The Surgeon's Engagement Wish. Alison Roberts

      ‘Mike? He’s bleeding again. I can’t seem to find the right spot to apply manual pressure. Shall I take the bandage off?’

      ‘Coming.’ Mike glanced up at Luke. ‘Can you manage?’

      Luke glanced at Beth. ‘Sure.’

      The management of the femoral artery bleed next door was obviously difficult and the rest of the department was still humming. Nobody could be spared to assist in Resus 2 even when Stella’s heart gave up the struggle of trying to pump against constriction.

      The electrical stimulus was still there but their patient was pulseless and Luke’s attempt to draw more blood from the pericardium with the needle proved fruitless.

      ‘Start CPR,’ he instructed Beth.

      She worked hard to make her chest compressions as effective as possible, but Luke shook his head as he felt for a carotid pulse moments later.

      ‘We’re still not getting a pulse.’ He raised his voice. ‘Mike? I’m going to have to go for a thoracotomy here.’

      Beth’s jaw dropped but Mike sounded perfectly calm. ‘That’s fine,’ he called back. ‘I’ll come and intubate for you in a second.’

      Luke had caught Beth’s astonished expression and his tone suggested he had taken her reaction as a personal criticism. ‘You’ll find a thoracotomy kit in the storeroom, Beth.’

      She was pleased to be able to turn away. ‘I know where it is.’

      He was a surgeon after all, and maybe Luke had had experience with opening people’s chests. He certainly seemed confident enough, and it was probably the only procedure that was going to save a life here, but it was still horrific to watch him divide Stella’s sternum with a saw in what seemed like only a few minutes later.

      It was just as well she’d had theatre experience in the past, Beth decided, handing instruments and wound towels to Luke. It was how they’d met in the first place. Luke had been a surgical registrar and Beth had just been starting work as a theatre nurse. She’d transferred, of course, when their relationship had hit the rocks and the fascination and pressure of working in the emergency department had gone from being a welcome distraction to a real passion.

      And here they were again. The bizarre impression of being in a time warp was heightened after Luke took a scalpel and carefully incised the membrane of the pericardium. The rush of blood wasn’t enough to suggest a fatal cardiac injury and there was a collective sigh of relief as the vigorous pumping of Stella’s heart could be actually seen.

      Mike had his fingers on the side of Stella’s neck. ‘Great output,’ he said delightedly. ‘Fantastic!’

      His voice startled Beth. The feeling that she and Luke had been a single—and isolated—unit had been so strong she had actually forgotten Mike was there in the last few minutes. She had been standing so close to Luke. Their hands had touched more than once when she had handed him instruments, and that closeness—that touch—had wrapped them into a space that had been theirs alone. Luke merely nodded in response to Mike’s delight. ‘We’re not out of the woods quite yet,’ he warned. ‘Let’s cover everything with dressings and sterile drapes and get her up to Theatre to finish.’

      But he paused fractionally when he caught Beth’s gaze and for the third time that night she was trapped by the expression in those dark grey eyes.

      There was no hint of displeasure in them this time. Or the suggestion that she had changed beyond recognition. And, very oddly, the flicker of warmth that she saw was far more of a shock than Luke’s earlier reactions to seeing her had been.

      His voice touched exactly the same tender place as that fleeting glance had.

      ‘Thanks, Beth,’ Luke said softly. ‘You were brilliant.’