In southern Gaza, our team in the ER at Al Mawasi primary healthcare centre rushes to stabilise two young boys with gunshot wounds sustained from US-Israeli aid distribution sites in Rafah. As violence escalates, and the act of seeking food becomes deadly, we are still receiving dozens of injuries in our small ER on a daily basis. With Nasser Hospital, the only remaining main trauma facility, cut off by military operations, our staff are seeking to find alternatives for critical care, but hospitals are overwhelmed, roads are unsafe, and no options remain.