On-scene ECMO for out-of-hospital cardiac arrest in the Moravian-Silesian Region

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational program deploys an ECMO team to selected out-of-hospital cardiac arrests in the Moravian-Silesian Region so patients can be connected to extracorporeal membrane oxygenation in the field rather than waiting for in-hospital implantation. Eligible adult patients are those with witnessed collapse of presumed cardiac cause, initial ventricular fibrillation or PEA, bystander CPR, and without major comorbidities or low body weight. The approach aims to shorten the time from collapse to ECMO initiation, a key factor thought to influence neurological recovery and survival. Data collected will compare field ECPR timing and outcomes to historical or contemporaneous in-hospital ECPR experience at University Hospital Ostrava.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age ≥ 18 years
* Observed collapse and presumption of cardiac cause of cardiac arrest
* Estimated age up to 70 years
* Baseline rhythm of ventricular fibrillation or pulseless electrical activity (PEA)
* Basic bystander cardiopulmonary resuscitation (CPR), "bystander CPR", telephone assisted CPR (TANR)

Exclusion Criteria:

* Children or adults with estimated weight below 40 kg
* Known major comorbidities of the patient suggesting low rehabilitation potential (e.g. chronic obstructive pulmonary disease (COPD) IV, malignancy in tertiary phase)

Where it's running

• Emergency Medical Services, Moravian-Silesian Region
  Ostrava, Moravian-Silesian Region, Czechia Recruiting
• University Hospital Ostrava
  Ostrava, Moravian-Silesian Region, Czechia Recruiting

Study contacts

• Principal investigator: Filip Burša, MD, PhD, EDEC — University Hospital Ostrava
• Study coordinator: Jiří Hynčica
• Email: jiri.hyncica@fno.cz
• Phone: 0042059737

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.