Boston Medical Center’s daily marathon: Major tragedies get attention, but lives are saved every day without fanfare

Boston Medical Center personnel waited outside the emergency room for more Marathon bombing victims to arrive.

Boston Medical Center personnel waited outside the emergency room for more Marathon bombing victims to arrive. Photo courtesy: Jim Davis/Globe Staff/File 2013

By Joanna Weiss | GLOBE COLUMNIST   APRIL 05, 2014

THE STAFF at Boston Medical Center is steeling itself for remembrances.

This month will be filled, as it should be, with events to mark the Boston Marathon bombing: tributes to resiliency and lives rebuilt, to the actions of first responders and the generosity of strangers. BMC, like other local hospitals, shares in the history and the emotion.

But another idea has been percolating in the hospital hallways, tempering the pride, dampening the celebrations. It’s hard to come to terms, as one doctor says, with the fact that, on a typical day, “there is no outpouring like this.”

This happens, without intention or ill will, whenever there’s a newsworthy disaster. A plane crash is an international event; a car crash is a private tragedy. An act of terrorism, ghastly and unexpected, overshadows the horror of day-to-day violence.

 But the contrast is especially acute in a place like BMC, New England’s largest trauma center, where many patients aren’t strangers to what Dr. Andrew Ulrich, vice chair of emergency medicine, calls “intended violence.” About 1,000 patients with gunshot and stab wounds are treated in the Emergency Department every year. The day after the Marathon bombing, four people were brought to BMC with gunshot wounds.

I sat down recently with Ulrich and other hospital workers — a surgical intensive care nurse, a social worker, the head of patient advocacy — to talk about what happened on the week of April 15, 2013, when 19 bombing victims were admitted, 10 of them critical.

They remembered the day with pride: how their crisis-response training paid off; how everyone on staff contributed, down to the crew that worked at breakneck speed to clean medical equipment. Patients rallied, too; people who had come for rehab and detox offered to give up their beds for bombing victims.

Still, it was hard not to notice the attention and support that was showered on Marathon victims and their families, the accolades that poured in for the medical staff, at a volume and intensity that BMC usually doesn’t see. People donated wheelchairs and private planes so that loved ones could fly to and from Boston. Pizzas arrived from a hospital in Texas. Edible fruit arrangements appeared, followed by more of them. Celebrities roamed the halls: Actors, singers, Red Sox, Patriots, and Bruins players. At one point, Elizabeth Warren’s entourage bumped into Bradley Cooper’s entourage.

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Courtesy of Boston Globe.

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