ED ECMO
92 episodes — Page 2 of 2
EDECMO 31 – Anaphylaxis & Epi-Pens. Are we ready for VV-ECMO in the Emergency Department?
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.
EDECMO 30 – Post-Arrest ECMO Critical Care Management with Deirdre Murphy
Post Pump Crit Care
EDECMO 29 – ECMO in Hypothermic Cardiac Arrest – with Torvind Naesheim of Norway
Joe interviews Torvind Naesheim, an intensivist and cardiothoracic anesthesiologist from Norway, on the management of accidental hypothermic arrest using ECMO
EDECMO 28 – The University of Utah EDECMO Experience and the ERECT Collaborative
Zack talks with the ED ECMO team from the University of Utah about how they established their ECPR program.
EDECMO 27 – A Real-World Case of a Crashing Multi-Drug OD Patient Saved with ED ECMO
This is a real-world case of a multi-drug overdosed patient that would have died without ECMO. We talk about ECMO being a bridge to an intervention. Well, sometimes ECMO is a bridge to metabolism of drug/med that they OD'd on.
EDECMO 26 – “ECPR is a Step Too Far” – Ho vs. Bellezzo: a SMACCback Chicago Cage Match
Are you ready for this rumble in the urban jungle?? Chris Ho vs Joe Bellezzo in the no holds barred debate about whether ECMO CPR is a step too far? The next cage match from SMACC Chicago.
EDECMO 25.5 – (Part 2) an EDECMO short with Jim Manning – on location with the SAMU pre-hospital ECMO team in France
In followup to our discussion with Jim Manning MD (@JManning_UNC) and Lionel Lamhaut (@LionelLamhaut) MD of the Service d’Aide Médicale Urgente (SAMU) for EDECMO Episode 25, the guys spent the last few days 'just hanging out in Paris."
EDECMO 25 – ‘Ze ECMO TEAM.’ Manning and Lamhaut: Updates on ECMO, the new 7F REBOA Catheter, and Pre-hospital ECMO in France
In this episode, Zack interviews Jim Manning MD (University of North Carolina) and Dr. Lionel Lamhaut from the famed French SAMU (Service d'Aide Médicale Urgente). REBOA. SAAP. Pre-Hospital ECMO. Its all here.
The Rat Pack: Another Year of EDECMO (2014/2015) – Video
The Rat Pack: The Last Year of EDECMO!
EDECMO 24 – Weaning VA-ECMO, with Deirdre Murphy
In this episode, Zack and Joe talk with Deirdre Murphy, the Deputy Director of the ICU, director of the cardiothoracic ICU at the Alfred Hospital in Melbourne, Australia. The Alfred has put itself on the map in so many ways over the past decade. Home to Stephen Bernard (of the original Hypothermia after ROSC without RONF fame), Chris Nickson (@precordialthump, @I_C_N, @intensiveblog, #SMACC, lifeinthefastlane.com), and good friends Jason McClue, Steve McGloughlin, Josh Ihle, Paul Nixon, and Deirdre Murphy, The Alfred is becoming a mecca for advanced resuscitation and ECMO/ECPR. In this episode we sat down with Dr. Murphy to discuss the nuances of weaning a patient from ECMO. As ED Docs, Zack and I find ourselves at the heroic end of the resuscitation spectrum when the dying patient goes on pump...but what happens at the other end? What happens in the hours, days, and weeks that follow? Listen to this episode to find out...
EDECMO 23 – ORNATO LIVES! – How ECMO Saved a Pillar of Resuscitation
Joe Ornato, a pillar in the world of resuscitation, suffered a massive PE and arrested upon arrival to the Virginia Commonwealth University Emergency Department in April 2015. How it all unfolded is amazing. Listen to this episode to hear the details...
EDECMO 22 – Managing the Crashing Tox Patient with ECMO – with Leon Gussow & Steve Aks from The Poison Review
In this episode Scott, Zack and Joe were all in the same room...in a conference room at the University of North Carolina, Chapel Hill - where we were doing ECPR studies in an animal model of cardiac arrest with Jim Manning. We spoke with legendary toxicologists Leon Gussow and Steve Aks about the role of ECMO and ECPR in the overdosed tox patient.
REANIMATE SAN DIEGO 2016: February 25-26, 2016
REANIMATE is a 2-day conference that will teach you everything about Resuscitative ECMO and Extracorporeal Cardiopulmonary Resuscitation (ECPR). The conference will be hosted by Zack Shinar, Scott Weingart, and Joe Bellezzo
EDECMO 21- The Vienna Project: A Randomized-Controlled Trial of ECPR for Out-Of-Hospital Cardiac Arrest
In this episode Zack talks with Dr. Schoeber about their newest endeavor, the holy grail: a randomized-controlled trial comparing "Load & Go" (transporting OHCA patients to the ED immediately for consideration of ECMO) vs. "standard care" (staying on scene until the patient achieves either ROSC or is pronounced dead). Zack and Andreas talk about the impact this could have on the future of ECPR for OHCA.
EDECMO 20 – The Golden Hour & the Rule of 3’s: Optimizing the Critical First Hour on Heart-Lung Bypass
In this episode, Joe talks about that first critical hour on Heart-Lung Bypass. What are the most common and critical clinical scenarios that the ECMO operator faces in that first hour on pump? Listen to this episode to find out.
ECMO Simulation Model Built by Zack!!
Using parts purchased at Home Depot, Zack took apart a Tall Paul Anatomy Mannequin and built the whole thing from scratch. This is how it went down!
EDECMO 19 – ECPR for Out-of-Hospital Cardiac Arrest Japanese-Style!
Tetsuya Sakamoto is the principal investigator of a multi-center prospective observational study that was just recently published in the journal Resuscitation: Resuscitation. 2014 Jun;85(6):762-8. Zack and Joe met with Dr. Sakamoto during the 2014 AHA RESS conferences and talked all things ECPR. After that, Shinar sat down with Dr. Sakamoto to get his take on how the Japanese EMS system is setup and how they are able to implement ECPR into their resuscitation protocols.
EDECMO 18 – Remote Ischemic Conditioning – with Graham Nichol
In this episode Zack & Joe talk with Graham Nichol about how to use remote ischemic conditioning to reduce ischemia-reperfusion injury after cardiac arrest.
EM:RAP Mini – Zack & Joe recap AHA 2014: ‘bleeding edge’ interventions in the ED
In this short segment that was generously produced and offered by the EM:RAP team, Zack and Joe recap some the the big topics from the American Heart Association 2014 conference in Chicago.
EDECMO 17 – The Reanimateur: Lionel Lamhaut on Pre-Hospital ECPR
In this episode Zack talks with Lionel Lamhaut, a physician who is heading up their pre-hospital ECMO program. Yes, they are really doing ECMO in the field.
EDECMO 16: The End-of-Life Matrix & The Ethics of Advanced Resuscitation with Dr. Cyrus P. Olsen III, D.Phil.
Zack & Joe talk with Dr. Cyrus Olsen about the challenges of deciding who does, and who doesn't, get advanced resusctition.
EDECMO 15: The CHEER Trial & Part 2 of our Interview with Dr. Stephen Bernard
In this episode Zack and Joe discuss the CHEER Trial (mechanical CPR, Hypothermia, ECMO, and Early Revascularization) and follow up with Dr. Stephen Bernard with a few more questions about ECMO at the Alfred.
EDECMO Episode #14: ECPR with Stephen Bernard 1/2
In today's episode, Joe and Zack interview Dr. Stephen Bernard about Extracorporeal Cardiopulmonary Resuscitation (ECPR) and how they do it the Alfred in Melbourne, Australia.
Evid-ECMO 2: Veno-Venous ECMO in ARDS – The CESAR Trial & ANZ-ECMO
Critical Review of 2 of the big papers on VV-ECMO for ARDS.
EDECMO # 13 – Does Pseudo-PEA Exist and What Should You Do About It
The 3 of us discuss all things PEA
Evid-ECMO (Evidence for ECMO): Critical Analysis of the ECMO literature #1
Zack and Joe and discuss two high-impact articles that compare conventional CPR to ECPR.
EDECMO Episode 12 – The Nurse-Based ECMO Program at Sharp Memorial Hospital with Suzanne Chillcott RN, BSN
In this episode Joe talks with Suzanne Chillcott, the Mechanical Circulatory Support (MCS) Lead RN at Sharp Memorial Hospital to discuss the nuts and bolts of establishing a "nurse-run" ECLS program.
Video: “Bring Me Back to Life” Conference in Montreal; October 21, 2014
Video Promo for the "Bring Me Back to Life" conference coming up on October 21, 2014 in Montreal!
EDECMO Episode 11 – The Paris ECMO Course
Highlights from the Paris ECMO Course
EDECMO Episode 10 – “Sequencing” – Ultrasound Priorities During ECPR
~Based on a listener voicemail message, this episode focuses on the cognitive task analysis of ultrasound during ECPR.
EDECMO Episode 9 – The Antithesis of ECPR: African Ingenuity!
When your only option is to put the horse before the cart you focus on the basics: like history and physical exam, not ECMO!
EDECMO Episode 8 – “Prime Time!” – prepping the ECMO circuit for action!
Priming the ECMO Circuit...
EDECMO Episode 7 – Dan Herr on Choosing VV Candidates and Weaning
Who should get VV ECMO and when should you take it off
EDECMO Episode 6 – On Life & Death with Peter Rosen
Joe talks with Peter Rosen, one of the Godfathers of Emergency Medicine, on the topic of life & death
Episode 5 – Cognitive Task Analysis of Stages I and II of Extracorporeal CPR
Joe and I discuss in excruciating detail how to execute Stages I and II of ECPR
Steven Bernard on the CHEER Trial from Intensive Care Network
Bernard on CHEER from ICN
Episode 4 – The Tactical Approach to the Cardiac Arrest
In this episode we talk about how protocols, defined roles, and pre-planned choreography of a medical code works. And we also do a few things different than you...
Resuscitative ECMO Interview from EMCrit.org
This interview with Joe Bellezzo is what caused Scott to pursue ECLS.
Episode 3 – Who the HELL do we put on ECMO during Arrest?
Who Gets ECPR and Who Doesn't? This may be the hardest question we deal with when a patient arrives and ECPR is a consideration.
Episode 2 – The Three Stages of ECPR
In this episode, Joe and Zack discuss the three stages of ECPR initiation.
Episode 1 – An Introduction to ECMO Terminology
In this episode, Joe and Zack discuss some of the terminology and basics of ECMO and ECLS.
Episode 0 – About the EDECMO Project and the Hosts
In this episode you'll hear why we started the EDECMO project and a little bit about what we hope to offer.