Non-compressible torso hemorrhage continues to cause considerable preventable mortality on the battlefield. In this editorial, we highlight the burden of deaths, the most at-risk torso structures, current interventions, and their limitations and recommendations for future research and device development.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/milmed/usad193 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Resuscitative endovascular balloon occlusion of the aorta for trauma patients with uncontrolled hemorrhage: a retrospective target trial emulation (the AT-REBOA target trial).
Eur J Emerg Med
September 2024
Department of Anaesthesiology and Intensive Care Medicine.
Background: Noncompressible truncal hemorrhage is a major contributor to preventable deaths in trauma patients and, despite advances in emergency care, still poses a big challenge.
Objectives: This study aimed to assess the clinical efficacy of trauma resuscitation care incorporating Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) compared to standard care for managing uncontrolled torso or lower body hemorrhage.
Methods: This study utilized a target trial design with a matched case-control methodology, emulating randomized 1 : 1 allocation for patients receiving trauma resuscitation care with or without the use of REBOA.
Background: "Non-compressible" torso hemorrhage (NCTH) is the leading cause of preventable battlefield death, requiring rapid surgical or radiological intervention, which is essentially precluded close to the point of injury. UK Joint Theatre Trauma Registry (JTTR) analysis 2002-2012 showed 85.5% NCTH mortality.
View Article and Find Full Text PDF[Application progress and future prospects of interventional robotics in vascular injury hemostasis].
Zhonghua Wai Ke Za Zhi
December 2024
Department of Vascular Surgery, First Medical Center of Chinese People's Liberation Army General Hospital, Beijing100853, China.
The field of traumatic hemostasis is currently confronted with numerous challenges, particularly in addressing the treatment of non-compressible torso hemorrhage(NCTH), where conventional hemostatic methods have limited efficacy. Endovascular intervention holds promise for NCTH, but its application in trauma care is hampered by a shortage of specialized personnel, stringent equipment requirements, and lengthy preoperative preparation times, which fail to meet the urgent hemostasis needs of NCTH patients. In recent years, the rapid development of vascular interventional robotic surgery systems, with a continuous influx of new products both domestically and internationally, has shown potential.
View Article and Find Full Text PDFIs it time to reframe resuscitation in trauma?
Emerg Med J
November 2024
Critical Care Department, Northern Care Alliance NHS Foundation Trust, Salford, UK.
Article Synopsis
- * Current treatment focuses on damage control resuscitation techniques like hemorrhage control, haemostatic resuscitation, and permissive hypotension, although the evidence for permissive hypotension is not as strong as for other therapies.
- * The authors argue for a shift in focus towards diastolic blood pressure in bleeding trauma patients, as it is important for heart and brain function, proposing that this could lead to more effective resuscitation strategies.
Compact Arterial Monitoring Device Use in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): A Simple Validation Study in Swine.
Cureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Article Synopsis
- - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
- - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
- - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!