{"id":2345,"date":"2015-11-19T04:53:27","date_gmt":"2015-11-19T08:53:27","guid":{"rendered":"https:\/\/edecmo.org\/?p=2345"},"modified":"2021-11-03T00:29:41","modified_gmt":"2021-11-03T04:29:41","slug":"edecmo-25-ze-ecmo-team-manning-and-lamhaut-updates-on-ecmo-the-new-7f-reboa-catheter-and-pre-hospital-ecmo-in-france","status":"publish","type":"post","link":"https:\/\/edecmo.org\/edecmo-25-ze-ecmo-team-manning-and-lamhaut-updates-on-ecmo-the-new-7f-reboa-catheter-and-pre-hospital-ecmo-in-france\/","title":{"rendered":"EDECMO 25 &#8211; &#8216;Ze ECMO TEAM.&#8217; Manning and Lamhaut: Updates on ECMO, the new 7F REBOA Catheter, and Pre-hospital ECMO in France"},"content":{"rendered":"<!--powerpress_player--><div class=\"powerpress_player\" id=\"powerpress_player_7646\"><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-2345-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-20151119-025-Manning-Lamhaut.mp3?_=1\" \/><a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-20151119-025-Manning-Lamhaut.mp3\">http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-20151119-025-Manning-Lamhaut.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-20151119-025-Manning-Lamhaut.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/edecmo.org\/?powerpress_pinw=2345-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-20151119-025-Manning-Lamhaut.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"edecmo-20151119-025-Manning-Lamhaut.mp3\">Download<\/a> (Duration: 15:04 &#8212; 10.4MB)<\/p><p class=\"powerpress_links powerpress_subscribe_links\">Subscribe: <a href=\"https:\/\/edecmo.org\/feed\/podcast\/\" class=\"powerpress_link_subscribe powerpress_link_subscribe_rss\" target=\"_blank\" title=\"Subscribe via RSS\" rel=\"nofollow\">RSS<\/a><\/p><p>In this episode, Zack interviews Jim Manning MD (University of North Carolina) and Dr. Lionel Lamhaut of the famed French SAMU (<i>Service d&#8217;Aide M\u00e9dicale Urgente).<\/i><\/p>\n<h3>Highlights:<\/h3>\n<p>2015 Resuscitation Science Symposium updates:<\/p>\n<p style=\"padding-left: 30px;\">&#8220;ECMO is at the forefront of resuscitation science&#8221; &#8211; Jim Manning<\/p>\n<p>The New REBOA Catheter: <a href=\"http:\/\/www.pryormedical.com\/\">Pryor Medical<\/a>\u00a0&#8211; just obtained FDA approval for endovascular proximal control of non-compressible hemorrhage below the diaphragm.<\/p>\n<p style=\"padding-left: 30px;\">At Sharp Memorial Hospital we currently use the 12Fr Chek-Flo sheath, paired with 12F (external diameter) CODA balloon occlusion catheter for non-compressible hemorrhage below the diaphragm. \u00a0Pryor Medical has just gained FDA approval to market their REBOA catheter &#8211; a 7F version that doesn&#8217;t seem to require surgical repair of the arteriotomy site. \u00a0For those of us doing REBOA, this is a BIG DEAL:<\/p>\n<p>Selective Aortic Arch Perfusion Catheter (SAAP) &#8211; which is like a REBOA catheter\u00a0but has a lumen large enough to perfuse blood (or a blood substitute) through. \u00a0Manning talks about what&#8217;s sexy\u00a0with his device.<\/p>\n<p>&nbsp;<\/p>\n<p>Lionel Lamhaut from the French SAMU (<i>Service d&#8217;Aide M\u00e9dicale Urgente<\/i>) gives us an update on their prehospital ECMO program in France:<\/p>\n<p>SAMU Inclusion Criteria:<\/p>\n<ol>\n<li>Medical Cardiac Arrest<\/li>\n<li>Age &lt; 75<\/li>\n<li>No Flow &lt; 5 min (bystander CPR must be started within 5 min)<\/li>\n<li>Hypothermia is<em> always<\/em> considered<\/li>\n<li>Intoxications (of any kind) are <em>always<\/em> considered<\/li>\n<li>ETCO2 &gt; 10<\/li>\n<\/ol>\n<p>For review, check out our original discussion with &#8216;reanimateur&#8217; Dr. Lamhaut about prehospital ECMO: <a href=\"https:\/\/edecmo.org\/17\">edecmo.org\/17<\/a><\/p>\n<p>In keeping with all of the in-hospital and out-of-hospital ECPR data accumulating, it appears that Lamhaut&#8217;s team is also seeing a success rate (survival with CPC 1 or 2) of around 30% (final data pending publication).<\/p>\n<p>&nbsp;<\/p>\n<p>Consider this: the\u00a0modified cut-down technique. The French prehospital team, quite obviously, don&#8217;t have ultrasound access in the field. \u00a0So instead of using ultrasound visualization of the femoral vessels, they necessarily use direct visualization. \u00a0Listen to this episode to hear the details&#8230;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In this episode, Zack interviews Jim Manning MD (University of North Carolina)  and Dr. Lionel Lamhaut from the famed French SAMU (Service d&#8217;Aide M\u00e9dicale Urgente). REBOA. SAAP. Pre-Hospital ECMO. Its all here.<\/p>\n","protected":false},"author":4,"featured_media":2380,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[4],"tags":[56,114,169,67,111,171,170],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/edecmo.org\/wp-content\/uploads\/2015\/11\/e9c5f984-cc6d-4d54-9082-bf3041a067b3-e1448866406196.jpeg","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3JzC4-BP","_links":{"self":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/2345"}],"collection":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/comments?post=2345"}],"version-history":[{"count":2,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/2345\/revisions"}],"predecessor-version":[{"id":6846,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/2345\/revisions\/6846"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media\/2380"}],"wp:attachment":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media?parent=2345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/categories?post=2345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/tags?post=2345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}