The current counter-offensive, which is forcing Ukrainian troops to cross minefields in the teeth of drone and artillery attacks, is intensifying the burden on medical care. Shortages are compounded by structural problems
MERICAN AND British intelligence agencies watched as Russia massed its troops on the border with Ukraine in the early weeks of 2022. They knew that Vladimir Putin had planned an invasion—they had stolen his plans. But would Mr Putin go through with it? One indicator that he would, says Major-General Tim Hodgetts, the surgeon-general of Britain’s armed forces, was that field hospitals were moving to Russia’s border with Ukraine.
In Afghanistan and Iraq, America’s army and its allies made astonishing progress in wartime medical care. Since the majority of deaths occur before soldiers arrive at a hospital, much was gained by evacuating wounded troops by helicopter and treating them within the “golden hour”, a period in which the chance of survival is far higher. Soldiers who once would have died pulled through.
For its part, Ukraine is in the midst of a transition away from Soviet-style care. Before 2017 it had no professional cadre of combat medics, says Maria Nazarova, an instructor in the country’s armed forces. By 2022 it had trained 650 of them, a drop in the ocean for a notional million-man army. The training centre, short of instructors and facilities, now prepares fewer than 300 people per month for the battlefield, each of whom has had just those four weeks of instruction.
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