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Brigade Surgeon Major Everett Fuller: The types of injury we see here are penetrating injuries, like gunshot wounds, you have multi trauma like IED blasts (improvised explosive device), land mine blasts and because of the mountainous terrain we have had a fair number of falls. Some with pretty nasty injuries. What helps is having some level of detachment. When you know something is coming in, you mentally prepare yourself. It might be something that looks pretty bad. You just focus on what you have to do. Airway, breathing, stop the bleeding instead of trying to get personal.