The current arrest to arrival criterion for ECPR excludes the entire City of Boston using median transportation and on-scene times. Increasing access to ECPR should include efforts to decrease prehospital duration, such as minimizing time-on-scene for potential OHCA cases. Future study should examine potential levers to improve access, such as novel prehospital ECPR delivery models, air-based transport, and liberalized arrest to arrival criteria.
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Christiana K Prucnal
Melissa A. Meeker
Rebecca E. Cash
Academic Emergency Medicine
Harvard University
University of Michigan
Brigham and Women's Hospital
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Prucnal et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69df2bcae4eeef8a2a6b0c2b — DOI: https://doi.org/10.1111/acem.70288
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