Posted by Commander Brad Walker (Chief Of Staff/Second Officer) in Main Sim- Primary Medical Suite
<snip>

Ensign Jackson, a scientist, came in with second and third degree plasma burns over the majority of his body.

Ensign Tika Zilug, a Bajoran engineer had space damage from the freezing void before she was pulled back in and saved by the emergency shields.

Lieutenant Isizi Zh’vaahran, an Andorian security officer who heroically leapt into the gap to save Zilug, had impaled herself on floating debris, along with various other broken bones.

GM Wombat

Brad had come out of his office into the main ward after noting that Dr. Kane and Dr. Marshall had both hared off to the primary scene. It was a good move, as the most immediate medical needs could be best seen to on site, but it did leave him rather short-handed.

While he was sure his more junior doctors were well-trained and could handle almost anything, there were still some things a more senior and steady hand would be needed for, a thought that played out as the first three cases came their way.

“Dr. T’Mara, take Jackson into surgical suite one,” he ordered a Vulcan Lieutenant. She was one who had explored surgery as a specialty at the Academy, and had qualified in it before seeking a more generalist posting.

“Dr. Klein, take Ms. Tika into Isolation 1,” he ordered a human Ensign, fresh from the Academy. “She’ll need treatment for thermal shock and oxygen therapy.”

“I’ll take Mx. Zh’vaahran into ICU1, Dr. Ch’zaraahan, you’ll assist me with species-specific biology,” he ordered, grabbing the first Andorian white-coat he saw. It was, he thought, a minor miracle that he had one to hand.

“Let’s move it, people, we’ve got lives to save!” he exhorted, setting the Sickbay into motion as he began moving towards the Intensive Care unit.

Cmdr. Dr. Brad Walker
Chief of Staff

OOC I’ll wait a day and see if anyone else wants to jump in too

Geoff

=/\=Kane to Walker. Emergency transport in progress. Patient is early 20s, Andorian, multiple fractures, internal trauma, pulse present but threads. Neural link has been established.=/\=

The young Andorian ops officer appeared along with a security officer, connected by a neural link.

Lt. Cmdr. Kane, AMO

=/\=We’ve got him,=/\= Brad replied back.

“Change of plans, Dr. Ch’zaraahan, you’ll handle Mx. Zh’vaahran yourself in ICU1. I’ll take this one in ICU2,” he said, re-assigning personnel on the fly even as he hurriedly made his way across the room to the ICU suite.

The Andorian was brought along behind him, and as he was settled onto the biobed Brad took a second to wait for GALEN to display the officer’s vitals and identify him.

Cmdr. Dr. Brad Walker
Chief of Staff

The Andorian was still connected by the neural link to the security officer, who was doing his best to breath in a relaxed manner. One of the med tech’s carefully disconnected the link now that the transport was complete so they could accurately see the patient’s vitals.

The results were serious and it was clear the operations officer had crush injuries as they came up on the screen- a visual map of the trauma clear:
-fractured sternum and both sides of the 2nd, 3rd and 4th ribs
-fractured left humerus and ulna (o either side of the elbow joint)
-one of the broken ribs had lacerated the left lung
-perforation of the pulmonary artery (3mm in length)

Vitals:
-increased heart rate (thready and weak)
-decreased blood pressure
-increased respirations

~Mischief Maker

‘Alright,’ Brad thought to himself, as the list of symptoms came up.

“Priority one is repairing the artery, then the ribs. Once the ribs are clear of the lung, we’ll repair that, and do the broken arm bones for dessert,” he announced to his team. “Laser scalpel, followed by an arterial regenerator and an osteo-regenerator,” he told the nurse overseeing the unit’s surgical equipment, holding his hand out for the first item requested.

It was provided quickly, and Brad lined up the emitter with where he’d need to make the incision to access the damaged vessel.

Cmdr. Dr. Brad Walker
Chief of Staff

“Blood replicated and on stand-by,” one of the team said, ready to set up an infusion when needed. Based on the vitals, it looked like it would be necessary.

As Walker opened up the area near the artery it was clear that the Andorian was haemorrhaging quickly. The resident on the surgical team provided suction. “Damn, this is a mess.” They couldn’t auto-suture until they could get the bleeding under control.

~Mischief Maker

Brad bit off a curse. “I need 20 ccs of lectrazine, and 2 liters of plasma in the main line,” he ordered. The drug should help stabilize the circulatory system, while the plasma would replenish the body’s fluids.

Cmdr. Dr. Brad Walker
Chief of Staff

“20 ccs of lectrazine,” the surgical nurse said, injecting the medication. Meanwhile, the requested plasma was hooked up to the infusion. They weren’t at mass transfusion protocols, but the team was clearly ready for any eventuality.

The lectrazine kicked in and along with the plasma did the trick of stabilizing the patient’s blood pressure. As the bleeding slowed, the nurse was able to clear the view of the artery.

~Mischief Maker

“Alright, there’s the little bugger,” Brad said, reaching for the tool to repair the vessel. A 3 millimeter tear shouldn’t take long to regenerate, but it was still a danger to the patient.

Cmdr. Dr. Brad Walker
Chief of Staff

Through his meticulous careful work, the tear was sealed up

=/\=Marshall to Walker, you’re receiving a patient with inflammation pinching the phrenic nerve. Managed locally with corticosteroids, but still needs work. Shouldn’t be too hard with what I left you. Where do you need me?=/\=

-Dr Drake Marshall

=/\=Primary medical,=/\= Brad replied shortly. =/\=We’ve got about five cases now in need of some surgical intervention, and a distinct lack of qualified surgeons to perform them.=/\=

Cmdr. Dr. Brad Walker
Chief of Staff

=/\=On my way.=/\=

With the bleeding under control, now they had the punctured lung (care of fractured ribs) and the fractured arm to deal with.

“Pressure is going back up, pulse ox still low,” the surgical nurse reported.

~Mischief Maker

“Good news, good news,” Brad said. “We’ll get these ribs sorted next, then the lung, that should clear that up. Osteo-regenerator.”

Not long after his interaction with Walker, Drake walked into Primary Sickbay. He searched the area quickly and then just called out. “Someone hand me a chart. Most urgent.”

-Dr Drake Marshall

Cmdr. Dr. Brad Walker
Chief of Staff

Alexis voice came over the comms after checking in with the other teams on decks 8 and 7. =/\=Kane to Walker. Teams on Deck 7, 8, 9 have things well in hand. I will return to secondary sickbay unless you need me in primary?=/\=

Lt. Cmdr. Kane, AMO