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.
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.
국지전이 아닌 대규모 전면전이 늘 상존하는 대한민국에도 시시하는바가 크다 봅니다.
한반도에서 유사시 전면전이 일어나면, 우크라이나 전쟁은 얘들 장난처럼 보일껍니다.
군의료체계로만으로 감당 할수 없고, 분명 민간 의료체계도 풀가동이 되어야 하는데,
2차대전 이래 민간인들의 사상자는 늘 군인들의 사상자보다 훨씬 웃돕니다.
북괴의 대규모 포격에 노출 되어 있는 수도권을 생각하면 끔찍하죠.
여기에 화학공격까지 생각 하면 상상도 하기 싫죠.
특히 전쟁에서 발생 되는 대규모 중증외상 환자들에 대한 처치 능력이
대한민국 의료체계가 얼마나 가지고 있는지 모르겠습니다.
예전에 석해균 선장을 수술 하면서,스타로 떠오른 이국종 교수님이 한말이 있습니다.
수도권에서 총상 환자가 발생 되면, 수도권이라고 해서 안심 할수 없다구.....
의료체계가 가장 발달 되어 있는 유수의 일명 대학병원들이 수도권에 밀집 한 상태에서도 장담 못하는데
지방은 오죽 하겠냐고 하면서, 중증외상 처치 능력에 대해 신랄하게 비판 하셨습니다.
이후 정부에서 중증외상센테 활성화에 많은 노력을 기울이긴 했죠.
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