Combat-Related Heart Injuries
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Cardiac trauma leaves little margin for delay, but not every patient who reaches surgical care presents with dramatic bleeding or obvious tamponade. This lecture focuses on the more complex reality of combat-related heart injuries at the stage of specialized hospital care: understanding the mechanism of injury, recognizing subtle myocardial damage, choosing the right diagnostic strategy, and planning an operation on an organ that usually has to keep beating throughout treatment.
The speaker discusses ECG, radiography, ultrasound, and CT, including situations in which ultrasound may be falsely reassuring and imaging findings can help localize a foreign body within moving myocardium or a major vessel. Surgical sections cover access to the heart, control of bleeding, myocardial suturing, protection of coronary vessels, pericardial decompression, and the limitations encountered when cardiopulmonary bypass is unavailable.
Clinical cases add another layer: fragment and bullet injuries, migration of foreign bodies through the cardiovascular system, extraction from the heart, and situations in which attempting removal may be more dangerous than observation. The discussion also examines the risks of magnetic extraction and why evacuation time, patient stability, available resources, and the surgeon's experience can completely change the appropriate strategy.
The speaker discusses ECG, radiography, ultrasound, and CT, including situations in which ultrasound may be falsely reassuring and imaging findings can help localize a foreign body within moving myocardium or a major vessel. Surgical sections cover access to the heart, control of bleeding, myocardial suturing, protection of coronary vessels, pericardial decompression, and the limitations encountered when cardiopulmonary bypass is unavailable.
Clinical cases add another layer: fragment and bullet injuries, migration of foreign bodies through the cardiovascular system, extraction from the heart, and situations in which attempting removal may be more dangerous than observation. The discussion also examines the risks of magnetic extraction and why evacuation time, patient stability, available resources, and the surgeon's experience can completely change the appropriate strategy.
TRAUMA-03
Course
Critical Care in Combat Trauma: Thoracic Injury, Respiratory Support, and ECMO
01
1:14:04
Portable ECMO for Battlefield Trauma: Bringing Critical Care to the WoundedA lecture on moving extracorporeal life support beyond the ICU and closer to the point of injury. Andriy Bachynskyi discusses portable battery-powered ECMO, trauma physiology, lung-protective support, cannulation, transport and the challenges of using extracorporeal technologies in wounded patients.
02
1:08:27
Combat Trauma of the Heart and Chest: A Cardiovascular Surgeon’s PerspectiveA frontline-focused lecture on severe combat injuries of the heart, lungs and major vessels, with real operative cases, resuscitative thoracotomy, hemorrhage control and decision-making under limited resources.
03
45:12
Respiratory Failure in Combat Trauma: Role 1–Role 2 Principles and MonitoringA practical guide to airway management, mechanical ventilation, capnography, and safe evacuation of combat trauma patients, grounded in real Role 2 experience.
04
39:56
ECMO in Trauma and Critical Care: From Circuit Basics to a Combat Injury CaseA practical introduction to VV- and VA-ECMO: circuit components, cannulation, patient selection, complications, key evidence, and a real combat trauma case with severe ARDS.
05
1:29:00 Now playing
Combat-Related Heart InjuriesA practical lecture on combat-related cardiac trauma: evacuation priorities, diagnostic pitfalls, operative access, myocardial repair, and the difficult decisions surrounding intracardiac foreign bodies.
06
31:34
Diagnosis and Minimally Invasive Management of Combat Esophageal InjuriesA practical review of combat-related esophageal injuries, from early diagnostic suspicion and CT trajectory analysis to endoscopy, thoracoscopy, laparoscopy, and minimally invasive repair in carefully selected patients.
Combat-Related Heart Injuries