in the emergency department, providing care to trauma patients. Like her sister.
And yet hadn’t he gone into emergency medicine for the same reasons?
He watched as she drew a set of blood gases and then filled another four lab tubes with blood. Reassured that Elana was doing all right, he turned his attention back to the patient. He was somewhat worried about the young woman’s lung function, but, even more, he needed to know what her hematocrit and hemoglobin levels were.
“Get me those H & H results stat. In the meantime, let’s make sure there are no other obvious sites of bleeding.”
Elana and Raine worked well together, he noted. Since arriving at Trinity Medical Center, he’d been impressed with how well the emergency and trauma center staff gelled, from the techs to the nurses up to and including the physicians. A true team approach. Things hadn’t been quite this cohesive in his former position.
Within a few minutes, Elana reported new vitals. “BP up to 84/42, pulse a little less tachy at 117. We’re making some headway.”
He nodded, agreeing with her assessment. If they could get this patient’s blood pressure up to the nineties, he’d be satisfied enough to send her to the CT scanner. If she needed emergency surgery on her spine, he didn’t want to delay care. On the other hand, he didn’t want her to crash in the CT scanner, either.
“We have the H & H results,” Elana announced. “Hemoglobin is 7.8 and hematocrit is 29.”
“Give another two units of O-negative blood, Raine,” he ordered. “Keep running the fluids too; I’d like to see her systolic blood pressure over ninety. I’m going to call Radiology to make sure they’re ready for her. One of you is going to need to go with her to the CT scanner.”
“I’ll go,” Elana volunteered.
He gave a brief nod, turned on his heel and walked to the nearest phone. Within moments he had everything arranged with the radiologist on call.
His gaze settled back on Elana, watching her as she worked. With her jet-black hair pulled into a long ponytail, her high cheekbones and olive-toned skin, a gift from her Hispanic mother, she was stunningly beautiful. She’d grown up from the gangly teenager she’d been nine years ago.
And she had every reason to hate him.
The familiar guilt surged like bile in the back of his throat. He tore his gaze away and swallowed hard, trying to focus on the monitor above the female trauma patient’s head. This wasn’t the time or the place to wallow in the mistakes of the past.
“Blood pressure is up to 95 systolic after the first unit of blood. We still have one more unit to give, but she seems to have stabilized for now. Do you want me to take her for a CT scan?” Elana asked.
He nodded, the lump lodged in the back of his throat making it impossible to speak.
She didn’t need to be asked twice. Within moments, she and Raine had the patient disconnected from the main monitor and reconnected to the portable one they used for transporting patients. As Elana whisked the patient away, he found himself wondering if she’d volunteered to go to the CT scan for the sole purpose of getting away from him.
Possibly. No, probably. Damn. The last thing he wanted to do was to cause Elana any more grief. He certainly didn’t want her to quit her job because of him. She must love trauma nursing to have chosen to work here, and Trinity Medical Center was the only level-one trauma center in Southeastern Wisconsin.
He sighed and scrubbed his hand over his face. Talk about his rotten timing. If he’d known Elana was working here, he could have handled their first meeting a little differently.
No, who was he trying to kid? There was nothing he could have done to make this meeting easier for her. The scalding look she’d sent him had stabbed deep. He’d leave himself if not for the fact that his brother needed him. And the fact that he’d signed a twelve-month contract.
“So, Dr Madison, how do you like it here at Trinity so far?” Raine asked, cleaning up the area around the trauma bay.
He cleared his throat. “It’s great. I’m glad I made the move from Minneapolis.”
“Minneapolis’s loss is our gain,” Raine said with a smile.
Raine was pretty enough with her dark red hair and her bright green eyes, but he wasn’t interested in the signals she was sending out. He didn’t date, especially anyone who might be interested in a future. He couldn’t help glancing at his watch, wondering where Elana was.
He wished they could talk. There had to be some way to ease the tension that shimmered between them.
For years he’d longed for a chance to explain. To redeem himself in her eyes if at all possible.
So much for seeking forgiveness. Remembering the banked fury in her dark eyes, he knew there was no chance in hell Elana would give him that option.
He didn’t deserve her forgiveness.
“How much longer?” Elana asked, casting a worried glance at her patient. The young patient’s name was Jamie Edgar, and her blood pressure was starting to slip downward.
“Ten minutes,” the tech assured her.
She increased the flow of the fluids to help maintain Jamie’s blood pressure. Keeping busy was helping her to forget about Brock Madison, who happened to be waiting for them in the trauma bay.
What on earth had she done to deserve this? Why after all these years was it her misfortune to have to work with the man she despised?
She rubbed her aching temple, hearing Chloe admonishing her in her mind. Don’t talk like that, young lady. Brock Madison wasn’t the person at fault in the accident, your sister was. She pulled out right in front of him! It’s certainly not his fault Felicity died.
In some tiny corner of her mind Elana knew Chloe was right. Her sister had pulled out onto the busy highway in front of Brock without warning. But he’d also been speeding, at least according to one of the witnesses on the scene. Brock’s father had been a cop at the time, and everyone thought his dad had pulled strings to cover up the truth.
Including Elana.
Besides, did it matter? The irrevocable fact remained that Brock stole Felicity’s life.
Nothing on earth could change that.
And now she’d be forced to work with the man she detested.
“There, we’re all finished.” The radiology tech broke into her troubled thoughts. “Do you want me to call the ED to let them know you’re on your way back?”
She forced a smile. “Sure, that would be great.”
Jamie’s blood pressure slipped a little further, and Elana quickened her pace, pushing the gurney as fast as she dared, keeping one eye on the monitor and the other on the hallway. Luckily, the radiology department was not far from the emergency department.
“I’m losing her blood pressure,” Elana announced as she entered the trauma bay.
“Hang another
