Leaked Russian internal assessments revealed a 62:38 killed-to-wounded ratio, the inverse of Western military norms where roughly 30% of casualties are killed and 70% survive 1. The data, cited by Ukrainian Military Intelligence, suggests Russian field medical care has effectively collapsed.
Western armies invest heavily in the "golden hour": rapid casualty evacuation, forward surgical teams, and helicopter medevac to stabilise wounded soldiers within 60 minutes. The 62:38 ratio implies that the majority of wounded Russian soldiers die before reaching treatment. Contributing factors likely include insufficient armoured ambulances, overextended medical units across a 1,200-kilometre front, and the sheer volume of daily engagements (619 in four days by Syrskyi's count).
The intelligence source introduces uncertainty. Ukrainian military intelligence has operational incentives to emphasise Russian losses. Western military analysts have not independently corroborated the specific ratio. However, the figure is consistent with observable indicators: recruitment that fails to replace losses, Mediazona's confirmed death count accelerating to 207 per day, and Russia's reliance on convict recruits and mobilised reservists with minimal training.
If the ratio holds at scale, Russia's 206,200 confirmed deaths translate to approximately 126,600 surviving wounded, not the 480,000-plus a Western ratio would produce. Each Russian soldier sent to the front faces far worse odds than any peer military would accept.
