“MALE DETAINEE NEEDS to go out due to head trauma,” an employee at a U.S. Immigration and Customs Enforcement’s detention center in Georgia tells a 911 operator.

The operator tells the employee at Stewart Detention Center that there are no ambulances available.

“It’s already out — on the last patient y’all called us with,” the operator says.

“Is there any way you can get one from another county?” the caller asks.

“I can try,” the operator says. “I can’t make any promises, but I can try.”

The burden on rural Stewart County’s health care system is “unsustainable,” said Dr. Amy Zeidan, a professor of emergency medicine at Atlanta’s Emory University who researches health care in immigration detention.