Dr. Bryan Hartley

Yeah. So I got really involved in elaborate Halloween costumes. Oh, right. Great segue. Yeah. Well, it turns out that a knowledge of anatomy is really helpful in making accurate Halloween costumes. So these things sort of played off each other back and forth. And so I used glue and plastic bottles and latex tubes and felt to

Yeah. So I got really involved in elaborate Halloween costumes. Oh, right. Great segue. Yeah. Well, it turns out that a knowledge of anatomy is really helpful in making accurate Halloween costumes. So these things sort of played off each other back and forth. And so I used glue and plastic bottles and latex tubes and felt to

to reconstruct a human neck and, you know, made of all the same materials as my Halloween costumes, but it was good enough to practice on.

to reconstruct a human neck and, you know, made of all the same materials as my Halloween costumes, but it was good enough to practice on.

to reconstruct a human neck and, you know, made of all the same materials as my Halloween costumes, but it was good enough to practice on.

The next thing that happened was I started training other residents on it and it was lifelike enough that people started to sweat. You know, you could you could drape it as if it was a surgery

The next thing that happened was I started training other residents on it and it was lifelike enough that people started to sweat. You know, you could you could drape it as if it was a surgery

The next thing that happened was I started training other residents on it and it was lifelike enough that people started to sweat. You know, you could you could drape it as if it was a surgery

and i didn't really take that much farther because i had solved my immediate problem but then during my trauma rotation i saw an ed thoracotomy which you know for your listeners if they're not entirely familiar with that the easy version of this is that there's some catastrophic injury to your your aorta you're bleeding faster than we can get you to the operating room so the solution is to cut your chest wide open

and i didn't really take that much farther because i had solved my immediate problem but then during my trauma rotation i saw an ed thoracotomy which you know for your listeners if they're not entirely familiar with that the easy version of this is that there's some catastrophic injury to your your aorta you're bleeding faster than we can get you to the operating room so the solution is to cut your chest wide open

and i didn't really take that much farther because i had solved my immediate problem but then during my trauma rotation i saw an ed thoracotomy which you know for your listeners if they're not entirely familiar with that the easy version of this is that there's some catastrophic injury to your your aorta you're bleeding faster than we can get you to the operating room so the solution is to cut your chest wide open

reach inside, grab the aorta, and clamp it above the injury. And this is in the ED, not even in the operating area. Yeah, in the emergency department. So now you start dying a different way, but it's slower. So now we can get you to the OR. And the survival rate of this is terrible. And it's really chaotic. It's actually dangerous for the people that do it. It doesn't make you feel very good.

reach inside, grab the aorta, and clamp it above the injury. And this is in the ED, not even in the operating area. Yeah, in the emergency department. So now you start dying a different way, but it's slower. So now we can get you to the OR. And the survival rate of this is terrible. And it's really chaotic. It's actually dangerous for the people that do it. It doesn't make you feel very good.

reach inside, grab the aorta, and clamp it above the injury. And this is in the ED, not even in the operating area. Yeah, in the emergency department. So now you start dying a different way, but it's slower. So now we can get you to the OR. And the survival rate of this is terrible. And it's really chaotic. It's actually dangerous for the people that do it. It doesn't make you feel very good.

Somebody invented a really clever solution around that. This company called Prytime Medical, they had a balloon on a catheter. You would poke someone in the groin, you would feed the catheter up above the hole and then inflate a balloon. So instead of clamping from the outside, you're clamping from the inside. Really elegant, really clever. I was in love with this thing. Is this the Reboa?

Somebody invented a really clever solution around that. This company called Prytime Medical, they had a balloon on a catheter. You would poke someone in the groin, you would feed the catheter up above the hole and then inflate a balloon. So instead of clamping from the outside, you're clamping from the inside. Really elegant, really clever. I was in love with this thing. Is this the Reboa?

Somebody invented a really clever solution around that. This company called Prytime Medical, they had a balloon on a catheter. You would poke someone in the groin, you would feed the catheter up above the hole and then inflate a balloon. So instead of clamping from the outside, you're clamping from the inside. Really elegant, really clever. I was in love with this thing. Is this the Reboa?

This is Reboa, R-E-B-O-A, for resuscitative endovascular balloon occlusion of aorta. And so I went to our trauma doctors and I said, I want to do Reboa. I think we should do that at our hospital. And they said, that sounds great. And what year were you or what were you? What level of training? Fourth year resident, I think. And they said, that sounds great. We're never doing that.

This is Reboa, R-E-B-O-A, for resuscitative endovascular balloon occlusion of aorta. And so I went to our trauma doctors and I said, I want to do Reboa. I think we should do that at our hospital. And they said, that sounds great. And what year were you or what were you? What level of training? Fourth year resident, I think. And they said, that sounds great. We're never doing that.

This is Reboa, R-E-B-O-A, for resuscitative endovascular balloon occlusion of aorta. And so I went to our trauma doctors and I said, I want to do Reboa. I think we should do that at our hospital. And they said, that sounds great. And what year were you or what were you? What level of training? Fourth year resident, I think. And they said, that sounds great. We're never doing that.