Appendix F: ER-REBOA Procedure Checklist
Resuscitate per advanced trauma life support.
Rule out major thoracic trauma (CXR/EFAST/Bilateral chest tubes)
Confirm abdominopelvic source of shock (FAST exam and Pelvic X-ray if blunt trauma)
Confirm bilateral femoral pulses are present
Establish arterial access with 7 Fr Sheath in an uninjured common femoral artery
Measure balloon distance
Evacuate the balloon
Flush the arterial line
Insert the catheter
Inflate the balloon (Zone 1: start with 8ml; Zone 3: start with 2ml)
Secure the catheter
Control major bleeding
Monitor the patient, hemodynamics, catheter, and sheath
Resuscitate and deflate the balloon
Complete damage control surgery
Remove sheath when coagulopathy corrected
Check distal pulses after sheath removal