Posted by Lieutenant Junior Grade Leah Hart (Nurse Practitioner/Counseling) in Main Sim: Sickbay - NE Piccolo Surgery

Posted by Gamemaster Pelican (GM) in Main Sim: Sickbay - NE Piccolo Surgery

Posted by Lieutenant Kreed (Chief Medical Officer) in Main Sim: Sickbay - NE Piccolo Surgery
Posted by… suppressed (28) by the Post Ghost! 👻

SNIP

A visual would show that the laceration was already starting to bruise along the edges, but that the cut was clean instead of jagged. The tricorder scans showed that the injury was due to a hard edge instead of a sharp edge, and had actually damaged bone and brain tissue, as well as both dermal and sub-cranial blood vessels. With current technology, the injury could be easily treated in Sickbay. However, it was still fatal if untreated; were this only 300 years prior, the damage could have been lethal, given the limitations of medical technology in the 20th century.

The tricorder also identified some material residue from the cut on the NE’s forehead, although they were generic enough that it would take a forensics investigator to determine a more specific origin.

Pelican, GM
USS Sentinel

Quinn kept her voice calm though inside she was furious at the state of NE before her, “Her injuries are severe and we need to get her to Sickbay sooner than later,” ((OOC: Do hover emergency beds exist or am I wrong Era for that?)). “Let’s get her to Sickbay and please remind me to send a copy of the scans to forensics.”

Ltjg. Kindle
Medical officer
USS Sentinel

OOC: The GM can correct me if I’m wrong, but all references to hover-tech are 24th C. They do have site-to-site transportation if needed. But I might have an easier option care of my character’s higher home gravity. But I will edit if this doesn’t work.
IC:
“Her cervical is clear, I can carry her if you can take this for me,” Leah said, holding her bulky medical kit out to Kindle. She looked over her shoulder at Whistle. “Ensign, call for security, now,” she ordered. “And wait here for them to take your statement.”

Though she was quite short, Leah also had a denser muscle mass that she worked hard to maintain for exactly these sorts of scenarios. So it was with little effort that she very carefully scooped up the fallen ensign and cradled her against her body. “Sickbay is only three decks up. Ready when you are.” It made sense for Kindle to clear the way and operate the lift. It would take little extra time and she could move quite fast and still not jostle her patients. This was not her first foray as Human Stretcher.

~Leah Hart, NP

OOC: I don’t recall seeing hover tech on Discovery S1 or S2, and haven’t seen any in what little I’ve watched of Strange New Worlds (the Lower Decks crossover aside). Manually lifting the NE might be a little reckless compared to just waiting for a gurney, but turbolifts are a wonderfully useful tool.
IC:
NE Whistle nodded at the exchange, and then pressed the communications panel.

=/\= NE Whistle to Security. We have a crew member on Deck 12 who was attacked. Medical is taking the victim to Sickbay, but the Medical staff recommended someone come here first. =/\=

Pelican, GM
USS Sentinel

Quinn accepted the medical kit from Leah without hesitation and settled it with her own over her shoulder as she made ready to help steady NE Piccolo in Leah’s arms. Once she was certain Leah was ready she turned and headed for the lift, as it opened, she saw several security members exiting, “Stand aside please we don’t want to jostle the injured more then needed.” Her tone firm as she spoke keeping her pace brisk as she stayed ahead of Leah.

Once Leah was inside the lift she took the controls, “Sickbay.” She said then looked to Leah, “Are you alight holding her or do you want me to help?”

Ltjg. Kindle
Medical officer
USS Sentinel

“I’ve got her,” Leah said. “Thank goodness for growing up on a higher gravity world.”

Once NE Piccolo was on a biobed in the surgical room - the cranial repairs required were decidedly not outpatient surgery - the surgical equipment started to activate. Tools for healing the brain, the skull, and the broken skin were readily available, as well as receptacles for any debris in the exposed wound.

Pelican, GM
USS Sentinel

Kreed stepped through the decontamination field and stood next to the bed looking at the scans. “Alright, full surgical team. We have a TBI with internal bleeding. First we handle the bleeding, then we repair the brain tissue.” He looked down into the wound and nodded once. “Let’s begin. Administer anesthazine with four parts O2.” and he began to clear the wound while looking for foreign matter.

Kreed, CMO

Leah was not a surgical nurse but her experience in the ER allowed her to help however they needed. She was prepped and ready for instructions, but kept out of the way to the two doctors.

~Leah Hart, NP

Bump

OOC: Nick has been out due to some RL things, but will be returning soon, so I am bumping main sim threads.

Cpt. Asam, CO

Am I needed here?

-Kieron-

OOC: Not this thread. I’ll reply in the other thread so that you have something to work with. Sorry for not being around for the past four weeks.
IC:
The sedative slowed the bleed, although it visually seemed to accomplish little else. With NE Piccolo unconscious, her heart rate and brain activity were already slowed. One concerning status - Piccolo’s brain scans were not showing any indications of REM patterns, and her eyes under her eyelids were completely still. However, the scans did not show anything life-threatening beyond the brain bleed. With the tools at hand, healing NE Piccolo would not be necessarily difficult or time consuming, just complicated.

As they cleared the wound, the medical team encountered only one kind of foreign matter, but there were multiple fragments of it. The debris in the wound was dark and hard - but slightly softer than human bone. Further materials analysis would be required to perform a full forensic analysis, but to the naked eye, it looked similar to the casing on a portable data storage device. The blood on the fragments would affect some of the chemical analysis; the variation would be easy to isolate if a skilled forensics expert handled the testing.

Pelican, GM
USS Sentinel

Kreed carefully removed all the foreign material and made sure to keep it separated from everything else. “Injury cleared. We’ll address the bleed now, and then the fracture. Please monitor for any brain edema and keep close watch on brain activity.” he said calmly as he began to use the surgical suite to find and seal the source or sources of the bleeding.

Once the bleeding was stopped, Kreed waited a few minutes to ensure that all sources had been found and closed. He then placed the osteoregenerator on Piccolo’s skull and set it to begin the process of rebuilding the skull fractures. As he did, he kept close and meticulous record of the injuries so that forensic analysis would be able to determine the direction of the blow and, potentially, what object was used.

When Kreed was finished with the surgery he would have a priority message waiting from Admiral Brayden. The messages was compartmentalized and restricted to individual departments. His access code would reveal that the a medical quarantine was being issued for the starbase and all docked ships. The disease in question had a low transmission rate, with mild presenting symptoms - but it could prove fatal if it wasn’t treated within the week of infection. It also included the infection name and identifying markers with strict instructions not to inform the rest of the crew.

Cpt. Asam, CO

Kreed nodded to himself and began the process of establishing the medical quarantine, starting with shutting off access to all transporters and exterior hatches. He tapped the comms and said [O] Attention all hands, this is the Chief Medical Officer. At the order of Star Fleet Medical, we are now under a medical quarantine. All personnel are to report to their quarters and remain inside until seen and examined by medical staff. All Department Heads are hereby instructed to keep only essential personnel in their departments and to close access to all non-department personnel until cleared by Medical. All departments acknowledge, please. [C]

Kreed, CMO

[O]Sickbay, this is the bridge. We’ve cleared everyone to quarters except a skeleton crew. We will remain here until Lt. Kreed clears us.[C]

Kreed’s terminal pinged with a brief secure message to Kreed indicating officers she’d assigned to tasks and where they would be.

Yeoman Rand to quarters, but with database access, available as needed.

En ch’Sirhc, auxiliary control.

Lt. Ra’Ti manning the bridge with herself.

Cpt. Asam, CO

Leah blew out a breath and approached Kreed. “What do you need? What symptoms should we be looking for?” she said, casting a glance at Piccolo. Would they recover? What had caused such serious head trauma? Her guess was an intentional strike, but she couldn’t be sure without more information. And now they were under quarantine for a mysterious illness.

~Leah Hart, NP

Kreed looked around and then took Hart by the elbow and pulled her into his office and closed and locked the door. He gestured at a chair and took a seat behind his desk. “What I am about to tell you is classified, but I will be needing your assistance.” He leaned forward and spun the terminal on his desk around so Hart could see the message form the Admiral. “The illness is a ruse, meant to contain and isolate a… ‘person of interest’. It is entirely conceivable that that person is responsible for the attack on NE Piccolo. We have to ensure the individual does not leave the ship in such a way as to minimize their awareness that they are being looked for. Therefore, we are going to be meticulous in our approach to this contagion. Every possible step we can take, we will… superfluous or not. But we have to drag this out long enough so that Security can identify and contain the individual. Do you understand?”

Kreed, CMO

Did the discomfort read on her face? Normally in therapy Leah was able to maintain a therapeutic mask when and where it was helpful, but this was a different scenario entirely. She nodded. “And at least with quarantines, people might complain but everyone will be too well trained with protocols to put up a fight.” Leah took a measured breath. “I guess my original question to you is still valid: what are this illness’ symptoms. People are going to ask what we are screening for and if we want to sell this, we need to tell the truth as much as we are able. A good lie is couched in some truth. And we’re going to have to sell this, Kreed. This is an enormous deception that needs to be maintained for awhile. I’m not going to lie and say I’m very comfortable with any of this.”

~Leah Hart, NP

Kreed said “I’m not asking you to be comfortable with it. But I will say the idea for the quarantine was mine. Specifically so we- the Medical Department- would have a say in what transpired and to help minimize any potential hazards the crew may face.” He took a breath and sighed. “The symptoms are minimal: faint fatigue, anxiety, some mild confusion. If we need to sell that past ‘Keep an eye out for any of these.’, we can introduce and minor amount of anesthizine into life support and cause some of the symptoms. And better we do it than someone else. It will also lend credibility to the ruse.”

Kreed

Was this one of the moral dilemmas about doing some harm to prevent greater harm? Leah was starting to see that the answer might be yes. She gritted her jaw and nodded. The other issue she was seeing was probably one that only she might be looking for and in the end would become a bigger problem she needed to deal with. But maybe that was just something to not worry about until they got there. “I’d like it put on the record, if there even will be one, that I oppose this whole thing but understand how it might be necessary.”

~Leah Hart, NP

Kreed looked at her and said “Noted. Now let us check on Piccolo.” and he stood and walked past Hart and back to the biobed.

Kreed, CMO

Leah followed him out to recovery where Piccolo was. “It might be good if I am the one to talk to her once she wakes up,” she said, looking over the readings to see how the woman was faring .

~Leah Hart, NP

Kreed nodded. “Agreed. We will record anything she says for Security… omitting any medical information, of course.”

Kreed, CMO

Leah nodded, hoping she would be in a state they could speak with her soon. But head injuries could be complicated in terms of regaining consciousness (even after surgery) and also memory.

~Leah Hart, NP

Bump for GM

Bump for GM x2

Bump

OOC: Sorry it took me so long to actually do the GMing for this sim. Good writing here.
IC:

The work of the Medical team had been exemplary, and scans would show that NE Piccolo had practically no signs that the injury had even affected her. The new bone in her skull did show up as younger tissue than everything surrounding it, of course, but in terms of the important properties, it meshed well with her previous physical condition. Their timing was also impeccable, as she had slowly begun to regain consciousness. She remained on her back as her eyes opened slowly and she looked around.

“Why am I in Sickbay?”

Pelican, GM
USS Sentinel

Leah moved over slowly making sure to allow herself to come into Piccolo’s line of sight gradually. “Hi, it’s Nurse Hart. We’ll explain everything in a moment, but can you tell us what you remember?” she asked in a calm voice, resting a hand on the edge of the biobed and wearing a soft expression.

~Leah Hart, NP

As Hart spoke to Piccolo, Kreed monitored her vitals and made sure that there were no complications or issues from the surgery. He looked at Hart and said softly “After, ask her about her childhood. Test long term memory retention.”

Kreed, CMO