00:00Dr. Lennox, we've got an intake.
00:02Josephine Tucker, 38-year-old female.
00:04Suffered a seizure 30 minutes ago
00:05and treated with Ativan at the scene.
00:07Heart rate's 110. BP's 131 over 77.
00:10Respiratory rate and effort's all over the map.
00:12She's been in a coma for the past 20 years.
00:1422 years.
00:16That's her mother, Angela Tucker.
00:17We're gonna take good care of your daughter.
00:19On my count, one, two, three.
00:23Call respiratory.
00:25Let's get her hooked up on high flow
00:26and order ABG analysis two.
00:28On it.
00:29Her urine output has been less
00:30the last couple of days.
00:31Darker, too.
00:32That's helpful. Thanks.
00:34Sunset sign and chain stokes respirations.
00:37What does that mean?
00:38Mrs. Tucker, your daughter's symptoms
00:40are indicative of hydrocephalus.
00:41A buildup of fluid in the brain.
00:43She's bradying.
00:44Heart rate's in the 30s.
00:45She's having another seizure?
00:47Page nerve surgery?
00:48There's no time.
00:49One milligram atropine IV.
00:50Prep and drape her right frontal scalp.
00:52We need to place an emergent EVD.
00:54What is that? What's an EVD?
00:55Dr. Lennox will drill a small hole
00:57in her skull and insert a tube
00:58to drain the fluid.
00:59It's the only way to save her life.
01:00Do we have your consent?
01:02Yes. Do it.
01:04Scalpel.
01:08Drill.
01:13Patheter.
01:23Now page neurosurge.
01:24Let's get labs and a head CT stat.
01:27Is she gonna be okay, Dr. Lennox?
01:29She's stable now, and her breathing's improved.
01:31We'll know more soon.
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