Table 1 -.
• Age <7040 |
• Witnessed arrest |
• Arrest to first CPR (“No-Flow Interval”) <5 mins (i.e. Bystander CPR) |
• Initial cardiac rhythm of VF/pVT/PEA |
• Arrest to ECMO flow <60 minutes “Low Flow Interval”** |
• ETCO2 > 10 mmHg (1.3 kPa) during CCPR prior to cannulation for ECMO |
• Intermittent ROSC and/or recurrent VF |
• “Signs of life” during conventional CPR may be a positive predictive factor for survival. |
• Absence of previously known life limiting comorbidities (eg end stage heart failure / Chronic Obstructive Pulmonary Disease / End Stage Renal Failure / Liver failure / Terminal illness) and consistent with patient’s goals of care. |
• No known aortic valve incompetence (>mild aortic valve incompetence should be excluded) |
(unless other favorable prognostic features are present: e.g. periods of intermittent ROSC / hypothermia pre-arrest / young age / signs of life during CPR)