Medics aren't seeing many gunshot wounds in Ukraine. It's blast and shrapnel injuries in a 'war of remote destruction.'

"Russia's invasion of Ukraine is characterized by fighting in extensive trench networks, where grenades continue to prove their worth, intense artillery fire, missile barrages, and drone attacks. Land mines also continue to be a problem. Gunfights, however, are becoming less common. US veterans and a Ukrainian medic told Business Insider that most combat injuries are caused by fragmentation and burns and that amputations are often necessary."

"Katerina Zirka, the Ukrainian combat medic, said that she increasingly sees injuries that affect multiple parts of the body at once, often without a single identifiable "entry wound," but instead dozens of micro-injuries from blasts and shrapnel. The medical equipment she carries has changed as a result. Medics are also seeing internal blast injuries that don't come with external wounds, such as concussions, ruptured eardrums, and lung injuries from rapid changes in pressure, she said."

Fighting in Ukraine involves extensive trench networks, grenades, intense artillery fire, missile barrages, drone attacks, and persistent land mines. Gunfights are becoming less common, while most combat injuries result from fragmentation, burns, and blast effects that often require amputations. Injuries frequently affect multiple body parts with dozens of micro-injuries rather than a single entry wound. Internal blast injuries such as concussions, ruptured eardrums, and lung trauma can occur without obvious external wounds. Exploding one-way attack drones, grenade-dropping drones, mines, mortars, rockets, falling debris, and heavy artillery amplify injury severity. Medical equipment and frontline care priorities have shifted to address blast, shrapnel, and burn management.

Read at Business Insider