Table 3.
Patient | Mechanism | Initial Vitals | Imaging | REBOA Data | Injuries | Notes | Died |
---|---|---|---|---|---|---|---|
1* | Ped. vs. auto | HR: 75 BP: 83/69 |
CXR: Neg FAST: Neg PXR: Pos |
Placed: ED Zone: 3 Access: percutaneous Sheath: unknown AO time: unknown |
Pelvic fractures, R IIA injury, L CIA injury | Yes | |
2* | Crush injury to chest | CPR | CXR: N/A FAST: Neg PXR: N/A |
Placed: ED Zone: 1 Access: percutaneous Sheath: 14 Fr AO time: 60 min |
Sternal disruption | Yes | |
3 | Ped. vs. auto | HR: 78 BP: 75/59 |
CXR: Pos FAST: Pos PXR: Pos |
Placed: ED Zone: 1 Access: percutaneous Sheath: 7 Fr AO time: not inflated |
Grade 3 hepatic laceration, grade 3 splenic laceration, grade 4 renal laceration, pelvic fractures | CXR with widened mediastinum but chest CT without vascular injury | Yes |
4 | MCC | HR: 131 BP: 112/57 |
CXR: Neg FAST: Pos PXR: N/A |
Placed: OR Zone: 2 Access: percutaneous Sheath: 7 Fr AO time: not inflated |
Grade 5 splenic laceration, grade 5 renal laceration | Met REBOA indications in ED Placed intra-operatively for expanding Zone 2 RPH | No |
5 | Torso stab wound | HR: 103 BP: 111/62 |
CXR: Neg FAST: N/A PXR: N/A | Placed: OR Zone: 2 Access: percutaneous Sheath: 8 Fr AO time: 12 min |
Grade 3 kidney laceration, Grade 1 splenic laceration | Placed intra-operatively for bleeding from renal hilum | No |
6 | GSW chest | HR: 107 BP: 138/84 |
CXR: Neg FAST: Pos PXR: N/A |
Placed: OR Zone: 1 Access: percutaneous Sheath: unknown AO time: unknown |
Gastric injury, Grade 5 kidney laceration, splenic laceration | Placed intra-operatively for bleeding | No |
7* | GSW chest | HR: 140 BP: 123/72 |
CXR: Neg FAST: Pos PXR: Neg |
Placed: OR Zone: 1 Access: cut down Sheath: unknown AO time: 19 min |
Gastric injury, splenic laceration, diaphragm injury, lung laceration | Placed intra-operatively for bleeding | No |
8 | Ped. vs auto | CPR | CXR: N/A FAST: N/A PXR: N/A |
Placed: OR Zone: 1 Access: cut down Sheath: 12 Fr |
Cardiac injury, stellate liver laceration | ED thoracotomy | Yes |
9* | GSW chest | HR: 130 BP: 109/97 |
CXR: Pos FAST: N/A PXR: Neg |
AO time: unknown Placed: OR Zone: 1 Access: percutaneous Sheath: 7 Fr AO time: 60 min |
Supraceliac aortic transection | CXR: widened mediastinum REBOA placed intra-operatively proximal to known aortic injury |
No |
Ped. vs auto: pedestrian vs. automobile; MCC: motorcycle crash; GSW: gunshot wound; HR: heart rate; BP: blood pressure; CXR: chest X-ray; FAST: Focused Assessment with Sonography in Trauma; PXR: pelvic X-ray; ED: emergency department; OR: operating room; AO: aortic occlusion; CT: computed tomography; RPH: retroperitoneal hematoma; R IIA: right internal iliac artery; L CIA: left common iliac artery; Fr: French.
Sustained complication, see Table 4 for detailed information.