Marian will put a dressing on it and then carefully pause the blood products and clamp the saline line to transfer them over from the peripheral IV. 

- how are Hye-jin's vital signs holding up? Still breathing okay on her own? Now seems like a good moment to take her temperature again, too. 

She’s still breathing okay, but her temperature’s down to 30. Vitals are otherwise somewhat stable; the dressing on the chest wound must have stopped most of the bleeding.

Surprisingly effective dressing given how incompetent hurriedly done it looks. 

...The core temperature afterdrop isn't shocking, but Marian isn't a fan. Hopefully they're setting up for internal rewarming soon? 

Elaine is bringing in the rapid infuser pump for giving her heated IV fluids very fast; normally they would wait for the central line placement to be actually confirmed before running liters of fluid into it, but this is an emergency and Dr Hulka is really quite sure it's in the right place and gave them the go-ahead. 

Alison is gloved up as well, placing a double-lumen catheter for bladder lavage – it's one of the fastest ways to set up for internal rewarming and actually very effective. They'll do gastric lavage with heated fluids as well but she's waiting to place a nasogastric tube for it until after the patient is intubated and isn't going to throw up into her own lungs if they hit her gag reflex wrong. 

"...Um." She pauses. "I - think we might have an entry wound here." She gestures at the patient's upper thigh, which she had been hastily wiping clean of blood in an attempt to get her nether region vaguely sterile. 

DID MARIAN MANAGE TO MISS THAT HER PATIENT HAD BEEN SHOT IN THE LEG?????? 

"Get a pressure dressing on it if it's bleeding, I'll look in a minute." Dr Hulka is going to attempt to intubate this patient without any sedation, she's pretty deeply unconscious already and her blood pressure is marginal even with the rapid infuser hooked up and Elaine cosigning a second bag of blood-bank blood. 

....Is it in fact bleeding? Marian felt like the blood she was seeing in the legs region was mostly caked on and drying, not squirting. 

It’s mostly stopped, though there’s still a little bit oozing out; her black tights were probably doing a lot of work to stop the bleeding, and cutting them away for the catheter released the meager floodgates. But it definitely looks like the bullet missed the femoral artery, by how their patient isn’t dead. It looks dangerously close though, this woman is lucky.

(This is so distressing!!!! Why is there so much stuff!!!! If she were awake he'd just take her home and guide her and it'd be fine but this is just making him anxious!!!!!!!)

(He's mostly not showing it, though. He'll be quiet and stoic and, if necessary, useful. Hopefully it won't be.)

It can get a pressure dressing. Marian does not try to do an especially artistic job of taping it in place since Dr Hulka is going to rip it off in the next thirty seconds and possibly stick her (sterile-gloved) finger in there. Marian is not normally squeaming but seeing Dr Hulka interact with bullet wounds definitely makes her uncomfortable. 

...She's kind of mentally down-prioritized the chest wound because the sketchy field dressing does seem to have mostly controlled the bleeding, but Tae-gun is still holding pressure on it - with a little ice plate, which is very cool - but, still, using his esper power unnecessarily will give him backlash and she doesn't actually know what his backlash is. ...Also the ice is weirdly not-cold but it's still making her feel kind of uneasy having it here her HYPOTHERMIC patient. 

She will thank him for his help and slap a proper pressure dressing over it so he can be relieved of that responsibility. 

"Catheter's in." Alison steps back from the bed and starts de-gloving. "Be right back, just gotta microwave some saline for bladder irrigation. Should I start setting up for direct blood transfusion or do you think you'll be making an OR trip first?" 

"...I don't think we can take her to the OR with a temp of 30 C. So, yes, please." It's always so weird to Marian how...low-tech...bladder irrigation is. You don't even technically need it to be sterile - the saline comes in sterile bags but they usually cut them open and dump them into the irrigation kit bag rather than repeatedly connect and unconnect new bags. 

Patient intubated and on the ventilator! 25% oxygen and minimal pressure support, despite the chest wound she doesn't seem to be having oxygenation problems. Dr Hulka will put on sterile gloves and ask Marian to peel back the dressing so she can investigate the possible second bullet wound. 

The bleeding has stopped, and it… doesn’t seem quite like a bullet wound, actually? Bullet wounds don’t get smaller the deeper into the victim they go. It’s also free of shrapnel, and while it seems like it grazed the femoral artery, it didn’t puncture it properly. That and the leggings probably saved her life, considering how much blood she lost from the chest injury.

This woman: extremely lucky!

...That's a strange wound profile but it's not going to cause the patient to bleed out and so it's not currently Dr Hulka's top priority. 

The X-ray tech isn't here yet and there are other patients in the unit. Dr Hulka strips off her gloves again and pitches them perfectly into the trash can. "Call me if anything changes or if rewarming isn't working." And she's gone. 

Why does she always dooooooooo that. 

...Marian will place a triple-lumen nasogastric tube for gastric lavage; that one she does want to check the placement of before dumping liters of heated saline down it, so might as well get all of it with the same X-ray. 

Alison is back a couple of minutes later hauling the tubing setup for bladder irrigation. And a heated bag of saline. "Mmmmm. These make great hot-water-bottles. - there's a problem with the transfusion machine, I put Philip on troubleshooting it but it'll be half an hour or more. Hulka wants to give plasma in the meantime and we'll send a CBC to check her hemoglobin." 

Why this???? 

...It's okay. Hye-jin's BP is holding up and her heart rate is actually down a bit, and they've got everything they need to rapidly transfuse a lot of blood-bank blood if she starts bleeding again. 

(Though, uh, another reason her heart rate might be dropping is if her temperature is; the ventilator heating circuit is on the highest setting and she's now three liters in on her rapid-infuser heated IV fluids and the bladder irrigation is nearly ready, but backlash-caused symptoms can be really stubborn. And they should have a continuous temperature probe but, uh, she would normally do either esophageal or bladder temperature but both of those will be super wrong if they're dumping hot fluids down those tubes. And she's slightly mortified about placing a rectal temp probe with Tae-gun right there even though apparently they fuck shut up, Marian's brain, that's an unprofessional thought.) 

...She'll take her temperature again the manual way. 

Still 30 C. Not terrible, but, uh, it should be going up, not staying the same. Backlashes sure are a way.

(Is all of this really necessary. Can't he just hug her. Why is all of this necessary.)

(At least they don't seem to be panicking and she seems to be alive. Their quiet professionalism and confidence is actually doing wonders for his anxiety and he now understands what it feels like to be on this side of it on a visceral level. He's kind of cribbing notes for what affect to project next time he has to do a rescue.)

And she has bullet wounds, even if she got incredibly lucky she's going to need surgery and the longer they wait on that the higher the infection risk and they can't take her to the OR until she's less hypothermic than this and, in general, aaaaaaaah.

She needs guiding but the blood transfusion machine won't be ready for way longer than Marian feels like waiting. And, um. Even if sex is apparently standard Marian does not really want to suggest that!!! On top of all the other problems there's a catheter in the way!!! 

She could suggest they cuddle - actually, that could work, Tae-gun can do the floating ice stretcher-platform thing, he could support her while they lower the bed without moving her at all and he could slide under her and have full-body skin to skin contact - she can put a Bair Hugger blanket over both of them, now that Dr Hulka is done messing around placing lines... 

Fluid exchange is more effective, though. 

She did hear during one nursing gossip session over drinks after work that any bodily fluids work. Making out is apparently another way, though, uh, that also seems logistically complicated with the endotracheal tube in the way...

...Marian eyes the bladder irrigation bag. 

Which does not, technically, have to only have sterile contents. 

...She goes and checks the attached bathroom. There's totally a urine-collection hat in there, on the distant off-chance of a patient who can get up and walk to the bathroom to pee. 

Thirty seconds later she politely clears her throat to get Tae-gun's attention. 

"Excuse me could I please get you to go pee in this. For fluid exchange." She points at the bladder irrigation bag. She is DYING OF EMBARRASSMENT but her patient dying of backlash hypothermia is worse than embarrassment so. 

Tae-gun blinks. "For... fluid exchange?"