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| 'Surgery of war': Paris hospital doctors reflect on 12 hours of mayhem | |
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| Fifty-seven of those injured the Paris attacks remained in intensive care on Thursday, three of them in a critical state, following an unprecedented medical emergency for French hospital staff and what one stunned doctor called “the surgery of war”. | Fifty-seven of those injured the Paris attacks remained in intensive care on Thursday, three of them in a critical state, following an unprecedented medical emergency for French hospital staff and what one stunned doctor called “the surgery of war”. |
| Some 221 people are still in hospital, the association of Paris hospitals said, from a total of 433 injured in Friday’s multiple shootings. Some can be expected to be discharged within days, while others will undergo long-term rehabilitation for severe life-changing injuries. All are being offered treatment from specialists for psychological trauma. | Some 221 people are still in hospital, the association of Paris hospitals said, from a total of 433 injured in Friday’s multiple shootings. Some can be expected to be discharged within days, while others will undergo long-term rehabilitation for severe life-changing injuries. All are being offered treatment from specialists for psychological trauma. |
| The injured were spread across the French capital, with the gravely hurt treated in 35 different operating theatres. According to doctors, the situation has now normalised following an extraordinary 12 hours which saw French medical staff grapple with the highest number of gunshot wounds since the second world war. | The injured were spread across the French capital, with the gravely hurt treated in 35 different operating theatres. According to doctors, the situation has now normalised following an extraordinary 12 hours which saw French medical staff grapple with the highest number of gunshot wounds since the second world war. |
| One surgeon, Rémy Nizard, said staff who turned up voluntarily late on Friday and in the early hours of Saturday were faced with a range of traumatic injuries. They included numerous fractures to the leg, femur, foot and humerus. “It was the surgery of war,” he told Le Monde, adding: “Some people arrived shot in the head or neck. They presented with burst eye sockets. There was a significant risk of losing the eye.” | One surgeon, Rémy Nizard, said staff who turned up voluntarily late on Friday and in the early hours of Saturday were faced with a range of traumatic injuries. They included numerous fractures to the leg, femur, foot and humerus. “It was the surgery of war,” he told Le Monde, adding: “Some people arrived shot in the head or neck. They presented with burst eye sockets. There was a significant risk of losing the eye.” |
| At the Georges Pompidou European hospital the 49 unconscious patients who arrived overwhelmed the facility and its usual procedures. “Doctors didn’t know who they were. They wrote numbers on the foreheads and hands of the wounded,” Morgane, a 26-year-old nurse, whose colleague works in the critical care unit said. She added: “It was horrible. She was absolutely shocked.” | At the Georges Pompidou European hospital the 49 unconscious patients who arrived overwhelmed the facility and its usual procedures. “Doctors didn’t know who they were. They wrote numbers on the foreheads and hands of the wounded,” Morgane, a 26-year-old nurse, whose colleague works in the critical care unit said. She added: “It was horrible. She was absolutely shocked.” |
| “These people had injuries from war weapons. It’s the sort of thing you might expect from the battlefield,” Philippe Juvin, the hospital’s head of casualty, told the Guardian on Thursday. Of his staff he added: “Nobody has come out of this untouched. Everybody has been affected. They are all very tried, physically and psychologically. There’s such sadness.” | “These people had injuries from war weapons. It’s the sort of thing you might expect from the battlefield,” Philippe Juvin, the hospital’s head of casualty, told the Guardian on Thursday. Of his staff he added: “Nobody has come out of this untouched. Everybody has been affected. They are all very tried, physically and psychologically. There’s such sadness.” |
| He went on: “We have a psychiatrist at their disposal. To be frank I don’t know why they’ve been affected in this way. We are used to dealing with injuries of this nature. We get shootings. But not in such huge numbers. Not 50 in one go.” | He went on: “We have a psychiatrist at their disposal. To be frank I don’t know why they’ve been affected in this way. We are used to dealing with injuries of this nature. We get shootings. But not in such huge numbers. Not 50 in one go.” |
| The Georges Pompidou, where some of the most severely injured were treated, is a sprawling glass building close to France’s defence ministry. Its flags were at half mast on Thursday; patients with ordinary injuries hobbled in and out; the first-floor accident and emergency ward again a place of calm. | The Georges Pompidou, where some of the most severely injured were treated, is a sprawling glass building close to France’s defence ministry. Its flags were at half mast on Thursday; patients with ordinary injuries hobbled in and out; the first-floor accident and emergency ward again a place of calm. |
| In an eerie coincidence, last Friday morning Paris’s ambulance, fire services and hospitals had rehearsed a scenario based on a Charlie Hebdo-style attack, with more than 100 casualties from shooting. Hours later this scenario happened for real. The wounded were distributed smoothly across at least five city hospitals, with an emergency plan activated. | In an eerie coincidence, last Friday morning Paris’s ambulance, fire services and hospitals had rehearsed a scenario based on a Charlie Hebdo-style attack, with more than 100 casualties from shooting. Hours later this scenario happened for real. The wounded were distributed smoothly across at least five city hospitals, with an emergency plan activated. |
| According to Jacques Duranteau , an anaesthetist at the Bicete hospital, medical teams have come out of the acute phase. The situation was now returning to normal, he said, adding: “There may be a few adjustments, but today patients are where they should be.” | According to Jacques Duranteau , an anaesthetist at the Bicete hospital, medical teams have come out of the acute phase. The situation was now returning to normal, he said, adding: “There may be a few adjustments, but today patients are where they should be.” |
| He added: “Some of the victims will be starting long months of treatment and rehabilitation. Those who are seriously injured will have to have specific treatment. For them care will by physical and psychological. The stress they have gone through is of an unimaginable level.” | He added: “Some of the victims will be starting long months of treatment and rehabilitation. Those who are seriously injured will have to have specific treatment. For them care will by physical and psychological. The stress they have gone through is of an unimaginable level.” |
| Those wounded are recovering in at least five different hospitals across the city. One is the hospital Saint Louis, which is immediately across the road from Le Carillon cafe bar and a Cambodian restaurant. A gunmen shot and killed 14 people here, metres away from the hospital entrance. Last weekend members of the public queued here for three hours to give blood, while next to them a mound of floral tributes and candles grew. | Those wounded are recovering in at least five different hospitals across the city. One is the hospital Saint Louis, which is immediately across the road from Le Carillon cafe bar and a Cambodian restaurant. A gunmen shot and killed 14 people here, metres away from the hospital entrance. Last weekend members of the public queued here for three hours to give blood, while next to them a mound of floral tributes and candles grew. |
| Staff at the Pitié salpêtrière, one of Europe’s largest hospitals, and a major teaching centre, were also returning to normal after a harrowing few days. Surgeons dealt with 52 people, 25 of whom were critical. “Things have returned to normal. Our teams faced Dante-esque contions,” Bruno Riou, the emergency ward chief, told Le Monde. He added: “More than 50 people had been shot. There’s no precedent in France.” | Staff at the Pitié salpêtrière, one of Europe’s largest hospitals, and a major teaching centre, were also returning to normal after a harrowing few days. Surgeons dealt with 52 people, 25 of whom were critical. “Things have returned to normal. Our teams faced Dante-esque contions,” Bruno Riou, the emergency ward chief, told Le Monde. He added: “More than 50 people had been shot. There’s no precedent in France.” |
| The hospital’s medical director Pierre Carli described his colleagues’ response as ‘exceptional’. “We were dealing with injuries caused by weapons of war. This isn’t our normal job. This is normally the work of people operating in conflict zones.” | The hospital’s medical director Pierre Carli described his colleagues’ response as ‘exceptional’. “We were dealing with injuries caused by weapons of war. This isn’t our normal job. This is normally the work of people operating in conflict zones.” |
| He added: “We identified after Charlie Hebdo that if we have to take victims we will have to take large numbers, in different places, at the same time. We’ve been working on this hypothesis since the summer … We did a rehearsal on Friday morning. As we know now we were close to reality. We could never have imagined reality would have been worse.” | He added: “We identified after Charlie Hebdo that if we have to take victims we will have to take large numbers, in different places, at the same time. We’ve been working on this hypothesis since the summer … We did a rehearsal on Friday morning. As we know now we were close to reality. We could never have imagined reality would have been worse.” |
| The 129 people who were killed on Friday have all now been identified. One of the last to be confirmed dead was Lola Ouzounian, aged 17. The daughter of a journalism professor, she was shot dead along with 88 others on Friday night in the Bataclan theatre. | The 129 people who were killed on Friday have all now been identified. One of the last to be confirmed dead was Lola Ouzounian, aged 17. The daughter of a journalism professor, she was shot dead along with 88 others on Friday night in the Bataclan theatre. |