Fig. 3

Timeline of trauma resuscitation for our case compared to an ideal resuscitation timeline. a Timeline of trauma resuscitation for our case, indicating the wait time between computed tomography imaging and completion of the preparation of the operative theater; during this wait time, external fixation was applied to stabilize the fracture of the right arm. b An ideal timeline of trauma resuscitation, indicating that time-to-surgery could have been shortened by 1 h if the hybrid operating theater had been promptly available, which would also have reduced the volume of transfusion required by reducing the time-to-inflation of the resuscitative endovascular balloon occlusion of the aorta (REBOA). Comparison of the real and ideal timeline of resuscitative trauma, showing: (a) real time for preparation of the hybrid operating theater, 95 min; (b) simulation, showing that the hybrid operating theater can be prepared in 40 min; and (c) simulation showing that the time-to-surgery can be reduced by approximately 1 h. Abbreviations: DCS damage control surgery, TEVAR thoracic endovascular repair, REBOA resuscitative endovascular balloon occlusion of the aorta, CT computed tomography, RBC red blood cell, FFP fresh frozen plasm, PLT platelet