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The SPH Extracorporeal Cardiopulmonary Resuscitation Service for Out-of-Hospital Cardiac Arrest

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Page 1: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

The SPH Extracorporeal

Cardiopulmonary Resuscitation Service for

Out-of-Hospital Cardiac Arrest

Page 2: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

I have Nothing to Disclose!

Page 3: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

3% 5%

11% 10%

5% 7%

11%

16%

6%

10%

Alabama Dallas Iowa Milwaukee Ottawa Pittsburgh Portland Seattle Toronto B.C.

To begin with, here’s a bit of the background

You might not want to have a

cardiac arrest in Alabama…

Page 4: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

What was the aim of our initiative?

Improve the survival of OHCA patients from 16% to ≥ 30%

Reduce the time from CPR to ECMO flow from 75 minutes to 60 minutes

Page 5: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

In a nutshell, here’s how we do it!

Page 6: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

What assumptions did we make, and how did they pan out?

Page 7: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

What am I most proud of?

Page 8: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

The biggest challenge?

Page 9: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

Investment does not

end once the process

is put into place

Page 10: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

When you don’t have any money, Let your imagination run wild!

Page 11: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

What are we struggling with?

Page 12: The St. Paul's Hospital Extracorporeal Cardiopulmonary Resuscitation (ECPR) Service for Out-of-Hospital Cardiac Arrest

Questions? Call me!

Sarah carriere

Leader, patient safety

Providence health care

[email protected]