ECMO in Trauma and Critical Care: From Circuit Basics to a Combat Injury Case
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ECMO is more than an oxygenator and a pump—it is a temporary bridge that demands precise patient selection, correct cannula positioning, and a team prepared for rapidly changing physiology.
This lecture explains how VV-ECMO supports the lungs, how VA-ECMO supports circulation, and why cannula diameter, blood flow, recirculation, temperature control, and anticoagulation directly affect clinical results. Indications and contraindications are discussed through severe ARDS, refractory cardiogenic shock, ECPR, thoracic trauma, and bridging to lung transplantation, alongside evidence from major ECMO trials.
A real case of a 28-year-old serviceman with mine-blast trauma, extensive lung injury, severe respiratory failure, and multidrug-resistant infection connects the physiology to bedside decisions. The closing discussion explores ECMO after pneumonectomy, anticoagulation during active bleeding, and why this technology belongs in experienced multidisciplinary centres rather than simply wherever cannulation is technically possible.
This lecture explains how VV-ECMO supports the lungs, how VA-ECMO supports circulation, and why cannula diameter, blood flow, recirculation, temperature control, and anticoagulation directly affect clinical results. Indications and contraindications are discussed through severe ARDS, refractory cardiogenic shock, ECPR, thoracic trauma, and bridging to lung transplantation, alongside evidence from major ECMO trials.
A real case of a 28-year-old serviceman with mine-blast trauma, extensive lung injury, severe respiratory failure, and multidrug-resistant infection connects the physiology to bedside decisions. The closing discussion explores ECMO after pneumonectomy, anticoagulation during active bleeding, and why this technology belongs in experienced multidisciplinary centres rather than simply wherever cannulation is technically possible.
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 Now playing
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
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.
ECMO in Trauma and Critical Care: From Circuit Basics to a Combat Injury Case