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Summary
Everything after that happens too fast to think and slow enough that Trinity will replay it later in punishing detail, her brain an endless loop of cause and effect. The patient wrenches his other wrist free, the restraints tied improperly at its connection point to the bed—fucking newbies. He seizes the opportunity immediately. Trinity would notate that point on her neuro exam (patient alert) if she weren't more focused on Yolanda at her side, in optimal reaching distance.
The angle isn't great. Yolanda is bent over him and she sees movement in her periphery a fraction too late, eye widening as Trinity calls, "Watch out!"
or
Trinity takes a punch meant for Yolanda