Journal of Trauma and Injury

Case Reports

Treatment of a penetrating inferior vena cava injury using doctor-helicopter emergency medical service and direct-to-operating room resuscitation in Korea: a case report: Dongmin Seo, Jieun Kim, Jiwon Kim, Inhae Heo, Jonghwan Moon, Kyoungwon Jung, Hohyung Jung; J Trauma Inj. 2024;37(1):74-78. Published online January 12, 2024; DOI: https://doi.org/10.20408/jti.2023.0055

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Abstract PDF: Inferior vena cava (IVC) injuries can have fatal outcomes and are associated with high mortality rates. Patients with IVC injuries require multiple procedures, including prehospital care, surgical techniques, and postoperative care. We present the case of a 67-year-old woman who stabbed herself in the abdomen with a knife, resulting in an infrarenal IVC injury. We shortened the transfer time by transporting the patient using a helicopter and decided to perform direct-to-operating room resuscitation by a trauma physician in the helicopter. The patient underwent laparotomy with IVC ligation for damage control during the first operation. The second- and third-look operations, including previous suture removal, IVC reconstruction, and IVC thrombectomy, were performed by a trauma surgeon specializing in cardiovascular diseases. The patient was discharged without major complications on the 19th postoperative day with rivaroxaban as an anticoagulant medication. Computed tomography angiography at the outpatient clinic showed that thrombi in the IVC and both iliac veins had been completely removed. Patients with IVC injuries can be effectively treated using a trauma system that includes fast transportation by helicopter, damage control for rapid hemostasis, and expert treatment of IVC injuries.; Summary

Effects of Resuscitative Endovascular Balloon Occlusion of the Aorta in Neurotrauma: Three Cases: Dong Hun Kim, Ye Rim Chang, Jung-Ho Yun; J Trauma Inj. 2020;33(3):175-180. Published online September 30, 2020; DOI: https://doi.org/10.20408/jti.2020.0047

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Resuscitative endovascular balloon occlusion of the aorta (REBOA) is widely performed as an adjunct to resuscitation or bridge to definitive control of non-compressible torso hemorrhage in patients with hemorrhagic shock. It is a crucial adjunct for the maintenance of cerebral and coronary perfusion during resuscitation. However, in polytrauma patients with concomitant neurotrauma, such as traumatic brain injury (TBI) or spinal cord injury, the physiological effects of REBOA are unclear. In this report on REBOA performed in a clinical setting for polytrauma patients with spinal cord injury or TBI, the physiological effects of REBOA in neurotrauma are reviewed.

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Citations

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Resuscitative Endovascular Balloon Occlusion of Aorta Versus Aortic Cross-Clamping by Thoracotomy for Noncompressible Torso Hemorrhage: A Meta-Analysis
Saad Khalid, Mahima Khatri, Mishal Shan Siddiqui, Jawad Ahmed
Journal of Surgical Research.2022; 270: 252. CrossRef
REBOA as a bridge to brain CT in a patient with concomitant brain herniation and haemorrhagic shock - A case report
Luca Bissoni, Emiliano Gamberini, Lorenzo Viola, Carlo Bergamini, Emanuele Russo, Giuliano Bolondi, Vanni Agnoletti
Trauma Case Reports.2022; 38: 100623. CrossRef
Transsplenic Ultrasound-Guided Balloon Positioning During a Zone 1 Resuscitative Endovascular Balloon Occlusion of the Aorta: A Case Report
Yoonjung Heo, Sung Wook Chang, Dong Hun Kim
Journal of Acute Care Surgery.2022; 12(1): 34. CrossRef
Current Approaches to Resuscitative Endovascular Balloon Occlusion of the Aorta Use in Trauma and Obstetrics
Linden O. Lee, Paul Potnuru, Christopher T. Stephens, Evan G. Pivalizza
Advances in Anesthesia.2021; 39: 17. CrossRef
Damage control approach to refractory neurogenic shock: a new proposal to a well-established algorithm
Michael W Parra, Carlos Alberto Ordoñez, David Mejia, Yaset Caicedo, Javier Mauricio Lobato, Oscar Javier Castro, Juan Alfonso Uribe, Fernando Velasquez
Colombia Medica.2021; 52(2): e4164800. CrossRef

Review Article

Educational Simulation Videos for Performing Resuscitative Endovascular Balloon Occlusion of the Aorta: Sung Wook Chang, Dong Hun Kim, Ye Rim Chang; J Trauma Inj. 2020;33(3):140-143. Published online September 30, 2020; DOI: https://doi.org/10.20408/jti.2020.0035

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2 Citations

Abstract PDF Supplementary Material

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as an adjunct procedure for non-compressible torso hemorrhage in patients with hemorrhagic shock. With appropriate indications, REBOA should be performed for resuscitation regardless of the physician’s specialty. Despite its effectiveness in traumatized patients with hemorrhagic shock, performing REBOA has been challenging due to physicians’ lack of experience. Even though training in endovascular skills is mandatory, many physicians cannot undergo sufficient training because of the limited number of endovascular simulation programs. Herein, we share simulation video clips, including those of a vascular circuit model for simulation; sheath preparation; long guidewire and balloon catheter preparation; ultrasound-guided arterial access; sheath insertion or upsizing; and balloon positioning, inflation, and migration. The aim of this study was to provide educational video clips to improve physicians’ endovascular skills for REBOA.

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Feasibility and Clinical Outcomes of Resuscitative Endovascular Balloon Occlusion of the Aorta in Patients with Traumatic Shock: A Single-Center 5-Year Experience
Gyeongho Lee, Dong Hun Kim, Dae Sung Ma, Seok Won Lee, Yoonjung Heo, Hancheol Jo, Sung Wook Chang
Journal of Chest Surgery.2023; 56(2): 108. CrossRef
Early experience with resuscitative endovascular balloon occlusion of the aorta for unstable pelvic fractures in the Republic of Korea: a multi-institutional study
Dong Hun Kim, Jonghwan Moon, Sung Wook Chang, Byung Hee Kang
European Journal of Trauma and Emergency Surgery.2023; 49(6): 2495. CrossRef

Original Article

A Simple and Easy Method to Prevent Intravenous Fluid Heat Loss in Hypothermia: Sun Hwa Lee, Yoon Hee Choi, Dong Hoon Lee; J Trauma Inj. 2013;26(4):255-260.

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Abstract PDF: PURPOSE
For the treat hypothermia patients, active warming might be needed. In most emergency departments, IV warm saline infusion is used for treatments. However, during IV warm saline infusion, heat loss from the warm saline may occur and aggravate hypothermia. Thus, in this study, we conducted an experiment on conserving heat loss from warm saline by using a simple method.
METHODS
Four insulation methods were used for this study. 1) wrapping the set tube for the administration of the IV fluid with a cotton bandage, 2) wrapping the set tube for the administration of the IV fluid with a cotton bandage with aluminum foil, 3) wrapping the warm saline bag and tube with a cotton bandage, and 4) wrapping the warm saline bag and tube with a cotton bandage with aluminum foil. Intravenous fluid was preheated to a temperature between 38-40degrees C. The temperatures of the saline bag temperature and the distal end of the IV administration set were measured every ten minutes for an hour. The infusion rate was 1000 cc/hr, and to obtain an accurate infusion rate, we used an infusion pump.
RESULTS
The mean initial temperature of the saline bag was 39.11degrees C. An hour later, the fluid temperature at the distal end of the fluid temperature ranged from 29.63degrees C to 34.3degrees C. Without any insulation, the initial temperature of the pre-heated warm saline, 39degreeshad decreased to 34.8degrees C after having been run through the 170-cm-long IV administration tube, and after 1-hour, the temperature was 29.63degrees C. As we expected, heat loss was prevented most by wrapping both the saline bag and the IV administration set with a cotton bandage and aluminum foil.
CONCLUSION
Wrapping both the saline bag and the IV administration set with a cotton bandage and aluminum foil can prevent heat loss during IV infusion in Emergency departments.; Summary

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