(Whisper) total artificial heart (Verse 1) Tones drop—“total artificial heart,” We roll in fast, we play our part, No ventricles left, no muscle to start, Just air-driven pumps where they took the heart. SAMPLE quick while seconds burn, Signs and symptoms, what we learn, Allergies, meds, their history told, A fragile life in a system controlled. Bridge to transplant, holding the line, Or destination—no second time, Estimated downtime—how long were they low? That answer tells us how far we go. LVAD, RVAD, Bi-VAD past, Now TAH is built to last, DNR, MOST, or living will— We check those words, we honor still. Call the coordinator, get them on, But treat right now—we can’t wait long, Follow their plan if one’s in place, But we lead the fight in this moment’s space. (Chorus) No heart, still beating, hear the sound, Life in pressure, pulse is found, Not in rhythm we can chart, But in the work of an artificial heart. No ECG to guide our way, Asystole’s all it’s gonna say, So we trust our hands, not just the art— When there’s no heart… still beating. (Verse 2) Rapid check—are they alive? Signs of life, do they survive? Perfusion fading, skin gone gray, Cap refill slow, they’re slipping away. Unconscious, pulseless, not drawing breath, AMS dancing close with death, No tones on auscultation found, Just silence where life should sound. Differentials race inside my head, Sepsis, volume, or have they bled? Cardiac arrest—or something we missed, We chase each cause down the list. (Pre-Chorus) But don’t grab the monitor—leave it be, No waveform comes from a TAH machine, No shocks, no pacing, no compressions here, Wrong moves can cost what we hold dear. (Chorus) No heart, still beating, find the pulse, Feel the pressure, read results, Not electrical, not apart— Just air and flow in an artificial heart. From systolic highs to pressure lows, We treat the numbers, not what shows, In every second, every start— We trust that artificial heart. (Bridge) If death signs show—then we stand down, Rigor, lividity, trauma profound, Extended downtime, injuries clear, We follow policy, respect is here. But if there’s a chance—we move ahead, Airway, breathing—keep them fed, Check that pressure, where’s it land? That’s our guide, not a printed band. Above one-fifty? Nitro flows, Ease the strain the pressure shows, Ninety to one-fifty—steady ground, Keep them stable, safe and sound. Below ninety—fluids run, Five hundred bolus, get it done, Up to one liter if needed still, Careful balance, skill with will. (Breakdown) No compressions—don’t you start, You’ll damage what replaced the heart, No shocks, no pacing, none of that— This isn’t a rhythm you can combat. Expose the system, check each line, Drivelines straight—no kinks to find, Air must flow for pumps to move, Or life will stall, nothing to prove. Batteries, driver—swap it fast, Backup system if the first won’t last, Restart the pump—bring back the beat, Feel for a pulse beneath your feet. (Final Chorus) No heart, still beating, feel it rise, In pressure waves, not monitor lines, A different fight, a different art— Saving life with no true heart. From scene to ride to hospital doors, We carry what they’re living for, Through every doubt, through every part— We trust that artificial heart. (Outro) Coordinator on the phone, Destination set, we’re not alone, From human loss to engineered start… A life goes on with no true heart.
