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MSF Ukraine Profile picture
@MSF_Ukraine
Jun 1, 2022 • 8 tweets • 4 min read • Read on X
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The MSF #MedicalTrain. Never done before by @Ukrzaliznytsia or @MSF. So, what it is? All explained in this thread... 🧵 Image
8 regular Ukrainian railway carriages, converted into:
1 Intensive Care Unit
2 hospitalisation carriages
2 less-critical patient carriages
1 oxygen-production carriage
1 electricity-generator carriage
1 staff sleeping carriage
Total nearly 200m long (without the locomotive) Image
ICU (Intensive Care Unit) carriage with 5 beds
Equipment includes:
- Monitors
- Defibrillators
- Ventilators
- Syringe pumps
2 of the beds at full ICU level-3 care = patient on a ventilator up to 60 litres/minute oxygen flow Image
Oxygen production carriage
7 oxygen concentrators
Oxygen piped direct to the Intensive Care Unit beds Image
2 in-patient (hospitalisation) carriages
Each with 8 to 9 beds
Doors widened to bring patients on stretchers
Blast film on windows to prevent shards in case of nearby explosion (this is on all the carriages)
New linoleum floors to prevent and control infection Image
Electricity generator carriage
Generator and fuel tank
Battery bank as a back-up (USP – Uninterrupted Power Supply)
Reinforced carriage floor because of the weight
1,800+ metres of electric cables installed in the train Image
The #MedicalTrain refers patients from 🏥 close to frontlines in the east to 🏥 in the west of Ukraine. Always with family members.
Now 2 trains: New more technical train can take up to 26 serious-condition patients. Original less-medicalised train can take up to 50 patients. ImageImageImageImage
Also, make sure to watch this video of our Dr. Dan Schnorr from the first ride of the train in April:

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More from @MSF_Ukraine

MSF Ukraine Profile picture
Apr 20, 2022
.@MSF is supporting the medical and humanitarian response in #Ukraine and providing medical care to people who have been caught up in the fighting or have been forced to flee.
In many conflicts where MSF works, we have faced situations where people try to undermine our credibility - to limit people's access to medical care by challenging the credibility of MSF, and more particularly of our medical staff.
We have noticed a rumor circulating again about international medical organizations such as MSF being involved in organ harvesting. This is a serious accusation putting our patients and staff at risk and we categorically deny it.
Read 6 tweets
MSF Ukraine Profile picture
Apr 5, 2022
On 4 April, our four-person @MSF team visited #Mykolaiv to meet with city and regional health authorities. At around 15.30, as we entered the city’s oncology hospital, which has been treating the wounded since the beginning of the war, the area around the hospital came under fire
"Several explosions took place in close proximity to our staff over the course of about 10 minutes,” says Michel-Olivier Lacharité, MSF head of mission in Ukraine, currently based in Odesa.
“As they were leaving the area, the MSF team saw injured people and at least one dead body. However, we are not in a position to give exact numbers of dead and injured. (...)
Read 10 tweets
MSF Ukraine Profile picture
Apr 2, 2022
On the morning of Friday 01 April, @MSF finalized first medical train transfer of patients in #Ukraine. Nine patients in serious but stable condition were transferred from a hospital in #Zaporizhzhia, to major referral hospitals in #Lviv. ImageImageImageImage
We used a dedicated medical 2-carriage train that MSF has developed together with @Ukrzaliznytsia. The patients were accompanied by a team of nine MSF medical staff. All had trauma wounds sustained in and around #Mariupol.
“We have been working with the management of the @Ukrzaliznytsia to make this happen. It was a logical solution. It’s about enabling patients to have the care they need in the best places for that care to be provided.” - Christopher Stokes, @MSF Emergency Coordinator in Ukraine.
Read 5 tweets
MSF Ukraine Profile picture
Mar 10, 2022
Kate White, #MSF emergency coordinator: “We are horrified to hear reports that a hospital complex including a maternity ward in Mariupol was struck in an attack yesterday.” #Ukraine 1/6
“…While we can’t confirm that this was a targeted attack, we know from our staff that houses and hospitals have been damaged during the fighting." 2/6
“With active shelling, gunfights and aerial bombardment in Mariupol ongoing, seeking health care has become increasingly hard, especially so for expecting mothers and elderly people who are limited in their movements.” 3/6
Read 6 tweets
MSF Ukraine Profile picture
Feb 25, 2022
MSF’s teams in Ukraine are deeply worried about the consequences of the conflict for Ukrainian people and communities. We see on the roads that tens of thousands of people are frightened and on the move. 🧵
The drastic change in context means we have had to take the painful decision to halt our activities, which included HIV care in Severodonetsk, TB care in Zhytomyr, and improving health care access in Donetsk in eastern Ukraine.
In these regions, we have been providing much-needed healthcare to conflict-affected communities. Although these programs have now mostly stopped, we did all we could to ensure some continuity of care for our patients.
Read 9 tweets

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