The team was moving sluggishly as they donned the trauma apparel. The lead aprons seemed to weigh twice as much as when they had started thirteen hours ago. The medical school students appeared to be the ones showing the lack of energy the worst. It was their inexperience with the long grueling hours that was their undoing.


Garrett had dressed at her usual pace, and took her position on the left side of the empty stretcher. She leaned stiff-armed on the bed, trying to take some of the weight off of her back and legs. She closed her eyes in an effort to summon all of her strength to make it through the remainder of the night. She could hear the lively talking and joking of the fresh set of nurses as they waited for the patient to arrive. The only energy in any abundance seemed to be held by them. She thanked the gods for sending her a team of nurses that she knew and worked well with. As she saw it, this would be the only saving grace to the rest of the night.


Danni studied the surgeon intently as the patient was wheeled into the room, the medics giving their hasty report. She could see the deeply furrowed brow that shadowed the lusterless blue orbs of her roommate. This was so unlike her friend. Her eyes had always held an air of excitement about them. She thought back to the first time she had gazed into those crystal blue pools of emotion and the feeling of Déjà vu that had come over her. For some reason, the spark in those eyes had set off a feeling so powerful that it had caused the young nurse to stand in awe of the figure in front of her. Somewhere in time she had known this woman before. Where or when, it didn’t matter. What did matter was that there was an undeniable bond between them, a bond that would become recognizant to them both in time. Danni put aside her thoughts when she heard the familiar tones of the surgeon signaling the transference of the patient to the hospital stretcher.


"Ready? On my count, one, two, three." The tall woman stepped back allowing the ambulance stretcher enough clearance to be removed, as the rest of the team converged on the patient, each with their own task to perform. The initial examination assuring the patient’s airway, breathing, and circulation was completed to the surgeon’s satisfaction. She then began her secondary survey of the young man before her. She explained what she was doing to him as she moved from body part to body part to ascertain whether or not he had sustained any injuries in the minor MVA. Working her way down his long body, it became obvious to her that the medical student on the right side was standing motionless with his hands resting on the young man’s groin. She followed the arms up until the face of the student was clearly visible. His eyes were closed and if she didn’t know better, she would have to say that he was asleep. It couldn’t have been worse if he had been a sentry caught sleeping on guard duty. He was going to be made an example of. There was no sleeping when duty called! No, not in her book there wasn’t.


"You," she pointed to the resident standing next to the dozing team member.


"Take him out into the hallway." Her voice was low as it rumbled across the room, commanding immediate obedience. "Then step in here and take his place."


The surgeon finished her examination of the injured man, finding only a few broken ribs to be the reason for his breathing problem. The chest x-ray had confirmed it. She felt justified in ordering the patient a twenty-three hour observation bed. She wanted to watch him overnight just to make sure that a pneumothorax did not develop.


Danni called in a report on the patient to the assigned floor that would watch him. Then the nurse readied his chart and made arrangements for him to be transported to his designated bed while Garrett addressed the medical student.


The raven-haired woman removed her mask, gloves, and gown as she stormed out of the room. The rest of the team had disbursed, leaving the lonely-looking figure standing in the hall. His face grew pale as the surgeon came closer to him. She motioned for him to enter the conference room ahead of her. She followed him in and closed the door. Pacing back and forth as she removed the lead apron, she gathered her thoughts. Relieved of its weight, the surgeon stood to her full height, slowly inhaling before she spoke. Her eyes surveyed the form before her.


"I’m sorry…I was trying to concentrate…" his thoughts were in pieces as he nervously tried to excuse his actions. "I didn’t mean to…I haven’t stopped all day."


Her brow raised as she listened to his jumbled attempt to justify his action. Each attempt only adding to her anger. Her feelings were screaming deep inside of her to rid the medical profession of this poor excuse for a doctor wannabe before he truly endangered a patient’s life. She held up her hand trying to put an end to his ramblings. "You’d do yourself more of a service if you would stop talking now." Her voice was low and unwavering.


His mouth dropped open as he stared at her menacing form.


"And just what field of specialty is it that you propose to be interested in, when and if you become a physician?" Her steel blue eyes were narrowed at him.


He gulped. His throat was dry, and he found it hard to speak. "Radiology, like my…my father," he stammered.


"I should have guessed as much!" She thought about the cushy job of a radiologist, where, once out of residency and fellowship years, the only tough subspecialty was that of an angiographer. They were often referred to as the "bankers" of medicine in their comfortable 9 to 5 work hours, where every night was filled with sleep. "You’ve got a long way to go before you can enjoy that life style. I suggest that you not fall asleep again in my presence during a trauma or I’ll personally see to it that you never get that title of Doctor." Her words were harsh and without feeling, like the metal of a sword cutting deep to the bone.


He opened his mouth but thought more wisely not to meet her threat with a rebuttal, simply nodding his head in understanding. Disgustedly, she waved her hand, dismissing him from her presence. After he had left, the tall surgeon leaned on the conference table, hanging her head in disbelief.


The petite blonde nurse had kept a cautious watch of her friend through the large glass panels that lined the hallway, allowing her a view of the conference room. She could see the tension on the surgeon’s face and in the movements of her body as she addressed the medical student. She waited until the confrontation was over before getting her patient underway to his final destination for the remainder of the night.


***************


Danni arrived back to the trauma room to see Rosie restocking the supplies that were greatly depleted from the overabundance of trauma patients. She put the stretcher in place and readied it with fresh linen. By the time she had replaced the heart monitor batteries with new ones, the trauma pager was again crying for attention.


"Trauma page, trauma page. Twenty-five year old female assaulted with a brick. Severe facial damage. The patient has an unsecured airway at this time. ETA four minutes via helicopter. This is a Level One trauma page."


The two nurses flew out of the room, grabbing lead aprons and securing them quickly to their bodies. It was as though the two were in a race, as each moved efficiently to dress in the trauma gowns and masks. The overhead page now was breaking their concentration. "The Flight Crew is requesting a Physician on the helipad for intubation."


Danni grabbed a set of gloves and made for the door leading to the helipad. Converging on the door from the opposite end of the hall was the E.R. Attending for the evening, Dr. Potter, with her coat tails trailing behind her. Marianne, the Aide, had met them at the door with the bright orange intubation supply bag that they would need. Without hesitation, the door slid open and the trio stood outside, watching the helicopter gently touch down on the ground. Crouched over and shielding their eyes from the dust and debris that the propeller blades kicked up, they made their way to the aircraft. The long, red hair of the physician whipped wildly about her head as the crew door opened to the ship. Battling to keep the hair out of her face, Dr. Potter quickly climbed onboard.


The blood-soaked, swollen face of the women was barely recognizable as that of a human. The nurse and aide worked hastily to assemble the necessary equipment out of the bag. Jamie positioned herself as she pulled on a pair of gloves. She held out her hand in anticipation of the laryngoscope and the endotracheal tube. The blade on the handle was snapped into place producing a bright white ray of light to guide her once inside of the patient’s mouth. The welled-up pool of blood visualized inside of the oral cavity was making it impossible to place the tube.


"Give me some suction," the physician yelled above the noise of the slowing overhead blades. The flight medic immediately complied, evacuating the bright red liquid.


Knowing that time would be short before the build-up would occur again, Dr. Potter acted with confidence as she positioned the tube into the woman’s trachea and inflated the cuff at the end of it, securing the patient’s lungs from further liquid impingement. The flight medic attached the ambu bag to the end of the tube, enabling the patient to be oxygenated with artificial breaths. Danni offered the physician her stethoscope to assure the proper placement of the tube inside of the patient’s trachea. Jamie listened intently for the sound of air rushing in and out of the patient’s lungs. Checking both sides of her chest, the physician gave a thumbs-up sign and the tube was secured in place.