Endovascular resuscitation: an expert practice review - Summary - MDSpire
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Endovascular Resuscitation: A Comprehensive Review of Expert Practices

  • By

  • Thomas David Adams

  • Jon Barratt

  • James E Manning

  • Paul Rees

  • Ben Singer

  • Ed Benjamin Graham Barnard

  • October 1, 2026

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Objective:

To review endovascular resuscitation (EVR) techniques and their application in emergency medicine, particularly for patients in haemorrhagic shock or out-of-hospital cardiac arrest (OHCA).

Approach:
    Key Findings:
    • EVR can bridge critically-shocked patients to definitive care through haemostasis and circulatory support.
    • Emergency physicians may encounter EVR candidates in scenarios of haemorrhagic shock or OHCA.
    • Conventional advanced life support has limitations that EVR may address.
    Interpretation:

    Understanding EVR principles and techniques is essential for emergency physicians to effectively manage critically-unwell patients.

    Limitations:
    • Challenges in conducting high-quality research in critically-unwell patients in prehospital and emergency department settings.
    • Limited evidence from randomized control trials and systematic reviews.
    Conclusion:

    The review discusses the role of EVR in emergency medicine for managing patients with severe trauma and cardiac arrest.

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