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. 2025 Jun;37(3):e70072.
doi: 10.1111/1742-6723.70072.

Prehospital ECPR for Out-Of-Hospital Cardiac Arrest

Affiliations

Prehospital ECPR for Out-Of-Hospital Cardiac Arrest

Brian Burns et al. Emerg Med Australas. 2025 Jun.

Abstract

This article discusses the role of prehospital extracorporeal CPR (ECPR) in improving survival in out-of-hospital cardiac arrest (OHCA). The Sydney PRECARE feasibility trial is discussed, highlighting the need for intensive interprofessional training and engagement when establishing a prehospital ECPR programme. The role of emergency physicians in the future of cardiac arrest care is also explored.

Keywords: ECMO; ECPR; cardiac arrest; prehospital; refractory.

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References

    1. S. R. Mørk, M. T. Bøtker, S. Christensen, M. Tang, and C. J. Terkelsen, “Survival and Neurological Outcome After Out‐Of‐Hospital Cardiac Arrest Treated With and Without Mechanical Circulatory Support,” Resuscitation Plus 10 (2022): 100230, https://doi.org/10.1016/j.resplu.2022.100230.
    1. S. A. Bernard, S. J. Hopkins, J. C. Ball, et al., “Outcomes of Patients With Refractory Out‐Of‐Hospital Cardiac Arrest Transported to an ECMO Centre Compared With Transport to Non‐ECMO Centres,” Critical Care and Resuscitation 24, no. 1 (2023): 7–13, https://doi.org/10.51893/2022.1.OA1.
    1. S. Cheskes, I. R. Drennan, L. Turner, S. V. Pandit, and P. Dorian, “The Impact of Alternate Defibrillation Strategies on Shock‐Refractory and Recurrent Ventricular Fibrillation: A Secondary Analysis of the DOSE VF Cluster Randomized Controlled Trial,” Resuscitation 198 (2024): 110186, https://doi.org/10.1016/j.resuscitation.2024.110186.
    1. F. Teran, C. G. Owyang, T. C. Wray, et al., “Development and Implementation of a Multicenter Registry for Resuscitation‐Focused Transesophageal Echocardiography,” Annals of Emergency Medicine 85, no. 2 (2025): 147–162, https://doi.org/10.1016/j.annemergmed.2024.08.004.
    1. E. D. Butterfield, J. Price, M. Bonsano, et al., “Prehospital Invasive Arterial Blood Pressure Monitoring in Critically Ill Patients Attended by a UK Helicopter Emergency Medical Service– A Retrospective Observational Review of Practice,” Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 32 (2024): 20, https://doi.org/10.1186/s13049‐024‐01193‐2.

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