PT - JOURNAL ARTICLE AU - Jack P Vernamonti AU - John Holcomb AU - Nathan W Mick AU - Carolyne Falank AU - Julianne B Ontengco AU - Joseph Rappold AU - Forest Raymond Sheppard TI - ‘Step Up’ approach to the application of REBOA technology in a rural trauma system AID - 10.1136/tsaco-2019-000335 DP - 2019 Jul 01 TA - Trauma Surgery & Acute Care Open PG - e000335 VI - 4 IP - 1 4099 - http://tsaco.bmj.com/content/4/1/e000335.short 4100 - http://tsaco.bmj.com/content/4/1/e000335.full SO - Trauma Surg Acute Care Open2019 Jul 01; 4 AB - Our group has developed a ‘Step Up’ approach to the application of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in a rural trauma system. This incorporates viewing REBOA as a spectrum of technology. Examples of REBOA technology use to improve outcomes and provision of our system’s clinical practice guideline for the Step-Up application of REBOA technology in the care of trauma patients are presented.