Ohbe H, et al. - As venoarterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly provided to patients with accidental hypothermia without vital signs, researchers sought to evaluate the efficacy of this advanced rewarming method. Using data from the Japanese Diagnosis Procedure Combination inpatient database from July 2010 to March 2017, patients who received VA-ECMO on the day of admission were compared with those who received cardiopulmonary resuscitation (CPR) only. Among 1,661 eligible patients identified during the 81-month study period, 318 (19%) patients received VA-ECMO on the day of admission. Outcomes revealed higher survival and favorable neurological outcomes in correlation with VA-ECMO when compared with conventional CPR alone in patients with accidental hypothermia without vital signs.