The responders assessed her and began care, reporting what they found rather than guessing at the cause from the fact that she had recently given birth.

A note lay nearby.

James did not stop treatment to study it.

Once the immediate work was underway and a crew member could examine the information, the words became part of what they relayed to the hospital.

I’ve been blacking out again.

The handwriting was uneven.

Below that, Clara had written that the twins’ papers were in the diaper bag, that the house key stayed with her oldest child, Chloe, and that if she could not wake up, the babies needed help first.

The final line was simple.