by Jill Shalvis
‘N-not so good.’ The response was broken by a frightened sob.
Tim hung his stethoscope back around his neck. ‘Chest’s still clear,’ he told Laura. ‘Equal air entry.’
Laura nodded, but she was reaching into the pocket of her coat with one hand.
‘Put some gloves on, Jase.’ She passed them over the barrier the front seat created.
‘Sure.’ The fireman was smiling at Courtney again. ‘I’m in trouble now,’ he confided. ‘Laura’s going to tell me off later for forgetting my gloves.’
The sound that now came from the injured girl sounded like a cross between a groan and a giggle.
‘I’d rather not cannulate this arm.’
‘No.’ Laura agreed with Tim’s decision. ‘Not with that elbow injury.’ There was no way of knowing how well the blood vessels were still functioning below an injury like that.
‘Have we got access through the passenger door?’
‘Not yet.’
‘Is that what you need?’ Jason’s quick shift of attention revealed that his focus wasn’t entirely on the girl he was comforting. A quick glance over his shoulder made him nod with satisfaction. ‘The gear’s all ready to go. We can start cutting wherever you need it.’
‘C-cutting?’
‘The car, sweetheart-not you.’ Jason seemed to fill most of the remaining space in the crushed car as he leaned even closer. ‘We’re getting you out of here, remember?’
Courtney clung to him with her uninjured hand. ‘It hurts,’ she sobbed. ‘Get me out now.’
‘I can reach the other arm,’ Laura told Tim. ‘Pass me the gear. You should be able to maintain alignment from where you are now that she’s in a collar.’
‘I can hold her neck,’ Jason offered.
‘That would be great. I’d like to get a blood pressure done.’
‘No!’ Courtney refused to release the hand she was holding.
‘Keep still, Courtney,’ Laura instructed. She squeezed the top half of her body through the gap between the front seats. This job would be so much easier if she were skinny. Even a few kilos off would help. The flash of annoyance increased a second later when she had to push her dislodged spectacles back into place. Small irritations that would normally not distract her at all from the job in hand. Was it simply her close proximity to Jason Halliday that was making her aware of them now?
‘Laura needs this hand, love,’ Jason was saying. ‘Once she gets a little needle in, she can give you something to help that pain.’
‘No! I hate needles. And my hand feels funny. Just get me out!’
‘What kind of funny?’ Laura queried.
‘It’s got pins and needles.’
Laura caught Tim’s glance. With a symptom that suggested an even stronger likelihood of a spinal injury, they were going to have to manage this extrication with particular care.
‘It might help if you keep holding her hand, Jase.’ Laura tightened the tourniquet and swabbed an area she could reach easily on Courtney’s left forearm. ‘This shouldn’t take long.’
Jason obliged. He also placed his other arm gently on Courtney’s shoulder, ready to stop any struggle if necessary. Then he tried to distract the terrified teenager.
‘You’re lucky you’ve got our Laura here,’ he told her. ‘Do you know, I’ve been working with her for six months now and I haven’t heard a single complaint from any of her patients?’
‘You haven’t met many of my patients,’ Laura muttered.
‘She’s a fireman?’ Courtney’s surprise indicated that the distraction was working.
‘Nah. She’s not tall enough to be a fire officer. Our station is a base for both fire and ambulance. Just one of each. We’re on the outskirts of town in Inglewood.’
‘That’s where I live.’
‘Cool. You’ll have to drop in and visit us. Mrs Mack makes the world’s best scones.’
‘All done,’ Laura announced. ‘I’m going to give you some morphine now, Courtney. You’re not allergic to any drugs that you know of, are you?’
‘No.’ The distraction Jason had been providing was still working a treat. ‘Who’s Mrs Mack?’
‘She looks after our station. It’s kind of a long story.’
‘I’m just giving you something to make sure the morphine doesn’t make you feel sick, Courtney.’ Laura injected the dose of metaclopramide.
‘Is she your wife?’
Jason chuckled and Laura found herself smiling wryly as she snapped off the top of a glass ampoule to add morphine to the saline another syringe already contained. Jason Halliday married? Tied down to single choice from amongst the model-like creatures that entered his social orbit? That would be the day!
‘Mrs Mack is at least sixty,’ Jason informed Courtney. ‘She’s Scottish and she’s as tough as an old boot. She lives next door to the station and kind of adopted us. We’re in an old house that got converted and…’
And Courtney didn’t appear to be listening any longer. Her eyelids fluttered shut as the morphine took effect and her distress was obviously diminishing despite the increase in noise and activity of the rescue workers outside the vehicle. Another helmeted figure appeared between Jason and Tim, who was still maintaining Courtney’s spinal alignment.
‘How do you want to get her out?’
‘Straight over the back would be great,’ Tim responded. ‘We’ll tilt the seat back and get a backboard in.’
‘Right. We’ll get the roof off as soon as we’ve dealt with these doors.’
Jason looked up at the tarpaulin a colleague was unfolding nearby. ‘Things are going to get a bit noisy and messy now, sweetheart,’ he told Courtney. ‘We’re going to cover you up so you don’t get hit by any bits of glass or anything.’
Her eyes snapped open. ‘Don’t leave me.’
‘I won’t. I’ll be right here with you under the covers.’ Jason winked. ‘My favourite spot when I’m with a gorgeous girl like you.’
‘That’d be right.’ The grin from his colleague acknowledged the kind of humour and encouragement that only Jason could get away with. Even Laura smiled. He’d be saying the same thing if the accident victim were a seventy-five-year-old grandmother of eight and it would probably have the same effect of keeping their patient comforted and calm.
‘We’ll need a dash roll as well,’ Tim told the fire chief. ‘We’ve got a leg trapped.’
‘No problem. You staying in there, Laura?’
‘May as well.’ She moved back to a position where she could support Courtney’s head and neck again. Only she knew that her comment referred to more than providing company for the victim. This was the only way Laura would ever get under any covers with Jason Halliday, but she wasn’t complaining. Any job where she got to work with this particular fire crew was a bonus, and being one on one with a patient and only Jason was the closest they had ever worked together.
The car rocked and shook as hydraulic cutting gear was used to open it up like a giant sardine can. Tiny shards of glass peppered the tarpaulin sheltering those still inside the vehicle, and Laura made sure she kept Courtney’s head immobile. A more violent rocking motion occurred as the roof was lifted clear of the car and Laura could hear the grin in Jason’s voice.
‘The earth sure moved for me. How’re you doing, Courtney?’
‘I’m fine.’
Amazingly, the injured girl did sound fine and Laura’s lips curved a little, unseen in the darkness of their covering. Jason’s somewhat unorthodox communication skills were a new experience and, surprisingly, she liked them. Six months ago she wouldn’t have believed it could be remotely possible to add humour or-heaven forbid-flirting to an accident scene with beneficial results, but it worked. The Green Watch fire crew of Inglewood station were a closely bonded team of intelligent and dedicated firemen and Jason, in particular, had a gift of lightening even the grimmest of atmospheres.
He had his work cut out for him in the next few minutes as the tarpaulin was removed and
the rescue shifted into a higher gear. The car was now completely open to the elements with the windscreen, roof and doors removed. The pre-dawn chill was noticeable and scene time had already been nearly twenty minutes. Everyone wanted to move as quickly as possible now and get their patient to the medical care she needed.
The dash roll that lifted crushed metal from Courtney’s right leg revealed a nasty compound fracture of her tib-fib. She tried to move her leg as the weight was lifted but her foot was trapped beneath the brake pedal and she screamed as her pain level skyrocketed. The blood loss was also increasing. Laura opened the flow on the IV fluids she now had running.
‘Can you draw up another 10 milligrams of morphine, Tim?’
‘Got it here,’ her partner responded. ‘Ready for the backboard?’
‘Not yet. Her foot’s still trapped.’
‘I can deal with that.’ Jason still had a heavy protective glove on one hand. He reached carefully past the gaping wound on Courtney’s leg to ease his fingers between her foot and the top of the pedal. Only Laura noticed the way the lines deepened at the corners of his eyes. To anyone else he must have made bending the pedal upwards far enough to clear the trapped foot appear effortless.
‘Ah-h-h! It hurts!’
‘Almost there, love.’ Jason’s tone was calmly reassuring. ‘We’re going to tip your seat back now and slide a board underneath you.’
Too many figures were crowding in now and Courtney’s grip on Jason’s hand was lost as they finally lifted her clear of the wreck.
‘BP was 80 systolic five minutes ago,’ Laura told Tim. ‘We need to get another line in.’
‘Hare traction on that femur before we roll?’
Laura nodded. The low blood pressure could well be caused by the blood loss associated with the fractured bones Courtney had sustained. It was a two-person job to apply a traction splint so it wasn’t something that could be done en route. It would mean a delay of another few minutes before transporting, but effective splinting would help control further blood loss and was therefore a priority.
It wasn’t just the fire officers of Green Watch she was lucky to be working with, Laura decided as the ambulance rolled clear of the accident scene only three minutes later. Tim was one of the most competent paramedics she had ever had as a partner and they were perfectly matched to remain calm and efficient in virtually any circumstances. A few years over Laura’s twenty-nine, Tim had the added advantage of more experience and he also had the kind of laid-back personality that made him fit in seamlessly at Inglewood station despite being in a different emergency service. He was just one of the boys.
As was Laura now. The novelty of having a female officer on the watch had worn off rapidly. A shade too rapidly maybe, but who could blame them for losing any interest her gender might have sparked? And it didn’t matter. She was part of a great team and she’d be delighted to be considered an honorary bloke if only it wasn’t for-
‘How’s it going back there?’
‘Fine.’ Laura scribbled down the update of recordings she’d been making automatically as her mind wandered. ‘BP’s up-100 over 60. Oxygen saturation is 98 per cent on 15 litres. Sinus tachy at 110.’
‘We’ll be at the hospital in about eight minutes.’
‘OK. I’ll radio through in a minute.’ Laura turned back to her patient. ‘How’s the pain score out of ten now, Courtney?’
‘About four, I guess.’
‘That’s a lot better but I’ll give you a little bit more morphine. I’d like to get it down to at least two if I can.’
Caring for a multi-trauma patient en route gave little time to attend to paperwork so Laura completed the task using a spare patch of counter in the trauma room as the emergency department staff assessed the new arrival. By the time she was finished, X-rays had been completed and Courtney was being readied for Theatre where the orthopaedic surgeon would need to deal with the open lower leg fracture and the dislocation-fracture of her right elbow. Laura paused on her way out with the completed paperwork.
‘All the best, Courtney. You’re in good hands. You’ve got one of the best orthopaedic surgeons in town coming in to fix you up.’
‘I just want to get it over with,’ Courtney groaned. ‘But thanks…for everything.’
‘You’re very welcome.’
‘And can you thank that fireman for me? What was his name?’
‘Jase. Jason Halliday.’
‘Yeah, that’s him. He was fantastic.’
‘I’ll tell him.’ Laura had to suppress a wistful smile. It wasn’t something she could tell Jason herself, no matter how much she might agree with the sentiment.
‘How old is Jason?’
Perhaps Laura would also need to tell him that his techniques of distracting a patient had long-lasting effects. Courtney didn’t look as though she was thinking about her injuries or impending surgery at all right now.
‘Ancient.’ Laura smiled. ‘Pushing forty.’
‘Oh…he didn’t seem that old.’
Laura wasn’t really lying. Anything over thirty was on the way to forty, wasn’t it? And thirty-two was still far too old for a nineteen-year-old.
‘He’s really nice, isn’t he?’
‘Mmm. I’d better go now, Courtney. Looks like they’re nearly ready to move you.’
Tim appeared in the trauma room doorway. ‘We’re all cleaned up and ready to go,’ he told Laura. ‘And I can almost smell Mrs M.’s bacon and eggs. You ready?’
Laura was more than ready to head back and finish her shift but her most recent patient wasn’t quite ready to let her go.
‘I couldn’t really see what he looked like with that uniform and everything. Is he cute?’
‘Cute’ wasn’t the word Laura would have chosen. Jason Halliday could be used as a pin-up model for the fire service any day. Six feet two inches with a build to match his height. Sun-streaked, curly hair, dark blue eyes and a killer smile. There was only one word to describe Jason and that was…perfect.
‘Imagine your typical surfer and add ten years and a pot belly.’
‘Oh…He said he wasn’t married, though, didn’t he? Has he got a girlfriend?’
‘’Fraid so.’ Laura’s smile was not without sympathy but she escaped without offering any consolation in the face of Courtney’s obvious disappointment. She could have said that Maxine was only a newbie and might not last long but what was the point? She knew only too well the strength of attraction Jason Halliday could inspire and this teenager had as much hope of sparking a reciprocal interest as she herself had.
Well, maybe that was wishful thinking. Courtney was slim, probably several inches taller than Laura’s five feet two inches and her hair was an attractive russet rather than dead mouse, but even so she didn’t measure up to Jason’s usual standards in female companions. Better to be briefly disappointed now than to carry a torch and find the flame not only refused to get extinguished but simply burned a little brighter with every passing week.
‘Jase is going to kill you when he hears about that “pot belly” remark,’ Tim informed her a few minutes later.
‘Only if you tell him,’ Laura countered. She indicated a right turn and slowed the ambulance as she reached the main route back to their station. ‘And if you do, I’ll tell Mrs Mack who walked over her clean lino with those muddy boots last week.’
‘You wouldn’t!’ Tim’s expression feigned fear. Then he grinned. ‘OK, my lips are sealed.’ He tipped his head back and closed his eyes wearily. ‘Can’t say I blame you for trying to put her off. We get quite enough women turning up asking for our Jase as it is.’ His tone became thoughtful. ‘I wonder what it’s like to be so compellingly attractive to the opposite sex?’
‘Boring,’ Laura said firmly. ‘You can have too much of a good thing, you know.’
‘No.’ Tim sounded almost wistful now. ‘I wouldn’t know.’
Laura snorted softly. ‘Join the club, Tim. I think I’m the founding member.’
&nb
sp; ‘Oh, come on. I don’t believe that for a minute.’ Tim’s quiet voice was suddenly serious. ‘You’re great, Laura. Best partner I’ve ever had. You’re a brilliant paramedic, you’ve got a terrific sense of humour and…and your smile’s lovely.’
‘Thanks.’ Laura’s wry tone acknowledged the hesitation before Tim had found something physical to praise. ‘I’m also short, fat and I wear glasses.’
‘So?’
‘So men don’t make passes at girls who wear glasses.’
Tim’s snort was much more definite than Laura’s had been. He grinned again. ‘So take them off when you want someone to make a pass at you.’
Laura laughed. If only it was that easy. Even the wry amusement lifted her spirits, however. ‘Has anyone ever told you that you’re a nice person, Tim?’
‘Nah. The last woman that dumped me had a considerable command of adjectives that let me know precisely how boring I am.’
‘You’re not boring, Tim.’ Laura pulled the ambulance to a halt and then started backing into the garage. ‘You’re dependable. Safe.’
‘Ha! Safe is pretty close to boring if you ask me. Women want excitement, not safety.’
‘There’s a woman out there who’s going to find safe pretty exciting.’ Laura smiled at Tim. ‘Hey, you’re the best partner I’ve ever had. I love working with you.’ It was just such a shame it hadn’t been Tim she’d fallen in love with, but life was never that neat, was it?
‘We do have fun, don’t we?’
‘Sure do. I can’t believe I’ve been here for six months already. Seems like only last week I was wondering what it would be like to be stationed with a fire crew instead of just ambulance.’ Laura climbed out of the driver’s seat and walked around to join Tim at the back of the vehicle. ‘I still haven’t got over how funny they are, though.’
‘What?’
‘The boots.’ Laura pointed to where the crew’s heavy footwear was lined up, the tops of the boots protruding through the rolled-down legs of protective over-trousers. ‘It looks for all the world like a crew was standing around the truck and they all got vaporised by some alien force or something.’
