Paramedic PapersHome Cardiac arrest Few OHCA patients eligible for eCPR in Germany
Cardiac arrest
Few OHCA patients eligible for eCPR in Germany
Modelling eCPR eligibility after out-of-hospital cardiac arrest: a 10-year retrospective temporospatial analysis from a mixed urban-rural region in Germany
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · Added 10 September 2026
Ten-year German registry study modelling eCPR eligibility after OHCA in a mixed urban-rural region — of 1,696 analysed arrests, only 348 (20.5%) met local eligibility criteria at ambulance arrival and just 149 (8.8%) met the stricter modified ELSO definition, with the study also testing whether hypothetical intra-arrest transport strategies could meet a 60-minute low-flow target.
- Study type
- Modelling
- Design
- Retrospective 10-year temporospatial registry cohort with hypothetical eCPR transport modelling
- Participants
- 1,696 registry-documented OHCA cases (of 2,218) in Göttingen, Germany
- Main finding
- 20.5% (348) met local eCPR criteria and 8.8% (149) modified ELSO criteria at EMS arrival; modelled on-scene eCPR gave median collapse-to-eCPR of 37 min (94.8% within 60 min) vs 75 min for intra-arrest transport (<1% within 60 min)
- Caveat
- Retrospective with hypothetical modelled scenarios; German mixed urban-rural system limits transferability
- Bottom line
- Context only
Why it matters in Australia (Medium relevance). Directly maps to CMG 4/4A cardiac arrest care and the intra-arrest transport debate, but eCPR isn't an ACTAS capability — useful benchmark for OHCA system design rather than practice change
Learning goal
Understand how geography and transport times shape eligibility for extracorporeal CPR in out-of-hospital cardiac arrest.
More
- Topic: Cardiac arrest
- Daily scan: 10 September 2026
Related papers on Cardiac arrest
-
Relatives' needs after failed OHCA resuscitation
Interviews with 15 relatives present at unsuccessful out-of-hospital resuscitations showed their needs shift across three phases — dispatch guidance, help-or-withdraw during resus, then compassionate unhurried communication when efforts stop.
-
Most ECPR-eligible London OHCAs can't reach ECMO in time
Geospatial analysis of five years of London Ambulance Service OHCA data — of 776 patients meeting ECPR eligibility criteria, only 3% could reach an ECMO-capable centre within the 45-minute target, and stretching it to 60 minutes would lift access by 217%.
-
Women post-OHCA get less angiography
Nationwide Swedish cohort of 8,641 post-OHCA admissions — women were less likely to undergo coronary angiography and PCI than men, yet intervention rates were even once angiographic findings were accounted for, and a third of angiographed women without shockable rhythm or ST elevation had significant coronary disease.
-
Double-click metronome preserves CPR quality
Secondary analysis of 477 volunteers in prolonged manikin CPR — compression depth and chest recoil decayed within minutes, and a double-click metronome with separate compression and release cues preserved quality significantly longer than a standard metronome.