• Christopher Kelly, H Hill Stoecklein, Graham Brant-Zawadzki, Guillaume Hoareau, James Daley, Craig Selzman, Scott Youngquist, and Austin Johnson.
• Department of Emergency Medicine, University of Utah, Salt Lake City, UT, USA. Electronic address: Christopher.Kelly@hsc.utah.edu.
• Am J Emerg Med. 2023 Jan 1; 63: 182.e5182.e7182.e5-182.e7.

AbstractResuscitative endovascular balloon occlusion of the aorta (REBOA) is most commonly used to manage non-compressible torso hemorrhage. It is also emerging as a promising treatment for non-traumatic refractory cardiac arrest. Aortic occlusion during chest compressions increases cardio-cerebral perfusion, increasing the potential for sustained return of spontaneous circulation (ROSC) or serving as a bridge to extracorporeal cardiopulmonary resuscitation (ECPR). Optimal patient selection and post-ROSC management in such cases is uncertain and not well reported in the literature. We present a case of non-traumatic out-of-hospital cardiac arrest in which REBOA was placed in the emergency department with subsequent ROSC. Transesophageal echocardiography was used to guide post-ROSC REBOA management and balloon deflation.Copyright © 2022 Elsevier Inc. All rights reserved.

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