BMJ Case Reports 2017; doi:10.1136/bcr-2017-220885
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

Acute rehabilitation after resuscitative endovascular balloon occlusion of the aorta (REBOA) in major trauma

  1. Karen Hoffman2
  1. 1 Department of Inpatient Physiotherapy, Barts Health NHS Trust, London, UK
  2. 2 Royal London Hospital , Barts Health NHS Trust, London, UK
  1. Correspondence to Jessica Anne Rich,{at}
  • Accepted 25 June 2017
  • Published 17 July 2017


We report a 23-year-old woman admitted post cyclist versus heavy goods vehicle accident in December 2014. This was the second case the life-saving procedure, that is, resuscitative endovascular balloon occlusion of the aorta (REBOA) was performed on at the roadside. This advanced procedure was performed due to the extensive haemorrhage from this patient’s complex pelvic fracture . As a result of REBOA, the patient consequently lost her left lower limb and underwent a variety of complex pelvic and lower limb surgeries.

The patient was admitted to the acute critical care unit and underwent repeated operations and was not ready to start active rehabilitation until 12 days into her admission. Prior to this she was on movement restrictions and received physiotherapy for limb care and dietetics in order to meet her nutritional requirements. The patient was stepped down to a ward setting and started on an extensive physiotherapy programme and was then transferred to the rehabilitation unit for amputees at Roehampton.


  • Contributors JR contributed to reviewing the patient daily for rehabiliation and to the writing of the case report. KH contributed to the design and writing of this case study report. CD contributed to collating all the intensive care information and rehabilitation plans while this patient was in the major trauma ward. JC contributed to completing daily therapy sessions with this patient and referral to Roehampton. Contributions were also made by this author to the write up of this case report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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