{"id":4505,"date":"2019-02-12T14:34:55","date_gmt":"2019-02-12T18:34:55","guid":{"rendered":"https:\/\/edecmo.org\/?p=4505"},"modified":"2021-11-02T18:32:26","modified_gmt":"2021-11-02T22:32:26","slug":"51-proximal-balloon-occlusion-for-cardiac-arrest","status":"publish","type":"post","link":"https:\/\/edecmo.org\/51-proximal-balloon-occlusion-for-cardiac-arrest\/","title":{"rendered":"51 &#8211; Proximal Balloon Occlusion for Cardiac Arrest"},"content":{"rendered":"<!--powerpress_player--><div class=\"powerpress_player\" id=\"powerpress_player_1059\"><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-4505-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-51.mp3?_=1\" \/><a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-51.mp3\">http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-51.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-51.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/edecmo.org\/?powerpress_pinw=4505-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-51.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"edecmo-51.mp3\">Download<\/a> (Duration: 27:23 &#8212; 22.5MB)<\/p><p class=\"powerpress_links powerpress_subscribe_links\">Subscribe: <a href=\"https:\/\/edecmo.org\/feed\/podcast\/\" class=\"powerpress_link_subscribe powerpress_link_subscribe_rss\" target=\"_blank\" title=\"Subscribe via RSS\" rel=\"nofollow\">RSS<\/a><\/p><p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-4506 alignleft\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2019\/02\/20190212_031449066_iOS-740x493.jpg\" alt=\"\" width=\"221\" height=\"148\" srcset=\"https:\/\/edecmo.org\/wp-content\/uploads\/2019\/02\/20190212_031449066_iOS-740x493.jpg 740w, https:\/\/edecmo.org\/wp-content\/uploads\/2019\/02\/20190212_031449066_iOS-768x512.jpg 768w, https:\/\/edecmo.org\/wp-content\/uploads\/2019\/02\/20190212_031449066_iOS-1024x683.jpg 1024w, https:\/\/edecmo.org\/wp-content\/uploads\/2019\/02\/20190212_031449066_iOS.jpg 2048w\" sizes=\"(max-width: 221px) 100vw, 221px\" \/> #tbs19 The Big Sick\u2014- \u00a0You&#8217;ve heard of ECMO for cardiac arrest- utilizing a mechanical pump to aid in perfusion of the coronaries.\u00a0 What if you can&#8217;t do ECMO?\u00a0 What if your resources are such that simply can&#8217;t lug a 10 kilogram machine out into the field?\u00a0 Well, Jostein Brede may have something for you to consider.\u00a0 He and several other places worldwide are on the forefront of using a REBOA catheter to occlude the proximal aorta during chest compressions in hopes that coronary perfusion pressure increases.\u00a0 This would subsequently improve chance of return of spontaneous circulation and overall survivorship.\u00a0 Maybe this is the band-aid that can be used in austere environments like rural Norway where the temperatures are extreme, the people are sparse, but the physicians are motivated.\u00a0\u00a0<span id=\"XMQMnTvLzKSoRKPanWm9H\" class=\"abt-citation noselect mceNonEditable\" data-reflist=\"[&quot;1588645395&quot;]\" data-footnote=\"undefined\"><sup>1<\/sup><\/span><span id=\"diwKN99TqkzgJeSucePTH\" class=\"abt-citation noselect mceNonEditable\" data-reflist=\"[&quot;4061294546&quot;]\" data-footnote=\"undefined\"><sup>2<\/sup><\/span><\/p>\n<div id=\"abt-bibliography\" class=\"abt-bibliography noselect mceNonEditable\" data-reflist=\"[&quot;1588645395&quot;,&quot;4061294546&quot;]\">\n<p><button class=\"abt-bibliography__heading abt-bibliography__heading_toggle\" aria-expanded=\"false\" aria-controls=\"abt-bibliography__container\" data-heading-level=\"h3\">References<\/button><\/p>\n<div id=\"abt-bibliography__container\" class=\"abt-bibliography__container\">\n<div id=\"1588645395\">\n<div class=\"csl-entry flush\">\n<div class=\"csl-left-margin\">1.<\/div>\n<div class=\"csl-right-inline\">Daley J, Morrison JJ, Sather J, Hile L. The role of resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct to ACLS in non-traumatic cardiac arrest. <i>T<\/i>. 2017;35(5):731-736. doi:<a href=\"https:\/\/doi.org\/10.1016\/j.ajem.2017.01.010\" target=\"_blank\" rel=\"noopener noreferrer\">10.1016\/j.ajem.2017.01.010<\/a><\/div>\n<\/div>\n<\/div>\n<div id=\"4061294546\">\n<div class=\"csl-entry flush\">\n<div class=\"csl-left-margin\">2.<\/div>\n<div class=\"csl-right-inline\">Aslanger E, Golcuk E, Oflaz H, et al. Intraaortic balloon occlusion during refractory cardiac arrest. A case report. <i>R<\/i>. 2009;80(2):281-283. doi:<a href=\"https:\/\/doi.org\/10.1016\/j.resuscitation.2008.10.017\" target=\"_blank\" rel=\"noopener noreferrer\">10.1016\/j.resuscitation.2008.10.017<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0You&#8217;ve heard of ECMO for cardiac arrest- utilizing a mechanical pump to aid in perfusion of the coronaries.\u00a0 What if you can&#8217;t do ECMO?\u00a0 What if your resources are such that simply can&#8217;t lug a 10 kilogram machine out into the field?\u00a0 Well, Jostein Brede may have something for you to consider.\u00a0 He and several other places worldwide are on the forefront of using a REBOA catheter to occlude the proximal aorta during chest compressions in hopes that coronary perfusion pressure increases.\u00a0 This would subsequently improve chance of return of spontaneous circulation and overall survivorship.\u00a0 Maybe this is the band-aid that can be used in austere environments like rural Norway where the temperatures are extreme, the people are sparse, but the physicians are motivated.<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[4],"tags":[246,214,220,215,223],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3JzC4-1aF","_links":{"self":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/4505"}],"collection":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/comments?post=4505"}],"version-history":[{"count":1,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/4505\/revisions"}],"predecessor-version":[{"id":6798,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/4505\/revisions\/6798"}],"wp:attachment":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media?parent=4505"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/categories?post=4505"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/tags?post=4505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}