Medical Emergency

Posted on Sun Oct 26th, 2025 @ 9:38pm by Lieutenant JG Malcolm Beckett M.D. & Lieutenant Alexandra Blackstone MD/DSAPM & Lieutenant JG Jezra Siv MD & Ensign Iozhara
Edited on on Sun Oct 26th, 2025 @ 9:46pm

1,620 words; about a 8 minute read

Mission: Peril at the Unification Accords
Location: Sickbay, Deck 12
Timeline: MD 08, 1740, (Following "The Shattering Hour")

The sound of a transport broke the silence in Sickbay. Four figures appeared, one onto a biobed and three nearby. Once the transport finished, Jezra jumped into action, looking at Alex and Iozhara who had transported with her. "Alex, get that neuro stimulator set up. Iozhara, let's get diagnostics running to identify why there's a mismatch between vitals and brain activity."

Iozhara seemed to be already moving before the transport shimmer had cleared. She pulled the diagnostic arch down over the biobed, its robotic hum turned into a high-pitch whine before clicking shut over T'Varel's motionless form.

"Yes, Doctor," she said, her fingers tapping over the diagnostic controls, keying-in the neural synchronization scans.

Alex nodded in acknowdgement and turned on a heel, moving quickly and with purpose to retrieve the neural stimulator. After just a moment she returned, setting it on the Ambassadors brow and activating it. She offered a silent prayer that they would be able to keep her alive.

The neurostimulator's blue light flicked once--steady, then stuttering. A tremor rippled through the Vulcan woman's frame--small at first, then violent. Her limbs jerked against the clamshell as if something deep within her were trying to force its way out.

"Doctor--!" Iozhara's voice cut through the room as she reached to steady T'Varel's shoulders. The diagnostic arch wailed, a screeching alarm that sliced through Sickbay. Readouts flared red across the console: cardiac rhythm collapsing into chaos, waveforms spiking and flattening simultaneously.

"Agonal rhythm," she said, glancing to Jezra. "She's losing perfusion."

Alex watched the readouts for a moment as she worked through the scenario in her mind. "Iozhara; administer 2 micrograms of Adrenaline. 1 unit of Vasokin to try and stabilize her cardiac rhythm. I am going to administer 40 milligrams of Synaptizine and 1.5 units of Trianoline. Let's geta body toxicology screen running so we can get some more information." She quickly turned to collect a hypospray and the vials necessary for her own administrations.

Iozhara was already reaching for the tray before Alex had finished speaking. As usual, her movements were crisp and precise. She loaded the first hypospray, the tiny vial of adrenaline hissing for a half-second before locking into place.

"Two micrograms adrenaline," she called-out, then pressed the injector against the Vulcan woman's neck. A soft click, and T'Varel's monitor jumped--a spike, then another, then a jagged stutter back toward nothing.

She swapped vials with practiced speed, jamming the clear solution of Vasokin locking into the hypospray. Not wasting any time, the Barzan nurse drove it into the side of the Ambassador's neck. "One unit Vasokin--administered."

Alex' step was quick as she returned, pressing first the Synaptizine and then the Trianoline and she watched the input from the Neural Stimulator and the reading of the ambassadors Neural Activity, her breath bated.

"Working on the toxicology," Jezra announced while the others worked, typing on a nearby console to keep space clear around the biobed. It was bizarre that the cardiac rhythm was as chaotic as it was. She frowned when the results came back suspiciously fast. That only happened when there was nothing to find. "Toxicology came back negative. Trying again."

"I'm not hopeful if it came back the first time clear. Maybe a second scan will catch something though. I am concerned about some sort of neural shock.. the medications are barely scratching the spike in synaptic activity... this isn't looking good." Alex refined the power setting of the neural stimulator and increased it by half to try and get a higher stabilization factor.

The heart monitor flattened, then surged--a finicky promise of life. T'Varel's body arched upward, her back bowing hard against the biobed and her ribs crunching against the clamshell. The neural stimulator flared white-blue.

"Neural cascade--!" Iozhara's voice broke as she reached for the Ambassador. Clearly, it wasn't any of their equipment that was causing this. The activity wasn't following any medical pattern--it was wild, erratic and self-consuming.

T'Varel's eyes snapped open. For one terrible second, the all say nothing of the Ambassador in them--just a voided light, a consciousness caught somewhere between agony and obliteration.

"Kau-tor k'nech!" she screamed--the sound was so raw it, there was no doubt the elderly Vulcan woman had torn the vocal cords in her throat. ("The mind is shattered.")

Then everything stopped.

Her body fell limp, her chest collapsing in a single heavy exhale. The monitor blared one long, unbroken note.

"Damn It!" The curse slipped from Alex' lips and her face turned into a grim mask of cold determination as she placed her hand across the Ambassador's brow and swiftly placed her fingers in the positioning for a mind meld. Without much hesitation she dove into the Ambassador's mind in an effort to catch her at the last moment and try to bring stability.

The intuitive response would have been to bring the crash cart and use neural and pulmonary stimulators to try and bring the Ambassador back. However, with Alex performing what Jezra recognised as a mind meld, the usual procedure would bring risk to anyone touching the patient. The annoyance at complicating an already complex scenario was brushed aside to focus on the current urgency. "Crash cart!" The Trill shouted, rushing back to the biobed. She ordered a nurse to start chest compressions to keep blood flowing to the Vulcan's brain as she scanned Alex with her medical tricorder.

"We have to make sure the charges don't affect Alex," Jezra explained aloud. Leaving the tricorder opened next to the doctor, Jezra positioned Alex's free hand to a specific part of the biobed's frame to ground her body, then gently pressed neural monitors to Alex's temples for closer monitoring. Breaking a mind meld was dangerous, but a defibrillation shock to a working heart could be just as deadly. "Iozhara, get the charge diffuser on Dr. Blackstone's wrist," she ordered as she got the defibrillator set up. To someone else who had come rushing over when the code rang out, they instructed them to prepare a second bed in case the efforts to protect Alex failed.

"What in bloody hell is goin' on in here?" Malcolm asked as he followed and and additional nurses back when code registered through sick bay.

"The Ambassador was attacked during the reception, sir," a nearby nurse informed Malcolm while prepping the second biobed. "She just went into neural cascade that triggered cardiac arrest."

Iozhara's pulse hammered in her throat as she snatched the charge diffuser from the emergency kit and clipped it to Alex's wrist. The device hummed to life and a strong violet glow seeped through the seam where skin met alloy. Static crackled across the air.

"She's grounded," Iozhara said tightly, her eyes darting over to Jezra for confirmation.

Jezra finished programming the pulmonary stim unit. "Copy. Grab shears and get the clothing out of the way," they instructed next. While modern medicine allowed clothing barriers when placing the charge pads, it was best practice to get as close to skin contact as possible. Hearing Malcolm, she called out, "Malcolm, you're on the trigger! Stand ready!" The Trill knew Alex was certified to operate the pulmonary stim unit, but the woman was clearly not available, and Jezra could certainly do it if she weren't also commanding the situation, so it was a relief when Malcolm showed up.

"Understood. Dr. Blackstone, yer not doin' what I think yer doin' are ya?" Malcolm asked as he maneuvered his way through the medical personnel to get into position.

Iozhara grabbed the trauma shears from the medcart, trying to keep her hands at the same pace as her mind. The shears clicked rhythmically in a satisfying rip as she cut away the upper half of the the Ambassador's dress, then continuing with the lower half until T'Varel laid limply, her undergarments the only shred of her dignity left.

The nurse doing compressions noticed movement and stayed out of the way of the shears while continuing compressions. At some point in the rush, a respirator got placed over T'Varel's mouth to provide oxygen.

When the charge pads were ready, Jezra picked them up and stood opposite the nurse doing compressions. "Charge set to 20 millijoules," Jezra announced, adhering the bio-conductive pads to the Vulcan's chest. Once they were in place, the monitor above the biobed gained another readout to show the status of the pads. She looked around, making sure no steps were missed. Respirator secure. Pads charged. Diffuser active. All steps checked. "All hands, prepare to clear for discharge! On my mark..." Jezra checked the vitals one more time before signalling: "clear!"

Upon hearing the signal, the nurse doing compressions stopped and raised his hands to show them clear of the patient.

Malcolm tapped the controls sending the measured pulse of electricity to the Ambassador. One of their last remaining efforts to try to save the Vulcan's life. Once the jolt stopped, the nurse resumed compressions as Jezra started the timer.

~tbc~

---

Lieutenant Alexandra Blackstone
Assistant Chief Medical Officer
USS Astrea


Lieutenant JG Jezra Siv
Chief Medical Officer
USS Astrea


Lieutenant JG Malcolm Beckett
Medical officer
USS Astrea


Ensign Iozhara
Nurse
USS Astrea


Captain Remira Johansen (as Ambassador T'Varel)
Commanding Officer
USS Astrea

 

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