David Macků, Petr Huňka, Filip Ježek


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.


extracorporeal membrane oxygenation, emergency medical system, clinical guidelines

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ISSN 0301-5491 (Print)
ISSN 2336-5552 (Online)
Published by the Czech Society for Biomedical Engineering and Medical Informatics and the Faculty of Biomedical Engineering, Czech Technical University in Prague.