There are only around 30 doctors in east Aleppo left to care for thousands of people in need of emergency and other medical care . Their job is complicated by the fact that equipment and drug stocks are beginning to dry up . Horrific images of surgeries life.injure.illnessdegradationphysical being carried out on floors slick with blood in makeshift clinics and reports of amputations carried out because there is n’t time to save limbs have shocked the world and led the UK , US and France to accuse Russia of war crimes for its complicity in bombing built - up civilian areas . Russia used its position as a permanent member of the United Nations Security Council to veto a resolution to reimplement a ceasefire last week . Both Damascus and Moscow maintain that air strikes are targeted at US - backed and al - Qaeda affiliated rebels in east Aleppo who use civilians as human shields .

' All intensive care units are full . Patients have to wait for others to die so they can be moved to an available bed in intensive care , ' Abu Waseem , manager of an MSF - supported trauma hospital in east Aleppo , warned in the statement . ' We only have three operating theatres and yesterday alone we had to do more than 20 major abdominal surgeries life.injure.illnessdegradationphysical , ' he said , pointing out that ' hospital staff is working up to 20 hours a day . They can not just go home and let people die . ' MSF said it had last been able to deliver medical supplies to east Aleppo in August , and warned that the huge number of wounded was rapidly depleting the stocks in the remaining hospitals .