Mobile ECMO team and optimized transport for sudden cardiac arrest in the Moravian-Silesian Region
Proposal for the Organisation of the Procedure for Extracorporeal Cardiopulmonary Resuscitation of Patients With Sudden Cardiac Arrest in the Pre-hospital Environment of the Moravian-Silesian Region
This project will try using a mobile ECMO team and faster transport to start extracorporeal cardiopulmonary resuscitation (ECPR) sooner for people who have an out-of-hospital cardiac arrest and may benefit from ECPR.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 100 (estimated) |
| Ages | 3 Years to 60 Years |
| Sex | All |
| Sponsor | University Hospital Ostrava Academic / other |
| Locations | 2 sites (Ostrava, Moravian-Silesian Region and 1 other locations) |
| Trial ID | NCT07009652 on ClinicalTrials.gov |
What this trial studies
This observational project implements a mobile extracorporeal membrane oxygenation (ECMO) team and analyzes regional epidemiological and demographic data to identify bottlenecks in transport and care for out-of-hospital cardiac arrest (OHCA). The team will map time intervals from collapse to initiation of ECMO and model transport logistics to find opportunities to shorten delays. Findings will be used to develop and refine local protocols for extracorporeal cardiopulmonary resuscitation (ECPR). The primary goal is to support interventions that could improve neurological outcomes after OHCA in the Moravian-Silesian Region.
Who should consider this trial
Good fit: Ideal candidates are people who suffer an out-of-hospital cardiac arrest in the Moravian-Silesian Region and meet local clinical indications for ECPR without contraindications.
Not a fit: Patients who die at the scene, withdraw consent, or have prolonged downtime or clear contraindications to ECPR are unlikely to receive benefit from this program.
Why it matters
Potential benefit: If successful, this approach could shorten time to extracorporeal support and increase the chance of survival with better neurological recovery after out-of-hospital cardiac arrest.
How similar studies have performed: Some centers and observational studies of mobile ECPR programs have reported improved survival and neurological outcomes in selected patients, but results are variable and high-quality randomized evidence is limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * out-of-hospital cardiac arrest * indication for ECPR Exclusion Criteria: * death at the scene of the accident * withdrawal of the informed consent
Where this trial is running
Ostrava, Moravian-Silesian Region and 1 other locations
- Emergency Medial Services, Moravian-Silesian Region — Ostrava, Moravian-Silesian Region, Czechia (Recruiting)
- University Hospital Ostrava — Ostrava, Moravian-Silesian Region, Czechia (Recruiting)
Study contacts
- Principal investigator: Nela Walachová, Mgr. — University Hospital Ostravs
- Study coordinator: Jiří Hynčica
- Email: jiri.hyncica@fno.cz
- Phone: 0042059737
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.