Control of pelvic bleeding with aortic balloon

(A) A sheet has been placed around the pelvis for initial fracture stabilization. For preemptive control of bleeding from a right-sided pelvic fracture, a 7-French arterial sheath has been placed into the right common femoral artery and the REBOA balloon inflated in zone III. The catheter is held in position using an occlusive dressing. The bedside plain abdominal film (B) shows balloon deployment in zone III, just above the aortic bifurcation. Right superior and inferior rami fractures and separation of the right sacroiliac joint can also be seen.