"Dean, they're ghouls!" Sam shouted.

Dean hesitated for a moment, looking down at his brother, before firing at the female ghoul's head.

"Which means headshot", Dean concluded as the ghoul's now headless body slumped to the ground.

Dean started heading toward Sam to free him when the Adam-shaped ghoul grabbed him from behind and threw them both through the glass door.

Sam moaned, wanting to help his brother but struggling against the restrains holding him down. He heard thumps and smashes from the other room as the fight between Dean and ghoul-Adam went down.

The blood was leaving Sam's body fast and his arms felt weird, numb and stinging at the same time. He fought the dizziness that the blood-loss brought on as he watched blood stream from the open gashes in his arms.

Looking over to his brother, he saw Dean smashing ghoul-Adam's skull in repeatedly. Sam didn't exactly want to interrupt, but another wave of dizziness hit him and the corner of his vision suddenly went black. It took the last of his energy to call out, "Dean!"

His brother instantly looked up and rushed over to the table, grabbing a couple of towels before quickly cutting off the tape that held Sam down. Dean swallowed hard as he saw the deep cuts in Sam's arms. Another minute and he would've been dead.

"Come on, come on, come on", Dean mumbled as he helped his brother sit up. Sam groaned as he struggled upright, fighting the nausea and dizziness.

"Hang on, hang on. Alright, here we go." Sam barely noticed the familiar rambling that Dean always did when he was nervous. "Here we go, here you go, buddy."

Dean wrapped the towels around Sam's bleeding arms, mumbling, "alright, alright."

Sam moaned against the pain as the fabric touched his wounds.

"Thank you", he breathed.

"That's what family's for, right?" Dean joked, sounding a little breathless. "Keep pressure on that."

He tried to follow his brother's orders, but it proved difficult, especially as the room spun with every movement. He panted heavily as he felt himself grow weaker by the second. Suddenly Dean's arms were wrapped around his back, and he realized that he his body had given up and started to fall back against the table.

"Got ya', Sammy," Dean said. "I got ya'."

"'M d'zzy", Sam mumbled, trying to explain himself.

"I know Sam, I know." Dean looked around for a second, before wrapping one of Sam's arms over his shoulder. "Think you can make it to the couch?"

Sam gave a weak nod, which wasn't very convincing, especially as he was clearly struggling to keep his eyes open.

"Alright, no falling asleep, Sammy", Dean ordered before carefully swinging Sam's legs off the table. "Ready? One, two… three."

Sam pushed himself of the table, leaning heavily against Dean as his legs folded beneath him. Pain cut through the arm that was wrapped around Dean and Sam grimaced.

"Crap", Dean said as they started to stumble toward the couch. "Not far now…"

Sam felt as though every piece of furniture and every wall in the room were doing a ring dance around him, and he had to close his eyes again to prevent himself from passing out.

Dean gently lay Sam down on the couch and took another look at his arms. The towel-bandages were now completely drenched in blood. Sam looked down at his arms, then up at his brother again

"Gonna' have to stitch your arms up, Sam", Dean said and swore quietly.

"'S 'kay", replied Sam, but his head rolled back against the armrest and his eyes fluttered closed.

"No, hey," Dean protested, patting his brother's cheek. "No falling asleep, ya' hear me?"
No response. Dean's eyes flickered over Sam's pale face, searching for a sign of life.

"C'mon, c'mon", Dean mumbled as his fingers took Sam's vitals. His pulse was weak, very weak. He had lost a lot of blood.

"Sam? Sammy!" Dean shook Sam's shoulders, gently at first, but then harsher as panic rose inside him. "Wake up, Sam, damn it!"

Sam suddenly inhaled deeply as his eyes opened again, his breathing raspy and harsh. At least he was awake.

"Hey, hey, hey, Sam", Dean said, holding his brothers head in his hands, brows furrowed in concern.

"Dean?" Sam mumbled.
"Mornin', Sleeping Beauty." Dean let out a sigh of relief. "No passing out on me again, alright?"

"I did?"
Dean nodded. "Yeah, I couldn't wake you up."
"'ess 'm n'ada's g'd 's I 'thod", Sam tried to say.

"Huh? Sammy?" Dean said. "You okay?"

"'m f'n."

"Yeah, right", Dean snorted. "Forget I asked. I'm gonna have to run out to the car for the first aid kit. You stay awake, okay?"

Sam nodded once, opening his eyes just a tiny bit.

"Good." With that, Dean disappeared out the door.

Keeping his eyes open for just a few minutes proved difficult. The only thing Sam heard now was the wind blowing through the old house, a sound that proved very soothing. All that he wanted to do was fall asleep. His mouth felt dry, his body felt numb and dark spots were still dancing in front of his eyes. He had to close them, but forced himself to stay awake. For Dean, he convinced himself. I can do it for Dean.

He hadn't even heard his brother come back when something cold was pressed against his lips.

"Drink", Dean's voice said. There wasn't enough energy in Sam to protest, so he just did what he was told.

The cold water felt wonderful in his throat and he breathed out heavily.

"Okay, time to stitch ya' up", Dean said, glancing anxiously at his brother as he prepared a needle and thread.

Sam swallowed hard, blinking sluggishly. "Jus' do it", he said quietly.

Dean removed the bloody towels from his arms, causing more blood to well out of Sam's arms. Sam groaned at the uncomfortable sensation. Then Dean was there, pushing the needle through the sides of the first gash. The stitches stinged horribly and Sam clenched his teeth together to keep from moaning in pain. At least it made him feel more awake again, and he stared up at the ceiling as Dean fixed up his arms.

"There," Dean finally said. "All done."

Sam hadn't realized he had held his breath until he finally exhaled. He was tired, oh, so tired. But he knew he wasn't supposed to sleep. He shifted on the couch, trying to acquire a more comfortable position, but pain prickled through his left side. His stomach rolled with nausea, his body's way of protesting against all the pain it had to go through in one day.

"No", Sam said with a grimace. "Not all done."

Dean frowned. "What'd'ya mean?"

"Hurt m'side."

"Was it Adam?" Dean asked as he pulled Sam's shirt up to reveal another wound, though not as deep as the gashes in Sam's arms had been.

"Ghoul-Adam, yeah."

"Crap. Alright, I'll bandage this for ya'." He rummaged through the first-aid-kit until he found a bandage roll. "God, I'd make a great nurse. I should get payed for this."

Sam let out a weak laugh, then his breath caught as pain spread from his side, accompanied by another wave of dizziness.

"Easy there, cowboy. You're not gonna hurl, are you?" Dean asked while bandaging the wound.

Sam just shook his head slightly, pressing his lips together as the bandage pressed against his wound.

"So, seriously, tell me. How you doin'?" Dean asked him while bandaging the wound. "Room still spinnin'?"

"A little", Sam admitted. "I think 'm okay. Well, except for the pins 'n' needles in my arms."
"Yeah, that'll pass. It's just the blood loss", Dean reassured him. "Damn it, Sam, why can't you just give normal blood donations like everybody else?"

Sam snorted, fighting to keep his eyes open but his eyelids were just so damn heavy. "'ll try to… rem'mber tha'…"

"It's okay, Sammy," Dean said, and his voice appeared to be drifting further and further away. "You can sleep now."

A/N: Alright, so that was my first Supernatural fanfic! I'm kind of a new fan, but I wanted to try writing this alternate ending to the ghoul scene in 4x19. I just felt like Sam healed way to fast from that, especially since cutting your wrists like that can kill you in a couple of minutes. Now please leave a review telling me what you thought, did you like it? Do you want more? 'Cause I have something in mind for the next chapter if you do… Thanks for reading!