voice was calm, authoritative. The kind of guy in an emergency who told you things would be okay and you believed him—just because of the way he said it.
She pushed her way back to a little girl with masses of curly hair, still strapped into her seat. Her leg was at a peculiar angle, and it hadn’t taken a doctor to make an accurate diagnosis of a fracture. The little boy behind her, strapped into the window seat, was unconscious, but she couldn’t possibly get to him until she’d moved this little girl. She took off her gloves and put her hand round the girl, feeling for a pulse at his neck and checking to see he was still breathing. Yes, his pulse was slowing and his chest was rising and falling. But in these cold temperatures hypothermia was a real risk. She had to work as quickly as possible.
The water was lapping around their little legs and would be dropping their temperatures dramatically.
She shouted up to Callum, ‘I need you to pass me down the kit with analgesia—I need to give Rosie some morphine. It’s in a red box, in the front pouch of the bag.’ She waited a few seconds until the box appeared then shouted again, ‘And an inflatable splint.’
She spoke gently to Rosie, stroking her hair and distracting her, calculating The dosage in her head. It was too difficult to untangle the little girl from her clothes and find an available patch of skin. The last thing she needed to do was cause this little girl more pain. She took a deep breath and injected it through the thick tights on her leg, waiting a few minutes for it to take effect. ‘Pass me the splint,’ she whispered to John.
The positioning on the bus was difficult. ‘I’m sorry, honey,’ she whispered, as the little girl gave a little yelp as she straightened her leg and inflated the splint around about it to hold it in place.
‘Is she ready to be moved?’
‘Not quite. Can you get a collar? In fact, get me two. Once I’ve got that on her, you can move her.’
It was only a precaution. The little girl didn’t appear to have any other injuries apart from her leg. She seemed to be moving her other limbs without any problems, but Jess didn’t want to take a risk.
It only took a few seconds to manoeuvre the collar into place and fasten it securely. The cold water was moving quickly. It had only been around the children’s legs when she’d entered the vehicle—now it was reaching their waists. Time was absolutely of the essence here.
She was freezing. How on earth would these children be feeling? Kids were so much more susceptible to hypothermia because they lost heat more quickly than adults.
Another firefighter had appeared next to John, and they held a type of stretcher between them. Space was at a premium so Jess pushed herself back into the corner of the bus to allow them to load the little girl and pass her up through the window to Callum.
Time was ticking on. The sky was darkening and the level of the freezing water rising. She squeezed her way into the seat vacated by the little girl and started to do a proper assessment on the little unconscious boy, who was held in place by his seat belt.
‘Anyone know his name?’ she shouted to the crew.
‘It’s Marcus.’ The deep voice in her ear made her jump.
‘Where did you come from? I thought you were on the roof?’
‘The water’s too cold to have anyone in it for long. I told John to go ashore and dry off.’
‘Tell me about it. Try being a kid.’
There was an easy familiarity in having Callum at her side. It didn’t matter that she hadn’t seen him for years, it almost felt as if it had been yesterday.
Callum had changed, and so had she. The skinny youth had filled out in all the right places. His broad shoulders and muscled chest were visible through his kit. The shorter hairstyle suited him—even though it revealed the odd grey hair. They were only visible this close up.
‘What do you need?’
He was watching as she checked Marcus’s pulse, took his temperature, looked him over for any other injuries and shone a torch in his eyes to check his pupil reactions.
She shook her head. ‘This is going to have to be a scoop and run. He’s showing severe signs of hypothermia. His pulse is low and I can’t even get a reading with this thing.’ She shook the tympanic thermometer in the air. ‘So much for accurate readings.’
She placed the collar around his neck. ‘I don’t want to waste any time. I can’t find an obvious reason for him being unconscious. His clothes are soaking—right up to his chest. We can’t waste another second. Can you get me some kind of stretcher so we can get him out of here?’
Callum nodded. ‘Get me a basket stretcher,’ he shouted to one of his colleagues. He gestured his head to the side as the stretcher was passed down. She stared at the orange two-piece contraption, watching while he took a few seconds to slot the pins into place and assemble it. It had curved sides, handholds, adjustable patient restraints and a lifting bridle.
‘This is the only way we’ll get the casualties back up the steep embankment. Jump back up, Jess, we need as much room as we can to manipulate this into place.’ A pair of strong arms reached down through the window towards her and she grabbed them willingly. It pained her to leave the little boy’s side, but there wasn’t time for egos or arguments here.
The cold air hit her again as she came back out into the open. If she’d thought standing in the icy water had been bad, it was nothing compared to the wind-chill factor. Her teeth started chattering.
‘How…many more patients?’ she asked the firefighter next to her.
‘We’ve extricated all the adults. There’s another two kids stuck behind the front seat, but their injuries are minor and they’re not in contact with the water. We’ll get to them next.’
‘Has someone looked them over?’
He nodded. ‘Your nurse and one of the paramedics. They had another kid who was submerged. She’ll be in the ambulance ahead of you. We’ve just radioed in.’
The minibus gave another little lurch as the currents buffeted it. ‘This thing had better not roll,’ came the mumble from next to her.
Jess wobbled, trying to gain her balance. She hadn’t even considered the possibility of the bus rolling. That would be a nightmare. There was a tug around her waist, and she looked to the side of the riverbank where one of the rope crew was taking up some of the slack in her line. The stretcher started to emerge through the window. At last. Maybe she’d get a better look at Marcus out here.
Callum’s shoulders appeared. He was easing the stretcher up gently, guiding it into the arms of his colleagues.
The minibus lurched again. Callum disappeared back down into the depths of the minibus with a thud and a matching expletive. The firefighter next to her struggled to steady the weight in his arms, the stretcher twisting and its edge catching her side-on.
She teetered at the edge of the bus, losing her footing on the slippery side.
It seemed to happen in slow motion. She felt herself fall backwards, her arms reaching out in front of her. The firefighter who’d knocked her with the stretcher had panic written all over his face. There was a fleeting second as he struggled to decide whether to decide to grab her or maintain his hold on the stretcher.
What was it that knocked the air from her lungs? The impact of hitting the water? Or the icy water instantly closing over her head? Her reaction was instantaneous, sucking inwards in panic, instead of holding her breath.
The layers of clothes were weighing her down, as were her shoes. She tried to reach for the surface. The water hadn’t been that deep, had it? She was choking. Trying to suck in air that wasn’t there—only murky water. Then the overwhelming feeling of panic started to take over.