I read with great interest the recent article by Sato et al. [
[1]
]. The authors examined the effect of physician-based emergency medical services (P-EMS)
that use a rapid response car (RRC) on the time from arrival to the implementation
of extracorporeal membrane oxygenation (ECMO; door-to-ECMO). They concluded that the
physician-based RRC system was associated with a shorter door-to-ECMO time and that
the combination of an RRC system with extracorporeal life support (ECLS) may lead
to better outcomes in patients with out-of-hospital cardiac arrest (OHCA). However,
this conclusion is overstated, and several issues in this study need to be confirmed.To read this article in full you will need to make a payment
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References
- Impact of rapid response car system on ECMO in out-of-hospital cardiac arrest: a retrospective cohort study.Am J Emerg Med. 2018; 36: 442-445https://doi.org/10.1016/j.ajem.2017.08.055
- Door-to-implantation time of extracorporeal life support systems predicts mortality in patients with out-of-hospital cardiac arrest.Clin Res Cardiol. 2013; 102: 661https://doi.org/10.1007/s00392-013-0580-3
- Predictors of survival following extracorporeal cardiopulmonary resuscitation in patients with acute myocardial infarction-complicated refractory cardiac arrest in the emergency department: a retrospective study.J Cardiothorac Surg. 2015; 1023https://doi.org/10.1186/s13019-015-0212-2
Article Info
Publication History
Published online: April 07, 2018
Accepted:
March 22,
2018
Received:
March 14,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
