Qasim Zaffer, Bradley Kevin, Panichelli Heather, Robinson Josie, Zern Susan Coffey
Department of Emergency Medicine, Christiana Care Health System, Newark, Delaware.
Division of Trauma Surgery, Department of Surgery, Christiana Care Health System, Newark, Delaware.
J Emerg Med. 2018 Apr;54(4):419-426. doi: 10.1016/j.jemermed.2018.01.005. Epub 2018 Feb 16.
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.
We describe how we developed our REBOA program at an independent academic-affiliated community trauma center.
Through a close interprofessional and multidisciplinary collaboration led by emergency physicians and trauma surgeons, we were able to successfully develop our program.
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.
主动脉内复苏球囊阻断术（REBOA）是一种相对创新的手术，旨在控制严重的不可压缩性躯干出血。在美国，目前只有少数创伤中心在积极开展这一手术。
我们描述了在一家独立的学术附属社区创伤中心如何开展我们的REBOA项目。
通过由急诊医生和创伤外科医生牵头的紧密跨专业和多学科合作，我们成功地开展了该项目。
成功实施REBOA项目需要密切关注多模式培训、跨专业角色、团队动态、财务考量和质量保证流程，以便安全地为我们的创伤患者群体提供这种可能挽救生命的手术。
