From EMS World:
We began our ECMO program in 2015 at a single facility. Refractory VF patients who met the criteria for ECMO were transported to the University of Minnesota Medical Center (UMMC) in downtown Minneapolis, where they were immediately placed on ECMO and taken to the cath lab. We saw the benefits of ECMO but also realized the limitations of having this lifesaving capability at only one hospital. When ECMO began within 30 minutes of the initial 9-1-1 call, patients had a great chance of survival; as time to cannulation increased, survival decreased. That limited the impact of this intervention to a small number of patients who went into arrest where responders could reach them immediately and quickly get them to UMMC.
A handful of systems around the world have created mobile ECMO programs to expand the reach of ECMO; many of those programs have teams respond to scenes and cannulate patients wherever they are found. Others use specialized ambulances. The Minnesota Mobile Resuscitation Consortium, a nonprofit formed to bring together stakeholders to make the ECMO program a reality, took a multiphase approach.
Kommentare