GOOD OUTCOMES OF EMERGENT RESUSCITATIVE THORACOTOMY IN COMBAT PATIENTS INJURED IN RUSSO-UKRAINIAN WAR andrii.dinets@gmail.com

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GOOD OUTCOMES OF EMERGENT RESUSCITATIVE THORACOTOMY IN COMBAT PATIENTS INJURED IN RUSSO-UKRAINIAN WAR

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Ukraine

Oral or Poster

Emergent resuscitative thoracotomy (ERT) is a surgical procedure to be applied for the patients in extreme condition with acute traumatic cardiac arrest (TCA). ERT is performed in critical patients with severe shock. ERT is performed in combat patients with severe ballistic thoracoabdominal injuries in ongoing war in Ukraine. The aim of this study was to evaluate the utility of ERT in the combat patients injured in war in Ukraine.

There were identified 406 patients with gunshot injuries and TCA who were treated at Role 2 and 3 hospitals. Of these, TCA was managed by closed-chest cardiopulmonary resuscitation (CPR) in 347 patients (85.5%) and by ERT in 59 patients (14.5%). ERT was performed according to ATLS guideline.

A 96 (23.6%) patients survived in the CRP group as compared to 27 (6.7%) patients in the ERT group. Effectiveness of ERT was better in case of patients admitted to deployed field hospitals: 23 (85.3%) survived in case of admission within 10 minutes, 3 (11.6%) patients survived when admitted within 30 min, and 1 (3.1%) patient survived when admitted in 60 min. The majority of patients died due to shock progression. The follow up of 3 days showed survival of 10 (37%) patients treated with ERT vs. 8 (8.6%) patients treated with CRP.

Application of ERT in selected patients is associated with relatively good outcomes. The fast evacuation to the is associated with better survival of the combat patients in war in Ukraine.