Extracorporeal cardiopulmonary resuscitation (ECPR) can be associated with increased survival and neurologic benefits in selected patients with out-of-hospital cardiac arrest (OHCA). However, there remains insufficient evidence to recommend the routine use of ECPR for patients with OHCA. A novel integrated trauma workflow concept that utilizes a sliding computed tomography (CT) scanner and interventional radiology (IR) system, named a hybrid emergency room system (HERS), allowing emergency therapeutic interventions and CT examination without relocating trauma patients, has recently evolved in Japan. HERS can drastically shorten the ECPR implementation time and more quickly facilitate definitive interventions than the conventional advanced cardiovascular life support workflow. Herein, we discuss our novel workflow concept using HERS on ECPR for patients with OHCA.

中文翻译：

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急诊科采用介入放射学和即时全身计算机断层扫描系统的新型集成体外CPR工作流程的潜在影响。

体外心肺复苏（ECPR）可以与某些院外心脏骤停（OHCA）的患者增加生存率和神经功能。但是，仍然没有足够的证据推荐对OHCA患者常规使用ECPR。最近，一种利用滑动计算机断层扫描（CT）扫描仪和介入放射学（IR）系统的新型综合创伤工作流程概念（称为混合急诊室系统（HERS））可以在不转移创伤患者的情况下进行紧急治疗干预和CT检查。日本。与传统的先进心血管生命支持工作流程相比，HERS可以大大缩短ECPR实施时间，并更快地促进确定性干预。在这里