The escalation of the war in Ukraine has resulted in an increase of patients requiring referrals to medical facilities that can provide specialised care for trauma injuries.

MSF ambulance teams transport patients to the MSF train or to other hospitals in the surroundings regions, where patients can receive the appropriate care.

Both MSF ambulances and the train have the capacity to transfer patients in severe conditions, as the train and two ambulances have an intensive care units.

As of end of August 2023, nearly 7,000 patients have been trasferred by MSF ambulances and almost 3,500 patients transported on the train.