The Golden Hour
Training First Responders in Mosul
Douma Ammar will never forget the day: she was in her Mosul neighbourhood when shots rang out. A stray bullet hit her friend, wounding her gravely. With no paramedics to call for help, Douma fought for her friend’s life alone, but eventually lost.
“I didn’t know how to help,” Douma said. “My friend died.”
Mosul — Iraq’s second largest city — has been at the forefront of the fight against the Islamic State, also known as ISIL — the Islamic State of Iraq and the Levant, or daesh in Arabic — for more than five months. Iraqi Security Forces are fighting to regain control of the city nearly three years after ISIL captured it in June 2014. In a tense battle that has been fought neighbourhood-by-neighbourhood, civilians have inevitably been caught in the crossfire.
The dangers that families are facing are evident in the number of casualties: more than 6,000 civilians have been referred to hospitals for conflict injuries since the offensive began on the 17th October 2016. A high figure that does not even account for all those people who, like Douma’s friend, were injured and not able to receive medical care before it was too late.
To increase the number of trained first responders inside Mosul, International Medical Corps, with funding from the EU’s humanitarian budget, recruited 120 residents from across the city and provided them with the skills and tools they needed to provide effective and essential care at the scene of an emergency.
“With trauma injuries, there is a very short window — known as the golden hour — in which a patient needs medical attention in order to survive,” said Dr Teferie Ayalow, International Medical Corps’ Medical Director in Iraq. “While there are trauma stabilisation points set up in and around Mosul, we wanted also to embed first aid skills within Mosul’s neighbourhoods so that residents have access to vital healthcare, especially if other options are not available because of intense fighting or other reasons.”
The training took place in a primary school in Bartella that was taken over by ISIL when they seized the area in 2014. While Bartella is now quiet, the signs of ISIL’s grip on the city and the subsequent clashes are everywhere, the buildings pock-marked, burned and looted, the streets still strewn with concrete rubble. ISIL’s black-and-white logo that once covered the fence outside the former school has since been defiantly covered with red spray paint. The upstairs windows are shattered and the walls pockmarked with the scars of small arms fire.
The 120 first responders are mostly young people, aged 20 to 25, whose university education was halted under ISIL rule and who were a part of a volunteer network in Mosul. For many of the volunteers, it was their first time back in a classroom since ISIL took hold of the city more than two years ago. For all of them, it was a chance to develop skills that could mean the difference between life and death for people living in a city where war and terrorism are tragically an everyday reality.
Douma, 24, is among them. “I heard about the opportunity through a local organisation I was already volunteering with,” she said. “It seemed like an opportunity to learn and help people in Mosul.”
After a week of first aid training, 20 of the volunteers were selected to be team leaders, who then attended another five days of more advanced trauma care courses. They learned how to handle heavy bleeding from shrapnel and puncture wounds, as well as what to do when a person has stopped breathing. They then practised these skills together on dummies, while instructors looked on.
“This training is important because war is constant here now,” said Mustafa Faris Abdullah, 23, a team leader. “During this course, we’ve learned how to help people injured in daesh attacks or from other dangers.”
In addition to the training, team leaders each receive a kit full of medical supplies along with an emergency phone to call other team members to the scene if and when emergencies strike. Together, the teams cover neighbourhoods across eastern Mosul, giving residents another lifeline as war rages on just a few miles west of the river, injuring hundreds of people each day.
“I feel very happy to be here today with International Medical Corps,” said Mustafa.
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