Chapter 6 - The Triage on 86th Street

The siren of the lead Indiana State Police cruiser was not the modern electronic yelp; it was the old-fashioned, mechanical wail that starts in the chest and climbs up into the teeth.
They did not wait for the elevator.
Four state troopers in their gray campaign hats and navy blue tunics came through the shattered entryway with their sidearms drawn, their boots tracking wet maple leaves across Glenda’s clean linoleum.
Behind them came two paramedics in dark blue tactical jumpsuits, carrying an orange trauma box and a folding aluminum scoop stretcher.
The lead trooper—a sergeant with twenty years of road grease on his face and a silver badge pinned to his wool pocket—stopped three feet inside the door. He looked at Earl, who was standing at parade rest beside the kitchen counter, his dress uniform pristine, his hands clasped behind his back.
Then he looked at Travis, who was curled in a fetal ball against the baseboard, whimpering over four broken fingers, and Glenda, who was spitting blood onto her polyester knees.
Then he looked at me.
I had not moved from the side of the bed.
I had my left arm under Abby’s shoulders, lifting her head off the greasy pillow. My right hand was pressed flat against the lower margin of her ribs, right over that purple handprint, feeling the faint, fluttering, irregular kick of my grandchild’s heels against the uterine wall.
The blood was soaking through my dress uniform sleeve. The dark olive wool of my left cuff—the cuff with the two gold service bars—was black with it.
“Trooper,” I said.
The sergeant took his hat off. It was an involuntary, automatic reflex—the movement a country boy makes when he walks into a church or a room where someone is receiving the last rites.
“Ma'am?”
“My daughter is Abigail Braddock Keene,” I said. My voice was steady. It was the voice that gives the coordinates for an emergency medical extraction while the mortar tubes are still walking rounds across the perimeter wire. “She is twenty-four weeks gestation. She has multiple blunt-force contusions across the thoracic cage, bilateral wrist trauma consistent with mechanical restraint, severe systemic dehydration, and acute vaginal hemorrhage indicating probable placental abruption.”
The lead paramedic—a woman with short red hair and a stethoscope looped twice around her neck—dropped to her knees on the opposite side of the mattress before I had finished the word abruption.
She didn't ask questions. She had seen the handprint on the flank.
“Two large-bore IV lines,” she barked at her partner, who was already ripping open plastic bags of lactated Ringer’s solution. “Get the monitor on her. We need five milligrams of magnesium sulfate in the first fifty, and get the OB-trauma team at St. Vincent’s on the radio now. Tell them we are coming in with a maternal code three.”
They did not use the stairs gently.
They strapped Abby onto the aluminum scoop, wrapped her in silver thermal foil that crackled like dry grass in the autumn wind, and carried her down the rotting wooden breezeway while two troopers held the IV bags above their shoulders like ceremonial standards.
I walked three inches behind the stretcher.
My left hand never left her forehead. Her skin was warming up—not with health, but with the dry, terrifying heat of a systemic infection that had been brewing beneath those dirty blankets for two weeks.
In the parking lot, the light had died.
The sky had turned the color of cold lead, a thin, greasy drizzle beginning to coat the asphalt with an oily sheen that reflected the rotating red lights of four patrol cars and two ambulances.
A small crowd of tenants had gathered on the balconies of Building 3 and Building 5—young women in fleece pajama pants holding babies, middle-aged men in greasy t-shirts holding cans of domestic beer—staring down at the staff car with the two silver eagles on the bumper and the state police tape being unrolled across the stairwell.
Travis was brought down thirty seconds later.
He was not walking. Two troopers had him by the upper arms, his feet dragging through the wet leaves, his face covered in gray snot and dirt. His right hand was wrapped in an orange plastic splint, held against his chest like a wounded paw.
“Mom!” he was screaming toward the second-floor railing where Glenda was being escorted out by a female deputy. “Call Uncle Gary! Call the bank! Tell them I won't be in for the closing tomorrow!”
Earl Dobbs stepped out from the shadow of the Suburban.
He did not shout. He did not pull his weapon.
He simply stood in the narrow path between the patrol car and the ambulance, his massive chest blocking the light from the cruiser’s headlamps.
As the two troopers hauled Travis past him, Earl leaned down by four inches.
“Son,” Earl said. His voice was so low it did not carry to the troopers, but Travis’s head snapped toward him as if he had been struck with an iron rod.
“What?” Travis blubbered.
“You pray that baby breathes,” Earl said. “Because if that child stops moving, there isn't a county jail between here and the Canadian border that has walls thick enough to keep that woman out of your cell.”
The ambulance doors slammed shut with a heavy, pressurized clack.
The siren began its climb—that long, rising scream that splits the Indianapolis traffic like a hot knife through lard—and the vehicle lurched forward into the rain, its tires throwing sheets of gray water across the hood of my staff car.
I climbed into the front passenger seat of the ambulance.
I did not look at the paramedic. I did not look at the blood on my ribbons.
May you like
I took my daughter’s thumb in my palm, laid my forehead against her cold knuckles, and for the first time in nine years, I spoke to Rob.
“You hold that line,” I whispered into the dark of the moving truck. “You hold that line until I get her there.”