Respiratory Failure in Combat Trauma: Role 1–Role 2 Principles and Monitoring
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Respiratory failure in combat trauma rarely has a single cause—and at Role 2, airway decisions must anticipate what may happen during evacuation. Anesthesiologist Olha Haas translates nearly three years of work in the Zaporizhzhia region into a practical framework for recognizing deterioration, choosing when to intubate, and initiating safe ventilation.
The session covers bedside ultrasound for pneumothorax, hemothorax, and tube verification; RSI preparation for the “full stomach” trauma patient; initial ventilator settings; and systematic troubleshooting of high or low airway pressures. Capnography is explored beyond a single number, including waveform interpretation, perfusion changes, CPR monitoring, and patterns that can create false reassurance.
The transport section examines oxygen planning and the trade-offs between cylinders, concentrators, and turbine ventilators under drone threat. A multidisciplinary discussion then moves into pleural blood autotransfusion, profound hemorrhagic shock, positive-pressure ventilation, vascular access, and REBOA—where surgical speed and physiological timing must become one strategy.
The session covers bedside ultrasound for pneumothorax, hemothorax, and tube verification; RSI preparation for the “full stomach” trauma patient; initial ventilator settings; and systematic troubleshooting of high or low airway pressures. Capnography is explored beyond a single number, including waveform interpretation, perfusion changes, CPR monitoring, and patterns that can create false reassurance.
The transport section examines oxygen planning and the trade-offs between cylinders, concentrators, and turbine ventilators under drone threat. A multidisciplinary discussion then moves into pleural blood autotransfusion, profound hemorrhagic shock, positive-pressure ventilation, vascular access, and REBOA—where surgical speed and physiological timing must become one 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 Now playing
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
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.
Respiratory Failure in Combat Trauma: Role 1–Role 2 Principles and Monitoring