Shrapnel is a source of heavy damage for people who are in the area of shrapnel weapon explosion: multiple deep wounds, damage of the soft tissues and bone fragmentation, and heavy bleeding, which make shrapnel patients difficult to manage.
爆弾は、炸裂した場所にいる人々に大きなダメージを与える。複数の深い傷、軟部組織や骨の粉砕、大量出血、それが被爆撃患者の管理を難しくしている。
Shrapnel and mines are the typical cause of multiple traumas and severe injuries of civilians as well as of military personnel. The number of shrapnel casualties among civilians near the frontline and in de-occupied regions is incredibly high.
榴散弾や地雷は、軍人だけでなく民間人の重度外傷の典型的な原因である。前線付近や非占領地域における民間人の榴散弾による死傷者数は驚くほど多い。
National Children’s Specialized Hospital OHMATDYT, Kyiv. March 2022.
Photo provided by OHMATDYT press office; Olena Nesterenko, MD
Vacuum-assisted closure therapy (VAC) is used for shrapnel trauma. Enough VAC equipment was and still is a big challenge, due to the large number of patients with wounds, high expenses, and long periods of treatment (one machine works for 1-3 months during the treatment course for only one patient).
左上と左下の写真。榴散弾外傷には陰圧創傷治療システム（VAC療法）がなされる。外傷患者が多いこと、費用が高額なこと、治療期間が長いこと（たった1人の患者の治療のために１台の機械が1～3ヵ月も必要になること）から、十分なVAC装置をそろえることは、昔も今も大きな課題である。
National Children’s Specialized Hospital OHMATDYT, Kyiv. March 2022.
Photo provided by OHMATDYT press office;
Olena Nesterenko, MD
The pieces of the rocket were found on the balcony of the Neonatal surgery Department in the children’s hospital OHMATDYT after the shelling of Kyiv. The windows of the childcare unit have been destroyed because of the blast wave. A lot of rocket pieces were found close to the hospital. Fortunately, there were no casualties on the territory of OHMATDYT.
Kyiv砲撃後、小児病院OHMATDYTの新生児外科のバルコニーでロケット弾の破片が発見された。爆風（衝撃波）で小児病棟の窓が割れた。病院の近くでは多くのロケット弾の破片が見つかった。幸いなことに、OHMATDYTの敷地内では死傷者は出なかった。
Exhibition Manager（展示責任者）
Oleksandra Riabets: MD, Bogomolets National Medical University (Kyiv, Ukraine); PhD student, Department of Neurosurgery, Juntendo University, Tokyo
Tetiana Yatsenko： Ph.D., Senior researcher, Palladin Institute of Biochemistry of NAS of Ukraine, Kyiv; JSPS Postdoctoral Research Fellow, Juntendo University, Tokyo
Listen about “Wounds, debris, and shrapnel”:
撮影者の声（サイズが大きいためご注意ください）：