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Andreas Schober is an Emergency Medicine physician and resuscitationist from the Medical University of Vienna. Dr. Schober is a world-expert in resuscitation, ECPR, and cardiac arrest. We met Schober in Chicago at the 2014 American Heart Association (AHA) Resuscitation Symposium (ReSS) where he presented their experience with a “Load & Go” model for out-of-hospital cardiac arrest (OHCA): 
In this episode Zack talks with Dr. Schoeber about their newest endeavor, the holy grail: a randomized-controlled trial comparing “Load & Go” (transporting OHCA patients to the ED immediately for consideration of ECMO) vs. “standard care” (staying on scene until the patient achieves either ROSC or is pronounced dead). Zack and Andreas talk about the impact this could have on the future of ECPR for OHCA.
Announcements:
SMACC Chicago 2015: There is still time to register for SMACC – the biggest and baddest ED Critical Care conference in the World. Just check out the lineup of speakers! You won’t want to miss this.
Reanimate San Diego 2016: The EDECMO team has put together a crew of world-class educators to teach you how to set up an ED ECMO program, teach you how to initiate ECPR in arresting patients, and teach you how to manage patients after they are on “on-pump”. Please join us in “America’s Finest City,” San Diego, California, for 2-day immersion in ECPR. We are limiting the conference size to maximize your learning experience, so registration will sell out quickly:
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**Special thanks to Camille Hudon for providing the “International Introduction”, in French, to this episode!!! That was recorded in a small restaurant in Montreal during Bring Me Back To Life 2014
Very good blog post.Much thanks again.
Thanks for another interesting post! Dr. Schober are giving some great answers and an interesting peek into their system and trial. One of the key points for this RCT seems to be the timing before transport. If we really believe ECMO makes a big difference, we’d want to minimise low-flow time.
15 mins sounds like a long time doing CPR on scene, if you’re going to transport them with on-going CPR from a LUCAS or similar (I’m assuming this is their plan?). To be hardcore ECMO, maybe transport initiation should start after, say, 2 shocks? Already after 2-3 shocks not working, you know you’re headed into a bad place.
The problem with leaving very early is that the patient might not have been prepped properly for transport yet – but starting to prepare for transport as early as possible, without affecting the quality of the CPR, sounds like a good idea if you think ECMO will help save them, and if you want to see if ECMO makes a difference.
What are your thoughts? Still, it will be very interesting to see the results of this trial!