A benefit of being vampire was the excessive speed. Carlisle found it exceedingly frustrating when he was unable to work at full capacity because humans were in the operating room with him. One of the few things Bella had going in her favor, was that Carlisle could operate on her without restriction. And as soon as she was unconscious, that is exactly what he did. In what would have been the blink of an eye to his coworkers, Carlisle had torn the blood soaked sweater away from the wound, cleaned the area, and accessed the damage. Pausing only to change out the blood and saline bags when necessary; Carlisle set about closing the holes the bullet had made in Bella's spleen. Unfortunately, the wounded organ was proving stubborn. Each time he attempted to add a suture, the edge of the hole would tear open again. He quickly realized the damage the organ had suffered was too severe to accept repair. Clamping off the blood supply to the destroyed organ, Carlisle set about removing it and closing the entry and exit wounds located in Bella's flank.
Once finished with the gunshot wound, Carlisle set about checking her over for other injuries. Thankfully he discovered no broken bones, just some bruising from when she must have struck the wall and tumbled to the floor along with the extensively bruised cut in Bella's forehead, which also required stiches to close. Although the coherency of Bella's texts to him was a good sign, he would remain concerned over the possibility that she had received a significant concussion. Taking her to the hospital for an MRI was not an option, since they would question her other, obvious injuries. He didn't regret his decision to treat her at the house however, Bella's spleen had been gushing blood, and she would never have made it to the hospital alive.
Finished with bandaging Bella's head, Carlisle took a second for an unnecessary breath, before he set about cleaning up Bella and the surrounding area choosing to keep her near him in the dining room for now. Knowing his family's sensitivity, he took care to burn all items from the surgery and the kitchen that might have Bella's blood on them. He bleached anything that would not burn. Once housekeeping chores were completed, Carlisle finally allowed himself to stop and truly comprehend what this day had wrought.
Having acted human for so long, it was second nature to collapse himself into a chair by Bella's side. Sandwiching her hand between his, Carlisle processed the emotions he did not dare allow himself to acknowledge earlier. Stark terror and helplessness that he would not be able to protect Bella before the men realized she was still alive; anger and a need to inflict pain on those that had hurt his little girl; his anxiety for her body's ability to recover from her horrific injuries; relief that Bella had finally accepted a cell phone from them just last month. The small electronic device had saved her life. The one thing he did not feel was regret over killing the humans who had entered his home. From the moment they had attempted to take Bella's life they had signed their own death warrants.
Saying a prayer that Bella's condition would remain stable, he considered what would have to happen next. He knew without a doubt, Jasper and Emmett would take pleasure to ensure the bodies lying outside his office would never be found. The truck was also of no concern – no one would think to check the Cullen's drive when the men turned up missing, and the unusually heavy rain made it unlikely anyone would drop in to say hello. He simply moved it and the bodies to the cold garage and left it for his children to unload when they returned. Rosalie would enjoy scuttling the vehicle.
Moving back to Bella's side, Carlisle quickly assessed her condition. Despite his continual monitoring of her vitals through his enhanced senses, he found he needed to see for himself that her chest still rose as her lungs oxygenated her blood. He didn't like the thought of her new scent; temporarily more woodsier than floral, it was only another sign of how close to death she had come.
She was still in a stable condition, so Carlisle felt comfortable with moving her to one of the bedrooms. Though her attackers had taken no care to leave things as they were found, it didn't take Carlisle long to set his and Esme's mattress back on the bed, change out the sheets and neaten the room. Making use of his extra strength, Carlisle easily lifted Bella into his arms, along with her IV fluids and transported her to his room. He took the time to ensure the stitches from the operation had not been disturbed before tucking her in. Moving Esme's favorite reading chair to Bella's bedside, he settled in to watch over her.