Ch 25
"GSW to the chest last BP was 80/40 no lung sounds on the left IV is wide open." The paramedic said.
"OK lets move on my count one, two, three." Susan said.
"Tachycardia" Abby told her.
"OK we have no breath sounds on the left he has a pnuemothorax." Susan inserted the release the pressure in the man's chest. "Ok I need six units O neg. chest X ray and CBC." Susan told the nurses "But he's stable for now. Let's alert the OR."
Susan started to walk out of the room but Abby called her back "Susan neck veins are descended and I can't hear heart sounds."
"OK" Susan said listening to the man's chest with her stethoscope. Cardiac tamponade. Where the hell is Corday?"
"She should be here in five minutes." Abby replied.
"He'll be dead in five minutes." Susan yelled, "ok I'm doing it. Thoracodomy tray, I need a ten blade." Susan opened the man's chest. "Rib spreader!"
She cut a hole in the pericardium to release the pressure on the man's heart.
"The heart is oozing!" She yelled "Looks like a piece of the bullet has pierced the right side." Susan yelled. She put her finger the hole to stop the bleeding.
"BP is 90/70. OR is ready." One of the nurses yelled.
"OK lets go!" she yelled sitting on the gurney with her finger still in the man's heart they rushed the man to the OR.
Abby took a deep breath and walked out of the trauma room. 'What a great way to start the night.' Abby thought.
"Abby, I've got about twenty people with food poisoning they all need rectals looks like this is your lucky night I need your help." Susan informed her.
"Wonderful" Abby replied sarcastically following Susan down the hall. She was so tired she'd been working the graveyard all week and was ready for a break. The only good thing was the fact that it was the second week in April so the weather wasn't so cold anymore not that she'd been outside to enjoy it. She felt so irritable like she had a rash all over her body except it was under her skin where she couldn't even itch it. She was miserable.
"Oh my god I'm so tired." She told Susan. "I feel like I could sleep for a month."
"Still doing the graveyard huh?"
"Yea it's the last day though." Abby sighed "I didn't think I was going to make it."
"When are you off?" Susan asked her.
"Seven."
"Well only two hours to go that's not bad."
"Sure." Abby said offhandedly walking into the room.
"Hey." Carter said as Abby walked in the door. He was just getting ready to leave.
"Hey." She said kissing him.
"Rough shift?"
"It's that obvious huh?"
"Well you look exhausted are you ok?"
"Yea I'm fine."
When he looked at her funny she smiled a little and said, "Seriously Carter I'm just really really tired, when are you off?"
"Eight" he answered.
"Well if there's a god I'll still be asleep when you get home."
"Ok" he relented "I love you."
"Love you to." She said and kissed him goodbye.
After Carter left she went straight to bed she fell asleep the second her head hit the pillow.
"Multiple MVA's coming in there was a pile up on the Kennedy. Call any doctor and nurse who isn't in this hospital and get them back here now!" Kerry yelled from the admit desk.
"Everyone?" Carter asked thinking of how tired Abby looked just three hours earlier.
"Everyone! We are the closest hospital so we will get most of the critical cases. We don't have much time people lets make sure we are ready for them." With that Kerry walked off to get things in order.
Abby woke up to the sound of her beeper going off. " Dammit" She swore reaching for it. She saw that it said 911, which made her even less happy. She reached for the phone and called county.
"Hey it's Abby, What?, yea I'll be right there." She said sitting up. "Dammit" she swore to no one in particular and got up and threw her coat on. She was still in her clothes from the night before so she was out the door in record time.
"GCS 2-2-5!" the paramedic yelled to Corday as they rushed to the trauma room.
"OK on my count one, two, three. Ok we need to tube him now! he's not getting enough air."
Elizabeth started to intubate him.
"Ugh! I can't see anything there's too much blood. I need some suction. OK forget it I still can't see anything I need to crike him. Come on come on move!"
Elizabeth took the scalpel and cut through the membrane in the man's neck.
"Ok I'm in."
"There's no breath sounds on the right." Carter said, "trachea has shifted to the left. We have a tension pnuemo we have to reinflate.
"BP is dropping 60/40." Lydia said.
"OK I'm on it." Carter said placing a needle in the patient's chest to release the air from the chest cavity.
"Alright lets prep for a lavage." Elizabeth said
Carter set up the lavage attaching the tube to the man's stomach.
"BP is rising but the lavage is positive." Lydia said.
"Ok call the OR tell them we are on our way clear a trauma room for an x lap. Let's go now move!" Elizabeth yelled pushing the patient out of the room.
Carter followed her out and ran smack into Abby. His heart sank when he saw how tired she looked.
"Hey" he said "I'm sorry I tried to talk Weaver out of calling you but everyone was called in.
"It's ok," Abby said.
"We got another one it's at the back door!" Malik yelled throwing a gown towards both of them.
"Here we go." Abby sighed.
"What have you got?" Carter asked
"Twenty three year old male right femoral fracture, multiple abdominal lacerations two liters saline in." the paramedic told him.
"OK lets go!" Carter yelled as they rushed alongside the gurney. OK on my count one, two, three and lift."
"Oww!" The man screamed in agony."
"Can you tell me your name?" Carter asked the man as he shone a light in his eyes.
"Pupils are equal and reactive."
"Seth, ow god it hurts please help me!"
"OK calm down Seth we are gonna help you."
"Push five of Demerol." Carter told Abby.
"Does you neck hurt Seth?"
"No it's my leg"
"OK" He removed the collar and checked the man's neck. "He's clear." He said then he moved around to the man's stomach the nurses had already cut his clothes off.
"There's minor lacerations on the abdomen prep for a lavage.
After the anesthetic was administered he inserted the tube into the man's stomach and pushed in the saline. They all waited nervously for the saline to cycle out. When it did it was bright red.
"Lavage is positive ok notify the OR it's probably his spleen."
Carter took the man to the elevator.
As Abby walked out of the trauma room a man approached her.
"Excuse me are you a doctor?"
"No I'm not."
"Well can you help me?" He removed the cloth he was holding to his head to reveal a deep cut over his right eye.
"I'm sorry but you'll have to wait in chairs." She told him.
"I have been waiting in chairs!' He yelled, "I'll bleed to death before someone helps me!"
"I'm sorry sir," She said walking away.
"Hey that's not good enough. Hey come back here! You bitch!"
'Wonderful' Abby thought walking away.
"GSW to the chest last BP was 80/40 no lung sounds on the left IV is wide open." The paramedic said.
"OK lets move on my count one, two, three." Susan said.
"Tachycardia" Abby told her.
"OK we have no breath sounds on the left he has a pnuemothorax." Susan inserted the release the pressure in the man's chest. "Ok I need six units O neg. chest X ray and CBC." Susan told the nurses "But he's stable for now. Let's alert the OR."
Susan started to walk out of the room but Abby called her back "Susan neck veins are descended and I can't hear heart sounds."
"OK" Susan said listening to the man's chest with her stethoscope. Cardiac tamponade. Where the hell is Corday?"
"She should be here in five minutes." Abby replied.
"He'll be dead in five minutes." Susan yelled, "ok I'm doing it. Thoracodomy tray, I need a ten blade." Susan opened the man's chest. "Rib spreader!"
She cut a hole in the pericardium to release the pressure on the man's heart.
"The heart is oozing!" She yelled "Looks like a piece of the bullet has pierced the right side." Susan yelled. She put her finger the hole to stop the bleeding.
"BP is 90/70. OR is ready." One of the nurses yelled.
"OK lets go!" she yelled sitting on the gurney with her finger still in the man's heart they rushed the man to the OR.
Abby took a deep breath and walked out of the trauma room. 'What a great way to start the night.' Abby thought.
"Abby, I've got about twenty people with food poisoning they all need rectals looks like this is your lucky night I need your help." Susan informed her.
"Wonderful" Abby replied sarcastically following Susan down the hall. She was so tired she'd been working the graveyard all week and was ready for a break. The only good thing was the fact that it was the second week in April so the weather wasn't so cold anymore not that she'd been outside to enjoy it. She felt so irritable like she had a rash all over her body except it was under her skin where she couldn't even itch it. She was miserable.
"Oh my god I'm so tired." She told Susan. "I feel like I could sleep for a month."
"Still doing the graveyard huh?"
"Yea it's the last day though." Abby sighed "I didn't think I was going to make it."
"When are you off?" Susan asked her.
"Seven."
"Well only two hours to go that's not bad."
"Sure." Abby said offhandedly walking into the room.
"Hey." Carter said as Abby walked in the door. He was just getting ready to leave.
"Hey." She said kissing him.
"Rough shift?"
"It's that obvious huh?"
"Well you look exhausted are you ok?"
"Yea I'm fine."
When he looked at her funny she smiled a little and said, "Seriously Carter I'm just really really tired, when are you off?"
"Eight" he answered.
"Well if there's a god I'll still be asleep when you get home."
"Ok" he relented "I love you."
"Love you to." She said and kissed him goodbye.
After Carter left she went straight to bed she fell asleep the second her head hit the pillow.
"Multiple MVA's coming in there was a pile up on the Kennedy. Call any doctor and nurse who isn't in this hospital and get them back here now!" Kerry yelled from the admit desk.
"Everyone?" Carter asked thinking of how tired Abby looked just three hours earlier.
"Everyone! We are the closest hospital so we will get most of the critical cases. We don't have much time people lets make sure we are ready for them." With that Kerry walked off to get things in order.
Abby woke up to the sound of her beeper going off. " Dammit" She swore reaching for it. She saw that it said 911, which made her even less happy. She reached for the phone and called county.
"Hey it's Abby, What?, yea I'll be right there." She said sitting up. "Dammit" she swore to no one in particular and got up and threw her coat on. She was still in her clothes from the night before so she was out the door in record time.
"GCS 2-2-5!" the paramedic yelled to Corday as they rushed to the trauma room.
"OK on my count one, two, three. Ok we need to tube him now! he's not getting enough air."
Elizabeth started to intubate him.
"Ugh! I can't see anything there's too much blood. I need some suction. OK forget it I still can't see anything I need to crike him. Come on come on move!"
Elizabeth took the scalpel and cut through the membrane in the man's neck.
"Ok I'm in."
"There's no breath sounds on the right." Carter said, "trachea has shifted to the left. We have a tension pnuemo we have to reinflate.
"BP is dropping 60/40." Lydia said.
"OK I'm on it." Carter said placing a needle in the patient's chest to release the air from the chest cavity.
"Alright lets prep for a lavage." Elizabeth said
Carter set up the lavage attaching the tube to the man's stomach.
"BP is rising but the lavage is positive." Lydia said.
"Ok call the OR tell them we are on our way clear a trauma room for an x lap. Let's go now move!" Elizabeth yelled pushing the patient out of the room.
Carter followed her out and ran smack into Abby. His heart sank when he saw how tired she looked.
"Hey" he said "I'm sorry I tried to talk Weaver out of calling you but everyone was called in.
"It's ok," Abby said.
"We got another one it's at the back door!" Malik yelled throwing a gown towards both of them.
"Here we go." Abby sighed.
"What have you got?" Carter asked
"Twenty three year old male right femoral fracture, multiple abdominal lacerations two liters saline in." the paramedic told him.
"OK lets go!" Carter yelled as they rushed alongside the gurney. OK on my count one, two, three and lift."
"Oww!" The man screamed in agony."
"Can you tell me your name?" Carter asked the man as he shone a light in his eyes.
"Pupils are equal and reactive."
"Seth, ow god it hurts please help me!"
"OK calm down Seth we are gonna help you."
"Push five of Demerol." Carter told Abby.
"Does you neck hurt Seth?"
"No it's my leg"
"OK" He removed the collar and checked the man's neck. "He's clear." He said then he moved around to the man's stomach the nurses had already cut his clothes off.
"There's minor lacerations on the abdomen prep for a lavage.
After the anesthetic was administered he inserted the tube into the man's stomach and pushed in the saline. They all waited nervously for the saline to cycle out. When it did it was bright red.
"Lavage is positive ok notify the OR it's probably his spleen."
Carter took the man to the elevator.
As Abby walked out of the trauma room a man approached her.
"Excuse me are you a doctor?"
"No I'm not."
"Well can you help me?" He removed the cloth he was holding to his head to reveal a deep cut over his right eye.
"I'm sorry but you'll have to wait in chairs." She told him.
"I have been waiting in chairs!' He yelled, "I'll bleed to death before someone helps me!"
"I'm sorry sir," She said walking away.
"Hey that's not good enough. Hey come back here! You bitch!"
'Wonderful' Abby thought walking away.