Emergency Baby. Alison Roberts
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The beam from Sam’s lamp revealed an ominous pool of blood glistening on the dark rock beneath their patient. She stripped off her leather gloves and flexed her fingers repeatedly, but they were still too cold not to fumble with the zip on the pack Alex had brought with them.
‘I heard someone calling. I think it was Tim.’
‘Really?’ Mike’s relief was evident. ‘How long ago?’
‘A while back. I dunno. I’ve kind of lost track of time a bit. Arrrgh!’
‘Sorry.’ Sam had cut and pulled away the remnants of protective clothing over Bruce’s leg. Alex ripped open the packaging for a large gauze dressing and emptied a saline sachet to dampen it. He was ready to cover the open wound with the protruding bone on Bruce’s thigh.
‘We’re going to splint this leg, mate,’ Alex said. ‘We need to control the bleeding. We’re also going to give you something for the pain and start a drip to give you some fluids. Anything else hurting?’
‘No!’ Bruce pushed himself up onto his elbows. ‘Forget my leg. What we need to do is shift some of this rock. I couldn’t manage it by myself but with four of us…’ He fell back with a groan of frustration but the wave of his hand showed the others where he’d been shifting small pieces of rubble despite his injury.
‘There’s another crew coming in to deal with the rock,’ Sam said reassuringly. ‘They’ve got the equipment they’ll need.’
‘Where the hell are they, then?’
‘They have to come in the long way, Bruce,’ Mike said. ‘They couldn’t have got their gear through the “squeeze”. They’ll be a wee while yet.’
It had taken an hour for Sam and Alex to make their way through the underground maze to reach their patient. Another hour had been used in getting to the site after the call had come in and it had taken Mike over an hour to get out by himself and raise the alarm. Bruce had to have lost a significant amount of blood from his fractured femur in that period of time, and he could well have other injuries he wasn’t admitting to due to concern for his missing friends.
The tunnel they were in now was by no means large enough to make for easy working conditions and loose, jagged pieces of rubble from the collapse added to the difficulties presented. Sam bruised her knee when she knelt to try and establish IV access. She shredded a surgical glove and grazed her knuckles a short time later as she slipped a hand behind Bruce to check for any rib injuries.
Alex was as cheerful as ever. You could put that man anywhere and he would still function with a far higher than average level of competence. He would also remain cheerful and establish a rapport with any patient. Bruce relaxed noticeably with the distraction of conversation and became a lot less anxious when Mike decided to use his waiting time pushing as much rubble as he could back towards the cave end of the tunnel in preparation for the upcoming phase of the rescue effort.
Periodic calls to the trapped men quickly became part of the routine.
‘Tim? Can you hear me, mate? Steve? Are you OK?’
‘Keep calling,’Alex advised into the silence. ‘They may be able to hear us and it’ll help if they know there’s a rescue effort under way.’ The lamp beam swung away from Bruce. ‘Check this for me, Sam?’
‘Morphine, ten milligrams,’ Sam confirmed, holding the ampoule up to catch her own beam of light. ‘Expiry date’s fine.’
‘This might make you feel a bit sleepy,’ Alex informed Bruce, ‘and I’m going to give you something else so it doesn’t make you feel sick.’
‘Right. Hey, what’s the time?’
‘A bit after 6 p.m.’
Bruce swore softly. ‘The girls will be frantic.’
‘Girls?’
‘My wife, Lauren. And Steve’s wife, Courtney. They were going to come back and meet us at the tunnel entrance. Hey, Mike!’
‘What’s up, buddy?’ Mike had crawled back ready to start rolling a new piece of rock away.
‘What’s happening up top? Did you call the girls?’
‘They were here already when I went up. It was Lauren’s phone we used to call the emergency services.’
‘Is she all right?’
‘She’s worried,’ Sam told him, ‘but she’s OK. I had a word with her before we came down. She’ll be doing her best to look after her friend. She’s due to have a baby pretty soon, isn’t she?’
‘Courtney? Yeah, she’s due in about three or four weeks, I think. That’s why we took a week off work to come caving. Steve’s not going to get away much for a while after that. He might never get away again after this. Courtney worries enough at the best of times.’
‘Hmm.’ Sam had been concerned about the level of distress the pregnant woman waiting near the sinkhole had been in. How much worse was it going to be to know there were no signs of life yet from the father of her baby? She made a mental note to spend some time with Courtney after they had accompanied Bruce to the waiting helicopter. It was quite likely that it would be rather a long time before they could reach the trapped men and Sam could only hope that when they did, medical intervention would still be of benefit.
It was going to be a long night.
The more easily negotiated route to the underground cave took ninety minutes longer than the path Sam and Alex had taken. By the time the extra personnel and equipment arrived, they were more than ready to secure Bruce into the Stokes basket stretcher and start the long trip back. They had done what they could to stabilise their patient. His leg was in a traction splint, which helped control both internal bleeding and pain. He had received some fluid replacement to help counteract blood loss but he was showing signs of shock with raised respiration and heart rates. The sooner they got him into a hospital’s emergency department the better.
There were plenty of people to help with the difficult task of hauling the stretcher through the tunnels leading back to the surface but there was no way to avoid the more precarious start to the journey by having to pull their patient up the vertical wall beside the ladder.
‘I’ll go up with Bruce,’ Alex told Sam. ‘You get up top and direct the rope work.’
Having ascended the ladder, Sam looped a rope around a solid piece of rock and clipped a carabiner on her belt to the anchor. She fed another length of rope through a belay brake on the wall that had clearly been used as a means of descent before the ladder had been installed and this rope was secured to the Stokes basket. She stationed another person beside her to control a rope attached to Alex’s harness and they both pulled in the extra length as the stretcher slowly moved upwards.
Sam watched the strength Alex displayed, climbing the ladder with only one arm, hooking his legs around the thick edge wires to put his feet on the rungs heels first and help prevent any sway. He had his other hand through one of the gaps cut near the rim of the heavy plastic of the Stokes basket and Sam had the silly impression that if their ropes failed for some reason, Alex would simply keep hanging on and save their patient from plummeting to the floor of the cave.
Totally impossible, of course, but that was the kind of confidence Alex exuded. Normally, it inspired Sam to push herself a lot harder in the hope that Alex would be as proud of his partner’s abilities as she was. Sometimes she actually got the impression that Alex was doing the same thing but they had become so closely welded as a team over the last few years that it was hard to tell just who inspired whom.
What if the thrill was permanently gone for Sam? A lack of passion would be reflected almost instantly in her performance. Maybe it had been already, the way she had allowed herself to get stuck. Alex hadn’t seem perturbed, however, and that was both a relief and a warning. The thought of seeing concern—or, worse, disappointment—reflected in those dark eyes was not a pleasant one.
‘Almost