and she knelt down beside him.
‘Tell me what you want me to do.’
‘Press here. Like that. That’s it—good.’ He put her hands on the wound, showed her just how hard he wanted her to press, and then shifted slightly so that he could focus on the child’s breathing. With one hand on her forehead and the other under her chin, he gently tilted Lily’s head back and covered her mouth with his, creating a seal. He breathed gently, watching as the child’s chest rose.
Then he lifted his mouth and watched as Lily’s chest fell as the air came out. ‘Flora, get a tourniquet on that leg. She’s losing blood by the bucketload.’
‘A tourniquet?’ Flora turned to the nearest tourist. ‘Get me a bandage or a tie, something—anything—I can wind around her leg.’
The man simply stared at her, but his wife moved swiftly, jerking the tie from the neck of a businessman who had been waiting to take the ferry.
Flora didn’t dare release the pressure on Lily’s leg. ‘If I let go to tie it, she’s going to bleed.’ Feeling horribly ignorant, she sent Conner a helpless glance. ‘I haven’t done this before. Do I put it directly over the wound?’
‘Above the wound. You need a stick or something to twist it tight. Tie it and leave a gap and tie it again.’
Flora swiftly did as he instructed. The towel was soaked in blood and her fingers were slippery with it and shaking.
‘The bleeding’s not stopping Conner,’ she muttered, and he glanced across at her, his expression hard.
‘You need to tighten it. More pressure. Get a stick.’
She glanced at the uneven surface of the quay. ‘There’s no stick!’
‘Then use something else!’ He glared at the group of tourists standing nearest to them. ‘Find a stick of some sort! A kid’s spade, a cricket stump—anything we can use.’
‘The blood is everywhere.’ Flora tried to twist the tie tighter but the bleeding was relentless and she felt a sob build in her throat. It just seemed hopeless. Completely hopeless. ‘She’s four years old, Conner.’ She was ready to give up but Conner placed the heel of his hand over the child’s sternum.
‘She’s hypovolaemic. She needs fluid and she needs it fast.’ He pushed down. ‘Where the hell is the air ambulance?’
Someone thrust a stick into Flora’s hand and she looked at it with relief. Perhaps now she could stop the bleeding. ‘Do I push it under the tie and twist?’
‘On top.’ Conner stopped chest compressions and bent to give another rescue breath. ‘Between the two knots. Twist. Make a note of the time—we can’t leave it on for more than ten minutes. But if we’re not out of here in ten minutes, it will be too late anyway.’
He covered Lily’s mouth with his again and Flora followed his instructions, placing the stick between the first and second knots and twisting until it tightened.
‘The air ambulance has just landed on the beach,’ Jim, the ferryman, was by her shoulder, his voice surprisingly steady. ‘What can I do, Flora?’
‘I don’t know. Keep the crowd away, I suppose. How’s Jayne?’
‘Out cold. Might be the best thing. Someone’s looking after her—a nurse from the mainland on a day trip.’
Conner returned to chest compressions. ‘Jim—get over to the paramedics. I want oxygen and plasma expander. And get them to radio the hospital and warn them. She’s going to need whole blood or packed cells when she arrives. I want her in the air in the next few minutes. We don’t have time to play around here.’
‘Will do.’ Without argument, Jim disappeared to do as Conner had instructed and Flora lifted the edge of the towel.
‘The bleeding’s stopped.’ She felt weak with relief and Conner nodded.
‘Good. We’ll release it and check it in about ten minutes. If the bleeding doesn’t start again we can leave it loose, but don’t take it off—we might need it again.’ He bent his head to give Lily another life-saving breath and Flora saw the paramedics sprinting along the quay towards them.
‘They’re here, Conner.’
Conner wasn’t listening. His attention was focused on the child. ‘Come on, baby girl,’ he murmured softly, ‘breathe for me.’ His eyes were on her chest and Flora watched him, wondering. Had he seen something? Had he felt a change in her condition?
‘Do you think she—?’
And at that moment Lily gave a choking cough and vomited weakly.
‘Oh, thank God,’ Flora breathed, and Conner turned the child’s head gently and cleared her airway.
‘There’s a good girl. You’re going to be all right now, sweetheart.’
He spoke so softly that Flora doubted that anyone else had heard his words of comfort and she felt a lump block her throat as she watched him with the child.
So he was capable of kindness, then. It was there, deep inside him, just as she’d always suspected.
But then he lifted his head and his eyes were hard as ever. ‘Get some blankets, dry towels, coats—something to warm her up,’ he ordered, and then looked at the paramedics. ‘Give her some oxygen. I want to get a line in and give her a bolus of fluid and then we’re out of here.’
‘How much fluid do you want?’
Conner wiped his forearm across his brow, but he kept one hand on the child’s arm. Offering reassurance. ‘What’s her weight? How old is she? We can estimate—’
‘I know her weight exactly,’ Flora said. ‘I saw her in clinic last week. She’s 16 kilograms. Do you want a calculator so that you can work out the fluid?’
‘Start with 160 mils of colloid and then I’ll reassess. I don’t want to hang around here.’ Conner released Lily’s hand and started looking for a vein, while one of the paramedics sorted out the fluid and the other gave Lily some oxygen.
The child was breathing steadily now, her chest rising and falling as Conner worked. Occasionally her eyes fluttered open and then drifted closed again.
‘She’s got no veins,’ Conner muttered, carefully examining Lily’s arms. ‘Get me an intraosseous needle. I’m not wasting time looking for non-existent veins. We need to get her to hospital. We’ve messed around here long enough.’
The paramedic dropped to his knees beside Conner, all the necessary equipment to hand. ‘You want an intraosseous needle?’
‘Actually, just give me a blue cannula. She might just have a vein I can use here.’ Conner stroked the skin on the child’s arm, focused. ‘One go—if it fails, we’ll get her in the air and I’ll insert an intraosseous needle on the way.’
Flora leaned forward and closed her fingers around the child’s arm, squeezing gently and murmuring words of reassurance. Lily was drifting in and out of
