Mr. John Quinn MD
Future Forces Forum Future Forces Exhibition 2016 World CBRN & Medical Congress (CEBIRAM) 2016
Prague Center for Global Health, Institute of Hygiene and Epidemiology, First Faculty of Medicine, Charles University in Prague
Conflict and Disaster Medicine: the State of Battlefield Medicine in Ukraine
Ukraine is at war with Russia and Russian militant proxies. Ukraine is still in transition to a stable modern state from that of a fragile one teetering on state failure. Owing to the difficulties associated with severing Soviet era state institutional ties with Russia, the birth of a modern Ukrainian State remains elusive and fragile. The new sovereign Ukraine seeks to be connected to the world in a transparent fashion and accountable to a European order which encourages health security and access to primary healthcare for its citizens. The public health crisis associated with the fallout from conflict in Ukraine will be studied for many years to come. We describe some of the institutional issues related to health and conclude that prevention is the best medicine and that state institutional capacity strengthening and resilience, accountability and transparency promote health most effectively. This brief commentary describes the human cost from 2014 - 2016 from conflict and offers some prescriptive policy considerations that may continue the state transition of Ukraine into a stable and sovereign nation by promoting health security.
My emergency medical work allowed me to also work in the UK while consulting for the Ukrainian World Congress and Liaison with the Ministry of Defense in Ukraine and NATO to make better the emergency medical services for warfighters in Eastern Ukraine. I am now a Middle Grade / Attending doctor in emergency medicine. I provide expert remote medical consult and direction, clinical guidance and governance, governmental liaison and support of emergency medical services and pushing public health and medical projects with international donors in Ukraine. I served as Medical Director for Medsanbat, a humanitarian Combat Medic program based in Kyiv and have drafted the Pre-Hospital medical guidelines and SOPs for the Ukrainian military and NATO forces supplying medical aid to ministries and humanitarian agencies. My day job remains emergency medicine in the UK. I love emergency medicine and public health; remote and pre-hospital medicine has been my way of life for over a decade. I will complete my PhD in winter 2016 with subject matter of epidemiology of fragile and failed states in conflict and war.