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The Resus Room

REBOA; setting up a service with Sam Sadek & Zaf Qasim

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 24 April 2016

⏱️ 51 minutes

🧾️ Download transcript

Summary

In this episode we were lucky enough to catch up with Sam Sadek, EM Consultant at The Royal London hospital and HEMS doctor and also Zaf Qasim EM Consultant in Delaware in the United States. Both have been heavily involved in the setup and delivery of REBOA service in their respective posts.

In this podcast they share their experience and expertise on the topic of setting up a REBOA service. A huge thanks to both of them as this is a superb podcast for anybody considering getting involved in REBOA.

Recent podcasts on REBOA on ERCAST and EMCrit are essential listening and serve as great preludes to our discussion so make sure you check them out.

Please pop any comments or questions at the bottom of the page and we will come back with a Q&A podcast on the topic really soon!

References

Resuscitative endovascular balloon occlusion of the aorta: a gap analysis of severely injured UK combat casualties. Morrison JJ. . Shock. 2014 May;41(5):388-93. doi: 10.1097/SHK.0000000000000136.

Resuscitative endovascular balloon occlusion of the aorta might be dangerous in patients with severe torso trauma: A propensity score analysis. Inoue J. J Trauma Acute Care Surg. 2016 Apr;80(4):559-67. doi: 10.1097/TA.0000000000000968.

The inflammatory sequelae of aortic balloon occlusion in hemorrhagic shock. Morrison JJ. J Surg Res. 2014 Oct;191(2):423-31. doi: 10.1016/j.jss.2014.04.012. Epub 2014 Apr 13.

Resuscitative endovascular balloon occlusion of the aorta (REBOA): a population based gap analysis of trauma patients in England and Wales. Barnard EB. Emerg Med J. 2015 Dec;32(12):926-32. doi: 10.1136/emermed-2015-205217.

The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Rossaint R. Crit Care. 2016 Apr 12;20(1):100. doi: 10.1186/s13054-016-1265-x.

Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. Moore LJ. J Trauma Acute Care Surg. 2015 Oct;79(4):523-30; discussion 530-2. doi: 10.1097/TA.0000000000000809.

The AAST Prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) Registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). DuBose JJ. J Trauma Acute Care Surg. 2016 Apr 5. [Epub ahead of print]

Transcript

Click on a timestamp to play from that location

0:00.0

Hi and welcome back to the podcast. This is one that I've been really looking forward to recording

0:18.1

and it's on a really popular topic at the moment of

0:21.5

Raboa. Delighted to say, I've got two great guests with me. Well, actually, I'll let them

0:26.6

introduce themselves. Simon, thanks so much for having me back on the show. I'm Safkassim.

0:31.8

I trained and worked as an emergency medicine consultant in the UK before moving across the

0:36.5

pond to Baltimore's shock trauma

0:38.4

center to do a trauma and critical care fellowship a few years ago. And now I work in the

0:43.9

emergency department of a level one trauma center in the state of Delaware, which is just north

0:47.6

of Maryland, where I'm the lead physician on the Roboa program there. I'm Sam Sadek. I am an A&E consultant in the Royal London Hospital in the UK and I work

1:00.0

with London's Air Ambulance, Essex and Hearts Air Ambulance.

1:03.0

And I lead our project on Roboah for the A&E department and the pre-hospital department

1:10.0

together with Garif Davies and we work

1:12.5

very closely with the rest of the hospital.

1:15.2

So there have been a couple of podcasts that have been out already and in fact Zaf you've

1:19.5

been part of one of them but I think if you're listening to this podcast without having heard

1:23.9

the podcast on Roboah on ERCast and on MCcrit, which we'll put the links to in the show

1:29.7

notes, it'll be a really good idea to go there because they've got some great interviews and some

1:34.3

great stuff and summaries of what Robo is. But does one of you want to lead in with a quick

1:40.3

summary of what Robo is? So a quick rundown, resuscitative endovascular balloon inclusion of the aorta is essentially

1:47.0

a different approach to the management of torso hemorrhage, and that's bleeding in areas like the

1:52.0

abdomen or the pelvis. So by placing a catheter into the aorta via the femoral artery,

1:57.0

you can inflate a balloon above that point of bleeding and essentially internally cross-clamp the aorta.

...

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