Does adding REBOA to advanced life support improve outcomes in non-traumatic out-of-hospital cardiac arrest? This appraisal of REBOARREST examines the neutral trial results, delays to aortic occlusion and incomplete delivery of the intervention, and asks what remains uncertain.
Does prehospital whole blood improve outcomes compared with blood components in traumatic haemorrhage? We critically appraise the SWiFT randomised trial, including its findings on death or massive transfusion within 24 hours and the limits of testing a prehospital-only intervention.
Chris Bishop discusses the emerging use of VA ECMO for cardiovascular failure after trauma in this Tactical Trauma 2024 podcast. The interview considers patient selection after haemorrhage control, bleeding risks and the limited experience available to guide this approach.
Podcast – ECMO in Trauma with Chris Bishop at Tactical Trauma 24 Read More
A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.
Zaf Qasim discusses the practicalities and uncertain evidence for REBOA in this 2019 podcast. The accompanying article considers its place within trauma systems and includes a later update on the UK-REBOA trial, making the distinction between the original discussion and subsequent evidence important.
Podcast – REBOA with Zaf Qasim Read More
Does a trauma registry study justify abandoning REBOA? Zaf Qasim examines a 2019 comparison with standard care, considering reported mortality and complications, patient selection, missing procedural details and delays to definitive treatment before drawing conclusions about the technique.
JC: Time to put the REBOA balloon away? Maybe, maybe not… Read More
Does open cardiac massage outperform closed chest compressions in traumatic cardiac arrest? This 2016 appraisal examines a small study using end-tidal carbon dioxide measurements, explaining why limited numbers and differences between patient groups leave the treatment question unresolved.
JC: Push or Cut? Traumatic Cardiac Arrest Read More
