#Ventilator

[m2mproduction]

Trailer out now ⚡️🫀

[severedfromthesource]

Without

Cohl has been down a long time before Yui can get to him, but he refuses to give up. No matter what logic dictates. Features M resus, M rescuer, mechanical CPR, intubation, prolonged resus, hypothermia, drowning.

He couldn't even remember why they were diving in the middle of this godforsaken planet. Drowned treasure? Some ancient alien wreckage? All Yui knew as he piloted the little drone sub down the black depths was that Cohl hadn't responded on comms in a very long time. They'd exceeded the point he'd told Yui to find him if he didn't respond, and gone well past it in the twenty minutes it took him to even find the spot the Captain had dove to. The GPS and radar systems didn't play well with the planet's near constant electrical storms. When he did at last find the ship, he drove the submersible until the lights finally caught a flash of something reflective in the dark. His heart seized. Cohl was lying on his side on a platform outside the sub he'd taken down, unmoving. In an instant he snatched him up into the drone sub's hull and drove the thing as fast as he could back up to the waiting Hawk. Her bay opened up to recieve the little craft and he tore open the door as water sloshed out.

Yui heaved his Captain's sopping wet body onto a stretcher. His usually deep bronze skin was ashen, and he looked so utterly dead that it took everything inside the second in command to not burst into tears. The stretcher rose on its thrusters and he shoved it towards the Medbay. All the while he chattered to the ship's intelligence system, "How's he looking? How long has he been without oxygen?" "Body temperature is extremely low. Patient is in full cardiac and respiratory arrest, no BP or oxygen saturation. His suit marked the start of the cardiac event." Yui's stomach lurched. He asked quietly, "How long has He been down?" "37 minutes," replied the Hawk's comms. His legs went weak at the knees and he nearly fell. Adrenaline pushed him forward, careening into the medical unit. No wonder he looked like a corpse. He'd been one the entire time Yui was looking for him. He'd hoped, somehow, the oxygen reserves would last a bit longer than the projection. Cohl was lucky like that. Luck only got you so far with faulty equipment.

He slammed the levitating gurney into the dock and the medical system hummed to life. Another intelligence system with a masculine voice to contrast the Hawk's system piped up from the hub, "Warning, Code Blue. Warning, Code Blue." "I know, goddamnit," Yui sobbed, the strength going out of him for a brief moment. He almost crumpled over the side of the gurney as a sob bubbled up. He had to grip the railing and control his voice enough to say, "Start resuscitative protocol." "Patient's system has high levels of-" "Get him back!" he spat, jamming the controls until he got to the screen for the revival procedures. He blindly jabbed at any prompt, initiating CPR, defib on standby, airway, IV push with both epinephrine and adrenaline queued once the line was established.

He started cutting away the wetsuit clinging tightly to his Captain's clammy skin, so frozen and stiff he nearly lost it again to touch him. Every inch of exposed skin was cold and gray where it should have been warm and brown. The only color to his skin was the blue and purple edged around his lips. His stomach distended slightly from water inhalation. Yui continued to run the shears through the side seam of the fabric, under his armpit and down to where it ended at his ankle. He pulled away the shorn fabric from underneath his still body and discarded it, leaving him bare under the harsh lights of the Medbay, making him look all the paler as it caught on the rivulets of water collecting here and there in the dips and hollows. Yui planted his hands over the too firm and too round stomach and shoved down, expelling a gush of foaming white seawater from his slack lips and nose. He did this a few times, shuddering as Cohl gurgled and grunted with dead lungs. The Medbay's small mechanical arms and pincers moved about the body as it started an IV and raised the bed beneath his shoulders blades so his chest sat in a slight arch, forcing his head to tilt limply back. When Yui returned to the head of the gurney to clear away the foam from his face, he shivered to see his eyes had slid slightly open. "It's okay," he whispered as he dried off his lips and nose, though he wasn't sure if he was saying it to himself or his Captain.

"Beginning cardiopulmonary resuscitation," the system announced, sliding a thin band around Cohl's chest. In the middle of this sat a small rubber plunger, and in an instant the band was tightening in a vice and shoving the plunger against his sternum. His body rocked, the little device having a surprising amount of strength. It forced his shoulders to shrug inward, his arms rocking at his sides as his stomach, flattened by Yui's efforts, again bulged with displaced force. An additional arm lowered to pull his jaw open, easily sliding in a narrow breathing tube that split into two. A clip at the halfway point extended over his cheeks and mouth to hold it in place, and nearby a ventilator began breathing for him. The other tube in his throat suctioned out the remaining water and fluid in his throat, and for a moment the room was full of wet gurgling and squelching as the compression band beat against waterlogged lungs. Even when his airway was suctioned clear, Cohl still rasped out any air the ventilator fed him, the plastic tubing making each soft grunt whistle slightly.

Yui stood to the side of the mechanical assault. After punching in a few hypothermia procedures to be done alongside resuscitation, there wasn't much else he could do. He tried to help, tried to find something to do to not feel so useless, but the Medbay was an advanced system from a newer model of space cruiser than the Hawk, and most of a doctor's work was automated. It did a lot more than a failed med student could do. So he watched, his knuckles white around the bed railing, as Cohl was shifted and pounded into the back support like a ragdoll. The compression band made his head rock and he shifted to the side to slide a pillow underneath to hold him somewhat still. He couldn't stand watching the way his body bonelessly jerked and spasmed under the chest compressions. He glanced up at the monitors. A flatline, broken by the artificial pulse, raced across the nearest holo. His gaze slid to the cardiogram beside it. Cohl's heart was being squeezed, coiling and releasing in tandem with the machine, but the muscle didn't so much as twitch on its own. Yui pushed back dark hair from Cohl's lidded eyes for want of something to do with his hands.

One of the Medbay's arms implanted a small device over one of Cohl's kidneys, a port which connected to a suspended bag of saline. Heating coils hummed in the dispenser the IV liquid appeared from, and Yui could feel the table radiate a low warmth against Cohl's skin. He wanted to just crank the damn thing up, but knew he could easily kill him that way. As if he could get any deader. Cold, bloodless, without a pulse or respiration. He scrubbed his hand over his face to chase away the morbid thoughts. He dropped out of med school, but one thing had always stuck dealing with the cold: you're not dead until you're warm and dead. Medbay put his Captain's core temp at 75 degrees and climbing by minute percentiles. Not warm, and not dead. Not yet.

Machines pumped his heart, circulated his blood, filled his lungs, and some piece of hardware was in charge of his every vital organ. Yui told himself there was no way Cohl wasn't coming back. But the minutes crawled by. His body temp got to the upper 80s as the warm saline piped through his kidneys to heat up his bloodstream from the inside. His skin wasn't so wooden anymore, and although still noticeably cooler than usual, Yui could finally touch him without wincing. The band zipped in against his chest and pulsed through his upper body, his belly rising just a touch whenever the ventilator hissed oxygen into his lungs. There was no longer the wet sucking sound, which marked an improvement as well as his core body temp. At least his lungs were finally clear of water.

The minutes stretched on. He kept imagining Cohl in the dark, swallowed up by pitch black water, waiting for him. Drifting off. Laying dead on that platform for over half an hour. He checked the time marked on a nearby holo and flinched to see he'd been in cardiac arrest for an hour. His organs had been pumped and blood suffused for the latter half of that hour, and there hadn't been a sign of ventricular fibrillation, no improvement. Yui touched the cheek that finally had back some of its color. "Any change?" he asked as his voice cracked. "No change," announced the Medbay, "Patient is exhibiting a low level of brain activity, but no electrical activity in the heart. Temperature has risen another three points since last reading, and circulation to femoral and carotid seem to be unimpeded." Yui pressed down hard against Cohl's thigh and lower belly, squinting as he felt the pulse from the machine. "Yeah... Yeah blood is circulating. Push..." His chest felt too tight to speak and he pressed a bit harder into Cohl's femoral for the comfort of his pulse, even if it was one being forced on him. "Push another round of epi." It wasn't bound to be much help while his temp was still so low, but if he didn't do something, even just order something, he might break down completely. There had to be something he could do besides stand around like a jackass while machines jostled and pumped his body. Yui slid his hand under his Captain's neck, the other resting just above the thumper jamming down into his cracked sternum. He tried not to focus on the way his entire body seemed to pulse with each compression, or the way his throat flexed with each breath shoved into his lungs, unwilling to take up their own task.

"Surat," he whispered, invoking the name the illustrious Captain Cohl only ever trusted Yui with, "If you leave me alone in the middle of nowhere, I will never forgive you. If you-" His voice caught and he sagged over the rippling body, pressing his forehead to Cohl's cheek. He rubbed his hand gently over his clavicle as the thumper jabbed again and again at his heart. "Don't leave me," he pleaded in a quiet rasp, "Please... please, just come back." The warm saline had softened him again, raising his body temp enough he just seemed slightly cool to touch. Yui continued running his hand back and forth over the space just above the compression band as if in apology. It was, in a way. He hated doing all this to him. Every bit of it felt invasive and violent in a way he would never wish on the Captain he loved as dearly as anyone in his life. More than anyone, if he were honest with himself. Seeing his ribcage pulverized, his organs forced to function, the tubing and wires snaking from his body. One in his throat to make him breathe. One cycling saline through his kidneys. A catheter, also helping pump warm fluid through his system. He felt like he would break if he had to watch much longer, but knew he would never recover if he stopped the resuscitation efforts. He checked the temp gauge one more time. 90.9 glowed in red. A few more degrees and he would be in the normal range. Warm and dead. Yui shook his head, trying to clear it of that thought.

The code went on. The second in command had nothing to do, so he simply held Cohl's hand, trying to find comfort in the artificial pulse he could feel in his wrist. "Doctor Yui," the Medbay said after some time, though it was hard to tell just how long- he couldn't bring himself to look at the clock ticking down the seconds Cohl had been without a heartbeat. "Not a doctor," he sighed. "Noted. Commander Yui," the voice corrected. Suddenly the body went still. The automatic CPR stopped, and the heart monitor went from the rhythmic pip pip pip pip in time to the compressions to a long, flat whine. He sat bolt upright, jabbing at the controls. "What the hell are you doing?" he demanded. The controls had locked. He slapped at the RESUME button, but it wouldn't obey. "Patient has suffered a total lack of cardiac activity for two hours." Yui's blood went cold to hear that. The Medbay went on, "Protocol dictates the attending physician calls time of death and ceases all resuscitation efforts." "Don't you dare fucking stop," he snapped, trying to shift the compression band out of the way. It held firm. Yui cursed under his breath and awkwardly stuck his hands between Cohl's chest and the machine, shoving as well as he could. The plunger got in the way of actually pumping his heart, but he got as close as he could with the intrusion. He looked up pleading at the health display. "Please don't stop, just- he's got a chance, he was in subzero for long enough to preserve-" "Patient has had a temperature of 98 degrees for the past twenty minutes with no electrical activity." Bile rose in his throat. Indeed the display which marked his temperature was in the green, and still he had laid unmoving on the gurney, without even fibrillation to suggest his heart might remember how to beat. "Just a little while longer," Yui gasped out, shoving against Cohl's heart. "He's gonna come back, alright? He has to." He clutched the sides of his face and shook him slightly. "Surat, just fucking breathe, please! One breath, come on!" The ventilator stuck out from between his teeth, but this too had been stopped. Yui pulled his mouth open enough he could get somewhat around it, pressing their lips together as he pushed a breath into his throat. "Protocol dictates-" "Override then!" he shouted, returning to the display, "Override security code, fuck... s-security code 226784, Yui H-" "Insufficient clearance."

The stupid thing was designed for this exact situation. A doctor who didn't want to admit defeat. Who would keep a patient's heart beating and their lungs inflating until the ship lost power, because he was too stubborn and stupid to know when enough was enough. A higher ranking crew member would be the one to have to make the call on whether it could continue. But on the Hawk, it was just the two of them. It was always just the two of them. And the only person who could tell the Medbay to keep it up was the one laying pulseless on the table. Yui shoved a hand through his hair, his breath quickening. "Goddamnit, override security code-" Cohl only ever used two or three passwords repeated through computer systems on the ship. It had always been a huge security risk, but he was glad of it now. He tried, "Code 011289!" Cohl's birthday. "Invalid." He tried his mother's birthday. "Invalid." He tried the anniversary date of the day Cohl had adopted his dog back on Earth. "Invalid." A sob stole Yui's voice for a moment as he collapsed against the bed. His mind raced, heart thudding as he tried to think of what else his Captain might use, his blood rushing almost too loud to think. He again cupped his face, searching his slack features like he might have some answer to give him. Then, as a last resort, he quietly murmured, "Override security code... code 122492." "Override accepted. Would you like me to continue resuscitation?" He shuddered. The big idiot had used his birthday for the Medbay's systems. "Yes," Yui sobbed, pressing their foreheads together. "How long should efforts continue if there's no change?" "As long as it takes. Keep going."

Again his body spasmed under the compression band, again air hissed into the ventilation tube. Yui's gaze flickered over the body in front of him. Naked in a nest of wires and tubes. Bruised black and blue where the mechanical thumper pistoned into his chest. He pulled a sheet over his lower half to preserve some kind of dignity, but there was no dignity in assaulting a corpse like this. But he couldn't give up. Even if, by now, it felt less like giving up on him and more like letting him rest after a long, drawn out fight for his life. Tears ran warm down his cheeks and he shuddered in a breath. There was nothing he could do but wait for the inevitable warning on the ship's power supply, when he'd be forced to stop or risk shutting down the whole place. Until then...

Yui crawled onto the gurney beside his Captain as the compression band mechanically seesawed his body, making his stomach bulge when it hit. He laid down at his side, laying his head against his shoulder, which jerked underneath him with each thrust. Cohl's arm hung limp at his side, and he took his wrist and folded the limb over himself like a blanket. Like the embrace he'd only ever stolen during those nights of drinking and revelry, when Cohl would pull him into his body and he'd feel his warmth and smell the dust of some adventure on him. He smelled like salt water now, and antiseptic. Still, he curled in against him, the ripples and pulses of the machines serving to lull him into a trance like state. Yui slid an arm around his stomach as the thumper forced it to bob up and down, closing his eyes in the warmth of the embrace, and pretending, at least for a little while, that everything was fine.

He stayed like that for an eternity, waiting for the system alarm that warned him the code was taking up too much energy. Just listening to the steady blip of the monitor and feeling the Medbay's work jostle his limp body around. Then, nearing the third and final hour of Cohl's cardiac arrest, the Medbay said, "Commander Yui, please do not touch the patient." He jumped slightly and sat up, still holding Cohl's arm around his shoulders. "W-What is it?" "I've detected ventricular fibrillation. Stand clear while I charge the defibrillation unit." He felt weak with relief, almost too weak to climb down off the bed. Part of him didn't want to either, he wanted to lay there with him forever, suspended in a moment where there might still be some glimmer of hope. But this was better, this was real hope, and he reluctantly laid Cohl's arm back against the bed, drawing away. Two sets of thin robotic limbs placed pads against his upper chest and flush against his ribs on the opposite side. "Charging to 200," announced the Medbay as the machine whined with electricity, "Stand clear." Cohl jerked up against the plunger pinning him down, his limbs contracting inward. Yui glanced at the monitor showing an inside view of his chest, able to watch as the muscle, fluttering and thrown into chaos, seized up with the shock. When the contraction passed, it again vibrated without rhythm or meaning. "Shock advised. Charging to 260. Stand clear." Cohl bucked again, fingers jerking into a fist for a moment before his body slid back into stillness. No change. The Medbay shocked him again, then again, and again, but his heart wouldn't obey. The display showed it jerk, tense up, then continue quivering. Or it would push out a few quick beats and return to its useless shaking. On the fifth shock, when Yui was nearly broken from his catatonic mania and about to tell the Medbay to at last stop, Cohl's body jumped particularly hard. Then his heart started beating.

The sudden stillness felt so wrong after hours of rhythmic spasming and jerking that for a moment, Yui thought something else had gone wrong. But something had gone right instead. Cohl was alive. The compression band slid back into the ports it had come from, leaving his battered chest at last. His sternum was sunken slightly where it had been beating at his heart for at least two and a half hours, and his dark skin was mottled with an ugly bruise that stretched over most of his chest, but Yui could see his pulse leaping at the apex and pounding in his throat. As if not trusting the most advanced med system on board, he fumbled for an old fashioned analog stethoscope amidst the supplies, pressing the bell to a few points on his chest. He heard the ventilator hiss, the air filling his lungs in a whoosh, and beneath that, at last, was his heartbeat. It sounded like a lame animal, still shaky on its feet as it occasionally stammered in half-beats. Lub-dub, lub-lublub- lub-dub, lub-d-dub. But it was there. He was there.

It would be a long time before he woke up, miraculously with minimal brain damage. It still took months for him to fully recover. Yui still carried the shame of the event with him for awhile after Cohl was well enough to captain the ship again. Any other patient subjected to everything he'd put him through might have been angry he didn't just call time. But the shame warred with the joy he felt to see him alive, and most of the time that won out. He confessed one night the full extent- told Cohl of curling up next to his body in his grief and the guilt he felt for what he'd done. But Cohl had just wrapped him up in his arms and kissed the top of his head. "I'm glad you didn't give up," he murmured against his hair. Yui closed his eyes, pressing his face against his chest hard to take comfort in the beat of his heart, and whispered, "Me too."

[med-tech-enthusiast]

Bain breathing system

[myresusfantasy]

(1990) Junk - Movie (Maria Selyanskaya) - CPR.

[tranquilsanatorium]

sources: x x x x x x

Some transparent stuff

[defibandstuff]

Defib

[quadriplegicguysarehot]

[eretzyisrael]

Good News From Israel

Israel's Good News Newsletter to 2nd Feb 2025

In the 2nd Feb 25 edition of Israel’s good news, the highlights include:

An Israeli university offers full scholarships to freed Gaza hostages.

An Israeli life-support system is being deployed to US hospitals.

The Head of Hadassah hospital saved a passenger on an El Al flight.

Israeli organizations saved lives in Las Angeles and Georgia.

See how cows are milked on an autonomous Israeli dairy farm.

Israeli tech will protect India and its trains.

You can behave like an animal at a new Israeli zoo.

Buy a home in Israel – while you can.

Read More: Good News From Israel

The portions of the Torah read in most synagogues during the last two weeks included the hardening of Pharaoh's heart and its disastrous consequences for Egypt. In contrast there have been many recent heartening and enheartening events and activities in Israel which are strengthening the nation and benefiting the world.

Medical news includes the US launch of a unique Israeli respiratory system to boost the heart's function of oxygenating the blood in life-support patients. Read how Israeli charity Belev Echad ("One Heart") helps rehabilitate wounded IDF soldiers. The AI system of Israeli emergency NGO United Hatzalah sent its EMTs to a shopping mall to treat a heart attack patient that it had predicted would need saving. And it certainly was a heart-stopping moment when an El Al passenger had a heart attack and was saved thanks to the Head of Hadassah hospital being on the flight.

There have been many enheartening stories in the last week, not least that of released hostages being reunited with their loved ones. The sight of Israeli SmartAID volunteers restoring power to dialysis patients in Los Angeles. New housing for Israeli lone soldiers. Free scholarships for ex-hostages at Israeli Universities. And the Swedish Member of the European Parliament who fights anti-Zionism. 

Finally, thanks to the generous hearts of Australians who made cases for mezuzahs that will be fixed to the doors of residents of Israel returning to their rebuilt homes. And we hope that the heart of 101-year-old Walter Bingham, the world's oldest journalist, will keep beating until he reaches 120.

The photo is of early spring roses emerging on top of Netanya's "Wall of Hearts".

[spadesandshovels]

Why did the hand fan excel in military drills?

Because it never lost its cool under pressure.

— says @debilsposts

The illustration is what I did for homework for drawing class, where I was tasked to combine ghost and fan. It was a very lucky coincidence, and I hope yous are happy with the outcome, too :)

[med-tech-enthusiast]

homemade anesthesia machine pt 1

[myresusfantasy]

(1990) Junk - Movie (Maria Selyanskaya)

[cprpim]

Any volunteers?

[icu-fetish]

What happened to me?

This surgical cap is quite comfortable. Cold sensors are attached to my forehead – sticky electrodes pulling thin wires, like a spider web catching my every breath. The hair, damp with sweat, no longer bothers – it has been neatly removed so that the medical devices can work without hindrance. On my chest – other sensors, their smooth edges chilling the skin, and the wires descend to where the heart beats unevenly, as if succumbing to the rhythm of alarming signals. I hear the squeak of the monitors – a quiet, monotonous sound that whispers that my condition is stable… for now.

Sometimes the air becomes thick, as if I am swallowing it with force. My chest tightens, and each breath is a struggle, causing sweat to appear on my temples. I've been pricked with needles – countless times, the sensation of sharp metal under my skin still throbs in my memory. Lidocaine, morphine, something else – I've lost count. But there is no relief, only heat in my veins and trembling in my fingers. The oxygen cannula sits firmly under my nose, its plastic tubes chilling my skin, and the oxygen flows into my lungs – dry, but vital. I don't know what's wrong with me. Maybe it's my heart giving out? Or my lungs, which betrayed me at the worst moment?

Nurses constantly check my condition, their fingers – quick and cold – glide over my skin, adjusting the sensors, measuring my pulse. Their eyes, hidden behind masks, seem indifferent, but I feel fear gripping my throat. What if I become a medical vegetable – immobile, dependent on these humming machines around me? Will I fall into a coma where everything disappears? Will I be fully connected to the machines – tubes, wires, needles becoming a part of me? I try to push these thoughts away.

Breathing is still difficult – the air seems to get stuck in my chest. I've been fitted with an oxygen mask – its plastic fits tightly against my face, chilling my lips, making me feel vulnerable. At first, it's annoying, but then… the oxygen penetrates my lungs, cool and clean, like a foreign whisper bringing me back to life. Breathing became easier, and I feel warmth slowly spreading through my body, although the fear remains with me.

I dozed off – briefly, intermittently, as if falling into darkness that receded only for a moment. I woke up to a presence – nurses and a doctor are near me again. Their voices hum quietly, but the words blur, not reaching my consciousness. They removed the regular oxygen mask, and I felt a chill on my lips where the plastic still retained the warmth of my breath. Instead, they put something else on me – a different oxygen mask, attached to a thick hose. Oxygen bursts into my lungs – strong, sharp, as if foreign lips are forcibly breathing life into me. And that sound… the low, rhythmic hum of the machine nearby. Is that it? Artificial ventilation? Is it really that bad?

Their hands are on me again – quick, relentless. A new injection – the needle pierces my vein, cold liquid spreads under my skin, leaving heat and a slight tingling. What is it – a sedative? Painkiller? Will I be able to fall asleep, escape this nightmare into soft darkness? Or maybe it's the last thing I'll feel before…

Did I wake up again… This tube… A breathing tube in my throat – cold, foreign, like a harsh kiss from an artificial device. I've been intubated. I feel this tube – hard, plastic, it presses against my tongue, makes my larynx tremble with each mechanical breath that the machine drives into my lungs. The artificial device makes a noticeable sound – a low, rhythmic hum that fills the room, as if its breath has become mine. I can't move – my body is still connected to wires and sensors, as if I've become a part of this medical room, its living detail. My condition… is it finally terrible? What happened to me? My memory blurs like fog, and my heart pounds under the cold plates of the electrodes. Will I remain like this forever – trapped in the embrace of this machine, dependent on its rhythm…?