“There are a couple of trauma patients on the way in from a motor-vehicle crash,” Richard said. “I want each of you to take one of the patients. The attending on call today is Dr. Holt and both of us will be here if you need help. Any questions?”
Traumas? On their first day caring for patients? The look on the senior resident’s face was almost sneering, as if he expected them to balk at the responsibility. So Hannah straightened her shoulders and lifted her chin. “No questions.”
His gaze narrowed a bit, but then he nodded. “Good.”
Just then the doors from the ambulance bay burst open and two gurneys were wheeled in. For a moment panic stole her breath, but then a sense of calm came over her, as she took control of the first patient.
“James Turkow is a twenty-five-year-old restrained driver T-boned by another vehicle,” the paramedic announced. “Vitals were stable, and he was alert and oriented on the scene, but during transport became less responsive.”
Probable head injury, Hannah decided. But the bluish tint to his lips was concerning, so she pulled her stethoscope from her pocket and quickly listened to his lungs. Definitely not good. From what she could tell, he wasn’t moving nearly enough air to sustain life.
“Get me the intubation tray,” she ordered, pulling the oxygen mask and ambu-bag off the regulator on the wall to begin bagging him. With a flick of her wrist she turned the oxygen up to one hundred percent. “This guy needs an airway.”
The nurse quickly pulled out the emergency airway kit, handing over a laryngoscope and blade. “What size tube?”
“Eight.” Hannah quickly pulled on gloves and then took a deep breath to calm her racing heart. While the nurse placed the stylet into the endotracheal tube, she gently inserted the blade into her patient’s mouth and pulled upward—the way she had been taught—to search for his vocal cords.
Except she didn’t see them.
For a moment panic surged, and she frantically glanced around for Richard, the senior resident. Where in the heck was he? Didn’t he know she might need help? But Richard wasn’t readily available, so she tried again, tipping the young man’s head back farther and looking once again, down the back of his throat. Her left hand wielded the laryngoscope and she pulled upward, keeping away from his teeth to avoid damaging them.
“Easy, now, you’re doing fine,” a deep male voice said near her ear. Just knowing she wasn’t alone was enough to calm her frayed nerves. “Pull up just a little more. There, see the cords?”
Amazingly, she did see them. Trying to hold her left hand steady, she used her right hand to thread the ETT down through the patient’s vocal cords.
“Excellent,” the voice murmured. “Now remove the stylet and begin bagging. I’ll take a listen to make sure you’re in the right spot.”
She nodded, taking care to keep the tube firmly in place as she did as he requested. She kept her gaze trained on the patient’s chest, noticing with satisfaction that the chest rose and fell with every breath she gave with the ambu-bag.
“Good job. Looks like the tube is in place.” His low voice was reassuring. Almost mesmerizing. Relief made her knees feel weak, but she stiffened them with an effort. Her job was only partially done. “You’ll need to get a chest X-ray to confirm placement.”
“Will do,” she said, as she handed over the task of securing the tube to the nurse standing beside her. Once she was free to move aside, she glanced up at her rescuer.
And froze, when his glittering green gaze slammed into hers.
The force of the collision made her heart plummet, the room whirled and there was a loud roaring in her ears.
No. It couldn’t be. But it was.
Jake. Her Jake. Her one-night-stand-Jake was here. At Chicago Care.
The flare of shock reflected in his gaze almost made her feel better. At least she wasn’t the only one knocked off balance. But then she noticed the name on his ID badge and the sick feeling in her gut returned.
Great. Just what she needed. Not only was Jake a doctor here at the hospital. He was Dr. Holt. The attending physician on duty. And Chief of Trauma Surgery!
The man she’d impulsively spent the night with was the man who could make or break her career.
CHAPTER TWO
JAKE could hardly believe his eyes when he saw Hannah wearing light blue scrubs and a long white lab coat, her long blonde hair pulled back in some sort of fancy braid. Dr. Stewart. The name on her ID tag mocked him.
Hannah—the girl he’d seen on the sailboat wearing the bright yellow bikini—was an intern? A first-year surgical resident? Here at Chicago Care?
A stab of betrayal hit hard.
She’d known all along exactly who he was.
Hard to believe he was stupid enough to have made the same mistake twice in one lifetime, but he had. Swallowing the lump of bitterness in the back of his throat, he forced himself to keep his attention on the task at hand. There was a seriously injured patient needing their assistance, so this was hardly the time, or the place, to call Hannah out on her behavior.
But she’d certainly played her role well, that’s for sure. He’d taken the bait, falling for the ploy without once considering he’d been set up.
Tearing his gaze away from hers, he glanced down at the patient. “Order a stat chest X-ray to verify this tube placement,” he said to the nurse. “And I also want a full set of labs.”
The nurse headed for the nearest phone.
When he turned back toward Hannah, he noticed she was continuing her trauma assessment as another nurse drew the blood. Clearly, Hannah wasn’t nearly as shocked to see him as he was to recognize her.
“His lung sounds are very diminished on the right side,” Hannah said, pulling the stethoscope from her ears. “And his belly is tense, no bowel sounds present. He probably has a head injury, seeing as he’s still unconscious. So far, though, his pupils are equal and reactive.”
Trying very hard not to remember what she’d looked like naked, he gave a curt nod. “Okay, so what’s your plan?”
“Get a CT of his head, chest and abdomen, continue to monitor his neuro status closely.”
“Fine. Let me know as soon as you have some diagnostic results.” He moved away, intending to check on the second patient in the motor-vehicle crash. Richard was assisting the other female intern, Dr. Barkley, with that one, and from what he could tell, they had the patient under control.
Hannah’s patient was by far the sicker of the two.
“Dr. Holt?” Hannah’s familiar husky voice caused a reaction deep down, making him grind his teeth in frustration. He refused to be made a fool of again.
“What?” he snapped.
“The chest X-ray has been completed, but his abdomen is growing more tense by the minute,” she said, pulling aside the hospital gown to show him. “I think he’s bleeding internally. Do you want me to perform a peritoneal lavage?”
He didn’t want to be impressed by her sharp assessment skills, or the way she managed to remain calm in the middle of a crisis. “Have you done one before?”
“Yes.” Even as she responded, Hannah pulled out the peritoneal-lavage tray and began prepping the patient. If she was nervous, she didn’t let on. Once the patient’s skin was prepped, she pulled on a pair of sterile gloves and then carefully measured two centimeters above the umbilicus. Using the scalpel, she made a quick incision.
“Nice job,” he said, before he could stop himself. Once she’d deftly inserted the catheter, she opened up the IV of fluid and then watched, as he did, for the results. He wasn’t surprised she’d been right, when bloody drainage came flowing out. “Guess this guy has earned a trip to the O.R.”
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