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

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

Author information

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

Conflict of interest statement

Competing interests: JH has the following disclosures: He is a founder and on the Board of Directors of Decisio Health, on the Board of Directors of Zibrio and QinFlow, a Co-inventor of the Junctional Emergency Tourniquet Tool and an advisor to Cellphire Therapeutics, Arsenal Medical and Prytime Medical.

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