![]() And some children from Kramatorsk who had lost their limbs because of a missile raid near them. “There was a woman from Mariupol with a heavy injury to her face, she had lost her eye. Kyniv vividly remembers several patients she had met on board the train recently, all from Donbas. The decision was made en route, when doctors realised that surgery on the woman’s mangled foot could not wait until they arrived in Lviv. She was losing too much blood,” Kyniv says, referring to the city in eastern Ukraine located about 240 kilometres (149 miles) from the nearest front line. “Today, we had to drop off a woman in Dnipro before we came here. ![]() The train’s carriages have had the seats removed and been refitted with beds, generators for oxygen and medical devices and an intensive care unit. MSF currently runs Ukraine’s only known specialised medical train, carrying patients from hospitals in the embattled east to hospitals in the west that are considered safer. A doctor with the international humanitarian aid organisation Doctors Without Borders or Médecins Sans Frontières (MSF), Kyniv has been caring for the sick and injured on these weekly medical evacuations by rail since March 23. She has been working for the last 17 hours since the men, along with other patients, were transferred from front-line cities. But his pallid face betrays the severe femur injury he has sustained.ĭescending the train for a quick break is 35-year-old Nataliia Kyniv. One of them is in a jocular mood, cracking jokes with the medical personnel as they gently wheel him to a waiting ambulance. The day before, both men had been wounded by a bomb blast in the city of Bakhmut in the eastern Donbas region, where Russian forces have been mercilessly shelling for months. As the door to one of the carriages creaks open, paramedics on the platform gingerly lift two young men down the stairs and onto stretchers. Hampshire, Southampton and Isle of Wight CCG.Lviv, Ukraine – It is 10am on a Tuesday morning in July, and a train has just pulled into a station in the western Ukrainian city of Lviv. "Petersfield Minor Injuries Unit upgraded to Urgent Treatment Centre".
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