Fluid Over Fire

Heavy metal, hard rock, catchy, deep, emotional, epic, male vocals, rock, electric guitar, dark

(Verse 1 – History in the Bag)
Chart reads CHF, I know the tone
Heart’s been failing for years at home
Past MI left a weakened wall
Now fluid answers the body’s call

Digoxin listed, Lasix too
But I check the meds like I always do
Viagra, Levitra, Cialis in play
Nitrates can drop the pressure away

Cardiac history carved in time
Now I’m reading between the lines

(Pre-Chorus)
Every call starts the same old way
“Can’t breathe” is all they say

(Chorus)
CHF and fluid in the lungs
Rales on both sides when I listen close
Orthopnea, panic, sitting upright
They can’t lay down without losing the fight
JVD rising in the neck
Perfusion slipping, I double-check
From bedside chaos to ambulance floor
We’re fighting for air and so much more

(Verse 2 – Scene of Drowning Inside)
Pink froth coughing through the air
Diaphoresis, panic stare
Peripheral edema swelling the fight
Gravity winning through the night

Hypotension creeping in slow
Or pressure high before it goes
Chest pain mixed in with the fear
Could be infarct coming near

Differential spinning in my head
PE, pneumonia, what’s ahead?
Asthma, COPD, aspiration too
But crackles tell me what is true

(Pre-Chorus)
Not all wheezes mean the same
Albuterol here can change the game
In crackles and fluid, we don’t play
We back away from that pathway

(Chorus)
Fluid over fire in every breath
Working to stop impending death
Rales and wet lungs, oxygen low
Watching the EtCO₂ flow
Every second the lungs fill more
We’re trying to open a closing door
From panic at home to monitor glow
We stabilize before we go

(Verse 3 – Treatment in Motion)
Airway protocol steps in fast
Position of comfort holding last
NIPPV on when work gets hard
Positive pressure becomes the guard

Nitro SL, 0.4 start
If systolic allows, we play our part
Repeat every five up to three times through
But only if pressure holds it true

Nitro paste laid on the skin
Measured by pressure we’re working in
One inch, one and a half, or two
Based on SBP and what we do

IV or IO, line goes in
EtCO₂ watching where we’ve been
Fluids not the goal in this case
But access ready just in place

Furosemide 40 IV push
If transport’s long and history’s such
Known CHF, Lasix daily use
And no fever in the abuse

(Bridge – Critical Turn)
Then it shifts to shock on the line
Tachy to brady as systems decline
Hypertension flips into none
Cardiogenic collapse begun

NIPPV off if pressure falls
We adjust to what physiology calls
Midazolam small to calm the fear
But respiratory risk is near

Monitor rhythm, 12-lead scan
Is it infarct driving the plan?
Because CHF can hide the core
Of something cardiac even more

(Chorus)
CHF and pulmonary edema rise
But I’m reading everything in their eyes
Fluid-backed heart can’t keep the pace
We hold the line in a crowded space
Rales like rain in both lungs loud
But we work calm through panic crowd
From home to rig to hospital door
We fight for air and so much more

(Verse 4 – The Reality of Breathing)
Asthma, PE, tamponade too
Toxic exposure changing the view
But wet lungs tell the final truth
Left heart failure breaking through

Diabetics, elderly, women too
Atypical signs we must pursue
Not every chest pain screams the same
Sometimes it’s air that drives the pain

(Outro – Hand-Off)
CPAP humming, nitro down
Edema easing before we turn around
Hospital lights come into sight
Another breath bought back tonight

And as we step out of that rig’s back door—
We leave behind what was fluid before.

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(Verse 1 – History in the Bag) Chart reads CHF, I know the tone Heart’s been failing for years at home Past MI left a weakened wall Now fluid answers the body’s call Digoxin listed, Lasix too But I check the meds like I always do Viagra, Levitra, Cialis in play Nitrates can drop the pressure away Cardiac history carved in time Now I’m reading between the lines (Pre-Chorus) Every call starts the same old way “Can’t breathe” is all they say (Chorus) CHF and fluid in the lungs Rales on both sides when I listen close Orthopnea, panic, sitting upright They can’t lay down without losing the fight JVD rising in the neck Perfusion slipping, I double-check From bedside chaos to ambulance floor We’re fighting for air and so much more (Verse 2 – Scene of Drowning Inside) Pink froth coughing through the air Diaphoresis, panic stare Peripheral edema swelling the fight Gravity winning through the night Hypotension creeping in slow Or pressure high before it goes Chest pain mixed in with the fear Could be infarct coming near Differential spinning in my head PE, pneumonia, what’s ahead? Asthma, COPD, aspiration too But crackles tell me what is true (Pre-Chorus) Not all wheezes mean the same Albuterol here can change the game In crackles and fluid, we don’t play We back away from that pathway (Chorus) Fluid over fire in every breath Working to stop impending death Rales and wet lungs, oxygen low Watching the EtCO₂ flow Every second the lungs fill more We’re trying to open a closing door From panic at home to monitor glow We stabilize before we go (Verse 3 – Treatment in Motion) Airway protocol steps in fast Position of comfort holding last NIPPV on when work gets hard Positive pressure becomes the guard Nitro SL, 0.4 start If systolic allows, we play our part Repeat every five up to three times through But only if pressure holds it true Nitro paste laid on the skin Measured by pressure we’re working in One inch, one and a half, or two Based on SBP and what we do IV or IO, line goes in EtCO₂ watching where we’ve been Fluids not the goal in this case But access ready just in place Furosemide 40 IV push If transport’s long and history’s such Known CHF, Lasix daily use And no fever in the abuse (Bridge – Critical Turn) Then it shifts to shock on the line Tachy to brady as systems decline Hypertension flips into none Cardiogenic collapse begun NIPPV off if pressure falls We adjust to what physiology calls Midazolam small to calm the fear But respiratory risk is near Monitor rhythm, 12-lead scan Is it infarct driving the plan? Because CHF can hide the core Of something cardiac even more (Chorus) CHF and pulmonary edema rise But I’m reading everything in their eyes Fluid-backed heart can’t keep the pace We hold the line in a crowded space Rales like rain in both lungs loud But we work calm through panic crowd From home to rig to hospital door We fight for air and so much more (Verse 4 – The Reality of Breathing) Asthma, PE, tamponade too Toxic exposure changing the view But wet lungs tell the final truth Left heart failure breaking through Diabetics, elderly, women too Atypical signs we must pursue Not every chest pain screams the same Sometimes it’s air that drives the pain (Outro – Hand-Off) CPAP humming, nitro down Edema easing before we turn around Hospital lights come into sight Another breath bought back tonight And as we step out of that rig’s back door— We leave behind what was fluid before.

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