Improving Outcomes for Sudden Cardiac Arrest Patients Using a Mobile ECMO Team and Optimizing Transport Procedures in the Moravian-Silesian Region

What this Trial Is About

Researchers are studying how to improve the care and outcomes for patients who experience sudden cardiac arrest outside of a hospital in the Moravian-Silesian Region. The study focuses on evaluating the use of a mobile extracorporeal membrane oxygenation ECMO team and optimizing patient transport to reduce the time from collapse to the start of ECMO treatment. This aims to enhance neurological recovery after resuscitation. The main intervention involves patients undergoing extracorporeal cardiopulmonary resuscitation ECPR, which is a procedure that oxygenates the patients blood using a machine during resuscitation. The study will analyze regional data to identify factors that help shorten the time until ECMO begins and support the development of better protocols for pre-hospital ECPR. The mobile ECMO team will be dispatched to the scene to initiate this treatment. Participants will be monitored for neurological outcomes 30 days after treatment using a CPC score. Researchers will also measure key time intervals such as the time from collapse to ECMO initiation, transport time to the ECMO center, and arrival time of the mobile ECMO team, all within two hours. The study is observational and will take place from May 2025 through May 2028, tracking patient data and outcomes related to sudden cardiac arrest and rescue with ECPR.

Optimization of Transport and Use of a Mobile ECMO Team in Patients With Sudden Cardiac Arrest in the Moravian-Silesian Region