RT Journal Article SR Electronic T1 ‘Step Up’ approach to the application of REBOA technology in a rural trauma system JF Trauma Surgery & Acute Care Open JO Trauma Surg Acute Care Open FD BMJ Publishing Group Ltd SP e000335 DO 10.1136/tsaco-2019-000335 VO 4 IS 1 A1 Jack P Vernamonti A1 John Holcomb A1 Nathan W Mick A1 Carolyne Falank A1 Julianne B Ontengco A1 Joseph Rappold A1 Forest Raymond Sheppard YR 2019 UL http://tsaco.bmj.com/content/4/1/e000335.abstract AB Our group has developed a ‘Step Up’ approach to the application of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in a rural trauma system. This incorporates viewing REBOA as a spectrum of technology. Examples of REBOA technology use to improve outcomes and provision of our system’s clinical practice guideline for the Step-Up application of REBOA technology in the care of trauma patients are presented.