POUGHKEEPSIE – First responders and medical professionals from across the Hudson Valley heard from a lineup of clinical trauma experts about the latest medical innovations designed for the treatment of injured and critically ill trauma patients, including the REBOA catheter and ECMO technique, as part of Vassar Brothers Medical Center’s second annual Trauma Education Day conference.
The annual conference, held recently in Poughkeepsie, featured presentations and device simulations from several specialists, including keynote speaker Dr. Joseph DuBose, an active-duty military surgeon with the United States Air Force and leading expert in the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) catheter.
“We offer this educational conference as our commitment to provide our medical community, including physicians, nurses and pre-hospital personnel, with cutting-edge advancements in the trauma field,” said Dr. Fausto Vinces, chief of trauma and surgical critical care for Vassar Brothers Medical Center. “The evidence-based presentations and simulations teach our medical personnel how to navigate the complex, dynamic and time-sensitive treatment approach required for patients with traumatic injuries.”
Dr. Joseph DuBose, director of the United States Air Force Center for Sustainment of Trauma and Readiness Skills (CSTARS) at the University of Maryland, demonstrated the uses and applications of the REBOA catheter through on-stage simulations.
The REBOA is used to stop severe blood loss in patients who are hemodynamically unstable, or unable to properly circulate blood, from blunt and penetrating trauma injuries. A small, inflatable balloon is inserted into the aorta, the main artery in the body, to temporarily halt blood supply to damaged blood vessels. This allows trauma surgeons to stabilize a patient before performing a final and definitive procedure to discontinue bleeding.
Dr. David Gaieski, professor, vice chair for resuscitation services and director of emergency critical care for the department of emergency medicine at the Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia, spotlighted the effectiveness of the ECMO technique in emergency room trauma situations through case studies and device simulations.
ECMO, used alongside traditional CPR, is designed for critical care patients who are unresponsive to normal ventilator settings as a result of cardiac arrest and other cardiac-related complications. This technique allows the lungs to rest and recover with proper cardiac and respiratory support while they are unable to produce adequate levels of oxygen for survival.
Gaieski was joined by Dr. Tomoyuki Endo, director of the Tohoku Medical and Pharmaceutical University Hospital Emergency Department in Japan, and Dr. Munish Goyal, an attending physician for the department of emergency medicine at MedStar Washington Hospital Center in northwest Washington.
Other topics discussed included the use of bloodless surgery in the trauma setting for patients who refuse blood and blood products due to fear of complications or religious beliefs, the use of telehealth technology to provide patients and medical personnel access, attention and assessment of various conditions via live-streamed video, and the spectrum of traumatic brain injuries and related treatment options.
To learn more about Vassar Brothers Medical Center’s Level II Trauma Center, visit healthquest.org/trauma.