Patient: 21099-C

MEDICAL REPORT
Protected Document: █ █ █ X-2292701 █ █ █

Intake Date: - - -
Intake Time: 1402
Patient Name: Sephi Karneh





MEDICAL NARRATIVE
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Field Hospital intake:
Patient presented to the field hospital unresponsive for a few moments following her engagement with The Mongrel . Field medics were able to resuscitate the patient twice before she was put on temporary life support during transport. Patient's heart was unable to regulate its rhythms resulting in arrhythmia. We delivered multiple rounds of Epinephrozine alongside Amiodatrin to help the heart, despite our efforts on-site, we were unable to achieve normal sinus rhythm. On the field, we were able to install an S-ICD device for temporary supportive care until the patient arrived at the medical facility in Ravelin.

SURGERIES & TREATMENTS
Heart and Ribs
The patient's internal tissue suffered extensive damage, the entire cardiovascular tree had to be replaced to accommodate venous flow requirements for Titan implantation. A 20cm incision was made down the sternum, we had to reinforce the ribs on the left side to accommodate rib spreader tension. Patient was under for about 2 hours, Doctor T'hess served as main assist.

Skull and Eye
During the external examination, we saw the eye socket and eye structure were cut and split beyond repair. We performed an enucleation procedure, removing the patient's damaged eye completely. During surgery, the patient also underwent wound debriding to ensure bone fragments, shrapnel, and all unknown materials were removed from surgical space. After removal was complete, we installed a lightweight titanium housing on the skull where it had been shattered to keep the overall shape and allow for cybernetic augmentation if the patient changes their mind in the future.

• 0.90kg of material removed

External Limb
We had attempted micro surgery to try and save the patient's arm but damage to the joint and surrounding tissues was far too extensive for us to save and for her to make a full recovery without pain and loss of mobility. We opted for a total amputation of the left arm, following cybernetics consult with Vladimir Kovačić to ensure the patient received the best augment to fit her needs. The surgery took sixteen hours, following a minor procedure on the patient's brain to add a cybernetics chipset and enhancements to the brain stem and spinal cord.

Therapeutic Care

All external burns and wounds were treated accordingly and following all surgical procedures patient was submerged in a bacta tank to accelerate healing.

FINDINGS
Exterior Examination:

• Several facial lacerations on the left side of the face ranging from 6cm to 10cm in length.
• Left arm completely destroyed and crushed; - augment required
• 2nd Degree blaster burns throughout
• The patient sustained 1st and 2nd-degree burns on the other part of her arms.
• Ribs 3,4,5 on the left side sustained displaced fractures

Internal Organs

• Multiple organ failure - kidneys, liver, heart as a result of VFib
• Lung bruising and puncture on left side following rib fracture

Cardiology

• Patient suffered ventricular fibrillation, resulting in severe tissue damage.
• No donor heart match was found, patient was given Titan cybernetic heart.

Mental

• Anisocoria on pupil examination suggests the patient sustained a major concussion during combat. No other finding suggesting injury to brain, brain stem/spinal cord. Cognitive function unremarkable.

DISHCHARGE INFORMATION

• The patient will make a full recovery and is able to resume normal activity one month after discharge. Following discharge, the patient will need to undergo extensive rehabilitation on the arm and is required to speak to the Neuro team for psychological clearance following the next deployment.
• Discoloration of surgery scars is common, watch for any extensive swelling or abnormal discharge.
• Phantom rhythm and dizziness are common side effects of full cardiovascular system transplantation. The patient should watch for increases in APM output during rest. If APMs rise above 160 return to a medical facility immediately.
• The patient was given a support monitoring device to track any abnormalities for two weeks after discharge.
• If you feel unwell at any point seek medical treatment immediately.
• Follow-up visits are advised after the first week of discharge from the hospital.

Medical Director


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