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This case report describes a prehospital extracorporeal cardiopulmonary resuscitation (ECPR) in a female patient who suffered a sudden cardiac arrest while shopping in a supermarket. The success of this intervention marks the first of its kind in our institution and highlights the potential of prehospital application of extracorporeal membrane oxygenation (ECMO) systems in life-threatening scenarios. Despite the complicated challenges faced in this case, the patient exhibited a favorable neurological outcome. This case underscores the potential of prehospital ECMO in cardiac arrest scenarios and the benefits of a coordinated, multidisciplinary approach. As prehospital ECMO evolves, it offers hope for saving lives in critical situations where rapid intervention is essential.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766048 | PMC |
http://dx.doi.org/10.7759/cureus.49975 | DOI Listing |
Resusc Plus
November 2025
Department of Emergency Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan city, Taiwan.
Lancet Respir Med
August 2025
Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Royal Prince Alfred Hospital, Sydney, NSW, Australia. Electronic address:
Background: The benefit of expedited intra-arrest transport with ongoing resuscitation versus more extended on-scene resuscitation for refractory out of hospital cardiac arrest (OHCA) is uncertain. We aimed to determine whether expedited intra-arrest transfer to hospital in adults with refractory OHCA improves favourable neurological outcomes.
Methods: We conducted a prospective, parallel, multi-centre, open-label randomised, superiority trial across greater Sydney, NSW, Australia.
Scand J Trauma Resusc Emerg Med
August 2025
Center for Resuscitation Medicine, University of Minnesota School of Medicine, Minneapolis, MN, USA.
Despite advancements in care, out-of-hospital cardiac arrest has a low survival rate. Extracorporeal cardiopulmonary resuscitation (ECPR) has shown improved outcomes in select cases, notably in the ARREST trial. However, ECPR is resource-intensive and limited to specialized centers, restricting access in many regions.
View Article and Find Full Text PDFResuscitation
August 2025
Centre de Recherche de l'Hôpital du Sacré-Cœur de Montréal, Montreal, QC, Canada; Department of Medicine, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada; Division of Critical Care, Department of Medicine, Hôpital du Sacré-Cœur de Montréal, CIUSSS-NIM, Montreal, QC, Canad
Background: Extracorporeal cardiopulmonary resuscitation (ECPR) can improve outcomes in refractory out-of-hospital cardiac arrest (OHCA), but access is limited by geographic and system constraints. We aimed to compare the potential impact of different ECPR delivery strategies in an urban setting using simulation modeling.
Methods: We performed a Monte Carlo simulation using historical OHCA data (2015-2019) from Montreal's sole EMS.
Background: Pre-hospital extracorporeal cardiopulmonary resuscitation (ECPR) in out-of-hospital cardiac arrest is costly and resource-intensive. Low survival rates raise questions concerning efficacy of ECPR. We aimed to analyze survival and neurological outcome of these patients and the influence of underlying coronary artery disease as well as shockable heart rhythm leading to resuscitation.
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