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Letter to the Editor
Response to letter to the editor from Dubose and colleagues regarding the Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
  1. Megan Brenner1,
  2. Debra G Perina2,
  3. Eileen M Bulger3,
  4. Robert J Winchell4,
  5. Christopher S Kang5,
  6. Sharon Henry6,
  7. Ronald M Stewart7,
  8. Leonard J Weireter8,
  9. Michael C Chang9,
  10. Michael F Rotondo10
  1. 1Department of Surgery, University of Maryland, R Adams Cowley Shock Trauma Medical Center, Baltimore, Maryland, USA
  2. 2Department of Emergency Medicine, University of Virginia, Charlottesville, Virginia, USA
  3. 3Department of Surgery, University of Washington, Seattle, Washington, USA
  4. 4Department of Surgery, New York-Presbyterian Weill Cornell Medicine, New York, USA
  5. 5Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington, USA
  6. 6Department of Surgery, University of Maryland, R Adams Cowley Shock Trauma Medical Center, Baltimore, Maryland, USA
  7. 7Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA
  8. 8Department of Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA
  9. 9Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
  10. 10Department of Surgery, University of Rochester Medical Center, Rochester, New York, USA
  1. Correspondence to Dr Ronald M Stewart, Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas 78229, USA ; stewartr{at}uthscsa.edu

https://doi.org/10.1136/tsaco-2018-000170

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    The Joint Statement from the American College of Surgeons Committee on Trauma and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is intended to serve as a guide for the safe introduction and use of REBOA as a resuscitative tool for a select group of critically ill civilian trauma patients.1 Patient safety and quality care are at the forefront of these recommendations and we stand behind the statement. In no way did we intend to diminish or impair the Department of Defense physician leadership’s ability to implement combat casualty care clinical practice guidelines for REBOA implementation in deployed settings.

    We admire and appreciate the numerous contributions to care of the injured patient that have emerged from the years of conflict in Iraq and Afghanistan. They are a testimony to what unity of purpose, resiliency and creativity can bring in the quest …

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