Evidence map›Paper›PMID 42707865›Full record

ArticleWorld journal of critical care medicine2026

Resuscitative endovascular balloon occlusion of the aorta in combat and austere environments.

Marcelo Augusto Fontenelle Ribeiro Junior, Rafael Dib Possiedi, Karine Matos de Albuquerque, Leticia Stefani Pacheco, Luiza Telles, Sariya Khan, Anaida Xacur-Trabulce, Nicolas de Cesaro Schpchacki

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of critical care medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marcelo Augusto Fontenelle Ribeiro JuniorDepartment of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD 21201, United States.
Rafael Dib PossiediDepartment of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD 21201, United States.
Karine Matos de AlbuquerqueSchool of Medicine, University of Porto, Porto 4200-319, Portugal.
Leticia Stefani PachecoHealth Sciences and Medical School of Sorocaba, Pontifical Catholic University of São Paulo - Campus Sorocaba, Sorocaba 18030070, Brazil.
Luiza TellesDiscipline of Plastic Surgery, School of Medicine, University of São Paulo, São Paulo 01246-903, Brazil.
Sariya KhanGeneral Medicine Practice Program, Batterjee Medical College, Jeddah 21442, Saudi Arabia.
Anaida Xacur-TrabulceDepartment of General Surgery, Angeles Lomas Hospital, National Autonomous University of Mexico, Huixquilucan 52763, Mexico.
Nicolas de Cesaro SchpchackiSchool of Medicine, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre 90619-900, Rio Grande do Sul, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-compressible torso hemorrhage (NCTH) is a leading cause of preventable death in austere environments. Extended evacuation times prioritize far-forward hemorrhage control. Resuscitative endovascular balloon occlusion of the aorta (REBOA) preserves proximal perfusion, shifting from specialized centers to prehospital combat settings.

aimTo investigate the feasibility, safety, and clinical outcomes of REBOA for NCTH in combat and austere environments.

methodsA PRISMA-ScR-guided scoping review searched five databases, with reference-list screening of included studies and key reviews, of humans receiving REBOA for NCTH in combat, prehospital, or austere environments. Two independent reviewers extracted patient characteristics, procedural parameters, and clinical outcomes. Quality was assessed

resultsFrom 1138 records, 8 studies, met criteria: 35 individually reported cases and 15 eligible cases from one registry cohort, of 50. Because the registry reported aggregate data only, all denominators below refer to the 35 individually reported cases. Casualties were predominantly young men in severe hemorrhagic shock after penetrating or blast injury. Access was

conclusionREBOA has been utilized in select combat and austere casualties, demonstrating hemodynamic improvement. However, this uncontrolled evidence precludes conclusions regarding efficacy or superiority, thereby not supporting its routine clinical deployment.

Indexed as

Austere environmentCombat traumaHemorrhagic shockNon-compressible torso hemorrhagePrehospital hemorrhage controlResuscitative endovascular balloon occlusion of the aorta

Identifiers

PMID42707865
PMCPMC13548169

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.