Acute cardiac care & resuscitation
Pre-hospital ECPR for refractory cardiac arrest – The PRECARE pilot feasibility study
Authors' conclusion
Pre-hospital ECPR delivery by trained pre-hospital medical teams is possible and reduces OHCA low flow times. Larger studies are required to assess efficacy and cost effectiveness.
Study context
- Population
- Patients under the age of 70 years with refractory out of hospital cardiac arrest (OHCA), a witnessed collapse, an initial shockable rhythm and within a 45-minute radius of the mobile teampatients who received pre-hospital ECPR, of 123 confirmed cardiac arrests attended over 103 recruitment days
- Participants
- 12 participants
- Outcome
- Feasibility of pre-hospital ECPR
Methodological detailspilot
- Pilot
Main finding
As reported in the abstract
Confirmed cardiac arrests attended by the pre-hospital ECPR team
123
Patients who received pre-hospital ECPR
12
10%
Cases per shifts
one case per 8 shifts
Further findings
Time intervals
min
- Mean time from dispatch to team arrival
- 18.5 (range 9-29)
- Mean time from decision to ECMO flow
- 17 (range 10-34)
- Mean total low flow time (arrest to ECMO flow)
- 39 (range 24-56)
Liberation from VA ECMO support and neurologically intact survival · hospital discharge
- Successfully liberated from VA ECMO support
- Four (33%)
- Survived to hospital discharge neurologically intact (CPC 1-2)
- 3 (25%)
Original publication
Pre-hospital ECPR for refractory cardiac arrest – The PRECARE pilot feasibility study. Resuscitation. Published 12 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →