Pirogov First Volunteer Mobile Hospital(FVMH)

Concept. History. Prospects.

ConceptEnsure access of patients to qualified medical care during:

- Combat actions;- Emergencies.

How?Using:- Mobile infrastructure:

- Tents;- Manipulating (operating) rooms

on wheels.- Stationary facilities:

- Available medical/preventive institutions;

- Other stationary facilities.

Personnel- 365 reservists from 20 regions

of Ukraine;- 125 experienced volunteers;- 66 combat operation

participants;- 100% trained to the TCCC, CLS

and TLS standards;- 50% trained to the ATLS

standards;- Doctors, paramedics and

technicians.

Features

- Manpower: up to 190 persons- Number of vehicles: up to 27- Number of tactical tasks: up to 8- Range: up to 80 km- Role in the medical service structure:

treatment and evacuation phase- Scope: urgent care, disaster medicine,

battlefield medicine, field preventive and follow-up treatment

HistorySep. 17, 2014 – Announcement of FVMH personnel mobilization (a project implemented by the All-Ukrainian Council for Protection of Patient Rights and Safety)Oct. 7, 2014 – Memorandum with the Defense Ministry on including the FVMH in Anti-Terrorist Operation (ATO) forcesOct. 15, 2014 – Series of training activities for FVMH personnel on the Sniper Firing GroundDec. 1, 2014 – FVMH receives the status of a composite disaster medicine corps of the Disaster Medicine Center within the Health Ministry of UkraineDec. 14, 2014 – Ukrainian Armed Forces General Staff defines the FVMH as a treatment & evacuation phase within the ATO forces structureDec. 15, 2014 – Beginning operations in the ATO zone (Kurakhove)

HistoryJan. 18, 2015 – FVMH actively participates in provision of medical aid during the retreat of Ukrainian troops from the Debaltseve Foothold. This includes six prosthetic vascular surgery operations that have saved injured servicemen’s limbs.

Mar. 14, 2015 – FVMH launches hospital medicine in Popasna, Luhansk Oblast, 300 meters from the utmost security checkpoint

Mar. 23, 2015 – FVMH carries out the most complicated neurosurgery operation in the ATO zone: cranioplasty with superciliary arch reconstruction (Artemivsk)

Mar. 31, 2015 – FVMH launches a diagnostic & treatment team that carries out field examinations (including X-ray and ultrasonography)

Apr. 29, 2015 – FVMH and the 65th Military Mobile Hospital form a composite unit in Chasiv Yar, Artemivsk Raion, Donetsk Oblast

History

May 6, 2015 – FVMH works simultaneously on five locations in the ATO zone, fulfilling various tactical tasks

June 3, 2015 – One of the FVMH’s advanced positions, in the village of Luhanske, is destroyed by direct shell hit. A volunteer is shell-shoked.

June 7, 2015 – First staff training is carried out in deploying a Forward Surgical Team to the NATO standards

June 22, 2015 – Sector C Command marked the FVMH off for its high professionalism in fulfillment of missions

HistoryJune 24, 2015 – FVMH opens its regional headquarters in Dnipropetrovsk

July 1, 2015 – A new medical team of the FVMH, Zvirynets, is set up. It specializes in psychoneurological assistance to servicemen with alcoholic psychoses and other disorders

July 25, 2015 – FVMH receives a proposal to create on its base a mobile hospital of the Health Ministry

Aug. 5, 2015 – FVMH is registered as a legal entity

August 2015 – During the month, FVMH provides aid to 711 patients. As of early September 2015, it has provided assistance to a total of about 4,000 wounded and diseased servicemen and civilians in the ATO zone

ProspectsDisaster medicine

- Create on the FVMH base a mobile hospital of the Health Ministry Disaster Medicine Center

- Develop a hospital base for disaster and polytrauma medicine

New technologies

- Apply the operational follow-up & prevention experience in civil life

- PTSD rehabilitation

- Gain experience in using the new ECG generation

Military medicine

- Develop Forward Surgical Teams

Experience sharing

- International missions and work abroad