Prehospital ECPR – do we need it?

Sacha Richardson, Prehospital ECPR Lead at the Alfred ICU, builds the case for prehospital ECPR at the recent CARDIAC symposium 2026. He shares insights, challenges, and solutions from the Melbourne prehospital ECPR experience.

The initial CHEER3 pilot study resulted in 4 out of 10 survivors from refractory cardiac arrest in Melbourne. Look out for the results of CHEER4 in the future!

Richardson SAC, Anderson D, Burrell AJC, Byrne T, Coull J, Diehl A, Gantner D, Hoffman K, Hooper A, Hopkins S, Ihle J, Joyce P, Le Guen M, Mahony E, McGloughlin S, Nehme Z, Nickson CP, Nixon P, Orosz J, Riley B, Sheldrake J, Stub D, Thornton M, Udy A, Pellegrino V, Bernard S. Pre-hospital ECPR in an Australian metropolitan setting: a single-arm feasibility assessment-The CPR, pre-hospital ECPR and early reperfusion (CHEER3) study. Scand J Trauma Resusc Emerg Med. 2023 Dec 13;31(1):100. doi: 10.1186/s13049-023-01163-0. PMID: 38093335; PMCID: PMC10717258. [Fulltext]

Watch this prehospital ECPR simulation video, with commentary by Sacha Richardson, to understand how the procedure is performed.

Visit Courses & Events to learn more about upoming educational activities delivered by the Alfred Intensive Care Academic Centre. In particular, don’t miss Catalyst – Critical Care Ideas in Action and the Advanced ECMO Symposium in July 2026.

This video was produced by the Armchair Medical TV team – their virtual conference pass is a great way to bring high quality education from conferences to your screen wherever you are.

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