"probably armed, possible not" (x2!) - repitition of this whole phrase shows how vividly he's reliving this memory, PTSD.
"pains itself, the image of agony" - enjambment puts more emphasis on pain.
"dug in heind enemy lines" - 'dug in' is monosyllabic with plosives, very forceful.
"his bloody life in my bloody hands" - sounds unfinished like his lack of closure. Plosives create a dark deadly sound. Repitition shows how he won't forget. Blood as in real blood or bloody as in a swearword like anger. Allusion to Macbeth "wash this blood from my hands".
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