ECMO in Cardiac arrest has increased exponentially in the past 10 years, on the back of, up until very recently, non-randomised, predominantly retrospective studies.
What is the efficacy?
Appropriate patient selection?
Cost effectiveness and model of delivery of ECPR?
Finally is ECMO really the intervention or just optimising the chain of survival?
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Mark Dennis is a cardiologist who could not be bothered to finish the hard intensive care training program. He is a clinician researcher with interests in mechanical circulatory support and acute cardiovascular care. Mark is a founding member of the Sydney ECMO Research Interest Group, the CI on the currently running RESET OHCA trial and is a fan of appropriate use of technologies and actually trying use some evidence in what we do.