Royal Christmas at Seattle General

  Seattle General Hospital

  A very royal Christmas surprise awaits...

  As trees go up, snow begins to fall, lights begin to sparkle and gifts are wrapped, the esteemed Seattle General Hospital emergency room team prepares for a festive season they won’t soon forget!

  Head ER doc Domenico di Rossi has long kept his identity as Crown Prince of Isola Verde a secret, so when his father is admitted to the ER, chaos erupts and unexpected Christmas miracles are set in motion for everyone in the hospital. Now, with lives on the line, secrets to hide, a throne to be claimed, and hearts to win and lose, it’s clear that this Christmas will be the most dramatic yet for the team at Seattle General Hospital!

  Available now:

  Falling for the Secret Prince

  by Alison Roberts

  Neurosurgeon’s Christmas to Remember

  by Traci Douglass

  And coming soon:

  The Bodyguard’s Christmas Proposal

  by Charlotte Hawkes

  The Princess’s Christmas Baby

  by Louisa George

  Dear Reader,

  One of the things I’ve always loved about reading is finding myself caught up in a new world, in the company of memorable characters and page-turning stories. Even now, many decades later, I can step instantly through the back of that wardrobe and feel the chill as I enter Narnia, hear the echoes of cowbells on a mountainside with Heidi or feel the gentle pace of rural life on Prince Edward Island with Anne of Green Gables.

  As an author, the backgrounds I choose for my stories are very important. I’m in love with Seattle and its magnificent surroundings—including the Olympic National Park, which plays a key role in both my heroine Emilia’s life and in the story itself. One day, I’m going to go and visit, and I might even try to find the exact spot where Dom comes to find Emmy because he needs to persuade her that they are meant to be together. Forever!

  I love the setting. I love my characters and I love that there’s a little bit of Cinderella in this story.

  Oh...and it’s nearly Christmas...

  Happy sigh...

  With love,

  Alison

  Falling for the Secret Prince

  Alison Roberts

  Alison Roberts is a New Zealander, currently lucky enough to be living in the South of France. She is also lucky enough to write for the Harlequin Medical Romance line. A primary school teacher in a former life, she is now a qualified paramedic. She loves to travel and dance, drink champagne, and spend time with her daughter and her friends.

  Books by Alison Roberts

  Harlequin Medical Romance

  Medics, Sisters, Brides

  Awakening the Shy Nurse

  Saved by Their Miracle Baby

  Rescue Docs

  Resisting Her Rescue Doc

  Pregnant with Her Best Friend’s Baby

  Dr. Right for the Single Mom

  Hope Children’s Hospital

  Their Newborn Baby Gift

  Twins on Her Doorstep

  Melting the Trauma Doc’s Heart

  Single Dad in Her Stocking

  The Paramedic’s Unexpected Hero

  Visit the Author Profile page at Harlequin.com for more titles.

  Praise for Alison Roberts

  “Ms. Roberts has delivered a delightful read in this book where the chemistry between this couple was strong from the moment they meet...the romance was heart-warming.”

  —Harlequin Junkie on Melting the Trauma Doc’s Heart

  Contents

  CHAPTER ONE

  CHAPTER TWO

  CHAPTER THREE

  CHAPTER FOUR

  CHAPTER FIVE

  CHAPTER SIX

  CHAPTER SEVEN

  CHAPTER EIGHT

  CHAPTER NINE

  CHAPTER TEN

  EXCERPT FROM NEUROSURGEON’S CHRISTMAS TO REMEMBER BY TRACI DOUGLASS

  CHAPTER ONE

  Trauma Team to ER. Stat.

  Yes... DR EMILIA FEATHERSTONE keyed in the response on her pager that she was available and that she was on her way to the ER and then found an apologetic smile for all the other members of Seattle General Hospital’s orthopaedic department, who had gathered in this small lecture theatre to present and discuss current challenging cases.

  ‘Sorry... Gotta go. Trauma team code.’

  She wasn’t really sorry, of course. Emilia was already pushing open the wide door of the lecture theatre and she would be running by the time she hit the stairs. She loved a trauma team code. She loved the buzz of an ER dealing with an incoming major trauma case and she loved being the surgeon who was the ‘go-to’ expert for orthopaedic injuries. This was exactly what she’d worked so hard for, ever since those first days at medical school. And here, at Seattle General, was exactly where she wanted to use her expertise—a bustling, state-of-the-art, big-city hospital that attracted the best of the best.

  Like she was now.

  Like Domenico di Rossi was. As the head of the ER and the trauma team leader, she knew he’d be waiting outside the main resuscitation area to perform a pre-arrival team briefing. He’d have a trauma checklist in his hand, that had items like allocating roles to key personnel, including the airway doctor, circulation nurse and a scribe. He would be ticking off things like appropriate personal protection equipment for each person such as gowns, gloves and goggles and making sure that drugs were drawn up and monitors prepped along with the kind of special equipment that might be needed like a rapid infuser or chest drain. Not that Dom actually needed a clipboard with an attached checklist at all because this was his area of expertise and he had always been determined to be the absolute best.

  They’d had that ambition in common from the first time they’d recognised the other as their main competition for the top position in their class at medical school. It had been a bonus to discover that her old rival was working here when Emilia had joined the staff at Seattle General recently. And it had been even more of a bonus to find not only that their respect for each other’s abilities was still intact but also that oh, so enjoyable banter that had softened the edges of their competitive relationship seemed to be still very much alive and kicking.

  Judging by the gleam in those dark eyes of his, Dom was also sharing Emilia’s love of the challenge of a trauma team code. She knew the satisfaction he would have in orchestrating what could turn out to be a complicated response to someone who was critically injured. She suspected there might be another element, whether conscious or not, adding to that satisfaction because, for the moment, he had the advantage over Emilia. This was his space and, as always, he was owning it.

  ‘Out of breath, Emmy?’ He kept his voice down so that other members of the team, who were already busy donning their PPE couldn’t hear him. ‘Have you thought of taking up a fitness programme?’

  He was the only person who called her Emmy. It was like a signal that he was tapping into that old banter and he only did it because he’d found it had bothered her so much all those years ago. It had a familiarity that was almost welcome now, however. Maybe because it had been nice to find a familiar face when she’d started working in a new hospital. Or perhaps it was because her past was so far behind her now, it was another lifetime.

  ‘Come to the park with me any day, Dom, and I’ll show you who’s fitter.’

  Lucas Beaufort, another ER doctor, was tying the strings of his gown as he appeared beside Dom.

  ‘Another challenge?’ He was grinning. ‘Are you two ever going to stop competing with each other?’

  Dom just shook his head. ‘Lucas—you’re on airway, as usual.’

  Lucas nodded. ‘All set. Equipment list ticked off and drugs drawn up. We’re good to go.’

  Dom mirrored the single nod. ‘Don’t forget your lead apron, mate. You too, Emilia.’ Dom turned away. ‘Where’s our radiographer?’ he called. ‘And has someone put CT on standby in case we need them? What’s the ambulance ETA? Okay...let’s get everyone into Resus, please...’

  Lucas and Emilia shared a glance as they reached for the lead aprons that would protect them when X-rays were taken in Resus. They might not know each other particularly well yet but they were the two people in this hospital who probably knew Domenico di Rossi better than anyone else. Emilia because of their shared years at medical school and Lucas because he was Dom’s closest friend. They also had two of the critical roles in this trauma team. The airway was the first step in assessing and stabilising any patient and Lucas would have to deal with any obstruction and perform an intubation if necessary. Emilia would be assessing any injuries that might need surgery and deciding how urgent it was to get someone to Theatre. She was also the team leader support so she could share management with Dom if victim numbers meant that the team would be divided.

  ‘It’s an MVA,’ Dom informed the medical staff gathered around him moments later. ‘Relatively high-speed skid on black ice, apparently, and the vehicle hit a concrete barrier. There are three, maybe four incoming patients and at least one of them is Status One with a compound femoral fracture and haemorrhage. He’s unconscious which could be due to blood loss but could also be due to a head injury.’

  Dom didn’t need to catch Emilia’s gaze to warn he
r that her input into the assessment and treatment of this patient would be a priority. An open fracture of the femur was a serious enough injury for anyone. If it had severed the femoral artery to cause a haemorrhage the blood loss could well be significant enough to not only explain his level of consciousness but also to give the patient an immediately life-threatening designation.

  Someone from Neurology was the last person to join the group, just as the double doors that led to the ambulance bay slid open on both sides of the emergency entrance way. With the doors to Resus One folded back it was possible to see the flashing lights of ambulances against the deep grey of a late November morning sky. They could also see the gurneys starting to roll in and the first one clearly held the case that needed the most urgent attention. The patient was still unconscious. Covered in blood. A man hanging on one side of the gurney, who wasn’t an ambulance officer was also covered in blood and seemed to be holding a pressure bandage in place on the patient’s leg. An older patient, Emilia noted, as the gurney reached the doors of the resus area where the trauma team were waiting to receive the handover.

  ‘This is Roberto Baresi.’ The lead paramedic started speaking the moment he was within earshot of the team. ‘A seventy-five-year-old male who’s just arrived from Europe. His daughter tells us he speaks both Italian and English. He was a back seat passenger in the MVA and he took the brunt of the impact with a concrete barrier wall.’

  The gurney was being positioned beside the resus trolley so that the patient could be transferred. As Airway Doctor, it was Lucas’s job to oversee the transfer, using a log roll so that the plastic slide could be positioned beneath the elderly man. There was a tourniquet in place, Emilia noted, but it didn’t seem to be a hundred percent effective and the face of the man who was trying to keep pressure on the wound was grim enough to suggest that it had already been a battle to control blood loss. Who was he, she wondered, and why had he been given such a critical role in caring for this badly injured man?

  ‘Open femoral fracture and heavy blood loss estimated at two litres, possibly more,’ the paramedic continued. ‘Patient unconscious with a GCS of seven on arrival. Airway clear and breath sounds equal. Blood pressure was unreadable. He’s had two units of saline and currently has a systolic pressure of eighty.’

  Still too low. Emilia glanced at the bags of intravenous fluid now being transferred to hooks over the trolley. Lucas had the patient’s head tilted back to ensure his airway was open, had transferred his oxygen supply to the overhead outlets and was now listening to his chest with a stethoscope. Other staff were working fast to put monitoring in place for heart rate and rhythm, blood pressure and oxygen levels.

  The man who’d been doing the haemorrhage control was being moved aside as a new tourniquet was placed and it was possible to see the extent of the wound on the man’s leg which looked serious. The femur—the longest bone in the body—had been broken with enough force to send the ends through tissue and skin, obviously causing damage to important blood vessels on the way.

  Emilia’s brain was working as rapidly as it always had. She had the ability to pose questions and then instantly provide a list of what needed to be done to get the necessary information. In a matter of only seconds, she was assessing what she could see of the soft tissue and bone damage, wondering what type of fracture she would be dealing with and getting ready to request X-rays of the entire femur, hip and knee. She would prefer a CT scan of the femoral neck as well.

  It might be necessary to scan the man’s brain before she took him to Theatre, too. The gold standard repair using a rod inside the bone to repair a femoral fracture was contraindicated if the patient had a closed head injury because it was critical to avoid low blood pressure or oxygen levels. If that was the case—and both Lucas and the neurosurgical resident were assessing the man’s pupils now—Emilia would have to consider a provisional external fixation for this serious fracture.

  More gurneys were in the ER now. A glance over her shoulder showed that one of them had a woman about Emilia’s age on it, who had long, curly black hair. She was sitting up and conscious and another man coming in was walking so neither of them were injured seriously enough to mean it would be necessary to disperse members of the trauma team. They probably wouldn’t even attract the attention of more than the triage nurse.

  Or...perhaps they would.

  For the first time since this critically injured patient had been rolled into the resus area, Emilia looked towards Dom. He should be at the foot of the bed, watching and processing everything that was happening, ready to direct the team, locate whatever extra resources were needed and to step in at any time if necessary.

  He was at the foot of the bed, all right, but his head was turning from one side to the other, looking, in turn, at both the man on the trolley and the girl on the gurney as if he was observing a slow motion game of tennis. And...something was wrong. So wrong that Emilia could feel the hairs on the back of her neck prickle.

  This wasn’t the highly skilled and totally focussed team leader that she knew and respected so much. This was a man who was clearly so rattled, for whatever reason, that he was facing a challenge that appeared to be momentarily overwhelming. She knew he was more than capable of pulling himself together well enough to stay on top of the situation but Emilia’s heart went out to him because she knew how much he would hate to feel like this, let alone to have any of his colleagues seeing it. Plus, he was pale enough for her to wonder if he was unwell in some way himself.

  Emilia didn’t hesitate. She could only hope that she had noticed Dom’s predicament before anyone else. She stepped close enough to touch his arm and make sure she had his attention.

  ‘I’ll take this one, Dom,’ she said. ‘Go... Take as much time as you need...’

  * * *

  Oddio...

  It was every doctor’s worst nightmare to have members of their own family brought into an emergency room with potentially life-threatening injuries but, for Dom, it was on a whole next level of complicated.

  Nobody could know that this was his family. That this was his father on the resus trolley and it was his sister, Giada, who was on the second gurney. Lucas was the only person at Seattle General who knew why he had such a strained relationship with Roberto but his best friend was the brother Dom had never had and he knew that Lucas wouldn’t dream of breaking that confidence. Besides, as the airway doctor, he was totally focussed on stabilising his patient’s condition right now. He hadn’t looked up so wouldn’t have seen, and recognised, Giada and he probably hadn’t realised the connection between Dom and Roberto thanks to the difference in surnames.

  But Emilia had noticed something odd was going on with the same kind of lightning fast mental reflexes he’d learned to expect from her long ago. Not that she could have the slightest idea of what it was about but her concern for his wellbeing was obvious and Dom could feel a wash of gratitude softening the edges of the shock he was still grappling with.

  It could have been enough to allow him to push past the personal connection with these patients. To let him stay where he was and not let it affect his clinical judgement but, beyond where Giada was talking to the triage nurse, Dom could see someone else moving calmly, but swiftly enough to suggest urgency, into the ER. Ayanna Franklin, head of PR for Seattle General. Somehow, she must have already found out who was involved in this accident and she knew she had to safeguard their identities.

  No wonder she was looking stressed. It would be a PR disaster if it became known that Seattle General was incapable of protecting the privacy of patients who were depending on it because negative publicity could have wide-ranging and very damaging effects. While a small, Mediterranean kingdom might not be globally well known, the fact that Seattle General currently had both a king and a princess as patients would be deemed more than worthy of intense media attention. Dom had been satisfyingly successful in flying under the radar and avoiding that kind of attention for a long time but he hadn’t forgotten how intrusive it could be. Or how far-ranging the effects could be.

  Ayanna was speaking quietly to senior nursing staff and Dom needed to know what was being decided. He also needed Ayanna’s help to ensure that his father’s medical history was available to those that needed to know without revealing his own connection. There were three other patients who’d been brought into his ER at the same time as his father so it was perfectly reasonable for Dom to be seen leaving Resus to check up on them, especially when he had someone as competent as Emilia Featherstone to be the team leader for managing this particular patient. Staff members were stepping back anyway, to allow for the radiographer to get the images needed, so it was easy to keep moving.