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All emergency medicine trends
SteadyEmergency medicine · updated 18 Oct 2026

Extracorporeal CPR (ECPR)

Using ECMO during cardiac arrest when conventional CPR fails.

Key point

Extracorporeal CPR may be considered for selected in-hospital pediatric arrests unresponsive to conventional CPR in appropriately resourced hospitals, with insufficient evidence for out-of-hospital use.

From: 2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 8. Pediatric advanced life support (Clin Exp Emerg Med, 2026 May) ↗
37PubDaily Trend Score
+17%new papers vs last year
7new trials registered
3new guidelines this year

Papers per year

Each bar is 12 months; the last one ends 17 Oct 2026. New trials in the same years: 5, 9, 8, 10, 7.

New guidelines and consensus this year

  1. 2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 8. Pediatric advanced life support
    Clin Exp Emerg Med2026 May
  2. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
    Pediatrics2026 Jan 1
  3. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
    Circulation2025 Oct 21

All papers from the last 12 months

376 papers (18 Oct 2025 – 17 Oct 2026), newest first. Loading the full list…

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  1. Sex differences in management and outcomes after out-of-hospital cardiac arrest with angiographically confirmed obstructive coronary artery disease
    Resusc Plus2026 NovPMID 42831122
  2. Effects of systemic mild hypercapnia on brain function in a refractory cardiac arrest model treated with extracorporeal cardiopulmonary resuscitation
    Resusc Plus2026 NovPMID 42774534
  3. Renal Dysfunction Modifies the Prognostic Value of Lactate Clearance in Extracorporeal Cardiopulmonary Resuscitation: A Retrospective Interaction Analysis
    J Cardiothorac Vasc Anesth2026 NovPMID 42401501
  4. Beyond the protocol: adherence to ECPR selection criteria and outcomes after Out-of-Hospital Cardiac Arrest (OHCA)-insights from the German Cardiac Arrest Registry (G-CAR)
    Clin Res Cardiol2026 NovPMID 42084737
  5. Mechanical CPR - Assisted Percutaneous Coronary Intervention During Cardiac Arrest: Feasibility and Outcomes
    Med Princ Pract2026 Oct 15PMID 42879381Review
  6. The Cost-Effectiveness and Health Equity of Prehospital Treatment Strategies for Out-of-Hospital Cardiac Arrest Patients: A Systematic Review
    Prehosp Emerg Care2026 Oct 14PMID 42809516Review
  7. Extracorporeal Cardiopulmonary Resuscitation as a Bridge to Cardiac Transplantation in Refractory Cardiac Arrest Due to Fulminant Myocarditis: A Case Report
    Int Med Case Rep J2026PMID 42876919
  8. Early-Phase Computed Tomography Bowel Diameter and Neurological Outcomes Post-Extracorporeal Cardiopulmonary Resuscitation
    Emerg Med Int2026PMID 42857397
  9. Impact of Cardiac Rhythm Dynamics during Cardiopulmonary Resuscitation on Clinical Outcomes in Patients Treated with Extracorporeal Cardiopulmonary Resuscitation (ECPR): A Systematic Review and Meta-analysis
    Resuscitation2026 Oct 6PMID 42838500Review
  10. Initial V-A ECMO Flow-Index and Its Association With Inflammation, Organ Failure, and Outcomes
    Artif Organs2026 Oct 2PMID 42827282

More emergency medicine trends

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Transfusing whole blood instead of separate components in bleeding trauma patients.

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Video laryngoscopy

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Video laryngoscopes for tracheal intubation.

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REBOA

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-2%new papersScore 30
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Resuscitative endovascular balloon occlusion of the aorta for major haemorrhage.

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Ketamine in emergency and prehospital care

Emerging
-2%new papersScore 34
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Ketamine for analgesia, sedation and intubation in the ED and before hospital.

Key point: Sentinel adverse events were extremely rare, strongly supporting the safety of ED ketamine for procedural sedation of children.

92 papers / yr14 new trials1 new guideline
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Balanced crystalloids vs saline

Emerging
+26%new papersScore 34
20212026

Comparing balanced solutions such as lactated Ringer's with normal saline for fluid therapy.

Key point: Balanced crystalloid policies were not associated with a clear reduction in mortality or acute kidney injury in cluster-randomized evaluations of routine care.

77 papers / yr9 new trials
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How these numbers are counted

PubMed query, searched in titles and abstracts by publication date:

ECPR[tiab] OR "extracorporeal cardiopulmonary resuscitation"[tiab]

Trials: ClinicalTrials.gov studies first submitted in each 12-month window that match the same terms. A query can miss synonyms or catch unrelated papers, so treat counts as approximate.