Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Field Setting: A Case Report From China.

IF 0.7 4区 医学 Q4 CRITICAL CARE MEDICINE Journal of Trauma Nursing Pub Date : 2024-09-06 DOI:10.1097/jtn.0000000000000803
Xixi Li,Nan Xie,Tong Zhou,Bo Yang
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Abstract

BACKGROUND The widespread use of agricultural machinery in China has increased the incidence of agricultural machinery-related injuries, posing challenges to on-site medical rescue. This study explores resuscitative endovascular balloon occlusion of the aorta (REBOA) as a life-saving intervention for a patient with severe trauma from agricultural machinery. CASEPRESENTATION This study reviews the emergency medical response for a 70-year-old male who suffered machinery entanglement injuries in an agricultural field in western China. The intervention involved a tiered multidisciplinary medical response, including the implementation of REBOA. CONCLUSION This case demonstrates the successful use of REBOA in the prehospital setting in China. While prehospital REBOA use is rare, it is increasingly reported in both military and civilian contexts in austere environments in different countries. Further research is required to validate the feasibility and efficacy of REBOA as a prehospital resuscitation strategy.
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在野外环境中进行主动脉血管内球囊闭塞复苏术(REBOA):中国病例报告。
背景中国农业机械的广泛使用增加了农业机械相关损伤的发生率,给现场医疗救援带来了挑战。本研究探讨了主动脉血管内球囊闭塞复苏术(REBOA)作为一种挽救生命的干预措施,用于救治一名因农业机械造成严重创伤的患者。干预措施涉及多学科分级医疗响应,包括实施 REBOA。结论本病例展示了 REBOA 在中国院前环境中的成功应用。虽然院前 REBOA 的使用并不多见,但在不同国家的艰苦环境中,其在军事和民用环境中的应用报道却越来越多。要验证 REBOA 作为院前复苏策略的可行性和有效性,还需要进一步的研究。
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来源期刊
Journal of Trauma Nursing
Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING
CiteScore
1.20
自引率
10.00%
发文量
106
期刊介绍: ​Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses. The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients.​ The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.
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