Ice Cold by Tess Gerritsen

prints she’d left when she’d run down this same road a short time earlier.
    A scream pierced the trees, a pain-racked shriek that ended in a sob. Not only was Arlo still alive, he was now awake.
    She rounded the curve and there they were, exactly where she’d left them. Grace was huddled by herself, hands clasped over her ears against Arlo’s sobs. Elaine cringed back against the Jeep, hugging herself as though she were the one in pain. As Maura dragged the sled closer, Doug looked up with an expression of profound relief.
    “Did you bring something to tie him to the sled?” he asked.
    “I found rope and duct tape.” She positioned the sled beside Arlo, whose sobs had faded to whimpers.
    “You take the hips,” said Doug. “I’ll move his shoulders.”
    “We need to splint the leg first. That’s why I brought the ski poles.”
    “Maura,” he said softly. “There’s nothing left to splint.”
    “We have to keep it rigid. We can’t let it flop all the way down the mountain.”
    He stared down at Arlo’s mutilated limb, but could not seem to move. He doesn’t want to touch it, she thought.
    Neither did she.
    They were both physicians, pathologists accustomed to slicing into torsos and sawing open skulls. But living flesh was different. It was warm and it bled and it transmitted pain. At the mere touch of her hand against his leg, Arlo began to scream again.
    “Stop! Please don’t! Don’t!”
    As Doug held down the struggling Arlo, she insulated the leg with folded blankets, cloaking shattered bones and torn ligaments and exposed flesh that was already turning purple in the cold. The limb now cocooned, she taped it to the two ski poles. By the time she’d finished splinting the leg, Arlo was reduced to quiet sobs, his face streaked with glistening trails of drool and mucus. He did not resist as they slid him sideways onto the sled and taped him in place. After the agonies they had put him through, his face had paled to the waxy yellow of impending shock.
    Doug took the towrope, and they all started back into the valley.
    Back toward Kingdom Come.

W HEN THEY BROUGHT A RLO INTO THE HOUSE, HE HAD FALLEN UNCONSCIOUS again. It was a blessing, considering what they had to do next. With pocketknife and scissors, Maura and Doug sliced away what was left of Arlo’s clothing. He had emptied his bladder, and they smelled the ammoniacal stench of urine that had soaked into his pants. Leaving only the tourniquet in place, they peeled off shredded and bloody scraps of fabric until he lay stripped, his genitals pitifully exposed. It was a view unsuitable for a thirteen-year-old girl, and Doug turned to his daughter.
    “Grace, we need a lot more wood for the fire. Go out and get some. Grace, go!”
    His sharp words snapped her back to attention. She gave a dazed nod and left the house, admitting a cold draft of wind as the door shut behind her.
    “Jesus,” murmured Doug, turning his full attention to Arlo’s left leg. “Where do we start?”
    Start? There was so little left to work with, just twisted cartilage and torn muscles. The ankle had been rotated almost 180 degrees, but the foot itself was bizarrely intact, although it was a lifeless blue. It might have been mistaken for plastic were it not for the thick and all-too-real callus on the heel. It’s dying, she thought. The limb, the tissue itself, was starved of circulation by the tourniquet. She did not have to touch the foot to know that it would be cold and pulseless.
    “He’s going to lose the leg,” said Doug, echoing her thoughts. “We’ve got to loosen the tourniquet.”
    “Won’t he start bleeding again?” asked Elaine. She remained at the other end of the room, her gaze averted.
    “He’d want us to save his leg, Elaine.”
    “If you take off the tourniquet, how are you going to stop him from bleeding?”
    “We’ll have to ligate the artery.”
    “What does that mean?”
    “Isolate the torn vessel and tie it off. It will interrupt