injuries he treats-- fewer bullet wounds and many more from roadside bombs and heavy weapons. >> the weapons which are now used much more powerful and destructive than those that were available ten or 15 years ago. >> reporter: this year, the hospital has treated nearly 2,000 patients, an all-time high-- the vast majority, civilians. and this is from shrapnel? five-year-old shayr mohammed's wrist was fractured and his arm burned when he was hit by shrapnel. his injuries have healed well. not all children are so lucky. this young boy had picked up what he thought was a toy, and it exploded in his pocket. by the time he arrived in emergency, there was nothing the doctors could do. "we live in a place where insurgents and police are