Successful prehospital ECMO in drowning resuscitation after prolonged submersion

An 18-year-old drowning victim was successfully resuscitated using prehospital veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Despite 24 min of submersion in water with a surface temperature of 15 °C, the patient was cannulated on-scene and transported to a trauma center. After ICU adm...

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Bibliographic Details
Published in:Resuscitation Plus
Main Authors: Jeroen Seesink, Wietske van der Wielen, Dinis Dos Reis Miranda, Xavier J.R. Moors
Format: Article
Language:English
Published: Elsevier 2024-09-01
Subjects:
Cardiopulmonary resuscitation (CPR)
Drowning Resuscitation
Drowning
Extracorporeal membrane oxygenation (ECMO)
Helicopter Emergency Medical Service (HEMS)
Out-of-Hospital Cardiac Arrest (OHCA)
Online Access:http://www.sciencedirect.com/science/article/pii/S266652042400136X
Description
Summary:An 18-year-old drowning victim was successfully resuscitated using prehospital veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Despite 24 min of submersion in water with a surface temperature of 15 °C, the patient was cannulated on-scene and transported to a trauma center. After ICU admission on VA-ECMO, he was decannulated and extubated by day 5. He was transferred to a peripheral hospital on day 6 and discharged home after 3.5 weeks with favorable neurological outcome of a Cerebral Performance Categories (CPC) score of 1 out of 5. This case underscores the potential of prehospital ECMO in drowning cases within a well-equipped emergency response system.
ISSN:2666-5204

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