The incidence of "load_go" out-of-hospital XXXX candidates for @entity341 utilization of emergency extracorporeal life support: A one-year review.

@entity1 @entity1165 @entity341 @entity2224 @entity1167 @entity22323
BACKGROUND: The outcome of @entity1 after out-of-hospital @entity1167 (OHCA) is poor and gets worse after prolonged resuscitation. Recently introduced attempts like an early installed emergency extracorporeal life support (E-ECLS) in @entity1 with persisting @entity1167 at the @entity341 ( @entity341 ) are tried. The "Vienna Cardiac Arrest Registry" (VICAR) was introduced August 2013 to collect Utstein-style data. The aim of this observational study was to identify the incidence of @entity1 which @entity22323 "load_go"-criteria for E-ECLS at the @entity341 . METHODS: VICAR was retrospectively analyzed for following criteria: age <75 years; witnessed OHCA; basic life support; @entity2224 / @entity1165 ; no return-of-spontaneous-circulation (ROSC) within 15min of advanced-life-support, which were supposed as potential optimal criteria for "load_go" plus successful E-ECLS treatment at the @entity341 . The observation period was from August 1, 2013 to July 31, 2014. RESULTS: Over 948 OHCA @entity1 registered during the study period; data were exploitable for 864 @entity1 . Of all @entity1 , "load_go"-criteria were fulfilled by 55 (6%). However, 96 (11%) were transported with on-going CPR to the @entity341 . Of these 96 @entity1 , only 16 (17%) met the "load_go"-criteria. Similarly, among the 96 @entity1 , 12 adults were treated with E-ECLS at the @entity341 , with only 5 meeting the criteria. Among these 12 @entity1 , favourable neurological outcome (CPC 1/2) was obtained in 1 @entity1 without criteria. CONCLUSION: Further promotion of these criteria within the ambulance crews is needed. May be these criteria could serve as a decision support for emergency physicians/paramedics, which @entity1 to transport with on-going CPR to the @entity341 for E-ECLS.
