ED ECMO

Ryan Kurt says out-of-hospital cardiac arrest produces about $50,000 in annual productivity loss and about $600,000 over a lifetime per case, with a national burden of roughly $11.3 billion a year.

Jan Belohlavek discusses the hyperinvasive trial he presented at ACC for refractory out-of-hospital cardiac arrest, and he says the project took seven years of study and three years of preparation.

ED ECMO’s March 2021 episode centers on anticoagulation on ECMO and Zach Scheiner’s interview with Ryan Rivesecki from the University of Pittsburgh.

Zach Scheiner and Brian Grunow spend this February 2021 ED ECMO episode asking whether hospitals should reserve scarce ECMO pumps for eCPR instead of VV-ECMO during COVID-era shortages.

REBOA is framed here as a bridge for non-compressible torso hemorrhage outside trauma, with Joe Belezzo and Dr.

Zach Scheiner interviews Dimitri Yiannopoulos about the first randomized controlled trial of eCPR, published in The Lancet after 30 Minneapolis patients were assigned to ECMO or standard ACLS.

Sage Whitmore explains the DO2-VO2 relationship, using an approximate five-to-one oxygen-delivery-to-consumption baseline and a two-to-one threshold for anaerobic metabolism and lactate production.

ED ECMO examines crash VV ECMO with Joe, David Wilms, and Zach, focusing on emergency respiratory failure cases that may require immediate venovenous support.

Zach Scheiner and Garrett Sterling review five ECPR and resuscitation topics, including dual sequential defibrillation, prone CPR, early CT, 3D-printed cannulation models, and COVID-era CPR behavior.

ED ECMO host Zach Scheiner and Garrett Sterling examine whether aortic dissection should remain an automatic contraindication to VA ECMO.

Zach Scheiner interviews Jenelle Badulak of Harborview in Seattle about selecting COVID-19 patients for VV or VA ECMO during the March 2020 surge.

ED ECMO host Zach Scheiner interviews Jason Bartos and discusses the University of Minnesota’s ECPR approach to prolonged cardiac arrest.

Jason Bartos of the University of Minnesota explains how a coordinated ECPR pathway moves selected ventricular-fibrillation patients from prehospital shock and CPR to cath-lab ECMO within about six minutes of arrival.

Scott Weingart and Zach Scheiner argue that “eCPR 2.0” applies to patients with previously functional hearts who suffer sudden out-of-hospital or selected in-hospital cardiac arrest, unlike patients with severe pre-existing cardiogenic shock.

EDECMO's November 2019 episode covers the first U.S.

ED ECMO episode 58 features Zach Scheiner, John Maranow, and Darren Brody discussing Albuquerque’s pre-hospital ECMO program, live for about one month with no treated candidates yet.

ED ECMO examines REBOA with trauma surgeon and researcher Matt Martin, focusing on partial occlusion, intermittent occlusion, and newer balloon designs.

ED ECMO host Zach Scheiner interviews Columbia cardiothoracic anesthesiologist Mark Dickstein about pressure, preload, flow, and left-heart ejection during VA ECMO.

Zach Schreiner interviews Troy Sealhammer, an intensivist, anesthesiologist, and Mayo Clinic ECMO co-director, about anticoagulation decisions for ECMO patients.

EDECMO host Zach interviews Sasha Richardson about confirming guide-wire placement during ECPR cannulation.

Chris Couch, an emergency medicine and intensive care physician at Baylor, explains why distal perfusion catheter placement is an overlooked limb-ischemia problem in peripheral VA ECMO.

Zach Scheiner interviews vascular and trauma surgeon Joe DeBose about distal perfusion catheters for femoral VA ECMO.

EDECMO host Zach Scheiner and cardiothoracic surgeon Rob Schultz examine selective retrograde cerebral perfusion as a neuroprotection strategy during cardiac arrest.

ED ECMO examines Justine Bredi's Norwegian pilot study using a seven-French balloon to occlude the zone 1 aorta during non-traumatic out-of-hospital cardiac arrest.

ED ECMO examines inter-facility ECMO transport with Michael Broman, whose Swedish program began in 1996 and has transported about 986 patients.

Zach Shiner interviews Leon Adelman about transferring ECMO patients between hospitals, focusing on the gap between ICU care and transport logistics.

Zach Shiner and Zaf Qasim examine 2018 controversies around REBOA, including an American College of Surgeons Committee on Trauma and ASEP statement that excluded emergency physicians without critical-care training.

Brian Grunau explains why a 16-minute transport threshold for out-of-hospital cardiac arrest must balance conventional resuscitation against ECMO access.

ED ECMO 46 explains how a trained wire assistant supports emergency ECMO cannulation by maintaining sterility, managing guidewires, preparing dilators, and coordinating the physician’s next step.

EDECMO 45 examines whether ECMO should support patients with septic shock, a population once treated as having a contraindication to ECMO.

Dimitri Yiannopoulos presents the Minneapolis ECPR protocol for refractory ventricular fibrillation at the Reanimate 5 course in San Diego.

Zach Shiner interviews ECMO pioneer Bob Bartlett about John Gibbon’s 1954 heart-lung-machine case, membrane oxygenators, pumps, and the development of prolonged extracorporeal support.

ED ECMO's February 2018 episode examines a hybrid femoral cutdown technique for pre-hospital ECPR with Alice Houghton and Lionel Lambeau from Paris.

Zach Schreiner hosts Lionel Lamho and Cy Olson on whether ECMO can support organ transplantation while preserving the primary goal of saving the patient.