• Shock · Aug 2024

    Progress of Resuscitative Endovascular Balloon Occlusion of the Aorta in prehospital emergency treatment for pelvic fracture.

    • Xing Gao, Huiqun Sun, Jialin He, Jingbo Kong, Haojun Fan, Qi Lv, and Shike Hou.
    • Tianjin University Tianjin Hospital, Tianjin 300211, China.
    • Shock. 2024 Aug 6.

    AbstractPelvic fractures are severe traumatic injuries often accompanied by potentially fatal massive bleeding. Rapid control of hemorrhages in pre-hospital emergency settings is critical for improving outcomes in traumatic bleeding. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a promising technique for controlling active bleeding from pelvic fractures. By inserting a balloon catheter into the aorta, REBOA helps maintain blood flow to vital organs such as the brain and heart. This paper provides a comprehensive overview of the initial management of non-compressive trunk hemorrhage caused by pelvic fractures, introduces the technical principles and developments of REBOA, and explores its extensive application in pre-hospital emergency care. It delves into the operational details and outlines strategies for effectively managing potential complications. We aim to offer a theoretical framework for the future utilization of REBOA in managing uncontrollable hemorrhage associated with pelvic fractures in pre-hospital emergencies.Copyright © 2024 by the Shock Society.

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