The pagers of emergency room staff at Hennepin Healthcare, in downtown Minneapolis, buzzed yet again — this time carrying especially dire news. About 20 victims needed urgent medical care after a shooting at Annunciation Church about 6 miles away.

The hospital had already taken in patients from another mass shooting in south Minneapolis less than 24 hours earlier that left one dead and six others injured .

"Taking care of one child that’s injured is difficult,” Dr. Jon Gayken, a Hennepin Healthcare trauma surgeon, told reporters on Aug. 28, as nine people, mostly children, remained hospitalized. “Eight of them is nearly impossible, but it happened yesterday.”

Two children died and 18 others were injured when a shooter opened fire through the church windows as schoolchildren and parish

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