Cardiac arrest & resuscitation
Implementation of a regional extracorporeal membrane oxygenation program for refractory ventricular fibrillation out-of-hospital cardiac arrest
Authors' conclusion
We describe the successful implementation of a regional eCPR program with ongoing patient enrolment and data collection.
Study context
- Population
- Patients with refractory VF out-of-hospital cardiac arrest (OHCA) of suspected cardiac aetiology, Los Angeles County, routed to eCPR-capable centresrouted to eCPR-capable centres (ECCs)
- Participants
- 35 patients
- Outcome
- eCPR use and survival
Methodological detailsmulticentre, consecutive patients, centralized database, July 27, 2020 through July 31, 2022
- Multicentre
- Consecutive patients
- Centralized database
- July 27, 2020 through July 31, 2022
Main finding
As reported in the abstract
Received eCPR
11
31%
Survived after eCPR, all with full neurologic recovery
3
27%
Observational data: associations, not effects.
Further findings
Implementation challenges
- Cost to Emergency Medical Services (EMS) agencies (training, implementation, automatic chest compression devices), system awareness, hospital administrative support for staffing and equipment, interdepartmental coordination at ECCs
Original publication
Implementation of a regional extracorporeal membrane oxygenation program for refractory ventricular fibrillation out-of-hospital cardiac arrest. Resuscitation. Published 30 January 2023. doi:10.
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