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The Flying Hospital Bringing Ukraine's Wounded West


Ukrainian medical personnel transport a wounded soldier to a medical evacuation (Medevac) airplane, a specially-adapted Boeing 737, for a flight carried out by Norway in collaboration with the European Union in Rzeszow, Poland on March 22, 2023.
Ukrainian medical personnel transport a wounded soldier to a medical evacuation (Medevac) airplane, a specially-adapted Boeing 737, for a flight carried out by Norway in collaboration with the European Union in Rzeszow, Poland on March 22, 2023.

On board a Boeing 737 medevac plane, Poland, March 29, 2023 (AFP) -

You can see the pain held just in check in the faces of Ukraine's war wounded as they are evacuated in a flying hospital.

"It's the first time I've taken a plane," says 22-year-old Mykola Fedirko, who was hit by a shell holding off Russian troops in a trench in the Donetsk region.

"I would have loved to be going to Denmark for a holiday and not to hospital because of my wound," says the 22-year-old salesman-turned-soldier, whose lower leg is held in place by metal pins.

Wounded Ukrainian soldier Mykola Fedirko, joined by his girlfriend, is transported in a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 22, 2023.
Wounded Ukrainian soldier Mykola Fedirko, joined by his girlfriend, is transported in a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 22, 2023.

Fedirko is one of around 2,000 wounded who have been evacuated from Ukraine to hospitals across Europe since the war started more than a year ago.

Most have been injured in fighting, but some are critically ill civilians.

AFP is the first international media outlet allowed on one of the medical evacuation (medevac) flights carried out by Norway in collaboration with the European Union in a specially adapted Boeing 737.

"We established this scheme at the request of Ukraine... to alleviate the burden on the Ukrainian hospitals," says Juan Escalante of the EU's Emergency Response Coordination Centre.

The project is "unprecedented at the continental level" and was set up "in record time", he adds.

Some 859 health facilities in Ukraine have been attacked since the Russian invasion, according to the World Health Organization.

Bombings of hospitals, maternity wards and medical storage units mean almost half a million people a month are deprived of medical care, the Norwegian authorities estimate.

Wounded and weapons cross

The flying hospital, a transformed passenger plane owned by Scandinavian carrier SAS, lands at Rzeszow airport in southeastern Poland, 70 kilometers from the Ukrainian border, to pick up the injured before flying them over two days to Amsterdam, Copenhagen, Berlin, Cologne and Oslo.

A hub for delivering arms to Ukraine, Rzeszow airport has dozens of anti-air missiles and several large cargo aircraft unloading pallets of ammunition just a few feet away from where the war wounded are loaded onto the medevac plane.

Ukrainian medical personnel transport a wounded soldier to a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 22, 2023.
Ukrainian medical personnel transport a wounded soldier to a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 22, 2023.

The crew of the medevac flight are civilians, but the medical staff are from the Norwegian military.

In an odd semblance of normality, a stewardess hands out pizzas, snacks and soft drinks.

Family members of wounded Ukrainian soldiers board a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 23, 2023.
Family members of wounded Ukrainian soldiers board a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 23, 2023.

Oleksiy Radzyvil, 28, who has injuries to both legs, devours his Margherita pizza and washes it down with a Coke.

With his wild mane and perpetual smile, Radyzvil sticks out in the grim surroundings.

He was even smiling in December when he regained consciousness after a Russian shell destroyed his vehicle, sending him several meters into the air in Bakhmut, the epicenter of fighting in eastern Ukraine.

"I smiled because I was alive," he recalls.

Since then, he's been treated in six hospitals in Ukraine.

"I hope that I will get better... that European doctors in the Netherlands will help."

A man holds Ukrainian passports for himself and his wife while waiting at the tarmac next to the medical evacuation (Medevac) airplane at the Cologne Bonn airport in Germany on March 23, 2023.
A man holds Ukrainian passports for himself and his wife while waiting at the tarmac next to the medical evacuation (Medevac) airplane at the Cologne Bonn airport in Germany on March 23, 2023.

'Fight against Putin'

In Europe, the patient transfers are seen as a way of helping the war effort.

They are "another way to fight against Putin", Spanish Defense Minister Margarita Robles said as she visited a military hospital in Zaragoza last year.

The modified Boeing is equipped with 20 hospital beds, monitors, ventilators, blood transfusion equipment and countless vials of antibiotics.

It's "like a small intensive care unit in the air", says Hakon Asak, a lieutenant-colonel from the Norwegian military's medical service.

"We've had no deaths onboard so far. Thank God for that," he adds, a blue-and-yellow "Free Ukraine" bracelet looped around his wrist.

Wounded Ukrainian soldiers including Mykola Fedirko (R) are transported in a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 22, 2023.
Wounded Ukrainian soldiers including Mykola Fedirko (R) are transported in a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 22, 2023.

Most of the patients may look well, he says, "but they are still in severe condition, and we know that some who have been medevacked to different countries have not survived."

Suffering children

In the cockpit of the plane is Arve Thomassen, a seasoned veteran.

In his previous career at the twilight of the Cold War, Thomassen was a fighter pilot intercepting Soviet planes in the Arctic.

Now aged 60, this larger-than-life Norwegian says he was happy to wrap up his career with a good cause.

"When you fly passengers down to the Mediterranean for sunbathing that's normal business. I wouldn't say boring but it's very common," he says.

But with these flights, "we take pride in doing this and we do it with a very humble attitude," he adds.

Wounded Ukrainian soldiers are transported in a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 23, 2023.
Wounded Ukrainian soldiers are transported in a medical evacuation (Medevac) airplane, in Rzeszow, Poland on March 23, 2023.

They will never forget some of the people they've transported: the severe burn victims; the man so disfigured he looked like he'd come from the World War I trenches, or the three-year-old suffering from leukemia.

"It's one thing to have wounded soldiers but children who suffer... that always makes a strong impression on people," Thomassen tells AFP.

For some passengers, a nap provides a few minutes of respite from the pain.

But Vladyslav Shakhov can't sleep.

The 24-year-old was hit by shrapnel in the back of the neck and now suffers from quadriparesis — muscle weakness in all four limbs.

Wounded Ukrainian soldier Vladyslav Shakhov is taken off the plane in an elevator upon arrival at Berlin Brandenburg airport having been transported in a medical evacuation (Medevac) airplane from Poland, on March 23, 2023.
Wounded Ukrainian soldier Vladyslav Shakhov is taken off the plane in an elevator upon arrival at Berlin Brandenburg airport having been transported in a medical evacuation (Medevac) airplane from Poland, on March 23, 2023.

"I'm not happy about leaving my country," says entrepreneur-turned-armored car driver, who is heading to Germany.

"I hope they will get me back on my feet quickly so I can get back."

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