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EDECMO.org is a non-commercial source to discover the life-saving potential of resuscitative extra-corporeal membrane oxygenation (ecmo) and extra-corporeal life support (ecls). We will teach you the skills and break down the logistics to allow resuscitationists to initiate ECMO in the ED or ICU.

EDECMO.org is a non-commercial source to discover the life-saving potential of resuscitative extra-corporeal membrane oxygenation (ecmo) and extra-corporeal life support (ecls). We will teach you the skills and break down the logistics to allow resuscitationists to initiate ECMO in the ED or ICU.
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United States

Description:

EDECMO.org is a non-commercial source to discover the life-saving potential of resuscitative extra-corporeal membrane oxygenation (ecmo) and extra-corporeal life support (ecls). We will teach you the skills and break down the logistics to allow resuscitationists to initiate ECMO in the ED or ICU.

Language:

English


Episodes

EDECMO 48: When Should I Transport a Cardiac Arrest?

8/10/2018
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This part two of August 2018. We are now tackling the difficult question of when to transport cardiac arrests if I have ECMO available? Brian Grunau is an expert in this question. Brian has become a giant in the world of ECMO. His research, leadership and experience have pushed the Canadian ECPR contingency to the […] The post EDECMO 48: When Should I Transport a Cardiac Arrest? appeared first on ED ECMO.

Duration:00:35:12

EDECMO 47: ECMO Donazione: Organ Transplantation with Velia Antonini

8/4/2018
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Over this last year we have had episodes on organ donation and decision to transport. This month we are revisiting two topics with two amazing people in two separate episodes. Here, I interviewed Velia Marta Antonini. Velia works in Italy where several of the great ECMO donation papers have originated. She explains why this research […] The post EDECMO 47: ECMO Donazione: Organ Transplantation with Velia Antonini appeared first on ED ECMO.

Duration:00:20:24

EDECMO 46: Wire Assistant

7/5/2018
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Well, it only took us seven years to figure this one out. The wire assistant has been the key advancement of 2018 for placement of ECMO cannulas. In this episode, Zack and Joe talk through this process after an interview with Alyssa Baldini. Alyssa was one of our first true wire assistants and has been instrumental in getting cannulas in faster and safer. We discuss how the wire assistant aids in sterility and getting the artery on the first stick. Bottom line - train someone at your shop to...

Duration:00:25:25

EDECMO 45: ECMO in Sepsis

5/10/2018
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In this episode, Zack talks with Heidi Dalton about ECMO use in Sepsis. This is another controversial area with pediatric literature showing strong results while the adult results have been less impressive. Heidi has been a key figure in both adult and pediatric ECMO. She is the former chair of the yearly ELSO conference. She is a professor at both George Washington University and Virginia Commonwealth University. Her background is in pediatric critical care. She currently works at INOVA in...

Duration:00:31:02

EDECMO 44: Bob Bartlett: Peristaltic Pumps, Hollow Fibers, and the History of ECMO

3/21/2018
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In this episode, Zack interviews Bob Bartlett from the University of Michigan. He is truly the godfather of ECMO and has revolutionized the world with his leadership and innovation. They discuss the history of ECMO and roller pumps and bubble oxygenators were clearly inferior to their current counterparts - centrifugal pumps and hollow fiber oxygenators. They also discuss anticoagulation and how Bob feels direct thrombin inhibitors are superior. They also discuss the future of ECMO and how...

Duration:00:36:57

EDECMO 43: The Cutdown

2/20/2018
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In this episode, Alice Hutin of the Paris SAMU talks about the modified cutdown approach to cannula insertion. She is an emergency physician who is one of four physicians who take call on the pre-hospital ECMO ambulance. She describes the process of their modified cutdown. First, incision through the skin is made 2 cm below inguinal crease. Second, blunt dissection down through the soft tissue. This is best done with your fingers. Third, place a needle through the distal skin and visualize...

Duration:00:29:48

EDECMO 42: Organ Transplantation On ECMO

1/16/2018
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In this episode, we tackle the subject of organ transplantation on ECMO. 2017 featured several articles showing the efficacy of ECMO for organ transplantation. In Italy, 56% of total potential patients were successfully transplanted. The success of these transplants have been comparable to patients not on ECMO. Zack Shinar interviews Lionel Lamhaut, ECMO specialist from […] The post EDECMO 42: Organ Transplantation On ECMO appeared first on ED ECMO.

Duration:00:32:10

EDECMO 41 – The 3 Stages of ECPR – Diane’s Story

12/29/2017
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In this episode Zack and Joe discuss the 3-stages of Extracorporeal Membrane Oxygenation (ECMO) - or put another way, this is how to start Extracorporeal Cardiopulmonary Resuscitation (ECPR) in the Emergency Department (ED). It's been 4 years since we talked about these basic premises of ECPR. But this time, its highlighted in a very special story. The post EDECMO 41 – The 3 Stages of ECPR – Diane’s Story appeared first on ED ECMO.

Duration:00:30:32

EDECMO 40: EROCA – The trial that asks “Should ER Docs Initiate ECPR?”

11/2/2017
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EROCA – University of Michigan – Gunnerson/Shinar Should Emergency Physicians initiate ECMO on arresting patients? That is the question that Kyle Gunnerson from the University of Michigan (UMich) is asking with their new trial – EROCA. UMich has had a robust ECMO program for over 30 years and recently they have received a grant […] The post EDECMO 40: EROCA – The trial that asks “Should ER Docs Initiate ECPR?” appeared first on ED ECMO.

Duration:00:28:35

EDECMO 39: Who Do We Put On ECMO? – New Data on Prognostics

10/6/2017
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In this episode Zack interviews the first authors of the three biggest papers this year dealing with the question of “Who should I put on ECMO?” Guillaume Debaty of Grenoble, France published a paper outlining what prognostic factors are important. Guillaume's data shows importance of short low times, lower lactates and higher pH values. The real question is what number for each of these should we consider a hard stop on initiation. This is followed up by Josh Reynolds who along with Ben...

Duration:00:27:13

Crash Episode: Iowa OHCA ECMO Save – with Andrew Karl Terry

9/7/2017
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Mini episode - This is a great example of where a little persistence with your colleagues can help save someone's life. Dr. Andrew Karl Terry, having had only limited exposure to ECMO, was able to encourage his Cardiologists to put a witnessed VF patient on ECMO. The rest is history! The post Crash Episode: Iowa OHCA ECMO Save – with Andrew Karl Terry appeared first on ED ECMO.

Duration:00:11:12

EDECMO 38 – ECMO and Trauma – with Pal Ager-Wick and Magnus Larsson

8/27/2017
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This episode is all about ECMO in trauma - not the usual ARDS, TRALI VV-ECMO - we’re talking about VA ECMO for the acutely dying trauma patient. Zack interviews Pål Ager-Wick from Tromso Norway, and Magnus Larsson from the Karolinska Institute in Stockholm. We talk about everything from how ECMO helps the hemorrhaging trauma patient to the futuristic “Emergency Preservation and Resuscitation” concept being done in Baltimore now. The post EDECMO 38 – ECMO and Trauma – with Pal Ager-Wick and...

Duration:00:31:33

EDECMO 37 – Nate’s Story

7/21/2017
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Jake is an Emergency Physician from Santa Cruz California whose interest in resuscitation was put to the fullest test when his own son had a cardiac arrest. This is the amazing retelling of that day in November when what Jake learned in an EDECMO workshop was utilized in a dramatic fashion. This is a story of two heros: Jake and his son Nate. The post EDECMO 37 – Nate’s Story appeared first on ED ECMO.

Duration:00:32:38

Crash Episode – MicroDissection of Yannopoulos’ ECMO Method

7/15/2017
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The University of Minnesota Cath Lab Cannulation Method The post Crash Episode – MicroDissection of Yannopoulos’ ECMO Method appeared first on ED ECMO.

Duration:00:35:41

EDECMO 36 – Crushing the Nihilism of Cardiac Arrest – with Demetris Yannopoulos

6/9/2017
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In this podcast episode, Zack interviews Demetri Yannopoulos from the University of Minnesota. Demetri has organized Minneapolis into arguably the most impressive ECPR city in the world. He has changed the mindset of out of hospital refractory ventricular fibrillation care from “stay and play”, the philosophy that medics should stay at the scene and provide care until ROSC (return of spontaneous circulation) or until the patient is pronounced dead. In Minneapolis, a patient who who arrests...

Duration:00:29:03

EDECMO 35 – REBOA REVISITED!

4/7/2017
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REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) is used to gain proximal control over non-compressible hemorrhage below the diaphragm. In this episode, Zack takes a deep dive into REBOA implementation, physiology, and complications with four of the biggest movers in the world of REBOA: The post EDECMO 35 – REBOA REVISITED! appeared first on ED ECMO.

Duration:00:34:41

EDECMO 34 – The Day After REANIMATE – with Dr. Sean Deitch

3/15/2017
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In this episode, Joe talks with Dr. Sean Deitch, a non-academic Emergency Physician practicing in San Diego, California. Dr. Deitch attended REANIMATE 3 - which just finished 2 weeks ago...and has an amazing story to tell. You'll have to listen to the episode... REANIMATE 4 is September 21-22, 2017 and features guest faculty member Stephen Bernard - coming all the way from Melbourne, Australia - and best know from the original therapeutic hypothermia trials and CHEER. R3 was amazing and R4...

Duration:00:16:01

EDECMO 33a – “Bringing Down the House” by Zack Shinar (from RESUSfest 2016)

1/26/2017
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In this episode of the EDECMO podcast, Zack describes how to use the concept of 'TEAM PLAY", much like the gang from the classic novel "Bringing Down the House" by Ben Mezrich, to optimize outcomes after cardiac arrest....with, or without, ECPR. The post EDECMO 33a – “Bringing Down the House” by Zack Shinar (from RESUSfest 2016) appeared first on ED ECMO.

Duration:00:19:11

EDECMO 32 – Archimedes Screw: Is Impella the Future of Mechanical Circulatory Support?

12/6/2016
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In this episode we explore two very different applications of the Impella® device - a percutaneously-placed temporary ventricular assist device (VAD) sold by Abiomed (no financial disclosures). These VADs work by the use of a micro-axillary pump which is typically placed by interventional cardiologists under fluoroscopy. The inlet of the pump is placed in the ventrical while the outlet rests just above the aortic valve. The post EDECMO 32 – Archimedes Screw: Is Impella the Future of...

Duration:00:37:39

EDECMO 31 – Anaphylaxis & Epi-Pens. Are we ready for VV-ECMO in the Emergency Department?

10/11/2016
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Here is a case of a young man who presented to the Emergency Department with profound anaphylaxis. This was a "CAN Intubate/CAN'T VENTILATE" scenario: Max Epinephrine Max antihistamines Max steroids Max ventilator What options do you have? Find out in this episode. The post EDECMO 31 – Anaphylaxis & Epi-Pens. Are we ready for VV-ECMO in the Emergency Department? appeared first on ED ECMO.

Duration:00:27:43