of a space walk: aglow with excitement, wonder, a sense of adventure—and a little fear.
Other hospitals had emergency-room staffs skilled enough at resuscitation medicine to give a patient a fighting chance at recovery, but Orange County General was one of only three centers in all of southern California that could boast a separately funded, cutting-edge project aimed at maximizing the success of reanimation procedures. Harrison was the project’s forty-fifth patient in the fourteen months since it had been established, but the manner of his death made him the most interesting. Drowning. Followed by rapidly induced hypothermia. Drowning meant relatively little physical damage, and the chill factor dramatically slowed the rate at which postmortem cell deterioration took place.
More often than not, Jonas and his team had treated victims of catastrophic stroke, cardiac arrest, asphyxiation due to tracheal obstruction, or drug overdose. Those patients usually had suffered at least some irreversible brain damage prior to or at the moment of death, before coming under the care of the Resuscitation Project, compromising their chances of being brought back in perfect condition. And of those who had died from violent trauma of one kind or another, some had been too severely injured to be saved even after being resuscitated. Others had been resuscitated and stabilized, only to succumb to secondary infections that swiftly developed into toxic shock. Three had been dead so long that, once resuscitated, brain damage was either too severe to allow them to regain consciousness or, if they were conscious, too extensive to allow them to lead anything like a normal life.
With sudden anguish and a twinge of guilt, Jonas thought of his failures, of life incompletely restored, of patients in whose eyes he had seen the tortured awareness of their own pathetic condition....
“This time will be different.” Kari Dovell’s voice was soft, only a whisper, but it shattered Jonas’s reverie.
Jonas nodded. He felt considerable affection for these people. For their sake more than his own, he wanted the team to have a major, unqualified success.
“Let’s do it,” he said.
Even as he spoke, the double doors to the operating room crashed open, and two surgical orderlies rushed in with the dead man on a gurney. Swiftly and skillfully, they transferred the body onto the slightly tilted operating table, treating it with more care and respect than they might have shown a corpse in other circumstances, and then exited.
The team went to work even as the orderlies were heading out of the room. With speed and economy of movement, they scissored the remaining clothes off the dead man, leaving him naked on his back, and attached to him the leads of an electrocardiograph, an electroencephalograph, and a skin-patch digital-readout thermometer.
Seconds were golden. Minutes were beyond price. The longer the man remained dead, the less chance they had of bringing him back with any degree of success whatsoever.
Kari Dovell adjusted the controls of the EKG, sharpening the contrast. For the benefit of the tape recording that was being made of the entire procedure, she repeated what all of them could see: “Flat line. No heartbeat.”
“No alpha, no beta,” Ken Nakamura added, confirming the absence of all electrical activity in the patient’s brain.
Having wrapped the pressure cuff of a sphygmomanometer around the patient’s right arm, Helga reported the reading they expected: “No measurable blood pressure.”
Gina stood beside Jonas, monitoring the digital-readout thermometer. “Body temperature’s forty-six degrees.”
“So low!” Kari said, her green eyes widening with surprise as she stared down at the cadaver. “And he must’ve warmed up at least ten degrees since they pulled him out of that stream. We keep it cool in here, but not that cool.”
The thermostat was set at sixty-four degrees to balance the comfort of the resuscitation
Other hospitals had emergency-room staffs skilled enough at resuscitation medicine to give a patient a fighting chance at recovery, but Orange County General was one of only three centers in all of southern California that could boast a separately funded, cutting-edge project aimed at maximizing the success of reanimation procedures. Harrison was the project’s forty-fifth patient in the fourteen months since it had been established, but the manner of his death made him the most interesting. Drowning. Followed by rapidly induced hypothermia. Drowning meant relatively little physical damage, and the chill factor dramatically slowed the rate at which postmortem cell deterioration took place.
More often than not, Jonas and his team had treated victims of catastrophic stroke, cardiac arrest, asphyxiation due to tracheal obstruction, or drug overdose. Those patients usually had suffered at least some irreversible brain damage prior to or at the moment of death, before coming under the care of the Resuscitation Project, compromising their chances of being brought back in perfect condition. And of those who had died from violent trauma of one kind or another, some had been too severely injured to be saved even after being resuscitated. Others had been resuscitated and stabilized, only to succumb to secondary infections that swiftly developed into toxic shock. Three had been dead so long that, once resuscitated, brain damage was either too severe to allow them to regain consciousness or, if they were conscious, too extensive to allow them to lead anything like a normal life.
With sudden anguish and a twinge of guilt, Jonas thought of his failures, of life incompletely restored, of patients in whose eyes he had seen the tortured awareness of their own pathetic condition....
“This time will be different.” Kari Dovell’s voice was soft, only a whisper, but it shattered Jonas’s reverie.
Jonas nodded. He felt considerable affection for these people. For their sake more than his own, he wanted the team to have a major, unqualified success.
“Let’s do it,” he said.
Even as he spoke, the double doors to the operating room crashed open, and two surgical orderlies rushed in with the dead man on a gurney. Swiftly and skillfully, they transferred the body onto the slightly tilted operating table, treating it with more care and respect than they might have shown a corpse in other circumstances, and then exited.
The team went to work even as the orderlies were heading out of the room. With speed and economy of movement, they scissored the remaining clothes off the dead man, leaving him naked on his back, and attached to him the leads of an electrocardiograph, an electroencephalograph, and a skin-patch digital-readout thermometer.
Seconds were golden. Minutes were beyond price. The longer the man remained dead, the less chance they had of bringing him back with any degree of success whatsoever.
Kari Dovell adjusted the controls of the EKG, sharpening the contrast. For the benefit of the tape recording that was being made of the entire procedure, she repeated what all of them could see: “Flat line. No heartbeat.”
“No alpha, no beta,” Ken Nakamura added, confirming the absence of all electrical activity in the patient’s brain.
Having wrapped the pressure cuff of a sphygmomanometer around the patient’s right arm, Helga reported the reading they expected: “No measurable blood pressure.”
Gina stood beside Jonas, monitoring the digital-readout thermometer. “Body temperature’s forty-six degrees.”
“So low!” Kari said, her green eyes widening with surprise as she stared down at the cadaver. “And he must’ve warmed up at least ten degrees since they pulled him out of that stream. We keep it cool in here, but not that cool.”
The thermostat was set at sixty-four degrees to balance the comfort of the resuscitation
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