After Karen declined Jacob's CZ, he withdrew the pistol and placed it back in it's holster. He heard several transactions of gunfire begin outside of the hospital, startling Jacob to the point where he began to consciously attempt to slow his breathing rate. This wasn't a good building to be in during a fight, but at least the gunfire clued Jacob in to the situation outside. At the very least the rest of the camp wasn't caught entirely off guard, plus the offenders were clearly attempting a stealth operation, so it was likely they were themselves taken by surprise to an extent. This possibly gave Jacob and Karen a window of opportunity to counter the offenders, or at least make a break for a more advantageous position. Jacob took a moment to think about it, noting the fact that the hospital was seriously lacking in windows. There weren't very many ways to get a more accurate idea of what was happening outside, other than trying to pin down peoples' positions based on their gunshots. It helped paint a picture, but not a very clear one.

Jacob tried to think through how he could safely breach the front door, then it occurred to him that the man who initially startled him was the only one on that side of the door. Still, there were probably others around the corner. There simply wasn't enough information for him to act on. Jacob considered the idea that Karen had a radio, but then again she would have likely used it by now if she did. Still, it didn't hurt to ask. "We need to know what's going on out there. Do you have a radio? Maybe someone can plot an escape route for us," he suggested, still making a conscious effort to maintain his composure.