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Table 2 REBOA use at Participating Level I Trauma Centers

From: A descriptive survey on the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for pelvic fractures at US level I trauma centers

Survey Question

Responses

% (n)

n

Does your hospital use a REBOA to treat hemodynamically unstable pelvic fractures?

Yes

42% (15)

36

No

58% (21)

What indicates a patient with a pelvic fracture for REBOA?

HDU

50% (7)

14

HDU & IR is unavailable

14% (2)

HDU & negative FAST

7% (1)

HDU & not a candidate for angioembolization

29% (4)

In what order are the following treatments utilized for hemodynamically unstable pelvic fractures? REBOA, angioembolization, and pelvic packing

Angioembolization, PP, REBOA

33% (5/15)

15

Angioembolization, REBOA, PP

13% (2/15)

PP, Angioembolization, REBOA

13% (2/15)

REBOA, Angioembolization, PP

20% (3/15)

REBOA, PP, Angioembolization

20% (3/15)

Of those who said hemodynamic instability was the only indicator, what was the order of treatment? REBOA, angioembolization and pelvic packing

PP, Angioembolization, REBOA

33% (2/6)

6

Angioembolization, PP, REBOA

33% (2/6)

Angioembolization, REBOA, PP

17% (1/6)

REBOA, Angioembolization, PP

17% (1/6)

  1. REBOA resuscitative endovascular balloon occlusion of the aorta, HDU hemodynamically unstable, IR interventional radiology, FAST focused assessment of sonography in trauma, PP pelvic packing.