The community teamwork and medical response here the afternoon of the Sutherland Springs shooting was "extremely heartwarming," the trauma chief at Brooke Army Medical Center said.
"When people heard about the shooting, we didn't have to do a recall. People came in immediately and pitched in, … not to watch, but to help," said Army Col. (Dr.) Kurt Edwards, who received patients and directed care that night.
"We ended up with more medical staff in the operating rooms, emergency department and [intensive care units] than we needed," he said.
BAMC received eight victims -- six adults and two minors -- from the Nov. 5 mass shooting in the small community church in Sutherland Springs, about 30 miles east of San Antonio. One adult patient was discharged last week, and seven remain in BAMC's care.
The Initial Call
Air Force Maj. Belinda Kelley, the shift leader that night in the ER, received the initial call. "We were told we were possibly getting quite a few patients after a shooting at a church," Kelley recalled. "We weren't sure how many were coming here, but were told there were potentially 30 shot." Kelley later learned that 26 people had been killed and 20 injured that Sunday afternoon.
The situation was well controlled at BAMC, Edwards noted. "We had about a 30-minute warning. We started prepping for any eventuality to ensure adequate coverage. We opened up 15 trauma bays in preparation."
BAMC received four patients at first, then an additional four not long after. "It was disheartening to see that the injuries were not dissimilar to those in combat," said Edwards, who has deployed multiple times to Iraq and Afghanistan. "To see people who had been sitting in a church having similar injuries to those in a combat zone [is] not something you want to see."
The seven patients' conditions currently range from good to critical. "They are all getting better," Edwards noted.
Team Effort
Edwards praised the first responders and the trauma partnership within the city that led to an effective response. BAMC and University Health System are the only Level I trauma centers in the San Antonio region, caring for civilian trauma patients over a 23,000-square-mile radius. On average, BAMC cares for 3,000 trauma patients each year.
"Both BAMC and University provide the highest level of trauma care together, and we do it every day," he noted. "It's an amazing partnership, especially when we are working together to care for people after a devastating tragedy."
"The staff response has been professional, efficient and caring," said Army Col. Michael Ludwig, deputy commander for inpatient services. "I could not be more proud of the staff -- everyone from housekeeping to the technicians to our senior leaders."
Kelley said she's proud to work at the military's only Level I trauma center.
"As a nurse, it's a very emotional place," she said, "especially when I pick up the phone and someone is looking for a loved one. If I walk out of here and can't cry, then I can't come back, because that means I don't care any more. Caring is what I do."