Operation Rainbow Canada
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The document summarizes Operation Rainbow Canada's medical mission to Ukraine from November 6-16, 2014. The mission aimed to assess needs, evaluate medical facilities, and characterize injuries from the Euromaidan protests and ongoing conflict in Eastern Ukraine. It brought a team of surgeons, anesthesiologists and nurses to perform reconstructive surgeries on 100 patients injured during the Euromaidan protests or recent conflict, helping those who would otherwise lack treatment. The mission took place at Kyiv's Main Military Hospital and helped establish a database to track patients' needs.
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Operation Rainbow Canada
- 1. Operation Rainbow Kyiv, Ukraine Nov 6 -16, 2014 Victor Hetmanczuk President Canada-Ukraine Foundation
- 2. Euromaidan Nov 2013 • A student-initiated movement protesting president Yanukovich’s refusal to sign an European Association Agreement
- 4. Euromaidan • 1,791 people were treated for injuries in Kyiv hospitals . • 1198 patients were hospitalized. • April 14, 2014
- 5. Eastern Ukraine Present Day
- 6. 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
- 7. 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
- 8. CUF MEDICAL MISSION: Team
- 9. 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
- 10. CUF MEDICAL MISSION • Evaluated Capacity and needs of: • Emergency Services • Medical Technology • Operating Rooms • Intensive Care Units
- 11. CUF MEDICAL MISSION • Evaluated capacity and needs of: • Emergency Services • Medical Technology • Operating Rooms • Intensive Care Units
- 12. CUF/UCC MEDICAL MISSION • Evaluated Capacity and needs of: • Emergency Services • Medical Technology • Operating Rooms • Intensive Care Units
- 13. CUF/UCC MEDICAL MISSION • Evaluated Capacity and needs of: • Emergency Services • Medical Technology • Operating Rooms • Intensive Care Units
- 14. 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
- 15. CUF MEDICAL MISSION Outpatient Clinics • Direct patient assessments in conjunction with Ukrainian physicians and surgeons
- 17. Maidan Trauma Etiology and Characteristics Sniper injuries Rubber bullets Non-lethal and globe (head) trauma
- 18. Maidan Trauma Etiology and Characteristics Blunt Trauma Craniofacial Injuries
- 19. Maidan Trauma Etiology and Characteristics Live ammunition Extremity injuries
- 20. Maidan Trauma Etiology and Characteristics Live ammunition Gunshot face
- 21. Maidan Post-trauma Defects and Deformities Enucleations Orbital Deformities
- 22. Maidan Post-trauma Defects and Deformities Craniofacial Deformities
- 23. Maidan Post-trauma Defects and Deformities Upper Extremity Defects Fractures Amputations
- 24. 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
- 25. 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
- 26. Operation Rainbow Canada • 100 operations in 1 week • Treat patients that would not otherwise be treated
- 27. 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
- 28. Operation Rainbow Canada Kyiv, 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
- 29. Operation Rainbow Canada Kyiv, Nov 6-16,2014 Patients 1. Euromaidan victims with established post-trauma deformities 2. Casualties from current conflict with terrorists in Eastern Ukraine
- 30. 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
- 31. “Initiative E+” Maidan Patient Database
- 32. Operation Rainbow Canada Kyiv, Nov 6-16,2014 • Host facility will be the Main Military Hospital, Kyiv
Editor's Notes
- Good Evening Honoured Guests. Prime Minister Harper, Reverend Fathers, Rabbi Frydman-Kohl, Ambassador, … and friends. Thank you for coming tonight to support our humanitarian medical efforts in Ukraine. I’d like to take this opportunity to describe the current urgent medical needs in Ukraine, our partnership with Operation Rainbow Canada, and how we plan to provide help to those in Ukraine who need it most.
- Confrontations between civilian demonstrators and armed Government police, militia and Berkut forces became increasingly violent
- Since the end of Euromaidan, Putin has entered Ukraine, annexed Crimea and started a war in Donetsk and Lughansk regions.
- As a direct consequence of these actions, the UN reports over 7,000 injuries. These include soldiers, innocent bystanders, and 58 children
- The Canadian Ukrainian Foundation organized an urgent Medical Mission to Ukraine in April 2014
- Khristia Waler, Dr George Huculak, Dr Ulana Suprun, Andrij Pivtoran, Dr George Luckiw,
- Met with first responders and physicians who provided primary care at MedPunkty on the Maidan,
- Assessed the resources available locally to deal with acute trauma as well as post-traumatic reconstruction and subsequent rehabilitation
- We evaluated over 30 OR’s in Donetsk, Kyiv and Lviv to determine where a Canadian surgical team may be function effectively
- And multiple ICU’s and Recovery Rooms to evaluate the facilities available for postop care
- Direct patient assessments were undertaken in conjunction with Ukrainian physicians and surgeons, to determine the specific needs of Maidan trauma victims and to characterize the residual post-traumatic issues
- Rubber bullets, which are designed to function as a deterrent in crowd control, were employed to inflict maximal damage, resulting in an incredibly high number of globe injuries
- Blunt trauma, from punches, kicks and clubs resulted in a disproportionately high incidence of craniofacial trauma
- Use of live ammunition in Feb 2014 resulted in a dramatic increase in the severity of injuries
- During our outpatient clinics, we had an opportunity to assess a large population of patients with residual post-traumatic deformities that have not been addressed. The resources and surgical expertise required to deal with these post-traumatic defects and deformities are simply not available in Ukraine. The most prominent deformities are:
- The CUF-sponsored Medical Needs assessment resulted in multiple initiatives that we are now acting on. The primary surgical initiative is the Canadian Surgical Mission to Kyiv scheduled for this November.
- Our immediate focus is the Surgical Mission to Ukraine This will be organized through an existing humanitarian organization, Operation Rainbow Canada
- Every year, Operation Rainbow send a team to developing countries or remote areas, where cleft children do not normally receive surgical care
- Operation Rainbow Canada is partnering with the Canadian Ukrainian Foundation to support a surgical mission to Kyiv, Nov 6 – 16, 2014 The objectives are to: 1. Provide reconstructive surgery to restore the lives of those with deformities and injuries that would otherwise not be addressed 2. Promote surgical education by actively engaging local medical professionals, to expand the surgical infrastructure and create self-reliance
- Scope of surgical presentations Traumatic and post-traumatic deformities that are repairable through a single surgical intervention Skull Face Hand
- The team includes approximately 20 individuals. The specialists involved are dictated by the specific needs of the patient population. All the surgeons are Canadian surgeons who are expert in treating craniofacial and hand trauma.
- How do we identify the patients? We are actively triaging now and will be doing so for the next 2 mos