resuscitationjournal.com
Sub30: Feasibility study of a pre-hospital extracorporeal membrane oxygenation (ECMO) in patients with refractory out-of-hospital cardiac arrest in London, United Kingdom
Out-of-hospital cardiac arrest (OHCA) carries a significantly poor prognosis with fewer than one in ten patients (∼9%) surviving to hospital discharge with some evidence suggesting that survival rates may even be decreasing to 7.8 %1–2 Survival is inversely correlated to the time taken to restore a spontaneous circulation, and cardiac arrests refractory to initial resuscitation attempts lead to very low neurologically intact survival rates.3 Extracorporeal cardiopulmonary resuscitation (ECPR) describes the implementation of extra-corporeal membrane oxygenation (ECMO) during ongoing resuscitation and is emerging as a treatment to improve outcomes for patients in refractory cardiac arrest.