As night draws across the eastern front medical teams wait nervously behind the frontline.
They know it will be a busy night – every night is busy these days as Russia intensifies its attacks in the Donbas.
The chief medic, Yaroslav, takes the first call of the shift.
His face is filled with concern as he’s informed in the voice message that there are many casualties. Some are walking wounded, others are not so lucky.
His team is quickly on its way. Climbing aboard their ambulance and heading out into the inky night, there is no time to lose and they need to move fast.
As they race towards the rendezvous point, we film with a night-vision camera, any unnecessary light could draw enemy fire.
This is dangerous work. The deadly drone and artillery war is all around them.
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The threat is now so bad the team prefers, when they can, to work only at night. In daylight the risk of being targeted by Russian drones is often too great.
A few kilometres from the frontline and the team comes to a stop.
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Hidden by the dark they try to call the injured soldiers’ unit to tell them they are waiting in an exposed location but there’s no answer.
“Sometimes there is shelling and they can’t evacuate from the position,” says medic Valeri.
Image: Shellshocked casualties emerge from the gloom
Out of the gloom the first casualties eventually arrive for the handover. All of them look gaunt and shellshocked. The grime and terror of this grinding trench war is etched into their faces.
One of the soldiers tells me how they were injured.
“They destroyed the position. With drones they completely destroyed it – thank god we survived. One person died but I was blown away by the explosion. I was lucky.”
Ukraine is facing a shortage of manpower and the country is having to recruit older men for its defence.
As Misha waits for first aid he tells me he’s in pain: “The shrapnel is sticking out of my leg. My leg is swollen and my other leg hurts too, I probably twisted it.”
Image: Medics smoke as they wait nervously for casualties to arrive. Pic: Alex Rossi
‘Shells crash around us’
With the men patched up and on their way for more medical treatment, the evacuation team is soon responding to a new call.
Along broken roads and bomb-cratered dirt tracks they bump along through the night. As they arrive at a second evacuation point it’s clear we are now much closer to the frontline.
Image: Andriy is rescued with serious shrapnel wounds
The sound of guns is deafening and as we wait anxiously in open fields shells crash around us.
Eventually the casualty arrives – there’s much more urgency in this extraction
Andriy is suffering from serious shrapnel wounds and he’s clearly in shock as he’s stretchered into the waiting ambulance.
Image: Yaroslav gives first aid in the ambulance. Pic: Alex Rossi
The medics set up a drip and only once he’s stabilised can they start to drive.
The windows have been blacked out, which means they can work with more light, and as they go his condition is carefully monitored.
Yaroslav explains what they have done as we start to move.
“The intravenous line wasn’t working so we had to move it so we had access to his vein.
“This way, if everything goes wrong we have the ability to deliver medicine to help him. He’s okay, he’s stable. He’s heavily wounded but stable.”
Andriy soon arrives at a medical facility – he’ll later undergo surgery – and the medical evacuation team will soon head back into the dark to treat and extract more casualties.
Every night it seems the carnage and destruction of this war gets worse.
At least 34 people – including two children – have been killed after a Russian missile attack on a Ukrainian city.
The country’s state emergency service said another 117 people have been injured, with 15 children among them, in the northeastern city of Sumy.
Ukraine’sforeign ministry later added that one of the children injured was a baby girl born this year, saying “even newborns are targets for Russia’s crimes”.
Volodymyr Zelenskyy also shared videos on Telegram of the aftermath of the attack on social media, showing dead bodies in the middle of a city street near a destroyed bus.
Image: Two children were killed in the strike. Pic: State Emergency Service of Ukraine
Russia ‘dragging out this war’ – Zelenskyy
The Ukrainian president said on social media “only scoundrels can act like this” and that “tough reaction from the world is needed”.
“Russiawants exactly this kind of terror and is dragging out this war,” he added. “Without pressure on the aggressor, peace is impossible.
“Talks have never stopped ballistic missiles and air bombs. We need the kind of attitude towards Russia that a terrorist deserves.”
Andriy Kovalenko, a security official who runs Ukraine’s centre for countering disinformation, noted the strike came after a visit to Moscow by US envoy Steve Witkoff.
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From Saturday: Putin meets Trump envoy for talks
US official: ‘This is wrong’
Keith Kellogg, Donald Trump‘s envoy for the Ukraine war, said the attack crosses “any line of decency” and that “there are scores of civilian dead and wounded”.
He added: “As a former military leader, I understand targeting and this is wrong. It is why President Trump is working hard to end this war.”
In response to Mr Kellogg, Mr Zelenskyy’s communications adviser, Dmytro Lytvynm asked: “Don’t you think it’s time to smack the Moscow mule across the nose with a 2X4?”.
Later, US secretary of state Marco Rubio said the strike was “horrifying” and a “tragic reminder of why President Trump and his Administration are putting so much time and effort into trying to end this war and achieve durable peace”.
Image: Pic: AP
UK Foreign Secretary David Lammy added he was “horrified” by Russia’s “barbaric strike” on Sumy, and called for an “immediate ceasefire”.
Meanwhile, EU Commission President Ursula von der Leyen said “cruelty struck again” and called the strike a “blatant violation of international law”.
It came hours before a separate Russian strike killed three people in the central district of the southern city of Kherson.
The local governor, Oleksandr Prokudin, said a 68-year-old woman was injured and died in hospital and that a 48-year-old man also died after “the occupiers dropped an explosive device from a drone”.
A 62-year-old woman was also killed “as a result of the shelling”.
On Saturday, a Russian guided bomb hit a house in the northeastern Ukrainian town of Kupiansk on Saturday, injuring four people.
Governor Oleh Syniehubov said on Telegram that three others could be trapped under rubble.
It comes after Russian diplomats accused each other of violating a tentative US-brokered deal to pause strikes on energy infrastructure.
“The Ukrainians have been attacking us from the very beginning, every passing day, maybe with two or three exceptions,” Sergey Lavrov, Russia’s foreign minister, said, adding that Moscow would provide a list of Kyiv’s attacks from the past three weeks.
Andrii Sybiha, his Ukrainian counterpart, dismissed the claim saying on Saturday that Russia launched “almost 70 missiles, over 2,200 [exploding] drones, and over 6,000 guided aerial bombs at Ukraine, mostly at civilians” since agreeing to the limited pause on strikes.
He may not be the one to sit down with Vladimir Putin, but Keith Kellogg, President Trump’s special envoy for Ukraine, summed up the horror of Sunday’s ballistic missile strikes on Sumy succinctly.
“Today’s Palm Sunday attack by Russianforces on civilian targets in Sumy crosses any line of decency,” he said.
“As a former military leader, I understand targeting and this is wrong.”
He does not seem to care if he alienates his US counterpart, who has been strangely predisposed to fawn over him to date.
Perhaps he is raising the stakes as high as he can to illustrate his strength of hand: Strikes on civilians damage Ukrainianmorale – even if they are hardly battlefield wins – and on the battlefield, he is pushing ahead and does not want to stop.
Image: At least 34 people, including two children, were killed in Sumy on Sunday. Pic: Reuters
Perhaps he knows that if he keeps up his military momentum, President Trump will tire of a conflict he realises he cannot solve and let the matter slip while staying true to his MAGA-economic priorities by letting funds for Ukraine dry up.
Perhaps he thinks President Trump is so keen on a rapprochement with Russia, on the big Putin-Trump bilateral, that the details, the civilian deaths along the way, will all be by-the-by when that long-sought photo-op finally happens.
Whatever it is, President Putin seems to be in no rush to get things settled.
His spokesman told a Russian state reporter on Sunday that talks were under way at several levels but that “of course, it is impossible to expect any instant results”.
Withdrawing his troops would get instant results. But that is not what Vladimir Putin wants.
His war economy is working for him, and he has the attention of the one country he considers a worthy adversary, the United States.
In the meantime, this attack reinforces why President Zelenskyy’s plea for air defence systems is his top priority. And why a ceasefire cannot come soon enough.
An Israeli air strike has hit a hospital in Gaza City, with pictures showing the devastating aftermath at some of its wards.
The al-Ahli Arab Baptist Hospitalwas hit by multiple missiles, the Hamas-run health ministry said, adding hundreds of patients, medical personnel, and their companions were on site at the time of the attack.
It said the Israeli army had targeted what it described as “one of the oldest and most vital healthcare institutions operating in the GazaStrip”.
One patient died during the evacuation as medical staff were unable to provide urgent care, it said.
No other casualties have been reported.
Image: Pic: AP
The Israeli Defence Forces (IDF) said they “struck a command and control centre used by Hamas” in the hospital.
“The compound was used by Hamas terrorists to plan and execute terror attacks against Israeli civilians and IDF troops,” they said in a statemement.
“Prior to the strike, steps were taken to mitigate harm to civilians or to the hospital compound, including issuing advanced warnings in the area of the terror infrastructure, the use of precise munitions, and aerial surveillance.
“The Hamas terrorist organisation systematically violates international law while using civilian infrastructure, brutally exploiting the civilian population as a human shield for its terrorist activities.”
The health facility’s director, Dr Fadel Naim, said they were warned of the attack beforehand.
Image: A closer look at what was the hospital’s outpatient and laboratory wards. Pic: AP
Image: Pic: AP
Hamas has denied using hospitals for military purposes throughout the war and has accused Israel of intentionally targeting its medical infrastructure in its ongoing offensive.
The latest strikes come after Israel ended its ceasefire with Hamas and restarted its air and ground offensive.
Prime Minister Benjamin Netanyahu’s government has also imposed a month-long blockade on food, fuel and humanitarian aid – a tactic that rights groups say is a war crime.
Israel reconstructs Morag corridor
Image: The Morag Corridor under construction. Pic: IDF
On Saturday, Israel said it had completed the construction of a new security corridor that cuts off the southern city of Rafah from the rest of Gaza.
The security corridor was referred to by Israeli officials as the Morag Axis, a reference to a former Israeli settlement previously located in an area between the two southern cities of Rafah and Khan Younis.
The prime minister said the move gives Israel control of a second axis in southern Gaza in addition to the Philadelphi Corridor, running along the border with Egypt, which Israel sees as a key line stopping weapons being smuggled into Gaza.
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Israeli forces encircle Rafah
Israel has also gained control of the Netzarim Corridor, which cuts off the northern third of Gaza from the rest of the territory.
Morag’s construction is part of Israel’s pledge to seize large parts of Gaza to pressure Hamas to release remaining hostages and accept proposed ceasefire terms, and it further squeezes Palestinians into shrinking areas of land.
In a statement on Saturday, Israel’s defence minister Israel Katz said his country’s military would soon expand “rapidly” throughout most of Gaza and that Palestinians would “have to evacuate the fighting zones”.
He did not say where Palestinians were supposed to go.
The war between Israel and Hamas began when Hamas-led militants invaded Israel on 7 October 2023, killing around 1,200 people and taking 251 hostage.
Some 59 hostages are still being held in Gaza, with 24 still believed to be alive.
The ensuing Israeli offensive has killed more than 50,000 Palestinians, according to Gaza’s Hamas-run health ministry.
It does not distinguish between civilians and combatants in its count, but has previously said more than half of those killed in the conflict are women and children.