Abstract
A 71-year-old man described abdominal pain prior to an out-of-hospital cardiac arrest with an initial pulseless rhythm. During emergency department (ED) resuscitation, a bedside ultrasound confirmed a large abdominal aortic aneurysm surrounded by a hematoma. We initiated blood transfusion and performed ultrasound-guided resuscitative endovascular balloon occlusion of the aorta (REBOA) within 30 minutes after ED arrival. During resuscitation, a transesophageal echocardiogram established the REBOA location (Video 1, Figure 1), revealing hyperechoic blood below the REBOA balloon.
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