necklace whose name she couldn’t recall. She had always known what she wanted to do with her life. She’d graduated from high school a year ahead of time. She had completed her undergrad in three years and still earned a double-major. Then she’d graduated third in her class at Emory Medical School. Instead of taking a high-powered surgical fellowship in Atlanta, she had moved back to Grant County to serve as a pediatrician to the perpetually underfunded, rural community.
No wonder the entire county despised him.
Sara asked Lena, “She was found exactly like this? On her back?”
Lena nodded. “I took pictures with my BlackBerry.”
Sara said, “Download and print them out as soon as you’re back at the station.”
Jeffrey nodded his agreement. Lena wasn’t going to take orders from Sara. Which was a problem for another time.
He told Sara, “The way she fell doesn’t make sense.”
He caught a flash in her eyes. She was too decent to disagree with him in front of his team.
Jeffrey asked a leading question. “Can you explain how she’d fall face-up?”
Sara looked back at the tree root sticking out of the ground. There was a deep furrow in the dirt that matched the dirty tip of the victim’s left sneaker. “The etiologies of falls are well documented. They’re the second greatest cause of unintentional injury behind auto accidents. So, this is classified as a Same Level Fall, or SLF. TBIs—traumatic brain injuries—appear in twenty-five percent of all SLFs. Roughly thirty percent of victims experience what’s called an uncontrollable shift—so by degrees, you’d get a spiral fracture in the wrist, or a hip fracture, or a TBI. Ten percent of victims rotate one-eighty. The center of gravity falls outside the supporting area of the trunk and feet. Damage is due to absorbed energy at the time of impact, so kinetic energy equals body mass and speed, which is related to the height of the fall.”
Jeffrey nodded thoughtfully, more for the expert goat-roping than a fundamental understanding of what Sara had said. He tried, “Her left foot stopped, her body kept moving forward, she spun around mid-air and slammed the back of her head into the rock.”
“Possibly.” Sara knelt down by the body. She pressed open the girl’s eyelids. Then she rested the back of her hand on the girl’s forehead.
This seemed odd to Jeffrey, the kind of old-wives’ tale that led mothers to think they could tell if their kids had a fever. Sara was extremely scientific, sometimes to a fault. If she wanted to check for a fever, she used a thermometer.
She asked Lena, “You were first at the scene?”
Lena nodded.
Sara pressed her fingers to the side of the girl’s neck. Her expression went from concern to shock to anger. Jeffrey was about to ask what was wrong when Sara pressed her ear to the girl’s chest.
He heard a faint clicking noise.
Jeffrey’s first thought was that an insect or small animal was responsible. Then he realized the sound was coming from the victim’s mouth.
Click. Click. Click.
The noise slowly tapered off into silence.
“She stopped breathing.” Sara jumped into action. Up on her knees. Hands pressed against the victim’s chest. Fingers interlocked. Elbows locked as she started compressions.
Jeffrey felt panic stab into his brain. “She’s alive?”
“Call an ambulance!” Sara yelled. Her words jolted everyone into action.
“Shit!” Frank had his phone out. “Shit-shit-shit.”
Sara told Lena, “Get the defibrillator!”
Lena scrambled under the yellow tape.
Jeffrey dropped to his knees. He tilted back the girl’s head. He looked into the mouth to make sure the airway was clear. He waited for Sara’s signal, took a breath, then exhaled into the girl’s mouth.
Most of the air came back into his own mouth. He checked the throat again, making sure nothing was lodged in the back.
Sara asked, “Is air getting through?”
“Not much.”
“Keep going.” Sara resumed compressions, counting out each rapid push. He could hear her panting from the effort as she tried to manually pump blood through the girl’s heart.
“Ambulance is eight minutes out,” Frank said, “I’ll go down and flag it.”
Sara finished counting, “Thirty.”
Jeffrey gave two more short breaths. It was like blowing through a straw. Air was going through, but not enough.
“Half an hour,” Sara said, starting another round of CPR. “Lena didn’t think to check for a fucking pulse?”
She wasn’t expecting an answer, and he couldn’t give one. Jeffrey waited for Sara’s count to hit thirty, then leaned over and breathed out as hard as he could.
Without warning, vomit spewed up into his mouth. The girl’s head jerked forward, smashing into his