The second EEG and TCD(24 hours post-ECMO )
V-A ECMO (10 hours post-admission )
DrowningA 2-year-old boy Submerged for approximately 5 minImmediate CPRTransfered to local hospital rapitly
Figure 1. Drowning timeline CPR: cardiopulmonary resuscitation；EI: Endotracheal intubation；MV: mechanical ventilation；LVEF: Left ventricular ejection fraction；CPBT: cardiopulmonary bypass team；A-V ECMO: Artero-Venous Extracorporeal membrane oxygenation；ACT: Activated clotting time；AT: Apnea Test；EEG: electroencephalogram；TCD: transcranial doppler sonography；BD: brain death.
Emergency treatment at local hospitalEI and MV30 minutes sustained CPRSupport therapyVital signs unstable
The first AT(16 hours post-ECMO )
The first EEG and TCD（10 hours post-ECMO)
Organ donation（two kidneys and one liver）
The second AT(32.5 hours post-ECMO )
