ECMO AMBULANCE AND ADVANCED EMERGENCY MEDICAL SYSTEM
Keywords:
extracorporeal membrane oxygenation, emergency medical system, clinical guidelinesAbstract
In our article we propose a way to improve outcomes for out-of-hospital patients suffering from cardiac and circulatory arrest. The quality in providing emergency medical care for these patients varies from state to state, from city to the city. There are cities where the emergency medical system (EMS) personnel declares the death in the patients with circulatory arrest without knowing the real reason of death, after a certain time of cardiac massage, after unsuccessful defibrillations, out of the hospital, on the street. On the other hand, there are cities where the patient is resuscitated on the street/at home, during the time of transport to the hospital, at the hospital and the death is declared only after all, albeit unsuccessful attempts to save patients (at the hospital). From the above it is evident, that we need an interdisciplinary clinical pathway, which helps everyone who is participating in the life saving of these patients. We want to meet our goals of the project using high-tech medical knowledge. VA ECMO implemented by experienced specialists outside the hospital for ensuring oxygenation and blood circulation with the help of a device situated outside the patient regardless of the activity of his heart and lungs, represents the most up-to-date technology.Downloads
Published
Issue
Section
License
Copyright (c) 2017 David Macků, Petr Huňka, Filip Ježek
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of the first publication with the work simultaneously licensed under a Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in CTJ.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website or ResearchGate) prior to and during the submission process, as it can lead to productive exchanges.
CTJ requires that all of the content of the manuscript has been created by its respective authors or that permission to use a copyrighted material has been obtained by the authors before submitting the manuscript to CTJ. CTJ requires that authors have not used any copyrighted material illegally, as for example a picture from another journal or book, a photo, etc. It is the author’s responsibility to use only materials not violating the copyright law. When in doubt, CTJ may ask the authors to supply the pertinent permission or agreement about the use of a copyrighted material.
The opinions expressed in CTJ articles are those of authors and do not necessarily reflect the views of the publishers or the Czech Society for Biomedical Engineering and Medical Informatics.