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ENDOVASCULAR TRAUMA MANAGEMENT MODULE

Practice REBOA and Embolization Scenarios

REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) is a life-saving endovascular technique used by trauma surgeons and emergency teams to control hemorrhage from chest, abdomen, or pelvic injuries. This is a temporary maneuver used as a bridge to get the severely injured patient to the operating room or angiographic suite.
The Trauma Management module includes trauma scenarios that allow clinicians to practice the REBOA technique as well as embolization scenarios related to trauma. This simulation provides a wide selection of tools (sheath, occlusion balloon, diagnostic catheters, microcatheters, wires, and coils) to enhance procedural skills, and presents the hemodynamic status of the patient.  The REBOA steps include: positioning a stiff wire in the proximal aorta, advancing a sheath to the appropriate position in the aorta, positioning a compliant balloon through the sheath, inflating the balloon to occlude blood flow and verifying hemodynamic status. The embolization cases in this module allow for the practicing of coiling techniques to treat traumatic bleeding.
Learning Objectives:
  • Understand the concept of aortic treatment zones for REBOA
  • Demonstrate the ability to accurately position wire, sheath & balloon catheter in the aorta with minimal usage of X-ray
  • Verify that the patient is hemodynamically stable
  • Demonstrate the ability to safely remove the balloon catheter and wire.
  • Practice endovascular coil embolization

Specialties:

Emergency Medicine, Interventional Radiology, Trauma, Critical Care

Case1 Zone II REBOA
case2 Zone I REBOA
case3 GI Bleeding Embolization
contrast-injection-after-coiling Internal Iliac Artery Embolization

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