Burr Holes

                                    

                                          
Sasha gives them the hospital's number as they put it on speaker, "Seattle Grace, we don't have any comments about the crash-"
"This is Dr. Sasha Williams in the field. I need you to connect me to Dr. Derek Shepherd or Chief Richard Webber, now!" Sasha says, fighting against Rick to keep his head stable as he seizes.
"Right away. Hold please while I transfer you."
Vince looks to Sasha, "Who's Derek Shepherd?"
Sasha sighs, "A neurosurgeon who can tell me what to do for Rick. That waiting music is annoying as hell."
Webber's voice soon comes on the phone, "This is Chief Webber."
"Chief, it's Williams," Sasha takes it off speaker and walks a few steps away, "I've got a guy here and we can't extricate him. I've tried everything. I'm at the dock. My patient's got a depressed skull fracture and probably an intracranial bleed."
"Is he showing signs of increased pressure?"
"Yes, his left pupil is blown and he's gone limp. He's seizing, and now his right pupil is dilating."
"He could be herniating. What's your ETA to the hospital?"
"That's what I'm trying to tell you," Sasha fights to keep calm, "He's stuck under a car, and we can't get him out."
"Okay, first you've got to stay calm."
"I am staying as calm as I possible can right now. I've got his best friends here, meaning, I can't let him die. Please, tell me what I need to do."
"You need to do some Burr Holes."
"Out here? You are gonna need to walk me through that."
"All right. I need a minute to check something out in the book, and then I'll talk you though it."
"No neurosurgeon close by that could aid that?"
Judging by the shout that follows, Sasha assumes the answer is no, "Somebody find me a copy of Boardman's Neurosurgery!" He discusses with someone before coming back on the line, "Williams, listen to me."
She let's out a noise of disbelief before walking back to the group with the phone still to her ear, "I'm gonna need a drill."
"There's one in my truck," Vince tells her.
"What do you need a drill for?" His friend asks.
Weighing the options, Sasha decides to be honest, "I've gotta drill holes in your friend's head."
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One of the guys holds up the phone as Webber and Mark guide her, "Now remember Williams, that drill isn't just gonna stop like a neurosurgical drill, so as soon as you feel a release in pressure, stop the drill or you'll pierce his brain."
"Even if I don't see blood?" Sasha asks.
"Trust your instincts, doll. Trust the feel of it. You know what you're doing, stop second guessing yourself," Mark tells her, "You don't fail at anything, remember? Now is not the time to start."
She nods, taking a deep breath, "Okay, I'm ready."
"Please three fingers above the ear and two or three fingers in front of that on the side where the first pupil blew," Webber guides her, Sasha following confidently in action.
"Got it."
"All right, now, use a scalpel to make a vertical scalp incision down to the skull."