Geospatial analysis reveals barriers to effective ECPR access in Boston, indicating potential solutions to improve patient outcomes.
The current arrest to arrival criterion for ECPR excludes the entire City of Boston using median transportation and on-scene times. Increasing access to ECPR should include efforts to decrease prehospital duration, such as minimizing time-on-scene for potential OHCA cases. Future study should examine potential levers to improve access, such as novel prehospital ECPR delivery models, air-based transport, and liberalized arrest to arrival criteria.
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Prucnal et al. (2026) studied this question.
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