"What's the range on portals, anyway. I guess I can ask Ma'ar when I go in for my assessment. Wonder if he can tell whether or not someone's a wizard?" 

Mayumi shrugs and whips down a stethoscope to listen to the patient's lungs. 

Nellie should probably be figuring out what her PLAN is here. It's somehow 10:25 pm. Rick is getting in at 11:30; until then, the unit is stretched to the limit and she can't count on much help in here, and should prioritize only the most time-sensitive treatments. She'll start the warmed fluids in various holes running again, and then check a repeat blood sugar - 

Her phone buzzes in her pocket while she's waiting for the glucometer to think up a reading. She digs it out one-handed. 

Ten seconds later the glucometer makes up its mind on a blood sugar of 79. 

It's Dr Zee again. 

[Put some orders in the system] 

[Urgent: start D5W at 200cc/h, hourly glucose, decrease to 100cc/h if over 140mg/dl]

[Repeat lytes at 11pm then q2h] 

[Will give 2g mag & 1g phos over 4h] 

[No intervention for K+ for now, might come up with rewarming, see replacement protocol for repeat lytes once temp above 30C] 

[Looks like you're near max atropine doses, should switch to dopamine as main pressor] 

See! She was RIGHT! 

[on it] Nellie texts back, and darts for the doorway to log into the nearest computer and check. 

Mayumi shoots her a worried look. "Is there a reason I shouldn't suction him? He sounds very wet and I think we could get his sats higher." 

"Uhhh, can you hold off for five? This might be dumb but he keeps doing pauses whenever we do - stuff - and that's stuff and I'm getting kind of superstitious here. Dr Zee wants us to switch to dopamine as a first-line pressor, can it wait till I've grabbed that?" 

"If you say so. I can go prepare that for you? Dr Beckett might be here any minute for the line." 

"Good point. Thanks! While you're at it can you grab me a litre of the 5% dextrose and - damn it it's not going to stay warm is it - whatever, nevermind. I'm gonna need a top-up on warm water soon." 

By the time Emmy makes her way down the hall, looking exhausted and already kind of frazzled, dextrose is running and the care aide for the ICU has been successfully dispatched with one of the linen carts, emptied of its usual fare, to go load up on literally all of the 3L saline bags in stock for bladder irrigation on the 5th floor. 

Switched to dopamine, the patient is in fact maintaining his blood pressure on a much lower equivalent dose, and his heart rate is consistently above 40.

However, he seems to have replaced the pattern of, when stimulated, dropping his heart rate into the 20s or doing 5-second pauses, with instead throwing random ventricular beats. Nothing sustained, so far, but Nellie doesn't like it.

His sats are holding, but barely, hovering between 93-95%. This would be a lot more reassuring if he weren't already ventilated and on 100% oxygen. 

Emmy frowns at the monitor. "Did he get steroids yet?" 

"Shit. No. Uhhh, Dr Zee might've put in the order but if so I didn't see it." 

"I'll text her, she'll know if we should do something nonstandard and I don't." Emmy makes a face at the hanging back of 5% dextrose. "...What was his last glucose?" 

"Like 79?" 

"That's normal, though? So, uh, why...?" 

Oh. Right. This is kind of awkward now. "....Sorry. I completely forgot to say anything but I put in some verbal orders under you before I texted Dr Zee. Initial glucose was, like, forty? This is after three amps of D50." 

"I know! It's weird as balls! Sorry, this was right after we talked on the phone and I went to check his sugar." 

Emmy, busy donning sterile gloves, tries to itch her nose by rubbing it on the shoulder of her scrubs. "So - huh - I wonder if he actually is a type I diabetic and just fucked up his insulin? And then, I don't know, got confused and ended up in the pool...?" 

"Yeah, wouldn't explain his fucking sodium though. Unless he separately got confused and, I don't know, ate six packets of ramen sauce without the noodles. Something's really weird here." 

"....I mean, have we considered that he might have Ma'ar's problem." 

"What, the being a wizard problem? It's - I mean, at that point it's not really answering any questions without giving us even more questions! And until he's awake I don't know there's anything we can do to check, or if it affects the medical management here." 

"We should consider putting him in isolation now? I know Ma'ar didn't come back positive for any alien diseases but that might've been luck. I - probably we can't justify shutting down the entire hospital again without confirmation, but - iso, send off some tests, I'll ask Dr Zee if it makes sense to warn the paramedics who picked him up, she's the one with contacts at Public Health anyway..." 

Sigh. "Let's get the line in first, though." It's not an aerosol-generating procedure, but she already has a surgical mask on anyway, just to minimize infection risk to the patient.