The girl, perhaps about 20, told me her name was Katie.
After realizing a kind neighbor was already dialing 911, I knelt beside Katie, and held her head in my hands, trying to shield her from the sun. "My leg," she said. "My leg." My uneducated guess is that she has a severely broken ankle, from tumbling out from and then under the buggy. Her mother and sister, who were with her, appeared to be uninjured.
Providing as much comfort as I could (What would I want someone to say to me?) I told her help was on the way, to take deep breaths, and try to stay calm. "It's okay, Katie, it's okay," I murmured, keeping my head at an angle to block the sun from her eyes.
The scariest part was the horse, who was going crazy on his back, because he was still strapped into the broken and twisted harness, which was still attached to the buggy, askew in the ditch. Another neighbor came to the rescue (I had no clue how to release the mangled harness) and released, then quickly uprighted, the horse. I suspect the horse will be okay -- he had a deep gash in his chest -- but they were going to call the vet. Oddly enough, this happened not far from Dad's house, and they took the horse back to Dad's barn to rest until the vet came.
Once the horse was gone, the scene calmed down considerably. The paramedics arrived and I used a blanket to shield Katie from the sun and spectators as they did a quick medical exam. It was clear she needed an x-ray of that leg, and her shoulder was painful, too.
After waiting until she was loaded in the ambulance (Godspeed Katie), I drove slowly back to my office.
Please, when driving in Amish Country, be very careful. For Katie.
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