Case report: Refractory cardiac arrest supported with veno-arterial-venous extracorporeal membrane oxygenation and left-ventricular Impella CP®–Physiological insights and pitfalls... by Tharusan Thevathasan, Tharusan Thevathasan, Tharusan Thevathasan, Tharusan Thevathasan, Lisa Füreder, Dirk W. Donker, Dirk W. Donker, Christoph Nix, Thomas H. Wurster, Thomas H. Wurster, Wulf Knie, Georg Girke, Abdulla S. Al Harbi, Ulf Landmesser, Ulf Landmesser, Ulf Landmesser, Carsten Skurk, Carsten Skurk

“…As cardiac arrest was refractory to advanced cardiac life support, the patient was transferred to the Cardiac Arrest Center for immediate initiation of extracorporeal cardiopulmonary resuscitation (ECPR) with peripheral VA ECMO and emergency percutaneous coronary intervention using drug eluting stents in the right coronary artery. …”
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Intraarrest transport, extracorporeal cardiopulmonary resuscitation, and early invasive management in refractory out-of-hospital cardiac arrest: an individual patient data pooled a... by Jan Belohlavek, Demetris Yannopoulos, Jana Smalcova, Daniel Rob, Jason Bartos, Michal Huptych, Petra Kavalkova, Rajat Kalra, Brian Grunau, Fabio Silvio Taccone, Tom P. Aufderheide

“…Summary: Background: Refractory out-of-hospital cardiac arrest (OHCA) treated with standard advanced cardiac life support (ACLS) has poor outcomes. Transport to hospital followed by in-hospital extracorporeal cardiopulmonary resuscitation (ECPR) initiation may improve outcomes. …”
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Impact of COVID-19-adapted guidelines using different airway management strategies on resuscitation quality in out-of-hospital-cardiac-arrest – a randomised manikin study by Sean S. Scholz, Sissy Linder, Eugen Latka, Tobias Bartnick, Daniel Karla, Daniel Thaemel, Marlena Wolff, Odile Sauzet, Sebastian W. Rehberg, Karl-Christian Thies, Gerrit Jansen

“…Methods In this manikin study paramedics performed advanced cardiac life support with non-shockable (Non-VF) and shockable rhythms (VF) in four settings: ERC guidelines 2021 (control), COVID-19-guidelines using videolaryngoscopic intubation (COVID-19-intubation), laryngeal mask (COVID-19-Laryngeal-Mask) or a modified laryngeal mask modified with a shower cap (COVID-19-showercap) to reduce aerosol liberation simulated by a fog machine. …”
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Desafios para a expansão de programas de residência em Medicina de Família e Comunidade: a experiência carioca by José Carlos Prado Junior

“…Nessas equipes é oferecida uma carteira de serviços abrangente que inclui atendimento individual, atendimento coletivo, procedimentos, tais como inserção de DIU, pequenas cirurgias, biópsias, assim como todos os residentes fazem o curso Advanced Cardiac Life Support (ACLS) e recebem treinamento específico em emergências clínicas e pediátricas e em obstetrícia. …”
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Implementation of an extracorporeal resuscitation (ECPR) program for out-of-hospital cardiac arrest in Stockholm, Sweden: Feasibility, safety, and outcome by Lis Frykler Abazi, Andreas Liliequist, Felix Böhm, Magnus Hedberg, Moa Simonsson, Anders Bäckman, Malin Ax, Frieder Braunschweig, Linda Mellbin, Rickard Linder, Leif Svensson, Juliane Jurga, Per Nordberg, Mattias Ringh, Sune Forsberg, Jacob Hollenberg

“…Methods: Prospective observational study of ECPR program including patients with OHCA from January 2020 to December 2022, fulfilling ECPR criteria: age 18–65 years, initial shockable rhythm or pulseless electrical activity, witnessed arrest, bystander cardiopulmonary resuscitation and refractory arrest after three cycles of advance cardiac life support. The predefined time threshold from collapse to extracorporeal membrane oxygenation (ECMO) initiation was set at 60 min. …”
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