Operating by Torchlight: 48 Hours Inside Al-Shifa Emergency Surgery

© MSF / Mariana Baccarin — MSF trauma surgeons perform emergency vascular repair
“When medical supplies run dry, we do not pack our bags. We sterilize what we have, ration our anesthesia, and keep operating on floors lit only by headlamps.”
The emergency department was designed for 100 beds; this morning we have over 400 patients lying shoulder to shoulder on bloodstained linoleum. Every 15 minutes, ambulances arrive carrying children with multiple shrapnel wounds and compound fractures.
Our surgical teams have been standing at the operating tables for 22 consecutive hours. There are no spare surgical drapes, and our sterile water reserves are down to a two-day supply. Yet outside our gates, families wait in the heat knowing this is the only remaining surgical hub with functional electricity.
As doctors, our sole oath is to treat human suffering without condition, fear, or political compromise. We demand immediate and unimpeded humanitarian passage for surgical supplies and surgical personnel.









