All-Ukrainian Councilfor Protection of PatientRights and Safety

NGO “UkrainianReserveArmy”

In strategic partnership with

How did it all begin?Dec. 1, 2013

Volunteer mobile medical teamsJanuary-February 2014

Underground public hospitals

How did it all begin?March 2014

Defense Support Society’s Sniper Firing Ground near KyivTraining of the Ukrainian Reserve Army (URA)

Casualty evacuation drill

Why did we decide to create the First Volunteer Mobile Hospital? Absolutely unacceptable fatality rate for the wounded in the

ATO zone

During WWII

20%

During ATO

33%

NATO standard

3%

The main cause for that high fatality – failure to observe golden

hour ruleWounded soldier must be on operating table within

the first hour after being wounded

Over 80% of complications (septic complications, tissue necrosis etc.) resulting from late delivery of the wounded to medical institution

Existing medical aid structurein the ATO zone

Along 320 km of conditional frontline 59th (Vinnytsya) Military

Mobile Hospital (MMH)

61st (Odesa) MMH

Emergency Hospital in Mariupol

District hospitals in Shchastya, Slovyansk, Kramatorsk, and Artemivsk

Stationary military hospitals in Dnipropetrovsk, Kharkiv, Zaporizhya, Kyiv, Odesa, and Lutsk

The so-called "evacuation shoulder" can often reach 250 kilometers or more

Concept of the Pirogov First Volunteer Mobile Hospital

Conceptually, the Pirogov First Volunteer Mobile Hospital (PFVMH) is based on the MASH (Mobile Army Surgical Hospital) system adapted to the warfare realities in Ukraine.

In the U.S. Army, the implementation of MASH allowed reaching the 97 percent survival rate of wounded soldiers owing to the provision of professional medical care as close to the frontline as possible.

The Pirogov First Volunteer Mobile Hospital:Main features

PFVMH – a highly mobile field hospital with own fleet of evacuation vehicles and high-capacity surgery and resuscitation blocks able of week-long stand-alone operation in the ATO zone:

Location — 30-50 kilometers from combat action sites, beyond reach of hostile artillery;

Deployment time — up to 30 minutes;

Redeployment transportation speed — 50 km/hr;

Care of 10 wounded soldiers per hour;

Admission of wounded soldiers from 80-kilometer combat sector .

Aid procedure: evacuation from battlefield; sorting; emergency surgery; preparation for evacuation to rear medical institutions; and evacuation.

The Pirogov First Volunteer Mobile Hospital:Structure

Surgery Company: Three operating teams (a surgeon, an anesthesiologist, a scrub nurse and a nurse anesthetist in each).

Resuscitation Company: Doctors and paramedics with experience in extreme medicine. They take urgent resuscitation measures on arrival of the wounded and observe patients in resuscitation module.

Maintenance Company: Drivers, mechanics, electricians, cook, etc.

Sorting Company: Specially trained nurses and aidmen will sort the wounded under supervision of a doctor on duty.

Evacuation Company: 10 evacuation crews composed of a driver/aidman and a paramedic. They will transport the wounded from battlefield to the mobile hospital, and when necessary, to the rear.

Guard Company: A special unit to guard and protect the hospital in the ATO zone.

The Pirogov First Volunteer Mobile Hospital:Equipment

Operating room (in truck body): operating table, anesthetic equipment, ventilator, ultrasound scanner, electrosurgical equipment.

With the stationary installed equipment, the operating room does not need any additional time for deployment and is almost immediately ready for surgery on the wounded.

Small operating room (in standardized military trailer): X-ray apparatus with coach, table for interventions with local anesthesia and doing dressings on the wounded waiting for evacuation.

Resuscitation and sorting modules and ward arranged in special light self-inflating tents that need 3-5 minutes for installation

.

The resuscitation module is designed for five and the ward for 20 postoperative patients who are waiting for evacuation.

All the medical furniture is folding and all the equipment is portable. This allows fast deployment and compact packing of the hospital for relocation.Thus, urgent surgical treatment in the hospital can be provided to

several wounded persons simultaneously

The Pirogov First Volunteer Mobile Hospital:Self-contained feature

The self-contained feature of the hospital is ensured by availability of the following own facilities:

Diesel power plant; Drilling rig for artesian

wells; Fuel tank truck.

This means that PPVMH can be deployed both in tents and based on any medical facility in the ATO zone.

The Pirogov First Volunteer Mobile Hospital:Battle formation of the Evacuation Company

1st echelon: 5-10 km from combat line – 4 vanguard vehicles Volvo C303

2nd echelon: 5-10 km from the 1st echelon – 6 evacuation vehicles Unimog I1300 Ambulance

3rd echelon: 10-15 km from the 2nd echelon:- 2 mobile operating rooms;- a sorting and diagnostics module

20

-35

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The Pirogov First Volunteer Mobile Hospital:Evacuation transport

MERCEDES UNIMOG AMBULANCE VOLVO C303 AMBULANCE

The Pirogov First Volunteer Mobile Hospital:Vanguard transport

VOLVO C303

The Pirogov First Volunteer Mobile Hospital:Training base

Defense Support Society’s Sniper Firing Ground near Kyiv(v. Kapitanivka, Kyiv Oblast, Kyiv-Svyatoshyn Raion)

The Pirogov First Volunteer Mobile Hospital:Official status

The PFVMH project is implemented by the All-Ukrainian Council for Protection of Patient Rights and Safety with support from the Governmental Commissioner for Ethnonational Policy in conjunction with the National Security and Defense Council of Ukraine, the Ministry of Defense of Ukraine, the Ukrainian Reserve Army NGO and other partners

The Pirogov First Volunteer Mobile Hospital:

Board of Trustees

Please visit http://medbat.org.ua/?q=uk/rada for details

The Pirogov First Volunteer Mobile Hospital:

Media Coverage

ТVі - http://www.youtube.com/watch?v=4H5iiMeG2Ds

Kyiv - http://www.youtube.com/watch?v=6_mgHRRzwF8

ICTV Facts - http://www.youtube.com/watch?v=DCJGJhetUYo

Podrobnosti - http://podrobnosti.ua/society/2014/10/15/998112.html

TSN – https://www.youtube.com/watch?v=iAhd4bxR15o

24 – https://www.youtube.com/watch?v=IMDVFn3rUmA

5th – http://www.youtube.com/watch?v=ABDW5li0LzI

Tonis – http://www.tonis.ua/index.pl?page=videorep

Den newspaper- http://www.day.kiev.ua/uk/article/cuspilstvo/mozhna-bulo-b-vryatuvati-kozhnogo-shostogo-zagiblogo

The Pirogov First Volunteer Mobile Hospital:

Total project cost

$1,269,000

Cost of preparation and equipment for one company - $423,000, including:

Total cost of fleet of vehicles for one detached company of PFVMH - $210,000

Total cost of basic medical equipment for one detached company of PFVMH – $190,000

Total cost of camp equipment for one detached company of PFVMH – $23,000

WITH HOPE FOR COLLABORATION

www.medbat.org.ua