Piper remember that she had her wilderness first aid kit packed into her suitcase, all ready for two weeks of hiking, and relaxing in the mountains with three of her college friends. She took a deep breath and stood up, walking over to the plane. Unlike many of the people lying wounded on the beach she had been lucky enough to escape with only bruises. The fire was dying down as people through sand and water over the flames. She walked into the plane following for others. There were charred remains in one particular area of the plane, where the fire had been the worst. The smell was awful; burning flesh was not a fragrance anyone should have to know. As she walked through the wreckage she checked the pulse of the many bodies she passed. “This man here is alive.” She exclaimed. With her medical knowledge she knew it was best not to move an injured person unless they were in immediate danger, and the way the last of the flames were burning the place, and metal pieces were falling from the wreckage interior, it was not safe to leave anyone in the plane. She scanned the area in front of her, as to men came to lift and carry the unconscious man out to the others. That’s when she saw him, a man holding his leg which was impaled with a bar. “I wouldn’t move him that would only cause more injury.” She said to the girl who was trying to help. “My name is Piper, what’s your name sir?” She asked the man in a soothing voice. Smalltalk and staying calm was something very necessary in this situation, if the man went into shock that would end up making everything much worse. “If someone could check the cargo compartment, that is if it’s still attached, there’s a large lime green suitcase, it has a first aid kit inside.” She needed the man to lay back, sitting up would only speed the bleeding, so she unbuckled his seatbelt, and a softly as possible pushed the back of the seat down. Judging by where the bar protruded from his leg, it was near an artery, which was very bad news if it had been cut, the bleeding would be very difficult stop. A teenage boy that had been standing around in awe, ran off and came back with her suitcase. For the short time that he had been gone he came back looking even more distraught than he had when he left. “There’s no cell reception. There’s nothing here. A girl climbed the tree. There’s nothing on this island… No rescue.” The boy said tears falling from his eyes. Piper’s eyes widened at the news. This was the stuff Hollywood movies and TV shows were made of, not real life. People didn’t get stranded on islands. If there was no rescue coming… More than half of the wounded and burned were most likely not going to live through the night. She quickly unzipped her suitcase; Her first aid kit was packed with the typical essentials. The man seemed to be too much pain to properly speak, but he was not showing any signs of shock. “Sir I have three years medical training so rest assured, I’m going to stop the bleeding and assess the wound. I need you to bite down on this.” She said to him as she wadded up one of her T-shirts from her suitcase for him to bite down on. First aid kits didn’t hold anything necessary for emergency surgery, they had nothing to provide skin grafts for the severely burned, there was no medical anastasia, and nothing much for pain relief except a bottle of ibuprofen, and a baggy of a dozen Advil. She handed the first aid book to a young woman standing next to her. ”See who you can help out there.” She said to her as Piper stood up, and took her belt off, as it would have to be used as a tourniquet. She took out the tiny scissors from the kit and began cutting the pants leg off the man. She drenched her hands in hand sanitizer rubbing it in all the way up to her elbows. She was going to need to stop the blood flow long enough to take the bar out, tie off the arteries, clean the wound, stitch him up, and cauterize it all. She put on the rubber gloves, and tightened the belt around his thigh to cut off the blood flow. “I’m not going to lie, this will hurt, but I need you to hang in there and breathe. One. Two. Three.” she counted down and quickly pulled the bar from his leg tossing aside. Piper used dental floss to carefully tie off the arteries. She quickly filled the irrigating syringe with iodine water, and then blasted it into the wound, making sure to clean it out thoroughly. If there really was no rescue coming, infection would be the death of him, so it was top priority, to make sure everything was clean and disinfected. The first aid kit had no suture or string to stitch him up with. Luckily she did have a tiny sewing kit, with needle and thread. Taking her lighter she heated the needle, and began to stitch up the wound, it took thirteen stitches. Piper had done everything that she could possibly do. It was good that he would not need an amputation. The process had taken over an hour to fix him up. She taped gaze over the wound to keep it clean, and then everyone helped to carry him out of the wreck. She propped his leg up, and gave him an ibuprofen and bottled water. There was really nothing more she could do for him. She walked over to the group of wounded survivors, and used up most of the stuff in the first aid kit. Some people were beyond saving. There was only so much you could do for internal bleeding, missing limbs, and third/fourth degree burns. What everyone needed was a blanket, drinkable water, and someone or something to keep everyone calm and boost morale.