II. Indications

  1. Severe Pelvic Fractures who have not had Cardiac Arrest who need immediate temporizing measures
    1. May be considered in Peri-Arrest patient without obvious source of Hemorrhage
    2. Best used for short-term bridging to definitive procedure (risk of distal ischemia)

III. Technique

  1. Percutaneous balloon delivered via groin catheter and inflated in aorta above level of Hemorrhage
  2. Performed in 5-10 minutes in skilled hands

IV. Efficacy

  1. Studies in 2016, suggest lower efficacy than initially thought, and may be associated with higher mortality
    1. Inoue (2016) J Trauma Acute Care Surg 80(4): 559-67 +PMID: 26808039 [PubMed]

V. Complications

  1. Aortic Dissection
  2. Suprarenal Occlusion (balloon too high)
  3. Distal Thromboembolism

VII. References

  1. Inaba in Herbert (2013) EM:Rap 13(11): 3-4
  2. Hughes (1954) Surgery 36(1):65-8 [PubMed]

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