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planning, multiple high-fidelity multiagency simulations and a unique collaboration between pre-hospital and in-hospital institutions will allow us to test the feasibility of this intervention in London. The study has been reviewed, refined and endorsed by the International ECMO Network (ECMONet). Clinicaltrials. gov NCT03700125, prospectively registered October 9, 2018. Clinicaltrials. gov NCT03700125, prospectively registered October 9, 2018.Managing out-of-hospital cardiac arrest requires paramedics to perform multiple aerosol generating medical