Massive hemorrhage that is non-compressible (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! https://www.youtube.com/watch?v=nyZeuMrwBH8 Subscribe to the podcast! https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143 https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7 Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast Follow us on Facebook! https://www.facebook.com/behindtheknife/ Sources of clips used under Fair Use doctrine for this educational video: Larry Mellick: https://youtu.be/8BlPxQI2C90 UF PRO: https://youtu.be/XXbaByUzKe0 Global News: https://youtu.be/B6fE2JkvVoo CoTCCC Committee-on-TCCC: https://youtu.be/JU43hsCUFrI MedCram: https://youtu.be/ooLzAUVbhZ8 Orlando Health: https://youtu.be/VmEpL9Jo0uQ EVTM: https://youtu.be/WYg7xjhq6UE SAM Medical: https://youtu.be/8o7myD-u8KM Intro: (0:00) Indications and Contraindications: (1:54) Set-up: (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 peel-away Inflate the balloon (remember: start 2, start 8, don't overinflate) Secure the catheter