보배드림

 뉴욕타임스에 따르면 자포리자주 최전선서

몇마일내에 있는 우크라이나군 야전 응급센터에

부상자 25분내 도착이 골든타임이지만 러시아군

대량 포격이 빈번해서 몇시간 동안 응급센터로

후송 못 시키기 일쑤랍니다.

 러시아 미사일이 응급센터 타격한 적도 있어서

수술진이 적색조명 켜고 밤에만 수술한다네요.

 7월 마지막주엔 취재한 응급센터 하나에 하루 

부상자 70명이 들어왔다 하구요.

 우크라이나 군의관은 군에 의사와 간호사가 

부족하다 했습니다.

 한편, 7월말에 우크라이나 간호사 단체가

수개월간 급여 미지급에 대해 우크라이나

보건부장관에게 대화 요청했으나 보건부

건물에 들어가지도 못 했다네요.

 Under Fire and Understaffed: The Fight to Save Ukraine’s Wounded

 2023.08.02

 Wounded just 40 minutes earlier on Ukraine’s southern 

front in the Zaporizhzhia region, the soldiers from the 

110th Brigade had arrived at a stabilization point, one 

of a dozen medical stations set up by the Ukrainian Army 

within a few miles of the front line to ensure critical, lifesaving care.

 Positioned close to the front lines, the stabilization points, 

temporary medical posts where patients are stabilized for 

onward evacuation, have been receiving a constant inflow 

of soldiers wounded in the fighting. 

 The numbers have been “colossal,” said a medic from the 

center where the three men from the 110th Brigade were treated.

 The aim is to ensure that each wounded soldier receives a high 

level of care within as little as 25 minutes of the injury in order 

to save lives, he said. It is not always possible. 

 A combat medic on the front line quickly administers first aid, 

but Russian artillery fire is often so intense that sometimes units 

cannot evacuate the wounded for hours, medics said.

 The ambulances that transport soldiers to the stabilization points 

frequently come under fire as well, and soldiers sometimes have 

to drag or carry the wounded for several miles on foot to a vehicle. 

One stabilization point was hit in a missile strike one recent night, 

doctors said.

 The staff stayed undercover most of the time to keep out of 

sight of Russian reconnaissance drones. 

 At night, they worked in the dark for security, mostly using 

a red light, which is less detectable, on their headlamps.

 The casualties arrived in spurts and on some days in a 

continuous rush. There were dozens of mine injuries and 

shrapnel wounds, but so far in this counteroffensive, 

few bullet wounds, doctors said.

 Some doctors said they had seen worse casualties in

 battles last year; one said they were treating up to 

250 people a day back then in the counteroffensive 

in Kherson region.

 In the first months after the Russian invasion last year, 

many soldiers did not have body armor or helmets and 

suffered often lethal injuries to the head and chest, 

said Dr. Andrii Komarinets, the head of medical services 

for the 110th Brigade, who runs one of the larger 

stabilization points.

 But the army was short of doctors and especially of nurses, 

he said. “We don’t have enough hands,” he said.

 An administrator silently lifted a thick stack of medical reports 

from the last week, one for each patient. 

 They had treated more than 70 people that day, and more were 

on their way, he said.

 https://www.nytimes.com/2023/08/02/world/europe/ukraine-war-casualties-wounded.html?searchResultPosition=1

 Ukraine’s medics are calling for change ? but nobody is listening

 2023.08.03

 “To the minister of health of Ukraine, Viktor Liashko, 

Happy Doctors’ Day! I am asking you to prohibit the 

uncontrolled reduction of wages for medical workers! 

 Let the money follow not only the patients but also 

medical workers.”

 This was the message of many cards sent to Ukraine’s 

Ministry of Health by members of the nurses’ movement 

BeLikeNina ahead of the country’s annual Doctors’ Day on 27 July.

 BeLikeNina is demanding the government address the 

problems facing Ukraine’s nurses and doctors, from 

primary care workers going unpaid for months due to 

a lack of funds in hospitals to new laws that facilitate layoffs, 

as well as low wages and nurses quitting due to work overload.

 On Doctors’ Day, a dozen of BeLikeNina's representatives 

and medical workers went to the Ministry of Health in Kyiv 

to try and have Liashko listen to their concerns.

 But they weren’t allowed to enter the building due to 

bureaucratic procedures and additional wartime security measures.

 Ukraine's healthcare reform, which began in 2018, aimed to 

move from financing hospitals to financing the needs of patients,

to reduce state expenditure and corruption and make healthcare 

more accessible for Ukrainians.

 But medics say it has introduced problems ranging from 

unpaid wages to hospital closures.

 Olga Turochka, a paediatric surgeon from the city of Shostka, 

in Ukraine’s north-eastern Sumy Oblast, is one such medic 

who believes she was punished for standing up to the reforms.

 Turochka says doctors at her hospital, which is located in 

a war zone, were not paid their full salary for three months 

this year ? despite there being a shortage of medics.

 https://www.opendemocracy.net/en/odr/ukraine-doctors-nurses-healthcare-reforms-low-wages-layoffs-demand-change-unions/