Over the past decades, extracorporeal membrane oxygenation (ECMO) has been utilized increasingly in severe trauma patients, and its advantages are becoming widely accepted.^1,2 The article by Trivedi et al.³ illustrates a recent contribution to the field of extracorporeal respiratory support in blunt injuries. A total of seven male patients, aged 32.1 ± 8.7 years, experienced pulmonary contusions after blunt trauma, causing acute respiratory distress syndrome (ARDS) and receiving ECMO for respiratory support. Of the seven patients, five (71%) received venovenous (V-V) ECMO and two (29%) received venoarterial (V-A) ECMO. The mean ECMO support duration was 13.2 ± 6.5 days (median, 17 days), and six patients were successfully weaned off ECMO. Overall, two (29%) patients died before discharge or transfer (one before and one after weaning off ECMO), both of whom had required V-A ECMO.