By Karl B. Kern, MD
A new paradigm of early transport to an ECMO/PCI center with ongoing mechanical chest compressions may change how refractory cardiac arrest victims are treated.
By Peter J. Kudenchuk, MD, FACP, FACC, FAHA, FHRS
There’s limited clinical evidence to support treating refractory v fib with double defibrillator biphasic shocks.
By Demetris Yannopoulos, MD
Use of ECMO in the post-resuscitation management of patients in OHCA refractory cardiac arrest has yielded highly promising results by providing a therapeutic platform that, when applied early and within 60 minutes from the 9-1-1 call, can potentially double survival.
By Sean Slack, DO, Hill Stoecklein, MD, Joseph E. Tonna, MD, FAAEM, & Scott T. Youngquist, MD, MS, FAEMS, FAHA
Through early identification of ECMO candidates and the delivery of excellent prehospital care en route, EMS providers are on the front line of this potential lifesaving intervention for cardiac arrest patients.
By Jason Kruger, MD, & Scott Wiebe, EMT-P
Partnering with local hospitals, Lincoln (Neb.) Fire & Rescue developed a simple criteria for sending alerts to the catheterization lab for patients in witnessed, shockable cardiac arrest.
By Michael J. Jacobs, EMT-P, & Karl A. Sporer, MD, FACEP, FACP
After establishing successful cardiac arrest protocols, the Alameda County EMS system explores using mechanical CPR as a bridge to extracorporeal membrane oxygenation (ECMO).