As attacks intensify in Ukraine, our commitment remains
Russia has intensified attacks in northeast Ukraine, prompting the Ukrainian Government to evacuate 37 settlements with the aim of preserving civilian life. A missile strike hit Chernihiv, reportedly killing seven people and injuring hundreds. As conflict and its effects continue to impact the country, a critical need for our Hostile Environment Surgical Training (HEST) remains.
Since Russia’s invasion in February 2022, we’ve trained over 250 frontline doctors from multiple cities including Odesa, Kharkiv, Dnipro, Lviv, Zhytomyr and Zaporizhzhia. We’ve also recently expanded our course to include anaesthetics – a vital component in every operating theatre.
Piecing communities back together
As offensive strikes intensify, traumatic injuries continue to increase, overwhelming hospitals’ emergency and surgical departments.
Despite teaching a significant number of Ukrainian doctors to treat patients in need of trauma surgery, hundreds still require training in skills that will help them better manage chaotic emergency rooms, surgically treat multi-organ damage and ultimately, patient by patient, piece their communities back together.
“Dozens of wounded are arriving, daily”
Our Co-Founder David Nott’s phone continues to burn with patient cases and messages from Ukrainian doctors he’s trained this past 18 months. Igor, a junior doctor from Ukraine who joined one of our courses in 2022, puts his training into practice every day. He wrote to David to share what he sees on the frontline and how his surgical knowledge is impacting lives.
Hello David,
I decided to write to you, my dear friend.
We are on the offensive. Dozens of wounded are arriving daily – both civilian and military.
There are many interesting cases - vascular injuries, abdominal trauma, many amputations. Someday, I'll put my experiences together in a film.
The doppler (a tool for monitoring blood flow) and ultrasound equipment you sent me have helped a lot.
I examine almost all injuries of the limbs with a doppler now. And of course, I use the Nott knot too (to stitch injuries).
With gratitude and respect,
Igor
Our CEO and Co-Founder, Elly Nott, said:
"Whilst the fog of war prevents us from having a precise picture of how successful Ukraine’s counter-offensive is proving, one thing we have a clear view of at the David Nott Foundation is the fortitude and dedication of Ukraine’s war doctors.
As Igor’s letter states, Russian attacks do not spare civilians - in fact they target civilian infrastructure - and dozens of wounded are arriving daily in hospitals like his. Health facilities are not immune from Russian targeting, with Physicians for Human Rights reporting that 1014 attacks have been perpetrated against Ukraine’s hospitals, health workers, and other medical infrastructure since February 2022.
The fight for Ukraine’s freedom continues and we will keep sharing knowledge and providing support as long as we are needed.”
Help us train more of Ukraine's doctors
This World Humanitarian Day
This World Humanitarian Day, we reflect on our commitment to the humanitarian values that inspire our work - training medical professionals to provide safe, skilled surgical care in countries impacted by conflict and catastrophe.
Our flagship Hostile Environment Surgical Training (HEST) course continues to provide the best in surgical training to those who need it most. Using innovative teaching materials such as our prosthetic hearts, kidneys, arteries and veins, our world-class trauma surgery modules are brought to life by the remarkable, talented training faculty who deliver it. We are so grateful to our team of trainers who give up their time to share knowledge with doctors around the world. We know they also learn as much from them in return.
In addition to training surgeons, we have developed an anaesthesia module, expanding our focus from the surgeon to the wider - any equally important - operating theatre team. As with surgery, conflict presents unique challenges for anaesthetic practice including severe blast injuries, blood loss and resource constraints.
I was inspired to start our Foundation by a single, grainy photograph of David.
In a room in a hospital in Aleppo, lit solely by the steady beam of a projector, he was discussing cases with a group of Syrian doctors at the end of a day of operating. I started thinking how that life-saving training delivered by David in Aleppo, built on decades of frontline experience, could be brought to hundreds, perhaps thousands, more doctors.
David’s unwavering connection with the doctors of northwest Syria goes back a decade and when the devastating earthquake hit southern Türkiye and northwest Syria in February, we immediately started discussing with local partners and colleagues what they were seeing and how we could help. It rapidly became clear that thousands of survivors were left with life-altering injuries in need of surgical treatment and rehabilitative care.
Thanks to expert navigation of local permissions by our partners, we were able to run a joint teaching and operating mission with Action for Humanity in Aqrabat Hospital, Idlib. The Action for Humanity team saw 300 patients in clinic before completing 60 surgeries the following week. Above the operating theatres, we equipped 35 Syrian doctors with the surgical techniques they need to treat complex injuries inflicted by the earthquake or ongoing conflict.
Ninety percent of our training faculty on the mission were Syrian and based in the northwest, therefore able to better understand local health system challenges and teach the course in Arabic.
Sustainability is vitally important to us; we want surgical knowledge to be embedded in communities to the extent that it is self-perpetuating and we are no longer needed. Until it is, we’ll keep returning as long as we are needed, No Matter What.
As a small charity, we are able to deliver so much more in terms of training and value for our donors’ money by partnering with other humanitarian organisations like Action for Humanity. Our training partners are diverse in scale and size. We delivered training in Moldova with the World Health Organisation and for Yemeni surgeons with Médecins Sans Frontières. We are excited to collaborate with MedGlobal in the coming months, and in Ukraine, were proud to partner with our friends at UOSSM, a charity initially formed to provide relief and assistance to Syrian civilians affected by the deadly conflict there.
Unfortunately, risks for humanitarians and attacks on healthcare have increased in recent years.
Last week, Physicians for Human Rights reported that 1014 attacks have been perpetrated against Ukraine’s hospitals, health workers, and other medical infrastructure since February 2022. Recent Elrha research also revealed that attacks on Syrian health facilities have deterred people from accessing health services and seeking help when needed.
Every hospital bombed, every healthcare worker killed, denies people vital care and destabilises communities both physically and psychologically. These atrocities are under-reported and we are honoured to support the campaigning efforts of Action for Sama, seeking to raise awareness of and ensure accountability for attacks on healthcare.
We believe in safe, skilled surgical care for all and stand with the communities we serve, No Matter What.
Elly Nott, Co-Founder and CEO
‘Keep Calm and Channel On’
A team of four recently formed a relay and swam the English Channel to raise funds for four different charities. Kate Ribeiro dos Santos swam the first relay leg, raising an outstanding £5540 for our cause. Here, Kate shares her experience and how the team kept each other motivated through the night.
We started at 11.41pm from Samphire Hoe, near Folkstone.
I started the relay which was probably the most surreal swim of my life - jumping into the sea in the middle of the night with a couple of flashing lights on my head and costume!
The first few hours in the dark were very gritty, mainly due to sea sickness but also the cold and lack of sleep.
Two of the team were very ill, despite having taken all the medication we could have taken, and it took incredible metal strength for them in the water. We saw that another relay failed after 4 hours due to sea sickness. However, once the sun came up, the sea became calmer, we doubled up on the medication and things got a lot more enjoyable!
We saw loads of cargo ships and ferries, as well as 10 other Channel teams out in the Channel with us. I had an amazing 3rd swim covering nearly 7km due to the current and we made great time.
The reason for the slightly long route of the swim is due to tides and currents. Only super fast swimmers can go straight across, the rest of us need to take more of an 'S' shape. Finally, Ness brought us in to France with an epic last swim and we finished at 2.41pm UK time.
What a day and what an incredible team! I'm not sure I have ever done an event which relies more on teamwork than this.
If anyone had stopped or got out, we would have had to turn back. Everyone is equal and has to pull their own weight - literally!
I have smashed the target I never thought I would have reached in the first place - £5,540! I hope the Foundation are as happy as I am!