From Wall Street Journal:

These aren’t flesh wounds or simple broken legs. Patients are brought in with combinations of brain, face, chest and abdominal wounds. Many require amputations. I am on call almost 300 days a year for complex craniofacial/plastics trauma at three major trauma centers. We see everything. Fortunately we get only a few of the most severe facial mutilations—where someone loses his entire face and survives. In Ukraine, I saw 12. I saw golf-ball-size shrapnel and 3-inch pieces of protective Kevlar armor pulled from lungs and brains.

The chief of neurosurgery at Mechnikov shared with me the hospital’s experience with vertebral artery injuries. (These are two arteries in the spine that feed the brain.) Because of the violent force that causes such injuries, most patients die before reaching the hospital. The typical neurosurgeon will see two or three patients with such terrible injuries over the course of a career. The U.S. military, with incredible evacuation resources, treated 18 vertebral artery injuries during 20 years in Iraq. Mechnikov has treated 91 in two years.