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to face the death you're never that far from

dath ilani Celegorm is Merrin's patient

Author

Swimmer963

Thread Description

Merrin working in Exception Handling

  • Status: in progress
  • Warnings:
    • dubiously canonical dath ilan
    • medical drama
    • non-lintacanon Feanorians
    • who are in dath ilan for some reason
    • ICU medicine in way too much detail
    • gross medical procedures and bodily fluids
    • I am not kidding about the bodily fluids
    • overly honest depiction of ICU nursing
    • except in dath ilan so it's also vagueblogging Earth constantly

Prerequisites

  • optionally, for no laid course prepare (how Merrin came to the attention of Exception Handling), for background on Merrin, dath ilan, and Exception Handling
  • optionally, something with Feanorians in it, for background on the family

Setting

Timeline

Day 0

5 hours before thread start, ~7pm: Merrin starts being vaguely on call

1 hour 45 minutes before thread start: Kalorm's boat capsizes

45 minutes before thread start: Kalorm and co call for help, Merrin's helicopter heads for them

~35 minutes later: Kalorm goes underwater

Day 1

Around midnight Default time: Thread start

11 minutes after Kalorm goes underwater: Merrin surfaces with Kalorm and is pulled up to the helicopter

~20 minutes later: helicopter lands on nearby ship, Kalorm's shipmates moved off helicopter, stabilization protocol on Kalorm

less than 30 minutes later, 50 minutes after Kalorm gets pulled out: medicopter takes off from ship, Kalorm cooled to 18 C

~70 minutes later: medicopter meets medevac plane, transfer happens (takes less time than the 20 minutes originally planned)

~1 hour after transfer complete: Kalorm's family head to the hospital

~2 hours after transfer complete, 3h 50m after Kalorm pulled out, ~1h before dawn in Default, ~4am: medevac plane lands in Default Hospital. Kalorm transferred to heart-lung bypass. Nerdel and Finnar briefly visit.

~30min later, ~4.5 hours after Merrin's shift starts: 12-hour rewarming protocol starts. 

12 hours later, 16 h 40m after thread start: Merrin goes off-duty, Avarris takes over. Merrin gets a painful massage and then falls asleep.

5 hours later: Avarris goes off-duty after getting Kalorm off the bypass machine. Nerdel visits.

around midnight: Khemeth visits Kalorm and plans what happens next.

Day 2

~noon: Khemeth meets with Merrin and briefs her on Kalorm's weird psychology

~5pm, ~24 hours after rewarming protocol ended: Merrin's shift starts. Kalorm gets rewarmed the rest of the way and un-sedated, takes probably about three hours to actually wake up.

Day 3

~midnight: Kalorm starts complaining, gets mad at Khemeth and tries to fight Merrin to pull out his breathing tube, asks to be moved to the floor. Minimum-support ventilator trials every so often for the rest of Merrin's shift.

6am: Khemeth goes to bed

7:30am: Merrin goes off-duty, Tharrim takes over. Attempt at a dialysis run cut off when Kalorm complains about the noise.

2pm: Halthis's shift starts. Adventures with lung-recruitment therapy. Successful dialysis run.

6pm: Merrin wakes up, gets a painful massage, jumps into extremely cold water

8pm: Kerrin's shift starts.

8:30pm: Merrin arrives for her not-quite-shift while Kerrin is getting a report from Halthis.

~10pm: Adventures with bronchoscopy-while-not-fully-sedated. (Kalorm wakes up after it at 10:30pm). Minimum settings trial for an hour.

~11:30pm: Kalorm off ventilator. Merrin has a Concern. Kalorm has a parasympathetic response to exertion, ultrasound does not show anything very wrong. Nerdel visits and Merrin leaves.

Day 4

2am: Kerrin's shift ends and Dalthem's begins. Dalthem keeps the lights off and mostly stays out of the room to let Kalorm sleep.

6:25am: Kalorm briefly wakes up with nausea. 

8am: Dalthem's shift ends and Tharrim's begins.

9:18am: Kalorm wakes up with nausea again, this time with extra terribleness and pain. 

~10:20am: Dialysis run.

11am: Merrin's shift starts, Tharrim sticks around in case she needs backup.

11:30am: Adventures with enema. Coughing leads to nausea and throwing up, then passing out. And cramps. And adventures with blood pressure.