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<p>We report the case of a&#xa0;12-year-old patient with traumatic peri-arrest caused by splenic disruption and major injury to the splenic vein. Due to profound hemorrhagic shock, a&#xa0;positive focused assessment with sonography in trauma (FAST) examination, and a&#xa0;point-of-care hemoglobin level of 5.6 g/dL, prehospital transfusion was performed. Following initial stabilization in the emergency department, resuscitative endovascular balloon occlusion of the aorta (REBOA) was prepared and successfully deployed during emergency laparotomy after recurrent circulatory collapse. The rapid combination of prehospital transfusion, REBOA, and definitive surgical hemorrhage control resulted in neurologically intact survival.</p>

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Prähospitale Transfusion und REBOA im Kindesalter

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月28日

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  • Emmanuel Schneck,
  • Tobias Fischer,
  • Johannes Hofmann,
  • Detlef H. Litzlbauer,
  • Alexander Schlier,
  • Florian Martens,
  • Carl Christian Hahn,
  • Mumi Taleb,
  • Guido Seitz,
  • Michael Sander,
  • Martin Reichert,
  • Illya Martynov

摘要

We report the case of a 12-year-old patient with traumatic peri-arrest caused by splenic disruption and major injury to the splenic vein. Due to profound hemorrhagic shock, a positive focused assessment with sonography in trauma (FAST) examination, and a point-of-care hemoglobin level of 5.6 g/dL, prehospital transfusion was performed. Following initial stabilization in the emergency department, resuscitative endovascular balloon occlusion of the aorta (REBOA) was prepared and successfully deployed during emergency laparotomy after recurrent circulatory collapse. The rapid combination of prehospital transfusion, REBOA, and definitive surgical hemorrhage control resulted in neurologically intact survival.