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Defence Medical Services’ REBOA training course
  1. Max E R Marsden1,2,
  2. C Park3,4,
  3. J Barratt5,6,
  4. N Tai1,7 and
  5. P Rees6,8,9
  1. 1 Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK
  2. 2 Centre for Trauma Science, Blizard Institute, Queen Mary University of London Barts and The London School of Medicine and Dentistry, London, UK
  3. 3 Critical Care, King's College Hospital NHS Trust, London, London, UK
  4. 4 London's Air Ambulance, Barts Health NHS Trust, London, UK
  5. 5 Emergency Medicine, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK
  6. 6 Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK
  7. 7 UK STRATCOM, jHubMed, London, UK
  8. 8 Barts Heart Centre, Barts Health NHS Trust, London, UK
  9. 9 University of St Andrews School of Medicine, St Andrews, UK
  1. Correspondence to Surg Cdr P Rees, Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK; cardiacexpert{at}


Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) enables temporary haemorrhage control and physiological stabilisation. This article describes the bespoke Defence Medical Services (DMS) training package for effectively using REBOA. The article covers how the course was designed, how the key learning objectives are taught, participant feedback and the authors’ perceptions of future training challenges and opportunities. Since the inaugural training course in April 2019, the authors have delivered six courses, training over 100 clinicians. For the first time in the UK DMS, we designed and delivered a robust specialist endovascular training programme, with demonstrable, significant increases in confidence and competence. As a result of this course, the first DMS REBOA-equipped forward surgical teams deployed in June 2019. Looking to the future, there is a requirement to develop an assessment of skill retention and the potential need for revalidation.

  • medical education & training
  • trauma management
  • accident & emergency medicine
  • anaesthetics
  • surgery

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  • Twitter @maxmarsden83, @EMDocJB, @DrPaulRees

  • Contributors MERM and PR wrote the manuscript. Critical revision was provided by CP, JB and NT.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

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