This is a review of ECLS, aka ECMO, in the ED. It covers when, why, how, and what might go wrong. If you’re thinking of starting or improving your ED ECLS program, this review will help.
In this single center, the Generation 5 high-sensitivity troponin T assay would have allowed acute MI rule out at baseline in 29% of patients and 41% at 30 minutes with 100% NPV and sensitivity. This needs multicenter prospective confirmation, but it shows the future feasibility and utility of high sensitivity troponin pathways.