Verse 1 Tones brought us here, lights cut the night, We fought for a pulse with everything tight. Minutes stack heavy, time don’t bend, Sometimes this road don’t have a win. Chest still rising under my hands, But not from life—from where we stand. Monitor quiet, no rhythm to show, Just flatlined silence we’ve come to know. ⸻ Pre-Chorus We don’t stop easy, we don’t quit fast, Every second—we make it last. But there’s a point we all must face, When effort meets an empty space. ⸻ Chorus We fought the clock, we gave it all, Answered every single call. But not every heart comes back again, No matter how hard we try to win. There’s a line we never want to know— But sometimes… we have to let go. ⸻ Verse 2 (Initial Considerations) First things first—what do we know? Age of the patient, where to go. Eighteen or less? Different road, Pediatric path—we shift the code. Adult patient, we stay the line, Follow the algorithm, track the time. ⸻ Verse 3 (Before We Begin) Was there a directive? A final say? DNR in place to guide the way? MOST form signed, a choice made clear, Respect their voice—we honor it here. Living will don’t draw that line, We need clear orders in this time. Talk to the family, find the truth, Spouse or child—what’s the proof? ⸻ Pre-Chorus 2 Even while compressions roll, We search for answers, piece by whole. ⸻ Chorus We fought the clock, we gave it all, Answered every single call. But not every heart comes back again, No matter how hard we try to win. There’s a line we never want to know— But sometimes… we have to let go. ⸻ Verse 4 (Downtime & Rhythm) Downtime long—fifteen or more, What are we really fighting for? Pads go on, anterior-back, Check the rhythm—read the track. Asystole… nothing there, PEA but no pulse to share. No shock advised, no spark to give, We question what’s left to live. ⸻ Verse 5 (EtCO₂ & Time) Twenty minutes—EtCO₂ low, Less than ten… what does it show? Perfusion gone, chances thin, We feel the weight closing in. Thirty minutes—still below twenty, We’ve given more than most could give plenty. Forty-five to sixty… same story told, Numbers fading, turning cold. ⸻ Bridge (The Decision) This is the moment nobody wants, Where protocol meets what it confronts. Not about quitting, not about fear— It’s knowing the end is already here. We don’t stop because we’re tired or done, We stop because there’s nothing left to run. ⸻ Verse 6 (Continue vs Terminate) If numbers rise, if there’s still a sign, We keep pushing—we don’t draw the line. EtCO₂ ten, maybe more, We stay in the fight, continue the war. But when it falls and stays that way, We know what we have to say. ⸻ Chorus (Final) We fought the clock, we gave it all, Answered every single call. We pushed, we shocked, we did our best, Put every protocol to test. But not every heart comes back to show… And sometimes… we have to let go. ⸻ Outro Time of death… the words feel wrong, After fighting for so long. We step back slow, the room goes still, Heavy silence no one can fill. We didn’t fail… we stood our ground— Just couldn’t turn this one around. And we carry it… call by call… Because caring means… feeling it all.
