need to do a C-section because of her other injuries. While we’re inside, we’ll repair any other damage. Everybody with me? Dr. Stevenson’s in charge until we send the patient to OR.”
Nicole caught the glances of the other doctors as they adjusted masks and gloves. It was her job to stabilize the patient before shipping her off to surgery.
The doors of the room flew open and a gurney, propelled by two paramedics flew through the doors of the emergency room of St. James Hospital.
“What have we got here?” Nicole asked the nearest paramedic, a short red-faced man with clipped graying hair and a moustache. “What are her vital signs? What about the baby?”
“BP, normal, one-ten over seventy-five, heart rate sixty-two but dropping slightly…” The paramedic rattled off the information he’d gathered and Nicole, listening, looked down at the patient, an unconscious woman whose face once probably beautiful was now bloody and already beginning to bruise. Her abdomen was distended, fluid from an IV flowed into her arm and her neck and head were braced. “…lacerations, abrasions, fractured skull, mandible and femur, possible internal bleeding…”
“Let’s get a fetal monitor here!” Nicole ordered as a nurse peeled off.
“On its way.”
“Good.” Nicole nodded. “Okay, okay, now, let’s stabilize the mother.”
“Has the husband been notified? Do we have a consent?” Dr. Oliverio asked.
“Don’t know,” a grim-faced paramedic replied. “The police are trying to locate her relatives. According to her ID, her name is Randi McCafferty and there’s no indication of any allergies to meds on her driver’s licence, no prescription drugs in her purse.”
Oh, God! Nicole’s heart nearly stopped. She froze. For a split second her concentration lapsed and she gave herself a quick mental shake. “Are you sure?” she asked the shorter of the two paramedics.
“Positive.”
“Randi McCafferty,” Dr. Oliverio repeated, sucking in her breath. “My daughter went to school with her. Her father’s dead—J. Randall, important man around these parts at one time. Owned the Flying M Ranch about twenty miles out of town. Randi, here, has three half brothers.”
And Thorne’s one of them, Nicole thought, her jaw tensing.
“What about the husband or boyfriend? The kid’s got a father somewhere,” Dr. Oliverio insisted.
“Don’t know. Never heard of one.”
“We’ll figure out all that later,” Nicole said, taking charge once more. “Right now, let’s just concentrate on stabilizing her and the baby.”
Dr. Oliverio nodded. “Let’s get that fetal monitor on here! STAT.”
“Got it,” a nurse replied.
“BP’s falling, doctor—one hundred over sixty,” a nurse said.
“Damn.” Nicole’s own heart began to pound. She wasn’t going to lose this patient. Come on Randi, she silently urged. Where’s that good ol’ McCafferty fight? Come on, come on! “Where’s the anesthesiologist?” Nicole demanded.
“On his way.”
“Who is he?”
“Brummel.” Dr. Oliverio met Nicole’s gaze. “A good man. He’ll be here.”
“The monitor’s in place,” a nurse said just as Dr. Brummel, a thin man in rimless glasses, pushed his way through the doors. “What have we got here?” he asked as he quickly scanned the patient.
“Woman. Unconscious. About to deliver. Single-car accident. No known allergies, no medical records, but we’re checking,” Nicole said. “She’s got a skull fracture, multiple other fractures, pneumothorax—so she’s already entubated. Her membranes have ruptured, the kid’s on his way, and there might be more abdominal injuries.”
“The mother’s BP is stabilizing—one hundred and five over sixty,” a nurse called, but Nicole didn’t relax. Couldn’t. In her estimation Randi McCafferty’s life wasn’t yet certain.
“Keep your eye on it. Now, what about the baby?” Nicole asked.
“We’ve got trouble here. The baby’s in distress,” Dr. Oliverio said, eyeing the readout of the fetal monitor.
“Then let’s get it out of there.”
“I’ll be ready in a minute,” Dr. Brummel said from behind his mask as he adjusted the breathing tube. Satisfied, he glanced up at Nicole. “Let’s go.”
“We’ve got a neonatalogist standing by.”
“Good.” Nicole checked Randi’s vital signs one last time. “Patient’s stable.” She glanced at the team, then met Dr. Oliverio’s eyes with her own. Randi McCafferty was in an uphill battle for her life. As was the baby. “All right, doctors, the patients are all yours.”
* * *
Thorne drove like a madman. He’d gotten the call from Slade less than three hours earlier that Randi was in a car accident in Glacier Park, here in Montana.
Thorne had been in Denver at the time, in a private business meeting at the offices of McCafferty International and he’d left abruptly. He told his secretary to handle everything and rearrange his schedule, then he grabbed a duffel bag he kept packed in a closet and had driven to the airfield. Within the hour he was airborne, flying the company jet directly to a private airstrip at the ranch. He hadn’t bothered checking with his brothers again, instead he’d just taken the keys to a pickup that was waiting for him, tossed his duffel bag into the truck then taken off for Grand Hope and St. James Hospital where Randi was battling for her life.
He stepped on the accelerator, took a corner too fast and heard the tires squeal in protest. He didn’t know what was going on; the phone call from his brother Slade had been broken up by static and eventually disconnected as cell service wasn’t the greatest here. But he did understand that Randi’s life was in question and that the name of the admitting doctor was Stevenson. Other than that, he knew nothing.
Night-darkened fields flew by. The wipers slapped sleet from the windshield and Thorne’s jaw grew hard. What the devil had happened? Why was Randi in Montana when her job was in Seattle? What had she been doing in Glacier Park, how serious were her injuries—was she really in danger of losing her life? A piece of information that finally pierced his brain from his conversation with Slade burrowed deep in his brain. Hadn’t his brother said something about Randi being pregnant? No way. He’d seen her less than six months ago. She was single, didn’t even have a steady boyfriend. Or did she? What did he really know about his half sister?
Not a helluva lot.
Guilt ripped through him. You should have kept in contact. You’re the oldest. It was your responsibility. It wasn’t her fault that her mother seduced your father over a quarter of a century before and broke up John Randall’s first marriage. It wasn’t her fault that you were just too damned busy with your own life.
Dozens of
