Improving access to extracorporeal membrane oxygenation for out of hospital cardiac arrest: pre-hospital ECPR and alternate delivery strategies.
Changle SongMark R DennisBrian BurnsSophie DysonPaul ForrestMahesh RamananDavid LevinsonEmily MoylanPublished in: Scandinavian journal of trauma, resuscitation and emergency medicine (2022)
In-hospital ECPR provides the least equitable access to ECPR. Rendezvous and pre-hospital ECPR models substantially increased the catchment of eligible OHCA patients. Traffic and spatial modelling may provide a mechanism to design appropriate ECPR service delivery strategies and should be tested through clinical trials.
Keyphrases
- cardiopulmonary resuscitation
- extracorporeal membrane oxygenation
- cardiac arrest
- healthcare
- clinical trial
- end stage renal disease
- acute respiratory distress syndrome
- acute care
- adverse drug
- newly diagnosed
- ejection fraction
- mental health
- chronic kidney disease
- peritoneal dialysis
- air pollution
- randomized controlled trial
- emergency department
- respiratory failure
- mechanical ventilation