Podcasts by ED ECMO
Resuscitationist-Initiated Extracorporeal Life Support
Further podcasts by the EDECMO Hosts - Drs. Joe Bellezzo, Zack Shinar, & Scott Weingart
Podcast on the topic Medizin
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75: Pulmonary Embolism and ECPR from 2021-12-03T09:24:37
In this short episode, Zack makes two points. One, it was tough to get to where we are with ECMO acceptance. Two, cardiac arrest patients in PEA should be considered for ECPR. Below is the full ...
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74: Do 70 year old’s deserve ECPR? A Deep Dive into the Economics of ECPR from 2021-10-14T06:31:25
Have you ever pondered whether all the work over ECPR was worth it? Even if you did save a few patients, does this really make sense from a societal standpoint? Am I giving up my life on a projec...
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73b: Conclusions for Hyperinvasive Trial with Jan Belohlavek from 2021-05-24T04:36:29
Here is the conclusion for the interview of Jan Belohlavek and his Hyperinvasive Trial
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73:The Hyperinvasive Trial with Jan Belohlavek from 2021-05-24T04:34:51
Wait...ECPR works? To the believers, this has been a foregone conclusion. To the rest of the world, the question of whether ECPR improves cardiac arrest survivorship has been in question. Jan Bel...
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72: Should We All Switch To Bivalirudin? from 2021-03-25T00:37:25
Heparin has been the mainstay of anticoagulation for ECMO patients for years. In recent years, this has been challenged. Bivalirudin has b ecome a potential better anticoagulant. Troy Seelhammer...
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71: Should We Prioritize VV-ECMO over ECPR? from 2021-02-24T06:31:18
In this episode, we dive into the abyss of resource allocation. Much of the world is saying that the limited number of ECMO circuits should be used for COVID induced lung injury. This means that ...
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70: REBOA REDUX – Management of Hemorrhagic Shock in Non-Trauma Patients – with Bellezzo&Zaf Qasim from 2021-01-02T06:26:46
In this episode Joe Bellezzo talks with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) expert Zaf Qasim about NON-TRAUMA applications of aortic compression for control of non-com...
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69: 2020 Synopsis from 2020-12-18T18:03:08
2020 was a crazy year. This month Zack goes through the biggest ECMO lessons learned in 2020. This is a short concise run through of ECPR, ECMO for COVID, Imaging, and Aortic Dissection. It's a ...
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68: ARREST – The First Randomized ECPR Trial Ever from 2020-11-22T18:30:21
The ARREST Trial is published! Demetris Yannopoulos, Jason Bartos and their army of rockstars have done it! This is the first randomized ECPR trial and it showed tremendous benefit of ECPR compar...
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67: Da DO2: Fundamental ECMO Physiology with Sage Whitmore from 2020-10-14T07:36:54
Have you ever wondered about how initiating ECMO changes the cardiovascular physiology? Have you wondered what metrics you should be looking at when resuscitating a patient that has a beating hear...
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66: Crash VV ECMO from 2020-09-07T12:50:55
Have you ever wondered how you would crash someone onto VV ECMO? Have you ever wondered where is the best place to put the cannulas? Have stayed up late at night wondering which patients in your ...
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65: ECPR Journal Club: Dual Sequential Defibrillation, CT after ECMO, and much, much more from 2020-05-23T08:43:20
This month we tackle a number of topics. Garrett Sterling is back again with Zack Shinar to talk about cutting edge resuscitation, ECMO, and the interplay between the two. Dual sequential defibri...
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64: Contraindicated??? – Long Live the Aortic Dissection with Garrett Sterling from 2020-04-23T19:28:15
In this episode, Zack Shinar introduces a new physician to the podcast - Garrett Sterling. Garrett and Zack discuss the sticky topic of ECMO for aortic dissection. This traverses everything from ...
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63: Covid and ECMO – Who do we cannulate? with Jenelle Badulak from 2020-03-22T05:31:02
"Normal life is changing. It is now a covid 19 life" - Bin Cao I write this with some trepidation as well as pride in the role we get to play as we begin the surge of Covid 19 in the United State...
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62: Jason Bartos Take 2: The Future of ECPR Now from 2020-02-18T14:12:04
Last month you heard Jason talk about the ECPR program at the University of Minnesota. This month Zack and Jason talk about post initiation care and the crazy ECPR realities that Demetri, Jason an...
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61: Jason Bartos – ECPR Redefined from 2020-01-30T14:18:48
Jason Bartos and his crew at the University of Minnesota have revolutionized the concept of ECPR for out of hospital cardiac arrests. His crew are interventional cardiologists who take OHCA strai...
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60: ECPR 2.0 with Scott Weingart from 2019-12-03T01:12:28
Today's episode focuses on the differences between ECMO physiology in the patient in cardiogenic shock versus the one in cardiac arrest.
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59: Partial REBOA and US PreHospital ECPR Revisited from 2019-11-04T19:18:49
This month we discuss two different topics we've recently had on the podcast. Albuquerque had started the first US prehospital ECPR program.... and now they have the first patient as well. Jon an...
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58: First U.S. Pre-Hospital ECPR Program from 2019-09-30T19:56:29
The U.S. has seen pre-hospital programs spring up in Paris, UK, and Australia. It was thought that due to billing issues this could never happen in America....but it has. Jon Marinaro and Darren...
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57: The New REBOA catheter – Perfecting the Partial Occlusion from 2019-09-07T19:13:39
Over the last two years, partial or intermittent REBOA has been thought to be a significant advantage over complete REBOA. How to do this and how to use our current imperfect catheters in this are...
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56: Pressors, Fluid, or Flow – Optimizing ECMO Physiology from 2019-07-08T06:05:55
A post arrest patient just got initiated on ECMO. Do you give fluids, add pressors, or increase flow? Marc Dickstein, an anesthesiologist from Columbia University and an expert in the physiology ...
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55 – Anticoagulation of the ECMO Patient with Troy Seelhammer from 2019-06-04T17:34
Do you give heparin to your ECMO patients? Well, let's rethink this. This episode is All Things Anticoagulation! Zack talks with Troy Seelhammer, an intensivist from Mayo Clinic Rochester. He m...
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54: Confirmation of Wire Placement with Sacha Richardson from 2019-05-08T16:07:07
In this episode, Sacha Richardson talks with Zack about a problem common to all ECPR programs- how do we confirm the placement of the wires? During chest compressions and even in patients with a p...
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53b: Resuscitationist Inserted Distal Perfusion Catheter with Chris Couch from 2019-04-04T16:31:40
In this episode, we again explore the world of the distal perfusion catheter. You heard from Joe Dubose the vascular surgeons point of view; now let's see how non-surgeon resuscitationists are dea...
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53: Distal Perfusion Catheter with Joe Dubose from 2019-04-01T17:40:10
Episode 53 is all about the distal perfusion catheter12. We are inserting a 15-19 Fr catheter into the femoral artery. This limits the flow of blood to the affected extremity. Many institutions ...
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52: Brain Freeze- Selective Retrograde Cerebral Perfusion for Intra-Arrest Neuroprotection from 2019-03-05T18:56:24
We've all heard of therapeutic hypothermia. Some of us have heard of deep hypothermia for traumatic arrest. But what about deep regional hypothermia of brain for cardiac arrest! Zack interviewed...
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51 – Proximal Balloon Occlusion for Cardiac Arrest from 2019-02-12T18:34:55
You've heard of ECMO for cardiac arrest- utilizing a mechanical pump to aid in perfusion of the coronaries. What if you can't do ECMO? What if your resources are such that simply can't lug a 10 ...
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50b Inter-Facility Transport of ECMO patients Part 2 of 2 from 2018-12-05T22:20:14
This is part 2 of Transport of ECMO patients. Mikael Broman is one of the world's leaders on ECMO transport. He works at the Karolinska institute in Sweden and has and continues to publish in the...
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50a Inter-facility Transport of ECMO patients Part 1 of 2 from 2018-12-05T20:29:30
This month we are looking at how to transport patients from one facility to another on ECMO. This is difficult task full of potential catastrophes. Zack interviews Leon Eydelman, an ER/Critical C...
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49 – You Can’t Spell REBOA without the ER – Endovascular Resuscitation of the Trauma Patient – Zaf Qasim from 2018-10-12T14:27:38
n this episode, Zack Shinar interviews Zaf Qasim about the recent controversies with ACEP and ACS about who can do REBOA. Zaf is one of the world's experts on REBOA and he's an ER doc! Zaf works ...
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EDECMO 48: When Should I Transport a Cardiac Arrest? from 2018-08-10T12:14:51
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 beco...
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EDECMO 47: ECMO Donazione: Organ Transplantation with Velia Antonini from 2018-08-04T20:04:50
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...
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EDECMO 46: Wire Assistant from 2018-07-06T02:21:25
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 p...
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EDECMO 45: ECMO in Sepsis from 2018-05-10T23:12:25
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 i...
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EDECMO Crash Episode – Demetris Yannopoulos on ECPR-the Minneapolis Way from 2018-04-08T18:49:11
Yanno on ECPR
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EDECMO 44: Bob Bartlett: Peristaltic Pumps, Hollow Fibers, and the History of ECMO from 2018-03-22T00:12:26
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 ...
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EDECMO 43: The Cutdown from 2018-02-20T17:06:35
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...
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EDECMO 42: Organ Transplantation On ECMO from 2018-01-16T16:19:12
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 potenti...
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EDECMO 41 – The 3 Stages of ECPR – Diane’s Story from 2017-12-30T02:04:15
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...
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EDECMO 40: EROCA – The trial that asks “Should ER Docs Initiate ECPR?” from 2017-11-02T20:00:55
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 (UMi...
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EDECMO 39: Who Do We Put On ECMO? – New Data on Prognostics from 2017-10-06T04:43:54
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 pa...
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Crash Episode: Iowa OHCA ECMO Save – with Andrew Karl Terry from 2017-09-07T05:20:54
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...
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EDECMO 38 – ECMO and Trauma – with Pal Ager-Wick and Magnus Larsson from 2017-08-28T00:13:54
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, an...
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EDECMO 37 – Nate’s Story from 2017-07-21T18:20:53
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 da...
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Crash Episode – MicroDissection of Yannopoulos’ ECMO Method from 2017-07-15T20:50:46
The University of Minnesota Cath Lab Cannulation Method
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EDECMO 36 – Crushing the Nihilism of Cardiac Arrest – with Demetris Yannopoulos from 2017-06-09T22:40:23
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 cha...
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EDECMO 35 – REBOA REVISITED! from 2017-04-07T19:29:09
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...
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EDECMO 34 – The Day After REANIMATE – with Dr. Sean Deitch from 2017-03-15T20:07:21
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...
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EDECMO 33a – “Bringing Down the House” by Zack Shinar (from RESUSfest 2016) from 2017-01-26T07:49:55
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...
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EDECMO 32 – Archimedes Screw: Is Impella the Future of Mechanical Circulatory Support? from 2016-12-07T00:34:12
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). The...
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EDECMO 31 – Anaphylaxis&Epi-Pens. Are we ready for VV-ECMO in the Emergency Department? from 2016-10-11T19:14:17
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 stero...
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EDECMO 30 – Post-Arrest ECMO Critical Care Management with Deirdre Murphy from 2016-09-09T18:04:18
Post Pump Crit Care
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EDECMO 29 – ECMO in Hypothermic Cardiac Arrest – with Torvind Naesheim of Norway from 2016-07-13T08:27:20
Joe interviews Torvind Naesheim, an intensivist and cardiothoracic anesthesiologist from Norway, on the management of accidental hypothermic arrest using ECMO
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EDECMO 28 – The University of Utah EDECMO Experience and the ERECT Collaborative from 2016-06-09T07:59:51
Zack talks with the ED ECMO team from the University of Utah about how they established their ECPR program.
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EDECMO 27 – A Real-World Case of a Crashing Multi-Drug OD Patient Saved with ED ECMO from 2016-04-28T07:39:47
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 o...
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EDECMO 26 – “ECPR is a Step Too Far” – Ho vs. Bellezzo: a SMACCback Chicago Cage Match from 2016-03-02T05:50
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.
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EDECMO 25.5 – (Part 2) an EDECMO short with Jim Manning – on location with the SAMU pre-hospital ECMO team in France from 2015-11-30T06:55:59
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 las...
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EDECMO 25 – ‘Ze ECMO TEAM.’ Manning and Lamhaut: Updates on ECMO, the new 7F REBOA Catheter, and Pre-hospital ECMO in France from 2015-11-19T08:53:27
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. ...
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The Rat Pack: Another Year of EDECMO (2014/2015) – Video from 2015-10-04T03:25:17
The Rat Pack: The Last Year of EDECMO!
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EDECMO 24 – Weaning VA-ECMO, with Deirdre Murphy from 2015-09-10T04:01:52
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 ...
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EDECMO 23 – ORNATO LIVES! – How ECMO Saved a Pillar of Resuscitation from 2015-07-14T17:00:44
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 ...
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EDECMO 22 – Managing the Crashing Tox Patient with ECMO – with Leon Gussow&Steve Aks from The Poison Review from 2015-06-15T12:00:26
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 cardia...
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REANIMATE SAN DIEGO 2016: February 25-26, 2016 from 2015-05-25T06:54:35
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 ...
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EDECMO 21- The Vienna Project: A Randomized-Controlled Trial of ECPR for Out-Of-Hospital Cardiac Arrest from 2015-05-21T00:02:23
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 c...
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EDECMO 20 – The Golden Hour&the Rule of 3’s: Optimizing the Critical First Hour on Heart-Lung Bypass from 2015-04-11T21:15:57
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? Lis...
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ECMO Simulation Model Built by Zack!! from 2015-03-20T18:28:11
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!
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EDECMO 19 – ECPR for Out-of-Hospital Cardiac Arrest Japanese-Style! from 2015-02-19T23:35:22
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. ...
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EDECMO 18 – Remote Ischemic Conditioning – with Graham Nichol from 2015-01-05T12:00:51
In this episode Zack & Joe talk with Graham Nichol about how to use remote ischemic conditioning to reduce ischemia-reperfusion injury after cardiac arrest.
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EM:RAP Mini – Zack&Joe recap AHA 2014: ‘bleeding edge’ interventions in the ED from 2014-12-22T00:02:46
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.
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EDECMO 17 – The Reanimateur: Lionel Lamhaut on Pre-Hospital ECPR from 2014-12-10T21:57:47
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.
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EDECMO 16: The End-of-Life Matrix&The Ethics of Advanced Resuscitation with Dr. Cyrus P. Olsen III, D.Phil. from 2014-11-20T11:00:32
Zack & Joe talk with Dr. Cyrus Olsen about the challenges of deciding who does, and who doesn't, get advanced resusctition.
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EDECMO 15: The CHEER Trial&Part 2 of our Interview with Dr. Stephen Bernard from 2014-10-15T03:50:16
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 ...
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EDECMO Episode #14: ECPR with Stephen Bernard 1/2 from 2014-09-30T06:52:41
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.
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Evid-ECMO 2: Veno-Venous ECMO in ARDS – The CESAR Trial&ANZ-ECMO from 2014-09-26T07:50:29
Critical Review of 2 of the big papers on VV-ECMO for ARDS.
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EDECMO # 13 – Does Pseudo-PEA Exist and What Should You Do About It from 2014-09-01T15:04:04
The 3 of us discuss all things PEA
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Evid-ECMO (Evidence for ECMO): Critical Analysis of the ECMO literature #1 from 2014-08-23T06:00:17
Zack and Joe and discuss two high-impact articles that compare conventional CPR to ECPR.
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EDECMO Episode 12 – The Nurse-Based ECMO Program at Sharp Memorial Hospital with Suzanne Chillcott RN, BSN from 2014-08-04T00:31:59
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.
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Video: “Bring Me Back to Life” Conference in Montreal; October 21, 2014 from 2014-07-16T18:54:56
Video Promo for the "Bring Me Back to Life" conference coming up on October 21, 2014 in Montreal!
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EDECMO Episode 11 – The Paris ECMO Course from 2014-07-11T11:01:42
Highlights from the Paris ECMO Course
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EDECMO Episode 10 – “Sequencing” – Ultrasound Priorities During ECPR from 2014-06-29T15:15:03
~Based on a listener voicemail message, this episode focuses on the cognitive task analysis of ultrasound during ECPR.
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EDECMO Episode 9 – The Antithesis of ECPR: African Ingenuity! from 2014-06-02T06:13:40
When your only option is to put the horse before the cart you focus on the basics: like history and physical exam, not ECMO!
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EDECMO Episode 8 – “Prime Time!” – prepping the ECMO circuit for action! from 2014-04-28T12:00:39
Priming the ECMO Circuit...
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EDECMO Episode 7 – Dan Herr on Choosing VV Candidates and Weaning from 2014-04-16T16:02:58
Who should get VV ECMO and when should you take it off
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EDECMO Episode 6 – On Life&Death with Peter Rosen from 2014-03-28T12:00:51
Joe talks with Peter Rosen, one of the Godfathers of Emergency Medicine, on the topic of life & death
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Episode 5 – Cognitive Task Analysis of Stages I and II of Extracorporeal CPR from 2014-03-13T11:33:44
Joe and I discuss in excruciating detail how to execute Stages I and II of ECPR
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Steven Bernard on the CHEER Trial from Intensive Care Network from 2014-03-11T17:24:32
Bernard on CHEER from ICN
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Episode 4 – The Tactical Approach to the Cardiac Arrest from 2014-03-01T22:27:38
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...
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Resuscitative ECMO Interview from EMCrit.org from 2014-02-14T18:36:29
This interview with Joe Bellezzo is what caused Scott to pursue ECLS.
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Episode 3 – Who the HELL do we put on ECMO during Arrest? from 2014-02-12T20:31:46
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.
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Episode 2 – The Three Stages of ECPR from 2014-02-07T08:28:31
In this episode, Joe and Zack discuss the three stages of ECPR initiation.
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Episode 1 – An Introduction to ECMO Terminology from 2014-02-02T05:22:07
In this episode, Joe and Zack discuss some of the terminology and basics of ECMO and ECLS.
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Episode 0 – About the EDECMO Project and the Hosts from 2014-01-31T21:10:13
In this episode you'll hear why we started the EDECMO project and a little bit about what we hope to offer.
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