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Aortic occlusion for abdominal hemorrhage

SJASMD at aol.com SJASMD at aol.com
Mon Oct 10 14:17:54 BST 2005


 
Gerry Shaftan was doing this for a short while routinely from his ER at  
brookdale hospital in the mid 1980s
 
never published it
 
sal
 
 
In a message dated 10/9/2005 8:59:36 P.M. Eastern Standard Time,  
karim at trauma.org writes:

Don,

This is a great question.  We have used the occlusion  balloon in the 
occasional ruptured aortic aneurysm patient where we have  had
all the logistical ducks in a row.  We have certainly been talking  about 
doing this in trauma patients but have yet to use it in
anyone.   As you say it should replace the 'unnecessary' thoracotomy in the 
ED  department for massive abdominal haemorrhage, so the
equipment and  expertise must be available on patient arrival in the ED.   

Karim


-----Original Message-----
From:  trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On  Behalf Of Don Benson
Sent: 09 October 2005 18:14
To:  trauma-list at trauma.org
Subject: RE: Aortic occlusion for abdominal  hemorrhage


Aortic balloon catheters have been used experimentally  to "cross clamp" the 
aorta during closed chest CPR and augment brain  and
heart perfusion. Emergency thoracotomy and aortic cross-clamping has  been 
used to control intraabdominal hemorrhage prior to
celiotomy. Does  anyone have any experience with aortic balloon occlusion to 
temporarily  control massive sub-diaphragmatic hemorrhage
in the trauma  victim?

Don Benson, DO, FACEP
St. John Hospital -  Detroit
bensonblues at comcast.net


-----Original  Message-----
From: trauma-list-bounces at trauma.org  [mailto:trauma-list-bounces at trauma.org]
On Behalf Of  trauma-list-request at trauma.org
Sent: Sunday, October 09, 2005 7:00  AM
To: trauma-list at trauma.org
Subject: trauma-list Digest, Vol 28, Issue  12

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