STF

Side Sim - MCI Drill (Attn. Medical)

Posted Feb. 15, 2019, 1:42 p.m. by Lieutenant Junior Grade T’Aria (CMO) (Trin S)

Posted by Lieutenant Junior Grade Solomon Kane (Tact / Med) in Side Sim - MCI Drill (Attn. Medical)

Posted by Commander Chris Taggart (XO) in Side Sim - MCI Drill (Attn. Medical)
Snip

It had come to the point where the obvious was standing right in front of their faces, waving its hands at the imbeciles who were too stubborn to see it; they weren’t going to find those medical officers. At first, his suggestion seemed absurd, defying the purpose of the drill to begin with. Although, the longer she thought about it, the more sense it made. “All right. There are four different MCI drill programs –each with five sub-programs– suited for a different count of live doctors.” She nodded, gesturing for Kane to follow her back. Once they had returned to Sickbay, she found her way to the wing, retrieving the main PaDD, which had the central information. Snatching another, unused PaDD, she headed over to the mainframe, transferring the data, leaving Kane with an overview of the options. “Each drill has twice the number of patients as it does doctors,” She explained. “They range from battle casualties, mission casualties, warp breaches and otherwise.” She handed the PaDD to Kane, “The choice is yours. Once ordered to the main system, the computer will alter the current scenario to suit your given choice.” It was a rather organized system. Then again, T’Aria was just a tad OCD.

Doctor T’Aria
CMO

Kane scrolled through the scenarios and then a wicked smile came across his face. He was familiar with T’Aria’s background and education. Hematology and surgery specializations. And he was confident enough in his own abilities to handle almost any trauma and EMS needs that could come their way. But he also knew that if he lobbed them a softball they both could easily handle, she would either lose respect for him, which he would not allow if he could help it, or she would make them do another damn drill… or both. So he looked up at her, wicked grin still in place; he leaned in close so that his lips were just centimeters from her ear, and said very quietly “You know… I really like you. A lot. If I didn’t, I would never do this to myself.” and he pressed a button on the PaDD.

The computer activated and a call went out over the Sickbay comms. [O] Attention all Medical Personnel. Mass Casualty Incident Drill Commencing. Repeat. Mass Casualty Drill commencing. All Medical Personnel report to duty stations. This is a drill. Drill commencing in 5… 4… 3… 2… 1… Attention. Attention. Unknown contaminant detected. All environmental systems isolated. Contamination protocols engaged. Unknown contaminant identified. Isolation protocols engaged. [C]

Kane looked at her and said “We specialize in injury. Thought we may as well brush up on our virology and infection control protocols while we were at it.” and he looked as the Sickbay became a flurry of activity. A few rolled their eyes and began going through the motions, but apparently not fast enough for Kane. “Move it people!!” he bellowed across the bay. “We have a unknown contaminant and multiple infected. Now, get triage done. I wanna full list of symptoms and a roster of those infected as well as their movements for the past 48 hours. Samples need to be taken and sent to the Lab for analysis. Shake your tail feathers! I’m not losing any pretend patients today! Move it!” and he began grabbing random passer-bys and assigning specific tasks.

Kane, Tac / Med

OOC: “Pretend patients.” I love how he had to add in that part. LOL
Time to make up a pretend contaminant. Feel free to add to this, these symptoms are just basic, so the interesting ones can come as a shock to the characters, later.

IC: As Kane bellowed orders out to tell sizeable staff of the Sickbay, the computer compensated for every tasked assigned. Several patients had been devised at the will of the program, each exhibiting a wide variety of symptoms: high fever, severe inflammation, discoloured pigmentation to the skin (somewhat blue in hue {for humans}), fatigue.. and the list went on. Unfortunately for the doctors of the Sickbay, these basic symptoms easily could have pointed towards both a virus or a bacteria, and until those Labs were ‘sent in,’ they would be left in the dark.

The worst of the patients were experiencing the onset stages of severe debilitation; scans would reveal they had elevated and abnormal heart rates, unless the patient was Vulcan, in which case the BPM seemed to drop. Perhaps it had something to do with that green blood of theirs. In addition, they were showing signs of wheezing and shortness of breath, uncontrollable sweating, wavering consciousness, coughing up blood and phlegm, and more.. it was apparent, the closer the doctors looked, that this disease was attacking the cardiovascular and respiratory systems– and it worked fast.

While T’Aria was off triaging with the other doctors, a young Ensign quickly made his way over to Kane. “PA, we have a thirty-two-year-old human male, severe arrythmais, high fever of 104°, sweating.. and a wide array of other things. What concerns me, though, is his skin, especially around his feet and hands is incredibly discoloured, not to mention, his legs and ankles are swelled up like carnival balloons.” He spoke quickly, glancing over at the empty biobed, where the patient was supposedly laying. “Hypoxemia, maybe? Or something cutting off circulation?” He offered the PaDD to the man, which had its fair share of contradiction. Either way, something wasn’t right– whether that meant he didn’t have enough oxygen, or something had cut off the circulation to his legs. Whatever it was, it wouldn’t stop there.

NE Doctor

Kane looked at the data on the PaDD and scowled. “Check his blood oxygen levels. That will determine hypoxia or not. Then set the scanner for a full arteriogram. See if the swelling circulatory in nature, or if he is retaining fluids. Until then, let’s see if Phetetalin has any effect. And monitor that BP and make sure we get a sample of any bladder evacuations. Oh, and get a blood sample to the lab right now. Go go go.” And then he stopped the Ensign. “Wait. You said discolored. What color?”

Kane, Tac / Med

bump

OOC: Stepping in. I need to find a place to post while I wait.

IC: The CMO told Chris about this and to stop by and check it out. Her got there in time to hear his friend Kane display good sound judgment and smiled. He was trying to be in the back, not to hide but to be out of the way.

Commander Chris Taggart XO

Without turning to look at him, Kane waved the XO away from him. “I do not have time for any of your shenanigans right now, Taggart. I have a pretend outbreak and multiple pretend patients patients in dire pretend distress.” he said with a broad sweeping gesture to the Sickbay as a whole. On many biobeds rested a PaDD, and on the scanners of each bed with a PaDD, readings flashed and warning lights flickered. “If you distract these ne’re-do-wells too much, they are liable to kill every last PaDD in the place. So back off.” It was obvious that ‘drills’ did not rank very high on Kane’s list of “Things I Like To Do”, probably falling somewhere between root canals and having his hair set on fire.

Kane, Tac / Med

OOC: Fixing typos.

“Is there an issue over here, P.A.?” T’Aria inquired as she approached, halted by the interruption of an older Nurse, whose expression was only partially concerned, his awareness of the patient’s imaginary stance essentially trivializing his care.

“Patient C is seizing, Doctor. It seems to be a result of abnormally low blood pressure–.”

“For what reason are you standing around? Give him three ccs of midazolam, immediately. This patient might be the result of a computer-based program, but that does not mean the care give should be any less than you would give to a real patient.” T’Aria’s voice was monotonous, but there was a hint of displeasure beneath her voice. Watching as the Nurse left, muttering something under his breath, she turned back to Kane and Taggart. “It is clear this department is not fond of MCI drills.” Not that she was, either.

Dr. T’Aria
CMO

Kane walked away without a word in her direction and came to a biobed where the PaDD lights were flashing in an odd sequence. Speaking out loud, but seemingly to himself, he began cycling conditions and symptoms. Pathology and virology were not his strong points, but he also wasn’t stupid and had a head for medicine. ‘Discolored lips… seizures… low blood pressure… sweating, fluid retention and swelling… and this poor bastard is apparently starting to bleed from his nose and eyes…” and his voice trailed off and he stared at the PaDD with an intensity he usually saved for people cutting in line in front of him. Then all of a sudden, his head whipped up and he looked at T’Aria.

“Autoimmune hemolytic anemia!! That’s it! The virus is destroying red blood cells!” and he looked at the nurse he had told earlier to send samples to the lab. “Have them check for…” and he began snapping his fingers on his right hand as he struggled to pull the information he wanted from his brain, “… E. Coli. Strep. Typhoid. Hepatitis. Anything like those, got it?” and then he looked at T’Aria. “Typhoid and strep are the only ones that could be airborne. Strep only if it was modified.”

Kane, Tac / MEd

Nodding, the nurse quickly retreated to the labs in order to pass along the requested information.

“Typhoid would be the logical deduction, specifically due to the high fever and noted cephalgia. However, Streptococcus is a possibility, especially given the general vaccination for the Typhoid strand.” Unless the strand has mutated.. “Once we get the labs back, should they test positive for Typhoid, check for any mutations that might have evaded the vaccine.” Thinking, she continued. “We need to start the patients on prophylactic folic acid and corticosteroids for the AIHA. If that is the underlying issue connected to Typhoid or Streptococcus, treatment should improve vital signs.” She worked as she spoke, ordering the PaDDs to administer the acids and corticosteroids to the patients.

Dr. T’Aria
CMO

Kane’s PaDD beeped and he looked at it. “Labs are back. Man, those imaginary Science Section folks are on the ball today.” he said as he scowled at the screen. “Positive for typhoid, so thats… wait… Hey, Doc. You’re gonna want to see this.” and he handed her the PaDD. On it was the lab report showing that the infection was indeed typhoid… but it was paired with an influenza virus. Kane looked at her and said “Well, you wanted to see how smart your section was. This outta do it.” and he looked at her through his mane of hair. It was hard to tell, but there may have been a slight hint of mirth in those eyes.

Kane, Tac / Med

“How intriguing,” T’Aria mumbled. Considering the information before her, she glanced over at Kane, just barely recognizing the amusement hidden behind his wild hair. Without a word, she turned to the remainder of the staff, who were a bustle of chaos and discontent. “May I have your attention!” The doctor shouted, well aware a risen voice was the only way she was going to get them to listen. “Lab results came in; we are dealing with Typhoid fever combined with the influenza virus. In addition, patients are suffering from Autoimmune Hemolytic Anemia– make certain your patient is treated with prophylactic acid and coritcosteroids.” She continued, “We are dealing with a virus and a bacteria, which means we have to be careful with out prescription of antibiotics and antivirals. Does anyone have any ideas?”

“What about a penicillin treatment like amoxicillin, paired with oseltamivir and fluids?” A middle-aged woman spoke up.

“But what if the patient is allergic to penicillin?” A younger man asked, raising an eyebrow. “What about Ciprofloxacin instead? It doesn’t contain penicillin.”

“Perhaps Genericilin, for those capable of taking penicillin, as it is stronger against gram-negative bacterium like Typhoid, and Ciprofloxacin for those allergic,” T’Aria responded to them. “As well as Tryptophan-lysine distillate. It is a drug specific for Influenza, and is non-reactive to penicillin. The fluid are a logical idea, as both of these drugs can dehydrate the patient.” She glanced over at Kane to hear his thoughts on the discussion thusfar.

Dr. T’Aria
CMO

Chris smiled. With his extensive background in medicine as well he knew the ship was in great hands and he couldn’t be happier. Medicine is not an exact science and requires extensive knowledge in knowing how to research and deductive reasoning. Experience is a teacher as well and once you find something or go through something you have not before, it goes into your mental file cabinet to be pulled out and used at a later time.

These people have been through allot Chris thought and knew given how big their cabinets were. He was very proud.
Commander Chris Taggart XO

Kane looked at T’Aria looking at him and said “Look, Doc. I’m a trauma specialist. My patience for dealing with stuff like this is pretty short. But if I had to deal with it, the first thing I’d do is isolate Sickbay and start tracking the current patient’s movements. That way we can start anticipating future patient numbers and get an idea on how badly compromised the ship is. Because face it… typhoid coupled with influenza is not natural. So we are dealing with an attack on the ship by a biological weapon.” and he looked past T’Aria at Taggart. “Hey, XO. We have been attacked by a biological weapon. Just thought you might wanna know.” and he looked down at the PaDD in his hand. “Inform Command of contamination… check.”

Kane, Tac / Med

“Typhoid, in itself, is an uncommon bacteria to contract.” T’Aria agreed. Even before the turn of the twenty-second century, Typhoid fever had become essentially ruled out of existence in developed countries, due to a vaccination developed in the 19th century, as far as they knew. Although, at this point, Influenza had suffered a similar demise. Therefore.. they were dealing with two incredibly uncommon illnesses, which suddenly decided ‘Hey! I’m gonna show up in your computer program for the hell of it! Enjoy.’ “Understood. Kane, work on isolating the sickbay and tracking the patients for any indications of people they have come into contact with, which might be susceptible to the joint illness. Both the typhi bacteria and influenza virus are incredibly infectious illnesses and spread quickly– especially the latter.” Opening her mouth to say something more about his comment to the XO, she decided against it, offering only a small shake of her head. Although it was difficult to tell if that was an action of amusement or disapproval– ah, the joys of external stoicism.

“Ensigns,” She made her way over to a specific group of four Ensigns, who were doing little more than idling about. “Get to work on administering the Genericilin to patients unaffected by penicilin and Ciprofloxacin to those who are. Make certain the patient was treated for AIHA before you give them the medication.” Turning around, she nodded to the two Doctors she had previously spoken to, “Doctor Mandera, Doctor Stretlun, work on distributing the TLD to the patients for their Influenza patients; I would prefer you wait at least two minutes after the dose of Cipro or Genericilin, just so we can observe any immediate reactions to the drugs.” Dismissing them, the Doctor scanned the sickbay for any further medical professionals who hadn’t found anything to do yet. With little surprise, all that remained was a particularly infuriating crewman and a few of his buddies. Seeming almost sly in her nature, while she would never actively admit to it, T’Aria approached the group. “Crewmen Daniels, V’Lallass and Abdul, as you are the remaining nurses without occupation, you will be in charge of running further labs to the science department for analysis on the effectiveness of our attempts at eradicating the virus. Afterwards, you will keep record of the patients’ vitals, until they stabilise.” When Daniels opened his mouth to retort, T’Aria silenced him, “I did not ask for your retaliation, Crewman. Please get to work,” without further word, she turned away from them.

“Commander,” T’Aria spoke curiously as she passed, “Are you here for a medical reason or simple observation?” She didn’t want to neglect Taggart if there was a real medical issue going on with him. Although, considering he hadn’t really said much, she assumed he just came to watch the drill– or perhaps razz Kane. Yes, that seemed a viable possibility.

Dr. T’Aria
CMO


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