More Than a Pilot: How eCPR Programs Shape Everyday Resuscitation

More Than a Pilot: How eCPR Programs Shape Everyday Resuscitation

In this month’s clinical journal club, we take a deeper look at one of the most talked-about innovations in resuscitation: extracorporeal CPR (eCPR). But instead of focusing on the patients who receive it, this study asks a different and important question: what happens to everyone else? Using data from over 30,000 out-of-hospital cardiac arrest patients in Los Angeles County, researchers examined whether implementing an eCPR pilot program changed outcomes for patients who never received eCPR at all.

We unpack the findings' implications for training, system design, and the potential ripple effects of high-performance resuscitation programs. Does introducing advanced care elevate the entire system, or risk shifting focus away from core fundamentals? Join us for a thoughtful conversation on how innovation, education, and implementation strategy can shape outcomes far beyond the patients we intend to treat.

Article: Impact of an eCPR Pilot Program on Outcomes After Out-of-Hospital Cardiac Arrest for Patients Who Do Not Receive eCPR in a Large, Urban EMS System

Episoder(84)

Can’t Intubate, Can’t Oxygenate: Does Simulation Mastery Make the Cut?

Can’t Intubate, Can’t Oxygenate: Does Simulation Mastery Make the Cut?

Emergency cricothyrotomy is a rare but life-saving procedure in the “can’t intubate, can’t oxygenate” patient. In this session, we’ll review a study that examines the use of simulation-based mastery l...

21 Apr 1h 3min

Less Hospital, More Support: Evidence for Paramedic-Led Diversion Models

Less Hospital, More Support: Evidence for Paramedic-Led Diversion Models

In March 2026's journal club we step into a nuanced corner of prehospital care that’s quietly reshaping how systems think about patient destinations. We unpack research from Toronto on paramedics tran...

25 Mar 1h 4min

From Sirens to Synapses: Teaching Neurology in the Back of the Ambulance

From Sirens to Synapses: Teaching Neurology in the Back of the Ambulance

Neurologic emergencies don’t wait for the hospital—and neither should neurology education. This episode breaks down a longitudinal EMS curriculum using cases, simulation, and gamification to improve p...

10 Mar 1h 2min

What Counts as a DNR in EMS Protocols? Wristbands, POLST, Verbal Orders

What Counts as a DNR in EMS Protocols? Wristbands, POLST, Verbal Orders

In this month’s journal club episode, we tackle a topic every EMS educator and clinician wrestles with: how do you honor a patient’s end-of-life wishes when they call 911? We unpack a structured revie...

11 Feb 58min

CPR Mastery: How good is good enough?  Is Mastery Learning Overkill? Short, Self-Directed CPR Training Delivers Comparable 6-Month Retention

CPR Mastery: How good is good enough? Is Mastery Learning Overkill? Short, Self-Directed CPR Training Delivers Comparable 6-Month Retention

Does CPR training really need to be “to mastery”? This study suggests a few minutes of self-directed practice may be just as effective months later. Join the journal club to debate what this means for...

29 Jan 55min

Clear Air in a Rolling World: What Ambulance Methoxyflurane Exposure Means for Paramedic Safety

Clear Air in a Rolling World: What Ambulance Methoxyflurane Exposure Means for Paramedic Safety

In this episode, we step inside the ambulance to explore a question rarely discussed: how safe is the air paramedics breathe when administering methoxyflurane, marketed as Penthrox. While not used in ...

19 Jan 1h 2min

The BEST of Educational Research in 2025!

The BEST of Educational Research in 2025!

Our annual end-of-year special edition of the PCRF Education Research Journal Club when each of our panelists will share a favorite article from the educational literature in 2025.

12 Jan 56min

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