title: Closing The Gap: Improving Trauma Care On The Ukrainian Battlefield.
abstract: Since early 2014, Ukraine has been involved in a violent social and political revolution that has taken more than 7,000 lives. Many of these deaths were due to limited field medical care and prolonged evacuation times because the Ukrainian military has been slow to adopt standard combat medical processes. We deployed with the US Army's 173rd Airborne Brigade to train soldiers in the National Guard of Ukraine (NGU) on combat first aid. We discovered that a major deficiency limiting the quality of trauma care and evacuation is an endemic lack of prior coordination and planning. The responsibility for this coordination falls on military leaders; therefore, we delivered medical operations training to officers of the NGU unit and observed great improvement in medical care sustainment. We recommend systematic leader education in best medical practices be institutionalized at all levels of the Ukrainian Army to foster sustained improvement and refinement of trauma care.
authors.forename: Stephen K
authors.initials: SK
authors.lastname: Stacey
authors.forename: Peter H
authors.initials: PH
authors.lastname: Jones
mesh_terms: D004632:Emergency Medical Services / Q000458:organization & administration* / Q000592:standards; D005392:First Aid / Q000379:methods* / Q000592:standards; D006801:Humans; D007391:International Cooperation; D008887:Military Medicine / Q000458:organization & administration* / Q000592:standards; D008889:Military Personnel; D058996:Quality Improvement; D014455:Ukraine; D014481:United States; D000067398:War-Related Injuries / Q000628:therapy*