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J Emerg Med. 2018 Apr;54(4):419-426. doi: 10.1016/j.jemermed.2018.01.005. Epub 2018 Feb 16.

Successful Interprofessional Approach to Development of a Resuscitative Endovascular Balloon Occlusion of the Aorta Program at a Community Trauma Center.

Author information

1
Department of Emergency Medicine, Christiana Care Health System, Newark, Delaware.
2
Division of Trauma Surgery, Department of Surgery, Christiana Care Health System, Newark, Delaware.
3
Virtual Education and Simulation Training Center, Christiana Care Health System, Newark, Delaware.

Abstract

BACKGROUND:

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a relatively innovative procedure designed to control critical non-compressible torso hemorrhage. In the United States, this procedure is currently in active use at only a small number of trauma centers.

OBJECTIVE:

We describe how we developed our REBOA program at an independent academic-affiliated community trauma center.

DISCUSSION:

Through a close interprofessional and multidisciplinary collaboration led by emergency physicians and trauma surgeons, we were able to successfully develop our program.

CONCLUSIONS:

Successful implementation of a REBOA program requires close attention to multimodal training, interprofessional roles, team dynamics, financial considerations, and quality assurance processes to safely deliver this potentially life-saving procedure to our trauma patient population.

KEYWORDS:

REBOA; hemorrhage; trauma

PMID:
29456087
DOI:
10.1016/j.jemermed.2018.01.005
[Indexed for MEDLINE]

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