Story Market Day
- Thread starter ComCamGuy
- Start date
ComCamGuy
Remote Paramedical pain in the ass
The earpiece crackled in their ears. Sabine’s voice came across in a rush. “Yeti, Get your ass down here! I need your muscles!”
Sabine slid down the hill on the rope. She hadn’t rappelled like this in years but she still remembered how. The trick was to not care you were falling face first towards the ground. She focused on the broken vehicle down below and the patient in it.
Sabine banged into the side of the car. She could see the deputy slumped in the driver’s seat, but Sabine wasn’t sure how she was going to gain access, much less get her out. The vehicle was wedged between some trees, blocking both doors. The options were few, and none very easy.
Her best option was the passenger side window. She should be able to fit. The big thing she had to determine was if the deputy was still alive. Her rescue knife’s window breaker made short work of the window glass.
Sabine pushed her AID bag through the window, followed by crawling in herself. The deputy was unconscious and didn’t react to the window breaking, nor Sabine’s entry into the passenger seat. Sabine began checking the deputy to assess her condition.
The first thing Sabine saw was a head injury, but it didn’t look too bad. The big thing Sabine saw was the deputy was breathing. Sabine didn’t want to get her too undressed since it was freezing in the vehicle, but she did have to check her out so, she had to get a bit invasive. She wasn’t sure why the deputy was unconscious and had to figure it out in a hurry.
Her hands told her what her eyes couldn’t see. There was rigidity and some distension in the abdomen was the first major problem found. This meant internal bleeding, something that needed a surgeon to fix, she was sure. Sabine kept going.
The other major problem she found was bilateral femur fractures. For this to happen, there had to be major force transmitted up the bones. It could travel farther up and damage the pelvis as well. She had some work to do and they couldn’t just shimmy her out the way Sabine came in. She needed help.
Sabine got on the radio. “Yeti, Get your ass down here! I need your muscles!”
By the time Henrik got down to the vehicle, Sabine was standing on its roof fiddling with something he couldn’t quite see.
Sabine slid down the hill on the rope. She hadn’t rappelled like this in years but she still remembered how. The trick was to not care you were falling face first towards the ground. She focused on the broken vehicle down below and the patient in it.
Sabine banged into the side of the car. She could see the deputy slumped in the driver’s seat, but Sabine wasn’t sure how she was going to gain access, much less get her out. The vehicle was wedged between some trees, blocking both doors. The options were few, and none very easy.
Her best option was the passenger side window. She should be able to fit. The big thing she had to determine was if the deputy was still alive. Her rescue knife’s window breaker made short work of the window glass.
Sabine pushed her AID bag through the window, followed by crawling in herself. The deputy was unconscious and didn’t react to the window breaking, nor Sabine’s entry into the passenger seat. Sabine began checking the deputy to assess her condition.
The first thing Sabine saw was a head injury, but it didn’t look too bad. The big thing Sabine saw was the deputy was breathing. Sabine didn’t want to get her too undressed since it was freezing in the vehicle, but she did have to check her out so, she had to get a bit invasive. She wasn’t sure why the deputy was unconscious and had to figure it out in a hurry.
Her hands told her what her eyes couldn’t see. There was rigidity and some distension in the abdomen was the first major problem found. This meant internal bleeding, something that needed a surgeon to fix, she was sure. Sabine kept going.
The other major problem she found was bilateral femur fractures. For this to happen, there had to be major force transmitted up the bones. It could travel farther up and damage the pelvis as well. She had some work to do and they couldn’t just shimmy her out the way Sabine came in. She needed help.
Sabine got on the radio. “Yeti, Get your ass down here! I need your muscles!”
By the time Henrik got down to the vehicle, Sabine was standing on its roof fiddling with something he couldn’t quite see.
Multi-systems trauma in a technical rescue situation. With no expected assistance. What could go wrong!!!
CCG, now you are talking my language. If you could add fire and a haz mat spill, I would be right at home. LOL.
Looking forward to seeing how this will play out.
CCG, now you are talking my language. If you could add fire and a haz mat spill, I would be right at home. LOL.
Looking forward to seeing how this will play out.
ComCamGuy
Remote Paramedical pain in the ass
By the time Henrik got down to the vehicle, Sabine was standing on its roof fiddling with something he couldn’t quite see.
Henrik did a double take. Sabine was on top of the roof with an axe of some sort.
“Great, you’re here. Get up here. I have a job for you.” Sabine said as she continued to work on the rook with the small axe. The most confusing part was she was holding it backwards. Sabine noticed Henrik wasn’t moving as fast as she thought he should. “Get your ass up here now! I need to get back in to my patient!”
Henrik climbed up on the hood so he could see what she needed. “OK, so what do you need?” He was looking at a slash in the metal of the roof she seemed to be working on with the handle of the axe hatchet thing in her hands.
Sabine straightened up and held out the axe thing in her hands to him. “Great! Use this can opener thing to make a big enough hole in the roof we can fold back and pull her straight up and out. I figure a U-shape should work and we pull back the metal towards the tail. That way we have a ramp covered with the headliner to slide her up and out. We need to hurry. She is in shock and has problems I can’t fix.”
Henrik turned the axe over and over in his hands, looking at the design. A metal shafted large tomahawk with a spike and a blade on one end and what amounted to literally a giant old school can opener fitting on the other end. He hadn’t seen something like this before, but it should work. Sabine already had a decent start on the cut.
“OK, I got this, you get to your patient. Once I get the hole big enough, we can slide the stretcher thing in behind her and pull her up and out with the winch from the Cherokee.” Before Henrik was half done talking, Sabine was already gone, back inside the vehicle.
Henrik did a double take. Sabine was on top of the roof with an axe of some sort.
“Great, you’re here. Get up here. I have a job for you.” Sabine said as she continued to work on the rook with the small axe. The most confusing part was she was holding it backwards. Sabine noticed Henrik wasn’t moving as fast as she thought he should. “Get your ass up here now! I need to get back in to my patient!”
Henrik climbed up on the hood so he could see what she needed. “OK, so what do you need?” He was looking at a slash in the metal of the roof she seemed to be working on with the handle of the axe hatchet thing in her hands.
Sabine straightened up and held out the axe thing in her hands to him. “Great! Use this can opener thing to make a big enough hole in the roof we can fold back and pull her straight up and out. I figure a U-shape should work and we pull back the metal towards the tail. That way we have a ramp covered with the headliner to slide her up and out. We need to hurry. She is in shock and has problems I can’t fix.”
Henrik turned the axe over and over in his hands, looking at the design. A metal shafted large tomahawk with a spike and a blade on one end and what amounted to literally a giant old school can opener fitting on the other end. He hadn’t seen something like this before, but it should work. Sabine already had a decent start on the cut.
“OK, I got this, you get to your patient. Once I get the hole big enough, we can slide the stretcher thing in behind her and pull her up and out with the winch from the Cherokee.” Before Henrik was half done talking, Sabine was already gone, back inside the vehicle.
ComCamGuy
Remote Paramedical pain in the ass
Sabine had a lot of work to do and not a lot of time or space to do it. Not for the first time when working in cramped confines did she begrudge her height. No time for that, she told herself. Time for work. Blunt head trauma and unconscious patient equals a C-collar she told herself. They didn’t have a backboard, so it wasn’t even an option.
Sabine shifted around to get her bag in a position to dig out what she needed. She really wished there was a way to have her trauma gear accessible without taking her bag off her back. Fortunately, this time, she already had it off to get in the window.
Down the back of her bag, she had a pair of C-collars. This was one of the only places to store it out of the way. She would have to remember to replace it when they got to their destination. She pulled out the collar, as well as a casualty blanket and a redi-heat blanket. These will be needed as soon as she did what she could to stabilize her.
Sabine could do nothing for the internal bleeding other than add a bit of fluid to expand the circulating volume. Her first priority, however, was to prevent more damage and bleeding. She reached into the bottom pocket of the bag, pulling out a combination pelvic binder and junctional tourniquet. Sabine wasn’t sure of the stability of the pelvis, but enough energy went into both legs to break the femurs. Sabine wasn’t taking chances. She was also going to shut down both femoral arteries with the tourniquet pucks. If the broken bones lacerated too many vessels, this would prevent her from possibly bleeding out when they moved her.
“How goes the progress?” Sabine yelled up at Henrik.
“This thing is great! But it’s still slow.” Henrik responded.
Sabine looked up at the roof panel. She could see where his work was continuing her own starting cut. Damn, he cut five times the amount she did in the same amount of time! That’s why she needed him down here. “Great! Let me know before you pull the panel back so I can cover her up.” Sabine went back to work.
Sabine got an IV line established in her patient’s right arm. It wasn’t easy. Between the shock, the cold and everything, the vein was flat and hidden. Sabine was working blind and off of pure anatomy experience.
Into the IV, Sabine put two 500ML bags of Hextend as a blood expander. These she had tucked into her own jacket earlier so they were warm. Sabine also wrapped the IV lines around a disposable heat pack a couple of times as a crude in-line fluid warmer. All of this she tucked inside the redi-heat and casualty blanket she had around her patient. Just as she was finishing this, Henrik finished his cut.
Sabine shifted around to get her bag in a position to dig out what she needed. She really wished there was a way to have her trauma gear accessible without taking her bag off her back. Fortunately, this time, she already had it off to get in the window.
Down the back of her bag, she had a pair of C-collars. This was one of the only places to store it out of the way. She would have to remember to replace it when they got to their destination. She pulled out the collar, as well as a casualty blanket and a redi-heat blanket. These will be needed as soon as she did what she could to stabilize her.
Sabine could do nothing for the internal bleeding other than add a bit of fluid to expand the circulating volume. Her first priority, however, was to prevent more damage and bleeding. She reached into the bottom pocket of the bag, pulling out a combination pelvic binder and junctional tourniquet. Sabine wasn’t sure of the stability of the pelvis, but enough energy went into both legs to break the femurs. Sabine wasn’t taking chances. She was also going to shut down both femoral arteries with the tourniquet pucks. If the broken bones lacerated too many vessels, this would prevent her from possibly bleeding out when they moved her.
“How goes the progress?” Sabine yelled up at Henrik.
“This thing is great! But it’s still slow.” Henrik responded.
Sabine looked up at the roof panel. She could see where his work was continuing her own starting cut. Damn, he cut five times the amount she did in the same amount of time! That’s why she needed him down here. “Great! Let me know before you pull the panel back so I can cover her up.” Sabine went back to work.
Sabine got an IV line established in her patient’s right arm. It wasn’t easy. Between the shock, the cold and everything, the vein was flat and hidden. Sabine was working blind and off of pure anatomy experience.
Into the IV, Sabine put two 500ML bags of Hextend as a blood expander. These she had tucked into her own jacket earlier so they were warm. Sabine also wrapped the IV lines around a disposable heat pack a couple of times as a crude in-line fluid warmer. All of this she tucked inside the redi-heat and casualty blanket she had around her patient. Just as she was finishing this, Henrik finished his cut.
Old Gray Mare
TB Fanatic
A good reminder unforeseeable personal emergencies can and do occur during local, regional and national emergencies.
ComCamGuy
Remote Paramedical pain in the ass
View attachment 252750
winkler medic axe
winkler medic axe
ComCamGuy
Remote Paramedical pain in the ass
good for hacking, but the can opener works more efficently. The Pararescue guys have versions with the can opener for aircrew recovery
ComCamGuy
Remote Paramedical pain in the ass
“OK, I’ll cover her, you pull back the roof. Then we get the flexible litter behind her.”
Henrik, pulled at the leading edge of the cut section of roof. The sound was horrendous, but soon, the vehicle had a new sun roof. He stomped and stood on the peeled back section to bend it flat enough. “OK, Sabine, what’s next?”
Sabine grabbed the big rolled up chunk of plastic litter. Between Sabine and Henrik, they unrolled it and clipped the second rope to the end. Sabine laid the drivers seat back while Henrik held the deputy in place. This let them get the plastic under her. Once in place, Sabine and Henrik slid her up the plastic until she was centered on the flexible litter. It didn’t take long to secure her into the litter.
Henrik got on his radio to Paige. “Hey, we have the deputy hooked up on the second rope. I’m hooking Sabine up to it as well since she needs to keep an eye on her all the way up. Get ready on the hoist.”
Paige had been anxiously waiting to hear from them. Andrea and the other deputy were beside themselves just waiting. When Henrik came over the radio, everyone jumped.
“Alright Henrik, let me know when and how fast on the hoist.” Paige’s voice was a lot calmer than she felt.
Sabine and Henrik clipped the plastic litter in so the patient would end up raised horizontally after they got her out of the vehicle. After Sabine and Henrik got her out of the seat and onto the roof, Sabine put on the harness Henrik brought for her. She would be riding the hoist with her patient and needed a real harness. Henrik gave instructions to Paige since she couldn’t see them from the winch.
“Paige, we have the litter set up. Sabine is clipped into the far side of the litter and will be coming up on the same line. Once you guys get her up and secure, let me know. I will clip onto Sabine’s original rappel line and you can bring me up with it. I’ll collect up the stuff down here while you get the deputy settled and on her way to the hospital. Sound good?”
Paige was relieved to hear his voice. As much as she wanted to, she hadn’t call down to them earlier. She knew they were working hard and didn’t need the distraction. She occupied the time waiting by showing Andrea how to work the winch in case they needed more hands down below. On one thing she was sure, Andrea wasn’t to do any lifting or moving, and should stay clear of the edge.
“Not a problem, Henrik. We will be set up. I’ll have Andrea on the winch controls so me and the Deputy up here will at the edge to help them up over the edge and into their vehicle. Just give us the word, we’re ready.” Paige went over to the Deputy.
“OK, they will be coming soon. You and me, we are going to help them when they get to the top. Back your SUV over here so we don’t waste time.”
He didn’t even waste time replying. He ran over and got his SUV.
Henrik, pulled at the leading edge of the cut section of roof. The sound was horrendous, but soon, the vehicle had a new sun roof. He stomped and stood on the peeled back section to bend it flat enough. “OK, Sabine, what’s next?”
Sabine grabbed the big rolled up chunk of plastic litter. Between Sabine and Henrik, they unrolled it and clipped the second rope to the end. Sabine laid the drivers seat back while Henrik held the deputy in place. This let them get the plastic under her. Once in place, Sabine and Henrik slid her up the plastic until she was centered on the flexible litter. It didn’t take long to secure her into the litter.
Henrik got on his radio to Paige. “Hey, we have the deputy hooked up on the second rope. I’m hooking Sabine up to it as well since she needs to keep an eye on her all the way up. Get ready on the hoist.”
Paige had been anxiously waiting to hear from them. Andrea and the other deputy were beside themselves just waiting. When Henrik came over the radio, everyone jumped.
“Alright Henrik, let me know when and how fast on the hoist.” Paige’s voice was a lot calmer than she felt.
Sabine and Henrik clipped the plastic litter in so the patient would end up raised horizontally after they got her out of the vehicle. After Sabine and Henrik got her out of the seat and onto the roof, Sabine put on the harness Henrik brought for her. She would be riding the hoist with her patient and needed a real harness. Henrik gave instructions to Paige since she couldn’t see them from the winch.
“Paige, we have the litter set up. Sabine is clipped into the far side of the litter and will be coming up on the same line. Once you guys get her up and secure, let me know. I will clip onto Sabine’s original rappel line and you can bring me up with it. I’ll collect up the stuff down here while you get the deputy settled and on her way to the hospital. Sound good?”
Paige was relieved to hear his voice. As much as she wanted to, she hadn’t call down to them earlier. She knew they were working hard and didn’t need the distraction. She occupied the time waiting by showing Andrea how to work the winch in case they needed more hands down below. On one thing she was sure, Andrea wasn’t to do any lifting or moving, and should stay clear of the edge.
“Not a problem, Henrik. We will be set up. I’ll have Andrea on the winch controls so me and the Deputy up here will at the edge to help them up over the edge and into their vehicle. Just give us the word, we’re ready.” Paige went over to the Deputy.
“OK, they will be coming soon. You and me, we are going to help them when they get to the top. Back your SUV over here so we don’t waste time.”
He didn’t even waste time replying. He ran over and got his SUV.
Plus you never know when you may meet again...
Mr Bill
Veteran Member
That's them for sure
ComCamGuy
Remote Paramedical pain in the ass
Hope to have some more shortly, guys. First off, Texas weather preoccupied. second thing, I like to think I'm Garen, but right now, I'm fully Doug. Sunday I leave for Washington State to recertify my Remote Paramedic. I will try to still get a couple out this weekend and next week. Hang in there with me.
Griz3752
Retired, practising Curmudgeon
What you can, as you have the time; more important to nail the recert than worry about posting. I'm still dealing w/ ice in Memphis so I'm sure we're all a little diverted from our normal days.
Take care
G,
Lone_Hawk
Resident Spook
ComCamGuy,
I don't recall you requesting permission to be absent from your keyboard for a week. Request denied! Contact those folks and tell them we said they have to give you a temp recert until your books are completed and consumed by the more hounds.
Texican! I thought you were responsible for keeping him chained to his keyboard! Arrrgh.... Do I have to do everything around here!!!!
Sigh... Ok, have a safe trip ComCamGuy!!
ComCamGuy
Remote Paramedical pain in the ass
Anyone not familiar with the process would probably be confused watching Sabine and her patient being hauled up the cliff. Rather than just running them up the side of the slope quickly, Sabine was attached to the litter and, in essence, walking her up the hill. Sabine was in a sitting position with the litter between her and the cliff, her legs under the litter and her feet walking up the hillside as they came up. It almost looked like she had her laying in her lap.
In this position, Sabine could monitor and adjust thing with her patient. She was also keeping the litter from scraping up the hillside, which would dump bucketloads of snow down onto the both of them otherwise. It took a bit of jockeying and maneuvering on Sabines part but the got into a good rhythm and pace. The next problem was when they got to the top and had to transition to the flat.
Andrea was glued to her earpiece for every word from Sabine, and Paige and Henrik. Sabine was controlling the pace for the most part, but Henrik had a stabilizing line attached to the litter for additional control, while Paige was giving progress reports as they got closer to the top.
Paige was focused. She realized when Henrik went down the cliff after Sabine, it basically put her in charge of the whole operation. This was right out of everything she had learned over the years, especially from osmosis from listening to Henrik bitch about his students screwing things up and getting tunnel vision.
Paige was the only one with a global view and control. Andrea had to focus on the winch one hundred percent. Sabine had to focus on the patient. Henrik had to make sure everything was rigged right down there and be the safety on that end. Paige had to make sure things were prepared for Sabine and the patient’s arrival, make sure the other deputy was ready to drive off, make sure he didn’t get himself hurt or fall down the cliff himself in his excitement, and a thousand other things.
In this position, Sabine could monitor and adjust thing with her patient. She was also keeping the litter from scraping up the hillside, which would dump bucketloads of snow down onto the both of them otherwise. It took a bit of jockeying and maneuvering on Sabines part but the got into a good rhythm and pace. The next problem was when they got to the top and had to transition to the flat.
Andrea was glued to her earpiece for every word from Sabine, and Paige and Henrik. Sabine was controlling the pace for the most part, but Henrik had a stabilizing line attached to the litter for additional control, while Paige was giving progress reports as they got closer to the top.
Paige was focused. She realized when Henrik went down the cliff after Sabine, it basically put her in charge of the whole operation. This was right out of everything she had learned over the years, especially from osmosis from listening to Henrik bitch about his students screwing things up and getting tunnel vision.
Paige was the only one with a global view and control. Andrea had to focus on the winch one hundred percent. Sabine had to focus on the patient. Henrik had to make sure everything was rigged right down there and be the safety on that end. Paige had to make sure things were prepared for Sabine and the patient’s arrival, make sure the other deputy was ready to drive off, make sure he didn’t get himself hurt or fall down the cliff himself in his excitement, and a thousand other things.
ComCamGuy
Remote Paramedical pain in the ass
As the litter came closer, Paige could hear Sabine talking almost non-stop.
“I know you can hear me. Just hang in there. You’re out now. You’re going to be fine. Your pardner is here and he will get you to the hospital so they can look you over and get some things tidied up. We will get you warm and safe. If you need anything, your pillow fluffed, your drink refilled, you just let me know……..” and on and on.
Paige had to keep the deputy from running forward when Sabine’s head first came over the edge. “Hold on, wait for my word.” Paige double checked the tether connecting her to the Cherokee. She didn’t want to end up sliding down the hill at this critical point.
Paige went forward. “OK, Sabine, If you pivot her head towards me some, I’ll get a hold and bring her onto the flat.”
Sabine looked down at her patient. “Hang on, we are going to be juggling you around a little to get you situated in your cabana chair.” Sabine looked up at Paige. “She’s somewhat stable. You guide the front while Andrea reels her in and I will walk up the other side of her, OK?”
Paige reached out for the litter, grabbing a firm hold with one hand. Before she reached with her other, she toggled the mic on her radio. “Hot Mic.”She said over the open frequency. “I have her, Andrea slow in.”
Andre reeled the rope in more. The litter was half on level ground now, then all the way. Sabine was standing on one side, Paige on the other. Paige spoke again.
“In level ground, secure from belay, Henrik”
“Off belay” was Henrik’s reply.
Paige and Sabine drug the litter over closer to the deputy’s vehicle. Paige shut off her mic. And helped Sabine undue the straps holding their patient to the litter as she spoke over her shoulder.
“Andrea, take the tag line Henrik was belaying with and set it up on the winch just like the one we were just using. Clip the very end onto the ring on the bumper first so it doesn’t snake it’s way back over the edge, though.” Paige remembered the first time she had tested the winch. She had the free end slide away from her and she had to chase it down. Fool you once, fool you twice, she hoped not.
The other deputy had come up to them by now. Sabine started giving him a status report and the info he was to pass on to the hospital.
“Ok, she is still hypothermic but a little better than she was. She has lost a lot of blood. She had two broken legs and some internal bleeding. I put some expanders into her, but I’ll write some notes. We need to move her into your vehicle and you need to beat feet to the hospital right now.”
The deputy swung the passenger door open. Paige, Sabine and the deputy picked up their patient and slid her into the seat. They had the seat as far forward as it would go so they could recline the seat as far back as they could. They wanted her to be as straight as possible. Once she was strapped in, Sabine popped open the patient’s shirt and, using a medical skin marker, wrote notes directly on the patient’s skin in brilliant purple letters. Everything from blood pressures to pulse ox to respiratory rates to time the tourniquets and binder were applied to type and quantity of fluids administered. It all went down in quick and efficient medic scrawl. When Sabine was finished with her notes, she looked up at the Deputy, who was now in the driver’s seat, ready to go.
“One more thing.” Sabine leaned over to her patient one more time. She had to do something that was a bit of a tradition for her during her deployments. Using the marker, she drew five small stylized crosses under her right armpit. She used to do it to let the docs know who worked on their patient in the field. It was a symbol going back to Joan of Arc. She started doing it and asking Saint Joan to watch over her patients. This felt like a combat zone, and this woman, her patient, was a warrior, so she fell under Saint Joan’s purvey.
She wrapped the patient back up and looked up at the deputy. “What do you want us to do with the stuff down there?”
“Take whatever you want. You more than earned it.”
Sabine closed the door. The Deputy sped off, lights blazing.
“I know you can hear me. Just hang in there. You’re out now. You’re going to be fine. Your pardner is here and he will get you to the hospital so they can look you over and get some things tidied up. We will get you warm and safe. If you need anything, your pillow fluffed, your drink refilled, you just let me know……..” and on and on.
Paige had to keep the deputy from running forward when Sabine’s head first came over the edge. “Hold on, wait for my word.” Paige double checked the tether connecting her to the Cherokee. She didn’t want to end up sliding down the hill at this critical point.
Paige went forward. “OK, Sabine, If you pivot her head towards me some, I’ll get a hold and bring her onto the flat.”
Sabine looked down at her patient. “Hang on, we are going to be juggling you around a little to get you situated in your cabana chair.” Sabine looked up at Paige. “She’s somewhat stable. You guide the front while Andrea reels her in and I will walk up the other side of her, OK?”
Paige reached out for the litter, grabbing a firm hold with one hand. Before she reached with her other, she toggled the mic on her radio. “Hot Mic.”She said over the open frequency. “I have her, Andrea slow in.”
Andre reeled the rope in more. The litter was half on level ground now, then all the way. Sabine was standing on one side, Paige on the other. Paige spoke again.
“In level ground, secure from belay, Henrik”
“Off belay” was Henrik’s reply.
Paige and Sabine drug the litter over closer to the deputy’s vehicle. Paige shut off her mic. And helped Sabine undue the straps holding their patient to the litter as she spoke over her shoulder.
“Andrea, take the tag line Henrik was belaying with and set it up on the winch just like the one we were just using. Clip the very end onto the ring on the bumper first so it doesn’t snake it’s way back over the edge, though.” Paige remembered the first time she had tested the winch. She had the free end slide away from her and she had to chase it down. Fool you once, fool you twice, she hoped not.
The other deputy had come up to them by now. Sabine started giving him a status report and the info he was to pass on to the hospital.
“Ok, she is still hypothermic but a little better than she was. She has lost a lot of blood. She had two broken legs and some internal bleeding. I put some expanders into her, but I’ll write some notes. We need to move her into your vehicle and you need to beat feet to the hospital right now.”
The deputy swung the passenger door open. Paige, Sabine and the deputy picked up their patient and slid her into the seat. They had the seat as far forward as it would go so they could recline the seat as far back as they could. They wanted her to be as straight as possible. Once she was strapped in, Sabine popped open the patient’s shirt and, using a medical skin marker, wrote notes directly on the patient’s skin in brilliant purple letters. Everything from blood pressures to pulse ox to respiratory rates to time the tourniquets and binder were applied to type and quantity of fluids administered. It all went down in quick and efficient medic scrawl. When Sabine was finished with her notes, she looked up at the Deputy, who was now in the driver’s seat, ready to go.
“One more thing.” Sabine leaned over to her patient one more time. She had to do something that was a bit of a tradition for her during her deployments. Using the marker, she drew five small stylized crosses under her right armpit. She used to do it to let the docs know who worked on their patient in the field. It was a symbol going back to Joan of Arc. She started doing it and asking Saint Joan to watch over her patients. This felt like a combat zone, and this woman, her patient, was a warrior, so she fell under Saint Joan’s purvey.
She wrapped the patient back up and looked up at the deputy. “What do you want us to do with the stuff down there?”
“Take whatever you want. You more than earned it.”
Sabine closed the door. The Deputy sped off, lights blazing.
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