The Poppy Factory. Liz Trenow

      Jess felt the welcome surge of adrenaline, more powerful than any caffeine rush, as they clambered back on board and the siren started its familiar wail. The incident was only ten minutes away but a sudden heavy downpour made the traffic even more of a nightmare than usual, with dopey drivers taking an age to move aside and let them past. When they reached the lights at the top of the High Street, it was jammed and at a standstill. Dave whooped the siren a couple of times but it made little difference – nothing was moving. In the distance, they could see the flashing blue lights of a police car.

      ‘Take the packs and run for it,’ Dave shouted. ‘I’ll get there soon as.’

      It was still raining heavily as they panted down the slick pavement. I must be losing fitness, Jess thought to herself; she’d run much further with a heavy Army Bergen on her back with no problem at all in the past. They pushed their way through a crowd of gawpers with umbrellas to a scene of carnage: a car had obviously driven onto the narrow pavement at some speed and hit two people, both of them now on the ground. The driver was still in his seat, a very old man, his face ashen, and a baby buggy lay on its side near the front wheels. She looked around frantically to see where the child could be before spying it in the arms of a policewoman, apparently unhurt.

      Over to her right, a policeman was doing CPR on a girl whose face already had that grey, hollowed-out look of a dying person. As she approached he shook his head grimly and gestured with a nod in the other direction, towards a shattered shop window behind the car. ‘There’s a guy over there who needs your help.’

      ‘I’ll get that one if you take over here,’ she told Emma.

      Lying amid the shards of glass was a young man, moaning slightly, his legs in a pool of shocking red that was being washed across the pavement by the rain. Her stomach turned over as she approached, smelling that terrifying metallic stench of blood and fear. At first she thought the man’s leg was twisted beneath him but her stomach lurched again, even more violently, when she saw that the lower leg was completely missing.

       Stop thinking. Get on with it, no time to waste. The checklist ran over and over in her head, like a mantra: C.A.B.C, C.A.B.C. Catastrophic haemorrhage, airway, breathing, circulation.

      Barely noticing the blood and glass, she kneeled down, tore open her medipack and grabbed a tourniquet. ‘My name’s Jess and I’m a paramedic,’ she said. ‘This is going to hurt a bit. Just hang in there, we’re going to get you to hospital as soon as we can.’ She secured the band swiftly and efficiently just above the knee and observed with satisfaction as the pumping gush of brilliant red arterial blood slowed to a dribble.

      Lifting her head for a moment, desperate for Dave to arrive, she caught sight of the ankle and foot a couple of metres away near a litter bin. It looked just like part of a discarded shop dummy, still wearing a sock and trainer, the canvas type in show-off scarlet, just like Nate sometimes wore. She thrust a dressing towards a middle-aged woman standing nearby. ‘This is really important,’ she said, urgently. ‘Get that limb, wrap it up and get it somewhere cold. Find a shop with a drinks cooler or ice cream freezer, soon as you can.’

      The injured man’s eyes were a maelstrom of panic and fear. Even through the pallor she could see his well-made features: a handsome young man, perhaps in his twenties, with all his life before him. Like James. Like Scott. Come to think of it, he had a look of Scotty, with that mouse-blond hair and freckles all over his nose. He was breathing, fast and shallow: his airway was clear. She quickly took his pulse. It was faint, but at least it was there.

       Airway okay, breathing okay-ish, circulation okay-ish. Where the hell is Dave?

      It was only when she went to cover the end of the severed leg that she faltered. The shattered ends of the tibia and fibula bones glowed shocking pearly pink-white against a bloody mess of skin and flesh, like a leg of meat hacked by a crazed butcher.

      It wasn’t as though she’d never seen this kind of injury before – in fact she’d seen it too many times in the heat and sand of the desert. She grabbed a pack of dressings, but when she went to lift the stump the man whimpered again and then uttered another long, loud, terrifying howl. Her head began to spin. That sound, that gut-wrenching primeval animal sound of a man in agony, the sound that Scotty was making as she worked so desperately to save him that day.

       Get a grip, Jess. Don’t think. Get the leg wrapped and get up a morphine drip. Put the guy out of his agony.

      But however much she tried to push it away, Scott’s face swam in front of her eyes. The young man’s groans were Scotty’s groans.

      It was her first ever foot patrol in the desert, her heart pummelling inside her chest with terror and the effort of carrying the medical back-pack, at twenty-five kilos the weight of an average eight year old, as well as her own heavy body armour. Her head felt as though it was boiling inside her helmet as the group cautiously circled the edge of the village in the ferocious heat. No-one spoke a word as the searcher moved ahead, sweeping the dust with his long-handled detector to check for improvised explosive devices while the man behind him marked the borders of the cleared area with spray paint. Everyone else scanned the landscape for markers, piles of stones, wire or a piece of broken glass which might have been left as a secret signal to mark the position of a bomb or anything designed to divert their path towards a mined area.

      They could tell the Taliban were close by, watching and waiting, because the place was deserted. The villagers were hiding in their homes and even the dogs had taken cover. The enemy would never show themselves, and knew quite well that the allied troops couldn’t fire a single shot unless they were fired at first. The tension was almost unbearable.

      And then: an ear-splitting crack. Jess twisted round to see a geyser of earth erupting to the side of the patrol, just where they had passed. Someone must have stepped unwarily just a few centimetres outside the cleared zone – that was all it took. The screams of pain started instantly and, as she turned back, trying to run but encumbered by her heavy pack and body armour, the screech of yelled orders in her earpiece was almost deafening. ‘Medic! Medic! Men down, three men down.’ It was just like those training exercises, except this was for real. Everything seemed to be moving in slow motion.

      She heard Vorny puffing beside her and, as the clouds of soil and dust settled, the scene ahead appeared in almost surreal clarity. Captain Jones was lying beside the blast crater cursing loudly, clutching his right hand and covered in dirt. At least if he’s swearing he’s alive, she thought. Another man was seated, holding his face in his hands. Vorny paused to see if he was okay, and Jess lumbered on towards the Captain.

      ‘I’m fine, just get over there,’ he shouted, gesturing impatiently into the crater. ‘It’s Scott.’

      The figure was almost completely obscured by the dust and rocks that had settled on it after the blast, but just then the soldier lifted his head and emitted a long and terrifying howl which seemed to echo off the mud walls of the compound behind her, reverberating through her very being.

      She fell, rather than ran, down the sloping side of the crater and, when she picked herself up, the true horror of the boy’s injuries became apparent. The blood-curdling screams and streams of profanity meant he was certainly still alive, but both his lower legs were missing, vaporised by the blast. The village dogs would come scavenging later, she knew.

      The earth around his lower body was already stained red with the blood gushing from the mess of mangled flesh and bone where his legs used to be. There were only moments to save his life. She ripped two tourniquets from her own upper arm, stored there for instant access and, with hands trembling so much she could scarcely grip the webbing, managed to secure one on each leg, above the knees. She glanced towards his face, pale as the sand dusting it. Even through his goggles she could see the panic in his eyes, darting from side to side, trying to focus. ‘Hang in there, Scotty,’ she said. ‘We’ll get you sorted.’

      ‘Jess. Thank Christ, it’s you,’ he whimpered, through gritted teeth. ‘Just save me feckin’ life, will ya? Get me home for Chrissake. Please.’

      ‘Don’t