A Barcelona hospital's six-year analysis reveals that 67% of patients who underwent ECMO perfusion after out-of-hospital cardiac arrest became successful organ donors, yielding 109 kidneys and 3 livers for transplantation. Key factors for donation success included younger donor age (48 vs 53 years), fewer comorbidities like diabetes and hypertension, and critically, shorter warm ischemia times during cardiopulmonary resuscitation. This uncontrolled donation after circulatory death (uDCD) approach addresses the critical organ shortage by salvaging transplantable organs from patients who cannot be resuscitated. The findings highlight how specialized perfusion nursing expertise in extracorporeal membrane oxygenation can dramatically expand the donor pool beyond traditional brain-dead donors. However, the study's observational design from a single center limits broader applicability, and success rates varied significantly year to year. As a preprint awaiting peer review, these promising results require validation through larger multicenter studies. The work represents an incremental but meaningful advance in transplant medicine, potentially transforming how hospitals approach organ procurement from cardiac arrest victims.