(Verse 1) Tones drop at 02:19, lights cut through the night Dispatch says “unknown, person down, emergency response,” yeah something ain’t right Walk in, smell infection, that metallic decay Patient pale and diaphoretic, fading away Monitor’s screaming, heart rate one hundred and fifty Pressure sixty over forty, circling zero Temp reads ninety-six point four, cold to the touch Capno at fourteen, yeah they’re crashing hard, not much Resp rate forty-four, gasping for air Glucose three-fifty, something’s wrong there Dear God it’s me again. Start the line, wide open, fluids running fast, Norepinephrine at thirty micrograms per minute I’ve seen this before, don’t know how long they’ll last (Pre-Chorus) This ain’t just infection, this is deeper than that Body’s in a war it don’t know how to combat Organs failing Patient circling the drain (Chorus) Septic shock, and the clock won’t wait Every second slipping closer to the edge of fate From the fever to the fall, or the hypothermic call When the pressure bottoms out, you can hear death call Push the fluids, start the pressors, don’t you hesitate In the back of the rig fighting time and fate Fighting with death every minute (Verse 2) Now they’re drifting, altered, eyes don’t track GCS dropping now the same as a rock, can’t bring them back Words don’t form, just a whisper and a stare Brain’s losing perfusion, hypoxia in the air Skin’s mottled now, cyanosis creeping in Lactic acid rising, internal war within I call it out to my partner, “We’re losing this fight” But we don’t back down, we don’t give up the night (Bridge – Criteria Breakdown) Temperature high above one hundred point four Or dipping below ninety-six point eight, that’s the door Systolic under ninety or MAP under sixty-five Capno less than twenty-six means they barely survive Heart rate over ninety, body racing the flame Respirations over twenty, trying to oxygenate the pain And if their mind starts slipping, altered and gone— That’s the criteria screaming something’s dead wrong (Breakdown) Fluids wide, two large bore, let it pour Consider pressors when the pressure won’t restore Capno low, perfusion slow, this is shock Every second ticking louder on the clock (Chorus) Septic shock, and the clock won’t wait Every second slipping closer to the edge of fate From the fever to the fall, or the hypothermic call When the pressure bottoms out, you can hear death call Push the fluids, start the pressors, don’t you hesitate In the back of the rig fighting time and fate (Outro) Rolling into ER, give report, step away Another life on the line we tried to save today From the first low pressure to the final drop We fight like hell… against septic shock.
