Page 49 - JSOM Spring 2018

patients on the battlefield and during rotary wing evacuation, ABSTRACT
is that REBOA may have a place in prehospital resuscitation
but patient and provider selection are paramount. The pro- The medical advancements made during the wars in Iraq
cedure, although simple in description, is quite complicated and Afghanistan have resulted in an unprecedented survival
and can cause major physiologic changes best dealt with by rate, yet there is still a significant number of deaths that were
experienced providers. REBOA is incapable of extending the potentially survivable. Additionally, the ability to deliver ca-
golden hour limiting the procedure’s utility. sualties to definitive surgical care within the “golden hour”
is diminishing in many areas of conflict. Resuscitative endo-
vascular balloon occlusion of the aorta (REBOA) has been
Keywords: REBOA; resuscitative endovascular balloon oc- implemented successfully in the hospital setting. REBOA may
clusion of the aorta; battlefield resuscitation; junctional be a possible adjunct for the Role I and point-of-injury (POI)
hemorrhage care to provide temporary control of noncompressible torso
hemorrhage (NCTH) and junctional hemorrhage. Here the
authors advocate for the development of the Role I Resuscita-
THE ROLE I RESUSCITATION TEAM AND tion Team (RT) and a training pathway to meet the challenge
RESUSCITATIVE ENDOVASCULAR BALLOON of the changing battlefield
OCCLUSION OF THE AORTA
Keywords: Tactical Combat Casualty Care; TCCC; resusci-
Fisher AD, Teeter WA, Cordova CB, Brenner ML, tation; resuscitative endovascular balloon occlusion of the
Szczepanski MP, Miles EA, Galante JM, DuBose JJ, aorta; REBOA; hemorrhage; shock
Rasmussen TE. 17(2). 65–73. (Journal Article)

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