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REBOA by a non-surgeon as an adjunct during MASCAL.
Regan F Lyon1, D Marc Northern1
1Special Operations Surgical Team, 720th Operations Support Squadron, 121 Terry Ave, Hurlburt Field, Florida 32544, United States.
The American Journal of Emergency Medicine
|March 16, 2018
Summary
Resuscitative endovascular balloon occlusion of the aorta (REBOA) can be successfully placed by emergency physicians to control severe bleeding. This case demonstrates its utility in mass casualty incidents when surgeons are unavailable.
Area of Science:
- Emergency Medicine
- Surgical Critical Care
- Trauma Surgery
Background:
- Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive technique for managing non-compressible hemorrhage.
- Historically, REBOA procedures have been primarily performed by surgeons.
Observation:
- This case report details the successful placement of REBOA by an emergency physician.
- The procedure was performed on a critically ill mass casualty patient awaiting transfer to the operating room.
Findings:
- Emergency physician-led REBOA placement is feasible and effective in stabilizing patients with non-compressible hemorrhage.
- This intervention can serve as a temporizing measure until definitive surgical care is available.
Implications:
- Expanding the role of emergency physicians in REBOA deployment can improve outcomes in critical care settings.
- This case highlights the potential for interdisciplinary collaboration to enhance trauma care delivery.
- REBOA can be a vital tool for emergency physicians in managing life-threatening hemorrhage during mass casualty events.
