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Author Topic: MSF hospital trains in Ukraine  (Read 882 times)
stuving
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« on: September 14, 2022, 11:06:30 »

MSF have used trains to move patients out of overloaded hospitals in the east of Ukraine from early on. But they needed to move patients needing higher levels of care, so with Ukrainian Railways they designed and built a new train. As reported, it took just 23 days to build a train with ICU beds, and a generators and oxygen generator on board!
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People referred on the train are mostly either long-term hospitalized patients or recent war-wounded who need post-operative care following traumatic injuries. Of more than 600 patients transported and cared for on MSF’s medical train over two months, 355 were injured as a direct result of the war. The overwhelming majority of these patients suffered blast injuries. And 11 percent of war-related trauma patients were younger than 18, and 30 percent older than 60.

The medical team inside the ICU of the MSF medical train monitor and stabilize a seriously war-wounded patient during the journey from Pokvrosk, eastern Ukraine to Lviv, in western Ukraine. The journey took approximately 20 hours.

Further reports from MSF on their web site, for example from April, and a longer article in the latest issue of their magazine Dispatches.
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broadgage
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« Reply #1 on: September 14, 2022, 12:27:23 »

Very impressive, in particular the amount of space available if compared to the hospital trains of the last war. Standard looking wheeled hospital beds rather than fixed bunks. On board oxygen production rather than being reliant on cylinders of limited capacity.

And how many hospital trains does the UK (United Kingdom) have available in case of war or other emergency ?














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A proper intercity train has a minimum of 8 coaches, gangwayed throughout, with first at one end, and a full sized buffet car between first and standard.
It has space for cycles, surfboards,luggage etc.
A 5 car DMU (Diesel Multiple Unit) is not a proper inter-city train. The 5+5 and 9 car DMUs are almost as bad.
IndustryInsider
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« Reply #2 on: September 14, 2022, 12:48:24 »

And how many hospital trains does the UK (United Kingdom) have available in case of war or other emergency ?

None.  But as we demonstrated with the nightingale hospitals during the pandemic, if there was an major emergency then I’m pretty sure we could convert an existing train in a similar amount of time.

That’s if such a facility was needed, as the transportation distances for the wounded would be far less than what the Ukrainian’s are facing.
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Witham Bobby
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« Reply #3 on: September 14, 2022, 12:50:13 »

Very impressive, in particular the amount of space available if compared to the hospital trains of the last war. Standard looking wheeled hospital beds rather than fixed bunks. On board oxygen production rather than being reliant on cylinders of limited capacity.

And how many hospital trains does the UK (United Kingdom) have available in case of war or other emergency ?

Built to a much bigger loading gauge than British coaching stock

And I don't think there's much spare coaching stock anywhere in the system these days.  Unless you count heritage railways and the Royal Train
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TaplowGreen
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« Reply #4 on: September 14, 2022, 16:58:34 »

Very impressive, in particular the amount of space available if compared to the hospital trains of the last war. Standard looking wheeled hospital beds rather than fixed bunks. On board oxygen production rather than being reliant on cylinders of limited capacity.

And how many hospital trains does the UK (United Kingdom) have available in case of war or other emergency ?
















Under what scenario could hospital trains possibly be needed in the UK?
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grahame
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« Reply #5 on: September 14, 2022, 17:23:43 »

Under what scenario could hospital trains possibly be needed in the UK (United Kingdom)?

The art of thinking about the unthinkable?   From rail.co.uk

Quote
A look at the Dunkirk Dynamo rail operations 75 years ago

How the railways evacuated 300,000 troops from Channel Ports

The United Kingdom and France have just celebrated the 75th anniversary of ‘The miracle of Dunkirk’, the evacuation over several days of 300,000 troops from the British Expeditionary Force (BEF) in France back to the English Channel ports.

But what part did the railways play in this epic event 75 years ago? To start with, the BEF was conveyed under planned arrangements to the Channel Ports for embarkation by train as were nine Ambulance trains out of the 25 such trains that existed at that time

I dread to think of wounded troops returning in the future ...
« Last Edit: September 14, 2022, 22:20:08 by grahame » Logged

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broadgage
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« Reply #6 on: September 14, 2022, 18:18:18 »

AFAIK (as far as I know), the only other trains with on board oxygen production equipment are those used on this extreme altitude line in China, https://www.railway-technology.com/projects/china-tibet/#:~:text=With%20its%20highest%20point%20at,plateau%20railway%20in%20the%20world.

In that case the oxygen is not for hospital purposes but for ordinary passengers to breath, as the air is too thin to reliably sustain life. A fit person could survive, but not the average rail passenger.
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A proper intercity train has a minimum of 8 coaches, gangwayed throughout, with first at one end, and a full sized buffet car between first and standard.
It has space for cycles, surfboards,luggage etc.
A 5 car DMU (Diesel Multiple Unit) is not a proper inter-city train. The 5+5 and 9 car DMUs are almost as bad.
broadgage
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« Reply #7 on: September 14, 2022, 18:25:36 »

Very impressive, in particular the amount of space available if compared to the hospital trains of the last war. Standard looking wheeled hospital beds rather than fixed bunks. On board oxygen production rather than being reliant on cylinders of limited capacity.

And how many hospital trains does the UK (United Kingdom) have available in case of war or other emergency ?

Under what scenario could hospital trains possibly be needed in the UK?

Terrorist nuclear weapon used in London or other major urban center.
Very large scale terrorist attack with thousands of casualties.
Large natural disaster such as flooding worse than the East Coast floods of 1953, with hospitals in worst affected areas under water.
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A proper intercity train has a minimum of 8 coaches, gangwayed throughout, with first at one end, and a full sized buffet car between first and standard.
It has space for cycles, surfboards,luggage etc.
A 5 car DMU (Diesel Multiple Unit) is not a proper inter-city train. The 5+5 and 9 car DMUs are almost as bad.
Bmblbzzz
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« Reply #8 on: September 14, 2022, 20:09:53 »

23 days! In Britain they wouldn't have got to GRIP (Guide to Railway Investment Projects) level 1 in that time!
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TaplowGreen
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« Reply #9 on: September 14, 2022, 20:20:20 »

Under what scenario could hospital trains possibly be needed in the UK (United Kingdom)?

The art of thinking about the unthinkable?   From rail.co.uk

Quote
A look at the Dunkirk Dynamo rail operations 75 years ago

How the railways evacuated 300,000 troops from Channel Ports

The United Kingdom and France have just celebrated the 75th anniversary of ‘The miracle of Dunkirk’, the evacuation over several days of 300,000 troops from the British Expeditionary Force (BEF) in France back to the English Channel ports.

But what part did the railways play in this epic event 75 years ago? To start with, the BEF was conveyed under planned arrangements to the Channel Ports for embarkation by train as were nine Ambulance trains out of the 25 such trains that existed at that time

I dread to think of wounder troops returning in the future ...

I think one thing you can be pretty sure of is that  their return wouldn't be by sea to the Channel Ports in future.
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stuving
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« Reply #10 on: September 14, 2022, 22:32:19 »

23 days! In Britain they wouldn't have got to GRIP (Guide to Railway Investment Projects) level 1 in that time!

That was my first thought. Except...

If you have your mind concentrated by something is big, scary, and previously unimaginable as Putin's malign scheming has visited on Ukraine, I think you'll be surprised by what you can achieve. We all know when that last happened here, and some pretty amazing things were done in response - not least in keeping the railways running. While the railways' culture may now be less can-do than it was before that war, I don't see why the response would be so much different today.

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