Operation RainbowKyiv, Ukraine

Nov 6 -16, 2014

Victor HetmanczukPresident

Canada-Ukraine Foundation

Euromaidan Nov 2013

• A student-initiated movement protesting president Yanukovich’s refusal to sign an European Association Agreement

EuromaidanFeb, 2014

Euromaidan

• 1,791 people were treated for injuries in Kyiv hospitals .

• 1198 patients were hospitalized. • April 14, 2014

Eastern UkrainePresent Day

Ukraine:Current Trauma Status

• United Nations Office for the Coordination of Humanitarian Affairs (OCHA) , Sept 5th, 2014:• 2,905 deaths, including 28 children• 7,640 wounded, including 58 children

CUF MEDICAL MISSION:Objectives

• To assess the needs for further treatment of those wounded during the events of the mass protests in Ukraine since Nov. 21, 2014• Evaluate the capacity and needs of the various

medical facilities and services in Ukraine• Characterize the range and scope of post-traumatic

defects and deformities

CUF MEDICAL MISSION:Team

CUF MEDICAL MISSION:Objectives

• To assess the needs for further treatment of those wounded during the events of the mass protests in Ukraine since Nov. 21, 2014• Evaluate the capacity and needs of the various

medical facilities and services in Ukraine• Characterize the range and scope of post-traumatic

defects and deformities

CUF MEDICAL MISSION

• Evaluated Capacity and needs of:• Emergency Services• Medical Technology• Operating Rooms• Intensive Care Units

CUF MEDICAL MISSION

• Evaluated capacity and needs of:• Emergency Services• Medical Technology• Operating Rooms• Intensive Care Units

CUF/UCC MEDICAL MISSION

• Evaluated Capacity and needs of:• Emergency Services• Medical Technology• Operating Rooms• Intensive Care Units

CUF/UCC MEDICAL MISSION

• Evaluated Capacity and needs of:• Emergency Services• Medical Technology• Operating Rooms• Intensive Care Units

CUF MEDICAL MISSION:Objectives

• To assess the needs for further treatment of those wounded during the events of the mass protests in Ukraine since Nov. 21, 2014• Evaluate the capacity and needs of the various

medical facilities and services in Ukraine• Characterize the range and scope of post-traumatic

defects and deformities

CUF MEDICAL MISSION

Outpatient Clinics

• Direct patient assessments in conjunction with Ukrainian physicians and surgeons

MaidanTrauma Etiology and Characteristics

Sniper injuriesRubber bullets

Non-lethal and globe (head) trauma

Maidan Trauma Etiology and Characteristics

Blunt Trauma Craniofacial Injuries

MaidanTrauma Etiology and Characteristics

Live ammunition Extremity injuries

MaidanTrauma Etiology and Characteristics

Live ammunition Gunshot face

MaidanPost-trauma Defects and Deformities

Enucleations Orbital Deformities

MaidanPost-trauma Defects and Deformities

Craniofacial Deformities

MaidanPost-trauma Defects and Deformities

Upper Extremity Defects

Fractures

Amputations

Surgical Initiatives

• Operation Rainbow Canada Surgical Mission• Kyiv, Nov 2014

• Telesurgery• Lviv and Kyiv, Summer 2015

• University of Toronto Department of Surgery Observerships• Fall 2015

Operation Rainbow Canada

- Volunteer non-profit medical services organization which functions without paid staff and provides free reconstructive surgery for cleft lip and cleft palate deformities to needy children and young adults in developing countries.

- 23 international missions since 1998

Operation Rainbow Canada

• 100 operations in 1 week

• Treat patients that would not otherwise be treated

Operation Rainbow Canada

Dr Kimit Rai

ORC Surgical Team

- Self-contained surgical team of 20 surgeons, anesthetists, nurses

- All surgical instruments, tools and supplies

- All medication, dressings and disposables

Operation Rainbow CanadaKyiv, Nov 6-16,2014

• Objectives• Provide free reconstructive surgery to those with

deformities and injuries that would otherwise not be addressed

• Promote surgical education to expand the medical infrastructure and create self-reliance

Operation Rainbow CanadaKyiv, Nov 6-16,2014

Patients

1. Euromaidan victims with established post-trauma deformities

2. Casualties from current conflict with terrorists in Eastern Ukraine

Rainbow Surgical Team

• 2 plastic surgeons, 1 hand/microsurgeon, 1 neurosurgeon, 1 general surgeon, 1 plastic surgery resident/fellow

• 2 anesthetists, 1 anesthesia fellow

• 1 internist

• 5 OR nurses, 3 PACU nurses, 1 preop nurse

• 1 mission coordinator

• 1 admin support

“Initiative E+”

Maidan Patient Database

Operation Rainbow CanadaKyiv, Nov 6-16,2014

• Host facility will be the Main Military Hospital, Kyiv