pREBOA Abroad: Leveraging Partial Aortic Occlusion for Stabilization and Transport in Ukraine.

The war in Ukraine highlights the challenges in providing combat casualty care when both nations are near-peer adversaries. Providing timely definitive hemorrhage control within one hour of injury, as the US military and its allies have grown accustomed, is unrealistic. Stabilization points (SP) in Ukraine are forced to provide prolonged field care to exsanguinating patients with little resources while waiting extended periods of time for patient transport. pREBOA-PRO™ (Prytime Medical, Boerne, TX)has been suggested as a bridge to this problem as it can provide temporary hemorrhage control, stabilize the patient, and limit distal ischemic consequences when used for partial aortic occlusion. We discuss a patient who suffered a traumatic arm amputation and intra-abdominal injuries managed with pREBOA-PRO™. This partial aortic occlusion provided an increase in central perfusion pressure, temporary hemorrhage control, and time for patient transport to definitive hemorrhage control. This serves as proof of concept that pREBOA-PRO™ and partial aortic occlusion can stabilize a patient, provide longer safe occlusion times, and aid in transport in austere environments while mitigating distal ischemic consequences.