Occlusion of femoral artery using foley catheter: a REBOA inspired tale to save a life
Amir Mohammad Papan1, Mofid Husseinzade1, Kamran Heydari2, Hossein Hamidi1
1.Departement of Emergency Medicine Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2. Department of Emergency Medicine Shahid Beheshti university, Tehran, Iran
Corresponding author: Amir Mohammad Papan
Amirmohammadpapan@gmail.com
Abstract :
in this case report, we emphasize the need to control the bleeding by any measures in the Emergency department as this is the first step in a good resuscitation effort to save a patient life who is actively bleeding.
Key words:
Emergency Medicine, General Surgery, Vascular Surgery
“Written informed consent was obtained from the patient to publish this report in accordance with the journal’s patient consent policy”
Introduction :
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a procedure that involves placement of an endovascular balloon in the aorta to obtain proximal control of hemorrhage . In recent years, REBOA has become increasingly popular amongst trauma surgeons for the management of traumatic non-compressible torso hemorrhage (NCTH) .
The concept of using a balloon to occlude an artery has been around for decades, a recent example of that using ROEBA in traumatic patients requiring emergent control of bleeding, but has not been widely available in third-world countries. The standard method of bleeding control is placing a tourniquet proximal to site of injury in the Emergency room followed by a definitive measure in the operating room. This sequence of interventions is successful in majority of cases.
In this case report we represent, a ROBEA inspired method to control extremity hemorrhage in rural hospital, which was a last-ditch effort to save patients life by an emergency physician.
This case emphasizes the need to control hemorrhage in any way to save patient’s life in the absence of expertise and tools in rural settings.