'Robyn- he's in here!'
Zoe knelt next to Ethan, carefully avoiding the damp floor.
'Ethan?!' She gently shook his shoulders. Nothing. She glanced down his body. His leg was twisted at an unnatural angle. There were a variety of scars that ran across the knee. The knee that he had originally damaged. That was supposed to be healing.
'Robyn- you see if you can get him to come around. I don't really want to move him because of his leg and he seems to have fallen from a bit of a height so I'm a bit worried about his neck and his back. I'm going to call for an ambulance.'
'His airway is clear, his breathing a steady and he's got a strong pulse.'
'Hello? It's Dr Hanna. Can you please put Dixie on? Hi Dixie. It's Zoe. I need an ambulance. I didn't call 999 because I don't want this in the system. It's Ethan. He's had a fall and is currently unconscious. We're at his flat. Robyn let me in. Yes she's here too.'
Robyn lost track of the conversation as Zoe wandered off into the hall, phone still plastered to her face. She rooted around in the supplied for the cervical collar, finding it she turned back to Ethan.
'You've done it this time- haven't you? You know that Cal's going to completely flip out. It's not going to be pretty.'
'Is anything with him?' The voice was quite and strained but the voice was Ethan's.
'I suppose not.' She smiled a smile that made him warm to the core. 'Nice of you to join us.'
'Us?'
'Zoe's in the corridor calling an ambulance. Well technically she's just calling Dixie for a favour.'
'I don't need an ambulance!' Ethan began to move, attempting to push himself up from the floor. He let out a groan that should have belonged to an animal.
'Ethan- try not to move. It's probably not the best idea. Have you even seen your leg?' He glanced down his body to the leg.
'Oh.'
'I'm going to put a splint on it because I think it's broken. It may also be dislocated. I would also like you to have a collar and be strapped to a spinal board.'
'That all seems rather excessive.'
'You've fallen. You knocked yourself out. Twice. Therefore you must have hit your head. You know the drill Ethan.'
Robyn had set back to work immobilising Ethan's neck and leg when Zoe wandered in.
'The ambulance will be here any minute. Dixie and Scott are coming. The know the whole situation. The plan is to go blue lights and sirens until we get near the hospital then we'll approach silently. I've also called Charlie. He's sent Cal to resus and seems to be keeping him occupied.'
'You've gone to a lot of trouble with this Zoe. Thanks.'
'Thats perfectly fine.' There was a knock at the door. 'That'll be Dixie.'
There was a brief conversation at the front door before Dixie and Scott came in.
'Alright?'
'Sure. Why not? I'm just stuck on the floor with a broken leg.'
'I meant Robyn and Zoe but that's nice to know, Ethan.'
'Yeah everything's pretty much ready. He just needs putting on the spinal board.'
Dixie looked around the room. It was a mix of highly trained medical staff: a nurse, two doctors, a paramedic and an EMT. All four of them needed to do was get one of them onto a piece of plastic. Surely that was an easy task?
No. It definitely wasn't.
25 minutes later Ethan was loaded onto the ambulance. The whole situation had been made worse by the damp, slippy floor, the overhang on the worktop, the awkwardness of Ethan's position and the cupboard handles.
'Robyn can you please drive the car back to the hospital. Just wait in the car until we get there.'
'Okay then. I'll be off.' Robyn turned and climbed into the car, slowly pulling away from the ambulance.
'Scott can you drive? I'll stay here with Zoe and Ethan.'
'No problem.' He jumped off the ambulance, wandered around it and hopped into the driver's seat. The engine sprung to life with a jolt.
'I'm going to call Charlie when we get there and he's going to make sure Cal's otherwise occupied for our arrival.'
'You've gone to a lot of trouble with all of this to make him not know. Maybe I should just tell him. Tell him before we get there.'
'We all know your brother Ethan. He will panic and get wound up with you. I need him as a doctor, not as a brother, at least not right now. We're still a doctor and a nurse down- we still haven't found a suitable temporary replacement yet.'
Dixie sat and watched them both. This was the third time he'd been in one of the Holby ambulances this year, two of those times he'd been with her. Hopefully this was the last.
'We're here.' Scott put the handbrake on and turned off the engine. He turned around to face Dixie in the back and found Zoe already had her phone to her ear.
'We're outside, still in the ambulance. Where's Cal? That's good. We're going to be going to x-ray and CT too. There's a bed free in cubicles isn't there? That's great. See you in a second.'
Dixie opened the ambulance doors and jumped at the sight of Robyn stood patiently waiting behind them. Ethan's trolly was wheeled in in silence. Charlie joined them to direct them to the spare cubical.
'I would have got a side room but you didn't give me much chance. Mrs Regst should be moving to a ward soon.'
'Thanks Charlie.' The nurse left the cubical and went back to resus, leaving Robyn, Zoe, Scott and Dixie to move Ethan from the trolly to the bed.
'On three. One... Two... Three...'
Ethan was on the bed. One step down, several to go.
'Lets get this board off. On three. One... Two... Three...' Ethan clenched his teeth and scrunched his eyes but stayed silent.
'Good luck Ethan. We'll be off.' A warm hand squeezed his. The curtains opened then closed again. He couldn't see what was going on due to the positioning of the bed and his collar, however he could see a very interesting set of lights. The bottom right of which flickered twice every six seconds for a second.
'Ethan. You know the drill. You're off to x-ray and CT. Robyn will take you. Okay?'
'Yep.'
Robyn pushed him through the corridor. Now she understood why it took two porters to push the trollies.
