Refractory Out-Of-Hospital Cardiac Arrest Treated With Mechanical CPR, Hypothermia, ECMO and Early Reperfusion

Automated CPR utilised by paramedics to facilitate CPR during transport to hospital

Insertion of peripheral VA ECMO

Coronary angiography and intervention where necessary will be performed following ECMO insertion

Paramedic initiated hypothermia with intravenous ice cold fluid and then continued for 24 hours (33 degrees)