Blood is everywhere. Hospital orderlies hose down the floors of operating rooms, bloodied bandages lie discarded in corners, and the injured continue to pour in: bodies lacerated by shrapnel, burns, bullet wounds.
Medical workers, exhausted and under siege, work day and night and each life saved is seen as a victory over the predominance of death.
The streets of Gaza are eerily silent- the pulsing life and rhythm of markets, children, fishermen walking down to the sea at dawn brutally stilled and replaced by an atmosphere of uncertainty, isolation and fear.
As we continue to accompany the ambulances, joining Palestinian paramedics as they risk their lives, daily, to respond to calls from those with no other life-line, our existence becomes temporarily narrowed down and focused on the few precious minutes that make the difference between life and death. With each new call received as we ride in ambulances that careen down broken, silent roads, sirens and lights blaring, there exists a battle of life over death. We have learned the language of the war that the Israelis are waging on the collective captive population of Gaza- to distinguish between the sounds of the weaponry used, the timing between the first missile strikes and the inevitable second- targeting those that rush to tend to and evacuate the wounded, to recognize the signs of the different chemical weapons being used in this onslaught, to overcome the initial vulnerability of recognizing our own mortality.
Though many of the calls received are to pick up bodies, not the wounded, the necessity of affording the dead a dignified burial drives the paramedics to face the deliberate targeting of their colleagues and comrades- thirteen killed while evacuating the wounded, fourteen ambulances destroyed- and to continue to search for the shattered bodies of the dead to bring home to their families.
As the ambulance sped him through the cold night we applied pressure to his wounds, the warmth of his blood seeping through the bandages reminder of the life still in him. He opened his eyes in answer to my questions and closed them again as Muhammud, a volunteer paramedic, murmured "ayeesh, nufuss"- live, breathe- over and over to him. He lost consciousness as we arrived at the hospital, received into the arms of friends who carried him into the emergency room. He, Majid, lived and is recovering.
A few minutes later there was another missile strike, this time on a residential house. As we arrived a crowd had rushed to the ruins of the four story home in an attempt to drag survivors out from under the rubble.
The family the house belonged to had evacuated the area the day before and the only person in it at the time of the strike was 17 year old Muhammud who had gone back to collect clothes for his family. He was dragged out from under the rubble still breathing- his legs twisted in unnatural directions and with a head wound, but alive. There was no choice but to move him, with the imminence of a possible second strike, and he lay in the ambulance moaning with pain and calling for his mother. We thought he would live, he was conscious though in intense pain and with the rest of the night consumed with call after call to pick up the wounded and the dead, I forgot to check on him. This morning we were called to pick up a body from Shifa hospital to take back to Jabaliya. We carried a body wrapped in a blood-soaked white shroud into the ambulance, and it wasn't until we were on the road that we realized that it was Muhammud's body. His brother rode with us, opening the shroud to tenderly kiss Muhammud's forehead.
This morning we received news that Al-Quds hospital in Gaza City was under siege. We tried unsuccessfully for hours to gain access to the hospital, trying to organize co-ordination to get the ambulances past Israeli tanks and snipers to evacuate the wounded and dead. Hours of unsuccessful attempts later we received a call from the Shujahiya neighborhood, describing a house where there were both dead and wounded patients to pick up. The area was deserted, many families having fled as Israeli tanks and snipers took up position amongst their homes, other silent in the dark, cold confines of their homes, crawling from room to room to avoid sniper fire through their windows.
As we drove slowly around the area, we heard women's cries for help. We approached their house on foot, followed by the ambulances and as we came to the threshold of their home, they rushed towards us with their children, shaking and crying with shock. At the door of the house the ambulance lights exposed the bodies of four men, lacerated by shrapnel wounds- the skull and brains of one exposed, others whose limbs had been severed off. The four were the husbands and brothers of the women, who had ventured out to search for bread and food for their families. Their bodies were still warm as we struggled to carry them on stretchers over the uneven ground, their blood staining the earth and our clothes. As we prepared to leave the area our torches illuminated the slumped figure of another man, his abdomen and chest shredded by shrapnel. With no space in the other ambulances, and the imminent possibility of sniper fire, we were forced to take his body in the back of the ambulance carrying the women and children. One of the little girls stared at me before coming into my arms and telling me her name- Fidaa', which means to sacrifice. She stared at the body bag, asking when he would wake up.
We helped evacuate those assembled to near-by hospitals and schools that have been opened to receive the displaced. The scenes were deeply saddening- families, desperate and carrying their children, blankets and bags of their possessions venturing out in the cold night to try to find a corner of a school or hospital to shelter in. The paramedic we were with referred to the displacement of the over 46,000 Gazan Palestinians now on the move as a continuation of the ongoing Nakba of dispossession and exile seen through generation after generation enduring massacre after massacre.
Today's death toll was over 75, one of the bloodiest days since the start of this carnage. Over 1,110 Palestinians have been killed in the past 21 days. 367 of those have been children. The humanitarian infrastructure of Gaza is on its knees- already devastated by years of comprehensive siege.