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Emergency preservation and resuscitation (EPR) was developed to utilize hypothermia to buy time to achieve hemostasis and allow delayed resuscitation. Large animal studies have demonstrated that cooling to tympanic membrane temperature 10 \u00b0C during exsanguination cardiac arrest can allow up to 2 h of circulatory arrest and repair of simulated injuries with normal neurologic recovery. The Emergency Preservation and Resuscitation for Cardiac Arrest from Trauma (EPR\u2010CAT) trial is testing the feasibility and safety of initiating EPR. Study subjects include patients with penetrating trauma who lose a pulse within 5\u00a0minutes of hospital arrival and remain pulseless despite standard care. EPR is initiated via an intra\u2010aortic flush of ice\u2010cold saline solution. Following hemostasis, delayed resuscitation and rewarming are accomplished with cardiopulmonary bypass. The primary outcome is survival to hospital discharge without significant neurologic deficits. If trained team members are available, subjects can undergo EPR. If not, subjects can be enrolled as concurrent controls. Ten EPR and 10 control subjects will be enrolled. If successful, EPR could save the lives of trauma patients who are currently dying from exsanguinating hemorrhage.<\/jats:p>","DOI":"10.1111\/nyas.14725","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T04:55:22Z","timestamp":1638507322000},"page":"5-11","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Emergency preservation and resuscitation for cardiac arrest from trauma"],"prefix":"10.1111","volume":"1509","author":[{"given":"Samuel A.","family":"Tisherman","sequence":"first","affiliation":[{"name":"Department of Surgery and the Program in Trauma University of Maryland School of Medicine  RA Cowley Shock Trauma Center Baltimore 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