I wish I could tell you that the new year has brought a lasting peace to these troubled lands, but I can't. The trauma cases that we have taken care of this month have been among the worst of the entire deployment. Last week we stayed up most of one night caring for four severely burned coalition soldiers from eastern europe. A Fifth died on the helicopter flight to our facility. This week we have cared for two Marines with really horrific amputations. We saved them both here, thanks to excellent teamwork and massive transfusions of whole blood from the volunteer blood donors on our FOB, which includes essentially everyone. Time will tell if they survive the many flights and surgeries on their way home.
I'm not sure that any of us are fully processing the emotions of these experiences. We try to keep the spirits upbeat and the mood light in between these moments of intense focus and effort. I can sense a current of evolving strain in myself and my teammates out here. Truth is, each major resuscitation is exhausting and not always for the obvious physical reasons but for the burden of painful little details. One of our recent triple amputees was three days shy of his 20th birthday. Another Marine had no personal effects except for a wallet-sized picture of him with his newlywed wife. One coalition soldier that i cared for had severe facial burns and had lost his right eye in an explosion, but kept making a thumbs-up sign to me and groaning, "very good, very good." I had to remove the rosary beads that he was wearing around his neck to put him in a cervical collar and they fell off the strand and spilled across the floor. These details somehow often overshadow the mutilated amputations, the blood, and the heavy stench of battle trauma.
We have been skillful, fortunate, and/or blessed enough to save every Marine and Soldier that has arrived on our doorstep with a pulse. On the other hand, we have been unable to bring any patients back from pulseless arrest, despite maximal effort. These men we honor by carefully preparing their remains, covering them with the flag, and formally marching them to the awaiting helicopters, our path flanked by every Marine and Soldier and Sailor of the FOB, standing at attention. These HERO ceremonies are very somber moments for us all.
The trauma bell is ringing again. I will finish this later.
Another brutal day. A small town bazaar 15 KM north of us was hit by a suicide bomber. The targets were a small group of Marines that regularly patrol the area. We were just finishing the surgeries for two local Afghan soldiers who had been shot multiple times, when the call came in declaring a mass casualty. All four of our medevac helos took off immediately and we waited for an update which never came. Instead, two birds showed up unannounced and off-loaded five critical patients.
I'm going to spare you the details, which for the the last 12 hours have been crowding my thoughts and staving off sleep. It's enough to say that the blast wave caused horrific injuries: full-thickness burns, fractures, head trauma, chest trauma...the whole spectrum. We kept everyone alive, including a little Afghan 4 year old with an injury to his head and a Marine with the worst burns I have ever seen. Our upline hospital took 8 more patients and I still have no idea how many died in the town. The Dustoff medics said it was a terrible scene. I feel fortunate to have avoided witnessing that first-hand.
I would ask those of you who pray to send off some petitions for all people ensnared in war, and especially for our Marines, Sailors, and Soldiers who put their lives on the line every day out here in the dust. They sacrifice so much in their service to our nation. I ask myself what will we all do to earn that sacrifice?
Chris




