Feb 14, 2012

Emergency department initiation of cardiopulmonary bypass: a case report and review of the literature

The Journal of Emergency Medicine
Zachary ShinarTim Watt

Abstract

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. This case highlights the use of ECMO in the emergency department. 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. ECMO is a novel adjunct for patients in cardiac arrest in whom the usual advanced life support techniques have failed.

Mentioned in this Paper

Septicemia
Acrocallosal Syndrome
Ischemia
Ventricular Fibrillation
Pulmonary Edema
Alveolar Ventilation Function
Neurologic Manifestations
Pulmonary Embolism
Blood Vessel
Aneurysm

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