By Capt. Bruce Meneley, commanding officer, NATO Role 3 Multinational Medical Unit, Kandahar, Afghanistan.
Every day essentially the same scene plays out here. The hospital Tactical Operations Center (TOC) is notified of inbound casualties and pages the trauma and operating room teams. Staff member’s pagers notify them as they are around the hospital, in their barracks or at the gym, causing them to rush for the doors to get to the trauma bays before the casualties arrive. Final preparations are quickly made as ambulance crews head for the flight line, helicopters roar in overhead, flare and land; our crews off-load the casualties and speed them to the ambulance bay. Often they arrive straight from the point of injury covered in dirt, blood, sticks and leaves; exposed bones and shredded flesh, cleared of weapons and explosives the teams swoop in to rush them in for resuscitation.
Surgeons gather round the wounded to triage the order for the operating rooms and which personnel and instruments are needed. They prioritize the intra-abdominal bleeding, the gunshot wound to the chest, the amputations, the head trauma, the list goes on. Coming from the operating rooms they patients almost look fresh and clean, betrayed only by the red blood already seeping through white bandages.
The intensive care unit nurses get them settled in, monitors and intravenous fluids adjusted as night falls and the nightly routine begins. A Quilt of Valor (http://qovf.org/ with the mission “To cover all those wounded warriors with both physical and psychologically wounds with a Quilt of Valor”) is gently placed on them, the generals and members of their units come to honor their service and sacrifice, a purple heart laid on the quilt, a memory book signed, farewells said, tears shed and back into battle.
Rocket attack sirens wail as the work continues behind 18-inch thick concrete walls, surgeons in the operating rooms toiling through the night. Air Force evacuation crews arrive to carry away the wounded as a new day dawns, tired crews go home to sleep. Then the pagers begin to beep again.
It is indeed our honor and privilege to tend to the Nation’s wounded, our American heroes, and I am humbled in their presence. I don’t know that I could muster the courage they display on a daily basis. I can honestly say there is nowhere else in the world I would rather be than right here right now leading this exceptional crew.