cyanosed, has intercostal recession and she’s grunting,’ Bryony said immediately, her eyes on the baby. ‘Her resps are 60 per minute and she’s becoming exhausted.’
Jack nodded, his eyes flickering to the monitor, which was now operational and giving them further clues to the baby’s condition.
‘She has acute bronchiolitis. We need to get a line in this baby fast,’ he ordered softly, holding out a hand to Nicky who immediately proffered the necessary equipment. He handed it to Bryony. ‘Go on. Impress me.’
‘You want me to do it?’ Bryony looked at those tiny arms and legs and shook her head. ‘I’d rather you did it.’
She could see how ill the baby was and she didn’t have the confidence that she’d get the line in first time. She knew Jack could. And with the baby that sick, his skill was more important than her need to practise.
His eyes narrowed and his gaze was suddenly serious. ‘Don’t doubt yourself,’ he said softly, his blue eyes searching as he read her mind. ‘Do it.’
He was still holding out the equipment and Bryony sucked in a breath. ‘Jack, I—’
‘Can do it,’ he said calmly, those wicked blue eyes locking on hers. ‘In three months’ time you’re going to be working on the paediatric ward and you’re going to be taking blood all the time. You need the practise. Go for it.’
Bryony hesitated and Jack lifted an eyebrow, his blue eyes mocking.
‘You want me to hold your hand?’ His voice was a lazy drawl and Bryony blushed. How could he be so relaxed? But she knew the answer to that, of course. During her time in the A and E department she’d learned that panic did nothing to improve a tense situation and she’d also learned that Jack’s totally laid-back attitude to everything rubbed off on the rest of the staff. As a result, they operated as a smooth, efficient team.
Looking at the baby, Bryony bit her lip and lifted the child’s tiny wrist.
‘Relax. Take your time.’ Jack closed long, strong fingers around the baby’s wrist and squeezed. ‘OK. Here’s one for you. What do you call a blonde with half a brain?’
Bryony was concentrating on the baby’s wrist. She found a tiny, thready vein and wondered how she was ever going to hit such a tiny target. It seemed almost impossible.
‘Gifted,’ Jack said cheerfully, squinting down at the baby’s hand. ‘You’ll be fine. She’s got good veins. Stop dithering and just do it.’
So she did and the needle slid smoothly into the tiny vein on her first attempt.
Relief and delight flooded through her.
‘I did it.’ She looked up, unable to hide her pride, and Jack smiled, his eyes creasing at the corners.
‘As I said. Gifted. Now you just need the confidence to go with it. You’re a good doctor. Believe in yourself.’ His eyes held hers for a moment and then he looked at Nicky. ‘OK, we need a full blood count, U and Es, BMG, blood culture and viral titres. And Nicky, let’s give the child some humidified oxygen.’
Believe in yourself.
Well, she did believe in herself. Sort of. It was just that she was afraid of making a mistake and Jack Rothwell never seemed to be afraid of anything. He just did it. And it turned out right every time.
Bryony busied herself taking the necessary samples. ‘Should I do arterial blood gases?’
‘They can do them on the ward,’ Jack said immediately. ‘Nicky, can you call Paeds and get them up here? This little one is going to need admitting. She’s a poorly baby.’
Bryony looked at him. ‘You think it’s bronchiolitis?’
‘Without a doubt.’ He smothered a yawn and looked at her apologetically. ‘Sorry. I was up half the night.’
It was Bryony’s turn to look mocking. ‘Was she nice?’
‘She was gorgeous.’ He grinned, that wonderful slightly lopsided grin that affected her knees so acutely. ‘She was also eighty-four and had a fractured hip.’
‘You love older women.’
‘True.’ He checked the monitor again. ‘But generally I like them mobile. OK, Blondie. What’s the likely causative organism here? Exercise your brain cell and impress me twice in one evening.’
‘RSV,’ Bryony said immediately. ‘Respiratory syncytial virus causes 75 per cent of cases of bronchiolitis.’
He inclined his head, his expression mocking. ‘All right, you’ve impressed me. And you’ve obviously been studying your textbook again. Now we’ll do some maths. What’s two plus two?’ His eyes were dancing. ‘No need to answer immediately and you can use your fingers if you need to. Take your time—I know it’s tricky.’
‘No idea,’ Bryony returned blithely, batting her eyelashes in a parody of a dumb blonde and handing the bottles to Nicky for labelling. ‘Jack, should we pass a nasogastric tube?’
‘No. Not yet.’ He shook his head, his gaze flickering over the baby. ‘When you’ve finished taking the samples we’ll set up an IV and get her to the ward. I’ve got a bad feeling about this little one. She’s going to end up being ventilated.’
‘I hope not,’ Bryony murmured, but she knew that Jack was always right in his predictions. If he thought the baby was going to need ventilating, then it was almost certain that she would.
He looked at her quizzically. ‘Is the mother around?’
As he asked the question the doors to Resus opened and the paramedics came back in, escorting a tall woman wrapped in a wool coat. Her face was pale and her hair was uncombed.
‘Ella?’ She hurried over to the trolley, her face lined with anxiety, and then she looked at Jack.
Bryony didn’t mind that. She was used to it. Women always looked at Jack.
Even before they knew he was the consultant, they looked at him.
And it wasn’t just because he was staggeringly, movie-star handsome. It was because he was charming and had an air of casual self-assurance that attracted women like magnets. You just knew that Jack would know what to do in any situation.
‘I’m Dr Rothwell.’ He extended a hand and gave her that reassuring smile that always seemed to calm the most frantic relative. ‘I’ve been caring for Ella, along with Dr Hunter here.’
The woman didn’t even glance at Bryony. Her gaze stayed firmly fixed on Jack. ‘She’s been ill for days but I thought it was just a cold and then suddenly today she seemed to go downhill.’ She lifted a shaking hand to her throat. ‘She wouldn’t take her bottle and she was so hot and then tonight she stopped breathing properly and I was terrified.’
Jack nodded, his blue eyes warm and understanding. ‘It’s always frightening when a baby of this size is ill because their airways are so small,’ he explained calmly. ‘Ella has picked up a nasty virus and it is affecting
