Damage Control Strategy Research Articles

Гиповолемический шок у взрослых. Клинические рекомендации Общероссийской общественной организации «Федерация анестезиологов и реаниматологов»

The article presents the main provisions of clinical guidelines for the diagnosis and treatment of hypovolemic shock in adults, approved by the All-Russian public organization "Federation of Anesthesiologists and Resuscitators" in 2024. The relevance of the problem is associated with a significant prevalence and high mortality rates in hypovolemic shock. The recommendations include issues of etiology, pathogenesis, clinical picture, methods of laboratory and instrumental diagnostics of hypovolemic shock. The features of intensive care for hypovolemic shock are presented, including approaches to the administration of vasopressor and inotropic drugs, recommendations for the choice of infusion and adjuvant therapy, including the correction of coagulopathy in hemorrhagic shock. The issues of resuscitation damage control strategy are discussed. The criteria for the quality of medical care for adult patients with hypovolemic shock and algorithms for the doctor's actions in the diagnosis and intensive care of patients with hypovolemic shock are presented.

A starry night: a case report of severe liver injury due to a close-range shotgun blast in Argentina.

This report presents the case of a 20-year-old man who sustained a severe liver injury from a closerange shotgun blast. A prompt medical intervention, including damage control exploratory laparotomy and surgical debridement, was undertaken due to the extent of liver damage. Despite challenges such as a nondirected biliary fistula and extensive liver parenchymal injury, comprehensive surgical management led to successful treatment. Postoperative complications, including biloma and fungal infection, were managed appropriately, highlighting the importance of vigilant follow-up care. The case underscores the complexity of managing severe liver trauma and emphasizes the evolving role of trauma damage control strategies and minimally invasive procedures in achieving favorable outcomes.

Migratory autolysosome disposal mitigates lysosome damage.

Lysosomes, essential for intracellular degradation and recycling, employ damage-control strategies such as lysophagy and membrane repair mechanisms to maintain functionality and cellular homeostasis. Our study unveils migratory autolysosome disposal (MAD), a response to lysosomal damage where cells expel LAMP1-LC3 positive structures via autolysosome exocytosis, requiring autophagy machinery, SNARE proteins, and cell migration. This mechanism, crucial for mitigating lysosomal damage, underscores the role of cell migration in lysosome damage control and facilitates the release of small extracellular vesicles, highlighting the intricate relationship between cell migration, organelle quality control, and extracellular vesicle release.

Bilateral decompressive craniectomy as a damage control strategy for a preschooler multilobar bihemispheric firearm injury: a case report and systematic review.

The absence of guidelines for managing gunshot wounds to the head (GSWH) with bihemispheric lesions in pediatric patients highlights the need for prompt and diverse damage control strategies. This article aims to systematically evaluate the evidence surrounding the management of GSWH in preschoolers and to report a novel approach. We present a case of a 4-year-old girl who sustained a gunshot wound to the left parietal region. She was admitted to a level 1 trauma center 90min post-injury with stable vital signs, a Glasgow coma scale (GCS) of 12 (E3, V3, M6), and grade III hemiparesis in her right upper limb. Initial surgical management included left hematoma decompression and right frontotemporoparietal decompressive hemicraniectomy in two stages under the same anesthesia. Due to massive brain swelling during the left-sided procedure, it was converted to a left frontotemporoparietal decompressive hemicraniectomy. Both procedures included autologous pericranium augmentation duraplasty and watertight suturing. A right-side decompressive hemicraniectomy followed without exploring bullet lodging, using bilateral Kempe incisions. Bone flaps were stored under cryopreservation. During a 30-day hospital stay, neurological assessments showed a gradual recovery of right upper limb strength to grade IV + , with no other deficits or operative complications. Postoperative CT scans at 7, 14, and 28days showed minor pseudomeningoceles and a reduction of intraparenchymal edema. Multidisciplinary care continued throughout the stay. The patient showed no signs of endocrinological, infectious, or residual neurological issues and underwent bilateral autologous cranioplasty on day 35. She was discharged on day 38 with a GCS extended of 8 (full recovery/minor deficits not affecting daily activities) and minor right upper limb apraxia. A systematic review identified nine patients under 6years old with GSWH, with only one previously reported case of a 3-year-old patient with bihemispheric lesions undergoing bilateral craniectomies and achieving positive outcomes. Our case and the review suggest that bilateral decompressive hemicraniectomy is a feasible strategy for managing multilobar bihemispheric GSWH in preschoolers. However, the evidence of management for this population remains of low quality, highlighting the need for further research, and justifying this case report.

Open Abdominal Management for Damage Control in Liver Transplantation: A Single-center Experience.

Patients undergoing liver transplantation are in a state of coagulopathy before surgery because of liver failure. Intraoperative hemorrhage, massive transfusions, and post-reperfusion syndrome further contribute to coagulopathy, acidosis, and hypothermia. In such situations, temporary cessation of surgery with open abdominal management and resuscitation in the intensive care unit (ICU), which is commonly used as a damage control strategy in trauma care, may be effective. We assessed the outcomes of open abdominal management in liver transplantation and the corresponding complication rates. We retrospectively reviewed the outcomes of patients undergoing open abdominal management among 250 consecutive liver transplantation cases performed at our institution from 2009 to 2022. Open abdominal management was indicated in 16 patients. The open abdomen management group had higher Model for End-stage Liver Disease scores (24 versus 16, P < 0.01), a higher incidence of previous upper abdominal surgery (50% versus 18%, P < 0.01), more pretransplant ICU treatment (31% versus 10%, P = 0.03), and more renal replacement therapy (38% versus 12%, P = 0.01). At the time of the damage control decision, coagulopathy (81%), acidosis (38%), hypothermia (31%), and a high-dose noradrenaline requirement (75%) were observed. The abdominal wall was closed in the second operation in 75% of patients, in the third operation in 19%, and in the fourth operation in 6%. Postoperatively, the frequency of early allograft dysfunction was predominantly higher in the open abdominal management group (69%), whereas the frequency of vascular complications and intra-abdominal infection was the same as in other patients. Open abdominal management can be a crucial option in cases of complex liver transplant complicated by conditions such as hypothermia, acidosis, coagulopathy, and hemodynamic instability. Damage control management minimizes deterioration of the patient's condition during surgery, allowing completion of the planned procedure after stabilizing the patient's overall condition in the ICU.

Multidisciplinary damage control strategy for Boerhaave’s syndrome: A case report

IntroductionBoerhaave's syndrome is a rare clinical condition, characterized by the rupture of the oesophagus following a sudden increase in intraoesophageal pressure. It can occur in various regions of the oesophagus. Its rarity, coupled with the diversity of its possible presentations, makes the diagnosis more challenging and results in non-standardized treatment. Case presentationWe report the case of a 71-year-old man who resorted to the emergency department with severe epigastric pain after vomiting. The patient's CT scan revealed an oesophageal rupture. A thoracoscopy was performed with pleural debridement and positioning of three pleural drainage. Endoscopic stenting was performed and a nutritional jejunostomy was prepared before admitting the patient to the Intensive Care Unit. The postoperative course was complicated by a para-oesophageal abscess and dislocation of the endoscopic stent. The patient was discharged home on the 46th day, and the endoscopic stents were successfully removed three months later. DiscussionIn the more extensive metanalysis we found, the majority of perforations were in the distal oesophagus, the initial therapeutic management consisted of surgery, followed by endoscopy, surgery and endoscopy together, and conservative treatment in 15 %. Most patients were admitted to ICU and the mortality reached 17 %. The time of diagnosis was crucially associated with clinical outcomes. ConclusionThe choice of the most suitable approach should be tailored to the patient and should be guided by the time of diagnosis, perforation severity and patient medical condition at presentation, but the management of Boerhaave’s syndrome remains a challenge.

Silent rifles? Criminal agendas and paramilitary demobilization in Colombia under the Peace Triangle

How do criminal agendas affect a peace process with violent non-state actors? This article attempts to resolve this question by presenting a qualitative analysis of the demobilization process of the United Self-Defense Forces of Colombia (AUC) during the government of Alvaro Uribe using the Peace Triangle as an analytical framework, based on three study variables: issues, behavior and attitudes.The review from this model aims to make a double contribution to peace studies. On the one hand, it fills a gap in academic knowledge about the sustainability of peace processes. And, on the other, to examine the relationship between criminal agendas and conflict resolution. The research reveals that the former Colombian President's inadequate management of criminal agendas transformed the peace negotiation into a damage control strategy since it did not intend to modify the scale of predatory crimes committed by the AUC, but rather to shape its behavior

Risk factors for stroke in penetrating cerebrovascular injuries

ObjectivePenetrating cerebrovascular injuries (PCVI) are associated with a high incidence of mortality and neurological events. The optimal treatment strategy of PCVI, especially when damage control measures are required, remains controversial. The aim of this study was to describe the management of PCVI and patient outcomes at a level 1 trauma center where vascular injuries are managed predominantly by trauma surgeons. MethodsAn institutional trauma registry was queried for patients with PCVI from 2011 to 2021. Patients with common carotid artery (CCA), internal carotid artery (ICA), or vertebral artery injuries were included for analysis. The primary outcome was in-hospital stroke. The secondary outcomes were in-hospital mortality and in-hospital stroke or death. A subgroup analysis was completed of arterial repair (primary repair or interposition graft) vs ligation or embolization vs temporary intravascular shunting at the index procedure. ResultsWe analyzed 54 patients with PCVI. Overall, the in-hospital stroke rate was 17% and in-hospital mortality was 26%. Twenty-one patients (39%) underwent arterial interventions for PCVI. Ten patients underwent arterial repair, six patients underwent ligation or embolization, and five patients underwent intravascular shunting as a damage control strategy with a plan for delayed repair. The rate of in-hospital stroke was 30% after arterial repair, 0% after arterial ligation or embolization, and 80% after temporary intravascular shunting. There was a significant difference in the stroke rate between the three subgroups (P = .015). Of the 32 patients who did not have an intervention to the CCA, ICA, or vertebral artery, 1 patient with ICA occlusion and 1 patient with CCA intimal injury developed in-hospital stroke. The mortality rate was 0% after arterial repair, 50% after ligation or embolization, and 60% after intravascular shunting. The rate of stroke or death was 30% in the arterial repair group, 50% in the ligation or embolization group, and 100% in the temporary intravascular shunting group. ConclusionsHigh rates of stroke and mortality were seen in patients requiring damage control after PCVI. In particular, temporary intravascular shunting was associated with a high incidence of in-hospital stroke and a 100% rate of stroke or death. Further investigation is needed into the factors related to these finding and whether the use of temporary intravascular shunting in PCVI is an advisable strategy.

Interpretable knowledge-guided framework for modeling reservoir water-sensitivity damage based on Light Gradient Boosting Machine using Bayesian optimization and hybrid feature mining

Reservoir water sensitivity damage significantly contributes to production declines in low-permeability oil and gas fields. An accurate and rapid assessment of water sensitivity is essential for effective mitigation or prevention strategies. Facing the intricate challenge of predicting high-dimensional water sensitivity damage, this study leverages trends in intelligent drilling and completion technologies. It adopts a Knowledge-guided, Bayesian Optimization-enhanced Light Gradient Boosting Machine (KBO-LightGBM) for modeling, augmented by Multiple Imputation by Chained Equations and Synthetic Minority Over-sampling Technique (MICE-SMOTE) to address missing and unbalanced data issues in oil and gas fields, thereby enhancing the scientific efficacy of data processing. The framework's precision and practicality were confirmed using data from 270 natural core samples across 15 oil fields. Findings include a correlation coefficient of 0.9679 on the test set, a root mean square error of 3.4797, and a mean absolute percentage error of 4.0936%. Interpretability analysis identified formation water mineralization, burial depth, feldspar content, and initial porosity as the predominant factors affecting water sensitivity. This research distinguishes itself with a broader dataset, covering 15 parameters of formation fluids and rock components. Weighting factor αDK and scale βDK were designed to integrate empirical correlations into LightGBM's loss function, theoretically mitigating model overfitting. Hence, the intelligent framework proposed herein accurately predicts reservoir water sensitivity damage, aiding in the development of reservoir damage control strategies.

How does damage control strategy influence organ's suitability for donation after major trauma? A multi-institutional study.

How does damage control strategy influence organ's suitability for donation after major trauma? A multi-institutional study.

Formation damage mechanism and control strategy of the compound function of drilling fluid and fracturing fluid in shale reservoirs

For the analysis of the formation damage caused by the compound function of drilling fluid and fracturing fluid, the prediction method for dynamic invasion depth of drilling fluid is developed considering the fracture extension due to shale minerals erosion by oil-based drilling fluid. With the evaluation for the damage of natural and hydraulic fractures caused by mechanical properties weakening of shale fracture surface, fracture closure and rock powder blocking, the formation damage pattern is proposed with consideration of the compound effect of drilling fluid and fracturing fluid. The formation damage mechanism during drilling and completion process in shale reservoir is revealed, and the protection measures are raised. The drilling fluid can deeply invade into the shale formation through natural and induced fractures, erode shale minerals and weaken the mechanical properties of shale during the drilling process. In the process of hydraulic fracturing, the compound effect of drilling fluid and fracturing fluid further weakens the mechanical properties of shale, results in fracture closure and rock powder shedding, and thus induces stress-sensitive damage and solid blocking damage of natural/hydraulic fractures. The damage can yield significant conductivity decrease of fractures, and restrict the high and stable production of shale oil and gas wells. The measures of anti-collapse and anti-blocking to accelerate the drilling of reservoir section, forming chemical membrane to prevent the weakening of the mechanical properties of shale fracture surface, strengthening the plugging of shale fracture and reducing the invasion range of drilling fluid, optimizing fracturing fluid system to protect fracture conductivity are put forward for reservoir protection.

Pack the chest: Damage control strategy for management in thoracic trauma

BackgroundDamage control surgery aims to control hemorrhage and contamination in the operating room (OR) with definitive management of injuries delayed until normal physiology is restored in the intensive care unit (ICU). There are limited studies evaluating the use of damage control thoracotomy (DCT) in trauma, and the best method of temporary closure is unclear. MethodsA retrospective review of trauma patients at two level I trauma centers who underwent a thoracotomy operation was performed. Subjects who underwent a thoracotomy after 24 h, age less than 16, expired in the trauma bay, or in the OR prior to ICU admission were excluded. One-way ANOVA and Kruskal-Wallis test were used to compare continuous and categorical variables between DCT and definitive thoracotomy (DT) patients. Results207 trauma patients underwent thoracotomy, 76 met our inclusion criteria. DCT was performed in 30 patients (39%), 46 (61 %) underwent DT operation. Techniques for temporizing the chest varied from skin closure with suture (8), adhesive dressing (5), towel clamps (2), or negative pressure devices (12). Compared to definitive closure, DCT had more derangements in HR, pH, (110 vs. 95, p = 0.04; 7.05 vs 7.24, p < 0.001), and injury severity score (41 vs 25, p < 0.001), and required more blood transfusions (40 vs 6, p < 0.001). Eleven (36.7 %) DCT patients survived to discharge compared to 38 patients (95.0 %) in the DT group. DCT showed significantly higher differences in cardiac arrest and unplanned returns to the OR rates. No differences were observed in ventilator days, or ICU length of stay. ConclusionsDCT is a viable option for management of patients in extremis following thoracic trauma. DCT was associated with higher mortality rates, likely due to differences in injury and physiologic derangement. Despite this, DCT was associated with similar rates of complications, ICU stay, and ventilator days.

Analysis of the environmental damage and agricultural utilization in Forest Area of Dieang Plateau, Central Java, Indonesia

Dieng Plateau is a renowned tourist attraction due to its captivating panoramas, protected forest, agricultural viability, and geothermal resources. However, encouraging social life forces the local community to depend on the surrounding forest by utilizing the forest area as agricultural land. These activities harm the environment. This study aimed to determine the level of environmental damage and agricultural utilization in forest area of Dieng Plateau. Data collection methods were observation and interviews, with a purposive determination of the sample. Data analysis was carried out spatially to determine the level of environmental damage. The results showed that the erosion rate in the Dieng Plateau was in the moderate (33-35 cm), heavy (86-100 cm) and very heavy class (92-235 cm). The level of canopy cover is in the moderately dense class (60%), sparse class (20-40%) and very sparse class (<20%). The level of land productivity is in the low class (40%), moderate class (45-53%), high class (70%) and very high (93%). The level of environmental management ranged from poor to excellent. The level of environmental damage in total is in the rather severe and damaged class. For this reason, it is necessary to implementing environmental damage control strategies by land rehabilitation and closely monitoring agricultural activities by the forest area management and local government authorities are essential measures.

Effect of damage control strategy combining pre-hospital emergency treatment with in-hospital treatment on pelvic fracture complicated by multiple injuries

ObjectiveTo analyze the application value of damage control strategies combining pre-hospital emergency treatment with in-hospital treatment for multiple injuries in treating pelvic fracture complicated by multiple injuries. Methods120 patients with pelvic fracture complicated by multiple injuries admitted to our hospital from January 2020 to January 2023 were selected and divided into a damage control group (early temporary reduction after resuscitation, n = 60) and a control group (no reduction and resuscitation only, n = 60) by treatment methods. The control group was treated with conventional methods, while the damage control group was treated with the damage control strategy combining pre-hospital emergency treatment combined with in-hospital treatment in addition to conventional methods. The mortality rate, complication rate, fracture reduction quality, long-term efficacy, and patient satisfaction of the two groups were compared. ResultsThe mortality rate of the damage control group was lower than that of the control group, and the difference has statistical significance (P<0.05); the incidence of infection, DIC, and MODS of the damage control group were lower than that of the control group, with the difference being statistically significant (P<0.05); the incidence of ARDS in the two groups is not that different (P>0.05); the fracture reduction quality and long-term therapeutic effect of patients in the two groups were statistically different, with the damage control group outperforming the control group in both aspects; the difference between the two groups in terms of patient satisfaction was statistically significant (P<0.05), with the patient satisfaction of the damage control group being higher than that of the control group. ConclusionFor patients with pelvic fracture, the application of the damage control strategy combining pre-hospital emergency treatment and in-hospital treatment is a boon to the standardization of the treatment process, the improvement of the treatment success rate and fracture reduction quality and the reduction of complications, and therefore is worth promoting in clinical practice. the early application of external fixation has helped with the definitive reduction at a time when the patuent was stable.

Impact of fecal diversion in Perineal Necrotizing Soft Tissue Infection on disease survival: A large retrospective study

IntroductionColostomy is usually proposed during the acute phase of Fournier Gangrene, nevertheless its impact on disease outcome remains still debated. We conducted a retrospective study in an academic center to determine the impact of fecal diversion on disease morbidity and specific survival. MethodsAll medical charts of Fournier Gangrene cases in the past 30-years were reviewed. Mortality rate, hospitalization duration, time to complete healing and number of excision surgeries were compared between the stoma and the non-stoma groups. Time between initial diagnosis and stoma creation, type of fecal diversion, as well as specific morbidity were analyzed. ResultsOf 89 patients included, 59 had stoma creation. Stoma group had significant higher catecholamine drugs use. Mortality, time to complete healing and number of excision surgeries did not significantly differ between both groups. Hospitalization duration was significantly higher in the stoma group. Mortality and hospitalization duration were higher when loop transverse colostomy was performed, and when colostomy was done in the first 3-days. Morbidity occurred in 41 % of patients with colostomy, with 25 % life-threatening complications. 31 % of colostomies remained definitive, while median time to intestinal recovery was 159-days. DiscussionConsistently with current literature, disease survival was not improved by colostomy creation although skewed. Colostomy creation was associated with a higher hospitalization duration and a significant morbidity including risk of definitive stoma. To limit over-indicated stoma and improve early results, a damage control strategy using colostomy creation is advised. ConclusionThe benefit of colostomy during the acute phase of Fournier Gangrene was uncertain, with no clear impact on mortality. In fact, colostomy was associated with increased hospitalization duration and specific morbidity. Finally, when fecal diversion is deemed necessary, we advocate for coelioscopic delayed loop left colostomy. Alternative minimally invasive treatment as bowel catheters should also be discussed.

Damage Control Strategies For Vascular Injuries – A Report From The Amazon

Patients may sustain vascular injuries in rural areas or isolated locations, which are very common in the vast area of the Amazon rainforest. In situations like this, patients may take many hours, or even days, to get access to hospitals capable of dealing with these potentially lethal injuries, arriving in severe conditions that may require damage control strategies. Among the currently available techniques for damage control resuscitation and damage control surgery, the endovascular balloon occlusion of the aorta (REBOA) and temporary vascular shunts play an important role, but appropriate devices are often unavailable; in such scenarios, surgeons’ expertise on how to improvise devices, using more accessible materials, can be lifesaving. This paper presents a case of femoral vessel injury in a patient who required REBOA and vascular shunt improvisation; discussions regarding possible improvisation strategies are provided and technical steps on how to implement them are described.

Extracorporeal Membrane Oxygenation During Surgical Stabilization of Rib Fractures in Successful Management of Severe Blunt Chest Trauma.

Early surgical stabilization of rib fracture (SSRF) improves outcomes in patients with flail physiology and severely displaced fractures. We present two cases of patients with severe chest injury and large flail segment who underwent SSRF while on veno-venous extracorporeal membrane oxygenation (VV-ECMO). The patients developed respiratory failure within 24hours of admission requiring VV-ECMO. The extent of their chest wall injury limited pulmonary mechanics prohibiting transition off VV-ECMO. Therefore, SSRF was performed on hospital days 2 and 3 and while on VV-ECMO support. Stabilizing the chest wall allowed for improved ventilation and successful decannulation from VV-ECMO on postoperative days 3 and 4. Ultimately, both achieved a functional recovery and were discharged home. These cases demonstrate a unique thoracic damage control strategy wherein SSRF is performed while on VV-ECMO. Improving chest stability and pulmonary mechanics with SSRF allowed for safe transition off VV-ECMO and achieved a favorable long-term outcome.

Seismic performance of bolted T-stub Beam-to-Box column connection

Using internal continuity plates in box columns due to accessibility problems and complicated detailing of connection was perceived as fraught with shortcomings and limitations. To overcome this deficiency, the effectiveness of external continuity plates in conjugation with T-stub connectors in I-beam to box-column connections under cyclic action is investigated in this study. Three damage control strategies based on the fuse action of T-stubs (T-F), strengthening the connections (T-S), and using reduced beam section (RBS) connections (T-R) are pursued and are compared to a corresponding end-plate connection (E). Nonlinear finite element analyses are conducted using the ABAQUS/STANDARD software on the connections under the qualification cyclic loading conditions to elucidate all the main seismic behavioral aspects, including the strength, initial stiffness, energy dissipation, ductility, von-Mises stress, and equivalent plastic strain distributions of models. First, the accuracy of numerical models is validated by a series of available experimental results. Then, a parametric study is performed on the effects of the moment ratio of the beam to column, the number of continuity plates, stiffeners embedded on the beam, and using high strength materials on the seismic performance of the connections. From the results, it is found that the T-S model was the most efficient among the different connections studied, supplying the stiffness, strength, energy absorption, and ductility increases by 2%, 21%, −17%, and 22%, respectively with respect to the E model, satisfying the requirements of AISC Seismic Provisions for SMF. Increasing the beam-to-column moment ratio and the number of continuity plates, had limited effects by less than 10% on the seismic performance of the connections. In the absence of continuity plates, the connections exhibited worse inelastic seismic performance with decreases in stiffness, strength, and energy dissipation up to 67%, 44%, and 74%, respectively. The T-F connection gained a 13% strength increase and satisfied the AISC requirements when high-strength T-stubs are used. Based on the numerical observations, design strength and rotational stiffness of the proposed connections on the component-based joint design strategies, are finally outlined.

Use of preoperative contrast-enhanced computed tomography in damage control strategy for blunt liver injury: A case report

For patients with unstable abdominal trauma unresponsive to initial transfusion, the damage control strategy includes prompt hemostasis by open surgery and packing. Recently, a hybrid treatment that combines packing and transcatheter arterial embolization as a damage control strategy was reported to be effective; however, the indications and techniques are yet to be established. A 25-year-old male patient who was in shock due to severe liver injury after a traffic accident was brought to our emergency room by emergency services. After initial resuscitation, including resuscitative endovascular balloon occlusion of the aorta and blood transfusion, preoperative contrast-enhanced computed tomography indicated grade IV liver injury with active bleeding from the right hepatic artery. Damage control strategy with packing and subsequent transcatheter arterial embolization was determined to be useful. During treatment, bile leakage was observed. An endoscopic nasobiliary drainage tube was inserted, and the patient was treated conservatively. He was discharged on day 83 of hospitalization. Although using preoperative contrast-enhanced computed tomography before damage control surgery remains controversial, it can provide useful information to determine damage control strategy, including morphological evaluation of the injured area and the presence of active bleeding.

AntTracker: A low-cost and efficient computer vision approach to research leaf-cutter ants behavior

Leaf-cutter ants play a crucial role in agroecosystems, and understanding their behavior is key to developing effective damage control strategies. While several tracking solutions exist for ants in controlled environments or on aerial images, accurately measuring ant behavior in the wild remains a challenge. In this work, we propose a three-stage processing pipeline that segments individual ants, tracks their movement, and classifies whether they are carrying a leaf using a convolutional neural network. The output of the pipeline includes a timestamped record of the activity on the trail, accounting for parameters such as ant velocity, size and if it is going from or to the nest. We use the recently developed portable device AntVideoRecord to register video of a selected ant trail. To validate our approach, we collected a labeled dataset and evaluated each stage using standard metrics, achieving a median F2 score of 83% for segmentation, MOTA of 97% for tracking and F1 of 82% for detecting ants carrying a leaf. We then carried out a larger use case in the wild, demonstrating the effectiveness of our approach in capturing the intricate behaviors of leaf-cutter ants. We believe our method has the potential to inform the development of more effective ant damage control strategies in agroecosystems.