Trauma Surg Acute Care Open. 2019 Jul 12;4(1):e000335

# 'Step Up' approach to the application of REBOA technology in a rural trauma system.

Vernamonti J, Holcomb J, Mick N, Falank C, Ontengco J, Rappold J, Sheppard F

Our group has developed a 'Step Up' approach to the application of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in a rural trauma system. This incorporates viewing REBOA as a spectrum of technology. Examples of REBOA technology use to improve outcomes and provision of our system's clinical practice guideline for the Step-Up application of REBOA technology in the care of trauma patients are presented.