The RAPToR course
- what is it?
Delivering advanced resuscitation to the point of insult or injury
We face a significant burden from preventable prehospital death due to hemorrhage. In particular, non-compressible torso hemorrhage can be particularly challenging to address. There is an increasing need to bring resuscitation room interventions to the point of insult or injury.
Recently, the US military's Joint Trauma System recommended adding the use of whole blood and REBOA to Tactical Combat Casualty Care. Termed Advanced Resuscitative Care (ARC), these interventions are aimed to buy time to get the patient to definitive care.
Through a series of classroom lectures, simulation, and cadaveric training, the RAPToR course will equip you, the resuscitation specialist, with the knowledge and skills to safely and responsibly incorporate these tools into your prehospital practice.
Current practice for blood transfusion focuses on component therapy. However, trials such as PROPPR emphasizing 1:1:1 ratios, and experience from recent military conflicts have shown there is benefit to moving back to the product that was used in World War 2, the Korean War and the Vietnam War - whole blood.
With Tactical Combat Casualty Care now advocating for this also, the question that remains is - will your civilian service be able to incorporate this to help your exsanguinating patients
Resuscitative Endovascular Balloon Occlusion of the Aorta
REBOA is an endovascular approach to temporarily arrest catastrophic torso hemorrhage. A compliant balloon catheter is placed in the aorta via the common femoral artery and inflated above the point of bleeding.
This technique, adapted from vascular surgery, has added to the resuscitation specialist's armamentarium when faced with the critically hemorrhaging patient.