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Defence Medical Services' REBOA training course
Max E R Marsden1,2, C Park3,4, J Barratt5,6
1Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK.
BMJ Military Health
|October 5, 2021
Summary
The Defence Medical Services developed a specialized training program for Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), significantly improving clinician confidence and competence for hemorrhage control. This training enabled the deployment of REBOA-equipped surgical teams.
Area of Science:
- Emergency Medicine
- Surgical Training
- Trauma Care
Background:
- Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is crucial for temporary hemorrhage control and physiological stabilization in trauma patients.
- Effective utilization of REBOA requires specialized training for clinicians.
- The UK Defence Medical Services (DMS) identified a need for a dedicated REBOA training program.
Discussion:
- The DMS REBOA training program was meticulously designed, focusing on key learning objectives and incorporating participant feedback.
- Delivered across six courses since April 2019, the program has trained over 100 clinicians, marking a first for specialist endovascular training in the UK DMS.
- The training demonstrated significant improvements in participant confidence and competence in performing REBOA procedures.
Key Insights:
- The bespoke DMS REBOA training program has successfully increased clinician confidence and competence.
- The program facilitated the deployment of the first REBOA-equipped DMS forward surgical teams in June 2019.
- This training represents a significant advancement in military emergency medical capabilities.
Outlook:
- Future training efforts should focus on assessing skill retention and determining the necessity of revalidation for REBOA proficiency.
- Continued development of endovascular training programs is essential for maintaining and enhancing military medical readiness.
- Adapting training to evolving medical technologies and battlefield demands will be critical for future success.
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