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 Moylan

Published 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
acute respiratory distress syndrome
acute care
end stage renal disease
adverse drug
newly diagnosed
ejection fraction
mental health
air pollution
prognostic factors
mechanical ventilation
patient reported