Resuscitative Endovascular Balloon Occlusion of the Aorta Process Improvement: Examining a Novel Case Evaluation Tool and Standardized Simulations.

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
David J BurkardAlistair J Chapman

Abstract

A quality improvement project was undertaken. The objectives of this study were to describe an original case evaluation tool, discuss barriers encountered, present a standardized simulation course, and evaluate the efficacy of this course. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emerging adjunct in the trauma bay for patients with noncompressible subdiaphragmatic hemorrhage. Compared with the alternative (emergency department thoracotomy), it is less invasive and allows for continuation of chest compressions, and early studies suggest a positive effect on mortality. Infrequent utilization of REBOA limits provider and support staff exposure to its indications and technical skills required to deploy the device. Furthermore, there is no standardized evaluation tool for collecting and reporting REBOA-related data. The REBOA Review Tool was designed to easily evaluate all the steps involved in deploying the REBOA tool and was implemented at our institution without difficulty. This tool provided meaningful feedback for areas that required improvement including ease of information retrieval and documentation of sheath removal. Standardized simulation courses were performed to further improve provider an...Continue Reading

References

Jul 9, 2013·The Journal of Surgical Research·Mehreen KisatAdil H Haider
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Sep 20, 2015·Resuscitation·Zaffer QasimThomas Scalea
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Jan 11, 2018·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Molly Sambor
May 2, 2018·Journal of the American College of Surgeons·Marcus D DarrabieR Stephen Smith

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Citations

Nov 4, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Caroline ParkRyan P Dumas

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