In her unconsciousness she thinks about what just happened. What would
happen now? She was preparing for death. It frightened her. What if no one
would fine them? And how was Carter doing? Was he. dying?
They had been lying there for a long time when Lucy notices the door open and Kerry rushes inside. "Ohhh!" Kerry ran forward. Lucy wanted to scream out to the doctor, but she couldn't respond to anything, in fact she was barely able to follow what happened.
**********
Lucy knew she was placed on a backboard. She heard people speaking hastily, and she felt the movement. She was rolled onto a gurney.
"Push some tamponade and sucs now!" Kerry's voice. "Stab wound to the left neck and chest, oh man, two more to the belly, right and left upper quadrants." Dave spoke in horror. Kerry yelled commands. "Number eight ET tube! What's her BP?" "Hold on, pulse ox is low, 82!" "That's why I'm tubing her, get me a blood pressure!" "Chest tube tray!" Dave looked horrified.
"No, start a central line," Kerry insisted.
"BP is 90/50!" Kerry thought wisely. "Get me four units of O-neg, hang two on the rapid infuser. Give me some Cricoid pressure!" She tried to intubate Lucy, it took her great effort. "You ok, chief?" Kerry intubates. "I got it! Start the central line now!" "Betadine and a sterile drip!" Dave added. Kerry shook her head in disbelief. "People are having parties while these two are in there, bleeding to death." She sounded very bitterly. The others looked guiltily. Kerry takes a second to peek at the other Trauma room, where Carter is treated. Haleh pulls her mental state back into the room. "Pulse ox is 83."
"Give it a minute. Ten- blade!" Randi enters the room, distraughtly looking at Lucy. "Dr. Weaver, the police are sealing of Curtain 3. They need to talk to anyone who took care of the patient right away." "Handle it, Randi!" Lucy's neck wounds now begin to bleed again. Dave notices. "Look at this! Look at this, Chief!" "Dammit, dammit! Trachel laceration!" "She needs a crike," Dave offers. "No, she needs a trach. Get Benton in here, prep the neck and open a Melker kit, Now, let's go! Let's go!" Haleh leaves the room and enters trauma two. Shortly after, she re-enters with Benton at her side. He trachs Lucy. As soon as he's finished, Chen enters. "Get ready to bag her!" Benton adds. Chen wants his attention. "Dr. Benton, we need you!" Kerry looks at her for a second. "Hook up the thoraseal!" Peter checks Lucy's breathing. "I've got breath sounds" "Dr. Benton!" Chen sounds desperate. Kerry looks at Benton. "Peter!" Chen explains what's wrong. "Carter's got a bad renal lac, foley output's bright red!" Peter curses inside himself. He looks at Haleh. "What's her pulse ox?" "BP's down to 81," she replies. "You got another surgeon comin'?" Kerry shoves him out. "Go, Go!" As Benton leaves, the others try to stabilize Lucy. "Xeroform and an elastoplast." Kerry orders. Luka examines Lucy. "Belly's decended, probably and intra-abdominal bleed." Kerry still doesn't believe how this could happen. "Why wasn't this guy sedated?" Luka shakes his head. "I don't know. Get ultrasound in here!" "Was he on hold? Was there a sitter with him?" Kerry ads. "I don't know Kerry, I never saw him!" "What!?"
Mark and Elizabeth enter the trauma room. "Where are we?" Elizabeth asks. Dave quickly explains. "Multiple stab wounds to the left neck and chest, right and left upper quadrants of the abdomen. We did a chest tube, central line and had to trach her." Elizabeth stays calm. "How much blood loss?" "400 in the thoraseal. Could've been another 2000 before we found her." Kerry answers bitterly. Mark steps in closer and examines Lucy's neck wound. "Ah. That looks deep. How long was the blade?" Suddenly Lucy's monitor begins to bleep heavily. The team quickly reacts. "Pressure's down to 60!" "She needs volume, now!" Elizabeth disagrees. "Maybe not, it could be tamponade, open a thoracotomy tray!" Now Kerry intervenes. "No, wait, check a CVP." Luka shook his head. "Too late, lost her pulse!" "We're in PEA." "Starting compressions." Elizabeth came with the only option. "We need to crack her, prep the chest." Mark agreed. "Ok, amp of epi, sterile gloves please." "We need better exposure. Stab wound is near the midline." Luka ads. "Sternal saw now, Lily, move!" Kerry pours Betadine on Lucy's chest, preparing the girl for the crack. "Go, go, go!" Mark is impatient. "Ultrasound is ready." "In a minute, in a minute." Elizabeth asks for a ten blade. "Ten blade, stand back!" She begins to cut. "Stats are down to 85." Dave looks a bit miserable as Elizabet continues the incision. Everyone watches silently. After she finishes, Kerry begins the sternal saw. Dave looks away, unable to cope with the situation. "Almost got it." Kerry completes the gruesome action. ".Ok!" "Rib spreader!" "Suction!" Luka begins the ultrasound. Dave looks at Lucy's monitor. She goes into ventricullar fibrillation. "V-fib!" "Start internal compressions!" Mark does. "You're right, there is an effusion." Elizabeth takes action. "Metz!" Kerry hands it to her. "Prep the internal paddles." "Pericardium's open!" Elizabeth notifies them. "We've got a major hemorrage here." Mark notices. "More suction!" Kerry looks at the situation. "It's at the proximal aorta..." "Keep your finger on it, Kerry!" she nods. "I need a 4-0 prolene on an r.b- 1 needle now." Elizabeth claims. Luka glances at the ultra sound. "Belly's full of blood, probably got the spleen." Dave quickly responds. "We've gotta cross clamp the aorta!" "One thing at a time!" Elizabeth answers a bit agitated. "Auto-transfuse from the cell saver!" "Charge the paddles to 15!" Elizabeth finishes sewing the hemorrage. She holds out the extra thread. "Cut, cut, cut!" Luka cuts it. Kerry holds the pedals. "Clear!" She shocks Lucy's heart. "We're still in V-fib!" "Another amp of epi!" "Clear!" Lucy is shocked again, the doctors now hear a different beat coming out of the monitor. "Sinus Tach!" "Check the pressure!" "Get a portable monitor, we're moving her up to the OR now." Elizabeth confirms. Kerry gestures to the nurses. "Hang the other units." Dave watches the monitor. "Pulse ox is up to 92." Haleh confirms. "Pressure's 90 systolic." Elizabeth starts to move Lucy's gurney. "Let's go!" The pulse ox cable is still stuck on the machine. Kerry hurries to unplug it. "Pulse ox cable!" They continue rolling towards the elevator. "Is she making urine?" Mark asks. "Only 50 ccs in the foley." "Better than nothing. Let's go!" Elizabeth gestures. "Call the OR, tell them we have an open chest. We'll need a laparotomy." Lily interrupts. "We're still waiting on the type- specific!" "Have the blood bank send it upstairs!" Kerry answers. "Are you putting her on bypass?" Luka asks Elizabeth. "I don't know, have a perfusionist standing by." Kerry is limping forward. "Hold the elevator!" Mark looks at Dave. "Malucci, don't bag so fast, we don't want to make her alkalotic!" "Did he get anyone else?" Luka aksk. "I hope not," Elizabeth replies. "Don't forget the drug box,go!" Kerry gestures for them to board the elevator. Dave and Haleh accompany Elizabeth and Lucy.
**********
They had been lying there for a long time when Lucy notices the door open and Kerry rushes inside. "Ohhh!" Kerry ran forward. Lucy wanted to scream out to the doctor, but she couldn't respond to anything, in fact she was barely able to follow what happened.
**********
Lucy knew she was placed on a backboard. She heard people speaking hastily, and she felt the movement. She was rolled onto a gurney.
"Push some tamponade and sucs now!" Kerry's voice. "Stab wound to the left neck and chest, oh man, two more to the belly, right and left upper quadrants." Dave spoke in horror. Kerry yelled commands. "Number eight ET tube! What's her BP?" "Hold on, pulse ox is low, 82!" "That's why I'm tubing her, get me a blood pressure!" "Chest tube tray!" Dave looked horrified.
"No, start a central line," Kerry insisted.
"BP is 90/50!" Kerry thought wisely. "Get me four units of O-neg, hang two on the rapid infuser. Give me some Cricoid pressure!" She tried to intubate Lucy, it took her great effort. "You ok, chief?" Kerry intubates. "I got it! Start the central line now!" "Betadine and a sterile drip!" Dave added. Kerry shook her head in disbelief. "People are having parties while these two are in there, bleeding to death." She sounded very bitterly. The others looked guiltily. Kerry takes a second to peek at the other Trauma room, where Carter is treated. Haleh pulls her mental state back into the room. "Pulse ox is 83."
"Give it a minute. Ten- blade!" Randi enters the room, distraughtly looking at Lucy. "Dr. Weaver, the police are sealing of Curtain 3. They need to talk to anyone who took care of the patient right away." "Handle it, Randi!" Lucy's neck wounds now begin to bleed again. Dave notices. "Look at this! Look at this, Chief!" "Dammit, dammit! Trachel laceration!" "She needs a crike," Dave offers. "No, she needs a trach. Get Benton in here, prep the neck and open a Melker kit, Now, let's go! Let's go!" Haleh leaves the room and enters trauma two. Shortly after, she re-enters with Benton at her side. He trachs Lucy. As soon as he's finished, Chen enters. "Get ready to bag her!" Benton adds. Chen wants his attention. "Dr. Benton, we need you!" Kerry looks at her for a second. "Hook up the thoraseal!" Peter checks Lucy's breathing. "I've got breath sounds" "Dr. Benton!" Chen sounds desperate. Kerry looks at Benton. "Peter!" Chen explains what's wrong. "Carter's got a bad renal lac, foley output's bright red!" Peter curses inside himself. He looks at Haleh. "What's her pulse ox?" "BP's down to 81," she replies. "You got another surgeon comin'?" Kerry shoves him out. "Go, Go!" As Benton leaves, the others try to stabilize Lucy. "Xeroform and an elastoplast." Kerry orders. Luka examines Lucy. "Belly's decended, probably and intra-abdominal bleed." Kerry still doesn't believe how this could happen. "Why wasn't this guy sedated?" Luka shakes his head. "I don't know. Get ultrasound in here!" "Was he on hold? Was there a sitter with him?" Kerry ads. "I don't know Kerry, I never saw him!" "What!?"
Mark and Elizabeth enter the trauma room. "Where are we?" Elizabeth asks. Dave quickly explains. "Multiple stab wounds to the left neck and chest, right and left upper quadrants of the abdomen. We did a chest tube, central line and had to trach her." Elizabeth stays calm. "How much blood loss?" "400 in the thoraseal. Could've been another 2000 before we found her." Kerry answers bitterly. Mark steps in closer and examines Lucy's neck wound. "Ah. That looks deep. How long was the blade?" Suddenly Lucy's monitor begins to bleep heavily. The team quickly reacts. "Pressure's down to 60!" "She needs volume, now!" Elizabeth disagrees. "Maybe not, it could be tamponade, open a thoracotomy tray!" Now Kerry intervenes. "No, wait, check a CVP." Luka shook his head. "Too late, lost her pulse!" "We're in PEA." "Starting compressions." Elizabeth came with the only option. "We need to crack her, prep the chest." Mark agreed. "Ok, amp of epi, sterile gloves please." "We need better exposure. Stab wound is near the midline." Luka ads. "Sternal saw now, Lily, move!" Kerry pours Betadine on Lucy's chest, preparing the girl for the crack. "Go, go, go!" Mark is impatient. "Ultrasound is ready." "In a minute, in a minute." Elizabeth asks for a ten blade. "Ten blade, stand back!" She begins to cut. "Stats are down to 85." Dave looks a bit miserable as Elizabet continues the incision. Everyone watches silently. After she finishes, Kerry begins the sternal saw. Dave looks away, unable to cope with the situation. "Almost got it." Kerry completes the gruesome action. ".Ok!" "Rib spreader!" "Suction!" Luka begins the ultrasound. Dave looks at Lucy's monitor. She goes into ventricullar fibrillation. "V-fib!" "Start internal compressions!" Mark does. "You're right, there is an effusion." Elizabeth takes action. "Metz!" Kerry hands it to her. "Prep the internal paddles." "Pericardium's open!" Elizabeth notifies them. "We've got a major hemorrage here." Mark notices. "More suction!" Kerry looks at the situation. "It's at the proximal aorta..." "Keep your finger on it, Kerry!" she nods. "I need a 4-0 prolene on an r.b- 1 needle now." Elizabeth claims. Luka glances at the ultra sound. "Belly's full of blood, probably got the spleen." Dave quickly responds. "We've gotta cross clamp the aorta!" "One thing at a time!" Elizabeth answers a bit agitated. "Auto-transfuse from the cell saver!" "Charge the paddles to 15!" Elizabeth finishes sewing the hemorrage. She holds out the extra thread. "Cut, cut, cut!" Luka cuts it. Kerry holds the pedals. "Clear!" She shocks Lucy's heart. "We're still in V-fib!" "Another amp of epi!" "Clear!" Lucy is shocked again, the doctors now hear a different beat coming out of the monitor. "Sinus Tach!" "Check the pressure!" "Get a portable monitor, we're moving her up to the OR now." Elizabeth confirms. Kerry gestures to the nurses. "Hang the other units." Dave watches the monitor. "Pulse ox is up to 92." Haleh confirms. "Pressure's 90 systolic." Elizabeth starts to move Lucy's gurney. "Let's go!" The pulse ox cable is still stuck on the machine. Kerry hurries to unplug it. "Pulse ox cable!" They continue rolling towards the elevator. "Is she making urine?" Mark asks. "Only 50 ccs in the foley." "Better than nothing. Let's go!" Elizabeth gestures. "Call the OR, tell them we have an open chest. We'll need a laparotomy." Lily interrupts. "We're still waiting on the type- specific!" "Have the blood bank send it upstairs!" Kerry answers. "Are you putting her on bypass?" Luka asks Elizabeth. "I don't know, have a perfusionist standing by." Kerry is limping forward. "Hold the elevator!" Mark looks at Dave. "Malucci, don't bag so fast, we don't want to make her alkalotic!" "Did he get anyone else?" Luka aksk. "I hope not," Elizabeth replies. "Don't forget the drug box,go!" Kerry gestures for them to board the elevator. Dave and Haleh accompany Elizabeth and Lucy.
**********