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ORIGINS: USS Hood February 2010: Difference between revisions
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==[ORIGINS] USS HOOD: Tactical Medicine== | |||
===by Daniel Belin and Steve Apple=== | |||
SD: 2261.043 | |||
1 hour prior to Andy's Post "I Want Some Answers!" | |||
Scene: Sick Bay | |||
The heart monitor was pinging at an extremely slow pace. At least it was not going any slower. The gold-shirted Ensign Palermo was lying unresponsive on the examination table. DeSimms was sitting across the room from him, waiting for something to happen. Mother had already tried to get him to leave, but it did not work. He had been stable for about half an hour, but that could change any minute. | |||
Nothing was happening, as the lab hadn't distilled the antidote yet. Corbett was keeping an eye on the Ensign from his office using a camera. Suddenly, the neural activity meter skyrocketed for a moment then dropped to zero and the heart rate monitor let out a solid tone. A nurse yelled, "He's coding!" | |||
Corbett and Mother dashed in, Mother brandishing a hypospray. | |||
"Load up a 1:10,000 solution of epinephrine and give him 1 mg." Corbett yelled as he took a position on the left side of the bed and began chest compressions. | |||
Mother injected the Ensign and almost immediately the monitor changed from a flat line to a saw toothed pattern. "He's in V-fib." Corbett said calmly. "Mother, charge the biobeds defibrillator to 200 joules." | |||
"Charged." | |||
"Clear." Corbett yelled and a second later pressed the defibrillator button. | |||
"Nothing." Mother said looking at the monitor. | |||
"Charging to 300 joules." Corbett said then yelled. "Clear." | |||
The Ensign's torso rose off the bed with the jolt, but the monitor displayed no change. | |||
"Charging to 360 joules." Corbett said and once again yelled. "Clear." | |||
The Ensign's torso again rose off the bed with the jolt. This time the monitor changed to a slow sinus rhythm. | |||
"He's in bradycardia." Mother said reaching for another hypospray. | |||
"Atropine 0.5 mg now." Corbett said watching the monitor. | |||
Mother hit the Ensign with the hypospray then fitted him with a pulmonary resuscitation unit. "Heart rate 60," She said looking at the monitor he's stabilized again." | |||
"That's not good enough." Corbett yelled, "Where is the goddamn antidote?" | |||
"The lab is having a hard time isolating the exact variant of the neurotoxin." Kiska said from the duty station. "The biochemical probes show it's a Tetrodotoxin derivative. It's attacking the voltage-gated sodium channels, but the TTX-r sodium channels are showing low affinity to the standard antidotes." | |||
"This is fracking unacceptable." Corbett yelled walking over to the computer display. "Send me what the biochemical probes showed." | |||
DeSimms walked across the room to where Corbett stood looking at the computer screen. "I won't pretend to understand anything that was just said, but when I look at this display it reminds me of a tactical map." | |||
Corbett pushed his hat to the back of his head and appraised the security chief for a moment. "Go on." | |||
DeSimms stepped up to the display and pointed his finger at the diagram of the ion gated channels. "I don't know if it means the same in medicine, but to me I see this as a strategic site, like a dam, that has been occupied by hostile forces. This red line here, representing the enemy. I would position men here and here to blow holes in the structure forcing the water to flow and the dam gate to crumble." | |||
Corbett studied what DeSimms had suggested and began mumbling to himself. "The toxin is a competitive inhibitor if I could force the fast voltage-gated sodium channels to accept something with a stronger affinity that would also stimulate them… It could work." | |||
"Mother!" Corbett yelled. "I need you and Kiska now." | |||
"You don't need to yell I'm right behind you." Mother admonished. | |||
"Fine, I need you to get me a DNA synthesis kit now." Corbett said his eyes never leaving the monitor. "Kiska get over to the pharmacy and have them look up the formula for a 20th century drug called isoproterenol tell them it's a beta adrenergic stimulant. They should be able to figure it out." | |||
Not waiting for a reply he turned toward DeSimms. "You may have just saved that boy's life. Now since you like playing hero sit down and pull your jumpsuit off." | |||
"What the hell, I like you and all doc, but…" | |||
"Save it sweetheart." Corbett said interrupting him and pushing him into a chair. "You're a hybrid, Human/ Angelian so you're perfect for what I need." | |||
"And just what is that?" Mother asked on her way in with the DNA kit. | |||
"John here has just volunteered to let me synthesize cardiac cyclic AMP from him." | |||
"I what?" DeSimms asked not sure what the hell Corbett was doing. | |||
"Don't worry it will only hurt for a moment." Corbett said with a grin, which got wider when he saw Kiska run into sickbay holding a hypo. | |||
"I got it." Kiska said. | |||
"Cowboy what the hell are doing?" Mother asked impatiently. | |||
"I'm going to force Palermo's body to open his sodium channels." Corbett explained placing the DNA unit over DeSimms heart. "The toxin shuts down the voltage gates especially the ones to cardiac muscle. We're going to prepare them with isoproterenol. Basically like planting explosive charges. Once the ions start flowing I'm going to inject him with the cyclic AMP I'm harvesting from John and presto the toxin will be knocked from the receptors." | |||
"Will that work?" DeSimms grimaced as Corbett extracted the sample. | |||
"In theory yes." Corbett said handing the kit to Mother. "I need a 100 nano molar solution of 3', 5' -cyclic adenosine monophosphate as soon as you can synthesize it." | |||
Moving over to the bedside where Ensign Palermo lay. Corbett watched the monitor for a moment. "Kiska set the hypo to deliver .06 mgs of Isoproterenol." | |||
Kiska did as instructed, but like everyone except Corbett was unsure it would work. "It's set." | |||
"Good." Corbett said taking the hypo and injecting it directly into the Ensigns heart. | |||
DeSimms held a bandage to his chest and walked back to the Ensigns bed. It had been a minute since Corbett injected him. "There's no change on the monitor." | |||
"It's a damn computer man. It can only relay the rate at which the heart is beating not its strength." Corbett said placing his fingers on the Ensign's wrist. "His pulse is getting stronger. Mother where's that damn solution?" | |||
A few minutes later Mother came in holding a hypo. "It's done; I assumed you didn't want me to compensate for the Lieutenant's Angelian remnants." | |||
"No, it's those remnants that will hopefully force the toxin from the receptors." Corbett said as he injected the Ensign. | |||
All four watched the monitor. Nothing happened for a minute or two when the Ensigns heart rate started to increase. | |||
"72 beats a minute and holding." Mother said smiling. "His pressure is normalized as well." | |||
"Thank god." Corbett whispered in relief. "Start him on an Isoproterenol drip at 2.5 micrograms a min and let's see how he is after an hour." | |||
"What about the Lieutenant?" Mother asked looking at DeSimms holding the bandage to his chest from the DNA extraction. | |||
"Tape a bandage to his chest and give him a lollipop." Corbett said before DeSimms could answer. "Now I've got to get ready to beam out in an hour, so no calls unless Palermo has issues." | |||
With Respect, | |||
Daniel Belin | |||
John DeSimms | |||
SEC, USS HOOD | |||
