Russian so-called retaliation strikes are a Soviet tradition since the days of Afghanistan. Although who exactly got into hospitals, it is impossible to say for sure, as there Syrian government forces strike at the same time
The Russian forces in Syria remained as much as they were. After Putin announced the withdrawal of forces, the presence of Russian troops was reduced only in the east of Syria. There was a powerful grouping, but now the fighting has somewhat subsided. But in the west, in the seaside region of Syria, Russian forces remained and are participating in the operation in the province of Idlib.
What will happen next is unclear, since now a very serious situation has developed in Syria. Further escalation can draw into the conflict of external players. Although not always friendly, but before they all fought against the IG together. Now the latter have gone underground.
Israel is striking. The Syrians promise to answer the Iranians with Hezbollah. A serious conflict may begin between Israel, Lebanon, Syria and Iran.
In turn, the Turks promise to continue the offensive on those parts of the Kurdish regions where the Americans are. The offensives and clashes of Turks and Americans are possible.
The offensive continues in the province of Idlib, where the Turks seemingly promised to protect part of the so-called Free Syrian army. Now she actually submits to Ankara and at the same time fights with the supporters of Assad.
There are enough prerequisites for direct clashes between the great powers. It's unclear how all this is planned to be shattered. Maybe not everyone now wants to fight, but there is no other way out.