Assessing accessibility to the extracorporeal cardiopulmonary resuscitation pathway for out-of-hospital cardiac arrests in London
Amiyesh Sahay, Caitlin Sears, Mark Faulkner, Rachael Fothergill · 2026
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Description
Amiyesh Sahay, Caitlin Sears, Mark Faulkner, and Rachael Fothergill ask how many London cardiac arrest patients can actually reach an advanced life-support pathway in time. The treatment, ECPR, puts the patient on a heart-lung machine during resuscitation. London's pathway aims to get eligible patients to a capable center within 45 minutes of the arrest.
From five years of ambulance records, the team found 776 eligible patients. Only three percent were estimated to arrive in time during the pathway's working hours. In many cases the clock ran out before the patient was even ready to move. Stretching the limit to sixty minutes would more than triple the number reached. Longer working hours and wider entry rules would also help, as would more receiving centers. The authors say small design changes could greatly widen access.
Catalog record
| CREATOR | Amiyesh Sahay, Caitlin Sears, Mark Faulkner, Rachael Fothergill |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |