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4.1 Khan Younisresponsive to verbal stimulus, not oriented. Chest tubefor internal injury; diffuse shrapnel injuries; burns.Date/time of incident: 29 Jul 2014, 22:00Location of incident: Ali Yasser Mosque, near thepatient’s home in Khan Younis, southern GazaCircumstances of injury: The patient was injured onthe first day of the Muslim holiday of ‘Eid Al Fitr, in theattack on the Ali Yasser Mosque. A couple of hoursbefore the incident in which the patient was injured,a missile hit a house near this mosque and a violentfire broke out. Firefighters went to put it out and manypeople gathered to watch from a distance. The group,mainly children, were standing in front of the mosque,when they were hit by a missile from an F-16 aircraft.Others killed/injured in same event: Three peoplewere killed, two of them the patient’s cousins,and more than 50 were injured in this attack.The patient’s father and brother sustained minorinjuries. The house of the patient’s family is veryclose to the mosque so when his mother, in her 9thmonth of pregnancy, heard the explosion she rantowards the place. She saw the patient’s body flyingdue to the explosion and fainted. She fell twice onher way to the incident. She started bleeding and hercontractions began. She was taken to the hospitalwith the wounded and eventually the haemorrhagewas controlled. Her baby was born next day.Evacuation and care inside Gaza: After the dead andinjured of this incident had been evacuated, andbecause of the chaos, the patient’s family couldn’tfind him, either among the casualties or among theinjured. They asked about him in the hospitals andeventually, at 02:00, he was found in the EuropeanHospital in Khan Younis, registered under anothername. No one in the family knows how he arrivedthere, who was responsible for his evacuation orhow long it took to get first aid.Evacuation out of Gaza: The patient was transferredto St Joseph Hospital in East Jerusalem on 10 Aug2014. He left Khan Younis in a convoy of threeambulances at around 09:30. At the Beit Lahiyajunction the convoy was attacked. The witness (thepatient’s aunt), who was with the patient, couldn’t seewhere the attack came from, but the drivers, who were185