When REBOA grows wings: Resuscitative endovascular balloon occlusion of the aorta to facilitate aeromedical transport

Jason A. Snyder, Douglas J.E. Schuerer, Grant V. Bochicchio, Mark H. Hoofnagle

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a helpful adjunct in the control of non-compressible truncal hemorrhage. Concerns regarding ischemia time limits its applicability in transfer. We describe the first reported case of civilian transfer via aeromedical transport to a higher level of care with a zone 3 REBOA catheter deployed. Case report: We present the case of a patient in hemorrhagic shock with a complex pelvic fracture exceeding the capability of a rural level-two trauma center requiring the use of REBOA catheter to permit aeromedical transport to a level-one trauma center for definitive embolization. Conclusion: Deployment of REBOA catheter to facilitate aeromedical transport to an appropriate level of care may be considered if travel times can be kept brief and there is a process and training in place to empower flight medics to consider transporting with a REBOA deployed.

Original languageEnglish
Article number100622
JournalTrauma Case Reports
Volume38
DOIs
StatePublished - Apr 2022

Keywords

  • Aeromedical transport
  • Aortic occlusion
  • Helicopter
  • Pelvic fracture
  • REBOA
  • Resuscitative endovascular balloon occlusion of the aorta

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