(Verse 1) Dispatch tones drop in the dead of night, “Cardiac device, no pulse in sight,” We roll up fast, grab bags in hand, Another life balanced on wires and plans. SAMPLE history, I start to say, Signs, allergies, meds underway, Past includes a failing heart, Now machines and man play their part. Bridge to transplant, holding time, Or destination—end of the line, Estimated downtime, ticking fast, We’re racing shadows from the past. (Pre-Chorus) LVAD, RVAD, hear that hum, Bi-VAD fighting till help can come, TAH beating where a heart once stayed, Life in circuits, not just fate. DNR, MOST, or living will, We check those papers, we honor still, Call the coordinator, don’t delay— But we treat right now, no time to stray. (Chorus) Listen for the humming heart, In the silence, that’s our start, No pulse doesn’t mean they’re gone, With these machines, we carry on. From skin to sound, from MAP to breath, We stand right at the edge of death, In wires and flow, we trust our art— Searching for that humming heart. (Verse 2) Unconscious, pulseless, not breathing air, Cap refill slow, pale skin stare, AMS fading into the night, No ECG sparks, no tones in sight. Differentials running through my head, Sepsis, volume, or they’ve just bled, Cardiac arrest or lines gone dry, We chase the reason they might die. Rapid assessment, check for life, Perfusion weak in this silent strife, If rigor, lividity, signs too clear— We step back, death is already here. (Pre-Chorus) But if there’s a chance, we move ahead, Airway, breathing—keep them fed, Look and listen—alarms or none? Is the LVAD still running strong? (Chorus) Listen for the humming heart, That mechanical, steady part, No pulse doesn’t mean the end, We fight for life we can defend. MAP above sixty, EtCO₂ climbs, Cap refill steady, buying time, In every beat that we can’t chart— We trust that humming heart. (Bridge) Expose the lines, check the drive, Controller, batteries—keep alive, Driveline tight? Power secure? Swap the module if unsure. No hum? Then we ventilate, Age-appropriate, don’t hesitate, Manipulate cables, find the break, Tape it steady for life’s sake. VT or V-fib on the screen? Shock with pads in between, But no defib if told “do not,” Follow protocol on every thought. Fluids wide, 500 flow, Up to two liters if pressures low, IV, IO—whatever we need, We push the line at urgent speed. (Breakdown) EtCO₂—keep it above twenty, If it spikes high, that’s hope aplenty, Pseudo-PEA can fool the hand, But perfusion tells us where we stand. (Final Chorus) Listen for the humming heart, In chaos, that’s our chart, Machines and medicine intertwined, Holding onto borrowed time. From scene to truck to hospital doors, We carry lives worth fighting for, Through every call, every restart— We follow that humming heart. (Outro) Coordinator on the line, Transport now—it’s beating time, Take spare gear, don’t leave a part… ‘Cause life lives on in a humming heart.
