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  • Extracorporeal life support programme for out-of-hospital cardiac arrest during competitive sport events: the experience of the Volleyball Men’s World Championship Final Six in Turin (Italy)

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Extracorporeal life support programme for out-of-hospital cardiac arrest during competitive sport events: the experience of the Volleyball Men’s World Championship Final Six in Turin (Italy)
  1. Giancarlo Fornaro1,
  2. Federico Giovanni Canavosio1,
  3. Maria Luisa Contristano1,
  4. Daniela Pasero1,
  5. Gennaro Izzo2,
  6. Paolo Centofanti3,
  7. Matteo Attisani2,
  8. Anna Chiara Trompeo1,
  9. Gabriella Buono3,
  10. Marcello Martore4,
  11. Mauro Rinaldi2,5,
  12. Luca Brazzi1,5
  1. 1 Department of Anesthesia, Intensive Care and Emergency, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Torino, Piemonte, Italy
  2. 2 Cardiovascular and Thoracic Department, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Torino, Piemonte, Italy
  3. 3 Structural Surgical Department, Azienda Ospedaliera Ordine Mauriziano di Torino, Torino, Piemonte, Italy
  4. 4 Institute of Sports Medicine, FMSI, Torino, Piemonte, Italy
  5. 5 Department of Surgical Sciences, University of Turin, Torino, Piemonte, Italy
  1. Correspondence to Dr Federico Giovanni Canavosio, Department of Anesthesia, Intensive Care and Emergency, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Torino 10126, Piemonte, Italy; fg.canavosio{at}gmail.com

Abstract

The high incidence of out-of-hospital cardiac arrest refractory to standard resuscitation protocols, despite precompetitive screening, demonstrated the need for a prehospital team to provide an effective system for life support and resuscitation at the Volleyball Men’s World Championship. The evolution of mechanical circulatory support suggests that current advanced cardiovascular life support protocols no longer represent the highest standard of care at competitive sporting events with large spectator numbers. Extracorporeal life support (ECLS) improves resuscitation strategies and offers a rescue therapy for refractory cardiac arrest that can no longer be ignored. We present our operational experience of an out-of-hospital ECLS cardiopulmonary resuscitation team at an international sporting event.

  • cardiac arrest
  • chain of survival
  • resuscitation

https://doi.org/10.1136/emermed-2019-209203

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    Footnotes

    • Handling editor Kirsty Challen

    • Contributors All authors contributed to the operative protocol and its implementation; GF and FGC drafted the manuscript; LB revised it critically; all authors read and approved the final version of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; externally peer reviewed.