I’m worried he’s going to aspirate Chris.  I’m going to tube him before we get him out.” 

     

    Bette preps her equipment and proceeds to intubate the patient using a face to face technique.  She gets the tube on her first attempt and secures it with a tube tamer and adds an end-tidal CO2 detector.  She hooks up the portable ventilator and prepares to initiate two large bore IV’s.  She cuts away the patient’s suit jacket and shirt.   She managed to get one IV initiated before the rescue crew finally gets the roof of the car removed, allowing them enough room to extricate the patient on to a long backboard.  Once he is out of the car and in the ambulance, Chris joins Bette in the back and a firefighter drives them to Community Medical Center.  Enroute Chris removes the rest of the patient’s clothing while Bette initiates a second IV and hooks up the EKG monitor and non-invasive blood pressure cuff.  Bette finishes her assessment and finds the patient to be profoundly unconscious with a left temporal and parietal head laceration.  His face is swollen, especially on the left side.  The bleeding is slowed but not stopping.  The patient’s pupils are unequal, with the left being 9mm and the right being 3 mm in size.  His pulse rate is a relative Bradycardia and his blood pressure is 116 systolic and 102 diastolic.  His lung sounds with ventilation are clear and equal bilaterally and his EtCO2  is 35 mmHg.

     

    Chris:  “Umm Bette?”

     

    Bette: “*****, this guy is herniating his brain.  What Chris?”

     

    Chris holds up a hospital ID badge that fell out of the patient’s suit jacket pocket. 

     

    Eric Prescott, MD

    Department of Cardio-Thoracic Surgery

     

    Bette: “*****, *****, *****!  Damn it Eric, don’t you ***** die on me.”

     

    Community Medical Center, Trauma Bay #1

     

    Laura:  “Talk to me Bette.”

     

    Bette:  “It’s Eric Prescott Laura, and I think he’s herniating his brain stem.  Restrained driver, T-boned on his passenger’s side and rolled onto the driver’s door.  Entrapped for about 15 minutes. Unconscious the whole time, snoring and gurgling respirations of 6 per minute on my arrival.   Sub-Q emphysema present.  We had to reposition his head and neck to a neutral position to open the airway before I intubated him.  Pulse 58, Blood pressure is 116 over 102.  Balance of the exam is pretty much unremarkable. 

     

    “Laura, Bette what did you bring me today,” asks Tina.

     

    Tina, who else is on call today from Neuro,”  asks Laura.

     

    “Well, Vijay and John are on, but they’re both in surgery right now.  Why?”

     

    Laura looks are Bette, Bette looks at Tina and walks to her placing her hand on her shoulder.

     

    “T, it’s Eric,” says Bette.

     

    “Wh what?”  Bette catches her as she collapses to the floor.

     

    TBC

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    Comments

    11. nice, man poor tina she has 2 save eric, the guy who used 2 be her man, poor tina, what are the odds of him living, i just hope tina doesn’t get 2 close to eric because she feels sorry for him, i know this is going 2 cause major promblems between bette & tina, it’s just simple, she feels sorry for him, he might kiss tina, bette walks in, she sees them in a lip-lock, bette is furious, bette and tina fight & end up breaking up. i really could careless if he dies but if it’s going to affect tina if he does, so regretfully i have 2 say hang on eric, if she doesn’t care then i don’t care. Thanx 4 the post and welcome back my friend.

    14. WOW…fucking awesome…i hope Tina have the stre8 to operate..maybe she could forget a blade on his brain..lol..im kidding..Bette will have to be there for Tina and confort her..please plese post soon thanks :o)

    17. I thought that it might have been Eric and to tell you the truth as far as I am concerned, that is the best case senerio. I don’t think that Tina she have to or be premitted to operate on Eric. Please check your PM.

    18. Medic…the drama the drama. You sure know how to bring the drama on the board, sh*t…excellent update medic and what is going to happen now with Eric back in the picture…well done. Post soon

    19. I think we all know how this one is going to play out; Eric is going to live because Tina being the person she is, is bound to save his life. But DAMN….did she have to pass out?

    21. so tina is going to nurse eric back to life cause a riff between her and bette
      elle comes back to town enough said.i like that version will it happen please make it so.

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