{"id":28770,"date":"2019-02-27T00:51:37","date_gmt":"2019-02-27T00:51:37","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=28770"},"modified":"2022-02-19T08:40:01","modified_gmt":"2022-02-19T03:10:01","slug":"conventional-cpr-vs-extracorporeal-cpr","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/","title":{"rendered":"Conventional CPR vs Extracorporeal CPR"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/HRFBGPirvus\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Conventional CPR vs Extracorporeal CPR<\/span><\/h2>\n<p>Prompt initiation of cardiopulmonary resuscitation (CPR) is the key to better survival and lower morbidity after a cardiac arrest. Still survival is low even after in hospital cardiac arrest of the order of 20% while it is still lower, of the order of 10% for out of hospital cardiac arrest.<\/p>\n<p>&#8220;<span style=\"color: #0000ff;\">No flow<\/span>&#8221; time is the period from the onset of cardiac arrest to the initiation of chest compression. &#8220;<span style=\"color: #0000ff;\">Low flow<\/span>&#8221; time is the period of conventional CPR till the achievement of ROSC (return of spontaneous circulation). Need for prolonged CPR reduces the survival. Need for CPR of 45 minutes or more has been associated with an in hospital survival of less than 2%.<\/p>\n<p>It is in this setting that ECPR or extracorporeal CPR with the help of ECMO (extracorporeal membrane oxygenator) comes in for maintaining better cerebral and vital organ circulation. ECMO also gives rest to the heart allowing chance for recovery if there is a treatable cardiac cause for the cardiac arrest as by coronary revascularization. A recent study by Patricio D and associates compared ECPR vs conventional CPR [1].<\/p>\n<figure id=\"attachment_53179\" aria-describedby=\"caption-attachment-53179\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-53179\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Schematic-diagram-of-venoarterial-ECMO.jpg\" alt=\"Schematic diagram of venoarterial ECMO\" width=\"1200\" height=\"675\" srcset=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Schematic-diagram-of-venoarterial-ECMO.jpg 1200w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Schematic-diagram-of-venoarterial-ECMO-300x169.jpg 300w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Schematic-diagram-of-venoarterial-ECMO-1024x576.jpg 1024w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Schematic-diagram-of-venoarterial-ECMO-768x432.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-53179\" class=\"wp-caption-text\">Schematic diagram of venoarterial ECMO<\/figcaption><\/figure>\n<p><strong><span style=\"color: #0000ff;\">Criteria for initiating ECPR in the study<\/span><\/strong><\/p>\n<p>Decision to initiate ECPR was base on the following criteria:<\/p>\n<ol>\n<li>Age less than 65 years<\/li>\n<li>Witnessed cardiac arrest<\/li>\n<li>Estimated no flow time less than 2 minutes<\/li>\n<li>Estimated ECMO placement time less than 75 minutes<\/li>\n<li>No severe comorbidity<\/li>\n<li>Signs of life during conventional CPR<\/li>\n<\/ol>\n<p><strong><span style=\"color: #0000ff;\">Technical details of ECPR<\/span><\/strong><\/p>\n<p>Mechanical CPR device was used if ROSC was not achieved in 3 cycles of manual CPR. ECMO was initiated by well trained ICU physicians and\/or cardiac surgeons. Peripheral femoro-femoral veno-arterial ECMO with percutaneous cannulation guided by echocardiography was done under the support of mechanical CPR.<\/p>\n<p>PaO2 was maintained in the range of 80-150 mm Hg, mean arterial pressure was kept above 65-70 mm Hg with vasopressors and fluids if needed and targeted temperature management aimed at a temperature of around 34 degrees centigrade for 24 hours were given. Cardiac catheterization was performed if indicated. Anticoagulation with unfractionated heparin was used. ECMO used a 25 Fr venous cannula and 18\u201322 Fr arterial cannula. Initial blood flow was 3-4 liters per minute and ECMO priming was with 700 ml Plasmalyte. After implantation, leg was perfused with with an anterograde single lumen 8 Fr catheter to prevent limb ischemia.<\/p>\n<p>A total of 112 patients received ECPR and 523 received conventional CPR over a five year period from 2012 to 2017.<\/p>\n<p><strong><span style=\"color: #0000ff;\">Study conclusion<\/span><\/strong><\/p>\n<p>The study concluded that ECPR may be associated with improved long term neurological outcome (p =\u20090.003).<\/p>\n<p><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Patricio D, Peluso L, Brasseur A, Lheureux O, Belliato M, Vincent JL, Creteur J, Taccone FS. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30691512\">Comparison of extracorporeal and conventional cardiopulmonary resuscitation: a retrospective propensity score matched study<\/a>. Crit Care. 2019 Jan 28;23(1):27.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>A study comparing conventional vs extracorporeal CPR (ECPR) concluded that ECPR may be associated with improved long term neurological outcome.<\/p>\n","protected":false},"author":1,"featured_media":53171,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[2],"tags":[28,29,895,962,1296,1429,2322],"class_list":["post-28770","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology","tag-low-flow-time","tag-now-flow-time","tag-conventional-cpr","tag-cpr","tag-ecpr","tag-extracorporeal-cpr","tag-mechanical-cpr"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Conventional CPR vs Extracorporeal CPR - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Conventional CPR vs Extracorporeal CPR - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"A study comparing conventional vs extracorporeal CPR (ECPR) concluded that ECPR may be associated with improved long term neurological outcome.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-27T00:51:37+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-02-19T03:10:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1203\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Conventional CPR vs Extracorporeal CPR\",\"datePublished\":\"2019-02-27T00:51:37+00:00\",\"dateModified\":\"2022-02-19T03:10:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/\"},\"wordCount\":456,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg\",\"keywords\":[\"\\\"Low flow\\\" time\",\"\\\"Now flow\\\" time\",\"Conventional CPR\",\"CPR\",\"ECPR\",\"Extracorporeal CPR\",\"mechanical CPR\"],\"articleSection\":[\"Cardiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/\",\"name\":\"Conventional CPR vs Extracorporeal CPR - All About Cardiovascular System and Disorders\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg\",\"datePublished\":\"2019-02-27T00:51:37+00:00\",\"dateModified\":\"2022-02-19T03:10:01+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/#primaryimage\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg\",\"contentUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg\",\"width\":1203,\"height\":675},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/conventional-cpr-vs-extracorporeal-cpr\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Conventional CPR vs Extracorporeal CPR\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Conventional CPR vs Extracorporeal CPR - All About Cardiovascular System and Disorders","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/","og_locale":"en_US","og_type":"article","og_title":"Conventional CPR vs Extracorporeal CPR - All About Cardiovascular System and Disorders","og_description":"A study comparing conventional vs extracorporeal CPR (ECPR) concluded that ECPR may be associated with improved long term neurological outcome.","og_url":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2019-02-27T00:51:37+00:00","article_modified_time":"2022-02-19T03:10:01+00:00","og_image":[{"width":1203,"height":675,"url":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg","type":"image\/jpeg"}],"author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Conventional CPR vs Extracorporeal CPR","datePublished":"2019-02-27T00:51:37+00:00","dateModified":"2022-02-19T03:10:01+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/"},"wordCount":456,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/#primaryimage"},"thumbnailUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg","keywords":["\"Low flow\" time","\"Now flow\" time","Conventional CPR","CPR","ECPR","Extracorporeal CPR","mechanical CPR"],"articleSection":["Cardiology"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/","url":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/","name":"Conventional CPR vs Extracorporeal CPR - All About Cardiovascular System and Disorders","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/#primaryimage"},"thumbnailUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg","datePublished":"2019-02-27T00:51:37+00:00","dateModified":"2022-02-19T03:10:01+00:00","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/#primaryimage","url":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg","contentUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/Conventional-CPR-vs-Extracorporeal-CPR-1.jpg","width":1203,"height":675},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/conventional-cpr-vs-extracorporeal-cpr\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Conventional CPR vs Extracorporeal CPR"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/28770","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=28770"}],"version-history":[{"count":4,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/28770\/revisions"}],"predecessor-version":[{"id":53181,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/28770\/revisions\/53181"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media\/53171"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=28770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=28770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=28770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}