Pain Medication (Unavailable):
- Severe burns cause excruciating pain, requiring opioids (e.g., morphine). MSF notes no pain relief is available, increasing physiological stress and risk of shock.
Antibiotics (Unavailable):
- Burn patients are highly susceptible to infection. Without antibiotics, sepsis is almost inevitable, a leading cause of death in burn patients.
Skin Grafts (Not Feasible):
- Third-degree burns require surgical skin grafts, which need sterile operating rooms, anesthesia, and donor skin—none of which are available in Gaza.
Ventilation Support (Unavailable):
- Inhalation injury likely requires mechanical ventilation, but ventilators need electricity, fuel, and oxygen, all scarce due to the siege.
Fluid Resuscitation (Limited):
- IV fluids are present in the image, but the Parkland Formula (4 mL × %TBSA × body weight) requires large volumes (e.g., 8,400 mL for a 70 kg person with 30% TBSA in 24 hours). These are likely in short supply.
Nutritional Support (Unavailable):
- Burn patients need 1.5–2 times normal caloric intake. With no food entering Gaza, malnutrition will hinder healing.
Specialized Burn Care (Inaccessible):
- Burns over 20% TBSA require a specialized burn center (web ID: 3, American Burn Association). This is impossible in Gaza’s current state.
