Knowledge Diagram Navigation:

Spatial co-ordinations are initially random, and will automatically re-arrange to minimize complexity based on distance between relationships. Mouse down and drag to pan. Right click on the strategic diagram toggles between motion and stationary. Hover over abstract node (orange) to view abstractions. Hover over leaf node to view corresponding narrative. Left click on the leaf node expands the narrative to view full text.

Narrative Analysis - Report

Key Focus

For ECPR to have a chance at saving a person's life, it must be started soon after a person suffers cardiac arrest, to keep the brain well perfused with oxygen. ...

Momentum supporting factors

(ecpr,ecmo)

Challenge supporting factors

(ecpr,arrest,collapse)

(ecpr,cardiac,arrest,collapse)

(ecpr,cardiac,collapse)

(arrest,nil)

(cardiac,arrest,nil)

(cardiac,nil)

Work-in-progress supporting factors

(arrest,perfused)

(cardiac,arrest,perfused)

(cardiac,perfused)

(ecpr,arrest,perfused)

(ecpr,cardiac,arrest,perfused)

(ecpr,cardiac,perfused)

(ecpr,perfused)

(arrest,oxygen)

(cardiac,arrest,oxygen)

(cardiac,oxygen)

(ecpr,arrest,oxygen)

(ecpr,cardiac,arrest,oxygen)

(ecpr,cardiac,oxygen)

(ecpr,arrest,keep)

(ecpr,cardiac,arrest,keep)

Time Period	Challenge	Momentum	WIP
Report	12.75	0.80	86.46

High Level Abstraction (HLA) combined

High Level Abstraction (HLA)	Report
(1) (arrest,perfused)	100.00
(2) (cardiac,arrest,perfused)	95.73
(3) (cardiac,perfused)	94.02
(4) (ecpr,arrest,perfused)	92.31
(5) (ecpr,cardiac,arrest,perfused)	88.89
(6) (ecpr,cardiac,perfused)	82.91
(7) (ecpr,perfused)	82.05
(8) (arrest,oxygen)	81.62
(9) (cardiac,arrest,oxygen)	77.78
(10) (cardiac,oxygen)	75.64
(11) (ecpr,arrest,oxygen)	74.36
(12) (ecpr,cardiac,arrest,oxygen)	71.37
(13) (ecpr,cardiac,oxygen)	65.81
(14) (ecpr,arrest,keep)	64.53
(15) (ecpr,cardiac,arrest,keep)	61.54
(16) (ecpr,cardiac,keep)	55.98
(17) (ecpr,arrest,hearts)	54.70
(18) (ecpr,cardiac,arrest,hearts)	51.71
(19) (ecpr,cardiac,hearts)	46.15
(20) (ecpr,arrest,defibrillator)	44.44
(21) (ecpr,cardiac,arrest,defibrillator)	43.16
(22) (ecpr,cardiac,defibrillator)	38.46
(23) (ecpr,arrest,collapse)	38.03
(24) (ecpr,cardiac,arrest,collapse)	37.61
(25) (ecpr,cardiac,collapse)	32.05
(26) (ecpr,ecmo)	31.62
(27) (ecpr,doctors,outfitted)	30.34
(28) (ecpr,doctors,netherlands)	29.49
(29) (ecpr,doctors,mini-mobile-hospital)	28.63
(30) (ecpr,doctors,ecmo)	27.35
(31) (ecpr,united_states)	26.50
(32) (ecpr,start)	26.07
(33) (arrest,cpr)	25.64
(34) (cardiac,arrest,cpr)	24.79
(35) (cardiac,cpr)	19.66
(36) (arrest,staff)	19.23
(37) (cardiac,arrest,staff)	14.10
(38) (cardiac,staff)	13.25
(39) (arrest,resuscitated)	12.82
(40) (cardiac,arrest,resuscitated)	8.12
(41) (cardiac,resuscitated)	6.84
(42) (arrest,nil)	6.41
(43) (cardiac,arrest,nil)	2.99
(44) (cardiac,nil)	0.43

Supporting narratives:

Please refer to knowledge diagram for a complete set of supporting narratives.

momentum - Back to HLA

The program in Minnesota is using a big truck outfitted like a mini-mobile-hospital; in the Netherlands, doctors are testing the use of helicopters to reach patients quickly.. . Having an ECMO machine isn't the same as having an ECPR program.. Because time plays such a crucial role in successful ECPR, it's not enough simply to have an ECMO machine ...
High Level Abstractions:

(ecpr,ecmo)

challenge - Back to HLA

But patients with certain types of cardiac arrest who are treated with a new procedure, called ECPR, have a nearly 100 percent chance of being revived, with their brain function intact, if treatment is administered within 30 minutes of collapse. ...
High Level Abstractions:

(ecpr,arrest,collapse)
(ecpr,cardiac,collapse)
(ecpr,cardiac,arrest,collapse)
Inferred entity relationships (12)
(arrest,cardiac,ecpr,perfused) [inferred]
(cardiac,collapse,ecpr) [inferred]
(arrest,cardiac,ecpr,keep) [inferred]
(arrest,cardiac,oxygen) [inferred]
(arrest,cardiac,cpr) [inferred]
(arrest,cardiac,nil) [inferred]
(arrest,cardiac,staff) [inferred]
(arrest,cardiac,resuscitated) [inferred]
(arrest,cardiac,defibrillator,ecpr) [inferred]
(arrest,cardiac,ecpr,oxygen) [inferred]
(arrest,cardiac,perfused) [inferred]
(arrest,cardiac,ecpr,hearts) [inferred]

challenge - Back to HLA

Even in that setting, with all the available staff, equipment and drugs, if patients have not been resuscitated successfully within 40 minutes from the moment they first collapsed, their chances of survival after that are essentially nil.. . But patients with certain types of cardiac arrest who are treated with a new procedure, called ECPR, have a nearly 100 percent chance of being revived, with their brain function intact, if treatment is administered within 30 minutes of collapse ...
High Level Abstractions:

(arrest,nil)
(cardiac,arrest,nil)
(cardiac,nil)
Inferred entity relationships (12)
(arrest,cardiac,collapse,ecpr) [inferred]
(arrest,cardiac,ecpr,perfused) [inferred]
(arrest,cardiac,ecpr,keep) [inferred]
(arrest,cardiac,oxygen) [inferred]
(arrest,cardiac,cpr) [inferred]
(arrest,cardiac,staff) [inferred]
(arrest,cardiac,resuscitated) [inferred]
(arrest,cardiac,defibrillator,ecpr) [inferred]
(arrest,cardiac,ecpr,oxygen) [inferred]
(cardiac,nil) [inferred]
(arrest,cardiac,perfused) [inferred]
(arrest,cardiac,ecpr,hearts) [inferred]

WIP - Back to HLA

For ECPR to have a chance at saving a person's life, it must be started soon after a person suffers cardiac arrest, to keep the brain well perfused with oxygen. ...
High Level Abstractions:

(ecpr,cardiac,oxygen)
(ecpr,cardiac,arrest,perfused)
(ecpr,arrest,perfused)
(ecpr,arrest,oxygen)
(ecpr,cardiac,keep)
(cardiac,arrest,perfused)
(arrest,oxygen)
(ecpr,perfused)
(ecpr,arrest,keep)
(arrest,perfused)
(ecpr,cardiac,arrest,keep)
(cardiac,arrest,oxygen)
(cardiac,oxygen)
(ecpr,cardiac,perfused)
(cardiac,perfused)
(ecpr,cardiac,arrest,oxygen)
Inferred entity relationships (23)
(cardiac,ecpr,hearts) [inferred]
(arrest,ecpr,oxygen) [inferred]
(arrest,cardiac,collapse,ecpr) [inferred]
(arrest,cardiac,ecpr,perfused) [inferred]
(ecpr,perfused) [inferred]
(arrest,ecpr,keep) [inferred]
(arrest,cardiac,ecpr,keep) [inferred]
(cardiac,ecpr,keep) [inferred]
(arrest,cardiac,cpr) [inferred]
(arrest,cardiac,nil) [inferred]
(arrest,cardiac,staff) [inferred]
(arrest,ecpr,perfused) [inferred]
(arrest,cardiac,resuscitated) [inferred]
(arrest,cardiac,ecpr,oxygen) [inferred]
(arrest,cardiac,ecpr,hearts) [inferred]
(cardiac,ecpr,oxygen) [inferred]
(arrest,ecpr,hearts) [inferred]
(arrest,cardiac,oxygen) [inferred]
(cardiac,perfused) [inferred]
(cardiac,oxygen) [inferred]
(cardiac,ecpr,perfused) [inferred]
(arrest,cardiac,defibrillator,ecpr) [inferred]
(arrest,cardiac,perfused) [inferred]

WIP - Back to HLA

Patients whose hearts are in a rhythm conducive to being shocked with a defibrillator fare much better, because they usually have a treatable cause behind their cardiac arrest. ...
High Level Abstractions:

(ecpr,cardiac,arrest,defibrillator)
(ecpr,arrest,defibrillator)
(ecpr,cardiac,arrest,hearts)
(ecpr,cardiac,defibrillator)
(ecpr,cardiac,hearts)
(ecpr,arrest,hearts)
Inferred entity relationships (20)
(cardiac,ecpr,hearts) [inferred]
(arrest,ecpr,oxygen) [inferred]
(arrest,cardiac,collapse,ecpr) [inferred]
(arrest,cardiac,ecpr,perfused) [inferred]
(arrest,ecpr,keep) [inferred]
(arrest,cardiac,ecpr,keep) [inferred]
(cardiac,ecpr,keep) [inferred]
(arrest,cardiac,cpr) [inferred]
(arrest,ecpr,perfused) [inferred]
(arrest,cardiac,nil) [inferred]
(arrest,cardiac,staff) [inferred]
(arrest,cardiac,resuscitated) [inferred]
(arrest,cardiac,ecpr,oxygen) [inferred]
(arrest,cardiac,ecpr,hearts) [inferred]
(cardiac,ecpr,oxygen) [inferred]
(arrest,cardiac,oxygen) [inferred]
(cardiac,defibrillator,ecpr) [inferred]
(cardiac,ecpr,perfused) [inferred]
(arrest,cardiac,defibrillator,ecpr) [inferred]
(arrest,cardiac,perfused) [inferred]

WIP - Back to HLA

The program in Minnesota is using a big truck outfitted like a mini-mobile-hospital; in the Netherlands, doctors are testing the use of helicopters to reach patients quickly. ...
High Level Abstractions:

(ecpr,doctors,mini-mobile-hospital)
(ecpr,doctors,outfitted)
(ecpr,doctors,netherlands)
Inferred entity relationships (3)
(doctors,ecpr,outfitted) [inferred]
(doctors,ecpr,mini-mobile-hospital) [inferred]
(doctors,ecpr,netherlands) [inferred]

WIP - Back to HLA

The program in Minnesota is using a big truck outfitted like a mini-mobile-hospital; in the Netherlands, doctors are testing the use of helicopters to reach patients quickly.. . Having an ECMO machine isn't the same as having an ECPR program. ...
High Level Abstractions:

(ecpr,doctors,ecmo)
Inferred entity relationships (1)
(ecmo,ecpr) [inferred]

WIP - Back to HLA

These challenges help explain why such programs are very limited in the United States; those that do exist have yet to see the same survival rates as the one in Minnesota. ...
High Level Abstractions:

(ecpr,united_states)

WIP - Back to HLA

To provide treatment more quickly, some places have tried to meet patients where they are and start ECPR there, on the scene, instead of first moving them to a medical facility ...
High Level Abstractions:

(ecpr,start)

WIP - Back to HLA

A new approach to reviving victims of cardiac arrest has a higher rate of success than conventional CPR.. . As an emergency doctor, I know that it's incredibly rare for standard resuscitation protocols including CPR to revive patients brought to the hospital in cardiac arrest ...
High Level Abstractions:

(arrest,cpr)
(cardiac,arrest,cpr)
(cardiac,cpr)
Inferred entity relationships (12)
(cardiac,cpr) [inferred]
(arrest,cardiac,collapse,ecpr) [inferred]
(arrest,cardiac,ecpr,perfused) [inferred]
(arrest,cardiac,ecpr,keep) [inferred]
(arrest,cardiac,oxygen) [inferred]
(arrest,cardiac,nil) [inferred]
(arrest,cardiac,staff) [inferred]
(arrest,cardiac,resuscitated) [inferred]
(arrest,cardiac,defibrillator,ecpr) [inferred]
(arrest,cardiac,ecpr,oxygen) [inferred]
(arrest,cardiac,perfused) [inferred]
(arrest,cardiac,ecpr,hearts) [inferred]

WIP - Back to HLA

Even in that setting, with all the available staff, equipment and drugs, if patients have not been resuscitated successfully within 40 minutes from the moment they first collapsed, their chances of survival after that are essentially nil. ...
High Level Abstractions:

(arrest,staff)
(cardiac,resuscitated)
(cardiac,arrest,resuscitated)
(cardiac,arrest,staff)
(cardiac,staff)
(arrest,resuscitated)
Inferred entity relationships (14)
(arrest,cardiac,collapse,ecpr) [inferred]
(arrest,cardiac,ecpr,perfused) [inferred]
(cardiac,staff) [inferred]
(arrest,cardiac,ecpr,keep) [inferred]
(arrest,cardiac,oxygen) [inferred]
(cardiac,resuscitated) [inferred]
(arrest,cardiac,cpr) [inferred]
(arrest,cardiac,nil) [inferred]
(arrest,cardiac,staff) [inferred]
(arrest,cardiac,resuscitated) [inferred]
(arrest,cardiac,defibrillator,ecpr) [inferred]
(arrest,cardiac,ecpr,oxygen) [inferred]
(arrest,cardiac,perfused) [inferred]
(arrest,cardiac,ecpr,hearts) [inferred]

Semantics Relevance

What to Know About Life-Saving ECPR