Cannon Jeremy, Morrison Jonathan, Lauer Cynthia, Grabo Daniel, Polk Travis, Blackbourne Lorne, Dubose Joseph, Rasmussen Todd
Joint Trauma System, 3698 Chambers Pass, Joint Base San Antonio, Fort Sam Houston, TX.
Mil Med. 2018 Sep 1;183(suppl_2):55-59. doi: 10.1093/milmed/usy143.
This clinical practice guideline (CPG) reviews the range of accepted management approaches to profound shock and post-traumatic cardiac arrest and establishes indications for considering Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a hemorrhage control adjunct. The specific management approach - within the parameters of mission, resources, and tactical situation - will depend on the casualty's physical location, mechanism and pattern of injury, and the experience level of the surgeon. The optimal management strategy is best determined by the surgeon at the bedside.
本临床实践指南(CPG)回顾了针对深度休克和创伤后心脏骤停的一系列公认的管理方法,并确定了将主动脉内球囊阻断复苏术(REBOA)作为出血控制辅助手段的适应症。在任务、资源和战术情况的参数范围内,具体的管理方法将取决于伤员的身体位置、损伤机制和模式以及外科医生的经验水平。最佳管理策略最好由床边的外科医生确定。