Air Force Maj. Charles Chesnut was defunct when Stephen Paddock
non-stop fire on a throng at a unison outward the Mandalay Bay
hotel in Las Vegas just after 10 p.m. on Sunday.
About 90 mins later, he was woken up by an warning to equivocate the
city’s downtown area.
Despite that warning, Chesnut, a ubiquitous surgeon reserved to the
99th Medical Group at Nellis Air Force Base, met his commander
and headed toward the scene.
He arrived at University Medical Center of Southern Nevada around
midnight, as diagnosis for the first call of patients was
But his work was just beginning.
“Within two hours after the incident, all the resuscitation bays
[at the hospital] were full, and 6 patients were being operated
on by mishap surgeons,” Chesnut said in
an Air Force
Air Force Col. Brandon Snook was another surgeon operative at
the University Medical Center during the issue of
“Days like we gifted at UMC are the toughest ones, when you
have mixed patients harmed while mixed patients are
stability to come to the hospital,”
pronounced Snook, a surgeon from the 99th Medical Group.
Chesnut pronounced that doctors treated over 100 patients, most
from gunshot wounds, as good as some patients who were trampled.
“My partial of that was substantially no some-more than 30 patients, ranging
from surgical procedures to end-of-life caring to supervising our
residents in training to getting eyeglasses of water and holding
patients’ hands and assisting them charge their cellphones,” he
The University Medical Center is the state’s only level-one
mishap center, definition it is staffed with surgeons and trauma
nurses 24 hours a day.
Though the trickery has dealt with mass-casualty events in the
past, the carnage on Sunday and Monday — when the hospital
perceived 104 patients —
still presented an unprecedented
Staff there were inexperienced to
wounds like those caused by Stephen Paddock’s minutes-long
fusillade of semiautomatic-rifle fire. At times the hubbub of beepers
announcing a serious mishap case drowned out the
voices of nurses and doctors.
“These were utterly vast wounds that we saw,” Douglas Fraser,
arch of mishap at the hospital,
told The Washington Post.
Bullets from the semiautomatic rifles used by Paddock hit with
some-more force than ones fired by handguns. In further to repairs as
they enter and exit, they also means repairs with the shockwaves
they send rippling by tissue, quite when the bullets
mangle into pieces.
“The fractured shrapnel combined a opposite settlement and really
harmed bone and soothing hankie very readily,” Fraser said. “This
was not a normal settlement of injuries.”
The hospital called on Air Force trauma
surgeons, some of whom were on site as partial of a
visiting-fellow program and who were “used to seeing those
things,” Fraser said.
“I never suspicion that we would see this form of mass-casualty
[event] stateside,” Chesnut said. “This is the kind of thing that
happens at Bagram or in Iraq or Syria, not Las Vegas, Nevada.”
“There were 4 ubiquitous surgeons and mishap surgeons down there
assisting to take caring of these patients,” Chesnut said. “Three
active-duty general-surgeon residents participated in the caring of
these patients, and the following morning there were countless
others from the Air Force bottom and the 99th medical group” on
palm at the hospital.
“The sourroundings down there was tranquil chaos,” he added.
“There’s no way that that can't be chaotic.”
But the disaster-response devise in place worked, Chesnut said,
observant that at no time did he feel the conditions outstripped
their capacities. Training with identical kinds of patients in
lower-intensity settings allowed him to “scale it up,” relying on
flesh memory and healthy abilities.
The Air Force crew assisted in a series of ways, but Chesnut
pronounced the biggest value they supposing was “the overall
coordination of care.”
“Patients were … all via the hospital,” he said, with some
wanting visit follow-ups and their information routed back to
surgeons and doctors. “I consider that we combined swell capacity. We
combined an ability to triage in a mass-casualty situation.”
Some of the Air Force crew on palm been in such environments
in the margin before, but all had been lerned for it — some as
recently as two days before during a mass-casualty training at
Nellis Air Force Base.
“The training that we had on that Friday before helped us
immensely on the following Sunday into Monday morning,” Chesnut
Coordination between military units like his and civilian
comforts like the one at University Medical Center was a “match
done in heaven,” Chesnut said.
Just as their imagination protracted the municipal response to the
Las Vegas shooting, Air Force crew benefitted from being
benefaction during such events.
“We need to be enthralled in this form of environment. This isn’t
the form of knowledge you can have just in the march of a few
weeks before to going down operation and really be set up for
success,” he said. “So we consider that the future of military
medicine really are these civilian-military partnerships like we
have here at Nellis Air Force Base.”