The Dangers of Dating Your Boss. Sue MacKay
paramedics, who were working with a small patient on a stretcher. Ruby’s heart ached when she saw the small, blood-soaked child. A quick look at Jack but, apart from a whitening of his face, he was in full control of himself.
They listened carefully to an ambulance officer’s report. ‘I’ve given her a second bolus of saline as her BP keeps dropping. GCS is nine. She’s got a poor airway and I couldn’t intubate.’
A Glasgow coma score of nine. They didn’t come worse than that and the patient still be alive.
‘Upgrade to stat five.’ Jack immediately opened his pack and reached for a small-sized LMA kit. Ruby took the child’s head and tipped it back slightly to allow Jack easier access to her throat. Together they quickly had the airway open and oxygen flowing. Jack’s expertise was impressive, and Ruby enjoyed working with him. The girl was in excellent hands.
But as Ruby began to relax, the child went into spasms. A seizure was common with her injuries but distressing for everyone observing it. Other than making sure the girl didn’t choke, there was nothing Ruby could do but hold the child’s bloodied hand in her gloved one until she fell still again.
After a fast but thorough examination they transferred the girl to the helicopter. As Jack began taking her vitals again, she had another seizure. Followed minutes later by another. And another.
‘We’ll give her a sedative intra-nasally,’ he instructed Ruby as the rotors began speeding up.
Ruby held the nasal cannula in place and talked quietly. ‘Come on, sweetheart. This will stop those nasty fits.’
‘Blood pressure’s dropping.’ Jack’s voice was calm, steady.
‘Stay with us, sweetheart.’ Chris, spin those rotors faster, we need a hospital right now. ‘I wonder what your name is. No one back at the accident scene knew. I bet it’s something pretty.’
Jack checked the oxygen saturation level, adjusted the flow from the tank. Took blood-pressure readings again, counted the little girl’s respiratory rate.
Ruby, uncharacteristically feeling totally helpless, called up Wellington Hospital Emergency Department and gave them the child’s medical details and their ETA. They were doing all they could but it was nowhere near enough.
Slats’s calm voice sounded in her headset. ‘One minute to touchdown.’
A team of paediatric doctors and nurses awaited them, moving towards the helicopter the moment Ruby shoved the door open. The transfer was made with such care that Ruby felt an urge to cry and had to squash it down hard. Everyone knew that this little girl was fighting for her life.
Ruby and Jack stood on the rooftop, watching as the team took charge, their own part in saving the child over. A sense of inadequacy touched Ruby even though she knew she’d done all she could and their patient was better off with the hospital team now. Glancing at Jack, she saw him swallow hard.
‘You were awesome with her,’ she said.
‘Thanks, Red. It’s never enough, though, is it?’
‘Sometimes it has to be.’ Unfortunately. The downside of the job.
Jack looked down into her eyes and for a moment they connected. Really hooked up. Ruby forgot to breathe. Forgot where she was. Forgot about the waiting ‘copter. Only Jack mattered. And how good it felt to be with him again. With Jack at her side she could accomplish anything. Even staying in Wellington for ever.
Behind her Chris called out to them, ‘Time to hit the sky, you two.’
And Ruby leapt away. Jack wasn’t by her side, figuratively or otherwise. And never would be. Racing for the ‘copter, she chastised herself for her odd moment of wishful thinking. She wasn’t the same person any more, and from what little she’d seen so far, neither was Jack. Getting together again would never work out. They hadn’t managed to stay together when they’d been happy and in love. How could they possibly have a workable relationship with all that hurt they’d inflicted on each other?
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