This is a case report of a wounded soldier who suffered a multiple organ injury as a result of an Improvised Explosive Device (IED) explosion under his armored personnel carrier. His injuries were extreme. The soldier suffered an amputation of his right lower limb with enucleaction in the hip joint, amputation of his left lower limb in the middle of the thigh, a multi-level backbone injury with spinal cord damage resulting in the dysfunction of sphincters, disorders of peristalsis and a partial limitation of breathing activity, chest injuries resulting in a complete amputation of the left lung and a lower part of the right lung as well as distress to the middle part of the lung, an abdominal injury with damage to the fascia and muscles requiring a titanium wire mesh implant across the whole abdomen area, and an injury of the left elbow joint resulting in faulty functioning of this joint.

The injuries suffered by the soldier resulted in a continuous 18-month stay in the hospital. Every day of his hospitalization resulted in a fight with his physical and mental pain. This pain was exacerbated by a series of interventional orthopedic surgeries, e.g., removal of the backbone stabilization system due to penetration of the fixing screws through the skin because of emaciation. Pain treatment for this patient was greatly restricted due to his respiratory distress and the rehabilitation activities administered. The patient's death was caused by respiratory distress resulting from pneumonia. He was conscious until the very end.