Trauma endures as the leading cause of death worldwide, and most deaths occur in the first 24 hours after initial injury as a result of hemorrhage. Historically, about 90% of battlefield deaths occur before the injured person arrives at a theater hospital, and most are due to noncompressible hemorrhage of the torso. Resuscitative endovascular balloon occlusion of the aorta is an evolving technique to quickly place a balloon into the thoracic or abdominal aorta to efficiently block blood flow to distal circulation. Maneuvers, such as resuscitative endovascular balloon occlusion of the aorta, to control endovascular hemorrhage offer a potential intervention to control noncompressible hemorrhage. This technique can be performed percutaneously or open in prehospital environments to restore hemodynamic functions and serve as a survival bridge until the patient is delivered to a treatment facility for definitive surgical hemostasis. This article describes the indications, complications, and application of resuscitative endovascular balloon occlusion of the aorta to military and civilian aeromedical transport.
Resuscitative Endovascular Balloon Occlusion of the Aorta: A Bridge to Flight Survival
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Carl Goforth, Matthew Bradley, Benilani Pineda, Suzanne See, Jason Pasley; Resuscitative Endovascular Balloon Occlusion of the Aorta: A Bridge to Flight Survival. Crit Care Nurse 1 April 2018; 38 (2): 69–75. doi: https://doi.org/10.4037/ccn2018853
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