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Canadian doctor: Israeli soldiers shot me in both legs as I was treating injured protesters in Gaza

Israel/Palestine
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On Monday May 14, while treating patients with gunshot wounds in Gaza during the Great March of Return, Canadian physician Tarek Loubani was shot in both legs by Israeli forces. One medic on his team, Musa Abuhassanin, was killed while attempting to providing care Palestinian protesters. Loubani published an account that noted he and the medical staff were wearing “high visibility clothing” and when they approached injured Palestinians, they did so with their hands raised as to show soldiers they were unarmed medical professionals. 

After Loubani was wounded, Canadian Prime Minister Justin Trudeau called for an investigation and issued a statement, “We are appalled that Dr. Tarek Loubani, a Canadian citizen, is among the wounded – along with so many unarmed people, including civilians, members of the media, first responders, and children.”

WARNING: Graphic images and content.

few days ago, I wrote about our first day of field trials for an open source 3D printed tourniquet in Gaza. The Glia team worked overtime to address and fix the problems we identified. Thanks to help from the 3D printing, engineering and open source communities, we got lots of feedback and felt that we were ready for today.

Good news first: The tourniquets worked well

The only bit of good news in this report has to do with the tourniquets. We left the packaging issues to later (Failure #2), and instead focused on the mechanical issues we identified (Failures #3 and #4). We pulled all old models and tested buckles to see if they would break — we thought this issue was a low likelihood of recurrence, even though we will be testing alternative buckle designs later.

The tourniquets worked well. We recovered the 100 units given to Hayat Center for use in the field, giving us an inventory of 200 deployed units. One hundred units were distributed in the field today, and one hundred held in reserve for May 15. Seventy-eight (78) tourniquets were deployed to patients who met criteria. There were no failures of the device in any cases.

Failure #1 rules supreme: Unsafe conditions for medical personnel

Failure #1 in our previous report was that “There are no ideal operating conditions.” This made optimizing the device important. We did that as much as we could.

The unspoken part of this is optimizing safety. To ensure the safety of first responders, we all dressed in clearly identifiable medical garb. Most paramedics wore fluorescent high visibility jackets. I wore a hospital green top and bottom so I could both be identified as medical staff and a physician.

Members of Palestinian medical staff carry An injured Palestinian protester who was wounded during clashes with Israeli security forces in a tent city protest where Palestinians demand the right to return to their homeland, at the Israel-Gaza border, in east of Gaza city on April 13, 2018. (Photo: Mahmoud Ajour/APA Images)

Despite our efforts to clearly identify ourselves as first responders, several of our medical team were wounded by Israeli live fire. One paramedic, Musa Abuhassanin, was killed while attempting a victim rescue under fire. One hour before he was shot in the thorax and killed, Musa was one of my rescuers when I was shot by live ammunition. I sustained a moderate injury to my left leg and a minor one to the right leg. Musa was also the paramedic who discovered and reported the failed buckle in our previous report. He had a great laugh and was a good paramedic.

Abuhassanin rescuing a wounded patient shortly before his death. Gaza, May 14, 2018.

 Anatomy of my gunshot wound

I am still collecting details of the shootings of Musa and other members of the medical team. In the meantime, I can contribute an account of my injury. The scene in eastern Gaza was bad since early morning. There was so much live fire that the first responder services stood outside the protest area and only approached when needed. In general, we approached with high visibility clothing and hands up until we arrived at the incident. We did not run to patients, but we definitely ran out. We did not attempt to tourniquet or treat patients on site.


Paramedics approach a wounded protester with hands up and high visibility vests, May 14, 2018. Source unknown.

I was shot toward the end of the morning, and we had already run out of our first supply of tourniquets. I had just resupplied with 8 units, one of them unpacked in my pocket. We were standing well away from the main protest area. The snipers in the three sniper outposts all had clear views of us.

There was no fire or smoke near us. We were standing still, and I was facing in a southerly direction talking to a colleague. The snipers were situated east of us. I was wearing visible full hospital greens. There was no active shooting from the Israelis immediately before or after. There were no protesters in our immediate vicinity.

I heard a loud bang and found myself on the ground. The bullet had entered my left proximal calf on the lateral side, exited on the medial side (moderate) and pierced my right knee superficial to the patella (minor). I yelled fuck.

The paramedics initiated treatment within 5 seconds, and asked me if I needed a tourniquet. The wound had about 100cc of blood lost on the scene, but didn’t look to be bleeding dangerously. I believe that I was shot with a regular bullet and not the exploding bullets that are causing severe injuriesreported today and on other days. Knowing the shortage, I stopped the application of the tourniquet, and was instead given a pressure dressing. There was no live fire before or after my incident.

I was transported to hospital, stabilized and discharged after X-Rays showed no bony injury.

 

Entry wound in my left proximal calf. Gaza, May 14, 2018. (Photo: Courtesy of the author)

Exit wound showing likely non-exploding bullet. Gaza, May 14, 2018. (Photo: Courtesy of the author) 

Pressure bandages on wound, with apologies to LHSC for getting bullet holes in their pants. Gaza, May 14, 2018. (Photo: Courtesy of the author)

Exit wound from exploding bullet in left proximal calf of child, shot in similar location. Note lack of formal or improvised tourniquet due to time constraints. Gaza, May 14, 2018. (Photo: source unknown)

Conclusions

At the time of writing, there were 52 people killed and 2410 wounded during today’s peaceful Palestinian protests. 1,204 were struck by live ammunition. Seventeen (17) paramedics were wounded and one killed.

The tourniquets appear to be feature-complete and usable as is. We will continue to monitor and develop the tourniquets, especially thanks to the community support offered in improving the design.

However, it is clear that conditions remain suboptimal for tourniquet deployment by paramedics at this time. One possible solution is the wide deployment and routine training of the general Palestinian population in the use of tourniquets, such as in Basic Life Support (BLS) courses.

Funding support: Shuttleworth Foundation; Division of Emergency Medicine, London Health Sciences Centre (EMLondon); Faculty of Medicine, University of Western Ontario.

This post was originally published under the headline “3D printed tourniquet: Day 2 of Gaza field trials ends badly (May 14)” on Medium and is reposted here with permission. 

Tarek Loubani is in Gaza testing 3D printed open source tourniquets. He’s blogged about how brining low cost (around $7 per unit) 3D printed medical devices to Gaza can reduce the loss of life from injuries here. 

About Tarek Loubani

Dr. Tarek Loubani is an emergency physician at London Health Sciences Centre (Canada) and Shifa Hospital (Gaza). He is a member of the Gila team making open medical devices.

Other posts by .


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11 Responses

  1. chocopie
    May 17, 2018, 5:49 pm

    Horrifying. This man and the other medical workers are heroes.

    In contrast to the little cowards hiding and shooting unarmed people.

    Very interesting to read about the tourniquets.

  2. Kay24
    May 17, 2018, 10:04 pm

    Good work by Dr. Loubani. It was unfortunate that he was shot by the zionist army. Hope he recovers from his wounds. Again, it simply shows how vicious these zionists are. They have killed civilians, journalists, and even a baby. They have also injured thousands of young people, doing what people should be allowed to do – protest their suffering. At least the Canadian PM has shown concern for the Palestinian people, unlike the lack of empathy we have seen coming from the Trump White House, and the Congress. The US and Australia are the only nations that applaud the massacre, and that is because of the zionist lobbies that operate in these nations, control the politicians over there.

  3. echinococcus
    May 17, 2018, 11:51 pm

    Despite our efforts to clearly identify ourselves as first responders, several of our medical team were wounded by Israeli live fire. One paramedic, Musa Abuhassanin, was killed…

    “Despite”? Nah, they are Zionists. It’s because

  4. Emet
    May 18, 2018, 2:13 am

    Loubani has been signed up by Fox. When does the TV series start? He’s got the looks, although not my type.

  5. lonely rico
    May 18, 2018, 2:15 am

    Bravo to Dr. Loubani and the other courageous medical workers in Gaza.

    CC of letter sent to Prime Minister of Canada Justin Trudeau

    Sir,
    On May 16 you issued a statement on the violence in the Gaza Strip.
    From your statement –
    “Canada deplores and is gravely concerned by the violence in the Gaza Strip that has led to a tragic loss of life and injured countless people … Reported use of excessive force and live ammunition is inexcusable. It is imperative we establish the facts of what is happening in Gaza. Canada calls for an immediate independent investigation to thoroughly examine the facts on the ground.”

    The time for an independent investigation is long past.
    We know very well what the Israeli snipers on the prison walls of Gaza have been doing for the last 48 days. They have been murdering and maiming unarmed Palestinians, while maintaining the cruel illegal blockade of Gaza, caging the Palestinians into a barely livable concentration camp.

    From Médecins Sans Frontières (May 14) –
    “What happened today is unacceptable and inhuman. The death toll provided this evening by Gaza health authorities in Palestine —55 dead and 2271 wounded, including 1359 wounded with live ammunition—is staggering.
    It is unbearable to witness such a massive number of unarmed people being shot in such a short time. Our medical teams are working around the clock, as they have done since 1 April, providing surgical and post-operative care to men, women and children, and they will continue to do so tonight, tomorrow, and as long as they are needed.
    In one of the hospitals where we are working, the chaotic situation is comparable to what we observed after the bombings of the 2014 war, with a colossal influx of injured people in a few hours, completely overwhelming the medical staff. Our teams carried out more than 30 surgical interventions today, sometimes on two or three patients in the same operating theatre, and even in the corridors.
    This bloodbath is the continuation of Israeli army’s policy during the last seven weeks: shooting with live ammunition at demonstrators, on the assumption that anyone approaching the separation fence is a legitimate target. Most of the wounded will be condemned to suffer lifelong injuries.”

    From Human Rights Watch (May 15) –
    “Israeli forces have shot dead over 100 Palestinians in demonstrations in Gaza since March 30, including 14 children, and injured over 3,500 with live fire.
    These staggering casualty levels are neither the result of justifiable force nor of isolated abuses; but foreseeable results of senior Israeli officials’ orders on the use of force.”

    From Amnesty International (May 14) –
    “This is another horrific example of the Israeli military using excessive force and live ammunition in a totally deplorable way. This is a violation of international standards, in some instances committing what appear to be wilful killings constituting war crimes.
    Only last month, Amnesty International called on the international community to stop the delivery of arms and military equipment to Israel. The rising toll of deaths and injuries today only serves to highlight the urgent need for an arms embargo.
    Amnesty International last month documented research from the Gaza Strip that showed the Israeli military were killing and maiming demonstrators who pose no imminent threat to them.”

    Canada must demand that Israel immediately halt the lethal attacks of Palestinians in the Gaza strip.
    As per Amnesty International’s call for ceasing all delivery of arms and military equipment to Israel, Canada must immediately halt all such trade with Israel.
    Canada must demand that Israel immediately lift the criminal blockade of Gaza.
    Canada should (with others, Norway perhaps?) send a supply ship directly to Gaza, with medical equipment for the hospitals in Gaza, overwhelmed by the maimed and dying victims of Israel’s sadistic attacks on unarmed Palestinians.

  6. mijj
    May 18, 2018, 4:19 am

    it would be interesting to know: If statistics are checked, are medical personnel more likely to be targeted, or is targeting entirely random?

  7. Ossinev
    May 18, 2018, 9:42 am

    @Emetic
    “Loubani has been signed up by Fox. When does the TV series start? He’s got the looks, although not my type”

    Loubani is a civilised caring humane doctor whereas your taste leans more towards the barbarian Zios.

    https://www.youtube.com/watch?v=Stml-pTYZak

    Of course he is not your type.You have probably got the hots for Elor Azaria the non medic medic.

    • Citizen
      May 18, 2018, 11:14 am

      How about Ivanka in a nurse uniform, bending over a wounded Palestinian kid? Naw, she’d be an IDF sniper like Ms. Sodastream.

      Natalie Portman?

      Roseanne? Another IDF sniper…..

  8. JLewisDickerson
    May 18, 2018, 1:54 pm

    RE – “Canadian doctor: Israeli soldiers shot me in both legs as I was treating injured protesters in Gaza”

    ■ EI PODCAST
    Listen: “Clearly marked” Gaza medics shot by Israeli snipers
    Nora Barrows-Friedman | The Electronic Intifada Podcast | 17 May 2018

    Dr. Tarek Loubani describes being shot in the legs by Israeli sniper as Gaza hospitals are forced to improvise with lack of basic supplies. Photo courtesy of Tarek Loubani (in blue scrubs, in a photo taken on 11 May. His colleague, Mousa Abu Hassanein, second from right, was shot and killed on 14 May).

    ● Electronic Intifada – https://electronicintifada.net/blogs/nora-barrows-friedman/listen-clearly-marked-gaza-medics-shot-israeli-snipers
    ● SoundCloud – https://soundcloud.com/intifada/clearly-marked-gaza-medics-shot-by-israeli-snipers

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