乌克兰的医务人员发动了他们自己的战争，因为进攻方的推进给他们带来了更多的伤员

![](/media/202412//1733468786.2042577.png)乌克兰的医疗人员自己工资

战争作为进攻性的推进所带来的 更多的人受伤了

![](/media/202412//1733468786.2205725.png)

**临时医院的护理人员**

**这是对士兵的第一道护理路线吗** **在战斗中受伤**

·发布时间：2023年9月21日美国东部时间凌晨4点，美国东部时间|最后一次 更新日期：9月21日

![](/media/202412//1733468786.2323613.jpeg)在一家临时医院的一间小手术室里

乌克兰护理人员在巴克穆特附近的稳定点进行表演 病人的关键程序。（托马斯 ·马奇）

在过去一年半的乌克兰战争中，大部分的荣耀都已经实现了 前往乌克兰抵抗俄罗斯入侵的士兵那里

深沟

但就在他们身后的是另一批新兵

关键：进行救生手术的医生只有几公里 前线。

在离巴赫穆特不远的一个村庄里，一群十几名乌克兰人

外科医生和护理人员坐在当地一家临时搭建的医院里。这些

“稳定点 ”是照顾在受伤士兵的第一道防线 东边的战斗，可以听到几乎持续的炮火。

“到目前为止，这是一个安静的一天，”其中一名医生奥莱赫 ·托卡库克说。 “现在是中午了，到目前为止我们只有六个病人，大多数都在

黎明

乌克兰总统泽伦斯基伊将于本周访问加拿大 加拿大承诺出资3300万美元购买防空设备

![](/media/202412//1733468786.2430854.jpeg)乌克兰

.A

ack

![](/media/202412//1733468786.252205.jpeg)

![](/media/202412//1733468786.261537.jpeg) 由一个

医生把这个人送到医院的病床上，开始工作 盯着流血。

他们在这里的任务是执行最紧急的护理，治疗任何生命-

在受伤之前，他们会尽可能地威胁伤害 被送往顿巴斯市的正规军事医院。

![](/media/202412//1733468786.2706673.jpeg)奥莱 ·托卡库克是西部科洛米亚镇的副市长

乌克兰人战后几周后，他就被征召入伍，担任护理人员 开始（托马斯 ·马奇）

**乌克兰进攻带来更多** **伤亡者**

尽管这名男子的伤势很可怕，但他的身体状况仍然相对稳定

-同样重要的是，该设施目前并没有不堪重负。

“我们通常每天可以治疗多达100名病人，”他说 托卡库克，他已经在这个职位上工作了6个半月

现在“除此之外，它变得混乱。”

![](/media/202412//1733468786.282393.png)“没有做错什么的人 ”：俄罗斯袭击的损失 乌克兰的平民目标

加拿大驻乌克兰特使表示，加拿大的支持将会持续太久 俄罗斯入侵

他说，最糟糕的情况是在1月份保卫索莱达尔的战斗中 和2月。

“在某些时候，我们每天有200个病人。”

在5月和6月的沉寂之后，伤亡人数最近再次增加。 随着乌克兰正在巴克穆特北部和南部发动进攻，

托卡库克说，稳定点的接收并不少见 每天有70或80人受伤。

近四个月来，乌克兰军队一直在进行一场

对俄罗斯军队进行了大规模的反攻 国家的南部和东部。

在防守严密的防守者面前，进展是断断续续的 乌克兰南部的两个主要据点，在奥里基夫和

进步已经在几十米内测量

在无尽的雷区和壕沟线中的白天。

在第三个方向，在巴赫穆特附近，最近几天的情况更多

富有成效的周日，乌克兰军队升起了美国国旗 安德里夫卡村，在巴赫穆特的南侧。

当天晚些时候，乌克兰总统泽伦斯基总统 宣布乌克兰军队已经解放了邻近的村庄

克利希夫卡。

**“你永远不会习惯这个。”**

柳巴是巴克穆特附近稳定点的另一名医生。

与前市政官员托卡库克不同，她是一名受过训练的人

他在战前做了八年的护理人员工作。就像他一样 自2022年3月以来，她一直间断服务。

“把病人从这里带到斯洛维扬斯克大约需要30-40分钟，” Lyuba说。“如果我们幸运的话——这条路太糟糕了。”

野战医院离前线很近，所以它经常会来 在俄罗斯的火力下。

据报道，在乌克兰的加拿大援助志愿者在俄罗斯人之后被杀害 攻击

加拿大医生分享了他在乌克兰拯救生命的经历 前线

“就在昨天，我们遭到了希腊和民主共和国的炮击，”柳巴说

一种火箭炮，并指出最近的一次袭击只发生了5次 米外。

“ 即使经历了一年多的战争，你也永远不会习惯。你 每次你听到它都要抽动。"

另一辆救护车从前面来了。士兵和医务人员抬起了两个人

受伤的人用担架从后面抬出来，把他们带进了担架 建筑里，随着越来越多的大炮在远处轰鸣。

其中一名受伤的士兵，安德烈，说，他和他的同伴是 在袭击俄罗斯北部索尔达尔附近的俄罗斯阵地时受伤 巴赫穆特河

“今天早上我们从俄国人那里夺取了一条战壕，他们确实做到了 反击它，”安德烈说。“有一群人走近我们，然后

其中一人发射了一枚火箭推进榴弹。它抓住了我们俩，但我们强迫了 他们撤退。”

![](/media/202412//1733468786.2966835.jpeg)医护人员准备将一名受伤的乌克兰军人卸下来

在被担架抬起后，他在紧急情况下到达了稳定点 车辆（托马斯 ·马奇）

**对待被俘的俄罗斯人**

虽然他们的大多数病人都是乌克兰士兵，但医务人员却有 也会对待偶尔被俘的俄罗斯人。

“5月份，我们带来了一名俄罗斯士兵，”卢比说。“他的人民

把他遗弃在地堡里，躺在无人区

几乎一个星期。他还活着真是太棒了。我们成功地拯救了 尽管如此，他还是还在谈论“俄罗斯世界 ”。

这很难相信。”

![](/media/202412//1733468786.3068821.png)“我所做的就是治疗伤员 ”：见见乌克兰外科医生 对俄罗斯作战的士兵

这些是训练乌克兰攻击的加拿大私人教官 军队

柳巴的另一个更令人难忘的病人是一位年长的专家 俄罗斯当地人-乌克兰人称他们为“ 日 ”或“那些 ” 他们是东巴斯少数但非常真实的人的一部分

正在等待俄罗斯控制该地区的平民 因为他们相信这会对他们有利。

“当他看到他周围的每个人都在说乌克兰语时，他开始了 变得歇斯底里。他尖叫着说他不让我们拿走他的血

*因为班德罗夫茨会用它来做实验，”她说*

俄语中经常使用极端民族主义的乌克兰人 宣传

最终，当他意识到如果没有我们的生命，他就会死去时，他就平静了下来 帮助

**医学会做**

在稳定点的临时护理人员是

幸运的是，他们中间有一些医疗专业人员 数字

其中之一是50岁的谢尔盖 ·格里戈连科 扎波里之亚州立医科大学就是其中之一。

“我是两周前刚到这里的，”格里戈伦科说。“我没有

我还在这所大学工作，但现在是暑假

现在上课，所以我用我的假期轮换一个月 在这里"

![](/media/202412//1733468786.3201115.jpeg)乌克兰医生谢尔盖 ·格里戈连科，左边，和柳巴，等待 未透露姓名的同事坐在他们的一辆医疗后送车里，用于 从前线运送受伤的士兵。（托马斯 ·马奇）

他说，他的许多学生都做过类似的轮岗，还有一些人 他们都作为志愿医疗人员加入了战争

毕业，暑假，甚至休息 研究

虽然他已经适应了在该领域工作的现实情况， 格里戈连科说，这是一些困难。

“在我的正常工作中，我有一个很大的手术室和我需要的所有工具，” 他说。“在这里，你得去做。”

例如，上周，他说他们有一个问题，即短缺

氧气供应。他认为他们也应该改变他们的位置 稳定点更频繁，至少每月一次。

“但是如此多的建筑被摧毁，很难找到什么地方 合适的"

***观看乌克兰紧急医疗医生团队的|志愿医生服务*** ***在前线：***

志愿医生冒着生命危险冒险 乌克兰前线

一年前2： 35

加拿大广播公司的新闻掩盖了一群帮助治疗伤员的医疗志愿者 在俄罗斯在乌克兰战争的前线。

**“我们只有在一起才能生存下来。”**

对托卡库克来说，这是对前线士兵的一种深深的感激之情 这让他继续前进。

“医务人员做了一项非常重要的工作，但这与什么 战壕里的人正在做什么，”他说。

而医护人员可以保持在一个相对安全的位置，而不能得到

托卡库克说，大量击后，士兵们已经拿起武器 保卫乌克兰的每个人。

“所以当他们中的一个来到这里，我就有可能拯救 这位英雄躺在桌子上的生活……这是一种荣誉。”

真正适应战争的条件几乎是不可能的，柳巴

许可进入但她说，这让她和她的同志们更亲密了

他们尽其所能保持理智——喝咖啡，打牌 并与家人保持联系。

“不要与他人隔绝是非常重要的

压力。我们只有在一起才能生存下来。"

![](/media/202412//1733468805.13859.png)

Ukraine's medics wage their own war as offensive push brings

more wounded their way

![](/media/202412//1733468805.15098.png)

**Paramedics at makeshift hospitals are the first line of care for soldiers injured in battles**

[Neil Hauer](https://www.cbc.ca/news/world/author/neil-hauer-1.6352349) · CBC News · Posted: Sep 21, 2023 4:00 AM EDT | Last Updated: September 21

![](/media/202412//1733468805.160686.jpeg)

![](/media/202412//1733468805.168833.png)![](/media/202412//1733468805.1774752.png)One of the small operating rooms in the makeshift hospital at a

stabilization point near Bakhmut where Ukrainian paramedics perform critical procedures on patients. (Thomas Mutch)

Over the past year and a half of war in Ukraine, most of the glory has gone to Ukraine's soldiers resisting the Russian invasion in the

trenches.

But just behind them is another collection of recruits who are no less crucial: the medics performing life-saving surgery just kilometres from the frontlines.

In a village not far from Bakhmut, a group of a dozen Ukrainian

surgeons and paramedics sit in a makeshift local hospital. These

"stabilization points" are the first line of care for soldiers wounded in the battles to the east, where near-constant artillery fire can be heard.

"It's been a quiet day so far," said Oleh Tokarchuk, one of the medics. "It's noon now, and we've only had six patients so far, most of them at dawn."

· [Ukrainian President Zelenskyy to visit Canada this week: sources](https://www.cbc.ca/news/politics/zelensky-canada-visit-1.6971174)

![](/media/202412//1733468805.1881938.png)[· Canada commits $33 million to buy air defence equipment for Ukraine](https://www.cbc.ca/news/politics/canada-air-defence-ukraine-1.6969624)

As Tokarchuk speaks, a makeshift ambulance arrives from the front. A group of soldiers bellowing orders to prepare painkillers open the back and unload one of their comrades, lying on a stretcher. He's still

conscious, though the left side of his abdomen has been torn open by a deep shrapnel wound.

The medics load the man onto a hospital bed and get to work staunching the bleeding.

Their task here is to perform the most urgent care, treating any life- threatening injuries the best they can before the wounded can be

transported to proper military hospitals in the cities of Donbas.

![](/media/202412//1733468805.1968877.jpeg)

Oleh Tokarchuk was deputy mayor of the town of Kolomya in western Ukrainian. He was drafted as a paramedic just weeks after the war

began. (Thomas Mutch)

**Ukraine offensive brings more casualties**

Despite the man's gruesome injury, his conditions are relatively stable — and just as importantly, the facility is not presently overwhelmed.

"We can work with up to 100 patients a day here normally," said

![](/media/202412//1733468805.2060661.png)Tokarchuk, who has served at this position for six and a half months now. "Beyond that, it gets chaotic."

· 'People who did nothing wrong': The toll of Russian strikes on civilian targets in Ukraine

· Canada's envoy to Ukraine says Canadian support will outlast Russian invasion

He says the worst was during the fights to defend Soledar in January and February.

"We had 200 patients a day at some points."

After a lull in May and June, casualties have recently picked up again. With Ukraine now on the offensive to the north and south of Bakhmut, Tokarchuk says it's not uncommon for the stabilization point to receive 70 or 80 wounded a day.

For nearly four months now, Ukrainian forces have been carrying out a major counteroffensive against Russian forces entrenched in the

country's south and east.

Progress has been fitful against the well-fortified defenders: in

Ukraine's two main southern pushes, south of the towns of Orikhiv and Velyka Novosilka, advances have been measured in dozens of metres a day amid endless minefields and trench lines.

In the third direction, near Bakhmut, recent days have been more productive. On Sunday, Ukrainian forces [raised their flag](https://edition.cnn.com/videos/world/2023/09/17/ukraine-counteroffensive-andriivka-sot-acostanr-vpx.cnn) over the village of Andriivka, on Bakhmut's southern flank.

Later that same day, Ukrainian President Volodymyr Zelenskyy

[announced](https://twitter.com/ZelenskyyUa/status/1703474879314407676) that Ukrainian troops had liberated the neighbouring village of Klischiivka.

**'You never get used to this'**

Lyuba is another medic at the stabilization point near Bakhmut.

Unlike Tokarchuk, who is a former municipal official, she is a trained paramedic and worked as one for eight years before the war. Like him, she has also served non-stop since March 2022.

"It takes about 30-40 minutes to take patients from here to Sloviansk," Lyuba said. "That's if we're lucky — the road is terrible."

![](/media/202412//1733468805.217725.png)The field hospital is close enough to the front that it regularly comes under Russian fire itself.

· Canadian aid volunteer in Ukraine reportedly killed after Russian attack

· Canadian medic shares his experiences saving lives on Ukraine's frontlines

"Just yesterday, we came under GRAD shelling," Lyubasaid, referring to a type of rocket artillery and noting that a recent hit took place just five metres away.

"Even after more than a year of war, you never get used to this. You twitch everytime you hear it."

Another ambulance arrives from the front. Soldiers and medics lift two injured men out of the back on stretchers and bring them into the

building, as more artillery booms in the distance.

One of the wounded soldiers, Andrei, says he and his comrade were injured while assaulting Russian positions near Soledar, north of Bakhmut.

"We took a trench from [the Russians] this morning, and they were

counterattacking it," Andrei said. "A group of them approached us, and one fired a rocket-propelled grenade. It caught both of us, but we forced them to retreat."

![](/media/202412//1733468805.2274191.jpeg)

Paramedics prepare to unload an injured Ukrainian serviceman on a stretcher after he arrives at the stabilization point in an emergency vehicle. (Thomas Mutch)

**Treating captured Russians**

While most of their patients are Ukrainian soldiers, the medics have treated the occasional captured Russian as well.

"In May, we were brought one Russian soldier," Lubya said. "His people abandoned him in a bunker and he was lying in no-man's land for

almost a week. It was amazing he was still alive. We managed to save

him and despite all this, he was still speaking about the 'Russian world.' It was hard to believe."

![](/media/202412//1733468805.24212.png)· 'All Ido is treat the wounded': Meet the Ukrainian surgeon operating on soldiers fighting Russia

· These are the private Canadian instructors training Ukraine's assault troops

Another of Lyuba's more memorable patients was an elderly pro-

Russian local man — Ukrainians refer to them as "zhduny" or "those who are waiting" — part of the small but very real minority of Donbas civilians who are waiting for Russia to take control of the region

because they believe it will benefit them.

"When he saw that everyone around him was speaking Ukrainian, he

became hysterical. He was screaming that he won't let us take his blood because *banderovtsy* will use it for experiments," she said, using a

Russian term for ultranationalist Ukrainians often used in Russian propaganda.

"Eventually he calmed down once he realized he would die without our help."

**Medics make do**

The makeshift crew of paramedics at the stabilization point are

fortunate enough to have a few medical professionals among their number.

One of them is Sergey Grigorenko, a 50-year-old assistant professor at Zaporizhzhia State Medical University, is one of them.

"I arrived here just two weeks ago," Grigorenko said. "Ihaven't been

drafted — I'm still working at the university, but it's the summer break for classes now, so I'm using my vacation time for a one-month rotation here."

![](/media/202412//1733468805.2643864.jpeg)

Ukrainian medics Sergei Grigorenko, left, and Lyuba, wait with an

unnamed colleague in one of their medical evacuation vehicles, used for transporting wounded soldiers from the frontlines. (Thomas Mutch)

He says many of his students have done similar rotations, and a number of them are joining the war effort as volunteer medics, either upon

graduation, on their summer breaks, or even taking time off their studies.

While he has adjusted to the realities of working in the field, Grigorenko says there are difficulties.

"In my normal job,I have a big operating room and all the tools I need," he said. "Here, you have to make do."

Last week, for example, he says they had a problem with a shortage of oxygen supplies. He believes they should also be changing location of the stabilization point much more often, at least once a month.

"But so many buildings are destroyed that it is hard to find somewhere suitable."

***WATCH | Volunteer doctors on Ukraine's Emergency Medic Team serve on frontlines:***

Volunteer doctors risk their lives on Ukraine’s frontline

1 year ago 2:35

CBC News shadows a group of volunteer medics helping treat casualties on the frontline of Russia’s war in Ukraine.

**'Only together can we survive'**

For Tokarchuk, it's a sense of deep gratitude to the soldiers on the front that keeps him going.

"Medics do a very important job, but it's nothing compared to what the guys in the trenches are doing," he said.

While medics get to stay in a relatively safe position and don't get shelled much, Tokarchuk says, the soldiers have taken up arms to defend everyone in Ukraine.

"So when one of them comes here and I have a possibility to save the life of this hero lying on the table … it's an honour."

Truly adapting to the conditions of war is nearly impossible, Lyuba

admits. But she says it's brought her and her comrades closer together and they do what they can to stay sane — drinking coffee, playing cards and staying in touch with their families.

"It's very important to not close yourself off from other people due to the stress. Only together can we survive."