{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:18:55Z","timestamp":1785428335426,"version":"3.56.0"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"unspecified","delay-in-days":250,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Since the escalation of hostilities in Gaza in October 2023, the health care system has been overwhelmed by mass casualties, infrastructure damage, and supply shortages. Amid these conditions, septic amputations have emerged as a desperate, life-saving measure for patients with severe limb wound infections. This article examines the rise of such procedures, drawing from contextual analysis and firsthand cases at Al-Aqsa Martyrs\u2019 Hospital. It also highlights doctors\u2019 observation of how delayed access to care, lack of sterile tools, antibiotic shortages, and multidrug-resistant infections have often made limb salvage impossible. These amputations, while medically necessary, reflect the collapse of trauma care and underscore the urgent need for adaptable humanitarian intervention, standards, and call for the protection of health care facilities and services continuity.<\/jats:p>","DOI":"10.1017\/dmp.2025.10191","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T09:58:41Z","timestamp":1757325521000},"source":"Crossref","is-referenced-by-count":0,"title":["Septic Amputations as a Life-Saving Practice in Gaza During War"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0170-8903","authenticated-orcid":false,"given":"Abdulwhhab","family":"Abu Alamrain","sequence":"first","affiliation":[{"name":"Al-Quds University"},{"id":[{"id":"https:\/\/ror.org\/04hym7e04","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Aqsa Martyrs Governmental Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Al-Zayyan","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04hym7e04","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Aqsa Martyrs Governmental Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Abuaita","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04hym7e04","id-type":"ROR","asserted-by":"publisher"}],"name":"Al-Aqsa Martyrs Governmental Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"AlSaifi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05b8hjk91","id-type":"ROR","asserted-by":"publisher"}],"name":"21 September University for Medical and Applied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"S1935789325101912_r11","unstructured":"11. Majority of medical equipment supplies at \u201cstock zero\u201d in Gaza, WHO says. Reuters. May 26, 2025. Accessed July 20, 2025. https:\/\/www.reuters.com\/business\/healthcare-pharmaceuticals\/majority-medical-equipment-supplies-stock-zero-gaza-who-says-2025-05-26\/."},{"key":"S1935789325101912_r2","first-page":"15","article-title":"Addressing the effects of war on Gaza\u2019s healthcare system","author":"Ahmed","year":"2023","journal-title":"Cureus"},{"key":"S1935789325101912_r8","doi-asserted-by":"publisher","DOI":"10.3390\/antibiotics13111020"},{"key":"S1935789325101912_r15","unstructured":"15. Gaza: Health system crumbles amid growing desperation over food, fuel | UN News. June 27, 2025. Accessed July 21, 2025. https:\/\/news.un.org\/en\/story\/2025\/06\/1165011"},{"key":"S1935789325101912_r4","unstructured":"4. Middle East Monitor. Gaza health official: \u201c4,500 amputations since start of Israel\u2019s genocide.\u201d Middle East Monitor. January 11, 2025. Accessed July 19, 2025. https:\/\/www.middleeastmonitor.com\/20250111-gaza-health-official-4500-amputations-since-start-of-israels-genocide\/"},{"key":"S1935789325101912_r14","doi-asserted-by":"publisher","DOI":"10.1136\/military-2023-002489"},{"key":"S1935789325101912_r5","unstructured":"5. \u201cTen weeks of hell\u201d for children in Gaza: UNICEF | UN News. December 19, 2023. Accessed July 19, 2025. https:\/\/news.un.org\/en\/story\/2023\/12\/1144927"},{"key":"S1935789325101912_r12","first-page":"13","article-title":"Navigating ortho care amidst war crisis: insights from Al-Aqsa Martyrs\u2019 Hospital\u2019s orthopedic department at Gaza Strip","author":"Alamrain","year":"2025","journal-title":"Front Public Health"},{"key":"S1935789325101912_r6","article-title":"Israel\u2019s violation of humanitarian principles under the Gaza blockade: a study of health crisis","volume":"1","author":"Naufaldi","year":"2025","journal-title":"Muhajirin International Conference"},{"key":"S1935789325101912_r13","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-025-06511-6"},{"key":"S1935789325101912_r10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2024.06.014"},{"key":"S1935789325101912_r7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.4244.589"},{"key":"S1935789325101912_r9","doi-asserted-by":"publisher","DOI":"10.1128\/msystems.01679-24"},{"key":"S1935789325101912_r1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034648"},{"key":"S1935789325101912_r3","doi-asserted-by":"publisher","DOI":"10.18356\/9789211071733c005"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325101912","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T15:41:45Z","timestamp":1759851705000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325101912\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":15,"alternative-id":["S1935789325101912"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.10191","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e261"}}