Chapter 1: The Caretaker

1603 Words
“Code Blue. ER Trauma Bay One. Code Blue. ER. Trauma Bay One. Code Blue. ER. Trauma Bay One…” The code rings out as the bell alarms loudly across the room. I am currently straddling the unconscious, pulseless twenty something car crash victim as the EMTs roll him into the first trauma bay at the hospital. It was a head on collision with an eighteen wheeler versus a motorcycle. The fact this guy is still alive surprises the hell out of me. My muscles ache as I keep doing chest compressions while the CRNA intubates him. The man is covered in blood, leather, and tattoos and I can see the motorcycle gang emblem over his heart on his leather vest. I ignore the emblem and keep compressing harder. “Sam, get off. We need to check for a pulse.” I lift my hands and climb off of him. Now that we are fully in trauma bay one, I don’t have to move while we do chest compressions. I look at the monitor and pray for a shockable rhythm to appear. “Keep going,” Dr. Thomas says. Someone new steps in and starts compressions while I grab the inter-osteous drill and prepare to start a line into the man’s bone marrow. Once I have the line in I turn to Dr. Thomas. “Do you want me to push the epi?” “Push it,” he says as he continues to run the code. I slam the epi through the inter-osteous line and flush it quickly with normal saline. Chest compressions continue as I raise my head. “Epi is in,” I shout above the noise. “Heard, Epi is in,” Nikki said as she wrote it down on the clipboard for the record. She will be keeping up with the time as we work to save this man’s life. I turn to Dr. Thomas and nod my head. He sighs and looks up. “Time?” “Pulse check,” Nikki calls out. We check the pulse and look for the rhythm. I look at the monitor and smile brightly. “V-Tach! We have a pulse!” “Keep going,” Dr. Thomas orders. I step back in and start chest compressions again as he moves to the defibrillator. “Set it to two hundred joules,” “Two hundred joules, heard,” Zach says as he sets the defibrillator to the ordered strength. I keep doing chest compressions as our respiratory therapist keeps bagging the man. My heart is so hopeful as it looks like we might actually get him back. “Get ready to shock,” Dr. Thomas calls. I back away and raise my hands over my head. I touch nothing but the floor as Dr. Thomas steps in with the paddles in hand. “Everybody clear… Three, two, one…” He hits the buttons and delivers the shock. When he pulls the pads away, I start back with chest compressions and the chaos continues. “Pulse check,” he calls back. I stop and move my fingers to his carotid artery. There… “I feel it!” A sigh of relief comes through the room as all of us sag slightly. Dr. Thomas smiles and nods his head. “Get him moved to xray and MRI. I want a CT of his head, neck, and abdomen. Make sure he isn’t bleeding internally. Hang blood on him and fluids before he goes.” “Yes sir,” I say as I start to hang O negative blood and normal saline. Once we get the fluids going, I stick him on the other side and draw blood for every lab I can think of. As I am doing this, they are moving him to get a CT, MRI, xray, and every other test done so we can make sure this man lives. After I draw his blood, I move out of the way to take it to the lab and bump into a large and strong object. “Woah, Sam… Sorry to bump into you.” I look up and see the smiling face of Officer Hallbrooks. I smirk and roll my eyes at him as I shake my head. “You’re good, Mark,” I smile. “You hear for the victim?” He sighs and nods his head. “Yeah. John Deer, there, was a bad accident. I’ve reached out to his biker gang and told them I need someone to come identify them. They said they are sending someone up here to identify him so we can notify his family. Who knows if they are sending another member of the gang or if they are sending someone who is his actual friend.” I swallow hard and nod my head slowly. “I think they prefer the term motorcycle club,” I tease. “Besides, he was just riding his bike when he got hit, right?” Mark runs a hand through his hair and sighs heavily. “I’m not sure, but we are working to figure that out.” I nod my head slowly. “Alright, well I need to get going. I have to get these up to the lab before they hemolyze,” I say as I step past Mark and head for the elevator. I feel him grab my arm quickly before I walk away. “Hey, wait… Uhm, have you thought about the dinner idea? You know? Just us going to grab a bite to eat.” I smirk and shake my head slowly. “I’ve got to go, Mark. We can talk later when we aren’t slammed,” I say evasively as I turn back and head up to the lab. After I drop the labs off, I head back downstairs to find more of a s**t show waiting in the ER. Two heart attacks are coming in hot, a rape victim and her rapist are sitting in rooms close to one another, a gun shot wound to the chest is coding in trauma bay six, and more of the pod is going crazy due to a gang related shooting that just arrived in the lobby. I sigh and shake my head slowly as I wait for my trauma bay one patient to return. I turn and look at trauma bay two and frown as I realize it has just been cleaned. “Sam,” I hear my charge nurse, Melisa, call. “You’re getting another one. Sixteen year old rape and domestic violence victim. Use your SANE nurse certificate and do your f*****g job.” I glare at her and roll my eyes. Melisa hates me, but the feeling is mutual. I flip her off as her back turns. I turn around and start to move towards bay two and hit another hard object. This hard object was a lot different than the last one though. “Ooof,” I say as I stumble back. As I take a step back, a strong arm, like a tree trunk reaches out to grab me. “Sorry… Are you alright?” I sigh and nod my head slowly. “Yeah, I’m al–” The words are cut short as my moss green eyes glide up the arm that is attached to the body that is holding me. Celtic style tattoos run up the forearm and disappear under a black t-shirt that hugs the chest of the man in front of me. He is broad shouldered, easily six feet and four inches tall, and feels like he is made of steel. My eyes slowly climb up to his face and my breath catches again as I take in the appearance of the man in front of me. Light olive skin peaks through thick dark brown hair that moves to his strong jaw. A diamond shaped face holds his strong nose and jawline as a French crop hairstyle with short spikes on top showcase just how thick his dark brown hair actually is. He smiles softly and the faintest hint of dimples pop up. My knees go a little weak as I take him in. Holy s**t… His smile quickly turns into a grin as he takes in my stunned face. “Sorry about that… I didn’t mean to bump into you…” His face quickly falls as he becomes more serious and glances around slowly. “I’m actually looking for someone. They said he was in trauma bay one? Can you point me to the right place?” I inhale sharply and swallow hard. The hint of an expensive cedarwood cologne hits my nostrils and I blink to clear my head. “Yeah, uhm, right this way… He isn’t back yet, but you can wait in here until he gets here,” I say as I show him to bay one. He grunts softly and nods his head firmly. “Thanks… Are you his nurse?” I smile and nod my head. “Yes sir… My name is Sam. I’ll be taking care of him until he is ready to be moved to the ICU. I’ll be back after he gets back from imaging. In the meantime, you can wait in here,” I say again as I show him to the room. He grunts, nods his head again and steps into the room. “Thanks,” he says. His voice sounds like the smoothest whiskey and as deep as the ocean. I blink and try to calm my nerves as I turn and walk into trauma bay one to the horrific sight of my next patient.
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