shook his head, peeling off his coat. ‘I don’t need to sit. I need you to give me a handover so you can get home to Lily and—’
He stopped talking abruptly and Emma could see the way his features froze as he closed his eyes.
Her tone was gentle now, almost a whisper. ‘What’s hurting, Stu?’
He raised his right hand as if to fend her off. ‘It’s nothing. A touch of the flu coming on, maybe.’
But then his hand went to his other arm and gripped it.
‘You’ve got pain in your left arm? Any in your chest?’
Stuart didn’t respond. Emma stared at him, a knot of fear taking root in her belly as she took in the way the colour was fading from his face to leave it looking grey and the beads of perspiration appearing on his forehead.
‘On the bed,’ she said. ‘You’re not going anywhere until I’ve done a twelve lead ECG.’
‘There’s no need to fuss...I’ll just sit for a moment.’ He perched on the side of the bed. Was it her imagination or was Stuart sounding slightly out of breath? ‘There was an ambulance pulling up as I came in...you’ll be needed...’
‘I’m needed here.’ Emma took a step towards the door and leaned out. ‘Alistair?’
His head appeared through a gap in a nearby curtain. Behind him, Emma could see the doors sliding open again as paramedics wheeled in a stretcher.
‘You take the lead on the boy in status epilepticus. I’m going to be busy in here for a few minutes. Call if you need me.’
Turning back, she was relieved to see that Stuart was now properly on the bed, lying back on the pillows.
‘Sorry about this, lass,’ he murmured. ‘It’s the last thing you need when you’re due to go off shift.’
‘The last thing I need,’ Emma said quietly, ‘is for you to be unwell. I’m not leaving until we find out what’s going on.’ She reached for a plastic mask and tubing that she attached to the overhead port. ‘Here...let’s give you some oxygen.’
A nurse came into the room, clearly on a mission to find something, and stopped in her tracks. ‘Oh, no...what’s happened to Dr Cameron?’
‘Help him off with his shirt,’ Emma said calmly. ‘I want to get some monitoring dots on. And then get me the twelve lead ECG machine.’
The nurse’s eyes widened. ‘Okay.’
‘What did you come in for?’
‘An intraosseous needle. It looks like it’s going to be a mission to get a line into the little boy that’s just come in.’
‘You get that, then. I’ll do this.’ Emma took over unbuttoning Stuart’s shirt. He had his eyes closed but she could tell by the look on his face how much he was hating this. ‘It’s in the top drawer of the IV cupboard,’ she added. ‘And don’t go telling everybody that Dr Cameron’s in here. Until I say otherwise, this is private.’
‘It’s probably a fuss about nothing,’ Stuart muttered. ‘Bit of indigestion, that’s all...’
Emma had sticky dots on his shoulders and just above his hips. She waited for the interference to clear on the overhead monitor. And then her heart sank.
Stuart opened his eyes. And then shut them again.
‘Guess it’s not indigestion, then...’
‘No.’ Emma swallowed hard. ‘You’ve got significant ST elevation in leads two and three. We’ll know more when I do a twelve lead but this looks like an inferior infarct. Have you had any aspirin today?’
Stuart shook his head.
‘And you probably need some morphine, don’t you?’
This time it was a slow nod.
‘We’ll do that first, then. And bloods. And I’ll get someone to page Cardiology and make sure the catheter laboratory is available.’
Angioplasty was the definitive treatment to unblock the coronary arteries causing this heart attack. It could prevent Stuart being left with any lasting damage. It could also save his life. Emma didn’t want to leave his side. What if he went into cardiac arrest?
But there was a whole raft of things that needed to be done immediately and Emma wasn’t about to let someone else take the lead role in caring for this man.
Stuart Cameron probably should have retired years ago—before Emma had arrived to follow her passion in emergency medicine—but she would be grateful forever that he’d loved his work too much to leave. He was the closest thing she’d had to a father since she’d lost her own when she’d been only sixteen. A father figure, mentor and close friend all rolled into one. He was one of the most important people in her life—the people she truly loved—and that was a group small enough to be counted on the fingers of one hand. Lily, her mum, Jack...and Sarah...
Maybe it was that fleeting thought of Sarah that made the fear kick up a notch. Was history repeating itself? Was she going to lose someone so special that it would feel like the end of the world—on the eve of the day that was all about celebrating exactly those people?
Like she had last year?
No...she couldn’t let that happen.
Maybe it was a blessing that Stuart had ignored any warning signs and come into work. He was in the best place possible to deal with this and she was going to make sure that nothing got in the way of his treatment.
There was no point in trying to keep the news of this crisis away from the staff here now and Emma knew that she was far from the only person who would be desperately worried about Stuart. Within minutes, she had people falling over themselves wanting to help. A nurse was rushing blood samples away to be tested and a technician was capturing a twelve lead ECG trace. She had given Stuart pain relief herself and had also made the call to the cardiology department. It was no surprise that a cardiology consultant came down to the department herself, instead of sending her registrar.
‘Goodness me, Stuart. What kind of Christmas surprise is this?’
‘Not the best kind.’ Stuart’s smile was apologetic and his gaze included Emma. ‘You’ll have to call someone in, lass. Doesn’t look like I’ll be taking over this shift.’
‘Don’t even think about it,’ Emma told him. ‘It’s all under control.’
It was a white lie. The senior staffing issue for the night was far from under control. Knowing that they were off, most of the doctors had headed out of town for family gatherings. Caroline had been making call after call with no success.
‘Here’s the latest twelve lead.’ She handed a series of graphs to the cardiology consultant. ‘Looks like it’s evolving to include a lateral extension.’
‘Enzymes back yet?’
Emma nodded. She handed over the result sheet, reluctant to voice the figures that would
