A Christmas Knight Read Free Page B

you.’
    â€˜Hurts,’ Rhiannon mumbled. ‘Where’s Gary?’
    â€˜Your husband’s right here,’ he reassured her. ‘Ronnie’s looking after him, and as soon as she’s checked him over and made him comfortable, he’ll be able to come and see you. And we’re going to give something to help with the pain,’ he said. ‘I’m going to put an oxygen mask on you to help you breathe better, and then we’re going to have a proper look at you, OK?’
    On Dominic’s direction, Sally gently cut through Rhiannon’s clothes so he could do a full body assessment, top to toe. Meanwhile, Louisa hooked Rhiannon up to a cardiac monitor, put in a second line and started taking obs.
    â€˜Heart rate 135, respirations twenty-six, blood pressure 82/54,’ she said. Tachycardia and low blood pressure pointed to major loss of blood—probably caused by internal injuries, Louisa thought.
    â€˜We need to get some fluids in. Start with a litre of Hartmann’s, and get six units cross-matched for me,’ Dominic said—and looked approving when he saw that she already had the saline solution in her hand.
    Dominic had given Rhiannon painkillers to make her more comfortable; but when her blood pressure didn’t respond to the fluids and her sats started dropping, he glanced at Louisa. ‘Can you do ABGs for me, please, Louisa? And, Sally, I need X-rays.’ He listened to Rhiannon’s chest.
    From the bruising on Rhiannon’s skin, it looked as if she had several broken ribs. No doubt Dominic wanted to check for pulmonary contusions. There were a lot of problems that could be caused by blunt trauma at high velocity, Louisa knew; with damage in Rhiannon’s chest area, there could be trauma to the heart as well as the lungs.
    â€˜I think we need to intubate.’ He held Rhiannon’s hand as he explained to her what they were doing. ‘You’re struggling to breathe, sweetheart, so we need to help you with that and make sure you get enough oxygen. I’m going to put a tube down your throat so you won’t be able to speak, but I’m going to give you some medication first so you won’t feel it and it won’t hurt—it’ll make you more comfortable. I know you’re feeling tired and it’s hard to talk, so just squeeze my hand if you’re OK with that—once for yes and twice for no.’ He paused. ‘That’s a yes—that’s my girl. We’ll get you comfortable as soon as we can.’
    Louisa was just drawing up the ampoules of anaesthetic when one of the drivers who’d been brought in came over to them, his face ashen. ‘Oh, my God, Rhi! I’m so sorry. I couldn’t avoid him—he just pulled out on me and there was nothing I could do.’ He looked distraught as he stared wildly at Dominic and Louisa. ‘I can’t believe I’ve come out with just bruises, and Rhi’s so…so…’ His voice caught.
    â€˜Gary, isn’t it?’ Dominic said, somehow managing to divide his attention and eye contact between his patient and her husband.
    â€˜Yes.’
    â€˜She was asking for you.’
    â€˜Can I hold her hand?’ At Dominic’s brief nod, Gary curled his fingers round his wife. ‘Honey, I’m here, and I love you, and I’m so sorry.’ He dragged in a breath and looked pleadingly at Dominic. ‘Is she going to die?’
    â€˜Not on my shift,’ Dominic said, ‘though it might beeasier on you if you wait outside. There’s a vending machine just round the corner. I promise we’ll come and find you as soon as we’ve got her stable and let you know what’s going on, but for now we need to concentrate on Rhiannon here and treat her.’
    Gary shook his head. ‘No. I need to stay with her.’
    â€˜Unless you’re a trained medic, it can look very worrying in here,’ Dominic