Aeromedical Evacuation Using Extra Corporeal Life Support After Resuscitated Cardiac Arrest

Aerospace Medicine and Human Performance
David GerardGuillaume Lebreton

Abstract

Extra corporeal life support (ECLS) is presently first line therapy for refractory cardiogenic shock. Mobile circulatory support teams implant ECLS or extra corporeal membrane oxygenation (ECMO) in patients in the hospital without circulatory support. These patients are then transported to specialized centers. Here we report a case of sending a mobile circulatory support team abroad, followed by air ambulance evacuation, which, to our knowledge, has never been used as part of medical assistance abroad. In June, during a holiday in Turkey, a 56-yr-old woman complained about chest pain. She had a cardiac arrest and was resuscitated with no no-flow time in the local hospital. ECG showed ST segment elevation. Medic'Air International medical assistance (Paris, France) contacted the hospital, which was not equipped with coronarography or cardiac ultrasound and the local treating doctor refused transfer of the patient to another facility. A medical team completed by a cardiothoracic surgeon and a perfusionist went from Paris to the patient's bedside by air ambulance. They implemented the ECLS and successfully repatriated the patient to her home country (Belgium). The patient's condition improved, she neurologically improved, and retur...Continue Reading

Citations

Aug 14, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John W LyngAshley Larrimore

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