AT/D08 - Medical Complex

[Tyra Crawford]

= The primary sickbay for the USS Artemis is designed to treat large numbers of injured or ill crew members. It consists of three primary wards: Triage/Main Treatment, Pre-Op/Trauma, and Intensive/Primary Surgery. Doors lead to labs (two located within the complex itself), restrooms, offices for the Chief Medical Officer and Head Counselor, a doctor's lounge, and a morgue.

Each ward has nurse stations, with that of the Head Nurse (or primary shift nurse) being located in Pre-Op/Trauma. These stations consist of a desk and computer terminal, with storage drawers and cabinets located above and to the sides. Larger storage lockers are located throughout the complex, as well as lockers for medication. Biobeds line the walls with sensor clusters above, allowing for the diagnosis and treatment of several injured simultaneously. Each ward has its own dedicated replicator used to produce materials as needed.

The main entrance to the Medical Complex leads to Reception, where a triage nurse is stationed at all times. New patients are assigned beds and appropriate medical personnel are notified. In Triage patients are diagnosed, treated, or transferred to Trauma or Surgery as needed.

In addition to its normal biobeds the Trauma Ward has four Isolation Bays where patients who are contaminated can be treated. These can be sealed with force fields set to various levels to screen out toxins, radiation, or disease. Dangerous individuals can also receive treatment in these bays with a minimum of risk for other patients and staff.

The Main Diagnostic Biobed (MDB) is located in the center of Intensive Care/Primary Surgery. It has a suite of powerful sensors and other tools to allow doctors to diagnose especially difficult cases. Eight intensive care biobeds surround the MDB, and two Surgical Bays are available as needed.

The Artemis Medical Complex is equipped with an Emergency Medical Hologram (EMH) to assist in times of emergency. Emitters are located throughout the Sickbay.

The Doctor's Lounge has numerous comfortable chairs, and a main table in the center. A replicator is available for food and drink, along with a notoriously old and cranky coffee machine. There are several ferns located in the corners, a viewscreen, and an on-call room available for doctors to rest.

Recovery rooms, storage, and break rooms for nursing staff and orderlies are located nearby. There are two smaller sickbays located elsewhere in the ship, mostly used for treatment of minor injuries and non-critical medical procedures.

All areas have the ability to use forcefields and holoprojectors for both containment, restful scenery, or even provide the assistance of an Emergency Medi
cal Hologram. ==

[Beka Sydesh]

Taking a sip from the mug of coffee that she was cradling in her hands, Beka leant her elbows against the main reception desk. In uniform, flame red hair tied back, vivid sleeve tattoos hidden under her tunic, she could pass for a normal Star Fleet officer.

I can hide the crazy for short bursts, but it has a horrible habit of erupting when we least need it to!

She smiled to herself and took another sip of coffee.

“Nice to see you’re hard at work.” The voice belonged to Nurse Golat, the older woman who had taken Beka under her wing when the now-Chief Doctor was a fresh midshipman. She was grinning as she spoke. “Almost didn’t recognise you without your scandalously tiny bikini.”

“Hey, by anyone’s standards, that one wasn’t bad at all,” Sydesh replied with a wolfish smile. “I really could have picked something that would have made her eyes pop, but even I’m not dumb enough to wear something like that at a crew gathering.” She paused a moment. “Well. Not normally dumb enough, anyway.”

Golat chuckled quietly to herself.

“You’ll be pleased to hear that the whole thing hasn’t remotely changed opinions of you in the slightest. Both team ‘Sydesh is a slut’ and team ‘Sydesh is given too hard a time’ have reinforced their viewpoints,” she said in an almost conspiratorial whisper.

Beka burst out laughing.

“I bet I know which team is the bigger one,” she managed, before laughing again.

“Best I don’t confirm that one,” Golat replied with a smirk, drawing another laugh from the redheaded doctor. “Have you managed to patch things up with Chief Calleja, or do we have to brace for finding your skinned corpse hanging from a gantry in the cargo bay?”

“So far she’s not shown an inclination to hunt me down, luckily for me,” Beka answered. “I know all too well I’m not winning that fight if it ever happened, black belt or not. I have designed her a couple of tops to help her out, but I’m waiting for the right moment to try and hand them over.”

“That’s a good plan. Unusually good for one of yours.”

“Thanks. I’m trying harder,” Beka quipped. “Back to business for a bit. How are we looking readiness-wise? Everyone finding their way over here?”

“So far so good.” Golat tapped a few commands into the terminal at the station. “Just the last few stragglers to report in, but nobody’s actually late yet.”

“Cool. Hopefully nobody actually needs my boot up their arse, but that would be a first.” Beka had no problem playing the bad cop in the double act she often played with Robin, the two friends almost instinctively able to play their parts in the dance after so long working together.

The quiet was broken by a pair of Security officers walking in, a Bolian cradling his arm with a deathly pale face and an embarrassed looking human woman trailing behind him.

“Oh that’s got to be a record. We haven’t even left dock yet,” Beka said. “I’ve got these two.”

She drained her mug and left it on the desk before moving to intercept the pair.

“OK, what have we got?” she said.

“We were stacking crates in the armoury, and I lost my grip. Ejid ended up taking the full weight and wrenched his arm.” The speaker was human, and she looked mortified at the pain on her Bolian friend’s face.

“This way, let’s get you patched up and back on duty before Calleja notices you’re gone,” Sydesh said with a reassuring smile on her lips. She led the way towards one of the bays and settled the patient down on the biobed before tapping her commbadge.

“Sydesh to Th’etellis. Can you join me in bay 4 please. I have your first patient.”

== Tag Tes! ==

[Tes Th’etellis]

“Sydesh to Th’etellis. Can you join me in bay 4 please. I have your first patient.”

“On my way,” came the response from the other side of the commbadge.

Tes came in soon after, the doors sliding open before him and sliding shut after. Now in uniform, he was pulling his white hair into a ponytail at the back of his head, snapping the band with finality as he walked in.

“Midshipman Tes Th’etellis reporting for duty.”

He spotted Ejid, the injured Bolian security officer and the other security officer, a human, as he came into Bay 4. He came over to the pair and stood beside Lieutenant Sydesh.

“What happened here?”

The question was directed towards the other doctor beside him. His antennae focused on Ejid. Seeing the way the Bolian was holding his arm, he was already making assumptions.

A dislocated shoulder, perhaps. Or a torn rotator cuff, depending on the direction of injury…

He saw the immense pain on Ejid’s face and the panic on the other officer’s face.

If he’s in that much pain, it’s probably not a sprain or a muscle strain. It could be a fracture, but- Tes, you should hear the damn story first…

== Tag Beka ==

[Beka Sydesh]

“Midshipman Tes Th’etellis reporting for duty.” The lanky Andorian arrived snapping her hair into a ponytail. “What happened here?”

“These two were loading crates in the armoury and fumbled one. Ejid,” Beka nodded towards the Bolian, “ended up taking the weight and wrenched his arm. Potential dislocation or rotator cuff damage, my guess would be glenohumeral ligaments. But this is your show now. Take the lead, doctor. I’m here if you need me.”

With the handover given, the redhead took a step back, leaning against the back of the cubicle. One of the nurses arrived with a triage kit including a tricorder and dermal regenerator and set it out in front of Tes, and then waited for instructions.

== Think of me as a GM for this one - you take the lead, I’ll answer input requests! Feel free to flesh out the nurse as much as you want to, they’re now your temporary NRC. ==

[Tes Th’etellis]

“Potential dislocation or rotator cuff damage, my guess would be glenohumeral ligaments.”

Tes nodded, his tone analytical. “That’s what I was thinking, too.”

“But this is your show now. Take the lead, doctor. I’m here if you need me,” Beka said, stepping back to observe Tes. Tes looked back and gave a nod, grateful at the chance to prove himself.

Alright, Tes. This is it. Don’t screw it up.

“Thank you, nurse,” he said as the nurse laid out the triage kit in front of him. She gave a nod.

He turned back to Ejid and grabbed the tricorder from the triage kit, scanning the Bolian’s shoulder whilst observing his glenoid fossa, trying to see physically if the head of the humerus slipped out.

“Since the accident, have you been able to move your arm at all, Ejid?”

== Tag Beka: results of scan, physical observation, and Ejid’s response, please! ==

[Robin Mayfair]

== Sorry I've been scarce. I'm getting over a really nasty flu and still feel wiped out, though better than I was. ==

[Tes Th’etellis]

== You’re alright, there’s no hurry! :) ==

[Beka Sydesh]

== Welcome back, Chief! And apologies for the delay. ==

Ejid winced as Tes carried out his scan.

"It moves, but I really wish it didn't," the Bolian replied. "It really hurts right at the very top of my shoulder. Feels like my arm is heavier than it was 10 minutes ago."

The scan showed an awful lot of swelling and bruising, to the point where it was very difficult to see much of anything that may have actually been causing the issue. On physical examination, there didn't appear to be much movement in the area of the humerus or glenoid area, but curiously there did appear to be something moving further along, closer to the patient's neck.

[Robin Mayfair]

Robin's first day back had been a pure paperwork day, an early start. Not fun. Granted, her brain was pretty much designed for keeping track of tedious minutiae and organization, but it was still the CMO's least favorite part of the job. She'd stuck a "Do Not Disturb" note on the outside of her door, and thankfully no one had decided to test it. She'd pushed to get it done. Crew records, medical cargo, and yet another repair order for the ever-cursed Biobed 2, bane of her existence. It had shorted out. Again. Engineering had ripped the whole thing apart during shore leave, gone through every circuit, and put it back together carefully. And it had lasted a day. 

It's haunted. There's absolutely no other rational explanation for it. 

The nurse rubbed her hand through her short purple pixie cut, leaving it no more and no less messy than before. She tapped the 'send' button on the work order, with a note that she wouldn't object if the biobed was ejected into space and burned up in the atmosphere. Robin decided she'd had enough. She grabbed her cup of now-cold coffee and put it into her office's replicator to be whooshed away. The office itself had finally been decorated, with multiple plants providing welcome greenery. A very large viewscreen had been mounted on the wall, almost covering it, both for official business and to provide her something pleasant to look at. Currently it was showing Earth orbit, with Spacedock coming into view over the horizon. 

She stood up. Time to go bother people. As CMO she was expected to circulate, even if there wasn't anything going on. 

But there was. She caught the tail end of Beka's request to Tes Th’etellis. Her friend was doing well running the floor and assigning people, and she certainly didn't need the CMO to intervene in anything. Robin quietly moved to the door to observe the new doctor as he worked, staying out of line of sight. The last thing a Midshipman needed was to have the boss breathing down his neck. 

== I'll take over from Beka as your temp GM. Feel free to treat the patient as you like, and I'll provide results and answer questions. ==
== Tag Tes ==

[Tes Th’etellis]

Tes nodded and pulled away for a moment.

“That’s what I thought,” he said. “Looks to be moderate tearing of the glenohumeral ligaments. An easy fix, not to worry.”

The Andorian noticed the moving near Ejid’s neck, his antennae involuntarily pointing towards it in interest.

“But… I’d like to run a couple of other scans before we treat you…”

He somewhat lied, at least lying by omission. He didn’t mention the moving to Ejid, not wanting to frighten or startle the Bolian. But he leaned forward again and began running the tricorder at a tilt so that he was scanning Ejid’s neck, but remained at Ejid’s shoulder as not to give away what he was doing.

== Tag Robin: Results of scan, please! ==

[Robin Mayfair]

The tricorder gave off a series of short beeps as it did its work. As Tes moved it towards the neck the small display registered what the problem was... a serious one, a broken clavicle. Three fractures ran from the upper part of the bone down at a 45 degree angle inward, not clean breaks but ones that were growing. They threatened to separate a 4 cm section of the upper clavicle entirely, something that would be a mess to repair. Every movement the Bolian made increased the fractures slightly more.

The glenohumeral ligaments had been damaged, but those were fairly simple to heal with 25th century medicine. Outpatient treatment and a couple days rest. But the clavicle? That couldn't be fixed up with an osteogenic stimulator. It was going to take surgery. It wasn't immediately life threatening, but delay only made the situation worse. The damage would have to be repaired by going in, putting in temporary pins to keep the fractures in place, and only then using the stimulator to fix the fractures.

Ejid looked nervous and winced. "How bad is it, doctor? Really hurts." He winced.

== Over to you. You're the lead on this, so you can handle it how you like. ==