Page 43 - Journal of Special Operations Medicine - Spring 2017

non-surgeons; however, no published data are available, 8. Morrison JJ, Percival TJ, Markov NP, et al. Aortic balloon
to our knowledge, regarding the efficacy or outcomes of occlusion is effective in controlling pelvic hemorrhage. J Surg
these patients, or details of the providers. Res. 2012;177:341–347.
9. Brenner ML, Moore LJ, DuBose JJ, et al. A clinical series of
resuscitative endovascular balloon occlusion of the aorta for
Technology will undoubtedly help push REBOA into hemorrhage control and resuscitation. J Trauma Acute Care
the prehospital environment as lower-profile devices are Surg. 2013;75:506–511.
developed and are Food and Drug Administration ap- 10. US Army Institute of Surgical Research. Joint Theater Trauma
proved. The newest balloon catheter, and the only one System Clinical Practice Guideline. Resuscitative endovascu-
lar balloon occlusion of the aorta (REBOA) for hemorrhagic
made specifically for REBOA, is now available and is shock. 2014.
compatible with a 7F sheath, making upsizing less dif- 11. Borden Institute, Office of the Surgeon General. Emergency
ficult than the sheaths initially available on the market war surgery. 4th ed. Fort Sam Houston, TX: Office of the
(11F–14F). However, regardless of how small the device Surgeon General; 2013.
and sheath become in the future, the ability to perform 12. Brenner M, Hoehn M, Pasley J, et al. Basic endovascular
skills for trauma course: bridging the gap between endovas-
REBOA will be contingent on accessing the CFA rap- cular techniques and the acute care surgeon. J Trauma Acute
idly and correctly, and choosing the appropriate patient. Care Surg. 2014;77:286–291.
Along with the actual technique, these areas should be-
come a focus of training.

Dr Teeter is with the R. Adams Cowley Shock Trauma Cen-
Disclosures
ter at the University of Maryland, Baltimore, Maryland; and
The authors have nothing to disclose. University of North Carolina Department of Emergency Medi-
cine, Chapel Hill, North Carolina.
E-mail: WilliamTeeter@umm.edu.
References
Dr Romagnoli is a resident at the Walter Reed National Mili-
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