Home › Cardiac arrest › Mobile ECPR team cannulates on scene

Cardiac arrest

Mobile ECPR team cannulates on scene

Prehospital extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest: a protocol for the Rapid prehospital ACcess to ECPR in Prague (RACE Prague) single-arm pilot feasibility study
Resuscitation Plus · 2026-09-24 · Added 19 October 2026

Protocol for a single-arm pilot dispatching a mobile ECPR team to cannulate refractory OHCA patients at the scene, aiming to cut collapse-to-flow from the ~60 minutes typical of in-hospital ECPR by at least 15 minutes.

Study type

Other

Design

Single-arm pilot feasibility trial protocol

Participants

20 adults with witnessed refractory OHCA

Main finding

Primary endpoint is collapse-to-ECMO flow time (target ≥15 min shorter than in-hospital ECPR), tested against historical and contemporaneous in-hospital cohorts; results not yet available

Caveat

Single-centre, single-arm feasibility design with no randomised comparison.

Bottom line

Context only

Learning goal

Weigh the practicality and potential benefit of prehospital ECPR cannulation for refractory out-of-hospital cardiac arrest in Australia.

More

• Topic: Cardiac arrest
• Daily scan: 19 October 2026
• Podcast: Paramedic Papers Daily, 19 October 2026

Related papers on Cardiac arrest

• Predicting outcomes in PEA cardiac arrest

  Resuscitation Plus · 20 Oct 2026 · Registry · Hypothesis-generating

  A nationwide Japanese registry study of 442,630 adults with PEA out-of-hospital cardiac arrest found witnessed arrest and shorter response times predicted good neurological outcome at the scene, prehospital ROSC was the strongest predictor at hospital arrival (RR 23.31), and conversion to a shockable rhythm helped only in cardiac PEA while apparently harming non-cardiac PEA.

• Cardiac arrest systems not ready in rural Pakistan

  Resuscitation Plus · 19 Oct 2026 · Cross-sectional · Context only

  Mixed-methods assessment of the OHCA chain of survival in rural and suburban Sindh found no functional defibrillator across seven hospitals, gaps in basic resuscitation equipment and ambulance availability, and poor community recognition of cardiac arrest.

• Every minute counts: early bystander CPR

  Resuscitation Plus · 17 Oct 2026 · Registry · Supports current practice

  A time-to-event analysis of the All-Japan Utstein registry found overall bystander CPR rates stayed stable through the pandemic, but initiation within 10 minutes slipped — and earlier starts sharply improved neurological outcomes (aOR 3.27 for 0–3 min vs >10 min).

• Commotio cordis outcomes hinge on fast AED

  Acute Medicine & Surgery · 17 Oct 2026 · Registry · Supports current practice

  A nationwide Japanese school-sports database reconstructed 30 sports-related OHCAs from external causes and found commotio cordis cases did dramatically better when AEDs were applied fast — 80% favourable neurological outcome — while other external causes fared poorly.