Ukraine has held its first international course in military surgery and resuscitation, under instructors from the American College of Surgeons and other Western trauma bodies, the Defense Ministry says. “Tryzub”, or Trident, has been conducted for front-line surgeons and anesthesiologists.

The week-long drills put 16 doctors, eight surgeons, and eight anesthesiologists through three standard Western trauma programs: Advanced Trauma Life Support, Definitive Surgical Trauma Care, and Advanced Surgical Skills for Exposure in Trauma. All of them work at stabilization points close to the fighting.

The course has been run with the International Association for Trauma Surgery and Intensive Care and the Global Medical Knowledge Alliance, a non-profit that helps rebuild Ukraine’s healthcare, with support from Razom4Ukraine and Expertise France.

The wounds have changed

The course answers a battlefield that has grown deadlier. Ukrainian combat medics say modern combat trauma has fundamentally changed: drones and shrapnel now cause most of the complex wounds, often tearing through several parts of the body at once.

Bleeding has become the main cause of death on the battlefield, and the window to stop it is measured in minutes. That is the gap a well-drilled surgical team near the line is meant to close.

“People who will do everything to save his life”

Defense Minister Yevhenii Khmara has framed the course as a promise to troops at the front.

“When a soldier goes into battle, he must know that if he is wounded, there will be people beside him who will do everything they can to save his life,” Khmara says.

Experience, he added, is a kind of trust that matters enormously at the front.

“That is why we want our medics to have the best knowledge and skills, and to be able to act as one team," he states.

Ukrainian front-line medicine already draws international notice: one Azov brigade medic was named Europe’s best military medic of the year, and off-duty Ukrainian medics recently saved a man’s life at a London crash scene.