Following the destruction of two trains in the Urals 2000km east of Moscow, as a consequence of the conflagration caused by an explosion from a leaking natural gas pipeline, 3000 people were injured;* * Editor's footnote: These numbers of injured and deaths are considerably greater than those reported by Herndon (1990), Becker et al. (1990), Kulyapin et al. (1990) and Remensnyder et al. (1990a,b). The varying estimates of injured and deaths were given in good faith by various official Soviet sources to the US medical teams, and by interviewing survivors of the disaster to the Israeli medical team. The discrepancies probably reflect ignorance of the precise number of persons on the two trains and that the force of the explosion and subsequent conflagration completely destroyed bodies. most of them (2200) died* immediately and the others (about 800) were badly burned. At the request of the Soviet Union Government a medical military delegation was sent to give assistance to the injured people. This report describes the treatment given by the delegation to 40 patients with burns of between 40 and 90 per cent TBSA during a period of 10 days. An insight into a Soviet Union Trauma Center is given and the good treatment given by the Soviet colleagues is emphasized.