Emerging hemorrhage control and resuscitation strategies in trauma: Endovascular to extracorporeal
James E. Manning, Todd E. Rasmussen, Samuel A. Tisherman, Jeremy W. Cannon
Abstract
This article reviews four emerging endovascular hemorrhage control and extracorporeal perfusion techniques for management of trauma patients with profound hemorrhagic shock including hemorrhage-induced traumatic cardiac arrest: resuscitative endovascular balloon occlusion of the aorta, selective aortic arch perfusion, extracorporeal life support, and emergency preservation and resuscitation. The preclinical and clinical studies underpinning each of these techniques are summarized. We also present an integrated conceptual framework for how these emerging technologies may be used in the future care of trauma patients in both resource-rich and austere environments.
Topics & Concepts
MedicineResuscitationExtracorporealExtracorporeal cardiopulmonary resuscitationHemorrhagic shockIntensive care medicineMajor traumaExtracorporeal membrane oxygenationMedical emergencyAnesthesiaCardiopulmonary resuscitationSurgeryCardiac Arrest and ResuscitationTrauma, Hemostasis, Coagulopathy, ResuscitationTrauma and Emergency Care Studies