She quickly prepared the syringe while Connor continued with the oxygen. ‘Okay,’ she murmured, ‘let’s see if that will bring him round.’ While they waited for the drug to work, Alyssa placed pads on Alex’s chest and connected him to the portable defibrillator.
‘It’s not happening—the heart rate’s not picking up enough,’ Connor observed with a frown a short time later. ‘Maybe it’s time to deliver a shock to the heart.’
She nodded and set the machine to the correct rate and current. ‘Stay clear of him while I do that.’
Connor moved back a little, and both of them waited. For a second or two, nothing happened, and Alyssa’s mouth became painfully dry, the breath catching in her throat. She realised she was praying silently. This had to work.
Then there was a faint bleep, and the display on the defibrillator began to show a normal heart rhythm. She breathed a sigh of relief. The rate was still slow, but at least he was out of the woods for the moment.
The ambulance arrived as she and Connor continued the struggle to regulate Alex’s blood pressure. The paramedics greeted Connor as a friend, as if they’d known him for a long time, and then they listened as Alyssa quickly brought them up to date with what was going on.
‘I’m very worried about any injury to his back,’ she said quietly, ‘so we need to take great care when we move him. We’ll help you to get him onto a spinal board.’
She and Connor knelt with one of the paramedics alongside Alex’s still form, each one ready to lift and gently roll him on his side towards them on Alyssa’s command. ‘Okay, let’s do it … three … two … one … go.’
The second paramedic slid the board underneath Alex, and then they carefully rolled him onto his back once more.
‘That was well done.’ Alyssa stood back as the paramedics strapped him securely in place and lifted him on to a trolley stretcher. Alex was still not speaking and she was dreadfully afraid his condition was deteriorating fast. ‘I’ll go with him to the hospital.’
‘Okay.’ The paramedic nodded and turned to Connor. ‘Will you be coming along, too?’
‘Yes. I’ll follow in my car.’
Alyssa watched as they trundled Alex towards the ambulance, and saw, out of the corner of her eye, that Ross was hovering nearby. Seeing that she had finished working on her patient for the time being, he hurried over to her.
‘Is he going to be all right? I couldn’t believe what I was seeing. It’s my worst nightmare.’ The lively, boyish young man he’d been just a short time ago had disappeared completely. He looked haggard, devastated by what had happened.
‘We’ll know more after they’ve done tests at the hospital.’ She laid a hand on his arm, wanting to comfort him. ‘It wasn’t your fault, Ross. All stunts carry danger, you know that. It was plain bad luck.’
‘Even so, I feel terrible about it.’ His face was ashen. ‘Maybe I shouldn’t have been directing today, but Dan had to be somewhere else, so I had to step in. I know he wanted to be here for this scene. Maybe it was an omen …’
‘Ross, you mustn’t blame yourself. No one could have foreseen what happened.’
His shoulders sagged. ‘I don’t know … I thought I had everything covered …’ He pulled himself together, straightening up. ‘I want to go to the hospital to be with him, but I have to get in touch with his wife, and stay here and talk to the police, and try to explain what went wrong. There will be all sorts of questions, accident reports, insurance forms to be dealt with … I’m going to be sifting through all that over the next few hours, but tell him we’ll take care of his family and see to anything that he needs, will you? Anything he wants, he just has to ask.’
‘I’ll tell him.’
‘Thanks. I’ll come along to see him just as soon as I can.’
‘Of course.’
She gave him a reassuring hug and then turned back to the ambulance. Connor was standing by the open doors, supervising Alex’s transfer.
‘It looks as though Ross isn’t taking it too well,’ he murmured.
‘No, he isn’t. He feels responsible.’ She glanced at him. He looked concerned as he watched his brother brace himself and walk towards a uniformed officer. ‘Do you want to stay with him while he talks to the police and so on?’
He shook his head. ‘No, I think I can probably be of more use at the hospital. I’m sure Ross will cope once he’s over the initial shock.’
‘Maybe. Let’s hope so.’ She frowned, rubbing absently at her temple, where a pulse had begun to throb.
He studied her, his grey eyes narrowing. ‘Are you all right? You’ve gone very pale all of a sudden.’
‘I’ll be fine. It’s just a bit of a headache starting.’ She had to admit to herself, though, that now her role as an immediate response medic was complete, she wasn’t feeling good at all. She’d taken this job feeling pretty certain that nothing like this would ever happen. When it had, despite all the odds, she’d found herself acting purely on instinct, following the basic tenets of medical care in the way that she’d been taught, in a way that had become second nature to her.
Now, to her dismay, the adrenaline that had kept her going through those initial moments was draining away and in the aftermath she was shaking inside. She was experiencing those same feelings of dread, of exhaustion and nervous tension that had started to overwhelm her when she had been working in emergency back home. A feeling of nausea washed over her.
She climbed into the ambulance and seated herself beside Alex, closing her eyes for a brief moment as though that would shut out the memories. He reminded her so much of that patient she’d treated back in the UK. They were about the same age, the same build, with dark hair and pain-filled eyes that haunted her, and both had fallen …
The paramedic closed the doors, bringing her back to the present with a jolt, and within a few seconds they were on their way, siren blaring, to the hospital.
Connor met them at the ambulance bay. ‘Welcome to Coral Cay Hospital,’ he murmured, reaching out to help Alyssa step down from the vehicle. His grip was firm and the hand at her elbow was reassuringly supportive. ‘Our trauma team is all ready and waiting for the patient. They’ll take good care of him, you’ll see.’
Oddly, she was glad he had decided to come here with her. ‘Yes, I’m sure they will.’ By all accounts, the hospital had a good reputation and Alex would be in safe hands.
The registrar was already walking by the side of the trolley as the paramedics wheeled Alex into the emergency unit, and Alyssa went with them, ready to talk to the doctor about his condition.
‘We’ll do a thorough neurological examination,’ the registrar told her. ‘And then we’ll get a CT scan done so that we can find out exactly what’s going on.’ He glanced at Connor. ‘Do you know how we can get in touch with any of his relatives?’
Connor nodded. ‘You don’t need to worry about that, Jack. My brother’s already spoken to Alex’s wife. He rang to tell me on the car phone when I was on my way over here. She’s going to make arrangements for someone to look after the children while she comes to be with him.’
‘That’s good.’ They’d reached the trauma bay by now, and Jack started on his examination of the patient. Alyssa and Connor took turns to tell him what had happened and describe the treatment they had given Alex.
‘You did everything you could,’ the registrar said, ‘but there’s nothing more you can do here. Why don’t you two go and get a cup of coffee, and I’ll let you know as soon as the scans are finished? I know how concerned you must be, but I promise I’ll keep you in the loop.’
‘Okay. Thanks. We’ll get out of your way.’ Alyssa glanced at Alex, who was connected to monitors that bleeped and flashed and underlined the fact that he was in a distressing condition.
‘I can hardly believe this is happening,’ she said under her breath as she walked away with Connor.
He nodded. ‘It’s hard to take in.’ He sent her an oblique glance. ‘Are you okay? You don’t look quite right.’
‘I’m fine,’ she lied.
‘Hmm. I suppose all this must come as a shock when you imagined the job would involve nothing more than having to deal with a few minor ailments or lacerations.’ He led the way along the corridor and showed her to his office, pushing open the door and ushering her inside, his hand resting lightly on the small of her back. It was strangely comforting, that warmth of human contact.
‘Please … take a seat.’ He waved her to a chair by the desk, and then flicked a switch on the coffee machine that stood on a table in a corner of the room.
She looked around. The office had been furnished with infinite care, from the seagrass-coloured carpet that added a quiet dignity over all, to the elegantly upholstered leather armchairs that would provide comfort and ease to anxious relatives, keen to know the details of any treatment their loved ones would need. There was a leather couch, too, set against one wall, adding a feeling of opulence to the whole.
To one side of the room there was a mahogany bookcase, filled with leather bound medical books, and in front of the large window was a highly polished desk made of the same rich, dark mahogany. This was topped with a burgundy leather desk mat and beautiful accessories, which included a brass pen-holder and an intricately designed brass paperweight.
‘You’re still look very white-faced,’ he remarked as he set out two cups and saucers and began to pour coffee. ‘It’s not just that you’re worried about Alex, is it? I can’t help thinking there’s something more.’ He hesitated for a moment. ‘Shall I get you some painkillers for the headache?’
She shook her head. ‘Like I said, I’ll be fine.’
He slid a cup towards her. ‘Would you like cream and sugar with that?’
‘Please.’ She nodded, and he slid a tray containing a cream jug and sugar bowl onto the desk beside her. The bowl was filled with amber-coloured chips of rock sugar that gleamed softly in the sunlight and gave off a pleasing aroma of dark molasses.