2021 Volume 24 Issue 1 Pages 65-70
We report the case of a 52-year-old man who underwent prehospital extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest at a Japanese regional hospital. Bystander cardiopulmonary resuscitation was performed, and the automated external defibrillator was activated twice, however, the initial waveform observed on arrival of the paramedics was ventricular fibrillation. A mobile operating room for emergency surgery and rapid response car were dispatched from our hospital to join the emergency team at the fire station immediately adjacent to the scene, and extracorporeal membrane oxygenation was implemented in the pre-hospital setting. The time from cardiac arrest to implement ECMO was reduced by 13 minutes compared to ECPR performed in the hospital. The patient was discharged from the hospital on the 18th day with a cerebral performance category score of 1. His prognosis has been good.
