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J Trauma Acute Care Surg. 2019 Feb;86(2):337-343. doi: 10.1097/TA.0000000000002138.

Guidelines for a system-wide multidisciplinary approach to institutional resuscitative endovascular balloon occlusion of the aorta implementation.

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From the UC Davis Medical Center (S.A.Z., B.C.B., E.S.S.), Sacramento, California; Baltimore Center for Sustainment of Trauma and Critical Care (J.J.D.), Baltimore, Maryland; Texas Trauma Institute (J.J.M.), Memorial Hermann Hospital, Houston, Texas; and Basic Endovascular Skills for Trauma (M.B.), American College of Surgeons Committee on Trauma, Chicago, Illinois.


Resuscitative endovascular occlusion of the aorta (REBOA) is a rapidly evolving technology which requires careful system-wide multidisciplinary implementation for optimal success. These guidelines developed by experienced REBOA practitioners provide a framework for a key practitioner to use in the development of a REBOA program in their institution. They detail the importance of involving doctors, nurses, and staff across departments and disciplines in the application of this technique.

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