'We need to get the four rocks off both of them as soon as possible.' Connie began instructing the team in the cave.
'What if that only caused them to crash? They both have crush injuries, Lofty to his arm and Ethan to his leg. The toxins have been building up and we don't know for how long. It could have been up to two hours! Get crash kits ready and apply a tourniquet to Ethan's leg. Then remove the rocks.' Zoe had point. They had been trapped for two hours and no one knows when the rocks fell. Inevitably at least one of them would crash but if they were prepared for that then the boys had a better chance of surviving.
'On three! One. Two. Three.' The first rock was removed from Lofty's abdomen revealing more blood and bruising. A ruptured spleen perhaps? Zoe attached a pelvic brace and started pushing through the second bag of saline.
'On three! One. Two. Three.' The second rock was removed from Lofty's arm. It too was secured with splints and bandaging. He was nearly ready for extraction. All they needed to do now was to get him on the spinal board and out of the cave. Remarkably he didn't crash. He made it safely out of the cave and into the ambulance. Zoe caught a lift in the ambulance to continue monitoring Lofty's condition. She was amazed at how well he was doing. His cardiac output was good but his BP was a little low- not surprising really due to the amount of blood he lost.
Now it was time to free Ethan.
'On three! One. Two. Three.' First rock gone. One to go.
'On three! One. Two-'
'Stop! He's crashed!'
Connie started CPR but all of his ribs were broken, providing no resistance. She checked his chest. He had a punctured lung. What was she supposed to do? If CPR couldn't be carried out you could shock him but that wasn't suitable for the environment. They were warned that if they shocked they could cause more harm than good due to the amounts of lose metal surrounding them. She continued with CPR in the hope that it would become more effective.
'Just get the other rock off and get him out!'
'On three! One. Two. Three.' The rock was gone revealing the true extent of the damage he had done to his leg. Every bone was visible. Every bone was broken in at least two places. Blood was pouring out of it unceasingly.
'Get him out of here!'
The team loaded him up and got him to the top, continuing CPR while waiting for Connie to join them. She took everyone by surprise by the speed and ease she climbed up with.
'Get him in the ambulance and charge to 180 and shock him.'
Dixie cranked up the dial and charged the defibrillator.
'Clear. Shocking.' Ethan was shocked causing his whole body to move. Connie looked at his chest. It wasn't as obvious in the cave but it was clear now how much damage had been done. His clothing had already been cut away making his torso visible. It was black and blue, cut and scratched, completely misshapen.
'Continue with CPR and shocks. Take him straight to Darwin ward and warn Elliot of our arrival. I'm going to see if I can get some of the blood out of his chest cavity.'
'Connie- he's gone.'
'He isn't until I say so! Paul drive as fast as you can. Dixie you assist.'
Connie drew a needle and prepared to insert it into his chest cavity.
'Connie.' Dixie lay her hand on Connie's shoulder. 'He is gone.'
'No! Not until I say!'
'Connie.'
'No!'
