Enhancing Prehospital Care During the Conflict in Ukraine: NATO’s Role in Global Health Engagement

Author:

Onderková Anna1ORCID,Quinn John23ORCID,Meoli Michael4,Taylor Daniel5ORCID,Nesterenko Sergiy6ORCID,Schramm Jessica M7ORCID,Gimpelson A J8,O’Kelly Aebhric9ORCID,Parks Steven10,Rizek Jamla11ORCID,Davis Terri1213ORCID,Surkov Denys14ORCID,Cherniawski Bohdan15,Fernando Rajeev1617

Affiliation:

1. Otorhinolaryngology, Imperial College London Healthcare Trust , London, W6 8RF, UK

2. Emergency Department, East Surrey Hospital , Redhill, RH1 5RH, UK

3. Center for Global Health, Charles University , Prague, 121 08, Czech Republic

4. NAEMT Affiliate Faculty , San Diego, CA 92129, USA

5. Frozen Medical , Boston, MA 13202, USA

6. American Ukrainian Medical Foundation , Northbrook, IL 79407, USA

7. Neurocritical Care, University of Florida Health Shands Hospital , Gainesville, FL 32608, USA

8. Global Flight and Tactical Medical , Manchester, NH, USA

9. College of Remote and Offshore Medicine Foundation , 55543, Germany

10. Hungarian Army Medical Center, NATO Liaison , Budapest 1143, Hungary

11. Beth Israel Deaconess Medical Center , Boston, MA 20850, USA

12. Florida State University , Tallahassee, FL 32306, USA

13. Tallahassee Memorial Hospital, US Army National Guard , Tallahassee, FL 32308, USA

14. National Association of Emergency Medical Technicians, St Nicholas Children’s Hospital , Lviv 79059, Ukraine

15. Ukrainian Congress Committee of America , New York, NY 10003, USA

16. Heal-Corp, Society of Disaster Medicine and Public Health , Jersey City, NJ 07307, USA

17. Special Interest Group, Infectious Diseases, World Association of Disaster Emergency Medicine (WADEM) , Madison, WI 53705, USA

Abstract

ABSTRACT Introduction The conflict in Ukraine, ongoing since 2014 and escalating with the Russian invasion in 2022, has unveiled profound challenges in prehospital care essential for the survival and recovery of warfighters and civilians alike, necessitating a detailed examination of the current medical response mechanisms and their effectiveness. Materials and Methods This study provides an overview of these challenges and examines how these critical vulnerabilities have impacted the delivery of medical care in war-torn regions. It also explores the role of NATO and its member states in addressing these challenges, focusing on the efforts to standardize prehospital care, enhance training, and foster interoperability among medical services. Furthermore, it explores the role of global heath engagement through NGOs in addressing these prehospital care gaps within the Ukrainian conflict zone, drawing from direct observations, expert testimonials, and secondary data. Results Findings reveal significant enhancements in prehospital care through improved training, interoperability, and logistics management, despite ongoing challenges in medical infrastructure and extended evacuation times, which continue to impact the quality of care. Conclusions The study underscores the critical role of international collaboration and standardized protocols in bolstering prehospital medical responses in conflict settings, highlighting the need for continuous adaptation and support to mitigate the complexities of modern warfare. The insights gained from the Ukraine conflict offer valuable lessons for future military and humanitarian medical responses in similar conflict settings.

Publisher

Oxford University Press (OUP)

Reference53 articles.

1. Think tank reports on the invasion of Ukraine;European Council of EU

2. Prehospital lessons from the war in Ukraine: damage control resuscitation and surgery experiences from point of injury to role 2;Quinn;Milit Med,2024

3. NATO Logistics Handbook: Chapter 16: Medical Support;NATO

4. North Atlantic treaty organization standard AJP-4.10 allied joint doctrine or medical support;NATO

5. North Atlantic treaty organization standard Ajmedp-8 allied joint medical doctrine for Military Health Care (MHC);NATO

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