The Children Who Lost Limbs in Gaza

"Gazal was wounded on November 10th, when, as her family fled Gaza City’s Al-Shifa hospital, shrapnel pierced her left calf. To stop the bleeding, a doctor, who had no access to antiseptic or anesthesia, heated the blade of a kitchen knife and cauterized the wound. Within days, the gash ran with pus and began to smell. By mid-December, when Gazal’s family arrived at Nasser Medical Center—then Gaza’s largest functioning health-care facility—gangrene had set in, necessitating amputation at the hip. On December 17th, a projectile hit the children’s ward of Nasser. Gazal and her mother watched it enter their room, decapitating Gazal’s twelve-year-old roommate and causing the ceiling to collapse. (Multiple news reports have described the event as an Israeli attack. The I.D.F. claimed the incident could have been caused by a Hamas mortar or the remnant of an Israeli flare.) Gazal and her mother managed to crawl out of the rubble. The next day, their names were added to the list of evacuees who could cross the border into Egypt and then fly to Qatar for medical treatment. Gazal’s mother was nine months pregnant; she gave birth to a baby girl while awaiting the airlift to Doha.

In Gaza, Abu-Sittah was performing as many as six amputations a day. “Sometimes you have no other medical option,” he explained. “The Israelis had surrounded the blood bank, so we couldn’t do transfusions. If a limb was bleeding profusely, we had to amputate.” The dearth of basic medical supplies, owing to blockades, also contributed to the number of amputations. Without the ability to irrigate a wound immediately in an operating room, infection and gangrene often set in. “Every war wound is considered dirty,” Karin Huster, a nurse who leads medical teams in Gaza for Doctors Without Borders, told me. “It means that many get a ticket to the operating room.”"

more in the newstory By Eliza Griswold - The New Yorker