Successful Interprofessional Approach to Development of a Resuscitative Endovascular Balloon Occlusion of the Aorta Program at a Community Trauma Center

J Emerg Med. 2018 Apr;54(4):419-426. doi: 10.1016/j.jemermed.2018.01.005. Epub 2018 Feb 16.


Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a relatively innovative procedure designed to control critical non-compressible torso hemorrhage. In the United States, this procedure is currently in active use at only a small number of trauma centers.

Objective: We describe how we developed our REBOA program at an independent academic-affiliated community trauma center.

Discussion: Through a close interprofessional and multidisciplinary collaboration led by emergency physicians and trauma surgeons, we were able to successfully develop our program.

Conclusions: Successful implementation of a REBOA program requires close attention to multimodal training, interprofessional roles, team dynamics, financial considerations, and quality assurance processes to safely deliver this potentially life-saving procedure to our trauma patient population.

Keywords: REBOA; hemorrhage; trauma.

MeSH terms

  • Aorta / injuries
  • Balloon Occlusion / methods*
  • Delaware
  • Education / methods*
  • Education / statistics & numerical data
  • Endovascular Procedures / methods
  • Endovascular Procedures / statistics & numerical data
  • Hemorrhage / complications
  • Hemorrhage / surgery
  • Humans
  • Injury Severity Score
  • Interprofessional Relations
  • Program Development / methods*
  • Program Development / statistics & numerical data
  • Resuscitation / methods
  • Resuscitation / standards
  • Resuscitation / statistics & numerical data
  • Shock, Hemorrhagic / surgery