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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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SBAR I: Understanding the Concept01:29

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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Related Experiment Video

Updated: Jun 15, 2025

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
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REBOA Use in a Medicalized Prehospital Setting Proposal for a First Protocol Based on the Delphi Method.

Oscar Thabouillot1, Romain Jouffroy2, Daniel Jost2

  • 1French Military Health Service, 2nd Medical Center, Versailles, France.

Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals
|August 22, 2024
PubMed
Summary

Resuscitative endovascular balloon occlusion of the aorta (REBOA) can save lives in severe hemorrhage cases. A new protocol guides its use in prehospital settings, recommending a 30-minute maximum occlusion time.

Keywords:
DELPHI surveyREBOAhemmorhagic shockout-of-hospitaltrauma, protocol

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Vascular Surgery

Background:

  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is vital for controlling severe hemorrhage.
  • No established protocols exist for REBOA use in France's prehospital emergency system.
  • A Delphi study was conducted to define REBOA indications and contraindications.

Purpose of the Study:

  • To develop a protocol for REBOA application in a medicalized prehospital setting.
  • To clarify indications and contraindications for REBOA in prehospital trauma care.
  • To address gaps in current literature regarding REBOA use.

Main Methods:

  • A three-round Delphi study involving international REBOA experts.
  • 21 experts participated, addressing 10 literature-gaps.
  • Consensus was reached on key questions regarding REBOA use.

Main Results:

  • Consensus achieved on 10 critical questions regarding REBOA.
  • REBOA is indicated for hemodynamically unstable, hemorrhaging patients unresponsive to norepinephrine.
  • Maximum occlusion time for zone 1 REBOA in prehospital settings is approximately 30 minutes, with partial/intermittent occlusion preferred.

Conclusions:

  • A protocol for prehospital REBOA use is proposed.
  • Hemorrhagic shock unresponsive to high-dose norepinephrine warrants REBOA before transport.
  • Zone 1 REBOA should be limited to 30 minutes, utilizing partial occlusion when feasible. Protocol requires updates based on clinical feedback and studies.