Ann Emerg Med 2018;71:A17-A20

Who should perform REBOA technique?

Greene J

An endovascular procedure developed in the field by military physicians desperate to find new ways to stop traumatic bleeding is being welcomed by civilian trauma centers, but it is also prompting difficult questions about which medical specialties should perform it. An American College of Surgeons Committee on Trauma (ACS COT) and American College of Emergency Physicians (ACEP) joint guideline requiring that emergency physicians have “added critical care certification” to perform the procedure inspired a rapid backlash that led ACEP to convene a working group to “rework the language.”