Background: Effective outcomes in extracorporeal cardiopulmonary resuscitation (ECPR) depend on early recognition of cardiac arrest, high-quality CPR, prompt defibrillation, and minimizing low-flow time before ECMO initiation. With Adan Hospital expanding its services to the new Women only two simulations achieved activation within 10 minutes, with team arrival in 3–4 minutes once called. The Day Care PACU demonstrated the best performance, initiating CPR within 2 minutes and maintaining adherence to ACLS protocols. Conclusion: In-situ simulation proved effective in identifying readiness challenges during hospital expansion. Emphasizing regular ACLS training, frequent mock codes, and standardized ECPR activation pathways, particularly in new clinical areas, is crucial. Enhancing early recognition, communication, and awareness of ECPR indications among staff will strengthen system performance and improve outcomes across the expanding ECMO network.
Ali et al. (Sun,) studied this question.