2019
DOI: 10.1016/j.jamcollsurg.2019.05.025
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Who Would Have Benefited from the Prehospital Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)? An Autopsy Study

Abstract: BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used as part of damage control resuscitation for patients with non-compressible truncal hemorrhage. We hypothesized that there might be a select group of patients that could have benefited from prehospital placement of the REBOA. STUDY DESIGN: This was a retrospective cohort study including patients who presented to a Level I trauma center with cardiac arrest between January 2014 and March 2018. The findings of … Show more

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Cited by 29 publications
(24 citation statements)
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“…Our group previously conducted a retrospective study to answer whether there are unifying clinical variables that would reliably identify a candidate for REBOA placement in the prehospital setting. 12 Patients who developed prehospital cardiac arrest were divided into REBOA candidates and noncandidate groups based on the following criteria: (1) abdominal and pelvis injuries as the cause of NCTH and (2) no associated severe injuries in the head or neck. These injury patterns were confirmed with autopsy results.…”
Section: Introductionmentioning
confidence: 99%
“…Our group previously conducted a retrospective study to answer whether there are unifying clinical variables that would reliably identify a candidate for REBOA placement in the prehospital setting. 12 Patients who developed prehospital cardiac arrest were divided into REBOA candidates and noncandidate groups based on the following criteria: (1) abdominal and pelvis injuries as the cause of NCTH and (2) no associated severe injuries in the head or neck. These injury patterns were confirmed with autopsy results.…”
Section: Introductionmentioning
confidence: 99%
“…However, a point to consider is that all REBOA cases in our study were in-hospital cases. Other research has shown that successful REBOA performed pre-hospital in a traumatic arrest situation improves survival and many studies have demonstrated that pre-hospital or early REBOA is a feasible resuscitation strategy [13][14][15]. If early REBOA can be achieved in cases of impending arrest, this may help to improve mortality outcomes, and early REBOA should therefore be attempted on a regular basis.…”
Section: Discussionmentioning
confidence: 99%
“…Indication for REBOA is expanding to nontraumatic cardiac arrest 9 11 . REBOA can be implemented in the prehospital environment 12 15 , and prehospital REBOA in trauma could add a substantial mortality benefit in selected patients 16 .…”
Section: Introductionmentioning
confidence: 99%