fiction

Chapter 3 - Code Crimson

The trauma bay at Denver Health was a choreographed hurricane of controlled violence.

"We’ve got a massive postpartum hemorrhage!" Caleb shouted, running alongside the gurney as the paramedics burst through the double doors of Trauma Bay 1. Caleb was covered in blood from his chest to his knees, his hands still pressed down hard on Olivia's lower abdomen, maintaining the external compression he had held for twenty-two agonizing minutes.

"Transfer on three!" Dr. Marcus Vance, the lead trauma surgeon, barked. "One, two, three!"

They slid Olivia onto the stainless-steel trauma table.

The room exploded into a deafening chorus of alarms, commands, and tearing plastic.

"BP is fifty over palp!" a nurse called out. "Heart rate is 162, sinus tach!"

"Start the MTP!" Dr. Vance ordered. "I want four units of O-neg through the rapid infuser right now! Get two grams of TXA in her! Where is OB?"

"Dr. Chen is scrubbing in!"

Olivia's body was a battlefield. Two large-bore IVs were shoved into her arms, while a surgical resident drove a central venous line directly into the internal jugular vein in her neck. The rapid infuser whined loudly as it forced warm blood products into her collapsed circulatory system under extreme pressure.

Caleb stepped back, his chest heaving, his bloody hands held out in front of him. For the first time since he had kicked through the glass pane, his knees shook.

Through the window of the adjoining room, he saw a pediatric nurse holding baby Noah. The infant was wrapped in warm blankets, a tiny oxygen mask strapped over his nose and mouth. Noah was hypothermic and severely dehydrated, but his color was returning to a healthy, mottled pink, and his cries were finally robust, furious, and full of life.

Noah was safe.

Olivia, however, was slipping away.

The cardiac monitor suddenly changed its rhythm. The rapid, high-pitched beeping turned into an irregular, jagged flutter.

"V-tach!" the nurse screamed. "She’s lost the pulse! No carotid!"

"Starting compressions!" the resident yelled, climbing onto the stepstool and locking his elbows over Olivia’s breastbone. The sound of cartilage cracking under the force echoed through the room.

"Charge to two hundred!" Dr. Vance commanded, ripping the paddles from the defibrillator. "Clear the bed!"

Caleb pressed his back against the cold tile wall, his eyes glued to Olivia's pale, motionless face. He had seen hundreds of people die on these tables. He had watched the light leave their eyes. He knew the precise grey hue skin turned when the soul vacated the premises.

Olivia was standing on that exact threshold.

"Clear!"

*THUMP.*

Olivia’s body arched off the table as the electric current surged through her heart. She fell back limp.

The monitor screamed in a continuous, unbroken, flatline tone.

"Charge to three hundred!" Vance barked, his face covered in sweat beneath his plastic visor. "Push one milligram of epi! Resume compressions!"

Caleb stepped forward, his voice cracking like dry wood. "Vance! She’s got retained tissue! The uterus is completely atonic! You have to clamp the uterine arteries or the blood’s just going straight onto the floor!"

Dr. Chen, the OB-GYN, burst into the bay, pulling on sterile gloves. "I’m in! Give me the speculum! Let's get a Bakri balloon in right now!"

"Charging! Clear!"

*THUMP.*

Silence.

One second.

Two seconds.

Three seconds.

On the black screen of the monitor, a solitary green spike leaped upward.

Then another.

Then a regular, rhythmic *beep... beep... beep...*

"We have sinus rhythm!" the nurse cried out. "Rate is ninety-two! BP coming up—eighty over forty!"

"Bakri balloon is inflated, fifty ccs," Dr. Chen said, her hands moving with lightning speed between Olivia’s thighs. "Bleeding is slowing down. We need to take her directly to the OR for an emergent D&C and possible uterine artery embolization. Prep OR 4!"

The gurney was immediately unlocked. The surgical team began moving as a single, urgent organism, rolling Olivia out toward the surgical suites.

Dr. Vance stopped for a fraction of a second beside Caleb. He clapped a hand onto Caleb’s blood-spattered shoulder.

"If you hadn't held that fundal pressure and broken into that house, Caleb, she would have been dead fifteen minutes before the box even arrived," Vance said quietly. "Who is she?"

Caleb looked at the bloody floor, then turned his gaze down the hallway where the gurney was disappearing around the corner.

"That's my sister-in-law," Caleb whispered, his throat raw.

"Where's her husband?" Vance asked, looking around the empty hallway.

Caleb pulled his phone from his pocket. The screen was still displaying the social media notification from two hours ago. Jake Bennett, holding his whiskey glass, smiling against the Aspen peaks.

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"He's in Aspen," Caleb said, his voice dropping into a register of cold, lethal fury. "Celebrating his birthday."

***

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