乌克兰战地医生透露她在乌克兰顿巴斯工作的细节_乌克兰新之声

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前线医生在她的工作 这正是战争的大熔炉

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2022年7月26日02：38

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独有的 股份：

作者：IrinaKrikunenco

媒体协调员斯维特拉拉 ·德鲁佐科与NV谈论了她的工作在

在俄罗斯战场上的一家流动野战医院- 乌克兰战争。

数百名医护人员正面面对了战争的挑战，

与乌克兰英勇的捍卫者并肩作战，拯救了他们 士兵和平民在敌人无情的炮火下的生活。

尼古拉 ·皮罗戈夫第一志愿移动医院（FVMH） ，被命名为 继著名的外科医生之后， 由约600名高素质的外科医生组成 来自乌克兰、美国、加拿大、英国、

和其他国家。 自从2014年冲突爆发以来，

他们在顿巴斯努力治疗伤员。如今，现实的是

俄罗斯对乌克兰的全面入侵已经分散了他们关注的焦点 社稷

FVMH的志愿者们在乌克兰东部忙得满满的。他们 应对俄罗斯来袭的导弹和空袭，急于提供

稳定前线受伤病人的医疗护理

在它们被送往各大城市的正规医院之前。

FVMH的副医疗主任斯维特拉娜 ·德鲁琴科告诉NV她是什么 工作看起来是战争期间的。

德鲁琴科：我特别受到两个姐妹的影响——12岁的女孩 在顿涅茨克州巴克穆特的导弹袭击中受伤。这个

姐姐的头部受伤了，而妹妹的胸部受伤了 伤口，影响她的肺。我当时在重症监护室

大的女孩从临床死亡中退出。不幸的是，她死于

一周后，他还在医院里。看到孩子们这样受苦，真令人痛苦 在你眼前。

我们最初计划将你的业务设在“绿色 ”或“黄色 ” 区域，治疗病人，来自“红色 ”的一个(颜色编码 表示在战场的特定区域发生火力的风险)。

如今，乌克兰东部的任何地方都可能成为一个“红色 ”区， 然而例如，我们在斯洛夫扬斯克工作，这座城市遭到了炮击

每一天或者是亚尔：俄罗斯的火箭弹击中了一所房子 我们收到了来的伤员。这样的事件保持

所以你可以说我们最终会出现在“红色 ”区域。

我们不会冲向立即积极交火的地区

由受过训练有素的专业战斗医务人员覆盖

人们，把他们受伤的战斗兄弟从直接的攻击下带走 在把他们交给我们照顾之前。

根据调用的情况，我们有几个响应场景。如果是 军事紧急情况，我们会带走受伤的士兵

路我们也有临时的病人接地点，我们的部队

让他们受伤。这些地点并没有被广泛共享，而我们确实有 不断地移动它们。我们的一个旅不得不改变主意

他们的位置在一次轮班中有三次，因为他们不断被击中 空袭。在这方面，实际上没有适当的参与规则

战争，所以我们不得不在救护车上涂上迷彩，因为医护人员是 这是俄罗斯人的优先目标。在我们的任何一个提货地点，我们 伪装我们的救护车， 以避免被敌人的无人机发现。

总的来说，今天的战争与2014年非常不同。这是一个

炮兵战争，这意味着85%的伤害是由

爆炸，而不是小型武器开火。没有什么子弹是人们可以做到的 从伤口中提取。这些都是可怕的伤口，充满了弹片，

留下了人们的躯干和头部撕裂，失去了四肢。甚至平民

生活和工作在顿巴斯的医生们说，他们从未见过任何东西 喜欢它

敌人的炮兵阵地离这里不远，所以空袭警报也是如此

通常，这些测试的速度都不够快，不足以给出适当的警告。攻击是

总是突然的，经常针对有很多的民用建筑 受伤的人。

我们正在我们在乌克兰东部进行第三次人事轮换。一次巡回演出 一个月以来，至少有600人在我们医院工作过

过去的八年。有些人并不急于参军，但他们仍然想这么做 他们所能带来我们共同的胜利。护理人员、护士、

外科医生，创伤专家，麻醉师，急诊室医生-大约30人 高度素质的医疗专业人员部署到每一个这样的轮转

我们的我们培训新来者，解释说我们是无偿工作的 严禁饮酒。基于个人心理因素

档案，我们把他们组织成团队，然后花一周的时间

努力研究他们的内部凝聚力。平民医生被训练成如何 在炮火下工作，并在战场条件下提供医疗服务。

我们住在全国东部，住在医院里。我们没有

有一个固定的时间表或定期休息，因为医生必须解决工作 时钟，总有工作要做。我们治疗了500多名病人

可以独自一人。医生通常根本不休息，我不得不命令他们去休息 去睡一觉吧。

很难孤立出一个特别紧张的一天，但我可能会

比如说，在巴赫穆特有过这样的一段时间。这座城市在下面 当时持续不断的炮击。我们的医生一直在做手术

这一天有断断续续的爆炸背景。这个地方是 然后晚上很吵，我们不得不去防空洞

睡觉。那是一段艰难而又令人疲惫的时光，但每个人都成功了 谢天谢地，它一口气完成了。虽然我们的团队领导之一

重症监护和麻醉专家，死于听力发作2例 在完成他的轮换工作的几天后。

许多外国人渴望和我们一起工作，但我不太热衷于此。

他们中的大多数人不懂语言，和清晰的病人和医生 在压力下，沟通是绝对至关重要的。语言

当情况需要迅速出现时，障碍可能是非常有害的

决策。例如，我们必须进行计划和讨论 应急计划和疏散路线， 以防我们最终在 在攻击中，翻译这些可能很困难。

沟通不当对外国公民本身就构成了最大的风险。

然而，他们往往是优秀的专业人士，所以我们把他们分组

在他们自己的团队中。我们有来自英国，美国的人， 德国，奥地利，甚至科西嘉岛都与我们合作。有一些 当然，要解决的。例如，英国的医生停止了使用

固定颈圈大约15年前，所以他们可以得到

时不时会对这样的事情感到惊讶，但几乎没有

以任何重要的方式影响着我们的工作。他们中的每一个都是一样的 渴望看到我们像任何乌克兰人一样取得胜利。

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Frontline medic on her work in the very crucible of war

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July 26, 2022, 02:38

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Author: [Irina Krikunenko](https://english.nv.ua/korrespondents/irina-krikunenko.html)

Medivac coordinator Svitlana Druzenko talks to NV about her work at one of the mobile field hospitals on the battlefields of the Russo-

Ukrainian war.

Hundreds of medics have met the challenge of the war head-on,

standing shoulder to shoulder with Ukraine’s heroic defenders, saving lives of soldiers and civilians alike under relentless enemy fire.

The Nikolay Pirogov First Volunteer Mobile Hospital (FVMH), named

after the renowned surgeon, consists of around 600 highly-qualified

medical practitioners from Ukraine, the United States, Canada, the UK, and other countries. Ever since the outbreak of the conflict in 2014,

they have worked to treat wounded in Donbas. These days, the reality of Russia’s full-scale invasion of Ukraine has spread their focus all around the country.

FVMH volunteers have their hands full in eastern Ukraine. They

respond to incoming Russian missile and airstrikes, rushing to provide medical care to the injured and stabilizing patients at the frontline

before they are transported to proper hospitals across major cities.

Deputy Medical Director ofFVMH Svitlana Druzenkotold NV what her work looks like during the war.

**Druzenko:** I was particularly affected by two sisters – girls aged twelve and nine – injured in a missile strike at Bakhmut, Donetsk Oblast. The older sister sustained a head injury, while the younger one had a chest wound, affecting her lungs. I was at the intensive care unit where the

older girl was pulled back from clinical death. Tragically, she died a

week later, still in hospital. It’s harrowing to see children suffer this way before your eyes.

We initially planned to base your operations in the “green” or “yellow” zones, treating patients, coming in from the “red” one (color-coding

indicates the risk of incoming fire at a particular area of the battlefield).

Any-where in eastern Ukraine could be a “red” zone these days,

however. We work in Slovyansk, for example, and the city is shelled every single day. Or Chasiv Yar: Russian rockets struck a house where we were receiving in-coming wounded. Incidents like that keep

happening, so you could say weend up in “red” zones anyway.

We don’t rush in towards areas of immediate active firefights – those are covered by professional combat medics, who are trained military people, carrying their wounded battle brothers from under direct fire before leaving them in our care.

We have several response scenarios depending on the call. If it’s a

military emergency, we would take wounded soldiers right there on the road. We also have makeshift patient pickup locations, where our troops bring their injured. These locations are not widely shared, and we have to constantly move them around. One of our brigades had to change

their location three times during one shift, as they kept getting hit by airstrikes. There are effectively no proper rules of engagement in this war, so we had to paint camo all over our ambulances, since medics are a priority targets for the Russians. At any of our pickup locations, we camouflage our ambulances, to avoid detection by enemy drones.

In general, the war as it is today is very different from 2014. This is a war of artillery, meaning that 85% of all injuries are caused by

explosions, and not small arms fire. There aren’t bullets one could

extract from a wound. These are horrific wounds, full of shrapnel,

leaving people with torn torsos and heads, lost limbs. Even civilian

doctors, who live and work in Donbas, say they’ve never seen anything like it.

Enemy artillery positions are not far from here, so air raid sirens are

often simply not fast enough to give a proper warning. Attacks are

always sudden, often targeting civilian structures where there are many wounded people.

We’re on our third personnel rotation in eastern Ukraine. One tour lasts for a month, with at least 600 people having worked with our hospital in the last eight years. Some are not eager to enlist, but sill want to do

what they can to bring forth our shared victory. Paramedics, nurses,

surgeons, trauma specialists, anesthesiologists, ER doctors – around 30 highly-quali-fied medical professionals deploy to every such rotation of ours. We train newcomers, explaining that we work pro bono and that drinking is strictly prohibited. Based on individual psychological

profiles, we organize them into teams, which then spend a week

working on their internal cohesion. Civilian doctors are trained how to work under fire and provide medical care in battlefield conditions.

We’re based around the country’s east, living in hospitals. We don’t

have a set schedule or regular breaks, as medics have to workaround the clock– there’s always work to do. We treated over 500 patients in May alone. Often doctors get no rest at all, and I have to order them to go and get some sleep.

It’s difficult to isolate a single particularly intense day, but I’d probably say there was a stretch of time like that, in Bakhmut. The city was under constant shelling at the time. Our medics were in surgery throughout

the day against a backdrop of a staccato of explosions. The place was then very noisy at night, and we had to go down to the air raid shelter to sleep. It was a difficult and exhausting time, but everyone made it through in one piece, thankfully. Although one of our team leaders, an intensive care and anesthesia specialist, died from a hear attack two days after finishing his rotation.

Many foreigners are eager to work with us, but I’m not too keen on that.

Most of them don’t know the language, and clear patient-medic

communication is absolutely crucial under pressure. The language barriers can be very detrimental when the situation calls for quick decisions-making. For example, we have to plan and discuss

contingency plans and evacuation routes – in case we end up in the middle of an attack – and it can be tricky to translate all that.

Miscommunication poses greatest risks to foreign citizens themselves.

Nevertheless, they tend to be excellent professionals, so we group them in teams of their own. We had people from the UK, the United States,

Germany, Austria, and even Corsica working with us. There are some kinks to iron out, to be sure. For instance, UK doctors stopped using fixation collars for patients’ neck some 15 years ago, so they can get surprised by some-thing like that from time to time, but it hardly

affects our work in any significant way. Every single one of them is as eager to see us victorious as any Ukrainian.

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