Cardiac arrest & resuscitation

Extracorporeal cardiopulmonary resuscitation in trauma patients: An analysis of the ELSO registry

ResuscitationPublished Retrospective registry study

Authors' conclusion

ECPR can be used to restore circulation in trauma patients with cardiac arrest. ECPR may result in higher-than-expected survival rates, even when applied in patients with traumatic cardiac arrest.

Study context

Population
Adult trauma patients receiving extracorporeal cardiopulmonary resuscitation (ECPR), ELSO registry, 01/01/2020–01/12/2024of 13,132 ECPR patients
Participants
134 patients
Exposure
Traumatic cardiac arrest vs Medical aetiology
  • Traumatic cardiac arrestn = 24
  • Medical aetiologyn = 110
Outcome
Hospital survival
Methodological detailsELSO registry
  • ELSO registry

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Traumatic reasons for cardiac arrest (traumatic cardiac arrest)

%

Haemorrhagic shock
33.3
Respiratory failure
29.2
Pericardial tamponade
25.0
Other pathologies
12.5
Penetrating trauma as injury mechanism
50

Reasons for arrest of medical aetiology

OHCA of medical aetiology (all with an acute cardiac condition)
20.3 %
In-hospital arrests of medical aetiology
79.7 %
Acute HF (in-hospital)
10
PE (in-hospital)
10
Sepsis (in-hospital)
6

Original publication

Extracorporeal cardiopulmonary resuscitation in trauma patients: An analysis of the ELSO registry. Resuscitation. Published 7 November 2025. doi:10.1016/j.resuscitation.2025.110884

Composed by AI from the published abstract and checked against it. How Briefs are made →

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