Search

Home > Emergency Medical Minute > Podcast 679: ECMO for Refractory VFib
Podcast: Emergency Medical Minute
Episode:

Podcast 679: ECMO for Refractory VFib
Category: Science & Medicine
Duration: 00:03:33
Publish Date: 2021-06-08 10:00:00
Description:

Contributor:  Aaron Lessen, MD

Educational Pearls:

  • Refractory ventricular fibrillation, defined as 3 defibrillation shocks without resolution, was studied via RCT looking to compare ECMO with cardiac cath vs. typical resuscitation
  • After 30 patients (15 each arm), the trial was stopped because such a significant benefit seen in the ECMO arm
  • 6 patients survived and 3 had good neurological outcomes at 6 months with ECMO
  • This is compared to 1 patient surviving initially and none surviving at 6 months in the typical resuscitation arm

References

Yannopoulos D, Bartos J, Raveendran G, et al. Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trial. Lancet. 2020;396(10265):1807-1816. doi:10.1016/S0140-6736(20)32338-2

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

 

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account. 

Donate to EMM today!
Total Play: 0

Users also like

800+ Episodes
Radioresepsj .. 700+     10+
20+ Episodes
Lung Story S .. 70+     10+