They let them scream. Sometimes for an hour.

The Moroccan
said he damned near puked the first time."
"1 don't believe they'll do that here," I said. "Unless they're
really short on ammunition."
Day was coming in through four airholes and a round opening,
they had made in the ceiling on the left, and you could see
the sky through it. Through this hole, usually closed by a trap,
they unloaded coal into the cellar. Just below the hole there was
a big pile of coal dust; it had been used to heat the hospital but
since the beginning of the war the patients were evacuated and
the coal stayed there, unused; sometimes it even got rained on
because they had forgotten to close the trap.
Tom began to shiver. "Good Jesus Christ, I'm cold," he said.
"Here it goes again."