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Resuscitation

At each out of hospital cardiac arrest the PRECARE team assesses the patient’s eligibility for ECPR initiation. They support the paramedic team to provide high quality advanced life support management, to maintain adequate perfusion (forward flow) and oxygenation to the patient

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Collaboration

PRECARE requires a collaborative, team-based approach to resuscitation. The paramedic (ALS) team maintain overall leadership of the resuscitation with a focus on optimising the patient for ECPR cannulation. Simultaneously, the PRECARE team commences ECMO cannulation aiming to minimise the time the patient is in cardiac arrest. Crucial to the process is the execution of high quality ALS to protect the brain and other vital organs.

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ECMO Flow

The goal is to efficiently establish every eligible cardiac arrest patient onto ECMO flow. This provides oxygenated blood to the heart and the brain, effectively stopping the clock and buying time for the cause of the arrest to be treated.  

The quicker the establishment of ECMO flow, the shorter the cardiac arrest period (low flow time) and the better the outcome for the patient.

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