LITMIR.BIZ

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sexy…certainly he liked sex!

      As ANUM, or Associate Nurse Unit Manager, which used to be just plain Sister, May often had to call the consultants in from home, and a few ladies had picked up the phone or had been heard purring in the background as a rather breathless James had answered. Though he always came in promptly, and no one would have had a clue that he’d just been hauled in mid-session! Her friend Pauline did some housekeeping for him and though, like May, discretion was Pauline’s rule, she only had to purse her lips on occasion when May fished a little to let May know that James had an active life outside these hospital walls. Once—May managed a slight flush at the memory—when they’d had to rapidly change to go out on the Flying Squad, James had had blood on his shirt already and had had to change in the foyer while they’d awaited the transport to take them to the accident.

      Everyone probably thought she was having a hot flush as she sat there in the staffroom, fanning her cheeks, but May could still recall the sight of that broad back gouged with nail marks and when he had turned she had come face to face with a chest covered in love bites.

      Phew!

      ‘Okay, May?’ James loved working with May and always looked out for her.

      ‘Just a bit warm.’ May smiled.

      ‘They can never get it right.’ James glanced out at the heavy grey sky and the slush of old snow piled up on the window. The sky was already dark but a streetlight showed a flurry of new snow falling. ‘It’s bloody freezing out there and they’ve got the heating turned up so that it’s like a sauna in here.’

      That restless feeling was back, his solid muscular thigh was bobbing up and down, and no matter how he tried to he was just not able to kick back and relax just yet.

      ‘Can we accept…?’ the intercom in the staffroom crackled into life.

      ‘We’re on bypass,’ May immediately interrupted, because her staff needed this break. The accident had meant that for a few hours North London Regional Hospital was closed to new admissions, the ambulances automatically diverted to other hospitals, and though it was a tough call to make, it was one that had to be made if safe working levels were to be maintained. The department was struggling at the moment in any case. Two junior doctors had left in the middle of their six-month rotations and they had not filled the vacancies. Abby was good, but new, and one of the registrars had just gone on extended sick leave. Everyone was working beyond their limits and even more so today. They would come off bypass soon. May had, in consultation with James and the nursing supervisor, decided they would call it off in the next half an hour, but for now her staff needed to restock, not just on food and drink but the depleted store shelves, and also get a few more patients up to the wards.

      But the voice was crackling on.

      ‘She’s just been found a little way from the accident scene, trapped in her car… Jane Doe, in her twenties, hypothermic, full cardiac arrest…’

      James was already standing up, grabbing a handful of sandwiches and heading for the door, appalled at the thought of a patient left behind and what she must have been through.

      ‘Accept,’ he and May said together.

      The late staff were already setting up for the expected new arrival as James and May rushed around. Rolling out the warming unit, which was like a large duvet that would be inflated with warm air and placed over her, IVs were being run through warmers and the anaesthetist had been paged and was running down from a no doubt frantic ICU. ‘What else do we know?’

      ‘Not much!’ Lavinia, the crackling voice on the intercom, who was pretty in the flesh, brought them swiftly up to date. ‘The car was found in a field a few hundred yards from the accident scene, the windscreen was shattered so she’s been exposed for a while. She had a blanket around her, so it would seem she was conscious after the accident. She arrested as they freed her from the wreckage.’

      ‘Do we have a name?’

      ‘Not yet. She’s been intubated and is on her way. ETA nine minutes.’

      ‘Come on,’ James said to May, ‘let’s go and meet the ambulance.’

      They stood in the ambulance bay, James only in his theatre scrubs. It seemed rather inappropriate to moan about the weather—still, it was freezing.

      He glanced at his watch and willed the ambulance to hurry up. ‘Four hours in this.’ He wasn’t making small talk, his head was frantically trying to do the maths. Four hours exposed to freezing temperatures, and no doubt already injured from the accident. In hypothermia, patients often arrested when moved and, though it was never good news, the fact it had been a witnessed arrest was positive. ‘This is going to be a long one.’

      It would—her body temperature would need to be gradually raised and until her temperature was normal the resuscitation would continue. When the body was hypothermic the brain required little oxygen and there was a chance that despite being trapped for hours, despite being in full cardiac arrest, this patient might make a full recovery—and given her age, she would be afforded every benefit of the doubt.

      ‘The poor pet, stuck out there in this blessed weather all these hours,’ May said, shivering into her cardigan as they stood in the ambulance bay. She wished nurses still wore capes!

      ‘I knew it wasn’t over,’ James said. ‘There were so many cars involved, just so much chaos, we’re going to have to review this.’

      ‘We will,’ May sighed. ‘But it was already getting dark by four, and with the snow and everything…’ Her voice trailed off. Security was having a row with a driver who had insisted on parking his car in the ambulance bay. His wife would only be two minutes, he was arguing loudly and, no, he wasn’t moving his car, but James had already heard enough. May watched as he strode over, an imposing man at the best of times, but when someone compromised his patients’ care, woe betide them. May cringed as James not too politely told the driver where he could put his car, but she smiled as he strode back.

      ‘He thinks it’s a bloody car park.’

      ‘He doesn’t now,’ May pointed out, watching as the driver reversed angrily out of the ambulance bay, but her smile soon faded. ‘That’s all we need!’

      A television news team, which was setting up a little way down to do a live cross on the evening news about the earlier incident, had got wind of the ‘forgotten patient’ story. They dashed over with their cameras and talked excitedly into their microphones as James told Security to bring out the screens to shield the incoming patient from prying eyes. The last thing he wanted was some kid eating their tea, seeing their mother being brought into hospital at death’s door. He was taut with suppressed rage as he shooed the journalists back and helped Security to erect the screens quickly.

      Oh, the joys of being an emergency consultant!

      ‘Where the hell’s the ambulance?’ James demanded of May, and she glanced at her watch.

      ‘It will be a couple more minutes yet. Are you okay, James?’ May couldn’t help but ask. He was like a coiled spring this afternoon. Okay, he was often brusque but there was just something about him now that May couldn’t put her finger on.

      He was about to give his usual dismissive ‘Fine,’ only this was May who was asking and he respected her more than anyone in the department, looked out for her in the same way that she looked out for him, and because of that he was honest.

      ‘I don’t know, May.’ He could just hear the ambulance siren, which meant it was still a minute or two away. He turned to her wise, familiar face and even if it sounded evasive he answered with the truth. ‘I really don’t know.’

      ‘Are you not feeling well?’ She asked.

      ‘It’s not that…’ He blew out a breath, long and white in the freezing early evening sky, and tried to find the right word to describe how he felt. Nervous? Anxious? Neither really fitted. He just felt uneasy, that was the best word he could come up with, but he was hardly going to offer that to May.

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