Implementierung eines luftgestützten Konzepts zur extrakorporalen Reanimation (ECPR) für ausgewählte Patient:innen mit außerklinischem Herz-Kreislauf-Stillstand in ländlichen Regionen
摘要
Out-of-hospital cardiac arrest (OHCA) remains associated with a very high mortality rate. Extracorporeal cardiopulmonary resuscitation (ECPR) represents a new potential therapy option and is increasingly being utilized for a selected patient group with refractory out-of-hospital cardiac arrest. Among other prognostic factors, the resuscitation time (low-flow time) until implementation of extracorporeal life support plays a crucial role, linking existing preclinical ECPR concepts to a direct geographical proximity to clinical ECPR centers. The authors describe an ECPR concept for a structurally weak rural district without a regionally available ECPR center, which takes into account the patient-based inclusion criteria and addresses the time-critical nature of the procedure through the early deployment of helicopter emergency medical services.