When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport
Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a helpful adjunct in the control of non-compressible truncal hemorrhage. Concerns regarding ischemia time limits its applicability in transfer. We describe the first reported case of civilian transfer via aeromedical tr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022000188 |
| _version_ | 1818338218069721088 |
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| author | Jason A. Snyder Douglas J.E. Schuerer Grant V. Bochicchio Mark H. Hoofnagle |
| author_facet | Jason A. Snyder Douglas J.E. Schuerer Grant V. Bochicchio Mark H. Hoofnagle |
| author_sort | Jason A. Snyder |
| collection | DOAJ |
| description | Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a helpful adjunct in the control of non-compressible truncal hemorrhage. Concerns regarding ischemia time limits its applicability in transfer. We describe the first reported case of civilian transfer via aeromedical transport to a higher level of care with a zone 3 REBOA catheter deployed. Case report: We present the case of a patient in hemorrhagic shock with a complex pelvic fracture exceeding the capability of a rural level-two trauma center requiring the use of REBOA catheter to permit aeromedical transport to a level-one trauma center for definitive embolization. Conclusion: Deployment of REBOA catheter to facilitate aeromedical transport to an appropriate level of care may be considered if travel times can be kept brief and there is a process and training in place to empower flight medics to consider transporting with a REBOA deployed. |
| first_indexed | 2024-12-13T15:07:37Z |
| format | Article |
| id | doaj.art-0c979ab8a6cd41bc959d0c7bdfd047e9 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-13T15:07:37Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-0c979ab8a6cd41bc959d0c7bdfd047e92022-12-21T23:40:58ZengElsevierTrauma Case Reports2352-64402022-04-0138100622When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transportJason A. Snyder0Douglas J.E. Schuerer1Grant V. Bochicchio2Mark H. Hoofnagle3Corresponding author at: Section of Acute and Critical Care Surgery, 660 South Euclid Avenue, Campus Box 8109, St. Louis, MO 63110, USA.; Department of Surgery, Washington University in Saint Louis, St. Louis, MO, USADepartment of Surgery, Washington University in Saint Louis, St. Louis, MO, USADepartment of Surgery, Washington University in Saint Louis, St. Louis, MO, USADepartment of Surgery, Washington University in Saint Louis, St. Louis, MO, USABackground: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a helpful adjunct in the control of non-compressible truncal hemorrhage. Concerns regarding ischemia time limits its applicability in transfer. We describe the first reported case of civilian transfer via aeromedical transport to a higher level of care with a zone 3 REBOA catheter deployed. Case report: We present the case of a patient in hemorrhagic shock with a complex pelvic fracture exceeding the capability of a rural level-two trauma center requiring the use of REBOA catheter to permit aeromedical transport to a level-one trauma center for definitive embolization. Conclusion: Deployment of REBOA catheter to facilitate aeromedical transport to an appropriate level of care may be considered if travel times can be kept brief and there is a process and training in place to empower flight medics to consider transporting with a REBOA deployed.http://www.sciencedirect.com/science/article/pii/S2352644022000188Aortic occlusionREBOAResuscitative endovascular balloon occlusion of the aortaAeromedical transportHelicopterPelvic fracture |
| spellingShingle | Jason A. Snyder Douglas J.E. Schuerer Grant V. Bochicchio Mark H. Hoofnagle When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport Trauma Case Reports Aortic occlusion REBOA Resuscitative endovascular balloon occlusion of the aorta Aeromedical transport Helicopter Pelvic fracture |
| title | When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport |
| title_full | When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport |
| title_fullStr | When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport |
| title_full_unstemmed | When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport |
| title_short | When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport |
| title_sort | when reboa grows wings resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport |
| topic | Aortic occlusion REBOA Resuscitative endovascular balloon occlusion of the aorta Aeromedical transport Helicopter Pelvic fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022000188 |
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