Letter From a Battlefield Hospital

via Black Five

the 2004 Military blog of the year. Here are excerpts from that letter from Scott D. Barnes
LTC, MC, USA Theater Ophthalmology Consultant:

During the month of October, the 86th Combat Support Hospital (CSH) was the 3rd busiest trauma center in the world! You read that correctly, only the trauma centers in Miami and Los Angeles did more work that we did. Just think of all the trauma hospitals in New York, Chicago, Baltimore, Dallas, Philadelphia, Washington DC, and those in Europe, Asia, and Central/South America.most of which have 5-10 times the number of staff which we have here.
and this...

...This is medical and surgical care practiced the way that many doctors dream. You see problems, diagnose the condition, quickly plan the operation, and you just do it. Patients don't wait, doctors don't wait, OR staff doesn't wait.it is amazing! We all love it and if it weren't for missing our families or dealing with the occasional rocket and mortar attack, most of us would not want to leave.
and this....

The unit leaders come into the OR and the jobs are less defined.you just look for something that needs to be done and you do it. One young sergeant was badly broken and rushed to the OR. The IED had done its intended job and shredded this courageous American everywhere that wasn't covered by body armor. He was dying, but we weren't going to let him go without a fight. He had no immediate eye injury, so I just went to work getting the blood and hanging it on the infusers since those that usually do this were otherwise occupied. We kept pouring unit after unit into him but he was loosing it as quickly as we were able to get it in. The trauma surgeon and the vascular surgeon cracked his chest and started going after his injuries to try to stop the hemorrhaging. His heart stopped a number of times. The trauma surgeon held his heart and kept squeezing to aid in circulation while the anesthesiologists were infusing the medications needed to restart the heart. The two unit commanders were right there voicing their support and praying as they were watching the team. Two major injuries were found in the carotid and subclavian artery but too much damage had been done too much blood had been lost, and too much time had passed before his injuries could be repaired. We went through 45 units of blood. His heart stopped 7 times and we were able to restart it 6 times. When it became clear that we would not win this battle and that this young sergeant had gone into that good night, we turned off the machines and monitors, the chaplain stepped forward, and the unit commanders, nurses and doctors closed into a circle and we asked for the Lord's mercy on his soul and for God's peace with the family that will soon find out what we already know. This hero paid the ultimate price while doing his country's bidding.

I walked out onto the hospital roof which has been my refuge after such cases. I usually stay closer to some cover because I don't want to give snipers any target practice but this time I went over to hang over the rail looking down into the parking lot/patient receiving area. This is where the men usually gather to wait for news on what happened to their buddies (we don't have a waiting room). I will never forget what I saw there.for the strength of the emotion but also because I have seen it now too many times. About 30 soldiers hanging out in various groups, some talking, some joking, some smoking, some tossing a football, some catching a few winks.but just doing what waiting soldier do. LTC T (their commander) walked out to the group who immediately jumped up and gathered around the boss. I couldn't hear what was said from the roof, but I knew that commander had a difficult message to deliver. I didn't have to hear the words, these warriors' actions said it all.some just there motionless, some grabbed their buddies and just let the tears run down their dirt-stained faces, others unable to contain their anger, went to find a wall and began hitting it. The commander and sergeant major moved through their guys, reaching out to each one with a hug or supportive arm. Sometimes I can put all the damage and suffering behind me; my years in medicine have introduced me to death and in some ways I can detach myself. But to see this effect on his brothers in arms, transformed my previously detached self and turned on my humanity. In the ER and the OR, I can be the professional doctor.but on the roof, I become a human again. Under the cover of darkness I feel the pain of what I've seen.