Point-of-Injury REBOA through real-time sensing and adaptive bleeding control and resuscitation

We propose development of a hemorrhage control system to bring emergency treatment to the point of injury. This system addresses the highest priority challenge in combat casualty care, torso hemorrhage, and has will enable use even in scenarios where evacuation is delayed. The proposed device overcomes the limited time this treatment can be used due to the threat of ischemic injury. The ER-REBOA™ catheter is the standard of care for military trauma treatment teams and it has proven effective.  Future battlefields where evacuation is delayed and small teams will need to be highly mobile will challenge this success and the Automated Sensing Austere Partial-REBOA (ASAP-REBOA™) System will ensure that the U.S. Military casualties on future battlefields continue to have access to REBOA.  This proposal leverages innovations in REBOA catheters to guide resuscitation and critical care.  Partial REBOA will be combined with precision physiologic sensing of blood pressure, flow, lactate and pH. The physiologic data will provide input to an automated partial REBOA controller, which can then be used to manage partial REBOA in full automatic mode. Having real-time physiologic data while performing REBOA will maximize the time window for treatment of casualties.