Chapter 251
"Okay lets transfer very gently on three. Gently!" Sax said. The team lifted Kate slowly and gently onto the ER bed.
"I want 8 units of cross matched blood on standby. Get more O neg on the rapid infuser. I need a chest and abdominal x-ray and CT if we can stabilize her enough" Sax continued to orders for scans and blood tests.
"Dammit this is bad… she doesn't have a lot going for her here" said a resident.
"Listen up people, I have this thing… if they come into my ER alive… with a pulse, they better go home that way" said Sax and continued working.
"Kate" Sara said as loudly as possible. Nobody listened and they simply proceeded to transfer Sara onto a bed.
Sara tried to sit up. Everything was painful.
"Stay still please"
"Kaaate" Sara wailed. Somebody was holding her down.
"I need to see her" Sara screamed.
The next second Sara started shaking violently, every muscle in her body contracting.
"She's seizing, give me two of larazapan. Turn her" somebody shouted.
Somebody pushed the drug into Sara's IV line while she was turned on her side.
"Still seizing, suction… now! I need suction. Push one of fenobarbital" a doctor shouted as foam flowed out of Sara's mouth. Her eyelids half open, eyes rolling in the back of her head.
"Feno's going in"
"Okay seizing slowing down"
"Pupils unequal but reactive. This is a delayed brain bleed, I'll put money on it" said a resident.
"We need a stat head and neck CT, don't have time for the rest, X-rays of the chest, abdo, arms and legs will need to do" said an attending.
"Sara squeeze my hand if you can hear me… squeeze my hand Sara" said the attending.
Sara didn't move.
-0-
In the trauma bay next to Sara Sax was desperately trying to stabilise Kate to get her to surgery. It was an almost impossible task. Sax felt out of place and disjointed in an unfamiliar hospital that didn't have the excellent staff she was used to. They were competent but her own trauma fellows, residents and nurses worked like a well-oiled machine together.
"Okay, pressure's holding. Let's get her to CT so we know what we're dealing with" said Sax.
The bed started moving and a resident turned. The bed bumped into him. Suddenly every monitor around Kate started screaming.
"BP crashing, 45 over 30. Pulse down to 30. Pressure still falling 30, 20"
"Dammit the metal must have moved, she's bleeding out. Start massive transfusion protocol" Sax screamed.
"Lost her pressure" somebody screamed.
Sax looked up at the monitor.
"She's lost her output, she's in PVA. Get me a chest and abdominal tray I'm going in" said Sax.
Sax put her hands around the metal.
"Dr Sinclair what are you doing?" a resident asked.
"She's in cardiac arrest, we can't get her heart back with this in her. You, get on the chest compressions as soon as it's out" Sax snapped.
Sax put her hands around the metal and pulled hard to get it out. Blood started seeping out immediately.
"V-fib" somebody shouted
Somebody started CPR as Sax picked up the paddles. "Charge to 300… where's my surgical trays?" Sax yelled.
People were rushing around Kate, a resident started manually ventilating her.
"Everyone clear" Sax yelled and put the paddles on Kate's naked chest.
"Shocking" she said and Kate's body jumped up.
"Still V-fib… push one of epi" Sax yelled.
"Surgical tray" said somebody and started opening the sterile tray.
"Who are you?" asked Sax.
"Dr Carver, trauma fellow" said the good looking brunette. Sax didn't dare even glance up at the girl.
"Defib's not going to help until we've re-established flow. We need to find this bleed. Do a left lateral thoracotomy, check the condition of the heart and start internal compressions. I'll check the upper abdomen" said Sax and grabbed a scalpel.
"Really? Right here?" asked a resident.
"Yes, really. Carver you good to go?"
"Making my incision now" said Dr Carver.
Sax cut into Kate's abdomen after somebody just about emptied a bottle of betadine onto it.
"Mask me" Sax yelled. She was paranoid about operating without a surgical mask, even in the ER.
"Light, I need light!
Suction, I can't see a damn thing!
Come on Kate stay with me.
There it is, there's a tear in the abdominal aorta"
Dr Carver was expertly opening Kate's chest with rib spreaders.
"Heart looks okay, contused. Lung's a mess though"
"Jackson, I need you… clamp this. Carver start manual massage of the heart while I suture this"
"Got it" said Dr Carver and put her hand around Kate's heart and started squeezing rhythmically.
"I need 1 of intercardiac epi. One of lido through the central line. Pack it, more, more" Sax instructed.
"Aorta's clamped, let's get this heart beating people. Charge internal paddles to 10. Carver get out of the chest" Dr Carver moved her hands out of Kate's chest.
Sax put the paddles on Kate's heart and pressed the buttons. The heart jumped but immediately went back to the chaotic quivering.
"Stil in fib let's go again…. 15" Sax pressed the buttons again.
"Dammit Kate get beating" she cursed.
"Again…20" Sax pressed the buttons again.
"No change… no output" Carver reported.
Sax handed the paddles to a nurse and started squeezing Kate's heart herself.
"Come on Kate, I'm not losing you" she mumbled.
"Down time, 8 minutes" reported a nurse.
"Come on Kate" Sax has never felt this way in an ER before. Emotion was threatening to spill over.
"Everything under control here" said a doctor coming into the room.
"Does it look as if it's under control" Sax snapped as she inspected the abdomen again.
"Who are you?" asked the man.
"Saxon Sinclair. I've been cleared for privileges"
"I'm the lead trauma surgeon. You're overstepping your boundaries"
"If we waited for you she would be dead" Sax yelled.
"She looks pretty dead to me" said the doctor and pointed at the monitor screen.
"Get out" Sax shouted at the top of her voice.
The man turned around without another word. Clearly pissed that some hot-shot trauma surgeon from California dared set foot in his domain.
"Let's shock again" said Sax shaking her head.
A/N: Will they get Kate back? Things aren't looking great for her. And Sara? What does that delayed brain bleed mean? Check back soon and remember to review!