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Invited Commentary
December 14, 2016

What Lengths Should We Go to for Fluoroscopy-Free Resuscitative Endovascular Balloon Occlusion of the Aorta?

Author Affiliations
  • 1Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, University of Cincinnati, Cincinnati, Ohio
JAMA Surg. Published online December 14, 2016. doi:10.1001/jamasurg.2016.4748

Noncompressible truncal hemorrhage remains the most common source of potentially preventable death following both civilian and military trauma.1,2 Efforts to teach how to “stop the bleed” at the point of injury are receiving increased emphasis in the trauma care and public health arenas.3 Although a variety of field-capable noninvasive modalities have been developed and studied, they remain site-specific and of variable efficacy. More invasive methods of hemorrhage control by direct aortic clamping via thoracotomy or laparotomy require instruments and surgical expertise that may not be readily available, especially in austere environments.

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