This push by @nytimes for widespread use of ECPR is a bad idea. -There's no strong data supporting its use and should be viewed as largely experimental -We still don't know who to sink this *very expensive* resource into and who not to -Invariably, as public demand goes up, indication creep will occur and we'll start cannulating more non-survivable patients -Most EDs will never see sufficient volume to justify trying to support a robust program nytimes.com/2024/03/27/mag… #emergency #emergencymedicine #foam #foamed #foamcc #army #armymedicine #armyemdoc #meded #icu #criticalcare #airway #research #science #data #heart #cpr #health
@armyemdoc @nytimes @American_Heart @ACCinTouch @ACEPNow I worry we’ll get in an eCPR frenzy and transport some pts who could have been resuscitated on scene only to be rapidly transported for eCPR and an ED termination. “Who” and “when” is really the question for eCPR.
@DrJeffJarvis @armyemdoc @nytimes @American_Heart @ACCinTouch @ACEPNow Patients who have 0% chance of survival with standard care would seem to be a good place to start.
@DrJeffJarvis @armyemdoc @nytimes @American_Heart @ACCinTouch @ACEPNow I appreciate the concern…need to have a system to support, smart patient selection, a wise stay v go policy and high level quality structure. I am not sure that many communities should invest in field ECPR but building destinations that can implement this tool.