UMEM Educational Pearls

Category: Trauma

Title: Does REBOA improve survival in trauma patients?

Keywords: REBOA, trauma, survival (PubMed Search)

Posted: 10/14/2023 by Robert Flint, MD (Emailed: 10/15/2023) (Updated: 7/12/2024)
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This UK study randomized 90 trauma patients suspected of having major life threatening torso hemorrhage to receive standard resuscitative care vs. standard care plus resuscitative endovascular occlusion of the aorta (REBOA). Mortality was 54% in the REBOA group and 42% in the standard care group. This calls into question the routine use of REBOA in trauma resuscitations.

References

Jansen JOHudson JCochran C, et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating HemorrhageThe UK-REBOA Randomized Clinical TrialJAMA. Published online October 12, 2023. doi:10.1001/jama.2023.20850