Hey folks Scott Wengard here and this is an em Krit we today on the show we're going to be discussing a new

modality of e-CPR echmo cepar aka extra-urporial life support.

And this was sparked by a paper I had seen

called Treatment of Refractory Cardiac O S by

controlled reprofusion of the whole body, a multi-centered

prospective observational study and the senior author for that was freed Helm

Byersdorf and I actually got him on the show to discuss this because the results in this paper were kind of crazy.

So this was a paper on both in hospital and out of hospital cardiac arrest patients.

And what they did is they put them on a entire strategy

and system they call Carl which is the controlled reprofusion of the whole body

system and what they had in this paper was a 33% overall

neurologically intact survival for patients in and out of hospital blended together.

The in-hospital neurologically intact survival rate was 41%.

The out-of-hospital neurologically intact survival rate was 28% and the ones who were canulated in the field

had even better neurologic outcome.

Now you might say, well that's interesting Scott, but it's not as impressive as the Anopolis

at all arrest trial.

And I'd say sure until you actually look at the rhythms included.

And the Anopolis trial was V-Fib,ulsus V-T. This Carl paper, which is not an RCT, but when you compare it to the known historical baselines,

it's impressive stuff included PA and a systly.

In fact, half of the patients in the study

were PA and a systily.

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