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  • Title: Emergency department initiation of cardiopulmonary bypass: a case report and review of the literature.
    Author: Shinar Z, Bellezzo J, Paradis N, Dembitsky W, Jaski B, Mallon W, Watt T.
    Journal: J Emerg Med; 2012 Jul; 43(1):83-6. PubMed ID: 22325553.
    Abstract:
    BACKGROUND: Out-of-hospital cardiac arrest carries a dismal prognosis. Percutaneous extracorporeal membrane oxygenation (ECMO) has been used with success for in-hospital arrests, and some literature suggests improvement in long-term survival for out-of-hospital arrests as well. OBJECTIVES: This case highlights the use of ECMO in the emergency department. CASE REPORT: We report a case in which emergency physician-initiated ECMO was used as a bridge to definitive care in an out-of- hospital cardiac arrest in the United States. CONCLUSIONS: ECMO is a novel adjunct for patients in cardiac arrest in whom the usual advanced life support techniques have failed.
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