id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-307512-70j4vn78	Worku, Elliott	Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas	2020-07-27		.txt	text/plain	3965	191	33	The logistics of patient selection, expedient cannulation, healthcare worker safety, and post-resuscitation care must be weighed against the ethical considerations of providing an intervention of contentious benefit at a time when critical care resources are being overwhelmed by pandemic demand. The first is in-hospital cannulation, whereby patients suffering an IHCA or OHCA who fail to achieve ROSC with standard CCPR and advanced cardiac life support (ACLS) may be cannulated for ECPR. b Expedient cannulation and establishment of extracorporeal perfusion is a requisite of an effective ECPR; for OHCA, this may occur: (i) on-scene cannulation by mobile ECMO practitioners and (ii) rapid retrieval to ECPR hospital recognising those patients who might benefit from ECPR, requirements for donning personal protective equipment (PPE), impaired ambulance response times, and lack of critical care resources, may preclude the use of ECPR even in those who would otherwise be eligible.	./cache/cord-307512-70j4vn78.txt	./txt/cord-307512-70j4vn78.txt