Las Vegas hospital ‘like a war zone’
LAS VEGAS: When Dr Jay Coates pulled up to work at the University Medical Center of Southern Nevada on Sunday night, the surrounding streets already were cordoned off and ambulances filled with shooting victims lined the driveway.
Inside the trauma center, staff worked to evaluate and treat dozens of patients with highvelocity bullet wounds - victims of the deadliest mass shooting in modern US history.
“It was like a war zone,” said Coates, one of two senior surgeons who worked Sunday night duty as the city’s emergency personnel struggled to keep up with the flood of victims. “We were just trying to keep people from dying.”
The fusillade of bullets fired by a lone gunman from the Mandalay Bay hotel into a crowd of 22,000 at a country music festival killed at least 59 people and sent more than 500 to area hospitals, severely straining the city’s emergency response system and putting the hospitals into overdrive.
At University Medical Center, the state’s only level-one trauma center - which means it is staffed around the clock with surgeons and trauma nurses and personnel – virtually every available employee hustled back to work to be confronted with unimaginable carnage.
Toni Mullan, a clinical nursing supervisor for the trauma unit, had just gotten home after a 12hour shift when she was called back. She drove at 110 mph and stopped at no traffic lights to get back to the center.
“Chaos, that’s what I saw,” she said of her arrival.
Coates said that by the time he reached the center there were already more than 70 medical staff at work, and eight or nine surgeons helped evaluate patients to determine who was most in need of surgery.
The most critically wounded sometimes had up to 20 people around their bed working on them.
“It was a trauma bay full of at least 70 people and patients stacked everywhere. It was controlled chaos,” Coates said. “At one time we had eight operating rooms going at the same time.”
The trauma center had received 104 patients by early afternoon, most suffering gunshot wounds. Four died, 40 were released, 12 were in critical condition and eight were in surgery, spokeswoman Danita Cohen said.
“It was all hands on deck. Word travelled very fast. People were very proud to come in,” she said.
Last year, the trauma center had a training drill in which staff practiced receiving patients after a fictional mass shooting at a concert. “This is what we do, we were prepared for this,” Mullan said.
Across town, the scene at Sunrise Hospital was similar.
“I have never seen a scene like the one I just saw this morning,” US Representative Ruben Kihuen of Nevada, whose district includes parts of the Las Vegas area, told NPR after visiting Sunrise.
“There were about 190 people taking up every single bed possible, every single room possible, every single hallway possible,” Kihuen said. “Every single nurse, every single doctor from all over the city came and are assisting a lot of these victims.”
Mullan said that emotionally the most difficult moments were when it came time to fill out paperwork for patients she knew only as Jane or John Doe.
“When we have families coming up looking for loved ones and we have Doe’s, that’s overwhelming. I’m human. I cry. I’m sad for the loss,” she said.
But Mullan said she was proud of the way hospital staff had responded.
“I’ve been a nurse for 30 years, and on the most tragic moment I’ve ever been involved in I was most proud to be a nurse,” she said.
It was a trauma bay full of at least 70 people and patients stacked everywhere. It was controlled chaos. Dr Jay Coates, senior surgeon at trauma center