Patriot Defence: An assessment of the medical services of the Ministry of Defence (video)

09.11.2014
Translated and edited by Voices of Ukraine

The Ukrainian World Congress Humanitarian Initiatives, together with the Ukrainian Ministry of Defense, completed a thorough assessment of the medical services of the Ministry of Defense of Ukraine.

It is grim, to say the least, and Ukraine definitely has its work cut out for it to even begin to meet basic standards for adequate military combat medical capability in all areas from training to field hospital equipment and resources, let alone to meet NATO standards. Regardless, many small drops create an ocean, and the visionary folks at Patriot Defence are working steadily toward informing, equipping, preparing, transforming and long-term sustainability for a vision of NATO-level combat medical training and resources to meet the the challenges of the Ukrainian humanitarian ground reality.

The Executive Summary of that medical assessment can be found here:
http://patriotdefence.org/index/medical-assessment-sUa.html

It’s key findings include:
• the average time from a soldier’s point of injury to first medical contact is 20-60 minutes (too long) and that contact is not even a hospital just the first possible contact in the field
• from there it can be 12–18 hours, or even up to 2 days, from point of injury to a field medical hospital with surgical capability
• most of the field hospitals that were visited were completely inadequate for adverse weather, prolonged conflict, or medical operations that meet international standards
• Individual first aid kits (IFAKs) to an international standard for each soldier with accompanied CLS [Combat Life Saver] training is at less than 1% of uniformed troops (approximately 3,600 IFAKs have been given out to ATO servicemen, yet troops number at 6-14,000)
• The special forces medic role with advanced trauma treatment capabilities in the field is non-existent
• There are no armored ambulance transport capabilities to transport patients from active combat areas to casualty evacuation points
• Helicopters used for medical evacuation, what’s left of those not already shot down by Russian forces, are not fit for their purpose for numerous reasons

The list continues…and then the summary goes on to make many recommendations. Among these that of course, every active duty Ukrainian military serviceperson needs to receive an IFAK and the appropriate Combat Life Saver training to know how to use what’s in it, that more field dressings, pressure dressings, updated tourniquets and airway adjuncts, surgical supplies are acutely needed to supply mobile hospitals and to re-supply combat medical teams in the field, more training of doctors and nurses for mobile field hospital training to ITLS and ATLS standards, that the current 3-500 combat medical personnel be trained in the Special Forces medic role with advanced medical bag and equipment, and more.

There are also some serious equipment needs such as:
• To dedicate and configure four (4) APCs to function as armored ambulance transport from active combat area to casualty evacuation point
• Civilian rotary medical evacuation aircraft need to be purchased or contracted for use throughout the ATO to transport the critically ill and injured following CAMTS guidelines
• 20 portable ultrasound devices and adequate training for medical staff to carry-out a eFAST to assist with triage and transport decisions should be implemented for mobile brigade level doctors and paramedics and mobile hospitals in the ATO [anti-terrorism operation zone]
• To replace in situ mobile hospitals with modern field hospitals with updated surgical capabilities, emergency medical care, diagnostics, life support facilities and weatherproofing – these mobile hospitals should be strategically placed to serve as combat support hospitals, have rotary winged aircraft access, be in a highly defensible position and have encrypted communication access to regional and central medical support
• 
Re-usable surgical instruments, c-arm x-ray equipment, and modern anesthesia machines for field hospitals and medical facilities supporting the ATO are required

And the report continues in greater detail. Watch Dr. John Quinn’s presentation of this report earlier today in Kyiv at the Ukraine Crisis Media Center for more details.

“Patriot Defence. Assessment of medical services of the Ministry of Defence.”
Dr. Ulana Suprun, Director of Humanitarian Initiatives of the Ukrainian World Congress (UWC), Mr. Lashenko, Ministry of Defence, and Dr. John Quinn, MPH, MD, Medical Consultant, Ukrainian World Congress took part in the presentation of the report (see video below). 

The report of Dr. John Quinn, medical consultant on the project “Protection of the Patriots,” the current state of the system of military medical care and evacuation of soldiers from the fields of battle in Ukraine.

(English) Patriot Defence. Ukraine Crisis Media Center, 11th of September 2014. Dr. John Quinn’s report begins at 5:00 –

Source: Patriot Defence: IFAK + Combat Lifesaver Training for Ukraine

See more details: Dr. John Quinn begins to speak in English at 3:04 – 

 * * *

Please support the heroic efforts of Patriot Defence volunteers working to get Improved First Aid Kits and professional NATO combat medical training into the hands of Ukrainian soldiers to save lives. It’s needed now more urgently than ever.

http://patriotdefence.org


Patriot Defence Facebook page:
https://www.facebook.com/patriot.defence.ua

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Combat Lifesaver training Doctor on the NATO-level combat medical training organized for Ukrainian troops by diaspora volunteers

By Dr. Ulana N. Suprun, MD, Patriot Defence Instructor, and Director of Humanitarian Initiatives at the Ukrainian World Congress
07.28.2014  Kyiv
Edited by Voices of Ukraine

“Every day we get reports from the front line that the training provided through CLS and the IFAKs are saving soldiers’ lives.”

The Ukrainian World Congress (UWC) project, Patriot Defence, was initiated in mid-May of 2014 in response to the urgent need for training in first aid on the battlefield, and providing individual first aid kits for Ukrainian soldiers. The soldiers had either no first aid kits at all, or were given an old Soviet rubber tourniquet and a bandage as their “kit.” Little if any medical training had been provided to them during their preparation for deployment. UWC began working with local Tactical Combat Casualty Care (TCCC) instructors from the Red Cross and the Ukrainian Center for Special Training, providing courses for Ukrainian soldiers in TCCC. However, the courses were geared more towards civilians and Law Enforcement, so we decided to bring in professional instructors to provide Combat Lifesaver courses for the soldiers, as well as to further train the local TCCC instructors.

Training on how to perform a pneumothorax procedure on a collapsed lung.

Combat Lifesaver (CLS) is a course taught to US and NATO soldiers in which they learn to treat the three main killers on the battlefield–catastrophic bleeding, blockage of the airway, and tension pneumothorax. CLS training takes into account the unique conditions of the battlefield and the primary responsibility of the soldier to first and foremost complete his combat mission. The Improved First Aid Kit (IFAK) given to each soldier provides the tools with which they can save their own (self-aid) and their fellow soldiers’ (buddy-aid) lives. UWC began providing this kind of training and IFAKs to Ukrainian soldiers beginning in June of 2014.

IFAK

IFAK

Once the professional trainers from ParamedCZ ran several courses in Ukraine and word got around, requests for more courses and IFAKs began pouring in. To date we have trained over 2000 soldiers, including those from the Armed Forces of Ukraine 25th Battalion, National Guard Second Battalion, SBU Alpha, Battalions Donbas, Myrotvorets, Kyiv II, Lviv, Zoloti Vorota, Ukrainian National Security Forces, Ukrainian Army Special Forces, and others in places ranging from the training base for the Armed Forces in Desna, for the National Guard and Battalions at Nova Petrivka, SBU Alpha base, Obukhiv, Vita Poshtova, Yavorivsky Polygon, to areas where soldiers are currently deployed in the ATO zone. After completion of training, the soldiers receive IFAKs.

Dr. Ulana N. Suprun training in the field

Dr. Ulana N. Suprun training in the field

The training course ideally spans two days-the first day in which the soldiers are taught the theory behind CLS and learn how to treat injuries using the CABC algorithm-Catastrophic bleed, Airway, Breathing, and Circulation. The second day is filled with simulations of battle conditions, where the skills learned on the first day are carried over into real life battle scenarios, with the students wearing full battle gear, performing the life-saving techniques under fire, surrounded by smoke and exploding grenades, so that they experience the true nature of “tactical combat first aid.” There is usually one trainer for 25 students, and a coordinator for the length of the training course.

Dr. Ulana N. Suprun handing out IFAKs at the completion of a training program

Dr. Ulana N. Suprun handing out IFAKs at the completion of a training program

Currently donations are coming in from all over the world, including Australia, Canada, the US, Austria, Germany, Great Britain and Ukraine.  We have provided 1250 IFAKs to the soldiers trained, and have 500 on the way.  We plan on reaching a goal of training 10,000 soldiers and providing each of them with an IFAK. There are 2-3 training courses happening every week, with a total of 25 Ukrainian instructors and visiting professional instructors from the US, Great Britain, Scotland, Czech Republic and Ireland, all with many years of experience as soldiers first, and combat medics second. Every day we get reports from the front line that the training provided through CLS and the IFAKs are saving soldiers’ lives. At the end of every training we hand an IFAK to each soldier-patriot, thanking them for their defence of Ukrainian independence and territorial integrity, and pass along the heartfelt support of the Ukrainian Diaspora, who through this program hope to give the soldiers the opportunity to save their own or their buddy’s life if injured in defense of Ukraine.

Patriot Defence Simulation video:

From the Staff of Voices of Ukraine: Please consider donating to Patriot Defence as a reliable, trusted and safe means for supporting Ukrainian troops with urgently needed, higher-tech Improved First Aid Kits and top level professionally certified combat medical trainers to help save lives now. Help them reach their goal of delivering 10,000 IFAKs to Ukrainian soldiers who are in trenches fighting daily to protect Ukraine.
http://patriotdefence.org

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Ukrainian Army Fundraising: ONE CELOX EQUALS ONE LIFE

Edited by Voices of Ukraine

Screen Shot 2014-07-26 at 11.39.46 AM

Please, repost this information to save lives of Ukrainian soldiers.

“Dear Friends, THIS IS AN URGENT CALL TO ACTION. ONE CELOX EQUALS ONE LIFE!! The Ukrainian Army and Hospitals are in desperate need of our help. Unfortunately, Ukrainian soldiers lack many life saving supplies in the ongoing military conflict in the Eastern part of the country. One of the greatest needs is CELOX which is not available in Ukraine. CELOX STOPS BLEEDING AND SAVES LIVES!!!

Organizers:
Solomiya Vitvitska https://www.facebook.com/S.Vitvitska?fref=ts
Iryna Pylypenko https://www.facebook.com/iryna.pylypenko
Tonya Levchuk https://www.facebook.com/tonya.al.1?fref=ts
Dana Yarovaya https://www.facebook.com/dana.yarovaya

Today, so many Ukrainians are HEROES are fighting for our freedom! Please don’t give up on our guys!!! With our help, we can bring a father, son, friend, or loved one back home!!! Many thanks to everyone for reposts, financial support and help!!! TOGETHER – WE CAN HELP!!! Thank you!!!”

Source: YouCaring

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Attention readers! You can now donate to Ukrainian army via PayPal!

05.06.2014
Translated by Voices of Ukraine and edited by Alex Howard

Screen Shot 2014-05-06 at 6.58.14 PMYuriy Biryukov, who goes by Wings Phoenix on Facebook, is a volunteer for the Ukrainian army.  His initiative collects almost 2 million Hryvnias a month, which goes to Ukrainian airborne troops, naval aviation, artillery brigades, the National Guard, the border control troops, and others.

For his April 28 delivery, Yuriy collected tons of food, sleeping bags, sleeping mats, medications, dozens of portable radios, hundreds of sets of body armor for airborne troops, and two hundred helmets. Thousands of people transferred the money. Hundreds of concerned individuals who are drawn in to search for all necessities.

Also, Yuriy is helping the naval aviation brigade to build the modular headquarters for their engineers and technicians. Naval aviation conducts aerial reconnaissance, transports cargo for military sailors, and performs search and rescue operations. To conduct the flights, it’s necessary to provide headquarters for technical staff who prepare aviation equipment for flying.

Wings Phoenix volunteers 18 hours a day. He says that he is sleep deprived, but someone has to take care of the business. Despite lacking rest, however, Yuriy Biryukov is happy to be the army’s volunteer quartermaster.

Here’s the long-awaited financial information for those willing to donate to the Ukrainian army:

M A X I M U M   R E P O S T !

PAYPAL Account – fenix@mykola.org [updated on July 22]*
Purpose: transfer to friends or relatives
Message to the recipient: ArmyUA
After transferring the money – write a message here on Facebook, saying which unit to spend it on.

* Please check the original Wings Phoenix FB page in case the Paypal account has changed.

The servicemen will get the money promptly and definitely use them as intended: Yuriy provides all reports on his Facebook page. Here’re some links for your review:

Consolidated financial report: http://goo.gl/UGt0Hw

Consolidated photo report: https://www.facebook.com/wings.phoenix.foundation

——–

Wings Phoenix confirmation from May 6, 2014:

Ah! Aha! Reporting: PayPal works. The first tranche from the account has already reached my PrivatBank card, and has been converted into Hryvnias and sent tax-free to the suppliers. Ha! In the evening, I will put everything in the reports.

So please, a big request to share this post, we need to get the news to our foreign patriots that there is a quick way to directly help our military units. There are still 2 working days until the 9th and I will try to do my best to supply our units with bulletproof vests and radios.

I will most definitely be able to deliver the vests on time to:

- Berdyansk border guards

- 72nd Guards mechanised brigade

Plus there are orders from:

- 1st Battallion of the National Guard

- 25nd Dnipropetrovsk Airborne

And the 79th of course.

They are bogged down, but they are trying.

———-

All other transfers and financial accounts [in Russian] -

https://www.facebook.com/wings.phoenix/posts/785124388165627

Sources: Wings Phoenix FB, ICTV

This slideshow requires JavaScript.

Voices Editors: Slava! and Bravo! to all of our civilian and military heroes and to our brave Ukrainian spirit of generosity and love for our people. With deep thanks to Yuriy Biryukov for all you do for so many! And to the diaspora and concerned individuals who help in many little ways that add up – we are all connected and united by caring and doing what needs doing. That Phoenix will rise from the ashes on renewed wings! 

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When will you start to love your Motherland?

Screen Shot 2014-10-29 at 8.28.14 PMBy Vadim Lukashevich
10.26.2014
Translated and edited by Voices of Ukraine

Yesterday my mother, who lives in Belgorod [Russian city about 25 miles away from Ukraine], travelled by train to Kharkiv. She has done this for a long time, but not often, several times a year, buying various medications for herself in Ukraine where they are cheaper and some Ukrainian delicacies.

These interstate commuter trains have long been reminiscent of the Moscow “sausage” trains on the sunset of Soviet power. People, mostly pensioners, counting every penny, scurry between large border cities, betting on the difference in currencies and prices. Grandmas and neighbours gather on the porch, on the house or in the yard, they agree between them – and go to Kharkiv for products and medicines. A very usual thing. But because of well-known events, recently such trips have become quite extreme for older nerves…

No, nothing changed in Kharkiv and the surrounding areas, including towards the arriving Russians. But what has fundamentally changed is the attitude towards them from the side of Russian customs officials, who now perceive our pensioners as traitors.

Besides that, there has been a drastic hardening of rules regarding permissible import of produce on personal possession. And if before, observance of these standards was formal enough, now the elderly people are selectively searched and stripped directly inside the cars, in front of everyone, often mocking them.

…this year my mum went to Kharkiv for the first time in the year. It is clear why – firstly, the situation in eastern Ukraine inspires fear, and secondly – the multiple stories of friends about the raging Russian customs officers did not fill one with optimism. But… her neighbour convinced her (she badly needed something, but was afraid to go alone), especially since in Kharkiv it was “sort of calm.”

According to her story, the train car from Kharkiv was filled with Russian pensioners. They were carrying products – salo (fat), vodka, meat etc. The stable ruble, having lost a quarter of its value from the beginning of the year and now almost equalling the hryvnya, still allows you to purchase certain products with a profit, economically justifying the whole trip. Something is still significantly cheaper (for example, vodka, some products and medicines), something is irreplaceable (for example, Ukrainian salo).

Before everyone drove everything openly, but now all the products had to be hidden – on their person. After departure, to the border, all talk on the train was about the imminent customs check and who hid their products where and how. In the sleeves, on the chest, under the hem…

Mum’s neighbour hid a cut of salo on the belly – a cold piece onto the naked body, under her clothes – and drove as the “pregnant pensioner” all the way to the border. Just like everyone, really…

…The Ukrainian customs officers were not even remembered – they just passed through and that’s it. But our customs officials came into the car in oppressive silence. All the passengers sat with hunched shoulders, staring down at the floor. The man in uniform slowly, with a sense of superiority, considered the seated passengers:

- You!!! Get up and undress!!!

The doomed one at whom the officer pointed slowly stood up and started undressing…

- Hard luck, – thought the others, hunching their shoulders even further. If only they pass me by!

The customs officers know full well that everyone is “carrying” something. But the checks are random, five or six people to a car. The others silently wait while the officers, swaggering, search and strip the next victim, demonstratively shaking out products from sleeves, from under clothes and underwear. A public execution to the deathly silence of others… it is unlikely that all these elderly people, at the sunset of their years, experienced greater shame in their lives…

My mum got lucky – the officer passed by her, with derision and insults “taking” the neighbour across from her.

After completely fleecing several people and plentifully mocking everyone else, loaded up with the confiscated “extra” vodka and products, the customs officers went to the exit of the carriage. At the very door the eldest of them, dramatically turning towards the passengers, grinned and shouted loudly to the whole car:

- Belgorites [residents of Belgorod], when will you start to love your Motherland?!

The car was silent.

I will answer, here and publicly.

To begin with, it is not for this … in uniform, who spends his life digging around in others’ personal belongings and thus understands his duty before the Motherland, to teach gray-haired people about how to love her.

But mainly – what good to a person is a Motherland that puts them before a choice – Motherland or sausages?

Like any real love, love for the Motherland is a mutual feeling. You can and should love a Motherland that looks after you, your needs, that defends and protects against various adversities. A Motherland in which you can comfortably live, without worrying for yourself and the future of your children, friends and relatives. A Motherland where medicine and education is accessible, and where the level of social security for old people does not make them travel for cheaper products and medicines to a neighbouring country, hiding their gaze at the border.

A Motherland that allows the ordinary citizen to, figuratively speaking, love both the Motherland and sausages. And much more besides.

But if today the Motherland, mocking its citizens, puts them before the choice “Motherland or sausages?” then that Motherland is able to tomorrow put them before another choice – “Motherland or death!”

P.S. An hour ago the editor of “Echo of Moscow” refused to publish this post on my blog. The wording of the reason for the refusal – “The post is on a general topic.”

Source: Vadim Lukashevich FB 

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20.10.2014. Neue Beweise: Russische Panzer Typ T-90 werden bei Kämpfen im Donbass eingesetzt

Das Originalvideo: https://www.youtube.com/watch?v=llLmDjCGTao

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Army SOS: Photo summary of the week of October 19-25

Screen Shot 2014-10-27 at 12.00.13 PMBy Yuriy Kasyanov, Army SOS
10.25.2014
Translated and edited by Voices of Ukraine

Photo summary of the week. Mariupol. [We travelled] up along the river Kalmius–the right bank is ours… Kurakhove. Mariinka. Krasnohorivka. Sloviansk. Artemivsk. Debaltseve… It’s cold. Strong wind. Rain. It’s best to sit at home, watch TV, and sip tea in this weather. And they are at checkpoints, in the fields, in the swamps… There isn’t enough to keep warm. There are hardly any [solid fuel-burning] stoves. Or wood… [Soldiers] at positions badly need polyethylene film in rolls, tons of insulation; they need boards, nails, gas-powered saws… [We] are looking for water heaters, mobile baths, winter tires for cars, fresh accumulators, and many other seasonal things… As of now, these things are nonexistent–the army is not ready for winter.

[We] handed three small drones over to the troops: experienced scouts from the Ministry of Internal Affairs, and the guys from the “Dnipro-1″ Battalion. Conducted [the drone] training for operators. Delivered (with training) navigation tablets with ballistic programs to artillery gunners, missilemen, and scouts… I won’t include the bales of winter “humanitarian aid” into this report… Army SOS works at the frontlines.

Editor’s Note: For monetary or other donations, please visit the Army SOS website:  (in English, French, Ukrainian, and Russian).

Source: Yuriy Kasyanov FB

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Ukraine: Daily Highlights

26/10/2014 Ukraine: Daily Highlights – Ukraine held early parliamentary elections

В Украине прошли внеочередные выборы в Верховную Раду, на которых, по предварительным оценкам, решительную победу одержали демократические силы.

26/10/2014 Daily Highlights from “Digests & Analytics Ukraine” News Agency

Ukraine held early parliamentary elections. According to preliminary estimates, democratic forces obtained a decisive victory.

Ukraine

  • Despite the шар, early parliamentary elections officially took place as more than 50% of voters came to the polls. The leading political parties are: “Narodniy Front”, “Poroshenko Block”, “Samopimich”, “Radical Party of Lyashko” and “The Opposition Block”. Party “Batkyvshina” is barely passing the elections barrier. “Hromadska Pozytsiya”, “The Right Sector”, “Powerful Ukraine” of Tygipko and Communist Party didn’t pass the threshold. However, many former members of the party of regions and well known corrupt officials passed through majority voting districts.
    Around 25 thousands of combat actions participants could not vote. Around 25 thousands of combat actions participants could not vote.
    “Samopomich” and “Popular Front” won the elections among the voters from abroad.
    Main party leaders announced that the coalition consultations will start on Monday.
    Number of violations have been marginal and will not affect the results of the elections. Internal Affairs Ministry promised to investigate all violations of the elections legislation.
    SSU informed that numerous terrorist attacks have been prevented throughout Ukraine.

War in Ukraine

  • Combat activity has been low in Donbass during the day. Re-grouping of the terrorist forces has been noticed in the south near Novoazovsk. So-called DPR and LPR continue to receive reinforcement with troops and equipment from Russia.
  • Terrorists continue to evacuate residents and equip firing positions in the vicinity of Donetsk airport.
  • Donbass population on the territories controlled by militants could not vote. Work of the elections commission have been stopped in Volnovakha due to shelling. The elections have been cancelled in Schastye as the elections committee didn’t come to work after being threatened by militants.

International

  • The US have recognized Ukrainian elections and are ready to collaborate with the new Ukrainian Parliament.

Trends

  • Weak results of the “Petro Poroshenko Block”, as well as growth of followers of alternative political parties of democratic orientation, indicate serious loss of confidence in the president’s actions.

Source: Digests&Analytics

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Soldier wheeled to voting booth in hospital bed.

By Channel24, tv.ua
10.26.2014
Translated and edited by Voices of Ukraine

 On Twitter: A wounded Ukrainian soldier, lying in a hospital bed, votes nonetheless, because he knows at what price these special elections come.

Source: 24tv.ua

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