#### Impacts of the Siege on Ahmed Mansour’s Treatment Needs 1. **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. 2. **Antibiotics (Unavailable):** - Burn patients are highly susceptible to infection. Without antibiotics, sepsis is almost inevitable, a leading cause of death in burn patients. 3. **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. 4. **Ventilation Support (Unavailable):** - Inhalation injury likely requires mechanical ventilation, but ventilators need electricity, fuel, and oxygen, all scarce due to the siege. 5. **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. 6. **Nutritional Support (Unavailable):** - Burn patients need 1.5–2 times normal caloric intake. With no food entering Gaza, malnutrition will hinder healing. 7. **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.