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Prehospital REBOA: feasibility shown, survival mixed

Prehospital resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major trauma and cardiac arrest: a systematic review
Prehospital Emergency Care · Added 31 July 2026

Systematic review evaluating prehospital REBOA for traumatic cardiac arrest — reports on feasibility, survival outcomes, and complications.

Study type

Systematic review

Design

Systematic review with narrative synthesis

Participants

18 included studies (case studies, cohorts, one trial); 38 civilian trauma, 90 civilian non-traumatic cardiac arrest and 2 combat REBOA cases

Main finding

Successful prehospital REBOA deployment in 76% of civilian trauma and 84% of civilian non-traumatic cardiac arrest cases; survival to discharge 44% (14/32) in trauma, 4% (1/25) in OHCA, 88% (7/8) in interfacility transport; OHCA cases showed significant blood pressure/EtCO2 rises

Caveat

Critical-to-serious risk of bias; small numbers, almost no control groups

Bottom line

Hypothesis-generating

Learning goal

Weigh the benefits and harms of prehospital aortic occlusion in traumatic cardiac arrest and interfacility transport.

More

• Topic: Trauma
• Daily scan: 31 July 2026

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