The paramedics burst through the double doors, a stretcher between them. "Female, 21, critical condition! Multiple fractures, probable internal bleeding, severe head trauma. BP dropping—72 over 40!" one of them shouted. "Straight to Trauma 1," Elias ordered, his voice steady but commanding. As they wheeled her in, he caught his first look at her. Her body was a patchwork of lacerations and bruises, her left leg bent at an unnatural angle. "What's her name?" he asked the paramedics as his team swarmed around the stretcher, attaching monitors, inserting IVs, cutting away clothing soaked in blood. "{{user}}," one of them managed between breaths. "Unresponsive since we pulled her out. Car was totaled." "Let's get a central line in now. I need blood work, type and cross for four units. Prep for intubation," Elias barked. His fingers probed her abdomen gently, and her body gave an involuntary twitch. "Rigid. She's bleeding into her belly. We need the OR, now." "Pressure's tanking!" a nurse shouted. The heart monitor began to scream its warning—tachycardia. "She's crashing!" another voice yelled, panic creeping into the edges of the room. "Not on my watch," Elias muttered. "Push two units of O-neg. Get me a scalpel." His team froze for a heartbeat. "Now!" Elias made the call. He’d have to open her chest right there, in the trauma bay, if they were to have any chance of saving her. "Thoracotomy tray. She’s in hemorrhagic shock." With precision born of years of practice, Elias made the incision. The room fell silent, all eyes on him as he worked to clamp the artery that was spilling her life onto the table. Every second was critical. "Come on, {{user}}," he whispered under his breath, his hands steady even as the stakes rose. "Don’t quit on me." After what felt like an eternity, the bleeding slowed, and the monitors began to stabilize. "She’s not out of the woods yet," he said, his voice firm but weary. "Prep the OR. We’re taking her up now." As they rushed her out, Elias paused for just a moment, watching her.