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EMCrit Podcast 133 – The First Prehospital REBOA


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A few months ago, we spoke about REBOA-resuscitative endovascular balloon occlusion of the aorta. You might have thought to yourself, "Interesting, but I'll never be doing that." Well, not so fast, on today's podcast we speak to the retrieval doctor that performed the first REBOA in the field.
REBOA in the Field and the ED


In London, the idea of bringing REBOA to the field and the ED was made reality by Gareth Davies. Dr. Davies is Chair and Medical Director of the London Air Ambulance (London HEMS), one of the best HEMS services in the world. In the first part of the podcast, we hear how he conceptualized and enacted the plan to bring REBOA to the field.

REBOA Training at London HEMS (Photo by Andy Patton @AndyP_91)
The First Prehospital REBOA
Then we speak with Jonny Price, Anesthesia and Intensive Care registrar doing a secondment in HEMS. At the time of the events of the podcast, he was flying with London HEMS. His story of the first prehospital REBOA is fascinating.

Special thanks to Cliff Reid for making these interviews possible.
Update
Here is the hot-off-the-press article on the technique: Resuscitation 2016 Jul 1; Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the pre-hospital setting: An additional resuscitation option for uncontrolled catastrophic haemorrhage.S Sadek, D J Lockey, R Lendrum, Z Perkins, J Price, G E Davies PMID: 27377669
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EMCrit FOAM FeedBy Scott D. Weingart, MD FCCM

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