The kid was pale, shivering, unconscious.

Manuel stood by the bright green door of the clinic, waving his arm. The men brought the body through and set it on the table in the center of the room. Manuel started an intravenous line, and Bobbie swung the light over the kid and bent to examine the wounds. Immediately she could see that it did not look good. The kid would almost certainly die.

A big tearing laceration ran from his shoulder down his torso. At the edge of the wound, the flesh was shredded. At the center, the shoulder was dislocated, pale bones exposed. A second slash cut through the heavy muscles of the thigh, deep enough to reveal the pulse of the femoral artery below. Her first impression was that his leg had been ripped open.

"Tell me again about this injury," she said.

"I didn't see it," Ed said. "They say the backhoe dragged him."

"Because it almost looks as if he was mauled," Bobbie Carter said, probing the wound. Like most emergency room physicians, she could remember in detail patients she had seen even years before. She had seen two maulings. One was a two-year-old child who had been attacked by a Rottweiler dog. The other was a drunken circus attendant who had had an encounter with a Bengal tiger. Both injuries were similar. There was a characteristic look to an animal attack.

"Mauled?" Ed said. "No, no. It was a backhoe, believe me." Ed licked his lips as he spoke. He was edgy, acting as if he had done something wrong. Bobbie wondered why. If they were using inexperienced local workmen on the resort construction, they must have accidents all the time.

Manuel said, "Do you want lavage?"

"Yes," she said. "After you block him."

She bent lower, probed the wound with her fingertips. If an earth mover had rolled over him, dirt would be forced deep into the wound. But there wasn't any dirt, just a slippery, slimy foam. And the wound had a strange odor, a kind of rotten stench, a smell of death and decay. She had never smelled anything like it before.