Barnard et al listed criteria for the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in a trauma patient. The authors are from multiple institutions in England, Wales, Scotland, the United States and Brazil.
Indications:
(1) systolic blood pressure < 90 mm Hg
(2) AIS >= 3 intra-abdominal and/or pelvic trauma
Trauma
Zone for REBOA Balloon
liver, kidney and/or spleen
1
mesenteric disruption
1
named abdominal vessel injury
1
pelvic fracture with ring disruption
3
named pelvic vessel injury
3
traumatic amputation at or near the hip
3
Contraindications:
(1) noncompressible hemorrhage in the superior mediastinum
(2) noncompressible hemorrhage in the axilla
(3) noncompressible hemorrhage in the head or neck
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