DONETSK REGION, Ukraine — Their hands are blackened and grimy from the fight. Some are still wearing their combat boots, small flecks of black soil from the battlefield clinging to their torsos, bare under the emergency blanket.
An injured Ukrainian soldier lies on a bed inside a special medical bus during an evacuation by volunteers from the Hospitallers paramedic organisation March 22 in Donetsk region, Ukraine.
With bandaged heads and splinted limbs, the wounded soldiers are stretchered into the waiting medical evacuation bus by members of the Hospitallers, a Ukrainian organization of volunteer paramedics who work on the front lines in the war in Ukraine.
The soldiers were all wounded recently in fierce fighting in Ukraine’s eastern Donetsk region, where Russian forces have been pressing advances. The battle in Bakhmut, a city encircled on three sides by Russian troops, has been particularly bloody, with soldiers describing endless days of combat, often at close quarters.
“We’ve been on tour in hell,” said Yura, who like all the soldiers would give only his first name for safety reasons. He lay on a bed in a specially equipped medical bus, with his arm and leg badly wounded.
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Oleksandr, an injured Ukrainian soldier, smokes a cigarette before evacuation by volunteers of the Hospitallers paramedic organisation near a special medical bus March 22 in Donetsk region, Ukraine.
Blood stained the heavy bandages around his right forearm, which metal rods held together to stabilize the shattered bone. His bicep bore a deepening purple bruise left by the tourniquet applied to staunch the blood and save his life. The time it was put on was scrawled in pen across his right cheek: 19:45.
“They tried to get me with grenades,” he said.
Unlike most of the wounded, Yura is not Ukrainian. He is Russian, but fought on the side of Ukraine in Bakhmut since November. The Moscow native said he moved to Ukraine before the war, as did a friend of his who is also fighting for Ukraine and had spent 2 ½ years in prison in Russia for reposting a social media post saying Crimea — annexed by Russia in 2014 — was Ukrainian.
It was his own countrymen who wounded him.
He was in Bakhmut for “eight days of almost uninterrupted combat.” But he and his unit managed to repel all of the assaults on their position, he said.
“On the fifth day without sleep, I had thoughts that I would go crazy,” he said. “In fact, it’s impossible to sleep there. They shell it in such a way that the earth trembles.”
Volunteers from the Hospitallers paramedic organization transport Oleksandr, an injured Ukrainian soldier, into the special medical bus during evacuation March 22 in the Donetsk region, Ukraine.
He showed a video on his mobile phone shot inside Bakhmut: the interior of a devastated building, holes punched through the walls by artillery, rubble strewn across the floor. Beyond the twisted metal remnants of a window, a glimpse of an urban hellscape of shattered buildings and splintered trees.
Yaroslav, 37, was also wounded in Bakhmut. The battle was so close that Russian and Ukrainian forces fought room to room inside buildings, he said.
Pale and with an almost imperceptible tremor, his lips nearly white, he propped himself up on an elbow as he waited to be carried on a stretcher from an ambulance onto the bus for the trip to a better equipped hospital in a city farther west.
An explosion had sent shrapnel through his leg, piercing it below the knee.
“I came to my senses and saw that there is nobody around me, and then I understood that there is blood oozing into my shoe, blood squelching in my shoe,” he said, quietly drawing on a cigarette. “It was totally dark.”
As his unit had attempted to move from its position, the Russian forces began shelling.
“When I left, everything was on fire,” he recalled. There were dead Russians lying on the ground, and dead Ukrainians, too. “People were running in the road and falling down, because mines were exploding, drones were flying.”
He finished his cigarette and lay back on the stretcher. His eyes fixed on some invisible point before him, and he slowly closed his eyelids. The Hospitallers lifted his stretcher and carried it to the waiting bus.
The medically equipped bus — named “Austrian,” the nickname of a Hospitaller paramedic who was killed in a crash of another medical evacuation bus — can carry six severely wounded patients on stretchers, and several more walking wounded.
Oleg, an injured Ukrainian soldier, waits for an evacuation by volunteers from the Hospitallers paramedic organisation inside a special medical bus March 22 in Donetsk region, Ukraine.
“We’re doing evacuations as necessary. It could be twice or three times per day,” chief paramedic Kateryna Seliverstova said.
Bought with money from donations, the bus is better equipped medically than even some state hospitals, Seliverstova said. It is stocked with monitors, electrocardiographs, ventilators and oxygen tanks and can care for severely ill patients while they are transported to a major hospital.
“This project is really important, because it helps to economize resources,” Seliverstova said. “We can transport six injured people who are in serious or moderate condition,” whereas a normal ambulance can only transport one.
All six places were taken on the trip evacuating Yura and Yaroslav. Across the aisle from Yura, another soldier slipped in and out of consciousness, a brown bandage wrapped around his head. A paramedic checked his vital signs on a monitor, and helped him sip water from a syringe.
Behind him, a man coughed deeply. Only the blackened tip of his nose was visible from his heavily bandaged head. He had suffered extensive burns to his face.
Yura spoke softly to one of the paramedics. Without his expression changing, tears began rolling down the side of his face. The paramedic leaned over and gently wiped them away.
Photos: In Ukraine, searing images capture a year of war
Natali Sevriukova is overcome with emotion as she stands outside her destroyed apartment building following a rocket attack in Kyiv, Ukraine, Friday, Feb. 25, 2022. (AP Photo/Emilio Morenatti)
Ukrainians crowd under a destroyed bridge as they try to flee by crossing the Irpin River on the outskirts of Kyiv, Ukraine, Saturday, March 5, 2022. (AP Photo/Emilio Morenatti)
Stanislav says goodbye to his 2-year-old son, David, and wife, Anna, after they boarded a train that will take them to Lviv, from the station in Kyiv, Ukraine, Thursday, March 3. 2022. Stanislav stayed to fight as his family sought refuge in a neighboring country. (AP Photo/Emilio Morenatti)
A child in a stroller is lifted across an improvised path as people flee Irpin, on the outskirts of Kyiv, Ukraine, Wednesday, March 9, 2022. (AP Photo/Felipe Dana)
Ukrainian emergency personnel and police officers evacuate injured pregnant woman Iryna Kalinina, 32, from a maternity hospital that was damaged by a Russian airstrike in Mariupol, Ukraine, March 9, 2022. "Kill me now!" she screamed, as they struggled to save her life at another hospital even closer to the frontline. The baby was born dead, and a half-hour later, Iryna died too. (AP Photo/Evgeniy Maloletka)
A man runs after recovering items from a burning shop following a Russian attack in Kharkiv, Ukraine, Friday, March 25, 2022. (AP Photo/Felipe Dana)
An elderly woman is assisted while crossing the Irpin River on an improvised path under a bridge that was destroyed by Ukrainian troops designed to slow any Russian military advance, while fleeing the town of Irpin, Ukraine, March 5, 2022. (AP Photo/Vadim Ghirda)
Bodies are placed into a mass grave on the outskirts of Mariupol, Ukraine, Wednesday, March 9, 2022. (AP Photo/Evgeniy Maloletka)
A woman reacts as she waits for a train trying to leave Kyiv, Ukraine, Thursday, Feb. 24, 2022. (AP Photo/Emilio Morenatti)
Cadets practice with gas masks during a lesson in a bomb shelter on the first day of school at a cadet lyceum in Kyiv, Ukraine, on Sept. 1, 2022. (AP Photo/Efrem Lukatsky)
Armored vehicles destroyed during the fighting between Ukrainian and Russian armed forces lie on a bank of the frozen Siverskiy Donets River in the recently-liberated village of Bogorodychne, Ukraine, Friday, Jan. 13, 2023. (AP Photo/Evgeniy Maloletka)
An explosion erupts from an apartment building at 110 Mytropolytska St., after a Russian army tank fired on it in Mariupol, Ukraine, Friday, March 11, 2022. On the seventh floor of the building, two elderly women Lydya and Nataliya were stuck in their apartment because they couldn't make it down to the shelter, and were killed in the explosion. The two heavily burned bodies were buried by neighbors in front of the building. (AP Photo/Evgeniy Maloletka)
Destroyed Russian tanks sit on a main road after battles near Brovary, north of Kyiv, Ukraine, Thursday, March 10, 2022. (AP Photo/Felipe Dana)
Ira Gavriluk holds her cat as she stands near the bodies of her husband and brother who were killed in Bucha, on the outskirts of Kyiv, Ukraine, Monday, April 4, 2022. (AP Photo/Rodrigo Abd)
Ludmila, left, says goodbye to her granddaughter, Kristina, who, with her son, Yaric, departs by train from Odesa, southern Ukraine, on Tuesday, March 22, 2022. (AP Photo/Petros Giannakouris)
The body of a man with his hands tied behind his back lies on the ground in Bucha, Ukraine, Sunday, April 3, 2022. (AP Photo/Vadim Ghirda)
A man and child ride a bicycle as bodies of civilians lie in the street in the formerly Russian-occupied Kyiv suburb of Bucha, Ukraine, Saturday, April 2, 2022. (AP Photo/Vadim Ghirda)
Children look out of the window of an unheated Lviv-bound train, in Kyiv, Ukraine, Thursday, March 3, 2022. (AP Photo/Vadim Ghirda)
A civilian wears a Vladimir Putin mask as a spoof, while a Ukrainian soldier stands atop a destroyed Russian tank in Bucha, Ukraine, outside of Kyiv, on April 7, 2022. (AP Photo/Rodrigo Abd)
Nina Shevchenko mourns over the body of her 15-year-old son, Artem Shevchenko, who was killed in a Russian attack on Kharkiv, Ukraine, Friday, April 15, 2022. (AP Photo/Felipe Dana)
The body of an elderly woman lies inside a house in Bucha, outskirts of Kyiv, Ukraine, Tuesday, April 5, 2022. (AP Photo/Felipe Dana)
Elderly men lie in beds at a hospice in Chasiv Yar city, Donetsk district, Ukraine, Monday, April 18, 2022. At least 35 men and women, some in wheelchairs and most of them with mobility issues, were helped by volunteers to flee from the region that has been under attack in the last few weeks. They are being transported to Khmelnytskyi, in western Ukraine. (AP Photo/Petros Giannakouris)
Ukrainian soldiers carry the coffin of Volodymyr Losev, 38, during his funeral in Zorya Truda in the Odesa region of Ukraine, Monday, May 16, 2022. The 38-year-old Ukrainian volunteer soldier was killed on May 7 when the military vehicle he was driving ran over a mine in eastern Ukraine. (AP Photo/Francisco Seco)
Nila Zelinska holds her granddaughter's doll found in her destroyed house in Potashnya on the outskirts of Kyiv, Ukraine, Tuesday, May 31, 2022. Zelinska had just returned to her hometown after escaping war to find out she is homeless. (AP Photo/Natacha Pisarenko)
Volodymyr, 66, injured from a strike, sits on a chair in his damaged apartment in Kramatorsk, Donetsk region, eastern Ukraine, Thursday, July 7, 2022. (AP Photo/Nariman El-Mofty)
Relatives and friends pay their last respects to Liza, a 4-year-old girl killed in a Russian attack, during a mourning ceremony in an Orthodox church in Vinnytsia, Ukraine, Sunday, July 17, 2022. Wearing a blue denim jacket with flowers, Liza was among 23 people killed, including two boys aged 7 and 8, in a missile strike three days earlier in Vinnytsia. Her mother, Iryna Dmytrieva, was among the scores injured. (AP Photo/Efrem Lukatsky)
Anastasia Ohrimenko, 26, is comforted by relatives as she cries next to the coffin of her husband, Yury Styglyuk, a Ukrainian serviceman who died in combat on Aug. 24, in Maryinka, Donetsk, during his funeral in Bucha, Ukraine, Wednesday, Aug. 31, 2022. (AP Photo/Emilio Morenatti)
Ukrainian soldiers fire artillery towards Russian positions near Bakhmut, Donetsk region, Ukraine, Sunday, Nov. 20, 2022. (AP Photo/LIBKOS)
A woman warms her dog in her coat in Kivsharivka, Ukraine, Sunday, Oct. 16, 2022. Residents in Kivsharivka have been living without gas, electricity or running water for around three weeks. (AP Photo/Francisco Seco)
Ukrainian family members reunite for the first time since Russian troops withdrew from the Kherson region in the village of Tsentralne, southern Ukraine, on Nov. 13, 2022. (AP Photo/Bernat Armangue)
A resident wounded after a Russian attack lies inside an ambulance before being taken to a hospital in Kherson, southern Ukraine, Thursday, Nov. 24, 2022. (AP Photo/Bernat Armangue)
A woman transporting the coffin holding the body of her son, a soldier who was killed in fighting with Russians, sits in a boat crossing the Siverskyi Donets River near Staryi Saltiv, Kharkiv region on Wednesday Jan. 4, 2023. (AP Photo/Erik Marmor)
A woman walks with a flashlight during a power outage in Kyiv, Ukraine, Wednesday, Dec. 14, 2022. (AP Photo/Felipe Dana)
Ukrainian military doctors treat an injured comrade who was evacuated from the battlefield at the hospital in Donetsk region, Ukraine, Monday, Jan. 9, 2023. The serviceman did not survive. (AP Photo/Evgeniy Maloletka)
The body of a woman lies under rubble after a Russian rocket hit a multistory building leaving many people under debris in the southeastern city of Dnipro, Ukraine, Saturday, Jan. 14, 2023. (AP Photo/Evgeniy Maloletka)
Emergency workers clear the rubble after a Russian rocket hit a multistory building leaving many people under debris in the southeastern city of Dnipro, Ukraine, Saturday, Jan. 14, 2023. (AP Photo/Evgeniy Maloletka)
Relatives mourn over the body of Oleksiy Zavadskyi, a Ukrainian serviceman who died in combat on Jan. 15 in Bakhmut, during his funeral in Bucha, Ukraine, on Thursday, Jan. 19, 2023. (AP Photo/Daniel Cole)
Ambulance paramedic Oleksandr Konovalov performs CPR on a girl injured by shelling in a residential area, next to her father, left, after arriving at the city hospital in Mariupol, eastern Ukraine, Sunday, Feb. 27, 2022. The girl did not survive. (AP Photo/Evgeniy Maloletka)
Residents prepare tea in a basement being used as a bomb shelter in Irpin, on the outskirts of Kyiv, Ukraine, Sunday, March 13, 2022. (AP Photo/Felipe Dana)
A woman takes shelter in a basement with no electricity in Irpin, on the outskirts of Kyiv, Ukraine, Sunday, March 13, 2022. (AP Photo/Felipe Dana)

