TRAUMA MANAGEMENT MODULE

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