| Minnesota Resuscitation Protocol28/ARREST Trial25
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VT/VF as first presenting rhythm
18–75 years of age
Three EMS-delivered direct current shocks without achieving ROSC
Body morphology able to accommodate a Lund University Cardiac Arrest System automated CPR device
Estimated transfer time to the scene of the cardiac catheterization laboratory <30 minutes
Efficient CPR (end-tidal carbon dioxide <10 mmHg, PaO2 <50 mmHg, lactate <18 mmol/l)
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Non-shockable rhythm (asystole or pulseless electrical activity)
Cardiac arrest of non-cardiac etiology
Contraindications to mechanical CPR
Known pregnancy
Known prisoners
Nursing home residents
Valid do not resuscitate/do not intubate orders
Known terminal illness
Absolute contraindication to angiographic contrast media
Active gastrointestinal or internal bleeding
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| EROCA Trial26
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OHCA of presumed non-traumatic etiology requiring CPR
Predicted arrival time at ECPR-capable hospital within timeframe specified
Witnessed arrest or initial shockable rhythm (VT/VF)
Persistent cardiac arrest after initial cardiac rhythm analysis and shock (if shock is indicated)
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Sustained ROSC
Advanced directive indicating do not resuscitate/do not intubate orders
Pre-existing evidence of opting out of study
Prisoner
Pregnant (obvious or known)
ECPR capable emergency department is not at the destination hospital as determined by emergency medical services
Legally authorized representative refuses study participation at the scene
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| INCEPTION Trial24
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ROSC with sustained hemodynamic recovery within 15 minutes
Terminal heart failure (New York Heart Association III or IV)
Severe pulmonary disease
Oncological disease
Pregnancy
Bilateral femoral vessel bypass surgery
Pre-arrest cerebral performance category score of 3 or 4
Mutiple trauma
Advanced health care directive
Expected initiation of cannulation >60 minutes after arrest
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| SUB30 Trial27
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Witnessed OHCA
Presumed cardiac etiology
Bystander compression within 3 minutes
Remain in cardiac arrest for 20 minutes following the call to emergency services or failure to sustain ROSC in the pre-hospital setting
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Known or visible pregnancy
No signs of life (physical movement) AND evidence of ineffective chest compressions suggested by: absence of electrical activity at 20 minutes out or end tidal carbon dioxide of less than 1.3 kPa (10 mmHg)
Evidence from others present at the scene or patient examination that ECMO unlikely to benefit patient
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