title: Extracorporeal Membrane Oxygenation as a Resuscitation Measure in the Pediatric Emergency Department.
abstract: BACKGROUND
  Extracorporeal membrane oxygenation (ECMO) may serve as a bridge to regain cardiac function in refractory resuscitation. However, its use has so far been limited owing to low availability, especially in emergency departments.
  
  
  OBJECTIVE
  To describe two children with acute myocarditis successfully treated with ECMO in the emergency department of a tertiary pediatric medical center.
  
  
  METHODS
  The children presented with vomiting, followed by rapid deterioration to cardiogenic shock that failed to respond to conservative treatment. Given the urgency of their condition and its presumably reversible (viral) etiology, treatment with ECMO was initiated in the department's resuscitation room.
  
  
  RESULTS
  Outcome was excellent, and cardiac function remained normal throughout 6 and 10 months follow-up.
  
  
  CONCLUSIONS
  Extracorporeal life support has enormous potential in the emergency department and warrants further assessment.
authors.forename: Alon
authors.initials: A
authors.lastname: Nevet
authors.forename: Talia
authors.initials: T
authors.lastname: Polak
authors.forename: Ovdi
authors.initials: O
authors.lastname: Dagan
authors.forename: Yehezkel
authors.initials: Y
authors.lastname: Waisman
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000628:therapy*; D012151:Resuscitation / Q000379:methods*; D012770:Shock, Cardiogenic / Q000628:therapy*; D016896:Treatment Outcome