Abstract
Background Non-compressible haemorrhage is the leading cause of preventable trauma death, with pelvic and groin haemorrhage associated with mortality rates approaching 50% [1,2]. Trauma systems expedite access to haemorrhage control, however, the majority of patients who die, exsanguinate before control can be achieved. REBOA is an innovative technique that provides the opportunity for meaningful improvements in the outcome of these patients. It involves the positioning of a balloon at the aortic bifurcation (Zone III) as a means of temporary in-flow control and afterload augmentation in patients with severe distal haemorrhage [3]. Our aim is to describe the training package developed to introduce zone III REBOA at a UK Major Trauma Centre.
Highlights
Non-compressible haemorrhage is the leading cause of preventable trauma death, with pelvic and groin haemorrhage associated with mortality rates approaching 50% [1,2]
Many clinicians faced with a patient who would benefit from the procedure, will have no prior experience with REBOA
Authors’ details 1London’s Air Ambulance, The Royal London Hospital, London, UK. 2Centre for Trauma Sciences, Queen Mary, University of London, UK
Summary
Non-compressible haemorrhage is the leading cause of preventable trauma death, with pelvic and groin haemorrhage associated with mortality rates approaching 50% [1,2]. Trauma systems expedite access to haemorrhage control, the majority of patients who die, exsanguinate before control can be achieved. REBOA is an innovative technique that provides the opportunity for meaningful improvements in the outcome of these patients. It involves the positioning of a balloon at the aortic bifurcation (Zone III) as a means of temporary in-flow control and afterload augmentation in patients with severe distal haemorrhage [3].
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