and he’s certainly not dangerous. The yard’s all fenced and he’s big enough to handle two rough little boys.’
Emma shook her head, then realised the dog had taken up far too much time already and if she didn’t hurry she’d be late for work.
But a dog?
Were they settling in to country life so quickly?
The ED was quiet when she arrived, not quite late but close, and the chat about the triage desk was of the forthcoming barn dance—apparently one of the big events in the Braxton social calendar.
Maybe the animal shelter would take the dog.
She was about to ask when the radio came on—an ambulance ten minutes out. Sylvie lifted the receiver to her ear so the whole room didn’t have to hear, relaying information to Emma as it came through.
‘Atrial fibrillation, blood pressure not too bad but pulse of one hundred and forty.’
Emma’s mind clicked into gear. Amiodarone drip. The cardiologist she’d always worked with recommended an initial IV treatment of one hundred and fifty mg over ten minutes, followed by sixty mg an hour over six hours and thirty mg an hour over eighteen hours.
But...
‘Is there a local cardiologist?’ she asked Sylvie, although she was reasonably sure the town would be too small to support one.
‘No, but we have a fly-in-fly-out cardio man. He does two days a week in his office in Retford, then flies around about six country towns each fortnight. We usually phone him with any problems, and, without checking to be sure, I think he’s due here tomorrow.’
Emma nodded. Presumably she could phone him, as she’d have done in the city, although down there the specialist she’d phoned had usually been in the same hospital or in rooms close by. It was strange the shift from a huge city hospital to a small country one, but the work remained the same.
‘Could you get him on the phone for me?’ she asked Sylvie as she walked away to meet the ambulance and its passenger.
‘It happens every so often,’ the patient told her cheerfully, obviously unfazed by the sudden onset of fibrillation. He was a man in his late thirties or early forties, she guessed, and sensible enough to know when he needed medical help.
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