Cardiac arrest & resuscitation
The Minnesota Mobile Resuscitation Consortium ECMO truck: a feasibility study for extracorporeal cardiopulmonary resuscitation (ECPR) in refractory out-of-hospital cardiac arrest
Authors' conclusion
A sustained, protocolized prehospital ECPR program using a purpose-built ECMO truck is feasible and achieves outcomes comparable to an established in-hospital ECPR system when matched on low-flow time.
Study context
- Population
- Adults (18–75 years) with refractory VF/VT out-of-hospital cardiac arrest (OHCA), Minnesota Mobile Resuscitation Consortiummatched cohort
- Participants
- 8 vs 8
- Exposure
- ECMO truck vs Controls
- ECMO truckn = 8
- Controlsn = 8reference
- Outcome
- Survival to hospital discharge with favorable neurological status
Methodological detailssingle-center, prospectively collected registry, matched on low-flow time
- Single-center
- Prospectively collected registry
- Matched on low-flow time
Main finding
As reported in the abstract
Neurologically favorable survival
P ≥ 0.99
Observational data: associations, not effects.
Further findings
Total low-flow time
P = 0.87
Needle-stick-to-ECMO flow time
P = 0.71
Baseline characteristics
- Similar between groups
Original publication
The Minnesota Mobile Resuscitation Consortium ECMO truck: a feasibility study for ECPR in refractory out-of-hospital cardiac arrest. Resuscitation. Published 16 April 2026. doi:10. 1016/ j. resuscitation. 2026. 111089
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