00:00Scene 1. Emergency Department. Trauma Bay Time. 22-1-15. Staff. Dr. Anita Patel. Team Lead. Dr. Marcus Lee. Trauma Surgeon. Nurse Ramirez. Respiratory Therapist Jones. Int. Trauma Bay. Night. Nurse Ramirez wheels in Buzz Lightyear on a stretcher. Immobilized. Cervical collar in place. Dr. Patel. Shouting. Airway!
00:27Respiratory Therapist Jones. Attaches a bag valve mask. Dr. Lee. Palpating chest. Breath sounds diminished on the right. Dr. Patel. Vitals. BP 8050. HR 140. SPO2 88%. Prep for two. IV lines. Large bore. Nurse Ramirez inserts 18G IVs. Dr. Lee initiates fluid resuscitation. Crystalloid.
00:57Dr. Patel. Chest x-ray on the way. Ordering type in cross match 4 units. PRBC. Scene 2. Radiology. Ultrasound room time. 22-35. Staff. Dr. Sarah Kim. Radiologist. Sonographer Lee in T. Ultrasound room. Continuous.
01:16Sonographer Lee performs a fast. Focused assessment with sonography for trauma. Dr. Kim. Overspeaker.
01:25Positive Morrison's pouch fluid. Suspicious for intra-abdominal bleed. Dr. Patel. Via phone. Prepare or for exploratory
01:35laparotomy. Notify anesthesia. Scene 3. Imaging. MRI suite time. 23-20. Staff. Dr. Elena Rossi.
01:46Neuro radiologist. MRI technician. Chen INT. MRI suite. Later. Technician Chen secures buzzer's
01:57head in the MRI coil. Dr. Rossi. Running T2 and diffusion sequences for suspected intracranial
02:05injury. Monitor. Diffusion weighted imaging. Show small right temporal contusion. No midline
02:13shift. Dr. Patel. Over intercom. Good news. No surgical neurosurgical intervention required.
02:22Continue neuro-opes. Scene 4. Operating room time. 23-45. Staff. Dr. Lee. Dr. Patel. Anesthesiologist.
02:33Dr. Ahmed. Scrub nurse Clark's INT or knife. Anesthesiologist. Dr. Ahmed. Induction with ketamine
02:43and fentanyl. Patient intubated. Stable. Dr. Lee. Midline laparotomy. Liver laceration grade the 3.
02:53Applying haemostatic sutures and packing. 30 minutes later. Dr. Lee. Haemostasis achieved.
03:01Closing in layers. Scene 5. ICU. Post-op time. O2. Service. Staff. Dr. Patel. ICU nurse
03:10Gonzalez. Respiratory therapist Jones. INT. ICU bay. Early morning. Nurse Gonzalez monitors vital
03:19signs. BP 11070. HR 90. SPO2 98% on ventilator. Dr. Patel. Buzz Lightyear is hemodynamically stable.
03:30Continue broad spectrum. Continue broad spectrum antibiotics. DVT prophylaxis. And neurochecks
03:37every hour. Respiratory therapist Jones. Ventilator settings we in protocol initiated.
03:46Dr. Patel. Smiling. Team. We saved him. End scene. Outcome. Buzz Lightyear stabilized.
03:55Recovering in ICU. With full support of the multidisciplinary team.
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