Inclusion criteria | Exclusion criteria |
---|---|
Presumed cardiac aetiology of arrest | Visibly < 18 or > 65 years old |
Witnessed OHCA | Known or visible advanced pregnancy (when resuscitative hysterectomy should be performed) |
Received bystander chest compressions within 3 min | No signs of life (physical movement or breathing) AND Evidence of ineffective chest compressions suggested by the following: • The absence of electrical activity at 20 min time-out • End-tidal carbon dioxide level of < 1.3 kPa (10 mmHg) |
Remain in cardiac arrest at 20Â min following the call to emergency services OR fail to sustain ROSC in the pre-hospital setting | ECMO unlikely to benefit patient (e.g. advanced malignancy, severe frailty) |