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'Tournique' for Abodomial and Pelvic Hemorrage

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发表于 6-20-2017 14:45:11 | 只看该作者 回帖奖励 |倒序浏览 |阅读模式
本帖最后由 choi 于 6-20-2017 14:47 编辑

Denise Brady, An Inflatable Life Preserver; A new 'internal tourniquet' can help halt bleeding in severely injured patients. New York Times, June 20, 2017.
https://www.nytimes.com/2017/06/ ... ter-blood-loss.html
("ER-Reboa [trademark’ commercialized in November 2016] catheter * * * made [manufactured] by Prytime Medical [based in City of Lakewood (which 'lies immediately west of Denver': Wikipedia), Colorado] and cleared by the Food and Drug Administration in 2015 * * * could be placed quickly inside the aorta without X-rays * * * The ER in the product name stands for the last names of the two inventors, [Jonathan L] Eliason and [Todd E] Rasmussen.  Defense Department and the University of Michigan hold the patent")

Note:
(a) life preserver
https://en.wikipedia.org/wiki/Life_preserver
(may refer to: personal flotation device)

(b) NYC Health & Hospitals/Bellevue's trauma surgeon Marko "Bukur punctured [with ER-Reboa's leading portion, which is a needle; of course one has to be cautious to puncture any artery, as opposed to a vein] Ms [Jessica] Williams's thigh, threaded a slim tube into her femoral artery and eased it up about 12 inches [30 cm] into her aorta, the major artery that carries blood from the heart to most of the body. Then he injected salt water to inflate a balloon near the tip of the tube, blocking the aorta and cutting off circulation to Ms Williams's pelvis and legs. Above the balloon, blood still flowed normally to her brain, heart, lungs and other vital organs.  Almost instantly, her blood pressure rose and her racing heart slowed down. The balloon stopped the hemorrhaging inside her pelvis * * * Reboa stands for resuscitative endovascular balloon occlusion of the aorta, but some doctors describe it simply as an 'internal tourniquet.' * * * Circulation could be safely cut off for only so long — ideally, no more than about 30 minutes. Beyond that, the lack of blood flow could severely damage Ms Williams's legs and internal organs. The balloon had only bought the medical team a bit of time to find the source of the blood loss and fix it."
(i)
(A) NYC Health + Hospitals/Bellevue
https://en.wikipedia.org/wiki/NYC_Health_%2B_Hospitals/Bellevue
(is the oldest public hospital in the United States [hospital's own website simply says it "is the oldest hospital in America"]; section 1 History, section 1.2 Founding: In 1798, the city purchased Belle Vue [French for 'good view'] farm)
(B) NYC Health + Hospitals
https://en.wikipedia.org/wiki/NYC_Health_%2B_Hospitals
(officially the New York City Health and Hospitals Corporation (HHC); In 1969, New York City created HHC to replace its Department of Hospitals operating city hospitals and other health care facilities)
(ii) French-English dictionary:
* beau (adjective, masculine singular; feminine singular belle)
https://en.wiktionary.org/wiki/beau
* vue (noun feminine): "sight, view"
https://en.wiktionary.org/wiki/vue
(iii) The internal diameters of ascending aorta and descending aorta is about 3.5 cm and 3.0 cm, respectively.

(c) "in Japan [there is] * * * a related device"

Over there (Japan) it is called Reboa (or REBOA) also. Hence the inventors add the initials of their last names (ER) to differentiate.

(d) "The idea for the ER-Reboa catheter came to Dr Todd E. Rasmussen and Dr Jonathan L Eliason in 2006, while they were deployed as surgeons in Iraq. Improved tourniquets and transfusion techniques did prevent soldiers from bleeding to death from wounds in their arms and legs. But there was no similar solution for bleeding in the abdomen or pelvis [take notice: not thoracic wound; that is what Prytime's website says, without explanation], or what doctors call 'noncompressible hemorrhage.'  The two doctors, both vascular surgeons, started to develop a new device based on an older balloon catheter designed to prevent bleeding in people having surgery on the aorta.  The older device can be used on trauma victims, but not easily. It is large and complex, and meant for use by vascular surgeons with X-rays to guide it. * * * Dr Rasmussen, an Air Force colonel, who is associate dean for research and an attending surgeon at the military medical school and medical center at the Uniformed Services University in Bethesda, Md.  Dr Rasmussen and Dr Eliason set out to create a smaller, stripped-down version that could be placed quickly inside the aorta without X-rays"
(i) Uniformed Services University of the Health Sciences
https://en.wikipedia.org/wiki/Un ... the_Health_Sciences
(1972- ; based in Bethesda, Maryland; medical students "are expected to serve at least seven years after residency on active duty and six years in the inactive ready reserve")
(ii)
(A) Dr Eliason is an associate professor of University of Michigan. That is why that university jointly holds the patent.
(B) The surname (Eliason) is from Swedish surname (Eliasson), meaning son of the a man with personal name Elias.

* Elijah
https://en.wikipedia.org/wiki/Elijah
(or Elias in Greek spelling; a prophet in Old Testament)
(C) Dr Jonathan Eliason: Veteran and Vascular Surgeon. Samuel and Jean Frankel Cardiovascular Center (CVC), University of Michigan, Nov 11, 2013
http://uofmhealthblogs.org/cardi ... cular-surgeon/9580/

, which explains why he gets involved with the military. Dr Eliason received the MD degree from U of Michigan.
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