You are here

  • Home
  • Archive
  • Volume 3, Issue 1
  • Authors' Response to Letter to the Editor by Allen et al regarding 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 End…

Article Text

Article menu

Download PDFPDF

Letter to the Editor
Authors' Response to Letter to the Editor by Allen et al regarding 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) by Brenner et al
  1. Debra G Perina1,
  2. Christopher S Kang2,
  3. Eileen M Bulger3,
  4. Ronald M Stewart4,
  5. Robert J Winchell5,
  6. Megan Brenner6,
  7. Sharon Henry6,
  8. Leonard J Weireter7,
  9. Michael C Chang8,
  10. Michael F Rotondo9
  1. 1 Depatrment of Emergency Medicine, University of Virginia, Charlottesville, Virginia, USA
  2. 2 Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington, USA
  3. 3 Department of Surgery, University of Washington, Seattle, Washington, USA
  4. 4 Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA
  5. 5 Department of Surgery, New York-Presbyterian Weill Cornell Medicine, New York, USA
  6. 6 Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA
  7. 7 Department of Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA
  8. 8 Department of Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA
  9. 9 Department of Surgery, University of Rochester Medical Center, Rochester, New York, USA
  1. Correspondence to Dr Ronald M Stewart; stewartr{at}uthscsa.edu

https://doi.org/10.1136/tsaco-2018-000172

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    We appreciate the thoughts and comments provided by Allen et al in their correspondence to the editor. The care of the trauma patient requires an interdisciplinary approach. The American College of Surgeons Committee on Trauma (ACS COT), along with its partner organizations, such as American College of Emergency Physicians (ACEP), has diligently tried to make trauma center criteria centered on the patient and the multidisciplinary team concept. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has emerged as a potential technique for controlling previously lethal truncal hemorrhage in trauma patients, but its optimal role in the management of hemorrhagic shock has yet to be established. The purpose of the ACS and ACEP joint statement is to keep the focus on patient safety in the use of this device. We believe there is insufficient evidence to support the widespread adoption of REBOA1 in both civilian trauma centers and non-trauma centers where there is not immediate access to definitive hemorrhage control. This stance is due to concerns of the negative consequences of (1) prolonged ischemia and (2) delay of hemorrhage control as documented in published studies.2 In addition, the Joint Trauma Systems Clinical Practice Guideline notes, ‘… there is currently a paucity of evidence to guide the specific length …

    View Full Text

    Linked Articles