Ed Ecmo

Jason Bartos and his crew at the University of Minnesota have revolutionized the concept of ECPR for out of hospital cardiac arrests.  His crew are interventional cardiologists who take OHCA straight to the cardiac cath lab.  They have initiate times of around 6-8 minutes and have neurologically intact survival rates higher than 30%.  Below are two of Jason’s recent papers which every person who considers themselves an ECPR fan should pour over with a fine-toothed comb.  There is so much in these papers.  We split this interview into two pieces because there is so many pearls in it. Outcomes Resuscitation paper - 48% survival in 100 patients Circulation paper 2020– 33% vs. 23% ALPS Cohort who had VF/VT and one shock vs. a cohort who had VF/VT and failed to ROSC at the scene, in the ambulance, and then all the way to the hospital. OHCA - > Straight to the Cath lab --> Get on ECMO --> Go to CCU under Cards care. Inclusion criteria - Vf/vt, lactate 50,ETCO2>10 References: Bartos JA, Grunau B, Carlson C, Duval S,