Dr Zee kicks the wheel-lock on the bed loose and shoves it a few inches forward so she actually has space to stand and not be touching it. "Go." 

"Shocking now." 

"Would've been a lot more polite of him if that worked." 

"Forget the meds - push 150 of amio, right now, and intubation tray, please– Marian, hold off a second, I'd like to take a go at tubing him first." She's speaking in the low, conversational tone she always uses when things are going sufficiently badly. 

There was no stool within convenient reaching distance, so Marian instantly scrambled up onto the bed and is currently awkwardly balanced on her knees and trying not to fall on top of Ma'ar. For some reason, the thing she's most acutely aware of is that she really has to pee. There's a bathroom right there and she probably has time nope nope nooooope. 

Dr Zee slides the laryngoscope in, frowns, uses her knee to bump the bed controls and raise it by a few inches, then squeezes one eye shut and glares - 

"Suction, please?" 

"Here. .....You know, it's occurring to me that now would be a fully justified time to call a code, wouldn't it, nobody could possibly complain." Nellie presses the button. "Really hope the rest of the unit isn't also a clusterfuck right now. Jesus. I've been awake way too long for this shit. Pushing amio now." 

"Think I got it. Marian, air entry?" 

Marian has managed to brace herself into a slightly more stable position. She can do this. "...Yeah, think you're good. Compressions?" 

"Please. ...Oy, Esther, do not come in here without iso gear on. Actually, could you take a sample? Marian, where did your blood gas get to?" 

"Uh." She may or may not be sitting on it. 

"If you move your knee, like, three inches, I can get a fresh one. Dr Zee, should we push epi." 

"Wait and see if we can shock him out of it in ninety seconds, it'll risk making his heart even more irritable." 

"Gotcha. Oh, hey, Nic. You're on charting." 

Ow ow ow her back. This is apparently not a great angle or something. Also Marian is getting incredibly overheated in her stupid isolation gear and she STILL HAS TO PEE. 

Ma'ar continues to lie limp and still in the bed, turning an increasingly disconcerting color. Marian is throwing as much of her body weight as she can into compressions and the art line is still barely picking up anything; it's bouncing around between question markets and BP numbers in the 30/10 range. 

"Marian, hold a second, we need the board under him. Nic, help me out here." 

The next minute doesn't contain much talking. 

Marian slips down from the bed when Nic calls 'time!', and swaps off with Esther, now gowned and masked. She checks for a femoral pulse while Dr Zee is checking carotid, and is completely unsurprised not to feel one, since she can see with her eyes that the art line tracing, what there was of it, immediately flatlined. There's not even slightly an O2 sat reading. 

Marian's hands are shaking really hard, but she appears to be the default new person on duty for defibrillator babysitting, so...she's doing that now. "Is everyone clear?" Aaaaaaaaaaaaaah why does it still take a massive willpower override to hit the button, she's done this like eight times at this point. "Shocking." 

"- Okay, seriously? Now I'm just pissed off." 

The spiky crests of V-tach on the monitor have degraded into an even less ordered fibrillation. 

Marian kind of wants to burst into tears but she can't do that right now, can she. 

Dr Zee is calm. "Epi and resume compressions. Let's push some mag, that wasn't torsades but it could still help. - Someone get a few litres of saline, he was looking hypovolemic. When was the last blood sugar taken?" 

Marian's brain has apparently decided to go on vacation. "Uh, I'll get another one." 

Blood sugar of 66. The art line is claiming a blood pressure equivalent of around 55/10 now. Ma'ar is still very dead-person-colored.