Related Experiment Video
Updated: Dec 28, 2025
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
12.4K
Endovascular Resuscitation and Trauma Management (EVTM)-Practical Aspects and Implementation
Tal M Hörer1, Artai Pirouzram2, Mansoor Khan3
1Department of Cardiothoracic and Vascular Surgery, Faculty of Life Science, Örebro University Hospital and University, Orebro, Sweden.
Shock (Augusta, Ga.)
|February 22, 2020
Summary
Endovascular methods are increasingly used for hemorrhage control in both stable and unstable patients. The EndoVascular resuscitation and Trauma Management (EVTM) approach integrates these minimally invasive techniques for improved outcomes.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Trauma Management
Background:
- Hemorrhage control has seen a significant shift towards endovascular techniques.
- Endovascular methods like endografts and embolization are now used in acute and unstable patients, expanding beyond initial applications in stable individuals.
Purpose of the Study:
- To introduce and explain the EndoVascular resuscitation and Trauma Management (EVTM) concept.
- To detail the development, application, limitations, and future directions of the EVTM approach.
Main Methods:
- Review of endovascular techniques for hemorrhage control, including endografts and embolization agents.
- Description of the integrated endovascular and open surgical approach for hemodynamic instability.
- Presentation of the EVTM strategy for both traumatic and non-traumatic hemorrhage management.
Main Results:
- Endovascular methods are increasingly effective for managing both traumatic and non-traumatic hemorrhage.
- The EVTM approach is being successfully implemented in acute settings for hemodynamically unstable patients.
- Combined open-endo strategies are evolving for complex hemorrhage cases.
Conclusions:
- The EVTM concept represents a significant advancement in managing severe hemorrhage.
- Minimally invasive endovascular techniques are crucial in modern trauma and non-trauma resuscitation.
- Further development and application of EVTM are expected to improve patient survival and outcomes.
More Related Videos
Related Concept Videos
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
385
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
385
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
459
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
459
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
430
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
430
01:23Cardiopulmonary Resuscitation III: AED Use
425
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
425
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
221
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
221
01:29Venous Thrombosis III: Interprofessional Care
228
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
228