EDECMO 41 – 3 stages of ECMO ***Episode Temporarily Offline***

In this episode Zack and Joe revisit the 3-stages of ECMO. It’s been 4 years since we talked about these basic premises of ECPR. But this time, its highlighted in a very special story.

[Read more]

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

http://media.blubrry.com/edecmo/p/traffic.libsyn.com/edecmo/Take_3_Gunnerson.mp3Podcast: Play in new window | Download (Duration: 28:36 — 23.0MB)Subscribe: Apple Podcasts | Android | RSS   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 […]

[Read more]

2016 ECMO CPT Codes, RVUs, and MediCare Reimbursement

Ok, so we just crashed an arrested patient onto ECMO and he is going to the cath lab. Now, how do I document the procedure again?  What was the CPT for percutanous cannulation for VA-ECMO?  Does my billing company even know? 

[Read more]

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

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 Singer out of the UK published a paper utilizing cardiac arrest data from the PRIMED trial.  He showed that even patients with all the advantageous characteristics of traditional ECMO inclusion criteria had poor survivals once they have had >30 minutes of chest compressions.  With many ECMO studies having average arrest to

initiation times of > 60 minutes, Josh’s paper certainly makes us view favorably the 30% survival outcomes that we are seeing worldwide.  This in no way substitutes for a randomized trial but does offer some guidance on what the expected survival of a patient with a witnessed arrest, short low flow times, and age < 65.   We  conclude with Nate Haas out of the University of Michigan who utilitzed the ELSO database to show that age was not predictive of survival.  This may push us towards including older patients in our inclusion criteria, but more data is definitely needed on this.

[Read more]

REANIMATE 4 Mashup Video!

REANIMATE 4 was THE best conference event I’ve ever had the pleasure to be associated with!  Take a look at this short video mashup of the entire event (and thanks to Jeremy Haywood, our videographer, video editor, and video producer)

For those of you who attended, thank you for bringing your “A-Game”!  Ya’ll came prepared and motivated! Your energy and devotion has completely re-energized us!  It was a little bittersweet when we all had to part ways on Friday. But welcome to the REANIMATE family!

If you couldn’t make it to “R4”, now’s the time to register for REANIMATE 5, which will be March 8-9, 2018 in San Diego.

[Read more]

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

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!

[Read more]

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

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.

[Read more]

REANIMATE 5: March 8-9, 2018

REANIMATE 5 will be on March 8-9, 2018 in San Diego, California.

Registration will open on September 21, 2017. Announcements will precede!  But if you want to guarantee a spot at R5, put yourself on the Reanimate 5 Pre-Reg list.  REANIMATE sells out quickly. People are always asking how to guarantee their spot. This is the ‘ticket’!!!

ECMO, ECPR, REBOA, TEE, & Bleeding-Edge Resuscitation

Special Guest Faculty Member: Resuscitationist and interventional cardiologist Demetris Yannopoulos from the University of Minnesota. For more on Demetris’ recent contributions to ECPR:

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

Crash Episode – MicroDissection of Yannopoulos’ ECMO Method

For more information on the Conference: reanimateconference.com

[Read more]

EDECMO 37 – Nate’s Story

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.

[Read more]

Haney Mallemat Endorses REANIMATE 4!

At Castlefest/Resusfest 2017 I caught up with Dr. Haney Mallemat and asked him to opine on our upcoming REANIMATE 4 conference on September 21-22, 2017. Haney did not disappoint! Check it out:

[Read more]