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There is nothing on his face to convey what he has seen.
The lifeless bodies of children pulled from the rubble. The tents filled with the dead wrapped in white shrouds. Buildings flattened by the devastating force of air strikes. Mahmoud Badawi has seen humanity blasted, burned and broken.
"There are many hard situations," he says. "As an ambulance driver you get used to what is happening. Whether it's hands, heads or bodies that are cut… we are used to this."
His ambulance races from one scene of carnage to another. In a narrow alley in Gaza, he stops to collect two child casualties of an air strike. A man approaches holding a bundle in his arms. It is a boy who has been badly wounded.
He calls out to a friend who is helping the emergency workers load the casualties, urging him to take extra care with the boy.
"Nasser, his head is open."
Yet Mahmoud retains his composure. It is not that he is unmoved by all he sees but that necessity demands he focus on those who can be saved. As he speaks to a BBC journalist, there is the sound of a missile exploding.
"We do not rest a lot with all that is happening. The situation is very bad. Now we will try to locate the bombed area to go to the injured and the dead."
Asked what is the situation with medical supplies Mahmoud says starkly: "Everything is going."
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