Evidence map›Paper›PMID 40775792›Full record

ReviewScandinavian journal of trauma, resuscitation and emergency medicine2025

Immediate post-ECPR management strategies in the prehospital and critical care transport medicine environments.

Ella Purington, Christopher R Shaw, Erica Berglund, Bronwyn Finney, Jeffrey Dellavolpe, Mark Dennis, Dinis Reis Miranda, Alice Hutin, Andrea M Elliott, Jason A Bartos and 4 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Ella PuringtonDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Christopher R ShawDepartment of Emergency Medicine, Oregon Health and Science University, Portland, OR, USA.
Erica BerglundDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Bronwyn FinneyDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Jeffrey DellavolpeThe Institute for Extracorporeal Life Support, San Antonio, TX, USA.
Mark DennisFaculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Dinis Reis MirandaHelicopter Emergency Medical Services, Trauma Centre Zuid-West Nederland, Erasmus University Medical Centre, Rotterdam, 3045 AS, The Netherlands.
Alice HutinSAMU de Paris, Necker University Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Andrea M ElliottCardiovascular Division, Department of Medicine, University of Minnesota School of Medicine, Minneapolis, MN, USA.
Jason A BartosCardiovascular Division, Department of Medicine, University of Minnesota School of Medicine, Minneapolis, MN, USA.
Cindy H HsuDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Brittney BernardoniDepartments of Emergency Medicine and Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Michael J LauriaDepartment of Emergency Medicine, University of Washington, Seattle, WA, USA.
Adam L GottulaCenter for Resuscitation Medicine, University of Minnesota School of Medicine, Minneapolis, MN, USA. gottulaa1@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advancements in care, out-of-hospital cardiac arrest has a low survival rate. Extracorporeal cardiopulmonary resuscitation (ECPR) has shown improved outcomes in select cases, notably in the ARREST trial. However, ECPR is resource-intensive and limited to specialized centers, restricting access in many regions. Estimates suggest only 2-10% of out-of-hospital cardiac arrest patients are ECPR candidates. Advanced systems initiating ECPR in prehospital environments or non-ECMO-capable centers have shown promise. As ECPR utilization increases, so does the need for transport to ECMO-capable centers. Unlike conventional out-of-hospital cardiac arrest care, high-quality evidence for post-resuscitation management of ECPR patients is lacking. This review provides suggestions for the immediate post-resuscitation management (4-6 h) of ECPR patients in prehospital settings, the critical care transport medicine environment, and at non-ECMO-capable centers. Goals include treating the precipitating cause of cardiac arrest, maintaining end-organ perfusion, optimizing oxygen delivery, promoting myocardial recovery, and preventing complications associated with V-A ECMO. Continued research is needed to establish evidence-based protocols that ensure the safe and effective management of ECPR patients.

Indexed as

Cardiopulmonary ResuscitationCritical CareEmergency Medical ServicesExtracorporeal Membrane OxygenationOut-of-Hospital Cardiac ArrestTransportation of PatientsHumansCardiogenic shockCritical care transport medicineExtracorporeal cardiopulmonary resuscitationPrehospital medicineSystems of care

Identifiers

PMID40775792
PMCPMC12330060

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.