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Review Case Reports
Emergency department initiation of cardiopulmonary bypass: a case report and review of the literature.
- Walter Dembitsky, Joe Bellezzo, Norman Paradis, Brian Jaski, William Mallon, and Tim Watt.
- Sharp Memorial Hospital, San Diego, California, USA.
- J Emerg Med. 2012 Jul 1;43(1):83-6.
BackgroundOut-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.ObjectivesThis case highlights the use of ECMO in the emergency department.Case ReportWe 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.ConclusionsECMO is a novel adjunct for patients in cardiac arrest in whom the usual advanced life support techniques have failed.Copyright © 2012 Elsevier Inc. All rights reserved.
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