Oh, the places we’ll go! Emergency department extracorporeal cardiopulmonary resuscitation (ECPR) in Canada

Gould, James B.; Atkinson, Paul; Kovács, George

doi:10.1017/cem.2018.418

Cited by 2 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ECMO is a high acuity but low opportunity scenario. Building a malleable protocol that can evolve over time, involves appropriate stakeholders, and responds to any failures will be key to success [16]. We have implemented this strategy and continue to improve our protocol as we embark on our journey to bring this worthwhile service to the local population.…”

Section: Discussionmentioning

confidence: 99%

Introduction of an Extracorporeal Cardiopulmonary Resuscitation Eligibility Protocol for Paramedics in Atlantic Canada: A Pilot Knowledge Translation Project

Rouse

Mekwan

Atkinson

et al. 2019

Cureus

Self Cite

View full text Add to dashboard Cite

IntroductionThere is currently no protocol for the initiation of extracorporeal cardiopulmonary resuscitation (ECPR) for out of hospital cardiac arrest (OHCA) in Atlantic Canada. Advanced care paramedics (ACPs) perform advanced cardiac life support in the prehospital setting often completing the entire resuscitation on-scene. Implementation of ECPR will present a novel intervention that is only available at the receiving hospital. Our objective is to determine if an educational program can improve identification of ECPR candidates by paramedics. Establishing paramedic competence will ensure rapid transfer of eligible patients for a potentially life-saving intervention.MethodsAn educational program was delivered to paramedics including a short seminar and pocket card coupled with simulated OHCA cases. A before-and-after study design using a case-based survey was employed. Paramedics were scored on their ability to correctly identify patients suffering OHCA who met the inclusion criteria for our ECPR protocol. A Wilcoxon matched-pairs signed rank test was employed to compare paramedics’ scores before and after the education delivery. A six-month follow-up is planned to assess retention. Qualitative data was also collected from paramedics during simulation to help identify practical issues, potential barriers, and to refine inclusion and exclusion criteria prior to the implementation of our protocol in the prehospital setting.ResultsThe median score pre-education was 10 (IQR: 9-10.5) compared to 14 (IQR: 13-15) after education delivery. The median difference between groups was 5. The Wilcoxon matched-pairs test demonstrated a significant improvement in the paramedics’ ability to correctly identify ECPR candidates after completing our educational program z = -2.67, p = 0.0039.ConclusionParamedic training through a didactic session coupled with a pocket card and simulation appeared to be a feasible method of knowledge translation. Six-month follow-up data will help ensure knowledge retention is achieved.

show abstract

Section: Discussionmentioning

confidence: 99%

Introduction of an Extracorporeal Cardiopulmonary Resuscitation Eligibility Protocol for Paramedics in Atlantic Canada: A Pilot Knowledge Translation Project

Rouse

Mekwan

Atkinson

et al. 2019

Cureus

Self Cite

View full text Add to dashboard Cite

show abstract

“…Gould et al . refer to the ability of the ED team to ‘create calmness out of chaos’ 5 in this article advocating for EP led E‐CPR team for this reason.…”

Section: Why the Ep?mentioning

confidence: 99%

Role of the emergency department in implementing an extracorporeal membrane oxygenation cardiopulmonary resuscitation

Gilbert

Mitchell

Townsend

et al. 2022

Emerg Medicine Australasia

View full text Add to dashboard Cite

The Royal Brisbane and Women's Hospital has introduced an extracorporeal membrane oxygenation (ECMO) cardiopulmonary resuscitation (E-CPR) service with collaboration between ED and ICU teams for refractory cardiac arrest patients. E-CPR is potentially beneficial to patients who do not gain return of spontaneous circulation after conventional advanced cardiac life support treatments, provided specific demographic and biochemical inclusion criteria are met. A joint ICU and ED decision is reached to commence ECMO flow. We discuss our rationale to use the ED and the emergency physician role in leading the multidisciplinary team, with ICU leading the cannulation team. The development of ED processes and the increased availability of this intervention can significantly impact the survivability of refractory cardiac arrest with good neurological outcomes.

show abstract

Oh, the places we’ll go! Emergency department extracorporeal cardiopulmonary resuscitation (ECPR) in Canada

Cited by 2 publications

References 9 publications

Introduction of an Extracorporeal Cardiopulmonary Resuscitation Eligibility Protocol for Paramedics in Atlantic Canada: A Pilot Knowledge Translation Project

Introduction of an Extracorporeal Cardiopulmonary Resuscitation Eligibility Protocol for Paramedics in Atlantic Canada: A Pilot Knowledge Translation Project

Role of the emergency department in implementing an extracorporeal membrane oxygenation cardiopulmonary resuscitation

Contact Info

Product

Resources

About