How many patients could benefit from REBOA in prehospital care? A retrospective study of patients rescued by the doctors of the Paris fire brigade

Journal of the Royal Army Medical Corps
Oscar ThabouillotJ-P Tourtier

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique to control haemorrhage by placing a retrograde catheter in an artery and inflating a balloon at its tip. This retrospective study aimed to evaluate the proportion of injured people who could potentially have benefited from this technique prior to hospitalisation, including on the scene or during transport. A retrospective analysis was conducted of all patients with trauma registered in the Paris Fire Brigade emergency medical system between 1 January and 31 December 2014. Inclusion criteria included all patients over 18 years of age with bleeding of supposedly abdominal and/or pelvic and/or junctional origin, uncontrolled haemorrhagic shock or cardiac arrest with attempted resuscitation. During this study period, a total of 1159 patients with trauma (3.2%) would have been eligible to undergo REBOA. Death on scene rate was 83.8% (n=31) and six patients had a beating heart when they arrived at the hospital. Ten out of the 37 patients had spontaneous circulatory activity. Among them, four people died on the scene or during transport. Thirty-six out of 37 patients were intubated, one benefited from the use of a haemostatic dressing and one benefited fr...Continue Reading

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Citations

Aug 8, 2018·Journal of the Royal Army Medical Corps·Johno Breeze
Jan 30, 2019·Current Opinion in Anaesthesiology·Corey Scher, Robert Mansky
Feb 6, 2020·Emergency Medicine Australasia : EMA·Daniel Y Ellis
Jun 25, 2020·Revista do Colégio Brasileiro de Cirurgiões·Jorge Henrique Bento SousaMilton Steinman
Mar 1, 2019·Current Opinion in Anaesthesiology·Robert Mansky, Corey Scher
Jul 10, 2019·Patient Safety in Surgery·Orkun ÖzkurtulJohannes Karl Maria Fakler
Jun 19, 2019·BMJ Military Health·Boudewijn L S Borger van der BurgR Hoencamp
Feb 2, 2021·The American Surgeon·Mason SutherlandAdel Elkbuli

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