{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='US medics treat Mosul injured at field clinic' data-url='/boclips/videos/5c54d406d8eafeecae1ef33e' data-video-url='/boclips/videos/5c54d406d8eafeecae1ef33e' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nUS medics treat Mosul injured at field clinic\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca href=\"/search?publisher_ids%5B%5D=\"\u003e/search?publisher_ids%5B%5D=\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eRESTRICTION SUMMARY: AP CLIENTS ONLYSHOTLIST:ASSOCIATED PRESS - AP CLIENTS ONLYBartella - 2 April 20171. Medical staff treating a wounded boy in emergency room, medical services director Shelly Kelly assisting2. Close of hand covered by...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eRESTRICTION SUMMARY: AP CLIENTS ONLYSHOTLIST:ASSOCIATED PRESS - AP CLIENTS ONLYBartella - 2 April 20171. Medical staff treating a wounded boy in emergency room, medical services director Shelly Kelly assisting2. Close of hand covered by a trauma blanket3. Medic using a stethoscope, Kelly in background4. Close of nurse's hands holding boy's hand, disinfecting a surface to apply a syringe, tilt up to the nurse's face5. Wide of staff gathered around the boy on bed6. Close of ultrasound machine screen7. SOUNDBITE (English) Shelly Kelly, medical services director, Samaritans's Purse hospital:\"They were out in the night last night, holding some fire, and there was some friendly fire that happened, and they were shot. Both of them in the abdomens.\"8. Boy on the bed, his hand with IV drip9. Medical staff working around the boy10. Close of the medical report paper held by one of the medicsBartella - 30 March 201711. SOUNDBITE (English) Shelly Kelly, medical services director, Samaritans's Purse hospital:\"At home it's not nearly as critical as this. This is definitely a level one trauma. Back home it's just urgent care, which I love because I get to know the patients back home, and I love on them on a different level, but here it's much more critical.\"12. Close of a hand painting a mural on the blast wall13. Wide of nurse painting a mural on the blast wall14. SOUNDBITE (English) Shelly Kelly, medical services director, Samaritans's Purse hospital:\"My parents actually watch my kids and wash my laundry for me while I'm not there, and make meals for my husband and it's all, it's all good.\"15. Wide of staff of the hospital gathered in an office, eating ice cream16. Close of Kelly eating ice cream17. Close of nurse with ice cream, laughing18.  SOUNDBITE (English) Shelly Kelly, medical services director, Samaritans's Purse hospital:\"It's really an easy choice, I think, to give up laying on a beach, to be here, caring for these people. And the rewards are really so much greater being here than they would be being on vacation on some island or some place.\" Bartella - 2 April 201719. Close of hand of Adrian Curnow, paediatric surgeon, writing into a medical report, face of a wounded boy in the background20. Close of Curnow face as he writes, Kelly's face in the background21. Curnow eating from a bowl 22. Curnow standing up and leaving toward operating room (OR) as other medics talk about procedures 23. Close of a blood drip, pan to the nurse's face24. Curnow and the OR team gathered around the bed with a wounded boy25. SOUNDBITE (English) Adrian Curnow, paediatric surgeon, Samaritan's Purse hospital:\"We do our best to get family involved, and then we use, like in the US, if two physicians feel like it is an emergency, we do what the family would want us to do.\"26. Close of the wounded boy being transferred to operating table27. Close of medic's hand pressing a balloon with oxygen 28. Close of life support machine29. Wide of the operating scene, a nurse passing under the cables30. SOUNDBITE (English) Paul Osteen, doctor and hospital director:\"An older lady, a mother, it looks like, has an injury to the kidney as well, so we're operating on both of them at the same time.\"31. Wide of an operation on wounded boy, assistant grabs a massive metal tool and hands it over32. Close of medics during operation, assistant squeezing a blood bag33. Mid of the operation, covering cloth in the foreground34. Close of hands in gloves operating35. SOUNDBITE (English) Paul Osteen, doctor and hospital director:\"And it looked like it was a situation where we couldn't salvage the kidney. But before we took the kidney out with the surgeon looked at the other side, made sure. She did not have a kidney on the other side, the left side.\"36. Low angle of operation37. Sign reading (English): \"WIthout scrubs/gown and hat\" and picture of stop sign, operation in the background38. Medics rolling a stretcher with wounded boy out of the OR39. Kelly after the operation, drinking water, stands up and leaves Bartella - 30 March 201740. Close of Kelly's hands as she opens a jar of chocolate spread41. SOUNDBITE (English) Shelly Kelly, medical services director, Samaritans's Purse hospital:\"Yeah I experienced a lot of… I think it was anger, pushing my family away, and just trying to process through what I have seen here. Initially it took a week to kind of be able to be where I could face people, and then finally, I think, I told my husband a month after I had been home, there was a day when I told him 'I feel normal'.\" Bartella - 2 April 201742. Close of the operating table being wiped after the operation43. Various of the floor being mopped after the operationSTORYLINEA team of American doctors and nurses has set up a field hospital in Bartella, northern Iraq, a short distance from the frontline fighting in Mosul. While the Iraqi army continues its push against Islamic State group militants in the city, the trauma centre, staffed by volunteers from the US, takes in the seriously wounded who are referred by hospitals and triage units closer to the fighting.  The clinic is paid for by the Samartan's Purse nongovernmental organisation, a Christian NGO.  The Samaritan's Purse medics have been recently dealing with a boy and a woman who were delivered to their gates by an Iraqi ambulance, bandaged and in pain.  Behind the blast walls is an emergency room and operating theatre, full of technology and expertise, to rival any city hospital in the US.  Their patients arrived with no names, no age, and with only sketchy details of what happened and how they came to be injured.Shelly Kelly, the hospital's Medical Services Director, is from Mustang, Oklahoma.  She heard they were both shot in a 'friendly fire' incident while making a bonfire outside their house in Mosul.One of the team believes the pair to be mother and son. While it doesn't change how they are treated, the team is energised by focusing on helping a family in peril. The clinic arrived in Iraq late in 2016, on December 25.  It was set up on the road between Mosul and the Kurdish city of Irbil. The centre is well placed to deal with wounded coming out of the eastern part of Mosul.  That half of town has now been cleared of IS, and the fighting is now in the western part of the city.   But with all the city's bridges across the Tigris river destroyed, the wounded from the west must now travel for hours, far to the south, before crossing the river and heading north again to the field hospital.      Several other clinics are now closer, and the majority of casualties are taken there first. Samaritan's Purse hospital usually receives those sent after initial treatment – either because the others are full, or more often because the cases are difficult – the injuries grave.  These medics have the equipment and expertise to help.  \"At home it's not near as critical as this,\" says Shelly Kelly, comparing her regular work in urgent care in the US, to the workload in Bartella. A mother of four, she has completed several assignments with the NGO, and is now on her second trip to Iraq. Going to a place where work is done behind blast walls, and danger is all around, took some effort to explain to her family.  In the end, they all support her, and understand her drive, she says.  \"My parents actually watch my kids, and wash my laundry when I'm not there, and make meals for my husband, so it's all good.\"The US staff come for rotation of between 4 to 8 weeks, most using their regular vacation time.\"It's really an easy choice,\" Shelly says, and adds the rewards are so much bigger than a vacation on a beach can ever bring. Paediatric surgeon Adrian Curnow from Boise, Idaho, is also in Iraq on his time off from his regular posting in the US. He started his first foreign mission in Bartella three days ago, and admits to being surprised by the severity of the injuries he's treating here. Curnow prepares to operate on the wounded boy.  He faces an issue common to all of his underage patients: where are the parents, and who will give consent for the operation?   In the confusion of war, it's easier said than done. \"We do our best to get family involved,\" Curnow says, and then like in the US, if two physicians decide it is an emergency: \"we do what the family would want us to do\".Unknown to the rest of the team, he manages to speak to the woman.  Before slipping into unconsciousness, she tells him she is not, in fact, the mother of the boy. So, he and a colleague consult, and decide to go ahead.  Both the boy, and the woman, are wheeled into adjacent operating rooms. Both patients have already been operated on by others.  The boy's abdomen needs to be cleaned, the surgery already complete.  But the female patient is in a much worse state. A bullet severed her spine, and she will never walk again. It also hit her kidney, and the surgeon decides to take it out. Before cutting, he checks the other side, and realises what a grave mistake that would have been. Her second kidney is missing – either taken out overnight in the clinic which first treated her, or perhaps was removed years ago in a previous operation.   So, the team works to salvage what is left of the one remaining organ, and hopes for the best. The names, the details, the medical history  - an essential part of the workflow back home – is often obscured in the fog of war, and the medics in the field learn to work around this. Both operations last more than two hours.  The staff are exhausted. Shelly Kelly grabs a moment to eat, and to reflect. Going abroad has changed her forever, she says, and so too all of her colleagues. With several such missions behind her, she knows coming home is not easy. \"I think it was anger, pushing my family away, and just trying to process through what I have seen here,\" she says about her last return to the US. 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