Annabella Crabtree: Hunter

Total Page:16

File Type:pdf, Size:1020Kb

Annabella Crabtree: Hunter Annabella Crabtree: Hunter By Nick Creech Volume II of the Annabella trilogy Text copyright © Nicholas R. Creech 2015 Nick Creech asserts the moral right to be identified as the author of this work All rights reserved. No part of this publication may be reproduced or otherwise used without the prior permission of the author Set in Times New Roman For my family. Some of whom have actually read this one too, and particularly for Deborah. Historical note: Within the bounds of conflicting and imprecise sources I have attempted to be scrupulously accurate in all matters of what might be considered fact. Contents Contents..........................................................................................................................4 ALSO BY NICK CREECH............................................................................................6 Annabella Crabtree, Volume 1: Hunted..........................................................................6 Annabella Crabtree, Volume 3: Hostage........................................................................6 Beekle Henry...................................................................................................................6 A Way with Dragons.......................................................................................................6 The Blob, the Frog, the Dog and the Girl.......................................................................6 Three-P............................................................................................................................6 Galiconia.........................................................................................................................6 THE AUTHOR...............................................................................................................7 Nick Creech is a former newspaper journalist. He has two sons, both now successful and more-or-less responsible adults who still deign to talk to him from time to time in tones of kindly condescension. He has a wife who does the same, mostly....................7 Since leaving journalism he has written extensively for children, young adults and people of all ages who just enjoy a story........................................................................7 Chapter 1.........................................................................................................................8 Chapter 2.......................................................................................................................17 Chapter 3.......................................................................................................................26 Chapter 4.......................................................................................................................35 Chapter 5.......................................................................................................................46 Chapter 6.......................................................................................................................55 Chapter 7.......................................................................................................................64 Chapter 8.......................................................................................................................73 Chapter 9.......................................................................................................................79 Chapter 10.....................................................................................................................88 Chapter 11.....................................................................................................................98 Chapter 12...................................................................................................................108 Chapter 13...................................................................................................................115 Chapter 14...................................................................................................................125 Chapter 15...................................................................................................................134 Chapter 16...................................................................................................................143 Chapter 17...................................................................................................................153 Chapter 18...................................................................................................................163 Chapter 19...................................................................................................................171 Chapter 20...................................................................................................................181 Chapter 21...................................................................................................................192 Chapter 22...................................................................................................................201 Chapter 23...................................................................................................................209 Chapter 24...................................................................................................................219 Chapter 25...................................................................................................................227 Chapter 26...................................................................................................................234 ALSO BY NICK CREECH Annabella Crabtree, Volume 1: Hunted Annabella Crabtree, Volume 3: Hostage Beekle Henry A Way with Dragons The Blob, the Frog, the Dog and the Girl Three-P Galiconia THE AUTHOR Nick Creech is a former newspaper journalist. He has two sons, both now successful and more-or-less responsible adults who still deign to talk to him from time to time in tones of kindly condescension. He has a wife who does the same, mostly. Since leaving journalism he has written extensively for children, young adults and people of all ages who just enjoy a story. Chapter 1 The hands, strangely miniature, were now just shrieking nerve ends, vessels of pain beyond imagining. Nevertheless, they groped their way onwards, ever onwards through the boiling, glutinous mud, compulsively sifting, sieving, searching. It was a hopeless quest, utterly futile, a quest doomed to eternal failure, a quest sparked by that one, faint tremor at the surface so long ago, the significance of which had taken years to penetrate his layers of agony. Yet, however vain, the quest was purpose and the hands crept on, fanatical, implacable, alert for the slightest anomaly... A finger touched something solid, searing, scarifying, but instead of jerking away from this amplified agony, the hand closed convulsively on what was a heavy, gold chain. Threaded on the chain was a massive ring, also of gold. It bore a curious device, a six-pointed star formed of interlocking triangles. Each of the smaller triangles so created was inset with a tiny triangular ruby... Annabella and Vivienne came to a nervous stop at the entrance to the administrative offices. As Annabella had once remarked rather bitterly, when girls travelled in pairs there always seemed to be an attractive one and a companion whose modest attributes, well, none really, merely served to emphasise the other's looks. And even in her school uniform, it had to be said that Vivienne, with her gamin blonde hair and blossoming figure, was middling spectacular, all sweet sixteen and ripe to be kissed. Annabella, on the other hand, was easy to dismiss as just another stick-skinny schoolgirl, secretly despairing of ever developing; easy to dismiss, that is unless one took the trouble to notice her brilliant blue eyes were informed with remarkable inner fire. "What do you think she wants?" Vivienne said for the third time. They had been summoned to an interview with the headmistress, Mrs Gordon, known not entirely affectionately as the Gorgon. For the most part she was a quiet and rational woman but with the capacity, at need, to become totally terrifying, as over the years many a wayward young lady had discovered to her cost. Annabella shrugged. Her conscience was reasonably clear for once and she felt no particular need to be apprehensive. Another year, another school and there really hadn't been time for them to curry any particular disfavour at this new establishment. Last year's school had not been a success – Vivienne had been bullied, as usual, and Annabella had gone to war as a result – and Flintlock College before that had been a complete disaster for both of them. "Guess we'll soon find out," Annabella said pushing through the swing doors and holding them open for Vivienne. Vivienne's eyes, she noticed, were suddenly very large and round, a response to alarm that Annabella had not seen for some considerable time. Mrs Gordon peered at them over the top of her spectacles and motioned them to sit. She looked rather more concerned than angry, Annabella thought, and wondered why. There were four neat stacks of paper spread across Mrs Gordon's handsome inlaid desk. She tapped one of the piles. "I have here your exam and test papers for Latin and French going back to when you started at the school at the beginning of term," she said in a neutral voice. "Would you care to explain...? Let me rephrase that. I require you to explain how it can possibly
Recommended publications
  • Logging Songs of the Pacific Northwest: a Study of Three Contemporary Artists Leslie A
    Florida State University Libraries Electronic Theses, Treatises and Dissertations The Graduate School 2007 Logging Songs of the Pacific Northwest: A Study of Three Contemporary Artists Leslie A. Johnson Follow this and additional works at the FSU Digital Library. For more information, please contact [email protected] THE FLORIDA STATE UNIVERSITY COLLEGE OF MUSIC LOGGING SONGS OF THE PACIFIC NORTHWEST: A STUDY OF THREE CONTEMPORARY ARTISTS By LESLIE A. JOHNSON A Thesis submitted to the College of Music in partial fulfillment of the requirements for the degree of Master of Music Degree Awarded: Spring Semester, 2007 The members of the Committee approve the Thesis of Leslie A. Johnson defended on March 28, 2007. _____________________________ Charles E. Brewer Professor Directing Thesis _____________________________ Denise Von Glahn Committee Member ` _____________________________ Karyl Louwenaar-Lueck Committee Member The Office of Graduate Studies has verified and approved the above named committee members. ii ACKNOWLEDGEMENTS I would like to thank those who have helped me with this manuscript and my academic career: my parents, grandparents, other family members and friends for their support; a handful of really good teachers from every educational and professional venture thus far, including my committee members at The Florida State University; a variety of resources for the project, including Dr. Jens Lund from Olympia, Washington; and the subjects themselves and their associates. iii TABLE OF CONTENTS ABSTRACT .................................................................................................................
    [Show full text]
  • The Provision of American Medical Services at Or Via Southampton During WWII
    The Provision of D-Day: American Medical Stories Services at or via from Southampton the Walls during WWII During the Maritime Archaeology Trust’s National Lottery Heritage Funded D-Day Stories from the Walls project, volunteers undertook online research into topics and themes linked to D-Day, Southampton, ships and people during the Second World War. Their findings were used to support project outreach and dissemination. This Research Article was undertaken by one of our volunteers and represents many hours of hard and diligent work. We would like to take this opportunity to thank all our amazing volunteers. Every effort has been made to trace the copyright hold-ers and obtain permission to reproduce this material. Please do get in touch with any enquiries or any information relating to any images or the rights holder. The Provision of American Medical Services at or via Southampton during WWII Contents Introduction ..................................................................................................................................... 2 Planning for D-Day and Subsequently ............................................................................................. 2 Royal Victoria Hospital, Netley near Southampton ......................................................................... 3 Hospital Trains .................................................................................................................................. 5 Medical Services associated with 14th Port ...................................................................................
    [Show full text]
  • The Evolution of Hospitals from Antiquity to the Renaissance
    Acta Theologica Supplementum 7 2005 THE EVOLUTION OF HOSPITALS FROM ANTIQUITY TO THE RENAISSANCE ABSTRACT There is some evidence that a kind of hospital already existed towards the end of the 2nd millennium BC in ancient Mesopotamia. In India the monastic system created by the Buddhist religion led to institutionalised health care facilities as early as the 5th century BC, and with the spread of Buddhism to the east, nursing facilities, the nature and function of which are not known to us, also appeared in Sri Lanka, China and South East Asia. One would expect to find the origin of the hospital in the modern sense of the word in Greece, the birthplace of rational medicine in the 4th century BC, but the Hippocratic doctors paid house-calls, and the temples of Asclepius were vi- sited for incubation sleep and magico-religious treatment. In Roman times the military and slave hospitals were built for a specialised group and not for the public, and were therefore not precursors of the modern hospital. It is to the Christians that one must turn for the origin of the modern hospital. Hospices, originally called xenodochia, ini- tially built to shelter pilgrims and messengers between various bishops, were under Christian control developed into hospitals in the modern sense of the word. In Rome itself, the first hospital was built in the 4th century AD by a wealthy penitent widow, Fabiola. In the early Middle Ages (6th to 10th century), under the influence of the Be- nedictine Order, an infirmary became an established part of every monastery.
    [Show full text]
  • The Daily Egyptian, September 28, 1965
    Southern Illinois University Carbondale OpenSIUC September 1965 Daily Egyptian 1965 9-28-1965 The aiD ly Egyptian, September 28, 1965 Daily Egyptian Staff Follow this and additional works at: http://opensiuc.lib.siu.edu/de_September1965 Volume 47, Issue 6 Recommended Citation , . "The aiD ly Egyptian, September 28, 1965." (Sep 1965). This Article is brought to you for free and open access by the Daily Egyptian 1965 at OpenSIUC. It has been accepted for inclusion in September 1965 by an authorized administrator of OpenSIUC. For more information, please contact [email protected]. SXl'lJ. STuOIES Advisement DAILY EGyprplAN Scheduled ..J.J~r.lern llIin . Students can get advisement sou THE R NIL LIN 0 I SUN ~rliVJ;Ei~.Jl ~r~o~:arg appointments for pre-regis­ tration for winter term start­ Volum.41 Carboncla1., III. Tuesday, September 28, 1965 Number 6 ing Wednesday, according to Amos Black, executive assis­ tant in General Studies. Seniors can obtain appoint­ ments on Wednesday. and juniors will make appoint­ University Adopts final Week; ments Thursday, Black said. Upperclassmen will make ap­ pointments under a new de­ centralized system which will require them to make appoint­ 50-Minute Examinations Set ments at thei r . respective schools or colleg.· s. Students who are majoring Faculty Council in education, business or fine arts, however, will make ap­ Okays Change po~ntments in the Olympic After a year of exper!men­ Room of the University Cen­ tation with its system of final ter. Upper-class appoint­ examinations, SIU has re­ ments will be made on a walk­ turned to a formal "finals in basis.
    [Show full text]
  • KT 19-9-2017.Qxp Layout 1
    SUBSCRIPTION TUESDAY, SEPTEMBER 19, 2017 THULHIJJA 28, 1438 AH www.kuwaittimes.net Uniformed Snapchat scrubs Saudi trains Dolphins hold man found Al-Jazeera from first women on to spoil dead with a app in Saudi air traffic Chargers’ LA bullet wound3 Arabia 6 controllers11 debut,16 19-17 Kuwait tackles another Min 26º Max 47º oil spill off south coast High Tide 10:53 Low Tide The latest in a series of unexplained leaks 05:03 & 17:59 32 PAGES NO: 17334 150 FILS DUBAI: Major oil exporter Kuwait is dealing with another crude oil spill off its southern coast, state news agency Qatar to buy jet KUNA said yesterday, the latest in a series of unexplained leaks in the Gulf Arab state in recent months. KUNA said fighters from UK the latest spill has been detected in the Ras Al-Zour area, where Kuwait National Petroleum Company (KNPC) is DOHA: Qatar has signed an agreement to buy 24 building the Middle East’s largest oil refinery with a Typhoon fighter jets from Britain, a second major capacity of 615,000 barrels per day at a cost of $11.5 bil- defense deal signed by Doha during its lengthening lion in contracts. Kuwait’s Environment Public Authority diplomatic dispute with its neighbors. Qatari is monitoring the spill and is working with Kuwait Oil Defense Secretary Khalid Bin Mohammed Al-Attiyah Company and marine authorities to control it, KUNA and his British counterpart Michael Fallon signed a said, adding the size of the leak was still being assessed. “statement of intent” for the UK to sell the planes, OPEC member Kuwait reported a leak in the same according to statements released by London and on area last month.
    [Show full text]
  • Congressional Record—Senate S2006
    S2006 CONGRESSIONAL RECORD — SENATE March 24, 2020 well as the efficacy—how well does it The reason we are here tonight is Those 1,700 restaurants and bars, in work?—over the course of several that we are both upset that people are this bill, if we pass it, can go to a cred- weeks. still talking about adding to the bill 48 it union or a bank. You can borrow We have some other amazing, mir- hours after having been on the 5-yard money to pay your employees up to acle drugs. They are called monoclonal line. We may be on the 1-yard line, but, $8,000. You can borrow money to pay antibodies. That is the technical term apparently, there are 20 people on de- the rent, pay yourself as the owner, for them. When you take that drug, it fense when we need to get the ball in and we will forgive it and make it a provides protection against the the end zone. grant for 6 or 8 weeks. That will change coronavirus so that you don’t even get I am just begging of my colleagues everybody’s life all over South Caro- the COVID–19 disease. who have worked very hard—and I am lina. Here is the challenge, Senator GRA- not being critical as much as I am It is time to change people’s lives. It HAM. We have to be operating on par- being insistent—because enough is is time to stop negotiating. It is time allel paths right now to make sure we enough.
    [Show full text]
  • New Equipping Strategies for Combat Support Hospitals
    ARROYO CENTER and RAND HEALTH Center for Military Health Policy Research THE ARTS This PDF document was made available from www.rand.org as CHILD POLICY a public service of the RAND Corporation. CIVIL JUSTICE EDUCATION Jump down to document ENERGY AND ENVIRONMENT 6 HEALTH AND HEALTH CARE INTERNATIONAL AFFAIRS The RAND Corporation is a nonprofit institution that NATIONAL SECURITY POPULATION AND AGING helps improve policy and decisionmaking through PUBLIC SAFETY research and analysis. SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE TERRORISM AND HOMELAND SECURITY Support RAND TRANSPORTATION AND INFRASTRUCTURE Purchase this document WORKFORCE AND WORKPLACE Browse Books & Publications Make a charitable contribution For More Information Visit RAND at www.rand.org Explore the RAND Arroyo Center RAND Health View document details Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non-commercial use only. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. For information on reprint and linking permissions, please see RAND Permissions. This product is part of the RAND Corporation monograph series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND monographs undergo rigorous peer review to ensure high standards for research quality and objectivity. New Equipping Strategies for Combat Support Hospitals Matthew W.
    [Show full text]
  • Pre-Hospital Trauma Challenges in Ukraine
    Pre-Hospital Trauma Challenges in Ukraine Prof. Ihor Trutyak MD, PhD Danylo Halytsky Lviv Naonal Medical University Roxolana Horbowyj, MD, MSChE, FACS World Federaon of Ukrainian Medical Associaons (US) RDCR – THOR July 28, 2017 Disclaimer Statements, data and opinions expressed in this presentaon are those of the authors and do not reflect any other enty unless so stated. No copyright is claimed to any work of any government or original work published elsewhere. No financial relaonships with any commercial interests. Overview § Combat War Injuries § Lessons of hybrid warfare in Ukraine § Evoluon of Trauma Systems § Before and aer 2012 § Taccal Combat Casualty Care (TCCC) § History and current challenges Danylo Halytsky Lviv National Medical University Military Medical Clinical Center of the Western Region Lviv, Ukraine Combat War Injuries and Lessons of Hybrid War in Ukraine Prof. Ihor Trutyak MD, PhD Roxolana Horbowyj MD, FACS Ukraine Central Europe, on the East-European plain Seven neighboring countries Climate: moderately continental, except in Southern Crimea - subtropical, Mediterranean ВМКЦ Півн. Р War in Donbass ВМГ ВМКЦ ПнР ЦРЛ МЛ ЦРЛ ЦРЛ ВМГ ЦРЛ ЦРЛ ВГ ВМГ ОКБ ЦРЛ ЦРЛ At least 33.395 UkrainianЦРЛ casualties (armed forces, civilians, membersВГ of the armed groups) in the conflict area of eastern ВМГ Ukraine:ОКБ at least 9.940 people killed (2000 civilian) and 23.455 injured. ЛШМД United Nations Human Rights Council, 2017 Hybrid Warfare Political, economical and information activities with protest by local population accompanied
    [Show full text]
  • Rafm 10-22-2015
    S. Hrg. 114–139 IMPROVING PAY FLEXIBILITIES IN THE FEDERAL WORKFORCE HEARING BEFORE THE SUBCOMMITTEE ON REGULATORY AFFAIRS AND FEDERAL MANAGEMENT OF THE COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS UNITED STATES SENATE ONE HUNDRED FOURTEENTH CONGRESS FIRST SESSION OCTOBER 22, 2015 Available via http://www.fdsys.gov Printed for the use of the Committee on Homeland Security and Governmental Affairs ( U.S. GOVERNMENT PUBLISHING OFFICE 97–881 PDF WASHINGTON : 2016 For sale by the Superintendent of Documents, U.S. Government Publishing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS RON JOHNSON, Wisconsin, Chairman JOHN MCCAIN, Arizona THOMAS R. CARPER, Delaware ROB PORTMAN, Ohio CLAIRE MCCASKILL, Missouri RAND PAUL, Kentucky JON TESTER, Montana JAMES LANKFORD, Oklahoma TAMMY BALDWIN, Wisconsin MICHAEL B. ENZI, Wyoming HEIDI HEITKAMP, North Dakota KELLY AYOTTE, New Hampshire CORY A. BOOKER, New Jersey JONI ERNST, Iowa GARY C. PETERS, Michigan BEN SASSE, Nebraska KEITH B. ASHDOWN, Staff Director GABRIELLE A. BATKIN, Minority Staff Director JOHN P. KILVINGTON, Minority Deputy Staff Director LAURA W. KILBRIDE, Chief Clerk SUBCOMMITTEE ON REGULATORY AFFAIRS AND FEDERAL MANAGEMENT JAMES LANKFORD, Oklahoma, Chairman JOHN MCCAIN, Arizona HEIDI HEITKAMP, North Dakota ROB PORTMAN, Ohio JON TESTER, Montana MICHAEL B. ENZI, Wyoming CORY A. BOOKER, New Jersey JONI ERNST, Iowa GARY C. PETERS, Michigan BEN SASSE, Nebraska JOHN CUADERESS, Staff Director ERIC BURSCH, Minority Staff Director RACHEL NITSCHE, Chief Clerk (II) C O N T E N T S Opening statement: Page Senator Lankford .............................................................................................
    [Show full text]
  • Concert Highlight Homecoming
    Homecoming Rocket Lifts Off Tonight TODAY, INSIDE TODAY, EDITORIALLY • QUEENS • OPEN LOUNGES • DEBATE nlb aub lark • MORATORIUM • FRESHMEN " CURRICULUM A Prize.- Wlnning Newspaper * * * * NUMBER 4 VOLUME LV * * Wake Forest University, Winston-Salem, North Carolina, Friday, October 10, 1969 Babcock School Dul~e Game~ Concert !re, just Dedication Set , weird. Bug?" Disney. For Tomorrow hniques, 1ent. If Highlight Homecoming ;t.'' One Dr. John A. Perkins, president of the through The big Homecoming weeKend, highlighted of Trustees, Alumni Council and all Boards at 11 a.m. Wilmington (Del.) Medical Center. will be picture by tomorrow's football game with the Duke of Visitors for dinner, '7:30 p.m. Friday. A law alumni reunion will be held Sat­ the principal speaker Saturday at the dedi­ lchieve­ Blue Devils and a concert by the Iron Butter­ The Alumni Council . will have a break­ urday evening from 5 to 8 p.m. at the cation of the University's Charles H. Bab­ :ained to fly, begins tonight with a pep rally and bonfire fast meeting Saturday morning at 8 followed Sheraton, and a post-game party will be cock School of Business Administration build­ ~al. Who followed by a street dance with the Inmen. by registration in Reynolda Hall. Classes held for alumni and friends of the Univer­ ing. lywood's Tomorrow's activities begin with the dedi­ are excused on Saturday. Tours of the sity at Graylyn Estate beginning at 5 p.m. The dedication ceremony will be held at rton and cation of the Charles H. Babcock Hall in the Babcock School of Business will be con­ Saturday evening.
    [Show full text]
  • 1 1 2 3 4 5 6 National Governors Association 7 Opening Session 8 9 Growing State Economy 10 11
    1 1 2 3 4 5 6 NATIONAL GOVERNORS ASSOCIATION 7 OPENING SESSION 8 9 GROWING STATE ECONOMY 10 11 12 Virginia Ballroom 13 Williamsburg Lodge Conference Center 14 310 South England Street 15 Williamsburg, Virginia 16 July 13, 2012 17 18 19 20 21 ------------------------------------- 22 TAYLOE ASSOCIATES, INC. 23 Registered Professional Reporters 24 Telephone: (757) 461-1984 25 Norfolk, Virginia 2 1 PARTICIPANTS: 2 GOVERNOR DAVE HEINEMAN, NEBRASKA, CHAIR 3 GOVERNOR JACK MARKELL, DELAWARE, VICE CHAIR 4 5 6 GUEST: 7 JIM COLLINS, AUTHOR 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3 1 P R O C E E D I N G S 2 CHAIRMAN HEINEMAN: Good afternoon, 3 governors and distinguished guests. I call to order 4 the 104th Annual Meeting of the National Governors 5 Association. 6 We have a full agenda for the next two 7 and a half days. Following this session, the 8 Education and Workforce Committee will discuss the 9 reauthorization of the Elementary and Secondary 10 Education Act, with Secretary of Education Arne Duncan 11 and former secretary Margaret Spellings. All 12 governors are encouraged to attend, and it will be in 13 this room here. 14 Saturday's business agenda begins with 15 the concurrent meetings of the Economic Development 16 Commerce Committee and the Health and Human Services 17 Committee. 18 We will then have a governors-only lunch 19 and business session followed by the meetings of the 20 Natural Resources Committee and the Special Committee 21 on Homeland Security and Public Safety.
    [Show full text]
  • Caring for Patients at a COVID-19 Field Hospital
    ONLINE FIRST JANUARY 6, 2021—PERSPECTIVES IN HOSPITAL MEDICINE Caring for Patients at a COVID-19 Field Hospital Mihir J Chaudhary, MD, MPH1, Eric Howell, MD2, James R Ficke, MD3, Alexandra Loffredo, MD, MRP4, Laura Wortman, MHA5, Grace M Benton, MSN, CRNA6, Gurmehar S Deol, MS7, Melinda E Kantsiper, MD2* 1Department of Surgery, University of California East Bay, Oakland, California; 2Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland; 3Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland; 4Baltimore Medical System, Baltimore, Maryland; 5Healthcare Transformation & Strategic Planning, Johns Hopkins Medicine, Baltimore, Maryland; 6Department of Anesthesia, Metropolitan Anesthesia Associates, Baltimore, Maryland; 7Division of Hospital Based Medicine, Johns Hopkins Community Physicians, Baltimore, Maryland. uring the initial peak of coronavirus disease 2019 had no cardiac arrests or on-site deaths. To safely offload (COVID-19) cases, US models suggested hospital lower-acuity COVID-19 patients from Maryland hospitals, we bed shortages, hinting at the dire possibility of designed admission criteria and care processes to provide an overwhelmed healthcare system.1,2 Such pro- medical care on site until patients are ready for discharge. Djections invoked widespread uncertainty and fear of mas- However, we anticipated that some patients would decom- sive loss of life secondary to an undersupply of treatment pensate and need to return to a higher level of care. Here, we resources. This led many state governments to rush into a share our experience with identifying, assessing, resuscitat- series of historically unprecedented interventions, including ing, and transporting unstable patients. We believe that this the rapid deployment of field hospitals. US state govern- process has allowed us to treat about 80% of our patients in ments, in partnership with the Army Corps of Engineers, in- place with successful discharge to outpatient care.
    [Show full text]