....More things happen. Probably. Marian is kind of no longer tracking more than ten seconds at a time, since she's not on charting. She hands drugs to Nellie and does a pulse check at the two-minute mark even though there's obviously not going to be anything, he's still in V-fib and the art line eventually got all the way up to 70/15 once the epi was in but it's gone back to nothing. 

Sigh. "Let's swap for vasopressin next, shock again, I - can anyone think of something we're missing? Are his labs back yet?" 

"Dunno that anyone would've heard the phone ring, honestly." 

Marian is definitely a functional adult who is capable of having thoughts and executing plans. She can wait until everyone's out of the way and hit the defibrillator again. At this point she's kind of too numb to even flinch about it. 

"- That's a rhythm change?" Nellie says hopefully. 

"Oh, good, maybe we're getting somewhere. Pulse check? ...I'm not getting anything." 

"Neither am I." Marian wishes she were more sure that this wasn't just because her hands are being incredibly disobedient and useless at their job and keep shaking. 

"PEA, then. Let's - hmm, someone get me the ultrasound machine in here, I'd like to do a quick bedside echo on the next pulse check. And let's get that vasopressin in, and start a bolus under pressure, and - Marian, harder on those compressions." 

Marian is trying! She hasn't totally caught her breath from the first round and the adrenaline crashing through her system is making her kind of dizzy and she's practically dripping sweat under her mask and face shield, but sure, she can go faster and harder. 

A minute in, the monitor is claiming 75/20 on the art line which is practically an actual blood pressure. The O2 sat curve is wibbling a bit, but this could just be because Marian is bouncing the entire bed slightly. 

Ma'ar...looks less greyish-colored? Maybe? 

"Marian, pause?" Dr Zee is standing to one side of the head of the bed, now that the respiratory therapist seems to have arrived, huh, Marian didn't even notice that happening. "Pulse check - we got anything on the art line?" 

They DO have something on the art line! It's slow and not especially regular, yet, but the peaks are getting higher. 

Marian is super out of breath, and now slightly laughcrying from the combination of relief and intense exhaustion. 

"Okay, guys, we do need to stay focused here. Where's the ultrasound - oh, excellent, thank you - and can we please sort out the sat probe situation, quickly -" 

Something is playing the horrible ringtone. 

"Uh, Marian, that me or you– it's me. Jeez, did they forget to change the extension on the whiteboard, I'm not even technically working right now. - Yes, Nellie here, is it labs?" 

Pause. 

"- No, for Ma'ar." Pause. "- Fuck, you're right, I'm an idiot and that's not even slightly his name in the system. ...No, I don't have the faintest idea how to spell it. Labs, pleaaaase?" 

Pause. 

"Oh. Shit on a pickle. - Marian, can you take down some notes for me?" 

"Uh, yeah, I can do that." 

Dr Zee, one hand still resting on Ma'ar's carotid pulse, listens to the lab results as Nellie dictates them to Marian. 

"...Okay, that's a problem. If his sodium is 133 that's rising way too fast, it's not safe for his brain - damn it, pause that bolus, this is really not ideal - we can give him albumin or something... Mag's low end of normal, but that was before we gave him another four grams of it in the last half hour, it'll be through the roof now. Potassium still critically low, which means we're going to be replacing that for the rest of the day, probably - phos is somehow critical again. - Do we have pressors in here, he's probably going to tank again once the epi wears off and I'd like to take some action on that before rather than after." 

"Yep, on it, restarting the norepi now." Nellie is still kind of grinning ear to ear. "Want some more labs drawn?" 

"Yes, please. Lytes again, and a blood gas and lactate, and repeat the second two in an hour." 

"On it." In about five minutes, Nellie judges, the adrenaline high is going to wear off and she's going to be at risk of falling asleep right here on the floor unless she manages to be elsewhere by then, but for right now she feels GREAT. 

Esther is sticking her head out the door, murmuring something back and forth with Amélie, who's standing outside with Bert looking incredibly stressed. Amélie nods and trots off, returning thirty seconds off and handing something small over. 

It's a pediatric O2 sat probe! Marian has been RESCUED and can get NUMBERS. Maybe. Ma'ar is clammy and sweaty enough that she has a moderately hard time actually getting it to stick on his ear, and resorts to adding extra tape on top. 

...Wow that is a concerning number! Marian is not a fan of that number! Neither are the monitor's current alarm settings! 

Dr Zee, bent over and intently focused on the screen of the ultrasound machine while she angles the probe around for a good view, twists to investigate the source of the loud urgent pinging, which is an O2 sat reading of 57%.

"...I really hope that's on its way back up, we're bagging him on 100% O2 and I don't know what else to do there." 

     "He's fighting a bit, I think," the RT chimes in. "Did you paralyze him for the intubation?" 

"No. It was a little redundant. - Marian, check if he's responding at all, I'd rather not need to add any sedation to the mix when his BP is still in the basement - can we bump up the norepi - but I also don't want him awake." 

"Yikes, no, you incredibly don't want that! He set his fucking blanket on fire last night when he woke up freaked out. Uh, I'd vote in favor of giving him some midaz now just to be sure."