What question did this study set out to answer?

This research focuses on identifying factors that limit access to ECPR in Boston and suggests ways to enhance it.

April 15, 2026Open Access

Determining Access for a City‐Wide Extracorporeal Cardiopulmonary Resuscitation ( ECPR ) Initiative Using Geospatial Analysis

Key Points

This research focuses on identifying factors that limit access to ECPR in Boston and suggests ways to enhance it.
Evaluated transportation and on-scene times for ECPR in Boston
Analyzed geographical barriers to timely ECPR access
Proposed novel models for prehospital ECPR delivery
Identified significant delays in transportation affecting ECPR delivery
Highlighted barriers that exclude large areas of Boston from ECPR access
Suggested improvements like air transport to enhance response times

Abstract

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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Cite this study

Prucnal et al. (Wed,) studied this question.

www.synapsesocial.com/papers/69df2bcae4eeef8a2a6b0c2b — DOI: https://doi.org/10.1111/acem.70288

Authors

Christiana K Prucnal

Melissa A. Meeker

Rebecca E. Cash

Journals

Academic Emergency Medicine

Actions

Institutions

Harvard University

University of Michigan

Brigham and Women's Hospital

References and Citations

Connected Papers

Building similarity graph...

Analyzing shared references across papers

Determining Access for a City‐Wide Extracorporeal Cardiopulmonary Resuscitation ( ECPR ) Initiative Using Geospatial Analysis

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Cite this study

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion