title: Aorta Balloon Occlusion in Trauma: Three Cases Demonstrating Multidisciplinary Approach Already on Patient's Arrival to the Emergency Room.
abstract: OBJECTIVE
  To describe the usage of aortic balloon occlusion (ABO), based on a multidisciplinary approach in severe trauma patients, emphasizing the role of the interventional radiologist in primary trauma care.
  
  
  METHODS
  We briefly discuss the relevant literature, the technical aspects of ABO in trauma, and a multidisciplinary approach to the bleeding trauma patient. We describe three severely injured trauma patients for whom ABO was part of initial trauma management.
  
  
  RESULTS
  Three severely injured multi-trauma patients were treated by ABO as a bridge to surgery and embolization. The procedures were performed by an interventional radiologist in the early stages of trauma management.
  
  
  CONCLUSIONS
  The interventional radiologist and the multidisciplinary team approach can be activated already on severe trauma patient arrival. ABO usage and other endovascular methods are becoming more widely spread, and can be used early in trauma management, without delay, thus justifying the early activation of this multidisciplinary approach.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro University, 701 85, Örebro, Sweden. tal.horer@orebroll.se.
authors.forename: Tal M
authors.initials: TM
authors.lastname: Hörer
authors.affiliation: Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel.
authors.forename: Dan
authors.initials: D
authors.lastname: Hebron
authors.affiliation: Department of General Surgery, Bnai-Zion Medical Center, Haifa, Israel.
authors.forename: Forat
authors.initials: F
authors.lastname: Swaid
authors.affiliation: Trauma Unit, Hillel Yaffe Medical Center, Hadera, Israel.
authors.forename: Alexander
authors.initials: A
authors.lastname: Korin
authors.affiliation: Department of Vascular Surgery, Hillel Yaffe Medical Center, Hadera, Israel.
authors.forename: Offer
authors.initials: O
authors.lastname: Galili
authors.affiliation: Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Alfici
authors.affiliation: Trauma Unit, Hillel Yaffe Medical Center, Hadera, Israel.
authors.forename: Boris
authors.initials: B
authors.lastname: Kessel
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D000368:Aged; D001011:Aorta; D021721:Balloon Occlusion / Q000379:methods*; D003952:Diagnostic Imaging; D004636:Emergency Service, Hospital; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy
keywords: Hemodynamic instability; Intra-aortic balloon occlusion; Multiple trauma; Resuscitative thoracotomy