Chapter 14 - Blood on the Trauma Bay Floor

At 06:00 the following morning, the trauma bays at Chicago Memorial resembled a subterranean combat zone. The storm that had lashed the city all night had caused an eight-car chain-reaction collision on the Kennedy Expressway involving a commercial fuel tanker.
I stood over Trauma Bay 1, my surgical scrubs covered in sterile gowns, my face shielded by a clear plastic splash visor. The monitor was shrill, an unrelenting staccato of tachycardic alarms.
"Pressure is seventy over forty! Push two units of O-negative and prep the rapid infuser!" I barked to Nurse Sandra. "Julian, where is that pediatric cross-clamp?"
Across the gurney, Julian worked with calm, lethal efficiency, his long fingers manipulating the pediatric suction catheter inside the chest cavity of a six-year-old boy pulled from the wreckage. "Clamp is set. Left lung is re-expanding. His vitals are stabilizing, Lauren. You can take down the pericardial window."
For forty minutes, our hands moved in seamless, unspoken synchronization. There was no need for words between Julian and me in an operating theater; we operated as two halves of a single, highly tuned surgical instrument. When the boy’s heart rhythm converted to normal sinus, Sandra let out a long breath.
"He’s going to make it, Chief," Sandra murmured, wiping sweat from beneath my visor.
Before I could strip off my bloody gloves, the double doors of the trauma bay blew open with a deafening crash. Two paramedics wheeled in a stretcher drenched in crimson, performing violent manual CPR on a mangled torso.
"Trauma team! Jane Doe, hit-and-run victim found in an industrial ditch near Gary, Indiana!" the paramedic shouted, his voice hoarse. "Multiple blunt force traumas, massive pelvic crush, open femur fracture, GCS three at the scene!"
I stepped toward the stretcher, my clinical detachment kicking in automatically—until my eyes locked onto the patient's face beneath the blood and mud.
It was Chloe.
"What happened?" I shouted, grabbing the laryngoscope. "Where was she found?"
"Gary police found her dumped behind an abandoned warehouse off Interstate 90 twenty minutes ago!" the paramedic replied. "A black Lincoln was seen speeding away from the scene!"
My blood turned to liquid nitrogen. After Julian had rescued us in the alley, Marcus had placed Chloe in a secure safehouse with an armed private investigator. Richard’s handlers had tracked her down, abducted her, and attempted to silence her permanently.
"She’s in ventricular fibrillation!" Sandra screamed. "Paddles to two hundred! Clear!"
*Thump.* Chloe’s broken body arched off the table. The rhythm line stayed flat.
"Clear again!" Julian called out, charging the defibrillator.
"Wait!" I snapped, dropping my hands directly onto her shattered sternum, initiating violent, rhythmic manual compressions. I looked down into the bruised, swollen face of the woman who had slept with my husband, the woman who had tried to steal my child and destroy my surgical license. Every instinct of human grievance whispered that she was the architect of my misery. But on this table, under the merciless halogen lights of Trauma Bay 1, she was not a mistress. She was a human life slipping into the abyss of eternity.
"You don't get to die, Chloe," I growled through clenched teeth, my arms pumping with relentless, punishing rhythm. "You are going to live, and you are going to speak the truth in front of a judge! Charge to three hundred! Clear!"
*Thump.*
The flatline flickered. A tiny, erratic spike appeared on the monitor screen. Then another. Then a fragile, fragile sinus rhythm at forty beats per minute.
"Pulse check!" Julian yelled, his fingers pressing into her carotid artery. "I have a femoral pulse! Weak, but it's there! She’s back, Lauren. My God, she’s back."
I stood over Chloe, my breath coming in ragged gasps, my scrubs soaked in her blood. As the trauma team swarmed to intubate and stabilize her for the OR, Chloe’s right hand moved weakly. Her fingers, stained with dirt and grease, clutched at the sleeve of my scrub top.
Her swollen eyes cracked open a millimeter. Through the plastic oxygen mask, her lips moved, forming silent, desperate syllables:
May you like
*Maya... he’s at the nursery... he’s taking Maya...*
***