<RT>18:29:00|<MT>18:44:22|<AL>00:15:00 reset again!

[Vilanne 0]

“Computer – MT plus 15 minutes, set.” Dr. Chalice called after the 2nd TOD for her patient; the maximum medical transition time of 15 minutes was Starfleet Medical timing for humans and most alien species they came into contact, allowing the doctor’s time to revive a patient. After this set time, a doctor could confidently call time of death (TOD) without having consequences of a body still having any brainwaves or possibility of life left in it – most of the time.

 

 

The computer beeped to her command and automatically began the routine countdown on the readout. <RT>18:29:22|<MT>18:44:22|<AL>00:15:00; ([hh:mm:ss] - Real-Time based on the ships chronometer, Medical Transition timing defined by the medical procedure taking place, Minuend less Subtrahend resulting in the difference called the Alert Limit)

 

 

The patient had responded well after they brought him around the first time, but more than one episode was less than favorable. She had to bring his functions back again and get him stabilized immediately so no damage would be found from organ degradation.

 

 

The team continued to work to revise him with neural and cortical stimulators and since Dr. Chalice had his heart in her hand, she carefully massaged the valves to bring them back to life. Electroshock paddles couldn’t be used at this point. Chalice couldn’t put the heart down while re-attaching the left subclavian artery to the aorta, which has nearly been severed in his injury, and the two left pulmonary arteries were draped around her left index and middle fingers to keep them from being sliced by the handwork of the laser.

 

 

Nurse Bellamy glanced at the chronometer embedded in the top left corner of the biobed monitor. It now read <RT>18:31:27, with the next time field reading <MT>18:41:22, and the last field in bolded red was blinking a countdown of <AL>00:12:55 on a dark background. She did regular verbal counts at approximately 1 minute intervals. This one was called, “AL Thirteen,” 13 minutes left before a final TOD call. That was all that was to be said; the team remained silent while continuing.

 

 

The medical team had already been working on patient Erick Janeak for 4 hours. The major bleeders had been manually compressed until they could be cauterized and re-attached by hand. It was rare that all of this manual work was done on any patient, but the severe phaser damage called for it.

 

 

The silent alerts now stopped when a slow beep started, alerting the team that they were now hearing a faint heart beat, and blood pressure was leveling a slow increase. “Ok folks,” Dr. Chalice exhaled, “he’s back with us. Let’s get this chest into a compression state so we can start the spin.” The staff knew what that meant, so they all worked in harmony with each other to get him prepared. “Computer, clear the AL.”

 

 

The computer beeped once again and reset the numbers, with the AL back in light green against the dark background of the monitor. <RT>18:34:12|<MT>00:00:00|<AL>00:00:00

 

 

“Why in the galaxy do these officers not wear body armor when they go into these situations! I know this ship developed something… why was this man not wearing it!” Vilanne grumbled while she was manually reattaching yet another aortic section.

 

 

Nurse Bellamy spoke up quickly replying to the doctor’s request, “I will make an immediate inquiry, ma’am.”

 

 

“No, I’m just upset. We shouldn’t ever have this much damage with the amount of technological developments we have available to us on THIS ship.” Vilanne wished it was that easy to get everyone to use the best equipment readily accessible for each mission.

 

 

All of the alarms went off again. The blood pressure dropped out so quickly, the bleeder couldn’t be found fast enough.

 

 

In her angry voice, she called out, “Computer, recalculate for 3rd episode.”

 

 

Computer: “Medical Timing recommended at plus 11 minutes.”

 

 

“Fine, computer, set.”

 

 

The computer recalculated based on when the actual event alarms went off, which was standard and more accurate: <RT>18:36:26|<MT>18:44:22|<AL>00:10:41.

 

 

As she finished the manual work, the team prepared to put the surgical support frame over his chest. Dr. Chalice lasered the chest cavity back together as neatly as she could, and then rejuvenated the skin to hide all of the scarring. She turned off the low level force field that was running from the overhead array, which was preventing the patient from the risk of foreign microorganisms from entering his chest.

 

 

<RT>18:37:37|<MT>18:44:22|<AL>00:08:59

 

 

The team lifted the SS frame and clamped it down. One med tech started up the overhead sensor cluster and the group of biometric sensors began to beep in rhythm, creating a nice restful melody. “Good tune,” Nurse Bellamy said in her smile.

 

 

<RT>18:42:02|<MT>18:44:22|<AL>00:05:11

 

 

The team was much more relaxed now. That tune was always a relief to the team in the surgical suite. The tone now slowed and soothed, even Vilanne’s anger turned to calm. They were still working, more like a fine musical or classical opera, where everyone has their part and beautifully laced the melody and harmonies together to create this wonderful score of music. Even though the patient was flat lining again, the tune of beeps from the sensors were telling the team that though there just minutes to still bring him back, the SSF was administering the appropriate meds through it’s hypospray nodules, the diagnostic tools attached to all of this equipment was adjusting everything as necessary, and the unresponsive body wasn’t giving negative promise.

 

 

<RT>18:42:02|<MT>18:44:22|<AL>00:02:49

 

 

“Everyone have their clamps in order?” Dr. Chalice called out in the surgical suite. Everyone gave the affirmative. “Alright, release,” and with that, the biobed started to turn on its axis. This process was one of the latest treatments for numerous fine holds in organs. The rotations would move the organs along with gravity, allowing the sensors to get even better scans than two thin tissues lying next to each other, not showing a microscopic bleeder. After the sensors would find these microscopic bleeders, they would be able to target them without the skin being open any longer, preventing disease and microorganisms from infecting the patient.

 

 

<RT>18:43:07|<MT>18:44:22|<AL>00:01:05

 

 

Two rotations had been successful, except that the patient was STILL flat-lining, but the blood pressure in the body soon began to hold one steady diastolic number. This was an indicator that the sensor array would identify to make the determination to stimulate the heart with a couple low voltage jolts applied through the SSF. The doctors could always override any of these defaults, but the accuracy of the equipment coupled with the perfect timing of the computer’s Medical Diagnostic and Treatment Program (MDTP) was usually trusted.

 

 

A little less at ease now, Nurse Bellamy called out, “AL One!”

 

 

It was going to be a close call. The body temp was kept regulated through the SSF, the sensor array and MDTP were doing so many things to his heart, the neural and cortical stimulator settings were now also being regulated by the MDTP.

 

 

Nurse Bellamy called the quarter minute countdown and went right into seconds at 10…

 

 

Vilanne stood frozen watching the readouts.

 

 

<AL>00:00:09…..

 

 

<RT>18:43:52|<MT>18:44:22|<AL>00:00:08

 

 

<AL>00:00:07…

 

 

<AL>00:00:06…

 

 

<AL>00:00:05…

 

 

Vilanne leaned forward and with one shove, the SSF was on Erich’s shins. She hopped onto the biobed, and put her knees on either side of his body. With one swoop, her clasped hands came down onto the center of his chest with a thump! The rest of the team knew exactly what to do for this cardiac arrest episode and was right with her, performing an old fashioned bag-n-tag.

 

 

Pump, pump, pump… breaaaaathe. Pump, pump, pump… breeeaaaathe! Their in sync motions created a stern rhythm in his body, chest compressions and which responded. They were barely hitting eight chest compressions second, but if they went any faster the neural and cortical stimulators would shut off because the programming was set to cease when certain physical events were taking place. This team needed every advantage.

 

 

“"TIME?"” she calls out as the physical exertions continued.

 

 

The call… <AL>Minus 00:00:05. Five seconds past the standard; would he have brain damage? Organ damage? He would remain in a coma for days or longer until they would find out.

 

 

No one discussed it; they all knew this was a hush situation.

 

 

[surgical Suite doors are secure, sorry Kebbers… you cannot come in and help!]

Edited October 19, 2014 by Vilanne