Patterns of war related trauma in Gaza during armed conflict: survey study of international healthcare workers by Omar El-Taji and colleagues

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The survey collected data on 12 anatomical regions, mechanisms of trauma, and general medical conditions. 78 healthcare workers reported 23 726 trauma related injuries and 6960 injuries related to weapons. The most common traumatic injuries were burns (n=4348, 18.3%), lower limb injuries (n=4258, 17.9%), and upper limb injuries (n=3534, 14.9%). Explosive injuries accounted for most of the weapon related trauma (n=4635, 66.6%), predominantly affecting the head (n=1289, 27.8%), whereas firearm injuries disproportionately affected the lower limbs (n=526, 22.6%). Healthcare workers reported 4188 people with chronic disease across 11 domains requiring long term treatment.

… Healthcare workers reported a total of 5405 general medical and infectious disease presentations. The most common general medical conditions were malnutrition (n=1002, 18.5%) and dehydration (n=865, 16.0%), reported by 59 (76%) and 54 healthcare workers (69%), respectively. Fifty four healthcare workers (69%) recorded sepsis in 631 patients with injury (11.7%), and 47 (60%) recorded gastroenteritis in 986 (18.2%). Healthcare workers reported 4188 people presenting to hospitals with chronic disease requiring long term treatment (see supplementary tables S2.17 and 2.18).

… This international healthcare worker reported survey highlights the scale and complexity of traumatic injuries and medical conditions in Gaza during the ongoing conflict. The volume, distribution, and military grade severity of injuries, indicate patterns of harm that exceed those reported in previous modern-day conflicts. These findings highlight the urgent need for resilient, context specific surveillance systems, designed to function amid sustained hostilities, resource scarcity, and intermittent telecommunications, to inform tailored surgical, medical, psychological, and rehabilitation interventions.

Continue reading at https://www.bmj.com/content/390/bmj-2025-087524

Morphine for Gaza? Limits of care during genocidal violence by Rachel Coghlan, James Smith, Osaid Alser

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  • In Gaza, during escalations in Israeli aggression and clearly illustrated in the current crisis, most palliative care needs are the direct consequence of life-threatening injuries sustained after Israeli military violence, coupled with the intentional decimation of the health-care system and the blatant denial of life-sustaining assistance. The decision to provide palliative care for many Palestinians is rarely—if ever—biomedically determined at the limits of comprehensive health-care provision. Rather, the threshold for palliative care is dynamic and politically determined by the Israeli state’s impunity to its international legal obligations as related to the right to health as an occupying power.
  • … We must expose and remediate these root causes of suffering by advocating for an immediate end to the genocidal violence perpetrated against the Palestinian people. Such acknowledgment and action is the necessary response from a profession whose role is to promote dignity, care, and compassion in death and dying.

Continue reading at https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00014-X/fulltext