Part 3: Coma For The Cardassian

Posted on 22 Aug 2016 @ 2:12am by Commander Allyndra illm Warraquim & Lieutenant Tuula Voutilainen M.D. & Lieutenant JG Eelim Galan
Edited on on 25 Aug 2016 @ 10:36pm

1,091 words; about a 5 minute read

Mission: Episode 12 - Recluse
Location: USS Galileo - Deck 3, Sickbay
Timeline: MD -07 0145 hours

[ON]

The transport was quick and the medics were there to receive Eelim's body when it shimmered back into existence. "He's crashing." Choosing the manual way he started doing chest compressions while his fellow medic was breathing for Eelim. After several tense minutes Eelims pulse was strong. They rushed him into he main sickbay area. His bleeding was worse now. One of the young medics shouted. "Doctors! Emergency!"

Hearing the shout, Tuula bounded into action and pushed herself towards the medics whose uniforms were stained with brownish blood. But as she did so, she was shocked to see who it was. It was Eelim, the Cardassian, and one of the most considerate people on the ship.

"Get him up on the biobed," she shouted, turning and pushing herself next to a bed. With this much blood loss, she knew she had to act fast...

The medic put him onto the bio bed. "We couldn't find the weapon." He said cutting Eelims uniform off. "Oh my Gods! Look at the wound! He's also taken a hit to the head and he crashed once we had to resuscitate." He told the doctor filling her in.

Tuula waved a tricorder over Eelim, took one look at his vitals, and immediately knew that there wasn't much time. "We'll check for concussion later; let's just keep him from bleeding out." She took a deep breath; with the patient suffering severe trauma and loss of blood, this situation was not all that different from her test in the holodeck. She knew she had to act fast.

"Call Allyndra. Hook him up to life support. And get me a laser scalpel. I'm going in."

Allyndra was just getting ready to turn in when the call came in. Considering Tuula was really a very good doctor and surgeon to have a backup call meant something really serious.

=^=On my way,=^= she responded shrugging on a uniform. Thankfully her quarters were just down the hallway from sickbay that she got there fairly.

She got there to already see Tuula already at work. As she moved closer her breath took an intake to see it was Eelim. "What happened," was what she wanted to say but her medical instincts kicked in.

"What have we got?" She was looking at the monitors.

"Stab wound to the abdomen," replied Tuula, just about wrist-deep inside Eelim's stomach cavity by then. "Kidney lacerations, renal artery has been nicked; and we've got severe lacerations to the intestines." She looked back down at the work in front of her. "I need to fix this before he bleeds out. Keep him from going into shock, and take a look at his head."

Allyndra went into action. They needed to get the blood loss compensated for. Also there was fluctuation in the heart. "Keep going.......we have ventrical fibrilation! Stand aside!," Allyndra shouted. "Computer defibrillation procedure!" She stepeed back from the biobed. There was a momentary pulse and the computer monitoring automatically interceeded. A second shock finally seemed to get normal rhythm back. She nodded to Tuula.

Tuula pulled away from her work just long enough for the defibrillation. Seeing his heart rate get back to normal, she breathed a sigh of relief. "Thanks," she said.

"Best hurry, I am not sure we can get things restarted again." Allyndra was more concerned with keeping pressure up with transfusion and fluid. A further drop of either right now would result in a domino like organ failure.

"Duly noted," replied Tuula, not taking her eyes off her progress.

Allyndra continued to monitor, and the bump on the head did not look too bad. However, as she looked she noted that the T-wave on the encephlogram readout was elevated. "I think we have a problem."

Allyndra started a series of tests while her mind went through what was going on. The pressure in the skull was rising, what was called the intercranial pressure. The body maintained normal intracranial pressure via cerebral spinal fluid movement between the cranium and the spinal subarachnoid space. Normally the pressure was regulated by the diameter of the arterioles to allow for adequate cerebral blood flow. However with the hypovolemic shock the rising carbon dioxide levels had causd the arterioles to passively dilate and mirror systemic pressure changes. Compression of the veins will occur, and venous return will be impeded. She knew that left uncorrected, intracranial pressure would continue to rise until it equaled the systolic blood pressure, and cerebral blood flow would then cease resulitng in cerebral vasoparalysis a fatal condition.

She acted quickly and begin to induce a coma using various forms of barbituates. That would narrow the blood vessels in the brain as well as bring down the metabolic rate and thus reduce the pressure. If she could have sweated, she would have but finally the intercranial pressure was coming down.

"There," called out Tuula, pulling her bloody hands out of Eelim's abdominal cavity. "He'll need further treatment, possibly another surgery, but I've got the internal bleeding under control, and two out of three kidneys ain't bad for the time being."

Eelim could hear shouting, his body felt as if it was one large open wound. At one point he had given into the pain, let the comfort of darkness wrap around him only to be jolted back into the world of pain. Why couldn't they just let the darkness take him.

He tried to open his eyes but he couldn't. Suddenly there was a light...it started as a little seedling of white and then burst into a brilliant warm snow white that filled every fiber of his being. He was surrounded by it....

On the bio bed his body violently jolted as if his very soul was torn from it.

Tuula pulled back for a moment; she was just finishing closing the incision she had made into Eelim's abdominal cavity and dropped her autosuture to look up at his readings.

"Convulsions," she mused. "Ten cc's of praxinol?" she asked, looking up at Allyndra.

"Let's hold off for a moment and see if the barbituates help. I think it is mostly due to the intercranial pressure hopefully the induced coma will reverse some of that."

"Good," replied Tuula, looking over at the unresponsive Cardassian before her. Gently, she touched his hand. "Don't worry, Eelim, you're going to be fine. I promise..."

[OFF]

LCmdr Allyndra illm Warraquim
Chief Medical Officer
USS Galileo

&

Lieutenant Tuula Voutilainen
Assistant Chief Medical Officer
USS Galileo

&

Lt. JG Eelim Galan
Security Officer
USS Galileo

RSS Feed