Massive hemorrhage that is noncompressible (such as abdominal and pelvic bleeding) is an EMERGENCY! Learn about a new technique to temporarily stop abdominal and pelvic bleeding, called REBOA Resuscitative Endovascular Balloon Occlusion of the Aorta.
If you haven't seen my ARTERIAL LINES episode yet, that will be very helpful before you watch this video! • Placing Arterial Lines Like a Pro (ra...
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Sources of clips used under Fair Use doctrine for this educational video:
Larry Mellick: • Open Thoracotomy (Viewer Discretion A...
UF PRO: • Combat Medic Essentials │ Part 1: Car...
Global News: • Las Vegas Shooting: compilation of ce...
CoTCCC CommitteeonTCCC: • TFC Hemorrhage Control
MedCram: • Hemoperitoneum / Free Fluid in the RU...
Orlando Health: • Mass Casualty Intake Drill Trauma Bay
EVTM: • Aortic Balloon Occlusion REBOA
SAM Medical: • SAM® Junctional Tourniquet (SJT) | SA...
Intro: (0:00)
Indications and Contraindications: (1:54)
Setup: (3:13)
Features of the REBOA catheter: (4:54)
Procedural Steps: (7:18)
After REBOA is deployed: (13:28)
Outro: (14:42)
Supplies you should gather:
REBOA Catheter
REBOA Convenience Kit (contains 7 Fr sheath, introducer needle, guidewire, syringe, saline flushes, suture, scalpel, catheter fastener, and sterile drape)
If you want to use a 5 Fr sheath, you need to get this separately!
Key Steps of the Procedure:
Obtain (early, if possible) common femoral arterial access
Measure the catheter length to the patient
Empty the balloon at the BAL port
Flush the catheter with the arterial line tubing after hooking it up
Insert the catheter using the orange peelaway
Inflate the balloon (remember: start 2, start 8, don't overinflate)
Secure the catheter