From: Venoarterial extracorporeal life support in post-traumatic shock and cardiac arrest: lessons learned
No. | Age/sex | ISS | Pre-VA-ECLS summary of major injuries | Pre-ECLS | Indication of VA-ECLS | Operation on VA- ECLS | Outcomes |
---|---|---|---|---|---|---|---|
 | Injury mechanism |  |  | Damage-control surgery |  |  |  |
 | Time to VA-ECLS* |  |  |  |  |  |  |
1 | 21/M | 75 | OHCA (traumatic asphyxia) | No | CA in ED | No | Died-on-ECLS (ECLS h:75) |
Car accident | Bilateral lung contusion and HPnTx | ||||||
3 h | Minor pelvic fracture | ||||||
2 | 37/M | 10 | Scalp lacerations | Right thoracotomy: | CA in OR | Re-thoracotomy for hemostasis | Survived (ECLS h:112) |
Chest stabbing | Right massive HTx | RLL wedge resection | |||||
4 h | |||||||
3 | 48/M | 13 | Right massive HTx, | Right thoracotomy | CA in OR | Cardiorrhaphy | Survived (ECLS h:91) |
Car accident | Grade 2 liver injury | ||||||
4 h | |||||||
4 | 38/M | 34 | Coma (< 6 h), | No | Refractory hypothermia (31ËšC) | No | Died-on-ECLS (Termination of ECLS after 7 h) |
Accidental fall | Bilateral lung contusion | ||||||
5 h | Refractory hypothermia 31 ~ 30ËšC | ||||||
5 | 29/M | 41 | Coma (≤ 6 h) | No | CA in ED | No | Died-on-ECLS (ECLS h:17) |
High-voltage electrocution | 3rd degree burn (35% TBSA) | ||||||
6 h | Right open PnTx, bilateral lung contusion | ||||||
Right femoral fracture | |||||||
6 | 33/M | 36 | Coma (> 6 h), Minor C-spine fracture, | Bilateral thoracotomy: | CA in ICU | Change to VV mode | Died-on-ECLS (ECLS h:297) |
Accidental fall | Bilateral lung contusion, ribs fractures, and HPnTx | RLL and LLL lobectomies | |||||
20 h | Minor pelvic fracture. | ||||||
7 | 47/F | 41 | Traumatic SAH | Right thoracotomy: | CA in OR | Reapir colonic perforation and end-ileostomy. | Died-on-ECLS (ECLS h:69) |
Motorbike accident | Bilateral lung contusion and HPnTx, Diaphragmatic rupture, grade 3 liver injury, grade 4 spleen injury, pelvic fracture with retroperitoneal hemorrhage, right radial fracture | Repair of RLL and diaphragmatic laceration | |||||
47 h | Laparotomy: | ||||||
Splenectomy, hepatorrhaphy, retroperitoneal packing | |||||||
8 | 45/M | 20 | Bilateral lung contusion, flial chest, right HPnTx | No | CA in ICU | Change to VV mode | Died-on-ECLS (Termination of ECLS after 258 h) |
Motorbike accident | Right clavicle, ribs, left tibial and humeral fracture. | ||||||
48 h | |||||||
9 | 24/M | 18 | Right lung contusion | Laparotomy: | CA in ICU (sepsis) | No | Survived (ECLS h:116) |
Motorbike accident | Mesenteric injury with small bowel gangrene | Segmental bowel resection and end-ileostomy | |||||
 | 315 h |  | Minor L- spine fracture |  |  |  |  |