Posted by Lieutenant Commander Faye Calloway (Chief Intelligence Officer) in Main Sim - Sickbay - Homecoming (Continued)

Posted by Civilian Dawson (Intelligence Operative) in Main Sim - Sickbay - Homecoming (Continued)

Posted by Lieutenant Benjamin Grey (Chief Medical Officer) in Main Sim - Sickbay - Homecoming (Continued)
Posted by… suppressed (17) by the Post Ghost! 👻
With a shimmer of energized particles arriving, coalescing the entire away team plus attending medical personnel appeared in the main open floor area of sickbay.

Serena Stone lay unconscious, bleeding, targeted onto one of the biobeds with Doctors Grey and Bailey next to her. The rest were away from most of the equipment. Smoke curling still from her uniform. Large chunks of jagged, twisted metal jutting from her legs obscenely. Blood pooling and spreading beneath her already.

Elara was already rushing over with a cart of medical equipment meant for stabilizing Tier One trauma patients, a crash cart on steroids. “Oh not good,” she said, worry in her eyes. “Rena, you owe me, again.” Without waiting, she loaded a hypo with a cocktail of pain-relievers and anti-biotics, then sprayed a local coagulant over the most immediate and apparent wounds she could see. =^=Privacy screen.=^=

A permeable translucent forcefield snapped into place. “We’re going to have to get her out of this uniform. It’s melted on.”

Lt. j.g. Elara Dain, (Doctor)

Adrenaline pumping through her body and her new empathy attuned to everyone in the space, Janna stepped backwards and just stared at what the doctors were doing… and her friend. She couldn’t look away, as if doing so might mean something would happen. But if she was watching Serena, then Serena was still there. There was a chance.

~Janna Kingston, CNS

Charlie took a second for her eyes to adjust after transport before springing to action. Noticing the concerned look on Janna’s face she gave her shoulder a gentle squeeze as she passed and gave a sympathetic nod to reassure her that they would do everything they could.

Ben stood up and tossed off his coat “Cloth scissors and a laser scalpel. Get me an XO blood package, prepare for a transfusion, get the machine ready” He was busy cleaning his hands as an NE helped him into the surgical scrubs “And remind me to bash that transporter chief across the head” There was no humor in his voice “Somebody read off the Biobed information” Anyone who’d known Ben for some time knew that he was in a foul mood, his threat of bashing the transporter chief was a legitimate concern.

Doctor Grey
CMO

Charlie instinctively grabbed Dr Grey’s coat and threw it on a spare biobed out of the way. Her pulse quickened with adrenaline as she began to scrub in to assist. It wasn’t quite the first day she was expecting but her training kept her focussed at the job in hand.

Ela took a breath and scanned the biobed readouts. “Blood pressure’s 80 over 40. Heart rate at 148. Respiratory rate 34 — shallow. Blood oxygen’s at 88% and falling. Core temp is 35.77 Celsius. GCS six — intubation recommended.”

Above the bed, translucent diagnostic overlays flared to life — a rotating holographic image of the patient’s body with pulsing red flags marking trauma points. The biobed was already in emergency stabilization mode, auto-administering coagulants and managing oxygen intake through dermal injectors along the patient’s arms and neck. Internal sensors whirred silently, feeding real-time data to the surrounding monitors.

Elara’s bloodied fingers moved fast, flipping open her tricorder to cross-reference. Despite the tight knot in her throat — despite the face on that biobed being someone she knew from the Valkyrie — she didn’t let it slow her down.

“Estimated blood loss, about 1.5 liters,” she continued. “Spleen rupture confirmed. Pancreatic damage suspected. Lactate levels elevated — we’re looking at metabolic acidosis. No pain response.”

The surgical field around Serena’s torso shimmered faintly as the biobed began deploying sterile microclamp projectors — just enough to buy time until a scalpel could reach flesh. Elara shifted her scan upward and frowned.

“TBI confirmed. Cerebral edema detected. Intracranial pressure is climbing fast — she’s at risk of herniation if we don’t relieve it soon.”

In short? A trainwreck. But most of it was mechanical — and that meant it could be fixed.

A light on the readout caught her attention. “Biobed’s initiating short-term stasis field — localized to thoracic and cranial cavities,” Elara said as the shimmering halo locked into place over Serena’s torso. “We’ve got maybe two minutes of suppression before systemic instability returns.”

Lt., j.g. Dain, Doctor

Benjamin nodded, prepared for surgery and quarantine fields on full =^=Computer, activate noise cancellation, play surgical mix three=^= The computer started playing a mid-tempo instrumental jazz with a piano at the forefront. “Doctor Dain, please intubate. Nurse, set blood and the Plasma Infusion unit, set the PIU to treat the metabolic acidosis” Ben gave his directions in a calm and clear voice, it’d been a while since his last surgery.

“We don’t have time for chemically induced relief, I’ll have to tap to remove the oedema. Show me where the fluid buildup is” The last statement was for the computer to focus the hologram; he needed to know if he only needed to remove the liquid or fully open the skull. He was excited; it’d been too long since he’d been able to use his neurosurgical skills. He made certain not to smile, he was mostly certain that this was not the appropriate time, but he was getting to do surgery again.

Doctor Grey
CMO

“She’s unconscious so that’s a piece of mercy. We can dump some anesthesia in a minute,” Ela said.

Charlie stood slightly off to the side and checked the surgical tray to make sure they had everything they might need. She took a deep breath, ready to assist. It was always difficult when it was a friend and colleague on the table and although she was new to the ship, the tension and anticipation in the room was palpable. “What do you need Doctor?” She asked gently.

• Lt (jg) Bailey (Doctor)

Ela grimaced as she gently rolled the XO onto her back, snagging the intubation kit from the cart en route to her head. “Help Doctor Grey finish prepping,” she said. Working quickly, Ela tipped the redhead’s head back and quickly checked the airway. No obstruction, and no signs of swelling. Good. Within moments she guided the tube in, and then attached the auto-respirator. It was as basic as it might get, but they needed a clear airway.

With a silent nod, Charlie grabbed a surgical gown and held it open for Doctor Grey before fastening it for him. She checked the equipment on the surgical tray as she ran through all possible outcomes in her head to make sure they had every instrument they might need before filling the drawers up with any medication she thought could be useful.

It was different and yet there was something so visceral for Janna in this moment she knew it would do her more harm to stay. “I’m going to the Bridge to update the Captain,” she said quietly, spun on the ball of her foot and moved swiftly out of Sickbay.

~Janna Kingston, CNS

Ela looked up at Janna, noting the drawn, almost stricken look on her face. A look that almost matched her own. She nodded, but there wasn’t much she could offer besides that. It wasn’t like the Counselor could do much for her obvious friend. Ela would have felt just as helpless in her shoes. After all, that was her friend on the table too. But this was her battlefield. This, she could do something about.

Fishing out her tricorder, she shifted it into high resolution scanning. The model floating over Serena updated, with fresh information. “Right hemisphere. Posterior, superior, lateral to the occipital lobe.” She pursed her lips. Not ideal — but better than the prefrontal cortex.

She chewed her lip, green eyes lifting to Doctor Grey. “What about vascular regeneration?” A glance at the rising intracranial pressure made her stomach knot. Drilling was crude and barbaric, but it was a stopgap for sure until they had time to do the repair.

Reaching up she scrubbed her face with one hand, then moved back to the cart and grabbed a laser shaver. “Sorry in advance for the haircut,” she muttered, fingers moving with practiced speed. “You better live to be mad about it.”

Lt., j.g. Dain, Doctor

Charlie remained on standby, ready to jump in if needed.

• Lt (jg) Bailey (Doctor)

Ben turned around, ready for surgery “Normally, that’d be enough, but with limited time to repair, we have to go medieval. I’m going to make a small hole here” He indicated on the hologram “to relieve the pressure. Then we can do vascular regeneration once we know how it goes, I want to repair that spleen damage first and drain any excess internal fluid buildup first.” He prepared the laser scalpel and started the incision to peel back skin.

Doctor Grey
CMO

OOC: Don’t know if we´re still going on, I’m hopping in where I can to catch up.

Ela nodded, then shifted back to give Doc Grey room, taking the opportunity to start doing something about the uniform in the way, then moved to scrub up as well. It became a ritual she’d done a hundred times, ever since heading down the Medical branch via the Academy. It was both a perk and a problem, living with the crew you were working on You got to know many of them, especially those most at risk, doing the most dangerous work. Working on a friend was a pitfall of the profession. But so too was it an incentive to always do your best work, besides moral and ethical concerns. Ela wasn’t much for religion… yet she always found herself praying, in some way, in these situations.

Turning back, she joined the medical team working to save the XO, and her friend from the Valkyrie. “Okay, I’m in,” she murmured.

Lt., j.g. Dain, Doctor

((I’m up for going for as long as is … realistic or desired. I’m good on this for however long.))

OOC: Bump for Hjortur. You all can continue this. If you need GM involvement, let me know. Faye and Dawson will be along soon to prep for their mission. ~Linds

OOC: I just need whoever it is that bounces off my actions for the surgery, unless of course it’s preferable that I just roleplay the surgery directly - Hjortur

OOC: Between you and Sam, you can progress the surgery. I’m just on the sidelines for this part. Sam decides ultimately how the surgery goes, but I suspect she won’t want her character to die, lol. ~Mischief Maker

((Well, pretty much all the damage is mechanical - meaning done by physical material or forces. It’s mostly priorities of work. There’s no chemical or biological agents at work. She survived the initial blast and first few minutes, and is getting first-rate medical care within The Golden Hour. She’d likely survive even by modern medical standards, but this is Trek. I expect she’ll make a full recovery without too much issue. Even with maybe one or two organs ruptured and a TBI. - I imagine blood loss will slow her down, and will take some time to rebuild neuro-muscular signal strength (meaning she’ll be a bit weak and slow for a bit, need to be on light duty, might be a bit dizzy or tired. Might have some residual headaches and stuff, but those will fade on their own or with more follow-ups.

The most concerning is the TBI and brain bleed(s), but again, very fixable. Though if we wanted… could turn her into a cyborg.. :D ))

Lt. Cmdr. Stone, Executive Officer

OOC: Copy, I’ll just write the actions taken during the surgery then and you can adjust and respond with the aftermath :) - Hjortur
IC:

Benjamin hadn’t actually ever cut the skull of a person before. He knew the theory well enough; he’d had plenty of training with holograms, but holodeck training exercises were never enough. Relieving pressure this way was practically barbaric, but his education had been extensive, and he’d spent much of his time preparing for lack of resources or time. He’d learned long ago that medicine out here had to be flexible. He whistled with the music as he worked; his hands were calm and steady.

After relieving the oedema he moved to work on the spleen damage. A Splenecthomy was simple, but he still made an incision so they could remove fluids and repair the damage directly.

Doctor Grey
CMO

It was at this point, that the doors to sickbay swooshed open to reveal Dawson. He was carrying two packs of supplies as he entered. Clearly the doctor was quite busy. He stepped inside momentarily to observe who was on the table undergoing emergency surgery.

-Dawson, Intel

Faye stepped in a couple moments later, dressed in black ops gear. She surveyed the goings on and her stomach clenched for a moment knowing it was her friend on the table. She couldn’t ask. She didn’t want to know. It might seem heartless but she had to be focused. She couldn’t go on this mission worrying about everyone else. that’s how you got yourself, or someone else, killed.

“Don’t mind us. Keep doing what you need to. Dawson and I are just having subdermal comms implanted. I can it for us. Done it before and we have not time to wait.” If someone in medical was free, geat, but she wasn’t going to pull anyone away from surgery for their needs.

She gestured to Dawson with her head and stepped over to a biobed. From one of her other pockets, she pulled out two very tiny subdermal comm units and tiny ear pieces. They were not regular Fleet issue. These were S.I. grade and by the looks of them, quite a newer model. “I’ve coded them to a particular frequency that shouldn’t experience interference. I’ve also set up a code word system. For the time being, we’ll use the ear pieces and thus the bridge can talk to us without giving us away. But should that be an issue, we can change the inputs and output locations with a single word.”

~Faye Calloway, CIO

Benjamin didn’t glance up from his surgery, the slight hazy privacy force field only making him and his surgical bed hazy “Use the smaller laser scalpel for the incision, show a nurse where you want it and have them work you Calloway” his voice gently chiding “And don’t make a mess” He had a light tone but anyone who’d known him could hear the slight strain as he was placing the Commanders spleen in a container and repairing tissue damage “And do a twice over with the dermal regenerator, it’ll help make sure that the surgery if detected looks older when observed visually.”

Doctor Grey
CMO