Recently, the technique of REBOA has emerged in the setting of trauma for control of abdominal and pelvic hemorrhage. Although not strictly comparable, REBOA is a potential alternative to ERT to achieve aortic occlusion and, therefore, control of abdominal and pelvic hemorrhage. Several recent studies tried to compare REBOA and ERT in non-compressible torso hemorrhage16-18, and a meta-analysis is available.19 Even if REBOA seemed to be associated with a lower mortality, there was no significant difference in survival after risk-adjustment, mostly because ERT patients were more critically ill on presentation. This suggests that REBOA is not a comparable intervention to ERT but rather may be utilized to prevent hemodynamic collapse in non-agonal unstable patients. Ongoing study is required to better illuminate the evolving role of REBOA as a potential replacement or as a preemptive adjunct to obviate ERT. Please refer to the JTS REBOA CPG for indications and details of this procedure.20