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after checking mary 's chart for her blood type , she grabbed a bag of blood from the coolers .
trading places with pesh , she started another iv in the crook of mary 's right elbow .
`` besides your chest , are you hurting anywhere else ? ''
pesh asked , after he finished listening to her heart and lungs .
`` my stomach . ''
megan 's breath hitched .
it was never good for a car accident patient to have stomach pains .
that usually meant hemorrhaging , which could also attribute the low blood pressure .
pressing on mary 's abdomen , pesh asked , `` does this hurt ? ''
`` no . ''
`` here ? ''
`` no . ''
`` what about here ? ''
a screech came from the bed .
pesh 's brows drew with worry .
`` i 'm going to do a quick ultrasound , mary .
i want to see what 's causing the pain . ''
`` okay . ''
megan pulled the machine over to the bedside .
she squirted the jelly onto mary 's stomach , and then pesh began running the wand over the skin .
`` i 'm feeling a little dizzy , too , '' mary said , in a low voice .
pesh and megan exchanged a quick look before he shoved the ultrasound machine back .
turning to kristi , he said , `` call the or .
she 's got a ruptured spleen . ''
after depressing the break on the gurney , pesh swung it out of the trauma room and started down the hall .
`` go with him , '' kristi instructed , as she held onto the phone .
megan jogged down the hall to catch up with pesh .
he smacked the buttons on the elevator before glancing down at mary .
`` stay with me , okay ?
we 're going to get you into surgery , and then you 'll be good as new . ''
`` are you sure ? ''
she asked .
without hesitation , pesh replied , `` yes , but you have to stay with me . ''
the elevator 's doors slid open .
as megan helped pesh push the gurney inside , mary asked , `` did you turn on more lights ? ''
megan creased her brows in worry as she glanced over to pesh .
`` we 're getting in the elevator to take you to the or for surgery , '' she replied .
`` but it 's so bright , '' mary whispered before closing her eyes .
her head lolled to the side just as the alarms on the monitors began screeching in megan 's ears .
`` dammit , she 's crashing ! ''
pesh cried .
ice-cold fear pricked its way from the top of megan 's head all the way down her body .
a patient was crashing in the elevator without the crash cart .
what the hell were they supposed to do ?
`` lower the gurney , '' pesh ordered .
megan 's jerky hands fumbled with the lever .
once it was flat , pesh brought his hands to mary 's chest and began compressions .
without having to be told , megan leaned down , pinched mary 's nose , and began breathing into her mouth .
they worked in perfect synchronization .
`` stay with me , mary ! ''
pesh barked , as his hands pumped in a manic pace up and down on mary 's chest .
glancing up from her breathing , megan eyed the monitors .
`` no pulse . ''
when pesh did n't respond , she continued doing breathing cycles .
at the taste of something warm meeting her lips , she jerked back .
blood oozed out of mary 's mouth .
`` there 's more damage than the spleen .
she 's bleeding from the mouth . ''
pesh did n't even acknowledge her comment .
`` the seat belt and airbag could have caused an aortic tear as well .
there 's nothing we can do . ''
instead , he kept right on with his compressions .
the elevator doors opened , and megan met the expectant faces of the surgical team .
when one doctor stepped forward , she shook her head .
`` she 's gone . ''
pesh growled across from her .
`` no , she is n't .
we have to keep trying .
get a cart in here . ''
the doctor eyed the stats on the monitors .
`` i do n't think it will help . ''
jerking his head up from mary , pesh snarled , `` get the f**king cart ! ''
as one of the nurses scrambled away , two others pulled the gurney from the elevator .
megan stood back , feeling helpless as to what to do .
once the cart arrived , pesh ripped open mary 's gown .
`` charging 260 joules . ''
he rubbed the paddles together .
`` clear ! ''
mary 's chest jolted off the gurney with the force of the electricity .
megan did n't need to look at the monitors .
the heart stayed in a flat line .
`` charging 360 joules . ''
megan closed her eyes when pesh administered the second shock .
`` dammit , jade , do n't do this !
try for me ! ''
megan could n't hold back the gasp that escaped her at pesh calling mary by his late wife 's name .
before pesh could do another charge , one of the surgeon 's stepped forward .
after he removed his mask , he put his hand on pesh 's back .
`` calling time of death . ''
defeated , pesh dropped his head .
slowly , he eased back from the gurney .
a nurse took the paddles from him and put them back on the cart .
`` i 'll go notify the family , '' pesh murmured .
the surgeon shook his head and stared pointedly at megan .
`` get a resident to do that .
nadeen , you go take a breather , buddy . ''
`` they deserve to speak to the doctor who was with her when she died . ''
`` you do n't need to do this . ''
pesh slung away from the surgeon and started for the elevator .
megan knew there was no point in arguing with him or trying to get one of the residents to take his place .