Geneina, Sudan—The wards are overflowing. Facilities supported by humanitarian teams are reporting a massive influx of patients suffering from severe burns and blast trauma as of Friday. The patients arrive in waves, most of them civilians caught in recent strikes. Doctors are currently working past their limits to manage the volume of critical injuries.

The nature of the wounds indicates a shift in the conflict’s intensity. Many patients have deep tissue burns caused by fire following explosions. Others are dealing with penetrating shrapnel wounds that require complex surgery. The medical staff says they have never seen this volume of specialized trauma in such a short window of time.

Supply chains are failing to deliver the necessary medications to keep up with the demand. The pharmacy shelves in these hospitals are nearly empty of antibiotics and pain management drugs. Surgeons are making difficult decisions about which procedures to perform first, often having to delay care for those who are considered the most stable.

Patients are often forced to share beds or are treated on mats placed in hallways as the capacity is reached. The lack of clean water and electricity makes maintaining a sterile environment nearly impossible. Nurses are washing surgical tools in buckets and using manual methods to keep the operating rooms functioning.

Family members of the injured wait in the courtyards, hoping for updates on their loved ones. Many of them have traveled through dangerous territory to bring their family members to the clinic. They share stories of strikes that destroyed entire neighborhoods, leaving little behind.

Humanitarian agencies are calling for more support to reach these facilities with urgent supplies. However, the fighting makes it difficult for cargo planes to land and for trucks to drive into the city. The isolation of the hospital zones is becoming a major factor in the mortality rate of the victims.

The situation inside the hospital is deteriorating as the day progresses. More people arrive every hour, some already beyond saving when they reach the triage tent. The doctors and nurses continue to work, though they express profound frustration at the lack of resources to treat basic needs.

The facility remains under extreme pressure to manage the continuous intake of patients as of Friday night.