Abstract:

Objective To conduct the optimization practice of process for emergency extracorporeal cardiopulmonary resuscitation in treating out-of-hospital cardiac arrest patients. Methods A multidisciplinary team was established in the emergency department of a third-class A hospital in Nanjing to analyze the difficulties and critical points in the rescue process. Optimization measures were taken from multiple aspects such as the pre-hospital extracorporeal cardiopulmonary resuscitation rapid response team，multidisciplinary collaboration，equipment and management，pre-hospital and in-hospital information sharing platform，system and process standards，and diversified training programs. Quality control was carried out in the emergency department. Results The success rate of treatment for 12 patients was 33.3%，significantly higher than the 22.5% success rate reported in the literature for emergency extracorporeal cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest. The time-sensitive indicators showed that the response time of the rapid response team for extracorporeal cardiopulmonary resuscitation was shortened from 25 minutes to 5 minutes，the preparation time for items was shortened from 15 minutes to 6 minutes，the pre-flush time for extracorporeal membrane oxygenation was shortened from 18 minutes to the fastest 8 minutes，and the time for extracorporeal membrane oxygenation was shortened from 30 to 50 minutes to 10 to 15 minutes. Conclusion Optimizing the process for emergency extracorporeal cardiopulmonary resuscitation in treating out-of-hospital cardiac arrest patients can help improve the success rate of patient treatment and the timeliness of rescue.

Key words: Emergency, Extracorporeal Cardiopulmonary Resuscitation, Out-of-hospital Cardiac Arrest, Process