Authors' Response to Letter to the Editor by Allen et al regarding Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) by Brenner et al

Regarding the authors’ statement that REBOA ‘may have a role in life-saving hemorrhage control at non-level 1 trauma centers that are part of a robust trauma system and can move patients to the operating or interventional suite within a reasonable period of time’. [...]these courses are designed to ensure anyone placing REBOA is appropriately trained. Rather, more appropriate questions are, even if taught to place it, under what clinical, ethical, and system-based circumstances should it be placed, if at all? [...]we worked to come to consensus with a statement that focuses on patient safety.