thank you so much to all of you who reviewed it was lovely to see such positive comments hope you all enjoy the next instalment
5 months later- part 2
Ethan spent the next 5 minutes constantly pacing up and down looking out window for any signs of an ambulance and checking to see that Cal's condition hadn't deteriorated not that Ethan thought it was possible it could get worse than it was now. Still keeling down by his brother and occasionally checking on him Ethan heard the barging in and footsteps from the intruder who happened to be the ambulance crew as a voice which could not be mistaken as Iain's bellowed through to them. Mustering all his courage Ethan shouted through "were in here" and awaited the shock of horror on is colleague's faces when they realised just who they would be bringing in. entering the kitchen Iain felt a familiar sense like he recognised the place he was and that could not be a good sign, his fears were confirmed as Ethan holler echoed through the house and recalling the briefing they had received it meant only one thing, something had happened to Cal. running into the room, Iain first glared at the amount of blood splattered on the walls and floors and then at the pale, lifeless body sprawled out onto the ground and the younger brother of the man clung desperately like he had done 5 months previous, the sight alone was distressing to witness and would reduce anyone to tears but Iain had a duty of care and he would make sure his job was done properly for Cal's sake.
"Sam, I need a collar and board now!" Iain demanded normally he would be less aggressive but this was a matter of life and death and no one had time to waste.
"Ethan, your going to need to give us some space to treat Cal, can you tell me what's happened" Iain asked him professionally with no emotion in his voice, Ethan then moved slightly his hands shaking realising who's blood was on his hands
"I don't know I think he fell, I can't do this again, just help him!" Ethan said walking away from his brother and going outside accidently bumping into Sam
"Ethan what are you doing here, I didn't realise it was that serious they needed a doctor?" she asked wondering what had exactly happened but Ethan stayed silent and entered his home with Sam by his side then she noticed who exactly they were treating and squeezed Ethan's hand in a comforting way ensuring him it would be alright.
As soon as Sam and Iain had loaded an unconscious Ambulance they all piled in ready to set of to the hospital, glancing round Ethan saw all his neighbours who were crowded outside while curiosity got the better of them. The ambulance ride to the hospital was painful and uncomfortable, Iain was trying to drive as fast as possible and Sam who had known the young doctors since she was little , watched on looking for any worrying signs from the young doctor laying lifeless on the trolley while his brother glared at the floor refusing to look at his older brother.
"how we doing back there Sam?" Iain asked hoping for good news
"no change Iain!" she replied bluntly as Iain wasn't sure to be worried or relieved, Sam somehow sensed this as she added on
"he will be fine Iain, its Cal were talking about" she had known Cal longer than most people as they had grown up together and she trained along side him at Med school, so when she came back she was relieved Cal had done something with his life and became the doctor he aspired to be.
Suddenly there was a halt from the ambulance and the doors that would reveal the broken doctor swung open crashing onto the outside of the ambulance and stood waiting patiently, Connie Beauchamp, Charlie Fairhead and other members of staff ready to treat the incoming patient. However they did not expect to come face to face with someone who had left the exact hospital hours ago with nothing wrong. Connie suddenly stepped in taking the trolley and gesturing Robyn to stay with Ethan. "right Sam, what have we got" Connie asked with authority in her voice.
"this is Caleb Knight,32, Caleb was found on the floor and believed to have fallen down the stairs an hour ago, he's got trauma to the head, possible dislocated leg, he's been unconscious throughout, GCS 12, Bp is 110/90, Sats 98%" Sam reeled of as Connie went into action as Cal started to regain consciousness and thrashed about in agony and Connie had realised no pain relief had been administered
"Right lets get him into Bay 4, give him 10 of morphine, I want , LFT'S, U and E'S, group and save, Can someone order an urgent head CT and chest now" Connie demanded to Alicia
Outside Ethan watched on as his brother was wheeled into Resus screaming, Robyn gently took his arm and guided him into the staffroom making sure his tea had plenty of sugar and she placed the steaming mug into his jelly like hands. Robyn slowly sat next to him an attempted to comfort him but he cut her off before she had even started "5 months ago we were in the same position he was in there!" he said pointing to resus like it was hell
"oh Ethan" Robyn soothed him remembering the date
"and now 5 months later, he's in there fighting for his life again because of me!" Ethan sobbed
"Ethan, look at me, look at me none of this is your fault, none of it" Robyn told him hugging him as he placed his head on her shoulder
"but it is I was too late last time and I was too late now!" he cried as he looked towards Resus 5 months later.
"Okay, Cal we've got you!" Charlie said trying to comfort the young doctor
"Cal, can you hear me?" Connie asked as his eyes started to flicker indicating something was wrong
"Eth-an" Cal cried before the monitors started to beep around him and his eyes were pierced shut as Dylan stormed into Resus looking concerned at the monitors
"heart rates increasing Bp slowing down" Dylan told Connie as the machine's continued to beep as they looked at the young doctor who had a scar running along his chest from the last time he was in the Ed, Dylan glared at it and shuddered, 5 months ago he was in the same place.
"Right lets get him intubated, where are the Ct scans?" Connie asked snapping Dylan out of his thoughts as she was passed the results, she glared clearly at them and saw nothing alarming
"do you think it could be an intracranial bleed?" Dylan questioned also looking at the scans
"there's and bleed but its not coming from his head" Connie said as she listened to his chest shaking her head
"muffled heart sounds, how could he have a crush injury from stairs?" Connie questioned doing further examinations
"where is his chest CT?" Dylan questioned looking around for them
"he hasn't had one I thought there was no need!" Alicia told Dylan anxiously
"well you were wrong about that!" he muttered looking back at Connie
" muffled heart sounds, engorged neck vain, pauses paradoxes!" Connie said
"Becks Triad, he's got a taponade?" they answered simultaneously
"he needs a pericardicentesis right away, there's no time for an Echo!" Connie told Dylan as they both cursed
"right I need at 18- gauge cannula on a 50 mil syringe" Connie ordered as she gave it to Dylan who placed it 45 degree angle to the skin under the young doctors sternum looking hesitantly at his face as he placed the equipment on the side taking a few shaky breathes as Charlie looked at the monitor
"he's in VT were going to loose him if you don't do this now Dylan!" Charlie told him
"I-I can't do this!" Dylan said stepping away
"Dylan the pericardium is filling with blood and squeezing his heart, I can't do it but you can" Connie told him wishing she now hadn't injured her arm as Dylan came closer and picked the equipment up and performed the procedure as the monitors stopped beeping and his Bp returned to normal and they rushed getting a drain as Dylan left Resus and Connie now began assessing Cal's leg knowing he wasn't out of the woods but he would ne okay.
In the ambulance station Sam and Iain were waiting patiently for any news on Cal and Iain was telling her about what happened 5 months ago today
"Dylan found him, stabbed outside of the ED?" Sam questioned in disbelief as Iain sadly nodded his head
"Dylan had to perform a clamshell thoracotomy and we were all so sure he was gone but he pulled through and 5 months late-" Iain said as he realised that 5 months later he was far from fine he was back fighting for his life.
"when we were little about 13, I remember him falling out of a tree he was in agony but he wouldn't show it because he didn't want to scare me and Ethan so he lay on his back and laughed through the pain and I remember kneeling and taking his hands as his laughs turned into tears once Ethan had gone and all I could do was hold his hand while he struggled to stay awake and today it brought all of it back seeing all the blood" Sam said as she sobbed
"I had no idea you knew each other before im so sorry!" Iain said as he hugged her wiping the tears of her face
"he'll be okay Sam he's a fighter" Iain said trying to comfort her.
Entering the hospital room Connie took a seat on the plastic chair looking towards the fragile man on the bed slowly taking his lifeless hand in her she felt him slowly move "Im, s-orry" he gasped looking into the familiar brown eyes
"5 months goes fast doesn't it?" she told him as he smiled
"I-m do-ing okay o-n th-es-e n-n-ine li-l-ives" he gasped painfully chuckling slightly
"what happened Caleb?" Connie asked him waiting for a proper answer
"i fainted, fell over the banister but managed to hold on while crushing my chest t-rying to get up, I could-n't br-eat-he, I cou-ldn't h-o-l-d on!" he told her s his eyes flickered and he fell asleep.
waking up from his bedside Connie noticed Ethan looking at Cal and his injuries as he batted away the tears gently from his face
"He will be okay Ethan and 5 months later he will still be okay, he's got his nine lives to help him." Connie said as they both chuckled and realised nothing would take Cal away from his family.
SO here is the next chapter hope you enjoyed it thank you for all the positive reviews I really appreciated an thank you to the person who Pm me asking for Cal to have the same injury Ethan had in the crash, anyway hoped you enjoyed 5 months later.. N
