itâs never happened to you. Two people cross the road. Itâs late, midnight, and very dark. They donât use the crosswalk. They simply wait for a break in traffic and start going. Halfway across, in the median, they stop and wait for another opening. It never comes. A car preparing for a left turn swings into the median and slams into them both. The driver reacts, but itâs too late. Theyâre hit, theyâre broken, theyâre tossed in the air. Theyâand the various bits of themâland here and there.
Chris and I are the first to arrive. A loud, fast, screaming response. The rule for scenes with multiple patients is first in, lastout. As first in, the carnage is ours to survey. Itâs up to us to call in the appropriate resources, to determine whose injuries require treatment and who can be left to die. Triage is a brutal process of deciding who canât be saved so resources can be focused elsewhere. Any patient found without a pulse will remain pulseless; weâll leave him and move on. Sometimes that person we found twitching, eyes wide and not breathing, the one we left for dead, sometimes he starts breathing again. Startled but not surprised, we upgrade him from dead to critical and he gets transported. No hard feelings, my friend. Sometimes life finds a way.
Thereâs no such confusion tonight. The first patient we come across, horribly injured and, in all likelihood, doomed, is alive. Chest like a bag of gravelâribs, sternum, collarbones, all broken. Her lungs are punctured, and huge pockets of air are filling the void. We jab two long, wide needles in, a vain attempt to let some of the trapped air out, but itâs just an afterthought. The legs are also broken, probably from the bumper. They do that, bumpersâsnap the bones so they flop and fold like a dollâs legs.
Help arrives and the first patient is spirited awayâalive, but how long that will last, well . . .
The other patient isnât. Isnât alive, isnât a patient, isnât someone to be treated. He was launched over the hood, struck his head on the driverâs-side corner of the windshield, and was thrown back down. Heâs lying in the glare of the headlights, skull open, face obscured by scalp. Thereâs nothing to do but look. Which we can do. Because of the headlights. From the car. Which has a driver.
Shit .
I walk over to the passenger side and signal for the driver to roll his window down. Heâs behind the wheel, unblinking eyesstaring out through the punched-in windshield. Heâs frozen, heâs silent. Heâs covered in hair. This manâwhose only crime was to be behind the wheel when someone else made a poor choiceâhas killed two people and now sits covered in their hair. How long will he feel the prickly stab of shorn hair on his exposed skin? Itâs a horrible situation for everyone involved, and this guy is in need of some sort of attention.
âAre you okay?â
He looks at the form slumped in the glare of his headlights, at his punched-in windshield, at the hair. He doesnât answer. He doesnât have to. I want to tell him it isnât his fault, that it couldâve happened to anyone, that heâs the unlucky winner of the worst lottery ever. I put my hand on the roof, start to lean in the window, and realize Iâm touching not cold steel but, rather, a warm, wobbly bowl of Jell-Oâexcept it isnât. Itâs a brain, and Iâve put my hand right in it.
I stand up. Peel off my glove. Thank God for gloves. Then I walk over to Chris, a little pale, a little repulsed, a little amused. He crinkles his forehead as if to say, What?
âI just put my hand in brain.â
15
Nailed to the Wall
I n a job where itâs possible to scoop up a strangerâs brain, itâs important to have levity. But after a while, I lose the ability to judge which stories to tell my friends and which go beyond
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