{"id":6171,"date":"2021-01-02T02:26:46","date_gmt":"2021-01-02T06:26:46","guid":{"rendered":"https:\/\/edecmo.org\/?p=6171"},"modified":"2021-11-02T18:24:15","modified_gmt":"2021-11-02T22:24:15","slug":"70","status":"publish","type":"post","link":"https:\/\/edecmo.org\/70\/","title":{"rendered":"70: REBOA REDUX &#8211; Management of Hemorrhagic Shock  in Non-Trauma Patients &#8211; with Bellezzo &#038; Zaf Qasim"},"content":{"rendered":"<!--powerpress_player--><div class=\"powerpress_player\" id=\"powerpress_player_2501\"><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-6171-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/secure\/edecmo\/edecmo-2021.1.1-REBOA_REDUX-Qasim.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/secure\/edecmo\/edecmo-2021.1.1-REBOA_REDUX-Qasim.mp3\">https:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/secure\/edecmo\/edecmo-2021.1.1-REBOA_REDUX-Qasim.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/secure\/edecmo\/edecmo-2021.1.1-REBOA_REDUX-Qasim.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/edecmo.org\/?powerpress_pinw=6171-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/secure\/edecmo\/edecmo-2021.1.1-REBOA_REDUX-Qasim.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"edecmo-2021.1.1-REBOA_REDUX-Qasim.mp3\">Download<\/a> (Duration: 53:34 &#8212; 49.2MB)<\/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>January 1, 2021: The year following COVID19 Global Pandemic brings us a new horizon &#8211; lets appreciate what has happened, learn from our mistakes and begin to look forward.<\/p>\n<p>&nbsp;<\/p>\n<p>In this episode Joe Bellezzo talks with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) expert Dr. <a href=\"https:\/\/www.pennmedicine.org\/providers\/profile\/zaffer-qasim\">Zaf Qasim<\/a> about NON-TRAUMA applications of aortic compression for control of non-compressible non-trauma torso hemorrhage.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/BEST-course-cadaver-ultrasound-ZQ-MB.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6186\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/BEST-course-cadaver-ultrasound-ZQ-MB-740x555.jpg\" alt=\"\" width=\"740\" height=\"555\" srcset=\"https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/BEST-course-cadaver-ultrasound-ZQ-MB-740x555.jpg 740w, https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/BEST-course-cadaver-ultrasound-ZQ-MB-1024x768.jpg 1024w, https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/BEST-course-cadaver-ultrasound-ZQ-MB-768x576.jpg 768w, https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/BEST-course-cadaver-ultrasound-ZQ-MB-1536x1152.jpg 1536w, https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/BEST-course-cadaver-ultrasound-ZQ-MB.jpg 2048w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Dr. Qasim is a world expert in REBOA and has been on the podcast:<\/p>\n<p><a href=\"https:\/\/edecmo.org\/edecmo-35-reboa-revisited\/\">edecmo.org\/35 &#8211; REBOA revisited<\/a><\/p>\n<p><a href=\"https:\/\/edecmo.org\/49-you-cant-spell-reboa-without-the-er-endovascular-resuscitation-of-the-trauma-patient-zaf-qasim\/\">edecmo.org\/49 &#8211; the ACEP-ACS joint statement controversy<\/a><\/p>\n<p><a href=\"https:\/\/edecmo.org\/59-partial-reboa-and-us-prehospital-ecpr-revisited\/\">edecmo.org\/59 &#8211; Partial REBOA<\/a><\/p>\n<p>&nbsp;<\/p>\n<h3>REBOA in Hemorrhagic Shock from NON-Trauma Mechanisms:<\/h3>\n<p>This episode is highlighted by a remarkable case, managed by Emergency Physician Dr. Garrett Sterling, of a 77 year old patient who suffered non-traumatic hemorrhagic shock from an Iliac artery pseudo-aneurysm that had fistulized to the urinary tract.\u00a0 The patient was bleeding to death from a fistula between the common iliac artery and the ureter. You have to listen to Dr. Sterling describe this case. The patient was resuscitated with REBOA and her pathology was fixed by an Iliac Artery stent placed in Interventional Radiology. We discuss this case which highlights the benefit of REBOA as a bridge to definitive hemorrhage control.<\/p>\n<figure id=\"attachment_6184\" aria-describedby=\"caption-attachment-6184\" style=\"width: 450px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/IMG_0255.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6184\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/IMG_0255-450x600.jpeg\" alt=\"\" width=\"450\" height=\"600\" srcset=\"https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/IMG_0255-450x600.jpeg 450w, https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/IMG_0255-768x1024.jpeg 768w, https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/IMG_0255-1152x1536.jpeg 1152w, https:\/\/edecmo.org\/wp-content\/uploads\/2021\/01\/IMG_0255.jpeg 1536w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/a><figcaption id=\"caption-attachment-6184\" class=\"wp-caption-text\">Amazing patient who had an Iliac pseudo-aneurysm causing hemorrhagic shock through the urinary tract, resuscitated using REBOA.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Joe and Zaf talk about:<\/p>\n<ol>\n<li>brief history of managing hemorrhagic shock with aortic occlusion<\/li>\n<li>&#8216;Knee REBOA&#8217;<\/li>\n<li>Resuscitative thoracotomy<\/li>\n<li>REBOA in trauma<\/li>\n<li>REBOA in non-trauma hemorrhagic shock<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>REFERENCES:<\/h3>\n<p>https:\/\/pubmed.ncbi.nlm.nih.gov\/29922894\/<\/p>\n<p>https:\/\/pubmed.ncbi.nlm.nih.gov\/31799415\/<\/p>\n<p>https:\/\/pubmed.ncbi.nlm.nih.gov\/32707397\/<\/p>\n<p>https:\/\/pubmed.ncbi.nlm.nih.gov\/31668242\/<\/p>\n<p>https:\/\/tsaco.bmj.com\/content\/4\/1\/e000376<\/p>\n<p>https:\/\/pubmed.ncbi.nlm.nih.gov\/29421694\/<\/p>\n<p><a href=\"https:\/\/www.jsomonline.org\/FeatureArticle\/20202110O&#039;Dochartaigh.pdf\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Click to access 20202110O&#8217;Dochartaigh.pdf<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In this episode Joe Bellezzo talks with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) expert Zaf Qasim about NON-TRAUMA applications of aortic compression for control of non-compressible non-trauma torso hemorrhage.\u00a0<\/p>\n","protected":false},"author":4,"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":[240,363,220,362,237],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/s3JzC4-70","_links":{"self":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/6171"}],"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\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/comments?post=6171"}],"version-history":[{"count":1,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/6171\/revisions"}],"predecessor-version":[{"id":6785,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/6171\/revisions\/6785"}],"wp:attachment":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media?parent=6171"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/categories?post=6171"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/tags?post=6171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}