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.