/* 36 weeks */
With Tom at work, Sam had gone out for a walk to streach her legs, she had taken full maternaty leave 3 weeks prior at 33 weeks pregnant. Having been at the sight and seen the car collision sam had stepped in to help. First she checked the people in the car, all of which were concious, "okay stay still!" she told them hurring over to see to a young girl no older than 15 who had gone threw the windsheild and lay on the ground unconsious with deep laserations. Unable to find a pulse sam turned her slightly and checked her airways then started Chest compressions. Sam spoke loudly to the man in front of the car about her details. Tuns of compressions and 15 minuites later the ambulance pulled up, Jeff & Dixie got out. "sam?" dixie said walking over with the first aid kit quickly with a confused look on her face. "Dixie i need the defib now!" she called over as jeff ran back to get it. Dixie got down on her knees opposite sam "what are you doing here?...you're not working?" she said opening the green emergency kit. Jeff put down the defibrillator. "here ...im gonna go help the others" he said and left running to the car. Sam had already put on a pair of gloves and opened a small seeled packet to put two little orange squares onto her chest once dixie had cut open the girls shirt. She lifted the paddles once she'd pressed the button on the front "Sam, the baby?" dixie said, Sam looked at her "its fine" she said then rubbed them together once and placed them on his chest "charge a 360..clear" she said as everyone took their hands off her and Sam pressed the buttons on the paddels sending an eletric shock into her patient to kick start her heart. "we have output" dixie said checking her pulse again. Sam had felt a strange pain in her stomach when she'd shocked her patient. She put the paddels down then helped get her onto a C-spinal board with a collar on and into the ambulance. Another two ambulances began appearing along with the police. Jeff handed his patient off to the next ambulance crew to arrive then got in the front of their own ambulance as dixie got in the back "sam are you staying?" She rubbed the lower part of her bump with an uncomfortable facial expretion as she stepped up into the ambulance "no...i, i can't dixie" she said getting in and sitting down.
When they arrived at the hospital sam got out and walked in with her patient. Ash was taking this case "15 year old Leanne mason, Involved in a RTA, Asystaly at scene, she returned after chest compressions and one shock, She had obvious abrasions and open woulds to the front side and base of her skull. Query c-spine fracture, and also i noticed swelling and discolouration to her right foot." she said holding the gurney. Sam had her hair thrown back in a loose messy bun and was wearing a simple pair of leggins, a loose fitted top, cardigan and ugg boots. "why are you working?" ash asked wheeling the patient to resus. "Looking like this? ...Im not." she said stepping back once they'd moved the patient over onto the trolley and the paramedics left the room. "you got this?" she asked, ash nodded so she turned and left. Walking slowly out of resus and up the side of the nurses station, she stopped feeling a suddenly unexcpected pain, then after a few seconds leaning one hand on the nurses stations as she let out a small gasp "Ah...ahhh" she said as she fell to her knees cripling in pain. a small pool of blood surrounded her. Tom had just walked into the ED from CDU seeing zoe and a few of the nurses rushing over he looked seeing it was sam he ran over quickly "sam...sam,?" he said as he was knelt by her head. She cried out in agonising pain as everything became a lightly out of proportion to her. "she's loosing to much blood!" she heard zoe say in the last few moments she was concious.
She came round when she was in the smaller Resus surrounded by bodies. Nurses, doctors rushing around everywere. "Sam...sam can you hear me?" zoe spoke. Sam had been changed into a gown and her legs were bent up so that they could check the babys "whats going on?" sam asked "the baby...im, im only 36 weeks" sam mumbled. Tom was stood by her head unsure what to say. "Sam, You're placenta has almost completely detached okay, your babys head is engaged and there is no theaters or surgeons available at this exact moment okay. Since you're babys head is down we are happy to go ahead and delive naturally okay?" tess said calmly as she stood directly to sams left. "what...you cant? that could cause even worse bleeding than a c-section!" tom said his hand in sams blonde hair gently. Zoe had went down to the bottom of her bed "okay sam..i can see the babies head!" she said. Sam was unsure how long she'd been out...12, 15 minuites, maybe more. She hadn't even noticed her baby's head move down in the recent hours/days. Her contractions were there...painful, but bareable. "ahh..." she said closing her eyes and squeezing toms hand as she tried not to push. Sam was crying "no..i can't do this" she said putting her head back looking up at tom with teary cheeks. "yes you can" tom said re-assuring her scince it was the only thing that could do! Tess spoke to jamie in the background quietly "call the neonatal unit and tell them we need a bed for a 5 week old premie straight away"
"Sam i need you to push on your next contraction, okay sam?" zoe said
Sam felt the next contraction, it was hard and painful "no...i cant" she cried trying to push but it was just so painful. "PUSH!" zoe said firmly but gently. Sam cried outloud as she pushed hard squeezing toms hand. Toms face was making all sorts of faces because she was squeezing it so hard. "heads out." Zoe hair her hands positioned on either side of the babys head. Sam was taking a few deep breaths as she sobbed/Whimpered. "okay, sam...just one final push okay!" tess said having put one hand on sam's knee, "ready...now!" zoe said as she could see her body tensions and hear from sams cries, She pushed one last time a little longer than the first one, feeling sudden relief when the baby's body came out.
Zoe cliped and cut the cord then handed the baby to Tess whom wrapped her up in a blanket . "why...why isnt she crying!" sam said looking over trying to see. Tess cleared her airways with a small green squeezy suction then rubbed her chest a little with the towel until she let out a piercing cry then smiled at the baby "there we go!" she said holding the baby girl. Sam had cried with happieness and relief as she leaned her head on tom who, put his hand around her and on her hair/shoulder.
"Sam we need to deliver the placenta okay... sam?" zoe said unaware that sam felt drowsy and was slowly slipping out of conciousous. Not noticable at first until sam had sat back from toms arms, her face had lost a smile as her eyes slowly closed. Tom had stood back with his hands behind his head whilst zoe had got her hands in there because of an obvious bleed. "She's bleeding out! if we don't stabalize her now...we're gonna lose her!" she said trying to do all she could to help.