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Chapter 1
The Nature of the Beast

Even though I walk through the valley of the shadow of death, I will fear no evil, for you are with me. -Psalm 23:4

Everyone in the department turned to the ambulance entrance. We had all heard the screaming and shouting, especially the piercing wail of a young woman. Suddenly the automatic doors burst open, and a crowd of fifteen or twenty people, all teenagers or maybe a littler older, spilled into the ER. In their midst they carried a young man. His arms and legs dangled widely, and his head rolled from side to side. His T-shirt was soaked with blood.

“Somebody, help!” The cry came from someone near the front of the pack. “Jimmie’s been shot!”

We all moved in the direction of the door. Jeff Ryan, the charge nurse this night, was the first to reach the wounded man. “Follow me,” he instructed the people carrying Jimmie. “And don’t drop him.”

He led the group toward the trauma room, and called over his shoulder to the unit secretary, “Get Security!”

At the doorway, Jeff turned and took the bleeding boy into his arms and then carried him to the middle of the room. As he was carefully placing the young man on the stretcher, a few members of the crowd tentatively stepped into the trauma room.

“Nope.” One word from Jeff stopped them in their tracks. “You guys will need to wait outside.”

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