Internal Memo: Courage Bay Hospital E.R.
From: Dr. Guy Giroux To: E.R. personnel
After reviewing patient reports from Thursday night, I would like to commend all of you for your hard work and professional expertise during whatâs now being billed as the Storm of the Century. Although I was unable to be here because of the storm, I have received nothing but praise and gratitude from the fire and police departments, as well as civilians, on the performance of Courage Bay Hospitalâs emergency room staff.
As many of you know by now, one of the patients admitted was my stepdaughter. Heather was given excellent care by the admitting staff, and I know that all of you who dealt with her, especially Dr. Rachel Browne, worked tirelessly on her behalf.
I also want to thank you for the concern youâve shown me during this time. Because of the extra work due to the storm, as well as my personal situation, schedules will be less flexible and some of you will be asked to cover extra shifts. I appreciate your willingness to do this, and suggest that anyone who finds the commitment onerous should address their concerns directly to me.
As I have always known, our E.R. staff is one of the best in the country.
THE MOMENT Dr. Rachel Browne stepped outside to the emergency bay, the wind and rain slapped her in the face. So hard, in fact, that she had to hold on to the door to keep her balance.
The ambulance had slogged through what was already being called the storm of the century by the media, taking almost fifty minutes for what should have been an eight-minute ride.
The EMTs pushed open the doors, and John Wilkins, one of the E.R. orderlies, ran up to help them pull out the gurney.
Rachel, inadequately dressed in her lab coat, waited just under the overhang, but even so, she was soaked by the time the patient got to her.
âJulie Bell,â the paramedic closest to her shouted over the wind. âFound on her bathroom floor, presumed overdose. No suicide note, but a lot of empty bottles.â
âAny narcotics?â Rachel asked as they hurried into Courage Bay Hospital.
âNot that we saw. Sheâs lethargic, but arousable. BPâs 110 over 65, pulse 80.â
âJulie,â Rachel said, trying to get a response. âCan you hear me?â She looked back at the paramedic. âHow long?â
âMaybe an hour. A friend found her.â
âWhere is she?â
âA tree fell on her carâshe couldnât get out.â
Rachel turned back to her patient as they hit trauma two. âJulie, what did you take? What kind of drugs?â
âI picked up everything I could find on the floor,â the paramedic said, handing the bag to John.
They moved her parallel to the E.R. bed, and Amy Sherwood, a first-year resident, and two nurses, Katya and Karen, spaced themselves to make the transfer.
âOn three,â Rachel instructed, and they lifted the young woman with practiced ease.
âWeâre out of here,â the paramedic said. âItâs a nightmare out there. I wouldnât be surprised to see Noah building the ark. Man, Iâve never seen anything like this.â
Rachel nodded at the man, then turned back to her patient, whoâd roused enough to try to sit up.
âLeave me alone,â she said, her voice slurred and wet.
âLie back, Julie. Weâre going to help you, but you need to help us. What kind of drugs did you take?â
âNothing, let me go.â
âCBC, chem panel, blood and urine tox screen,â Rachel instructed Katya. âWeâre going to have to pump her stomach.â
âIâll get a tube.â
âWait.â Rachel raised her hand, stopping Katya. âWhat were the drugs?â
The nurse opened the bag the EMTs had left. âDiazepam, doxepin, amaryl, aspirin.â
âPulse ox is 96 on 2 liters. Iâll run an EKG. It could be tricyclics.â