'Step Up' approach to the application of REBOA technology in a rural trauma system

Jack P Vernamonti; John Holcomb; Nathan W Mick; Carolyne Falank; Julianne B Ontengco; Joseph Rappold; Forest Raymond Sheppard

doi:10.1136/tsaco-2019-000335

'Step Up' approach to the application of REBOA technology in a rural trauma system

Trauma Surg Acute Care Open. 2019 Jul 12;4(1):e000335. doi: 10.1136/tsaco-2019-000335. eCollection 2019.

Authors

Jack P Vernamonti¹, John Holcomb², Nathan W Mick³, Carolyne Falank¹, Julianne B Ontengco¹, Joseph Rappold¹, Forest Raymond Sheppard¹

Affiliations

¹ Surgery, Maine Medical Center, Portland, Maine, USA.
² Surgery, University of Texas McGovern Medical School, Houston, Texas, USA.
³ Emergency Medicine, Maine Medical Center, Portland, Maine, USA.

Abstract

Our group has developed a 'Step Up' approach to the application of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in a rural trauma system. This incorporates viewing REBOA as a spectrum of technology. Examples of REBOA technology use to improve outcomes and provision of our system's clinical practice guideline for the Step-Up application of REBOA technology in the care of trauma patients are presented.

Keywords: RAO; REBOA; hemorrhagic shock; trauma.