Module includes both trauma scenarios for clinicians to practice the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) technique as well as trauma related embolization scenarios.

REBOA is a new live-saving technique used by trauma surgeons and emergency teams to control hemorrhaging from chest, abdomen or pelvis injuries. It involves rapidly placing a catheter into the femoral artery, maneuvering it into the aorta and inflating a balloon at its tip. This stops blood flow beyond the balloon, essentially halting any bleeding, while also stopping all blood flow distal to the balloon. This is a temporary maneuver and is used as a bridge to enable the transfer of severely injured patients to the operating room or angiographic suite.

The procedural steps include:

  • Obtaining arterial access through the common femoral artery
  • Positioning a stiff wire in the aorta
  • Advancing a sheath to the desired position in the aorta
  • Positioning a compliant balloon above the sheath
  • Inflating the balloon to occlude blood flow

The embolization cases in this module allow practicing a coiling technique to occlude bleeding. The simulation setting offers a wide selection of tools (guiding catheters, diagnostic catheters, microcatheters, wires and coils) to enhance procedural skills, including the following steps:

  • Performing general, non-selective angiography
  • Selective catheterization of a branch vessel leading to the embolization site
  • Coils are delivered to the embolization site

During the cases the trainees may experience complications that they are expected to address, such as coil migration and perforation.

Target Audience:

REBOA cases:

  • General Surgery Senior Residents
  • Emergency Medicine Residents
  • Vascular Surgery Residents and Fellows
  • Trauma and Critical Care Surgeons
  • Emergency Room Physicians
  • Emergency Medical Technicians
  • Emergency Nurses

Embolization cases:

  • Interventional Radiologists

Training Objectives:

  • Teaching basic endovascular skills for Trauma/Acute Care and Emergency staff
  • Individual training to learn procedural steps and develop procedural skill set for REBOA
  • Team training to communicate with staff members