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A second chance for survival, #ECPR in refractory #OHCA:
contemporary (compelling) RCT evidence supporting #ECMO for highly selected patients (specifically, initially shockable rhythms, witnessed arrests, and presumed cardiac etiology
eligibility
prehospital system design: load & go vs prioritizing prehospital resuscitation
critical care management & resource need
case volumes, team experience, ECPR access
cost effectiveness and barriers to implementation
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