Category Archives: ECLS

I AM THE RESURRECTION

If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading

Posted in Cardiology, ECLS, ECMO, Emergency Medicine, Intensive Care | 1 Comment

ENDOTRACHEAL AND SUPRAGLOTTIC AIRWAYS IN CPR

A study in SJTREM compares CPR hands-off times with various airway devices. It reinforces what we already know. In order to maintain hands-off times within CPR guideline recommendations the endotracheal tube is not a realistic option for inexperienced EMTs.

Posted in Airway management, CPR, ECLS, Emergency Medicine, Prehospital Medicine, Tech | 4 Comments

ECMO AND IMPELLA

ECMO or Impella, or ECMO and Impella? With increased focus on mechanical support for acute severe heart failure and cardiac arrest, there’s more research looking into which type of mechanical assistance that’s most appropriate. Each type of assist device has … Continue reading

Posted in ECLS, ECMO, Intensive Care | 1 Comment

LUCAS

Here is some iPhone footage from the OR that demonstrates how effective mechanical compressions can be. The patient is a hypothermic cardiac arrest victim. He was put on LUCAS2 as a bridge to ECMO-cannulation. On this transesophageal echo view the … Continue reading

Posted in CPR, ECLS, Emergency Medicine | Leave a comment

THE MEN WHO STARE AT TINY GOATS

Probably to make up for the killing of goats by the First Earth Battalion, research groups have been keeping goat fetuses alive outside the womb, incubated and on ECMO via the umbilical chord.

Posted in ECLS, ECMO, Tech | 1 Comment

THE ECMO TRILOGY

All you wanted to know. A great introduction to ECMO by Hergen Buscher, a German intensivist who lives and practices in Sydney. BONUS: It’s like listening to Schwarzenegger talking on ECMO! Click to see the full trilogy.

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THE SIX MILLION DOLLAR MAN

Extra Corporeal Membrane Oxygenation or ECMO is more and more referred to as Extra Corporeal Life Support or ECLS, due to it being used more and more as a V-A system, supporting the circulation as well as the respiration. There … Continue reading

Posted in Anesthesia, ECLS, ECMO, Intensive Care | 3 Comments

ECMO CPR

Cardiac arrest is still treated with medieval methods. And, not surprisingly, with low survival. The best we have to offer is an orderly’s rhythmical crushing of ribs and chest, with a few squirts of adrenaline thrown in for good measure. … Continue reading

Posted in Cardiology, CPR, ECLS, ECMO, Emergency Medicine | Tagged | Leave a comment

ECMO CPR

Hjertestans behandles fremdeles med middelaldermetoder, og ikke overraskende med meget lav overlevelse. Det beste vi har å tilby er rytmisk portørknusing av thorax, eventuelt kombinert med noen skvett adrenalin. I det 21. århundrede må det da finnes en bedre metode?

Posted in AHLR, ECLS, ECMO | Leave a comment