Why would you do ECPR?
Peter McCanny is part of the LearnECMO team. In this podcast he explains some of the background and history of ECMO CPR, what evidence there is to support its use and where we’re heading in the future.
Check out the first LearnECMO Podcast here.
2 CHEER Study Details
More here
Indications
OUT-OF-HOSPITAL cardiac arrest (OHCA) which is refractory to standard advanced cardiac life support (ACLS) treatment
- age 12-70 years
AND meets ALL of the following criteria:
- Cardiac arrest is likely to be of primary cardiac or respiratory cause
- Cardiac arrest was witnessed by a bystander or paramedic or hospital staff member
- Chest compressions commenced within 10 minutes
- Cardiac arrest duration (collapse to arrival at ED) has been < 60 minutes
OR meets ONE of the following criteria:
- Severe hypothermia (<32°C) due to accidental exposure
- Severe overdose with β-blockers, tricyclic antidepressants, digoxin or other agents causing profound reversible myocardial depression and/or cardiac rhythm disturbance
- Any other cause where there is likely to be reversibility of the cardiac arrest if an artificial circulation can be provided (e.g. massive pulmonary embolism)
IN-HOSPITAL CARDIAC ARREST (IHCA) patients may be deemed eligible for E-CPR at the discretion of the senior multidisciplinary medical team when the cardiac arrest is considered potentially reversible and E-CPR can be provided without delay.
Exclusion criteria
- Active bleeding
- Known wish of the patient not to receive extraordinary or invasive life prolonging medical intervention
- Known pre-existing comorbidity and/or functional limitations that would prevent a future return to independent life
“Prague OHCA study”
Full text here
More about LearnECMO
The learnECMO collaboration is up and running having completed the inaugural ECMObasic course at Royal North Shore Hospital, thanks to some indefatigable work from Pete McCanny, Sean Scott, Elliot Williams and the rest of the learnECMO team. Check out the website for multimedia updates from the course.
There are 3 more ECMObasic courses running in November, 2 of which are already sold out. ECMObasic is the perfect primer for more advanced courses such as ECMOresuscitate coming in 2017. The ECMOcannulate course on 5th November is now sold out unfortunately.
If you’re an ECMO enthusiast/expert and have an educational contribution that needs a platform, get in touch, we would love to hear from you.
Find us on twitter @learnECMO and check out learnECMO.com to register for courses and keep up to date with new FOAMed content.
