The Pirogov First Volunteer Mobile Hospital (FVMH) was established in 2014 to provide medical care during combat operations and emergencies using mobile infrastructure like tents and operating rooms on wheels as well as stationary facilities. It is staffed by over 500 reservists, volunteers, and medical professionals trained in trauma care. The FVMH has operated in eastern Ukraine's conflict zone since December 2014, treating over 4,000 patients across multiple locations. It aims to expand its disaster medicine work and apply experience from the conflict to benefit civilian healthcare.

1. Pirogov First Volunteer Mobile Hospital
(FVMH)
Concept. History. Prospects.

2. Concept
Ensure access of patients to qualified
medical care during:
- Combat actions;
- Emergencies.

3. How?
Using:
- Mobile infrastructure:
- Tents;
- Manipulating (operating) rooms on wheels.
- Stationary facilities:
- Available medical/preventive institutions;
- Other stationary facilities.

4. Personnel
- 365 reservists from 20 regions of Ukraine;
- 125 experienced volunteers;
- 66 combat operation participants;
- 100% trained to the TCCC, CLS and TLS
standards;
- 50% trained to the ATLS standards;
- Doctors, paramedics and technicians.

5. Features
- Manpower: up to 190 persons
- Number of vehicles: up to 27
- Number of tactical tasks: up to 8
- Range: up to 80 km
- Role in the medical service structure: treatment and
evacuation phase
- Scope: urgent care, disaster medicine, battlefield
medicine, field preventive and follow-up treatment

6. History
Sep. 17, 2014 – Announcement of FVMH personnel mobilization (a
project implemented by the All-Ukrainian Council for Protection of
Patient Rights and Safety)
Oct. 7, 2014 – Memorandum with the Defense Ministry on including
the FVMH in Anti-Terrorist Operation (ATO) forces
Oct. 15, 2014 – Series of training activities for FVMH personnel on
the Sniper Firing Ground
Dec. 1, 2014 – FVMH receives the status of a composite disaster
medicine corps of the Disaster Medicine Center within the Health
Ministry of Ukraine
Dec. 14, 2014 – Ukrainian Armed Forces General Staff defines the
FVMH as a treatment & evacuation phase within the ATO forces
structure
Dec. 15, 2014 – Beginning operations in the ATO zone (Kurakhove)

7. History
Jan. 18, 2015 – FVMH actively participates in provision of medical aid
during the retreat of Ukrainian troops from the Debaltseve Foothold.
This includes six prosthetic vascular surgery operations that have
saved injured servicemen’s limbs.
Mar. 14, 2015 – FVMH launches hospital medicine in Popasna,
Luhansk Oblast, 300 meters from the utmost security checkpoint
Mar. 23, 2015 – FVMH carries out the most complicated neurosurgery
operation in the ATO zone: cranioplasty with superciliary arch
reconstruction (Artemivsk)
Mar. 31, 2015 – FVMH launches a diagnostic & treatment team that
carries out field examinations (including X-ray and ultrasonography)
Apr. 29, 2015 – FVMH and the 65th Military Mobile Hospital form a
composite unit in Chasiv Yar, Artemivsk Raion, Donetsk Oblast

8. History
May 6, 2015 – FVMH works simultaneously on five locations in
the ATO zone, fulfilling various tactical tasks
June 3, 2015 – One of the FVMH’s advanced positions, in the
village of Luhanske, is destroyed by direct shell hit. A volunteer is
shell-shoked.
June 7, 2015 – First staff training is carried out in deploying a
Forward Surgical Team to the NATO standards
June 22, 2015 – Sector C Command marked the FVMH off for its
high professionalism in fulfillment of missions

9. History
June 24, 2015 – FVMH opens its regional headquarters in
Dnipropetrovsk
July 1, 2015 – A new medical team of the FVMH, Zvirynets, is set
up. It specializes in psychoneurological assistance to servicemen
with alcoholic psychoses and other disorders
July 25, 2015 – FVMH receives a proposal to create on its base a
mobile hospital of the Health Ministry
Aug. 5, 2015 – FVMH is registered as a legal entity
August 2015 – During the month, FVMH provides aid to 711
patients. As of early September 2015, it has provided assistance to a
total of about 4,000 wounded and diseased servicemen and civilians
in the ATO zone

10. Prospects
First project in the peaceful region
Mobile medical examination of rural dwellers:
- Examination includes: blood pressure determination,
cardiogram, blood glucose monitoring;
- Planned number of patients: up to 20,000;
- Region: 60 villages in the Khmelnytsky Oblast;
- Period of implementation: October-November 2015;
- Number of medical units working simultaneously: 10 units;

11. Prospects
Disaster medicine
- Create on the FVMH base a mobile hospital of the Health Ministry Disaster
Medicine Center
- Develop a hospital base for disaster and polytrauma medicine
New technologies
- Apply the operational follow-up & prevention experience in civil life
- PTSD rehabilitation
- Gain experience in using the new ECG generation
Military medicine
- Develop Forward Surgical Teams
Experience sharing
- International missions and work abroad

12. Find more
www.medbat.org.ua
https://www.facebook.
com/1mobilehospital