Casualties, Battlefield Medicine, & Lessons from Ukraine - Threats, Logistics & Innovations
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- Опубликовано: 22 май 2024
- The logistical challenges in Ukraine are not limited to supplying forces in the field, they also extend to the absolutely vital task of recovering and treating the wounded.
In this episode we explore recent publications on battlefield threats, medical treatment, and innovations in Ukraine - and reflect on what lessons other nations observing the hard fighting there might be able to learn to better prepare themselves for potential future conflicts
Adsense proceeds from this video will be donated to support medical care and training in Ukraine.
Patreon:
/ perunau
Caveats & Comments:
All normal caveats and warnings apply - as do those flagged in the video (e.g. I am not a Doctor)
Selected Reading/sourcing
Putting Medical Boots on the Ground: Lessons from the War in Ukraine and Applications for Future Conflict with Near-Peer Adversaries
Epstein, Aaron MD, MA; Lim, Robert MD, FACS, FASMBS; Johannigman, Jay MD, USAR, MC; Fox, Charles J MD, FACS; Inaba, Kenji MD, FACS; Vercruysse, Gary A MD, FACS; Thomas, Richard W MD, DDS, MSS; Martin, Matthew J MD, FACS; Konstantyn, Gumeniuk MD, PhD; Schwaitzberg, Steven D MD, FACS, MAMSE
journals.lww.com/journalacs/f...
Medical Changes Needed for Large-Scale Combat Operations - Observations from Mission Command Training Program Warfighter Exercises - Col. Matthew Fandre, MD, U.S. Army
www.armyupress.army.mil/Porta...
Army Medicine’s Critical Role in Large-Scale Combat Operations
www.armyupress.army.mil/Porta...
Lt. Col. Matthew K. Marsh, U.S. Army & Capt. Ryan L. Hampton, U.S. Army
Presentation of Low Titer Group O Whole Blood Program - 2018 RDCR Symposium - Col Audra L. Taylor
rdcr.org/wp-content/uploads/2...
Walking blood banks
www.dvidshub.net/image/496628...
Blood transfusions in Ukraine
www.pravda.com.ua/eng/news/20...
moz.gov.ua/article/news/urjad...
Attacks on UA Hospitals (March 2022)
www.reuters.com/world/europe/...
Ukraine asked hospitals to temporarily suspend planned surgeries (Dec 2022)
www.reuters.com/world/europe/...
M113 evacuation
/ ukrainian_m113_medevac...
/ m113_was_equipped_for_...
Training for UA medical staff
news.metrohealth.org/video-me...
Ukraine medical evacuation trains and flights
www.voanews.com/a/speeding-we...
www.voanews.com/a/the-flying-...
Medical Bushmaster
defense-update.com/20180124_b...
Vietnam war US casualties
dcas.dmdc.osd.mil/dcas/app/co...
Stretcher Drone
www.telegraph.co.uk/world-new...
Casualties and care in Afghanistan
Afghanistan statistics: UK deaths, casualties, mission costs and refugees
researchbriefings.files.parli...
Foreign medical aid
foreignpolicy.com/2022/10/31/...
TASS on Leopard 2
tass.com/politics/1566983
TBI after Iranian missile attack
www.businessinsider.com/iran-...
Western equipment survival reporting
www.thenationalnews.com/world...
www.welt.de/politik/ausland/v...
defence-blog.com/ukrainian-so...
Body armour for Ukraine
www.wamc.org/news/2022-03-23/...
www.forbes.com/sites/cyrusfar...
Shoigu on Ukraine casualties
www.rt.com/russia/563213-ukra...
Timestamps
00:00:00 - Opening Words
00:01:06 - What Am I Talking About?
00:01:58 - A Note On This Topic
00:03:23 - History
00:13:23 - Casualty Patterns
00:25:32 - Issues
00:40:23 - Casualty Minimisation
00:45:50 - Casualty Mitigation
00:48:52 - Lessons
00:58:08 - Rehabilitation And Mental Care
01:01:36 - Conclusion
01:02:50 - Channel Update
As noted in the video, all YT ad revenue from this video will be directed towards supporting medical care and training in Ukraine. I know this is a particularly sensitive topic, but thought it was important that it get more coverage on this platform, and feel the best way to do that is make sure the video was for the benefit of those living through this horrible war.
I want to extend my thanks to those volunteers and medical professionals that contributed data, thoughts, or relevant materials for this presentation. I am not a medical professional and so greatly appreciated the support of those that are. No topic has generated quite so many spontaneous offers of support or anecdotes as this one.
Special thanks to the Global Surgical and Medical Support Group, not just for publishing data and observations based on their time in Ukraine, but also for being open in correspondence to clarifying findings and providing additional useful contextual data and information.
Thank you all for your tremendous support, and I'll see you next week.
I was just wondering when will the video drop. Just in time for my cofee
You are taking your success incredibly well. Australia is genuinely proud of you.
You need to upload on new tech to avoid demonetization
I do not understand the phrase -"low casualty conflicts" still generate no tragic losses- . From context, I feel the word "no" is in error and that the meaning meant to be convey is that the euphemism "low casualty" does include sever disabilities and deaths. Please correct me with what I am missing.
Hi Perun, 1st you show us how to blow them up. I guess you have to show us how to heal them as well. Well done 👏
The sentence that gives your whole presentation credibility:
"I'm not an expert therefore I'm relying heavily upon sources. Those sources are linked in the description".
What other media can't or don't want to do, does one Australian bloke on the internet. I'm SO thankful for that.
Its still so funny to me that a music youtber pupöisihing a video titeled "The destruction of the CDU" was one of the main drivers of linked sources in germany
@@yoschiannik8438where is it linked?
Cells interlinked.. interlinked..@@fendtfarmer2138
@@fendtfarmer2138 What?
Unfortunately at least in the United States, confidence is mistaken as trustworthy. As such, “disclaimer” are generally taken as less credible for some reason for your point. Which, I personally think is baffling. I want the equivalent of error bars in our means of communication.
My Uncle Bob was an ambulance driver in WWII in the European Theater. He drove pedal to the metal, to and from the frontlines, and was always happy if there was a stack of hay nearby, because of frequent brake failures due to ruptured lines and excessive wear. When he returned home, he wasn’t allowed to drive for several years, because his lead-foot terrified his wife. (He retired from the USPS as the very last bicycle postman in America decades ago.)
His PTSD, was never mentioned except once, when I tried to interview him for a school assignment. He never got over the shock of seeing his friend’s ambulance after it hit a land mine and being unable to save him. My mom made me stop the interview after seeing the anguish on his face. It was over twenty years since he’d been at war, and he was suddenly reliving the horror all over again.
My heart aches for everyone in Ukraine, because they have all been traumatized by this evil war. Whenever it does eventually end, the healing will take the rest of their lives. 💙💙💛💛🔱🇺🇦❤️🇺🇸
Don't tell Kevin Costner.. he still thinks he's the last one, and nobody can put up with him long enough to argue otherwise.
One problem with France in the 1920's is the lack of men. Same with England, they just sent thousands to die, so there was a huge difference in the number of men and women.
At least WW2 was less deadly than WW1. Sadly Ukraine is where they still have "Charge the machine guns" again, like WW1. I guess one would agree that the Russians during WW2 also charged the Germans and died because they did not carefully charge the Germans.
@@Kangenpower7 some 60 million died in ww2 Vs some 17 million in ww1 so i'd suggest ww2 was far more deadly
@@rodroper211there is a difference in the wars. Yes if your just looking at casualty figures then WW2 was worse. One thing you gotta realize is that large explosives and artillery was much more effective in WW2. There were far more instant death.
In WW1, things were far more brutal, dirty, diseased. Gas was used librally in WW1, and it wasnt until Hiroshima/Nagasaki that WMDs were used in WW2. In WW1 WMDs were used librally (gas is considered a WMD due to its indiscriminate nature).
Its hard to compare the two wars, because they were different beasts. While WW2 was the king of casualties, WW1 was the king of suffering.
@@rodroper211The deaths in WW2 were less segregated by sex - because civilians being killed was more common.
Something I always appreciate is Perun's willingness to take a hit on the algorithm metrics. Be it the topic itself being less "flashy" or explicitly telling viewers "hey, this stuff might get nasty and might not be for you" it's refreshing to see. Really solidifies that he's doing this as a sort of public good. Keep it up mate.
Yes, Perun is a champion !!!
Don't forget donating the AdSense revenue to a relevant charity/cause!
I’m a 43 yr old US Army Vet that served in 2003 and 2008 in Iraq. Lost friends and soldiers there, I have PTSD and I want to say that this episode was very well done. Thank you for being light to the subject.
Thanks for your sevice
This one hits very close home, my Czech friend Taylor was mortally wounded by shrapnel while MedEvacing Ukrainians from Bakhmut in his very lightly armoured SUV, crazy man but balls of steel
Rest in peace you legend!
I'll be honest this is not the video I personally wanted, but it is a video that is needed. Good on you for humanizing war as much as possible Perun.
Even if Ru side deserves no humanization, IMO.
@@jeckjeck3119No. Every human deserves to be treated as one. Even if they are Nazis. Even if they are aggressors.
This is one of the things this conflict has done that I hate, dehumanisation of the opponents is what leads to war crimes.
@@priyan605 If you could prosecute those on both sides committing war crimes, ( a term I dislike beyond your belief, as all war is a crime itself, necessary but evil ) than I might agree with you however we cant, and the overwhelming number of crimes have been committed by one side. Individuals who committed the atrocities as in Bucha, and their leaders, do not deserve to be treated as humans. In this modern world, and with the wokeishness of many in the US, we have forgotten that evil exists. Unlike in the movies and in the minds of some, you cant have a sit down and protest, join hands and pray, sing or hope, you have to destroy evil and there is only one way. Destroy them. Until you and many like you wake up to reality, we are doomed to eventual domination by it. Yes it is a thin line, for we do not wish to become what we hate, but you have to get very close to that line to prevail.
@@jeckjeck3119 dehumanisation is what makes nazis, by doing it you stoop to their level.
@@priyan605
I disagree, evil must be punished until it can't get up, ever.
thoracotomy: A thoracotomy is a surgical procedure in which a cut is made between the ribs to see and reach the lungs or other organs in the chest or thorax. Typically, a thoracotomy is performed on the right or left side of the chest.
laparotomy: A laparotomy is a surgical incision (cut) into the abdominal cavity. This operation is performed to examine the abdominal organs and aid diagnosis of any problems, including abdominal pain. In many cases, the problem - once identified - can be fixed during the laparotomy. In other cases, a second operation is required.
Thank you for the clarification.
Watching this from a bed in a safe, well run hospital in Perth has provoked a range of emotions. But probably the most salient is that none of us should assume anything about our own fates.
Get well soon!
That realization is the start of accepting reality. As said in an old SciFi show, "reality - survival cancels out programming" . The West is and has been programmed with liberal ideals, and we are not talking about equal rights or pay or trans rights or women having the right to vote, we are talking about real rights, the right to life and liberty. Programming is leading many to believe these are not in danger, that evil can be changed, that crime is a social issue that can be fixed with understanding. That if we just disarm, and understand and save the planet - all will be well. We live in a dangerous would, we live with monsters all around us, Perth ? you have China, not its people overall, but its leaders, who would subjugate you and Australia in a cold minute if possible, and in 100 or 200 years if thats what it takes. Striving for the rights I have listed and others is a good thing, forgetting the basic rights and that they are in danger all the time is the way to slavery. Simple as that.
Mard arse
I have to remind myself that due to life dependency on medication I'm not just useless out there, I'd be a liability and drain of resources (and for me "there" is quite close to heart). But there are things we can do even from safety of our respective islands.
My status has been interrupted by a (minor) medical occurrence which has left me in awe of those who serve our bodily dramas.
As a retired U.S. Navy corpsman, I am so thoroughly appalled at the cowardly way civilians have been targeted, tortured and murdered. The only time I've felt this level of disgust before was when some SOB tried to shoot my patient, then me. Thankfully he was put down by an angry marine with a thirty round 'banana' clip. Thank you for your candid and clear narratives.
Medics on the field are often overlooked despite being heroes. Or, just forgotten.
On the smaller level, they're quite a valued team member. Be that at platoon or even company level when there's a guy who has the skills to stabilise either yourself or someone else. Plus having your mates willing to extract your busted arse from whatever mess you've gotten into is hugely important to that team cohesion. Ultimately that rolls down to how hard they will fight together, the risks they will take and knowing that the team is backing you all the way.
Individuals don't have so much the focus in team environments, but having those specialists does have their own 'multiplier' so to speak.
And the ruscists will shoot them as well
Han, having been in the military, and having needed a medic and having brothers need medics, I can tell you they are NEVER overlooked or forgotten. NEVER.
@@americanpatriot4227 definitely overlooked by civilians though
@@americanpatriot4227and thus they are also Charlie's favorite target, together with officers and comm equipment
My great-grandfather served in WWI as an ambulance driver. He served with the AIF in a number of theatres, and was eventually evacuated when he was gassed. He suffered severe lung issues for the rest of his life that made his civilian life as a farmer extremely difficult, had to give up long distance bike riding which was a passion of his, and ended up watching one of his sons pick up complex PTSD as a pilot in WW2 and more seriously in Korea. I never met him, but I understand that he felt extremely lucky despite his suffering, because he could walk himself off the boat when he got home. I believe he was a big proponent of universal healthcare, and absolutely scathing of the support given to veterans after korea and vietnam.
And my great uncle Thomas,dead keen to join in the 1917 recruitment drive in AUS, joined up, but persuaded by his elder bro, my grandpa, to join the medical/ambulance corps, made it to the front but as a stretcher bearer to be shot through the head carrying out his task ! Bloody Germans. But that was WW1 + WW2 etc. ad nauseum ! When will dictators ever stop?
Hey Perun, i'm just one viewer and therefore obviously can't speak to the sensibilities of your audience as a whole (or for the algorithm), but the fact that you can do intelligent, reasoned and researched deep dives on confronting topics like this is exactly why your channel often feels like a beacon of clarity in a very chaotic and scary media space. We all know this side of war exists, but it rarely gets talked about, and yet it is so crucial to a real, human understanding of what the war means. So I think it is because of, and not despite, videos like these that people love your channel, and you shouldn't shy away from doing more of them (at least if this isn't a super bad move for you, vis-a-vis the algorithm). I, for one, would be very grateful for a second part further discussing post-war trauma, rehabilitation, and reintegration. Also, your passion for this topic shines through, and that's infectious, and means there's potential here to do real good with regards to raising awareness and motivating people to offer support.
Much love, thanks a lot for this.
Ditto.
Great comment
Once the UK's military Medical record was superb. In the Falklands for example the field operating centre was a rough old building with at least one, possibly two 1000 pound bombs lodged in the ceiling! Despite the conditions however, not a single person, British or Argentinian who entered that building died. The commander of the Surgical team was the only man to be awarded a medal by BOTH sides.....
Since then, our glorious governments have closed down all specialist military hospitals, forcing wounded personnel to undergo treatment in civilian facilities. The Royal Army Medical Corps essentially no longer exists. Virtually all British military surgeons and Doctors are Reservists, not full time professionals, and the list goes on....
Just another example of the rampant cost cutting that has gutted many of the support elements of the British military, forced on us by short sighted politicians who seemed to have believed that peer on peer war was a thing of the past, and that all we would ever be facing again was essentially police or peace actions against insurgents....
Such a story is across the board in British institutions and encapsulated in basically every aspect of the British military in particular. We have essentially become an American axillary force in case the US marines are busy. While this is perhaps appropriate given that our political role is much the same it is counter to the interests of the British nation and it's population. The rot is starting to become hard to ignore as people are increasing finding life hard because of it.
... July 2006 I wrecked my back in Thetford, whilst we were training some US National Guard.
We had no ambulance. The only medical staff were Americans, who refused to help me because of the legal side...
Not on deploytment. Not in Basra. Not in Khandahar. East Anglia...
Took me three years to stand up straight again with absolute agony.
I've still got a bad back, and have to do regular physio.
Sadly, such is the mindset of the soldier, I was still around in 2010 to be given anti-malarials that were banned under normal circumstances by our NATO allies but that cost 50p less. Now I've got diminshed lung capacity for life, and have been repeatedly hospitalised by what should be simple colds/flu.
.... one day the Army will staand up to politicians and start telling them to fuck off unless they properly care for our lads (and lasses).
Sadly, it hasn't been the way. The attitude has always been 'right, that's wht you want done, we'll get it done', regardless of the circumstances.
Welcome to the wonderful world of austerity.
"Hanging on in quiet desperation is the english way"
-Some Asshole
Wow, a medal from BOTH sides really says something good!
You are correct about doctors being reallocated. I know a refugee whose daughter is a paediatrician in Kyiv. She has been caring for soldiers, as much as children; and working long hours for a long time.
My grandfather was a WW2 veteran. My mother and I try to help small local NGO which goes to Ukraine and supplies local medics, both civilian and military. I think You did a very, very important and good thing covering this. Please dont shy away from difficult topics, they are so much more needed to be discussed precisely because they are emotionally hard.
Amazing how an economic defense analyst can sound more human than most of our government and corporate leaders and spokespeople for them.
I might be biased as a medic, but this is some of your best work yet
If you're biased, it's for good reasons. 👍
Perun should take your comment as high praise.
@LD-Orbs I just do civy gutter medicine. Closest thing to military I've seen so far is TCCC courses so I really wouldn't say my praise is worth a whole lot. I just think it's one of the most high consequence and operationally complex topics covered so far.
I'm a former artilleryman so naturally I found his episode on Russian artillery doctrine the best one. I think it goes with the territory that you think he is doing stellar work when you have the knowledge and experience to verify everything he says.
@@andersjjensen really goes to show how far perun goes to make sure he really gets it right when you can have people from such varied professions giving him props on his videos about their fields of expertise though.
No, bias aside this IS the cost of a war of aggression. The best episode of the whole series, and I have watched every single one since the start of the invasion of Ukraine.
This one really brings home the ultimate cost of defending what is RIGHT and the cost thereof, Slava Ukraine and Damn the Russians!!!
Your ability to understate serious comments like “anything that penetrates the head is not a good thing “ is the type of light humor during existentially depressing subjects I come here for .
I'm curious as to how he differentiates a "sucking chest wound"; as far as I'm concerned any chest wound sucks.
One of the many reasons why I love your videos is that you don't shy away from a certain topic. If anything, your content is about what needs to be heard or understood, rather than what one might feel like they want to hear. It's the main reason why I keep being subscribed to you, regardless of how the war ends.
My grandmother was a trauma ward nurse in the 50's and 60's. It wasn't uncommon to have someone present after breakfast and be in the morgue before supper. She said the worst cases were gunshot wounds that were near-misses to something vital; not close enough to kill outright, but not far enough from, say, a lung, to safely risk cutting them open. She essentially had to watch people suffer, and try to ease it. It broke her heart every time, so I can hardly imagine what those CLSs, medics, and field surgeons are going through.
Perun: "In closing, battlefield medicine isn't a subject that lends itself to humor."
Hawkeye Pierce: "Am I a joke to you? Because I hope so."
I supported myself in grad school by working in a hospital. "Ordinary" table conversation, humor even moreso, caused non-medical people overhearing it to be quite disturbed. Having to carry "bits and sometimes large pieces" to and from the pathology lab certainly eroded my squeamishness in short order!
You have to laugh, or you'll cry...
Battlefield medicine leads to black humor not no humor. The problem is that black humor is hard to pull off if you aren’t there and frequently comes off as insensitive to most. MASH found its humor in the absurdities of the situation, laughing instead of crying or screaming. There’s a reason why several of the most memorable episodes involve a visit by a recurring character, army shrink Sidney Freeman.
Yes, mental health has too often been neglected by the public, or refused by wannabe "he-men." People who are health conscious have been frequently considered fastidious, fanatics, kooks, unmanly, hypochondriacs, superstitious, etc. This applies to mental health as well, though what is mentally healthy has sometimes actually become religious/superstitious nonsense.@@annekeener4119
@@annekeener4119
I believe that humour is a way that people relieve stress and the more stressful the situation, the darker the humour. Most stressful jobs have their own "inside" jokes, language, and TLAs (Three Letter Acronym). The military, pilots, medical professions all have their own culture to deal with stress.
Just a small bye-note on your Crimean War slide: Florence Nightingale actually invented the pie chart to illustrate to the British War Department the effects of disease and casualty recovery on the effectiveness of the British army in Crimea.
Also, don’t forget the contribution of Mary Seacole to the more practical improvisation of triage and recovery, including the use of a bar and brothel to aid recovery. True.
Another thing is to give proper Tactical Casual Combat Care (TCCC) traning, which is pretty time comsuming, to your frontline troops. Less of a logistical challange, but proper immediate treatment does indeed extend the patient's golden hour
i can assure you that all ukrainian military personnel, including the ones that are never expected to see combat, is going through extensive and regular tactical medicine training. but medevac continues to be a major hurdle as pointed out in the video.
@@EugeneYunak It would be interesting to see afterwards how the Ukranian millitary tacked the task of giving traning to lots of mobilised manpower.
Compared to the old Self-Aid Buddy Care (SABC), TCCC is a superior method for triage. To my knowledge every American serviceman receives this training prior to deployment. Here's hoping the Ukrainians got that training instead of the Soviet era stuff that I'm confident the Russians are still employing.
One thing I have been consistently impressed with is the vids showing the Ukrainians rapid and energetic use of medevac of casualties. They don't just slap a bandage on a guy, or expect a casualty to walk himself out.
Meanwhile Russia lets its own soldiers die because they have very little training, medical equipment, logistics and willingness to care for their own
I'm not surprised if a Million Russians have already died by now
"One thing I have been consistently impressed with is the vids showing the Ukrainians rapid and energetic use of medevac of casualties."
Oh boy... Reality is that the Ukrainian medevac is PISSPOOR. It's the primary reason why they have such severe numbers of KIAs.
Not to mention their frequent and massive use of amphetamines to keep soldiers from falling apart or thinking clearly.
Not to forget the fact that any Ukraine attempts to fly helicopters tend to result in getting shot down.
The Russians meanwhile, while even now i still have not been able to find any actual numbers about wounded, i have lots of indirect information around it.
All of it is very clear that the vast majority of Russians injured are back in action very quickly, majority within 2 weeks, except for the relatively few that chooses to go home, which is an option when wounded in the Russian military.
There's a reason why Russia has killratio advantage somewhere above 12 to 1.
There's a reason why Ukraine very hastily built a new military cemetary for 600 thousand graves 1-2 months ago.
@@DIREWOLFx75 Yeah sure mate. According to you there would literally be zero Ukrainian soldier left. Who is russia fighting then? Zombies?
@@matveya.8537 Ukraine is kidnapping people from the streets to send to trenches and is preparing to mobilize women. We are not even talking about mobilisation waves, is done continuously and anyone with two working neurons wouldn't start questioning why is such a need of personnel and what happened with 1M strong army Zelinsky was bragging it had last year before Harkiv and Herson offensives.
Gee, last month appeared in press that Ukraine has 20-50k amputees from this war, for comparison UK had 40k amputees in WW1 and 1M dead. Since WW1 medicine had improved but even in Falklands war UK had 9 dead soldiers for every amputee.
US in Iraq had 1amputee for every 4 dead soldiers but Ukraine is nowhere near having US capabilities of medevac
Just by this proxy measure hundreds of thousands of dead Ukranians should be expected. But no worry, Ukraine still has million of soon to be soldiers.
@@DIREWOLFx75 This is the same Russia that has standing orders to shoot its OWN wounded when they cannot evacuate them to prevent capture or surrender? The same Russia that executed a bus full of exchange POW's because they were too severely wounded to continue fighting and had the audacity to survive in a Ukrainian hospital as POW's? The Same Russia that prioritizes mobile crematoriums over evacuation centres because it is cheaper? The same Russia that has had to throw thousands of wounded Russian soldiers into penal battalions because they tried to leave the army after being wounded? The same Russia that ran out of bandages for front line medical and started using boiled socks as bandages? That is the Russia you are saying has top tier near perfect medical system that gets soldiers back in hours?
The Russians that make it back are walking wounded, of course their recovery time is excellent. Ukrainians collect more severely wounded men AND treat them.
Face it, you are simping for a very dirty nation that is losing a war against a nation a fraction their size.
My 20s: Can’t wait for the club this weekend
My 30s: Can’t wait for that hour long PowerPoint about budgets, procurement, and analytics
Praise be Perun, powerfully presenting profound PowerPoint passages 🙏🏼
Could have left the "Be" out i supposed but very well done on the P's
precisely
Congrats, you're a Partially Proficient Pun Professor now.
@@nvelsen1975 Perhaps a particularly persistent poster of prescient persuasion !
As an MD with a background in civilian trauma care I really appreciate the quality of this work, which is an excellent briefing on current battle trauma care. Thank you.
Well done - many valuable points - including wider societal issues. PLEASE PLEASE PLEASE if and when this war is "over", keep your videos going to look at "veteran issues".
Absolutely! Thanks for raising awareness of this issue. Not enough PTSD discussion here so far.
Roman doctors were probably the best until the 19th century. My father has a collection of dental and surgical tools from the late Roman period that look very familiar, minus the advanced machine tooling. One great example is Galen, who did a lot of animal experiments on monkeys, mostly concerning the brain and cranial nerves. He also was a great anatomist and studied corpses and their wounds.
Seeing how the Romans were the closest thing to a professional military force in that time, having such an elaborate medical system supporting their troops is of utmost importance
@@dannyzero692 same with turks mongols conquered to roman empire.
You're probably very ignorant on medical matters if you say that. There were a lot of very knowledgeable people who helped a lot.
Don't confuse 'it was not written down and widely published' with 'it doesn't exist'.
In the case of militaries like Russia's such things may exist or be known, but are not thought about or implemented by leaders who consider people disposable commodities and prefer meat wave attacks and station guards behind the lines to kill retreating or unenthusiastic cannon fodder.@@nvelsen1975
@@nvelsen1975easy examples of pre modern post Roman medical stuff is the Saxon anti biotic specifically used for eye infections
Or in the case of military stuff Henry the 5th got hot in the face with a ricocheted longbow arrow
Went deep below his eye socket
Surgeon designed a tool to get the arrow head out. He used wine, honey and herbs to stop the wound getting infected and not sure what it was but a certain drug plus wine to numb pain
Henry survived obviously considering what he later did to France
Tbf too there were lots of good surgeons in the medieval Islamic world building off of the romans, Greeks and Persians and their knowledge filtered into Europe especially after the crusades
It used to be an assumption that medical vehicles and especially civilian medical vehicles are off limits. It's a pretty sad state that attacks on those have been normalized to the point where we don't even bat an eyelash anymore when warcrimes are openly committed and even celebrated.
Russia is Russia. But after they are beaten (God willing) the barbarians can be left to stew in their own juices.
They key is that we don't become them. We must set the standard. If young & middle-aged Western boys & men (civilian & military) treat war criminals with contempt, the rest of the world will eventually follow. If we give approval, the rest of the world will follow.
It's a cultural thing. We can't rule the Russians, but we can rule ourselves.
Sadly nothing new. The red cross has been a high value target for a long time. It is only most of those in the west that follow the "rules of war", and if we in the west do not recognize this and act accordingly, we are doomed to lose in the end. WOKE programming is all good as long as your in fantasy land. Reality, survival cancels out programming. Either we accept reality, China, Russia, North Korea and act accordingly, or in the long run we accept slavery. Not pretty, not nice, but then there is only one thing worse than war, and that is slavery.
The extended range of modern weapons would be an issue even without deliberate targeting - even precision munitions miss and malfunction - and non-precision ones, the vast majority used in Ukraine are exactly that, non-precision. misidentification, friendly fires and honest mistakes happen - I would want to evacuate the wounded out of range of enemy weapons even If I had a 100% certainty they would not be targeted deliberately.
@@igorbednarski8048 there's a difference when your enemy operates on terrorism strategy and uses the red cross as a targeting aid...
It could be that the Ukrainians are using CASEVAC close to the front lines and not MEDEVAC. So, an assumption is the Russians are shooting at non medically marked vehicles that are performing CASEVAC.
MEDEVAC: Dedicated military vehicles for medical evacuation
CASEVAC: any not dedicated specifically for medically use. Casually Evacuation...throw you mate in whatever is available and GTFO.
In Nam. Every day the medics fed us individually our antimalarial pills. The impact of this was immense. Unfortunately the Veteran Administration was abysmal treating returning troops. Rumors are this has reversed by Afghanistan? Now there is actually a recognition of PTSD. All we got was a recognition of the “1000 yard stare”. You can’t be a combat veteran without some degree of this.
My grandmother was a surgical nurse at Boston General. The army visited the hospital and asked for a volunteer unit in case there was a war (nurse, doctors, surgeons, techs, etc.). She volunteered and they trained at the hospital as a unit. WW II broke and then a working trauma unit, that had been working together, moved to North Africa.
Well done covering such an important and neglected topic.
I would note that this isn’t as much of a departure as some might think. Preserving the lives of soldiers is as much a part of warfare as damaging enemy forces.
Just some key notes, own use
2:11 GSMSG
Global Surgical Medical Support Group
3:15.
10:30. wounded ratios
16:30. ISS. Injury severity score
22:33 body armour effectiveness
32:30. Frontline Blood Transfusions
Walking blood banks
Well that's a bummer.. I thought we were getting a new variant of MSG.... was excited like what are they going to come up with next.. the win button for food! Been waiting for a sequel, and we only got like a spin-off that no one uses! Never mind LOL
I was a medic in the Australian Army .A thought just popped into my head and now I have to get my wife to help me through it .I know how heavy a severed head feels .
I want to relate a story from my life about a medical issue that wasn't addressed in the video. Chronic disease caused by modern weapons can create causalities that will never be listed in war statistics.
A family friend fought in the first Gulf War. He didn't see direct combat, however. He was a transportation officer. He was a truck driver, part of the US logistics chain, driving munitions around in the theater. He was not injured in the line of duty, and returned home in perfect health as far as anyone was concerned.
A few years later, he started having horrible sinus pain. His family was not well off: he worked as a truck driver when he returned to civilian life. He did not have great health insurance. The VA, at the time, couldn't see him for many months. When he finally did get an appointment and received the appropriate tests, they found a tumor in his sinuses. They tried to remove the cancer, but the disease had progressed too far and had spread to other organs. He passed away after a horrible, painful battle, spending the last year of his life disfigured from the surgery.
His doctors believed that the cause of the disease was the munitions he was transporting. Unbeknownst to him at the time, he was often carrying depleted uranium munitions. He would spend a lot of time in his truck, often sleeping in the cab. While depleted uranium doesn't pose much of a threat when its outside the body, the doctors believed that dust from handling the munitions likely was inhaled and got caught in his sinuses, where the body has far less protection from the alpha particles the uranium emits. The US government would not consider him a war causality and give any restitution to his family. To be fair, cancer is a difficult disease to attribute to a single cause, but it was an unusual cancer in a young man with no family history who had potentially been exposed to a source of radiation that absolutely had a chance to cause such a cancer.
As we move forward with more and more exotic materials used in the fight, such stories will become more frequent, and governments will be eager to bury such stories for political reasons. Ongoing care for veterans needs to be fully funded. Whether or not you agree with the conflicts in which they fight, our veterans are making a huge sacrifice for our collective benefit. Bad wars are the fault of bad politicians, not the soldiers. My friend's life might have been saved if he could have received prompt medical attention. He was a kind and gentle man who wanted to serve his country. He was not given the help he needed nor even the credit he deserved for his sacrifice.
"Unbeknownst to him at the time, he was often carrying depleted uranium munitions."
And the DU ammunition didn't cause this. And there is no 'dust' from the projectiles. The things are literally extremely strong metal alloys (they have to penetrate up to three feet of armor.) And a third point is that tank ammunition comes palletized. The sides of the pallet are removed, and the tank crews load them directly into the tank. There is no way for him to come into contact with them unless he was playing around with live ammunition. Next is that it's alpha radiation that would have been blocked by the mucus it was caught in.
BTW: if it did get in his sinuses, they would have drained down the back of the throat (like your sinuses are doing all the time). And since uranium is not absorbed by the digestive tract - it would have wound up flushed down the toilet. And the organ that's damaged by uranium is the kidneys (it as the same human hazard profile as metallic lead).
@@colincampbell767 Thankyou for that exposition. It is necessary to dispel false assumptions and ignorance posted on the internet and press. Facts and truth are important !
@@colincampbell767 Maybe, but I wonder how much radon is emitted by multiple kgs of DU?
@@TheBackyardChemist By your screen name - I'd expect that you'd be able to calculate this yourself. (Keeping in mind that only the outer surfaces will emit anything because solid metals are really good at containing gasses.) Also keep in mind what the letter 'D' stands for.
@@colincampbell767 I *could* try but it is not trivial. Probably the biggest uncertainty would indeed be the "trapped fraction" or alternatively the layer thickness where radon escape is feasible. I am not sure if there is public data for the diffusion coefficient of Rn in metallic U.
While obviously a harrowing topic, it is a very important one that I am deeply appreciative to you for having covered. It is hard to learn this information from a source that is both empathetic while also conscious of the need to be upfront, direct, and accurate. So, again, thank you for helping spread this incredibly important information.
Every war is a war against humanity. Thanks for covering this side of things.
Except those that are purely defensive, such as Ukraine's unwanted war for defense against barbaric invaders, who learned their barbarism from the Mongol Horde's ruthless tactics.
Besides the Emu War anyway.
Well this is just ignorant.. The Great Emu war, was a war for humanity!
Also.. was... Um... against emus... Although in war there is always collateral, and I'm sure there was more than a few species of Flora and fauna that fell valiantly or tragically on account of unchecked emu aggression..
I find it absolutely amazing how over the course of nearly 2 years. Haroon has become one of the most well respected military analyst on RUclips. I wish there were more content creators like him. Those who are able to tackle complex subjects in a way that the average Joe can understand. The fact that he exercises extreme amount of humility and respect for the subjects makes watching his videos that much better. Unlike some of the RUclipsrs I’ve seen in the past to act like “I know absolutely everything about this topic. Take what I say as scripture, and don’t question me.” Perun is simply a S tier content creator.
I have been lucky enough to have found Peruns videos early in the Ukraine war and while the first few were a bit emotional (which was completely understandable ) they have gone from strength to strength . As a fellow Australian I am extremely proud of his dedication, effort and bravery ( remember anyone who puts his head about the parapets in this war is taking a risk ) . We live in a world where getting accurate information is getting more difficult so his input is all the more valuable . War never changes but maybe one day we as a civilization we will change enough that we don't see it as a viable option one can only hope !
I'm really curious about how long the "human blood bag" concept has been developing. I remember in the early 80's that a friend of mine, a medic, showed me a simple tube with a needle at either end. He said it was for "battlefield transfusions".
Also, the German Red Cross didn't just pass out stickers and lollipops for donating blood. We got a fairly decent bottle of wine. Danke Schoen!
Good move, Germany! 🇩🇪
well... when you have a month dedicated to beer...
@@PrograErrorwe have 12 ;)
@@LordgeneraladenThanks for setting the record straight.
It was rather common in WW2. It fell out of favor when AIDS showed up.
As a person who was a medic during Vietnam and was assigned to what amounted to a MASH unit, with out the nurses, you evaluations are right on the mark. I can also attest to the fact that burn injuries are the worst to deal with. Our company Commander while I was there started setting up underground facilities using shipping crates to give us better protection.
One of you suggestions sounds very much like the forward aid stations that were shown on the TV show MASH and then getting the wounded back to units that could give a higher level of care.
Perhaps a crowd fund could be set up to raise the money to purchase armored ambulances for Ukraine?
Immediate medical evacution has the most battlefield effect, not by making you less fearful of being wounded, but by removing the wounded from your immediate concern in a way that makes you feel like you just saved them. Having wounded casualties distracts everyone, and tends to freeze your movements.
I have a purple heart myself, and saw two friends medivacced hours before my blood loss became crippling and I was flown off too. It was absolute pandemonium trying to get them out under fire, but the moment they were gone, my focus and aggresssion was 100% back to the mission and I felt like they were fine. They weren't fine, and neither was I, but it feels that way so you can get back to being the aggressor.
Unfortunately in a LSCO , while assaulting a position or even defending one, other than medics no one can stop and help with the wounded. If you stop and help your buddy, now 2 guns are out of the fight. In US we haven't seen this since Korean war. This is a training issue that you must continue the mission and not stop to help the fallen. The medics will be with you is most common phrase. This is first step of triage (if you watch saving Private Ryan, on Omaha beach the medic is doing just that) Sometimes all you can do is sedate them and hope the battle is over soon so they might be evacuated from battle.
Lindybeige has a two videos with a Canadian volunteer who worked there in a military hospital and a medical station closer to the front. It's quite an eye opener.
I think you're referring to Brandon Mitchell who also has his own yt channel, Ukraine TBIC (I think that's the channel name but search for his name should lead to his channel as well)
@@JoanneLeon Yep that's him. He hit a landmine and got off pretty lightly all things considered. Crazy af stories. Lindybeige have released another interview 8 days ago. Brandon has done interviews almost everywhere, not hard to find.
Brandon is a terrific dude doing amazing work on line and IRL !! His funding drives for thermal scope and night vision devices have been very effective and will make a big difference in localized locations.
Black Hawk Down (about Mogadishu) shows exactly how a CASEVAC system could break down due to hostile action, turning what could have been a survivable wound into a fatal one.
Oh waw! are you among the US army who fought in Black hawk down in Mogadishu that was tough game really, I guess Now you are retired veteran.
Not "retired" and not that old.
In the long run, this may have been one of the very most important episodes that you have created.
"The golden hour" is what we were taught as EMT's and we weren't in a war zone. MAST trousers are good for helping keep BP's up during transport. You can use volume replacement such as normal saline for short term to keep blood pressures up until you can get whole blood too. Maybe doing what the Swiss do, build their hospitals and schools underground, would be a good option. Need to do that before the war starts obviously. Great job as usual Mr. Perun.
The newest generation of that might be cooling in the field. If you can get their body temperature down several degrees at least or if not more, they have a better chance of survival. But before all that you still have to do the ABCs..
Airway breathing and circulation.
@@RobFomenko Current update of first aid goes
* Safety (doing CPR in the middle of the road might result in undesired results, as do touching someone still in contact with live wires)
* Bleeding (Heart compressions tend to become ineffective without something to circulate)
* Blood circulation (Brain dies within minutes without oxygen, vital organs soon to follow)
* Breathing (There is usually enough oxygen in the blood to keep the brain alive through heart compressions for around 20 minutes, so getting it done within 5 minutes gives a satisfactory safety margin)
* Shock (Low blood levels, adrenaline constraint and withdrawal and high pain levels effect circulation and general condition. Keep warm and comfortable, keep giving assurance they are not going to be abandoned)
Above all, doing *something* is far more important that doing it right.
The absolute *worst thing* you can do to an injured person is *nothing at all*.
@@RobFomenko I thought hypothermia is something to be avoided in a shock situation?
@@caldesigner8679hypothermic shock isn't always the result of hypoglycemia
Normal hypothermia technically happens even during normal sleep, which slows the oxygen consumption of the body (and it incapacitates you quite a bit)
And that incapacitation kills in the case of the cold seas (after the first 20% may die of the aforementioned shock)
I’m a retired paramedic with a background in trauma research and education. I really really appreciate this post. Great job. No real surprises apart from the advanced care/surgical interventions proximal to the frontlines. Ballsy and risky to say the least. I was hoping for more details on clinical advancements such as pro-coagulation agents that might bridge the gap to surgical interventions. I appreciate that such details might be beyond your normal audience but I suspect I’m not the only regular of yours who is curious. Hoping the west is supplying them TXA. As always thanks for your great work. 🇨🇦
I have been following you since the beginning of this war and I want to say thank you Perun, I have to do a paper for me Health Care writing class, this video has given me so many sources to cite for my paper you have no idea how thankful I am for this video. It is a class I have hated but the teacher has let me talk about military medicine and let’s me enjoy the class just a little bit, all thanks to you!
Again a great presentation. Highlighting a very important aspect of a modern war. Thank you Perun.
The confronting subjects NEED to be discussed. Ideally in a well sourced, intelligent, and compassionate manner such as this.
This was a very interesting and valuable subject. Don't let a subject in a channel focused on war being too "serious" stop you from making videos like this one.
@PerunAU as a very early follower I still am impressed by the depth and effort of your research and comprehensive presentation. And the integrity you have, for example, to donate the revenue from this video to a good cause. You are a shining example for many social media content creators.
Thank you for sobering in depth analysis!
We (Ukraine's Allies) have moral obligation to help Ukraine by all means, no matter of f ing tax money spent. It's just currency after all. We have peace at Ukraine's cost.
Ukraine gave its nukes in early 90s in exchange of lot of papers and promises.
We have rights yes, but there are certain moral obligations that can't be ignored.
I don't even get how come there is any debate about whether or not to support Ukraine 😢
Slava Ukraine from Finland!
"Now, I don't want this video to be 2 hours long..."
That makes one of us.
Something not touched on here, but is well-documented, is that the vast majority of Russian soldiers being returned home in caskets or on stretchers were recruited or mobilised from poor and distant regions of the country where the people have long been completely resigned to sacrifice for the "Motherland" and who have no access to anything other than State media.
Large cities, the middle classes, simply have _no idea_ just how many casualties their fellow countrymen are suffering, let alone whether they would be prompted to say or do anything even if they did know..
It’s the exact same thing for Ukraine. The vast majority of mobilized troops don’t come from « important » urban centers, mostly because those people have the means to evade conscription through bribes while poorer populations do not.
@@nihluxler1890 Let me guess - your source is Russian propaganda?
@@colincampbell767 It isn't wild to think that between those who wish to avoid conscription, those with more means are more succesful at it. Though I would not go so far as to say there would be enough conscription dodging for the above claim.
@@nihluxler1890 It's not at all the same. There are countless video interviews and narratives from young Ukrainian men - and women - on the front line, from students to bankers to IT consultants. Hundreds of other interviews with men in Kyiv, Kharkiv, Lviv, Odesa and other population centres saying they will fight when they are called. Plus Urkaine's entire population has unfettered access to the Internet which as we all well know Russia's citizens do not.
@@coolersmoke Hello! (sent from Russia through internet)
Excellent, especially the "long tail" of war. My dad and his brothers were WW2 and Korean vets. Some of my cousins were Viet-Nam. The messy struggles in our families continues to this day. We all paid for these wars, somehow.
Wow, this is the best video you have done, Perun. If there were Emmy's for RUclips this video would get nominated for RUclips of the Year.
As a currently-serving service member who also works near (and is occasionally a patient at) a military hospital, thank you for the awareness that this latest presentation gives. The humanitarian costs for war never can be completely eliminated, but with care for both the physical and mental traumas, we hopefully can bring veterans back into regular society to be functional, productive citizens. It falls to societies to ensure that veterans get the care they need and not be ostracized for their service. There will be a need for such healing on both sides after this war is over…
I was a combat lifesaver back in 2000 when it actually meant something. Back then every platoon had 4 of us so in theory each track would have someone who could treat wounds, unless the CLS soldier was hit obviously. It was just a two week course where two days were used for bio and chem treatments which were not useful in Iraq or Afghanistan. Obviously I did not learn how to do surgery nor did I have the skill or training of an EMT or a medic but I do believe that the combat lifesavers were one of the reasons we had fewer dead. Nowadays they train everyone but the level of training is at a much lower level and I didn't see many soldiers carrying the CLS medical pack. One would hope that the Ukrainians have something similar so they have soldiers who can stop the bleeding and give IV's.
Norway is running a 4-week combat medicine course over the last 8 months (in addition to the standard NATO sniper school). I also know general surgeons are coming over to learn combat/emergency surgery here and from other European civilian and NATO teams. Assuming this medic course is based on the Norwegian/NATO "Basic Medic" course, they learn to administer IV/IO needles and provide freeze-dried plasma/buddy transfusion and provide heavier intravenous pain relief, nasal and oral air-tubes, chest drainage, lung collapse, open gut treatment, triage, prolonged multiple care (etc.). I do notice most run an IFAK and I have the general impression from videos that they have designated medics with at least some additional equipment (similar to a CLS/AFAK/MFAK).
I can only imagine their feeling of helplessness though. Up to 3 days for evacuation for a battle wounded will mean watching over many battle-wounded men's last hours.
I have a friend who drove an IFV in Iraq and always travelled with tourniquets loosely pre-tied around both thighs. His quite pragmatic reasoning was that if his vehicle hit an IED, his legs would probably be worst hit and he was damned if he was going to bleed out arterially and faint before he could do anything or a medic could get to him.
It struck me then that there are many aspects to survivability in war..
Medical care was moved closer to the front in a lot of places because insurgent forces had no credible capability to strike a main basecamp. We had a decent field hospital in camp, so even if you were pretty far away, a field hospital was roughly 30 minutes drive away.
I mean, I was passed without any training after showing my Red Cross first aid certificate, because they had to cram it all into ten weeks. 😆
But in the hypothetical that we get a bullet or shrapnel wound in my tiny group, it's probably better to just toss him in the back and drive like hell: 15-20 minutes to a field hospital is probably better than 15 minutes of field care and 50 minutes to a hospital.
@@nvelsen1975 bleeding out or choking to death takes a lot less than 25 minutes. The CLS course was not designed to save your life, it was designed for me to keep someone alive long enough so that a doctor could save a life. In Iraq I managed to do that 2 out of 3 times and I honestly don't know why the third failed, her injury wasn't as bad as others, no arterial bleeding, and while she was having trouble breathing she was still talking when we got her to the hospital (mortar fragment, lower back, Iraqi civilian).
@@coolersmoke everyone is mocking the Russians about their medics telling them to bring tampons to war. Before going to Iraq one of our medics actually recommended the same thing so we bought some and everyone carried at least a couple. I have later learned that this was actually a bad idea and could make things worse.
Judging the quality of content where you are not an expert is always difficult. Perun has stood out as the one source through this conflict with a consistently stellar degree of insight, and perfectly placed disclaimers as to what is a well founded analysis and what is more speculative. So getting a video about something where I do have a lot of knowledge (as an attending anaesthetist with 14 years of HEMS/SAR experience), it feels great to NOT sit here and nit-pick inaccuracies and misconceptions, like I do almost every time I see normal media coverage of anything dealing with healthcare. This just reinforces my belief that I have found the best source of updates around this conflict. Thank you!
Thank you for covering this subject with the dignity it deserves.
This was a tough one to listen to. I imagine this was so for many. I’ve never been on the edge of tears so much while just listening to statistics. Those who have had much more direct experience with such things must have had an even tougher time. Still, very important information you’re putting out there. I hope the appropriate people are listening.
I'm glad you worked on this episode, thank you
We're quite lucky here in Belgium to have a whole military branch that's just medical, from field hospitals to training staff to evacuations.
You are quite lucky to not be in a state of active full-scale war with russia on your territory for over 1.5 years.
@@oleksiivoloshyn4194I recommend reading Oryx' very last article ever (published today). You will see why the guy you're replying to should be lucky to not know anything about the real state of his country's "army".
At the risk of giving offense, your entire military is less than 25,000 +- and expenditure on the military is ( or was last year ) was barely 1% of GDP. In other words, your relying on others ( cough cough the US ) to keep you safe. Yet some polls show as many as 75% of your people dont like the US. Yes your Lucky, though deeply mired in the issues and royalty and intrigue which led to WWI and WWII, and having received about 550 Million from the Marshall plan ( equal to about 5-7 BILLION USD today ) and protected by others, you now thrive and dont spend much on defense, thus allowing your nation to spend more on social issues. On top of that the indirect benefit of having NATO - HQ in Belgium since 1967 is worth 10's of billions more. Yet you have NEVER lived up to your obligation regarding defense spending. Lucky ? I would say so. I would remove any country that consistently refuses to live up to NATO obligations from NATO or remove NATO from them.
@@americanpatriot4227 Risk taken and failed. Our country has been ramping up our military for years, however things take time. Also, we don't rely on the US for protection, we are geographically safe from almost all threats except terrorism (Wich out country specialized in going to Africa to protect our own population).
In addition, don't try to comment on our royalty system when you clearly have no clue of how or why it works.
And not much else.
Great video but I think it’s important that we remember that the numbers are not just numbers but people with hopes families friends all are individuals who were taken to soon or who’s lives where changed for ever
I couldn't agree more - and while I do tend to look at things at a very macro level, I hope that never takes away from those very personal, real, painful realities.
@@PerunAU I think I speak for a large part of your audience, when I say that you really give us the feeling that you care for those people envolved in the war - and, together with all of us are glad about every single person that survives russias agressions - THANK YOU!
I'm pretty sure that's what he said start.. and you're right it is but.. I'm confused as to the context, were you saying that he didn't say that? Or did I just misread that sorry.. apologies in advance if so I am very tired right now.
@@jakedill1304 I can't speak to what the OP did or did not do, but I suspect there are some who see the nature of this video and make assumptions without watching. While I don't advocate making comments without watching something, I do understand at least the desire to skip something like this. If I didn't trust Perun to handle topics with grace, I would have skipped as well just due to the very emotional nature of the topic. Also some less ethical content creators can be seen a misery profiteers from a certain perspective. Again, I don't really endorse broadly categorizing like that, I just wanted to provide context as to how it might happen even in the most positive light.
All of that said, if someone watches all of Perun's videos, including this one, it isn't even a close call where he falls on that spectrum.
@@arneczool6614 You can speak for me on this subject. I completely agree. I believe PERUN feels this more than he lets on.
This is absolutely outstanding as a medical NCO in the US military in a military field treatment facility this topic is always overlooked (which is sad because I’m quite passionate about it) thank you Perun this will be a required watch for my soldiers.
thank you for making this episode . I am amongst those that have never even pondered the logistics of medical units and battlefield medicine logistics , so it was highly educational for myself .
Thank you, Perun, for the quality of your content and your compassion for the people of Ukraine, caught in a cruel war.
Slava Ukraini and her valiant defenders!
"Comparing 'War' with 'Hell' is insulting. At least, Hell doesn't have innocents in it."
- Anonymous
WOW! That's a good one. All too true too.
ruclips.net/video/GUeBMwn_eYc/видео.html
Easily the most actually educational series on the youtubes in terms of the realities of Armies and warfare I've found. Even if you are an Aussie (Lol jokes, love from NZ)
As a combat medic in Ukraine... thank you for making this...also excuse my RUclips name. I made it when I was 12 lol
❤
Thanks for an excellent report. In this type of war, every medic is a field medic and repeatedly challenged at - or beyond - the limits of their expertise. Thanks for the humour too. Dark humour is traditional where dark arts are employed.
Most of all thanks for the heads-up on the after-care needs:
Every day, Ukraine is suffering casualties which are comparable to The Falklands War. More Falklands veterans have died since of PTSD "side-effects" than were killed in that conflict.
We in the free world need to keep the support flowing to Ukraine. The awful truth is that they must win - or they will be used as cannon fodder to fight NATO, and these casualties will seem to have been trivial.
Thanks too, Perun, for your generosity. It will save lives.
What makes you differ from others when covering this war is to remind everyone of the human cost. This video was necessary to bring your point home and make us truly understand. Your professional standards are high, but so are your ethical; you shouldn't have questioned if you should make this video. Trust yourself, you did great as always.
The societal impact of how the combat veterans are treated both during and after conflict cannot be overstated. I am hopeful Ukraine will stand by their heroes once the conflict is over and Russia is repelled.
I hope we hum-drum Western civilians spare a thought. Quite literally, they are bleeding so we don't. At minimal, we should say thanks... and back that thanks with some coin.
Ahhh, nothing like resource logistics to start the day :) Cheers!
Perun, Thank you for moving this "Confronting Topic" to presentation. The time and care you put into this difficult subject is deeply appreciated.
I have no right to expect this level of concern, compassion, and insight from anyone observing the Russian War in Ukraine.
While impressed, I'm not surprised this comes from Perun.
Your corpus of work is deeply valuable. The journey is the reward. And we are all listening.
As a medical student i never expected to hear about organophosphate poisoning anywhere outside of the textbook, let alone on this channel!
Thank you for this. It really did need to be talked about.
There are ongoing appeals for vehicles for evacuations and ambulances. Some of them have ecoflow, so that equipment can be used intransit. Stabilisation points have donated generators and ecoflow that allow the use of equipment like blood warmers, etc. Good Ifaks and training on the use of chest seals, packing wounds, and tourniquets. This can vary from unit to unit, unfortunately..
For those who haven't watched it yet, I recommend Lindybeige interviewing Brandon Mitchell. First-hand account of evac, stabilisation points, and hospitals.
My old university had students whose final project was creating synthetic blood. They got pretty far and the US military even got interested. It was really cool stuff
Every few years DARPA sponsors research into artificial blood. (DARPA is the agency responsible for funding 'high risk of failure' but high potential reward research.)
Kudos for covering this often "invisible" topic - we too easily overlook the depth of the impact of war on combatants and medical support and the very long tail that trauma brings to military and civil societies.. Thank you for your insight.
All that I have to say as a US Army Veteran, this video brought back a lot of memories.
Thank you Perun for your weekly detailed powerpoint presentations.
I am reminded yet again as to the horrors of Real Life War, even when I am physically Far & Away from this particular Theatre of Battle.
Also, why the Rule in PVP is "Kill the Healer. First."
Always great to hear from you Perun.
About the body armour bit. I remember when I was going on a month long trip to England to visit all my family and my uncle had asked if I wanted to go to a military car boot sale thing. I of course said yes because in Australia we don’t get a whole lot of that sort of stuff. Anyway he started showing me all the modern and old stuff that he’s bought there in the past, vests, helmets, plates, gloves, boots etc but when we got there it was all gone. Turns out the vendors had started giving all the equipment to Ukraine. I’ll admit I was a little disappointed that I couldn’t get any for myself but I was also quite pleased to hear that as soon as the conflict started these guys had decided to put the profits behind them and hand over loads of gear for free. I still got a size 12 pair of British extreme weather combat boots though and a 40L backpack for a total of £10 :D
Also I should note that my uncles mates are all Afghanistan/Iraq veterans and had also purchased a lot of this gear and subsequently donated it all to their contacts in Ukraine since a few of them volunteered to go over.
Again a masterpiece good sir! And a subject close to heart. Once in 1969 and once in 1970 i was a stretcher bearer carrying woumded to a evac HH-3. Both times i got blood from a wounded comrade on me. One made it and one has his name inscribed in a wall of black granite.
All for a LIE!!
Another excellent vid Aussie. #StandWithKiwiland #StopEmuAggression
This video is profound, even if slightly difficult to watch the 1st time round. This war is real life and no video game. I will study it over the next few weeks.
A confronting topic Perun, but one that a civilised society should embrace with thought, planning and action ! Thankyou and I shall FWD it to med personel of my acquaintance !
Thankyou for sharing this with us. This topic needs to be spoken of more often, as too often the human cost of war is forgotten or ignored. 😥
Very sobering. It’s fun to talk about national struggle in the abstract, but discussion of casualties in war is different. It’s very important to remember the horror of these events, and push to end these conflicts as quickly as possible.
When my girlfriend ask what i will do on Sunday, I always say that I will watch Sunday service
I really appreciate the willingness to recommend people not watch a video. Recognizing that some people will not benefit from it, and that it isn't wrong or bad to miss a video if it is particularly bad for an individual viewer. Just because a video is worth making and watching for some, or even most people, does not mean it is for everyone.
Let's gooooo @Perun!!
Interesting topic, especially from the perspective of someone (me) always curious about the procedural differences between combat medic and an EMT / emergency room or ambulance medic in civilian life.
All the best to you mate! I wish for the immaculate slideshows to continue to come to us, thanks for that.
Also wish the (combat) medics may refrain from being close to you, me and all friendly people in this world unless to grab pints with or unless reaaaally needed!
Stay safe, healthy and keep spreading knowledge and humor as you've done since you started covering silly games.
Who'd expect you were going to be getting such an audience for this hella serious topic you happen to know so much about.
Love from (currently) the Netherlands.
Markin - Its huge, Having done both - EMT & Cardiac Tech and a Tabbed and Scrolled member of the 75th, the difference is enormous, even compared to a Paramedic in a large crime ridden city ( which I have not done ). Even with access to rapid med-evac fairly common, and having "CaSH" units close, medics in the military face very very significant challenges a paramedic will never see. Look at the training for an 18D and you will get the picture.
@@americanpatriot4227 thanks for your clarifying insight!
I'm thinking about what can and possibly should be done in regards to training civilian medical staff that volunteer for this. Learning at the job has always been challenging in a medical profession, but in combat I assume it's a matter of "treat first what kills first" even more.
I was a fire fighter for some years and the medical part of the job (saving lives, not property) always appealed most to me.
@@MadmanInUkraine The basics have not changed much, ABC still works all in all. Combat medicine in Ukraine is little different from that in WWII in the latter stages of the European Theatre. Time will always be the enemy, and Perun is correct, blood, plasma and keeping up volume is critical. the ROLO program developed by Rangers is in fact very applicable to Ukraine. Rangers due to their missions are all too often a long way from a CaSH and or med-evac is not an option. IE: you dont have a good LZ or its "too" hot. I would hope that this system, and all the up front work, in screening and typing blood of the Ukraine forces in combat has been done, and that someone in each unit has the knowledge and training along with the equipment to preform transfusions in the field. Yes mistakes will happen, but in the end lives will be saved. There is also the harsh reality ( not often acknowledged in the US and our Military ) that medics are targets and should be trained in combat as well as life saving. The second harsh reality is another one adopted by Rangers ( and some other military units ) you dont stop to treat the wounded, you continue the mission and get it done. Let the medics deal with the wounded, if too many stop, more will die. Medics have the worst options, as well as being ( supposedly ) noncombatants, they are high value targets in most conflicts, they have to rapidly evaluate the wounded and make the call, save 2 and let one go or try to save the one and likely lose the one and likely lose another as well. Its a brutal equation and decision. Mental preparation and conditioning to deal with this is critical, and still does not help long term stress, depression and suicide rates all too often. Where ever possible, having those saved being able to meet with the medic that saved them at a later time, and having down time for the medics and yes, though I am not big on "group therapy" therapy and that affirming effect of meeting with the saved is very important for their long term mental health. I get this thought and belief from talking with several medics I knew in my 20+ years and from their experiences. I say a prayer for medics and Dust Off pilots & crew, every day. I owe my life to them and the lives of many of my brothers. There is NO medal or award high enough for them.
G’day all 👍🏻 thank you for all of your hard work Perun 👍🏻🇦🇺🇺🇦
Thanks Perun. Your early release is helping to take the edge of the Bronco‘s loss tonight
An exceptionally prepared video about a difficult but relevant topic- well done, Sir.
As a US citizen, we are confronted with the tragedies of mass/school shootings all too often. One of the side-effects of this social dysfunction has been the regional and national spread of programs like "stop the bleed", which teaches basic, emergency first aid in the presence of life-threatening hemorrhage. These principles also apply to a host of other natural disasters and civil disturbances. There's a large amount of educational materials on RUclips about making your own kit and practicing with it to be ready for an event we hope never happens.
I mention this because the Russian military has launched indiscriminate attacks on civilians in Ukraine throughout the majority of the conflict- a sobering thought when one considers the scope of potential peer engagement. China could launch a combined cyber-kinetic attack against domestic energy and medical infrastructure to disrupt deployment plans and create competing needs for medical care with very limited resources. Planning for austere circumstances now, and practicing with those methods on a local level could be the difference between "acceptable losses" and ones which are truly horrific.
Thank you Perun 💛 for your excellent report. Nobody does it quite like you do, and I'm grateful for that. Please keep it up. Looking forward to seeing you next week!