—
TO SAY THIS WASN’T GOODwas an understatement.
Izzy knelt down in front of Bex. She had managed to get the woman out of her blouse and could see the exit wound of the bullet. It had gone through the right breast and out just above her right shoulder blade. But even with Janine pressing gauze onto the wound, Bex’s bleeding hadn’t slowed.
“We’re going to take good care of you, Miz Bex,” Izzy said, smiling down at her.
The woman’s breathing was labored. “I’m…I…”
“Don’t try to talk,” Dr. Ward said. “We’ll patch you up like new. I can’t risk sullying my reputation as a physician.”
That, at least, brought a smile to the woman’s face. Izzy squeezed her hand.
“Can I…?” Janine looked up at her. The girl’s hands were covered with Bex’s blood, and quivering with the effort she was making to stanch the flow.
“No,” Izzy said tightly. “You can’t.”
The phone rang again, and they all turned to stare at it. Last time, Izzy had been the one who answered it. The shooter had directed her to do it by jerking the gun in her face.
“Don’t touch it,” he barked.
The phone rang twelve more times; Izzy counted.
Bex’s breathing was tighter, soupy. “Hard,” she said. “To…catch…my…”
Izzy reached for Bex’s wrist, counting heartbeats for her pulse, and doing the math: 240 beats per minute; Bex was tachycardic.
“She probably has a tension pneumothorax,” Dr. Ward said. “We have to get the air out of her chest cavity so she can breathe freely.” He twisted, trying to haul himself upright on his good foot, but he lost his balance and crashed onto his bad leg.
Izzy took the bulk of his weight. “The last thing we need right now is for you to play hero.”
“What we need is a trauma doctor,” he said, meeting her gaze. “And it looks like that’s going to be you.”
Izzy shook her head. “I’m not a doctor.”
“That’s just a bunch of letters after your name. You know what you’re doing, I bet.”
Izzy had seen needle decompressions done before in a hospital setting, when they had sterile conditions and all the proper equipment. She also knew that Bex was not long for this world without some kind of immediate medical intervention. As air entered her pleural space from the wound, the pressure would increase and collapse the lung, which in turn would compress the heart and shift the mediastinum. That meant her heart wouldn’t pump effectively and the vena cava—the big vessel that returned all the blood to the heart—wouldn’t do its job.
Bex started wheezing, fighting for air. Her body shook with the effort. Izzy grabbed Janine’s hand and pressed it down harder on the gunshot wound. Then she stood, summoning all her courage. “This woman needs medical attention,” she told the shooter.
He stared at her.
“Do you want her to die?”
What a stupid question. Of course he did. He wanted them all to die. It was why he’d come in with a gun.
“I can treat her. But I need to get instruments in the procedure room.”
“You think I’m an idiot? I’m not going to let you go off by yourself.”
“Then come with me,” Izzy said, desperate.
“And leave them alone?” He gestured around the waiting room. “I don’t think so. Sit back down.”
“No,” Izzy said flatly.
He raised his eyebrows. “What did you say?”
