You are here

  • Home
  • Archive
  • Volume 4, Issue 1
  • Clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the …

Article Text

Article menu

Download PDFPDF

Guidelines / Algorithms
Clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians
  1. Eileen M Bulger1,
  2. Debra G Perina2,
  3. Zaffer Qasim3,
  4. Brian Beldowicz4,
  5. Megan Brenner5,
  6. Frances Guyette6,
  7. Dennis Rowe7,
  8. Christopher Scott Kang8,
  9. Jennifer Gurney9,
  10. Joseph DuBose10,
  11. Bellal Joseph11,
  12. Regan Lyon12,
  13. Krista Kaups13,
  14. Vidor E Friedman14,
  15. Brian Eastridge15,
  16. Ronald Stewart15
  1. 1 Department of Surgery, University of Washington, Seattle, Washington, USA
  2. 2 Department if Emergency Medicine, University of Virginia, Charlottesville, Virginia, USA
  3. 3 Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
  4. 4 Department of Surgery, Madigan Army Medical Center, Tacoma, Washington, USA
  5. 5 Department of Surgery, University of California Riverside, Riverside, California, USA
  6. 6 Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  7. 7 Government and Industry Relations, Priority Ambulance Inc, Knoxville, Tennessee, USA
  8. 8 Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington, USA
  9. 9 Joint Trauma System, Defense Center of Excellence, San Antonio, Texas, USA
  10. 10 Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA
  11. 11 Department of Surgery, University of Arizona, Tucson, Arizona, USA
  12. 12 Department of Emergency Medicine, Uniformed Services University of the Health Sciences, Graduate School of Nursing, Bethesda, Maryland, USA
  13. 13 Department of Surgery, University of California San Francisco, Fresno, California, USA
  14. 14 Emergency Medicine, Florida Emergency Physicians, Maitland, Florida, USA
  15. 15 Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
  1. Correspondence to Dr Eileen M Bulger, University of Washington, Seattle, Washington 98104, USA; ebulger{at}u.washington.edu

Abstract

This is a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians regarding the clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA. This statement addresses the system of care needed to manage trauma patients requiring the use of REBOA, in light of the current evidence available in this patient population. This statement was developed by an expert panel following a comprehensive review of the literature with representation from all sponsoring organizations and the US Military. This is an update to the previous statement published in 2018. It has been formally endorsed by the four sponsoring organizations.

  • shock management
  • Shock resuscitation
  • endovascular treatment

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/tsaco-2019-000376

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.

    View Full Text

    Footnotes

    • Contributors All authors were members of the expert panel and participated in the crafting of the statement. The article was drafted by EMB and all authors contributed to revisions and editing.

    • Disclaimer The views expressed herein are those of the authors and do not reflect the official policy of the Department of the Air Force, Department of the Army, the Defense Health Agency, Department of Defense, or the US Government.

    • Competing interests MB reports royalties from Prytime Medical Inc as a member of the Clinical Advisory Board. In addition, MB has a patent for a 'Central Pressurized Cadaver Model' pending. MB is also the founder and committee chair of the Basic Endovascular Skills for Trauma (BEST) Course which is managed by the American College of Surgeons. She receives no financial income from the course. ZQ is the course medical director for the Resuscitation Adjuncts: Prehospital Transfusion and REBOA (RAPToR) course for which he provides medical direction but maintains no financial relationship with this course.

    • Patient consent for publication Not required.

    • Provenance and peer review Commissioned; internally peer reviewed.