In this episode, we discuss the history and development of resuscitative endovascular balloon occlusion of the aorta (REBOA) and its application in civilian and military trauma.  We explore the reasons behind the surge in REBOA research as well as the recent controversy associated with REBOA.  We look at its application in the civilian and military realm and argue that in these settings where injury patterns may differ, REBOA may have different specific roles.  In either case, the specific indications are relatively narrow and REBOA is not a panacea for all trauma.