Authors: Ben Singer, Dave McCreary / Codes: CMP2, HAP26, HMP2, RP3, RP4, SLO3 / Published: 12/03/2015
At both the London Trauma Conference and the Cardiac Arrest Symposium, there was a bit of a theme of endovascular resuscitation methods, from REBOA (see my previous podcast with Dr Gareth Davies), to prehospital ECMO (what you’re about to hear), to intra-aortic adrenaline and Selective Aortic Arch Perfusion (stay tuned in the coming weeks!).
Prehospital ECMO for refractory cardiac arrest is a mind-boggling feat when you consider the rapid response, technical ability and logistics required, so the work that is being done in Paris is groundbreaking and fascinating. In this podcast Dr Ben Singer, Anaesthetic and Intensive Care doctor with interests in ECMO and prehospital care, gives us some insight into what is being done in Paris, and the ins and outs of prehospital ECMO for the non-perfusionist.
- Lamault L, Jouffroy R et al. Safety and feasibility of prehospital extra corporeal life support implementation by non-surgeons for out-of-hospital refractory cardiac arrest. Resuscitation. 2013 Nov;84(11):1525-9
- Stub D, Bernard S et al. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation. 2014 Oct 2. [epub ahead of print]