[nickff]

You’re mischaracterizing their findings:

>” Immediate implementation of VA-ECMO in patients with rapidly deteriorating or severe cardiogenic shock did not improve clinical outcomes compared with an early conservative strategy that permitted downstream use of VA-ECMO in case of worsening hemodynamic status.”

They still allowed for the use of ECMO if things got worse, they just didn’t start early. I don’t know how enough to know how this trial’s treatment compares to standard practice.