A surgical challenge on the evacuation train
Georgios Karagiannidis MBBS, MRCS, AFHEA
I was on holiday in Greece when news broke that a wildfire had erupted northeast of Athens, rapidly approaching the small town of Varnavas. On the morning of 12 August 2024, the skies were already heavy with smoke, and the wind carried an ominous, ash-laden warmth. I had planned a brief train trip north to admire the countryside, but instead, I found myself in the midst of an emergency evacuation, with local authorities urging everyone to board trains heading away from the fire zone.
I was ushered onto a crowded carriage filled with anxious families, many clutching their belongings in small bags. The train began rolling slowly southward, but before long, the atmosphere grew tense and unsettling. Amid the chaos, a frail-looking older man, who had been coughing incessantly, suddenly collapsed in the aisle. I identified myself as a doctor (the only medical personnel on board) and rushed to his side.
When I knelt down, I noticed a small wound on his arm. He must have brushed against jagged metal or broken glass during the hurried boarding. He was also breathless, appearing to verge on shock. Quick assessment revealed that in addition to the laceration on his forearm, he might be suffering from inhalation of smoke or an exacerbation of a chronic lung condition.