Alice and I were called in with Felix, Dr. Denali, to work on a
young teenage girl who was caught in her apartment. She had burns on her legs,
arms and face. Nothing too severe, but enough to char the skin and perhaps
garner some skin grafts. Unfortunately, it was her lungs that were causing our
concern. She was not getting enough oxygen to her body and her pulse ox was
dangerously low. To make matters worse, her airway was swollen. We couldn’t
intubate her due to the swelling and Felix was talking of performing a
tracheotomy.
“Dr. Denali,” Alice said as she read the girl’s lab report. “She’s
pregnant.”
“How far along, Alice?” he asked.
“Not far. Two months,” she replied. “Will this affect the baby?”
“The distress could cause her to miscarry,” Dr. Denali said. “We’ve
got two lives to save now. Get OB down here to come down and do a consult.”
Alice nodded and made the call. I was standing, pumping air into her lungs
through her mask. “Bella, we may have to trach. Get the tray ready.”
“Yes, sir,” I said as I passed of the breathing to one of the
nurse techs. I quickly prepped the neck and waited for Dr. Denali’s
instructions. He looked at her monitors and she was clearly not getting enough
oxygen.
“We need to trach her,” he sighed. “Are the meds on board?”
“Here,” I said as I handed him the syringes with the necessary
medications to sedate the patient. Injecting the medications into her IV, she
was rendered unconscious and paralyzed.
“Scalpel.” I handed him the scalpel and we worked quickly to open
up her airway, placing the trach. Once it was in, we attached to a breathing
machine. As soon as she was hooked up, her oxygen levels picked up immediately.
“Good. Very good.”
Edward strode into the trauma room where I was working with Dr.
Denali. He was wearing a pair of scrubs and his lab coat. “What do we have?”
“Fifteen year old girl. She was brought in, unresponsive and
wheezing. Patient is approximately two months pregnant with smoke inhalation
and burns on twenty percent of her body,” I began. “Upon further examination,
her airway was blocked from swelling. Dr. Denali performed a tracheotomy and
her oxygen level is rising.”
“Do you need me here?” Edward asked.
“Check with Dr. Sanchez and Dr. Black,” Dr. Denali said. “Bella
and I have this, right?”
“Yes, Dr. Denali,” I smiled.
“You’ve got one of the best nurses with you, Felix,” Edward
winked. “Do you know if any more victims are coming in?”
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