Doctors speak of "worst night-shift" after Manchester atrocity 22 24/05/2017
Doctors in Manchester have told how hospitals responded to the bombing atrocity that claimed the lives of at least 22 pop concert-goers.
One emergency specialist described it as the "very worst nightshift" he had ever worked.
The accounts told how teams and hospitals worked together to provide the best care for patients of all ages admitted with horrific injuries.
Eye-witness reports confirmed that the suicide bomber used a nail-bomb type device, describing injuries caused by dozens of metal projectiles.
The youngest of the small number of identified victims last night was a girl, aged eight, while 12 seriously injured children were known to be under treatment at the Manchester Children's Hospital.
The hospital transferred other trauma patients to the Alder Hey children's hospital in Liverpool - where a number of victims with less serious injuries had attended for treatment.
Consultant paediatrician Dr Sharmila Gopisetta, from Manchester Children's Hospital, wrote on Facebook: “Very tired, but going home proud. Brilliant teamwork, as soon as situation demanded, staff were in. Help from NWTs [north-west trusts], Alder Hey. Teams pulled together, worked as one team.
“We had technicians, pharmacists, CSWs, registrars, consultants, management, everyone. Coming in at odd hour and standing united!
"Offers to help from around the country!!! Proud to be part of this awesome team. Proud to be a part of RMCH and I am a proud NHS doctor!”
The Manchester Royal Infirmary emergency medicine specialist, identified only as Tariq, tweeted: “After what can only be described as the very worst nightshift I’ve ever worked, I’m honoured to say that I work alongside some absolute heroes.
"We’ve faced adversity, the very lows of society and come together, and made a difference. To all my colleagues in Green, Blue and Red … you are all amazing."
Consultant anaesthetist Dr David McCarthy wrote on Facebook about being on-call at the Manchester Royal Infirmary as the victims arrived.
He said: "An atrocity was carried out which has had an unmeasurable impact on countless lives. Many casualties were bought to our department. Once an incident had been declared dozens upon dozens attended to help.
"The response from my colleagues represented everything great about this country. Compassion. Empathy. Tireless self-sacrifice and above all else profound unity. Staff from almost every imaginable background, race and religion came together and put their all into caring for those wounded."
He added: "I was proud to be a small part of such a dedicated team, every bit as diverse as our community. I know that the people of the UK will not allow the actions of individuals to divide our society. I know that actions, such as those displayed by NHS staff across Manchester last night, will always demonstrate that together we are stronger.
"My profound thanks to those who helped throughout the night and to those who attended in large numbers to continue our efforts into what will be a difficult day. My deepest sympathies to those who have lost loved ones. I sincerely hope you have the support of those around you."
The NHS in Manchester moved its focus to support for the hundreds of children and adults facing mental trauma from their experience of the atrocity.
In a statement setting out what to expect and how to get help, NHS organisations warned: "The emotional effects will be felt by survivors, bereaved families, friends, emergency services, health care workers and the general public. If you witnessed or lost someone in the attack you will most certainly have a strong reaction.
"Reactions are likely to be strongest in those closest to the incident, who directly witnessed the aftermath and who were involved in the immediate care of victims."
NHS Blood and Transplant issued a plea to the public to sign up as donors - but said there was no immediate shortage of blood.
Some social media posts, widely shared, had urged the public to queue at hospitals to give blood.
The organisation's director of blood donation Mike Stredder said: "Thank you for thinking of giving blood at this time. We do have all the blood required for hospital patients at the present time.
"If you have an appointment to give blood in the next few days, please do your best to keep it, particularly if you are blood group O negative."