No.8 "I've got soul, but I'm not a soldier."
@whumptober-archive
Overcrowded ER | Outnumbered | "It's all for nothing."
Working in London had its perks. Good public transport, better money, a trauma network to be proud of. After the Army it had been welcome, a supportive network to put his skills to good use and help others as well as teach and learn. He’d made his career there, met his wife, and given it was the hospital that had saved Finn and given him a second chance to complete his degree, he owed it a lot.
He’d just finished seeing a patient in the ED, and sat down to get his notes done. It had been a busy day, the ED overcrowded as ever, people waiting hours on hours to be seen. It was more and more like the status quo these days, not that that made it any easier to deal with.
As luck would have it, he was sat next to Harrison, and he glanced over at him, humming. He’d been about to ask him if he was coming for for Sunday lunch that week when the world shattered around them. There was an explosion so big it rocked the ED, walls crumbling and windows shattering.
Harrison suddenly found himself on the floor, shards of glass and debris surrounding him, his ears screaming. Everything was sluggish for a moment, reality slowly falling back into place. Blood dripped from his nose and he roughly wiped it away, trying to get to his feet.
"Fao?!"
The blast had taken Fao to the floor too, dust and rubble all around him, his ears ringing with it. It wasn’t the first explosion he’d been caught in the aftermath of, but that hardly made it any easier. Struggling to his feet, Fao gripped what was left of the desk. It took a minute to register that Harrison had called his name.
“Hars?”
He looked critically over him. "You okay? Bleeding?"
“Dunno.”
"Let me see."
He struggled to stay upright, definitely concussed, and when he wiped at his brow his hand came back red. He wasn’t sure if he was bleeding anywhere else, trying to think was like trying to crawl through molasses.
Fao looked as shit as Harrison felt, and it was taking every ounce of his control to not just break down. He cupped Fao's cheek with one hand, frowning.
"How dizzy are you?"
Fao huffed a laugh. “Very.”
"Right, sit. I'm not having you collapse." He'd not thought he'd hit his head, but the sudden nausea and subsequent vomit said otherwise. He roughly wiped his mouth, turning back to Fao. "Let me check you, then…then god knows where we start."
Fao picked up a chair that had been knocked over, testing how stable it looked before he sat on it shakily. “I’m fine, I think. You’re not, though.”
"I'm fine." He brushed Fao's concern off. "Let me have a look at your head."
“Mm, ‘kay.”
Harrison was gentle as he did so, screams starting to break through the chaos. He knew he ought to go treat, but Fao was his priority. He always was.
He was starting to feel a little better, the blood more of an inconvenience than anything else. He pulled away, looking up at Hars. “We need to start triaging, Tomcat.”
"Yeah, I know. I just wanted to make sure you weren't gonna die on me." He said softly. "Let's go see what we've got."
“As if I’d die on you.” He said, carefully getting to his feet.
Harrison couldn't help his glare. "You're an arse."
“It’s fine, we’re even.”
"Dick."
“Are you sure you’re okay?”
He glanced at him. "No. But we don't have a choice."
“Okay enough to stand and treat, at least?”
"Yeah, course." He glanced around. "We need more staff."
“We need more on a good day.” Fao grumbled.
Harrison snorted, hating the pain that lanced across his ribs. He rummaged in the drawer by him, making a triumph noise as he found the rota. "Right! Everyone listening! I need to know who we've got, who's hurt, and then we can triage patients, okay?
"If you are hurt, but still walking, start treating. I know we're all stubborn fuckers, but, for the love of god, if you are properly hurt, please speak to someone, let them help." His voice betrayed his stoicism for a moment. "I can deal with injuries. I can't deal with losing any of you guys, alright? Look after each other. We just need to get through the next hour, more help is on the way. I know you guys are scared, I know how overwhelming this all is, I know. But we can do this, okay? We've just got to get through the next hour.
He braced himself against the desk as dizziness hit him again, and he swallowed down the nausea. "We need to set up a triage, all current major patients are gonna be put in resus. Float a few of you there so anyone needing immediate medical treatment that's ongoing can get done. Anyone new, we'll move to majors one. Everyone currently admitted, majors two. Systems are down, let's get everything on the whiteboards, okay? Check everything twice, no mistakes. Go in pairs, nowhere alone, alright? Alright." He sighed. "This is shit, this is tough, but we've got this. I believe in you all, take a moment and let's try and sort what we can, okay?"
Fao let him talk, taking control easily and comfortably. It was his department, and he did a good job of getting everyone’s attention. Plenty were just as wounded as they were, some looked worse, and Fao’s eyes flicked critically as they gathered, taking stock of who could likely treat and who couldn’t.
It was a relief to have his staff accounted for, however injured they were. He wasn't sure where the explosion had come from, or why, but that wasn’t the main focus. They'd deal with that later. They had patients they needed to see, and plenty of them should be patients themselves. With a dark expression, he rifled through the major incident pack, handing out tags.
"Fao? You alright to hold down adults for ten minutes? I want to go check paeds."
Fao nodded. “Yeah, absolutely. Be careful, yeah?”
"And you." He said firmly, nodding at Fao. "I'll shout what I find."
“Don’t do anything stupid.”
He turned to grin. "When would I ever?"
“All the time, that’s what I’m worried about!”
"Worry about my ED. That's all I'm asking!" He shot back, already making his way through the debris.
Fao shook his head, but turned his attention to the rest of the team. “Alright guys, listen up. Anyone who’s able to triage, go and triage. This is no different to any of the major incident training you’ve done. Don’t put yourself in any danger, don’t take stupid risks. There’s no point making more patients for us. If you’re not able to go and triage, come and see me, or send someone to get me if you need medical attention. Let’s work as a team, get things sorted, and we’ll get through this. I’m presuming we’re cut off from the rest of the hospital, so what we have here is what we’re working with.”
As everyone slowly split off, Fao was able to start taking stock, working out what supplies they had, what staff were around and who was injured or missing. They could start working out where was safe and where wasn’t, setting up areas to treat and areas to avoid.
It was as he was sorting them that he came across a slumped figure, blood spattered over the floor. It was Jamie, Fao recognised him immediately, and knelt next to him.
“Hey, Jamie.” He murmured. “You’re gonna be okay, I’m gonna get you sorted, alright?”
He barely raised his head, closing his eyes against the dizziness. "Fao."
“Hey. This is usually the other way round, eh? I’ve got you.”
"I don't know how you two do it." His voice was weak.
“Stubbornness.” Fao admitted. “I’m gonna get you up now, alright? It’s gonna suck, it’ll hurt like fuck, but it’s the only way we can get you help.” He shifted his weight, and then carefully picked Jamie up, uncaring of himself as he got to his feet.
"God, fuck this." He groaned, leaning into Fao. "Fuck."
“I know, I’m sorry.” He murmured.
"Am I gonna die?" He couldn't help but ask.
“Don’t be daft, of course you’re not.” Fao said lightly. “We’ve got to keep you around, you’re the only one who can cannulate me without turning me into a pincushion.”
He almost laughed, but the slight huff sent pain shooting through his abdomen. It spread everywhere, a shock going down his spine and the pain making him feel sick. He gave a groan, struggling to stay conscious.
“Okay, no jokes.” Fao said softly. “I’ve got you, I’m damn good at my job. You’re gonna be alright, just keep breathing for me.” He managed to find a half decent treatment space, things getting relatively sorted now, and looked around. “Where’s Harrison?” He asked one of the HCAs.
"He's not come back yet."
“Shit.” Fao muttered. “Okay, I need as much kit as I can get.” He looked around, finding what he could make use of. It wasn’t much, but it was something.
"Fao?" Jamie's voice cracked.
“I’m here, you’re okay.” He said, coming back to his side. “I’ve even found some pain relief.”
"Breathing's 'ard."
“Keep doing your best, okay? You’re doing amazing.”
"Sorry." He hated it, hated it all. His body was trembling, each movement making the pain worse. He coughed, suddenly retching at the taste of blood in his throat. He couldn't sit up to clear his throat properly so turned his head, spitting blood with a whine.
“You’re okay, don’t be sorry.” Fao soothed, ripping packs open to try and control the bleeding. “You’re doing so well.”
He forced a smile. "You don't have to lie."
“I’m not. Best surgeon in the hospital looking after you.” Fao tried to joke, packing the wound the best he could.
"It fucking hurts."
“I know, I know. Hold on for me, you’re doing great.”
"Don't lie." He murmured.
Fao had gotten to the point where he was happy enough with the packing, that the bleeding was at least slightly under control. He’d managed to bag painkillers and enough kit to start an IV, and he quickly set about getting access. “You’ll have to forgive me for this one mate, it’s been a while.” The lighting was shit, too, but Fao had always been decent at getting a vein, and managed to get a cannula in, feeling quite proud of himself. He needed more hands, though. He gave the morphine, scrawled the dose and time on Jamie’s arm with the pen he was glad he had in his pocket, and went back to the wound.
Jamie was beyond glad for the pain relief, the morphine threatening to pull him under. He didn't fight it as much, allowing the haze to take over as he drifted.
“That’s it.” He murmured, trying desperately to sort the bleeding. Where was Harrison? He should’ve been back by now.
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Beyond Bones: Healix Trauma Care Revolutionizes Treatment For Orthopedic And Abdominal Injuries
In the realm of medical emergencies, trauma care stands as a beacon of hope for those facing life-altering injuries. Healix Hospitals, with its unwavering commitment to excellence, has pioneered Trauma Care that extends beyond traditional approaches, offering comprehensive solutions for orthopedic and abdominal injuries.
Let's delve into the innovative methods and specialized expertise that Healix brings to the forefront of trauma care.
What are some common orthopedic and abdominal injuries?
Certainly! Here's a more detailed rewrite of the content:
Orthopedic injuries encompass a wide array of conditions that affect the musculoskeletal system. These injuries commonly include:
Dislocations: Occur when the ends of bones are forced out of their normal positions within a joint. This can result from trauma or sudden impact, leading to pain, swelling, and limited range of motion.
Fractures and Breaks: Refers to the partial or complete breakage of bones due to trauma, overuse, or weakened bone structure. Fractures can vary in severity from hairline cracks to compound fractures where the bone pierces the skin.
Impingement Syndromes: Involve the compression of soft tissues between bones in a joint, often seen in conditions like shoulder impingement or hip impingement. This can lead to inflammation, pain, and restricted movement.
Sports Hernia: Also known as athletic pubalgia, it's a strain or tear in the soft tissue of the groin area. It commonly affects athletes involved in sports that require sudden changes in direction or intense twisting movements.
Overuse Injuries: Result from repetitive stress on muscles, tendons, ligaments, or bones without adequate rest and recovery. Examples include tendonitis, stress fractures, and muscle strains.
Sprains: Occur when ligaments, the tough bands of tissue that connect bones to each other, are stretched or torn. This often happens during sudden twisting or stretching movements, causing pain, swelling, and instability in the affected joint.
Abdominal injuries involve trauma to the area between the chest and pelvis and can vary greatly in severity and complexity. Common abdominal injuries include:
Contusions: Bruising of the abdominal wall due to blunt force trauma. While contusions may seem minor, they can sometimes indicate underlying internal injuries.
Lacerations: Refers to cuts or tears in the abdominal organs or tissues, often caused by sharp objects or severe blunt force trauma. Lacerations can lead to internal bleeding and require prompt medical attention.
Puncture Wounds: Penetrating injuries that breach the abdominal wall, potentially causing damage to internal organs such as the liver, spleen, or intestines. These injuries pose a risk of infection and internal bleeding if not treated promptly.
Herniations: Involve the protrusion of abdominal organs through weak spots in the abdominal wall muscles. Hernias can be congenital or develop over time due to factors like obesity, heavy lifting, or abdominal surgery.
Abdominal injuries can affect various vital structures, including the liver, spleen, pancreas, kidneys, stomach, small intestine, colon, ureters, bladder, and vasculature.
Blows to the solar plexus, a complex network of nerves located in the upper abdomen, are particularly common and can cause momentary paralysis of the diaphragm, leading to significant pain and respiratory distress.
Recognizing and promptly managing orthopedic and abdominal injuries are crucial to prevent serious complications such as chronic pain, loss of function, organ damage, and even life-threatening conditions like internal bleeding or sepsis. Seeking immediate medical attention and appropriate trauma care can significantly improve outcomes and facilitate recovery.
Read More: https://www.healixhospitals.com/blogs/beyond-bones:-healix-trauma-care-revolutionizes-treatment-for-orthopedic-and-abdominal-injuries
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