Stanley was taking some IV supplies from his kit. He had the line in Jeff’s hand within seconds. Joe frowned as he noticed the action that had been taken without his direction. He laid down the half of the scoop stretcher he was carrying.
‘Blood pressure’s 85 over 60,’ Stanley told him. ‘I won’t run any IV fluids unless the systolic drops below 80.’
Joe nodded and Felicity could sense his satisfaction. The low blood pressure with a spinal injury was likely to be due to vasodilation below the level of injury rather than blood loss. As long as the systolic blood pressure remained above renal filtration pressure of 80 mm mercury it was not advisable to give extra IV fluids, which could cause complications from over-hydration.
Joe was eyeing the drug supplies in Stanley’s kit. ‘Are you able to give a loading dose of methyl prednisolone?’
‘No.’ Stanley shook his head. ‘That’s not in our procedures.’
‘We do it in some parts of the States.’ Joe frowned again. ‘Have you got a specialist spinal unit we can transfer him to directly?’
‘We go through the emergency department at the main hospital. It’s only five minutes away. They’ll stabilise him and then transfer. It takes nearly an hour for a slow transport of an acute case to the spinal unit.’ Stanley’s glance at Felicity suggested that it was time she introduced herself but Felicity was quite happy with the management of their patient.
‘I’d better go,’ she announced. ‘Unless I can help in some other way?’
‘No, of course not.’ Joe looked vaguely surprised at the offer. ‘We’ve got plenty of extra hands here. Thanks for your help.’
‘My pleasure.’ Felicity threw a glance over her shoulder as she walked back towards her car. The blades of the scoop stretcher had been eased, one side at a time, beneath Jeff. The halves had been clicked into place and Jeff was now being strapped into position. The scene had been well managed and any injury Jeff had sustained had been in no way exacerbated. No doubt she would see the young fall victim later on in the emergency department. He would probably still be accompanied by the neurosurgeon, who seemed determined to take complete control of his management.
Felicity shook her head as she joined the line of traffic again. Maybe she should have asserted herself and let him know that she wasn’t simply a useful pair of extra hands. It had been a little immature to take offence at the suggestion that she didn’t know what she was doing. It wasn’t as if he could have had any idea she was remotely qualified to act as a colleague, but his attitude had rankled. She had worked long and hard to get where she was now. His dismissal of her, based presumably on what she looked like, had got right up her nose. She was regretting the decision to stay anonymous now, however. It would have been more interesting to have had a professional discussion. She’d like to know where in the States they were doing methyl prednisolone protocols in the field and whether it had been going on long enough to have results on any improvement in long-term outcome. The lights changed and Felicity moved off with a sigh. It was too late now. Best she forget about the whole encounter.
The intention to forget wasn’t easily acted upon. The encounter had left an impression that lasted well past the meeting with the cardiology department. It was still ready to jump into prominence later that morning when Felicity noticed Stanley and Ray handing over another patient to the sorting nurse. She waited until they had transferred their patient to a bed.
‘You guys did a good job with that spinal patient this morning.’
‘Thanks,’ Stanley responded warmly. ‘It was a surprise to see you there, Fliss.’
‘I was just passing. I became rapidly redundant.’ Felicity’s smile gave no hint of her persistent dissatisfaction with the incident. ‘How did the transport go? Did Mr Petersen go with you?’
‘No, thank goodness.’ Stanley grinned. ‘He probably would have complained about every bump on the road. He was a bit over the top, wasn’t he?’
‘He knew what he was doing. I think he was just determined to manage things as well as possible.’ Felicity was surprised to find herself defending Joe, but it would have been unprofessional to complain about another doctor to Stanley despite their long association and Felicity’s appreciation of the paramedic’s level of skill. ‘Jeff was lucky to have someone that experienced on the scene. I imagine that Mr Petersen is only visiting. It sounded as though he’s come from the States.’
‘He’s been in the States but he’s just moved back to New Zealand.’ Stanley fished in his pocket and extracted a slip of paper. ‘He gave me his phone number. He said he’d like to hear some follow-up if I had the chance.’
‘Oh.’ Felicity dismissed the errant thought that she could do the follow-up and contact Joe herself. Why on earth would she want to do that?
‘He’s looking for a job,’ Stanley told her. ‘We had a quick chat while he was giving me his number. Apparently he’s just finished some postgraduate specialist training and he’s come back here for family reasons. He’s hoping to get a position here or at the spinal unit.’
‘Unusual to move countries without a position to go to,’ Felicity observed. ‘Rather a big risk, especially for a consultant. Did he say what the family reasons were?’
‘No. But they must have been compelling. He was dead keen to get away as soon as we’d loaded Jeff. Said he didn’t want to let his daughter down.’ Stanley’s pager sounded at the same instant that Felicity’s beeper went off. They both grinned.
‘No rest for the wicked. See you later, Fliss.’
‘No doubt. Bye, Stan.’ Felicity moved towards the telephone on the sorting desk. This morning’s incident had simply been an interesting and somewhat different start to the day. Now it was time to get on with the many and varied challenges the emergency department could throw at her. She was bound to see Stan again in the near future. She was not likely, however, to see Joe Petersen again, and that was fine. It might have been satisfying to tell him who she was, but if she’d wanted to see him again she could have offered to take that phone number from Stan and use the excuse of a patient follow-up as a reason for contact. The choice had been there and it hadn’t been difficult to make. She had no desire to renew her acquaintance with Joe Petersen. The incident and the man were history.
In fact, she would probably have trouble recognising him if she did see him again.
CHAPTER TWO
THE recognition was instantaneous.
Felicity spotted Joe in the emergency department from as far away as it was possible to get. She was entering the double doors that led from the end of the corridor dividing the department into the main area of Queen Mary Hospital. Joe was standing beside the bed in cubicle 3. On top of the bed sat a small girl with curly red hair. Even from that distance Felicity could recognise a struggle to keep on top of the fear, confusion and probably pain the child was experiencing.
The characteristic decisiveness in Felicity’s forward movement took her swiftly towards the sorting desk.
‘Who’s in cubicle 3, Mike?’
The nurse manager had been talking to senior consultant Gareth Harvey as he was entering information into a computer program. ‘Samantha Petersen. Four years old. Query greenstick fracture of the left radius.’
Felicity nodded. Joe Petersen’s daughter, then. Part of the family whose circumstances had somehow brought Joe to Christchurch. ‘Did she come in by ambulance?’
‘No. Her father brought her in a couple of minutes ago. He’s some sort of medic, apparently.’