For over two decades, trauma surgeon David Nott has volunteered in war zones and disaster areas across the globe. Now he's in London treating COVID-19 patients. He calls the pandemic a 'disaster zone for the whole world.'
It's really difficult. We're all in this together, and you don't make those decisions on your own. You make them with a team. ... We call them pods. We all look after about five ventilated patients in our pod. Then we have a senior who is in charge of the whole ICU. So that person then is in charge. You go up to that person, say,"Look, I've got this problem." And so you work at it as a team, rather than individual. And that seems to make it easier to take the stress.
I felt ... going into a war zone and just being a single surgeon and operating on lots of patients and then coming home — really wasn't the right way to go. And I wanted to have almost, like, a legacy. I got both fingers around it and just pulled it out. And suddenly the whole attitude in the operating theater just went silent. When [the] Syrian interpreter, standing next to me, shouted ..."detonator!" And so I was holding up this detonator in my hand. My legs started to shake. If it was going to go off, then it would significantly cause a problem — probably wouldn't kill me, but it would certainly blow my hands off.
You go in as a humanitarian surgeon and your role there really is to help the human being that's in front of you — and you will do everything possible to save the life of somebody in front of you if it's possible to save. ... Your job as a surgeon, as a medical person, is to offer the human being that's in front of you the best chance of life. And that's my ethos, really, wherever I go.
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