a few more, gave the young man every last shot, used every trick in the book in an attempt to get his youthful heart started, but when Luke came back and pushed the film on the viewfinder Tessa knew at a glance it had all been futile.
For a moment or three Max stared, taking the film down and holding it up to the light as if a different view might make the terrible image look different.
‘Max.’ It was all she said but it was enough to break the awful loaded silence.
‘Maybe we should try...’ he began, his eyes darting to the drug trolley, his hands reaching for the internal telephone.
Max could summon who he liked to the department, use every last drug on the trolley, surf the net for any breakthroughs since yesterday with spinal injuries, but for the young man who lay on the resuscitation no amount of technology was going to save him, and the horror of his X-ray only confirmed the fact.
He was beyond saving.
‘Max.’ Tessa said again this time more definitely as Fred swivelled his eyes between them.
Max nodded then, the tiniest briefest of nods as he replaced the receiver in its cradle. ‘Stop the massage.’
Only then did Tessa stop. It had been Max’s call and she knew how hard it had been for him to make it. The three stood there, waited and watched the machines, because that was what they had to do, that was what protocol dictated.
It was Fred who moved first, flicking off the monitor and turning off the oxygen when the miracle they had all been secretly hoping for didn’t materialise. ‘Sorry, guys.’
Nobody spoke as Max performed his final examination. ‘Time of death, twelve fifty-two.’ He didn’t write it down, just stood for a quiet moment, his fists clenched in a strange, defiant sort of salute, then strode off, as Tessa wrote the time in her notebook, knowing Max would need it later.
‘Sorry,’ Fred said again. ‘It’s horrible, losing them when they’re this young.’ Shaking his head, he gave Tessa a weary smile. ‘I wouldn’t like to be around Max in London, when it’s little children lying on the resus bed. It’s going to hurt like hell there.’
The fact Tessa didn’t know her patient’s name didn’t stop her from caring, didn’t stop the sting of tears in her eyes when she looked at the young body before her. Yes, it was part of the job and, yes, she was used to dealing with death, but the professionalism ingrained into her, the familiar scenario of an emergency room, didn’t provide enough of a buffer for the emotions that assailed her. Fred was right, the loss of a young life hurt like hell.
Always would.
Somewhere she had read or heard that a spirit stayed with the body for a while, and though Tessa really didn’t know if that was true or not, the thought made her stay a while longer than needed. A moment or two of gentle talk and a little prayer because maybe, and again she wasn’t sure, maybe it helped. And when there was nothing more she could do, she quietly made her way out from the curtain.
‘No good, huh?’
Phil was still staring at the ceiling, a salty tear slipping down his temple into his hair.
‘No,’ Tessa said softly. ‘I’m sorry you had to hear all that.’
‘Don’t worry about me, love. In some ways it was better.’ He gave a very wobbly smile. ‘Better than being just told he died, that I’d just killed someone.’
‘It was an accident, Phil,’ Tessa pointed out, but he just shook his head, refusing her crumbs of comfort.
‘I got up this morning and the sun was shining and all I could think was what a great day it was to be alive. You just never know how your life’s going to change, do you? Still, at least I know you all did your best for him, I know that he was given every chance. I’m just going to have to learn how to live with it now.’
‘Go and grab a coffee,’ Kim mouthed over the patient, and even though Tessa didn’t particularly want a drink, even though she knew that Kim was just as upset as she was, Tessa also knew that in a few moments she’d have to face the relatives.
Five minutes out was too good to pass up.
* * *
‘Before you say “I can’t save them all,” I know all that.’ Max was staring out of the window, his shoulders hunched as if there was a cold wind, not even bothering to turn as Tessa tentatively came into the staffroom.
For a second she wondered how he had known it was her, but she didn’t say anything, just stood at the door, watching Max, feeling his pain and wishing more than anything in the world that she could go over and put her arms around him, somehow ease some of the agony she knew that he was feeling.
But it wasn’t her place.
‘Here...’ Walking over, she handed him the casualty card which Max stared at for a moment. ‘You’d best write it up while it’s still fresh in your mind.’
‘As if I’m going to forget.’ Tossing the card down, he moved nearer the window. ‘Did you finish arranging your date with Luke?’
There was a spiteful note to his voice that Tessa for the moment ignored, choosing instead to put him right in a calm and matter-of-fact voice. ‘It was Luke who was inappropriate in there, Max, not me.’
Tessa’s apparent calmness only accentuated his pettiness and Max at least had the grace to look shamefaced. ‘I’m sorry.’
‘What’s going on, Max?’ She watched as he stiffened, and though her question was bold and direct, there was nothing brave about how Tessa was feeling. She had only been gone a week, but in that short space of time so much seemed to have changed. Something had happened, not just between Max and Emily, not just the fact he was leaving for London. Their friendship seemed to have shifted, subtly perhaps but there was a definite move away from the easy comradeship they had enjoyed for the last five years, a definite shift in Max’s demeanour towards her.
‘Nothing’s going on,’ Max finally answered. ‘I just didn’t like the way Luke was behaving. I shouldn’t have taken it out on you, I know you’ve got more integrity than to speak over a patient like that.’
She could have pushed, could have insisted on a deeper response, but even as Tessa opened her mouth to probe further, she knew she wasn’t going to. Max wanted to talk, he’d already told her that, and though a cosy meal might answer a few of her questions, it could only generate a multitude of others.
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