Sri Lankans flee war zone with horrific injuries

By Emma Batha

LONDON, April 23 (Reuters) - Thousands of people fleeing Sri Lanka's war zone are arriving at hospitals with horrific injuries and severe trauma, doctors said on Thursday.

Some are dying in buses on their way to hospital, according to doctors working round the clock to treat wounds from shelling and gunfire. Many patients are also deeply traumatised after seeing loved-ones killed in front of them.

"About three-quarters of the injured coming in now have suffered from blast injuries, and the rest are gunshot wounds and mine explosions," said Paul McMaster, a surgeon working with Medecins Sans Frontieres (MSF) at a hospital in Vavuniya.

"We are doing a lot of amputations. Many of the lower limbs are severely, severely injured and blown off ... We had a young woman of about 19 who is breastfeeding that I had to do a major leg amputation on. I just wonder what the future for her life and child will be."

The military says more than 100,000 civilians have poured out of the battle zone since Monday when troops blasted through a massive earthen wall built by the Tigers. But the United Nations says tens of thousands more could still be trapped.

E G Gnanakunalan, a Red Cross doctor at a field hospital in Pulmoddai, about 40 km (25 miles) to the south, said many people were extremely traumatised.

"They need some kind of psychological support. They are mentally and physically tortured," he said.

"One lady came and she had been eating with her husband and children. A shell fell on the house and her husband and some of the children died and she lost both her legs. She was crying and asking what would she do in future. There are a lot of sad stories."