A Pilot Study of Proactive Team REBOA to Avoid Delays to Definitive Care
Keywords:REBOA, Process Improvement, Time to Intervention
As experience using resuscitative endovascular balloon occlusion of the aorta (REBOA) has expanded over the past few years, best practices for implementing a REBOA program have emerged. Early practice was single-surgeon focused, but we have learned that a team approach to REBOA practice is common in successful programs. Key components of our contemporary team approach are defining a patient selection algorithm, uniform acceptance of early CFA access, full team training, regular case reviews, and implementation of a process improvement program. This team approach to REBOA has resulted in numerous benefits for trauma patients with, most importantly, a significantly decreased time to definitive hemorrhage control. Here, we describe our experience and outcomes as a Level 1 Trauma Center implementing a REBOA program, shifting our hemorrhage control paradigm from reactive to proactive, and subsequently improving time to both temporary and definitive hemorrhage control maneuvers.
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