⚕️Gallifreyan Healing Coma Management

⚕️Gallifreyan Healing Coma Management

Your Gallifreyan is sleeping and not dead.

✨ What is a Healing Coma?

A healing coma is a physiological state unique to Gallifreyans wherein the body enters full stasis to direct all metabolic and regenerative resources toward healing. It's an evolved response to catastrophic injury, post-regenerative instability, or systemic failure. While it can appear life-threatening to outsiders, it's an entirely natural part of Gallifreyan biology.

🧠 When to Suspect a Healing Coma

A healing coma should be suspected only when multiple signs align, and never presumed lightly. These patients often appear dead to the untrained eye, with reduced or absent vital signs.

Key Indicators:

Recent severe injury, illness, or regeneration.

No visible glow (regenerative energy not active).

Extremely low vital signs, including: - Respiration <3/min - Combined hearts rate <10 bpm - Body temperature <5°C / 41°F - Systolic BP <20 mmHg

Unresponsiveness to all stimuli except occasional involuntary responses to high pain or telepathic signals.

Brain electrical activity is present but minimal.

TARDIS link unaffected (if applicable).

Refer to the Healing Coma Checklist in GASS. If 8 or more criteria are met, proceed with coma care.

📋 Initial Assessment

🔎 Clinical Differentiation

Before declaring a healing coma, rule out the following:

Respiratory bypass

Psionic shutdown

Induced stasis (voluntary)

Cardiac arrest (refer to CPR guide)

Anaphylaxis, toxic shock, or sepsis (see SER protocol)

If in doubt, initiate full GASS and ABCDE-P assessments.

🛑 Do Not Intervene If Healing Coma is Confirmed

Once a healing coma is confirmed:

🚫 Do not initiate CPR. 🚫 Do not forcefully rouse the patient. 🚫 Do not stimulate them verbally, telepathically, or physically.

Premature arousal can cause:

Cerebral damage

Systemic collapse

🛠️ Supportive Management

While the patient is in a healing coma, your job is to stabilise the environment, monitor, and prevent external harm.

1. 🌡️ Environment

Keep ambient temperature stable at 17°C (±0.5°C).

Reduce noise/light stimuli.

Do not allow contact with strong psionic fields.

2. 🛏️ Positioning

Flat or semi-recumbent.

Maintain cervical spine neutrality if trauma suspected.

Use a padded surface to avoid pressure injury.

3. 🧪 Ongoing Monitoring

GASS scores every 30 minutes for the first 6 hours, then hourly.

Monitor for: - Returning vital signs - Early signs of waking (twitches, murmuring) - Glitches in psionic output (may indicate instability or pain)

4. 🧬 Psionic Stability

If linked to a TARDIS, monitor the ship's response; it often reflects patient status.

Avoid telepathic interference unless absolutely necessary.

If psionic storm or uncontrolled feedback occurs, apply psychic dampening fields.

💊 Pain Management Considerations

While healing comas reduce pain perception significantly, residual pain may trigger premature arousal.

Do not use aspirin under any circumstances.

If pre-coma pain was extreme, ensure: - Environmental calm - Symbiotic contact (if possible) - Low-dose sedatives if awakening occurs in distress (Gallifreyan-only)

🚨 When to Escalate

Immediate intervention is required if:

Vitals drop below even healing coma thresholds (i.e., no BP or respiration at all)

Signs of regenerative instability appear (glow misfires)

The coma persists beyond 72 hours without improvement or explanation

New trauma or infection is introduced

📍Key Takeaways

✔️ Healing comas are normal (if dramatic) Gallifreyan responses to severe physiological strain.

✔️ Do not intervene once confirmed. Provide supportive care only.

✔️ Environmental control, GASS reassessments, and TARDIS monitoring are your best tools.

✔️ If you're ever in doubt—call a hospitaller. Or get the TARDIS. Or, ideally, both.

Medical Guides These are all practical guides to assessing and treating a Gallifreyan in an emergency or medical setting.

⚕️💕Gallifreyan CPR

⚕️👽Gallifreyan Assessment Scoring System (GASS)

⚕️👽ABCDE Assessment

⚕️⚠️Sepsis Emergency Response (SER)

⚕️⚠️Severe Trauma Protocol

⚕️🌡️Gallifreyan Thermoregulation and Emergency Response

⚕️🔮Psionic Emergency Pathways

⚕️✨Post-Regeneration Management

⚕️🩸Interpreting Gallifreyan Bloodwork

⚕️👶Gallifreyan Paediatric Emergencies

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