{"id":3210,"date":"2017-06-09T18:40:23","date_gmt":"2017-06-09T22:40:23","guid":{"rendered":"https:\/\/edecmo.org\/?p=3210"},"modified":"2017-11-19T12:11:29","modified_gmt":"2017-11-19T16:11:29","slug":"edecmo-36-crushing-nihilism-cardiac-arrest-demetri-yannopoulos","status":"publish","type":"post","link":"https:\/\/edecmo.org\/edecmo-36-crushing-nihilism-cardiac-arrest-demetri-yannopoulos\/","title":{"rendered":"EDECMO 36 &#8211; Crushing the Nihilism of Cardiac Arrest &#8211; with Demetris Yannopoulos"},"content":{"rendered":"<!--powerpress_player--><div class=\"powerpress_player\" id=\"powerpress_player_8805\"><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-3210-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-201706087-036-yannopoulos.mp3?_=1\" \/><a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-201706087-036-yannopoulos.mp3\">http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-201706087-036-yannopoulos.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-201706087-036-yannopoulos.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/edecmo.org\/?powerpress_pinw=3210-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo-201706087-036-yannopoulos.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"edecmo-201706087-036-yannopoulos.mp3\">Download<\/a> (Duration: 29:03 &#8212; 40.0MB)<\/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><blockquote><p>&#8230;all acute injury to the heart is reversible.<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3211\" aria-describedby=\"caption-attachment-3211\" style=\"width: 150px\" class=\"wp-caption alignright\"><a href=\"https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-3211\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-150x150.png 150w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-300x300.png 300w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-32x32.png 32w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-50x50.png 50w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-64x64.png 64w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-96x96.png 96w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannapolois-128x128.png 128w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-3211\" class=\"wp-caption-text\">Demetris Yannapoulos<br \/>University of Minnesota<\/figcaption><\/figure>\n<p>In this podcast episode, Zack interviews Demetris Yannopoulos from the University of Minnesota. Demetris has organized Minneapolis into arguably the most impressive ECPR city in the world. He has changed the mindset of out of hospital refractory ventricular fibrillation care from \u201cstay and play\u201d, the philosophy that medics should stay at the scene and provide care until ROSC (return of spontaneous circulation) or until the patient is pronounced dead. In Minneapolis, a patient who who arrests in \u00a0Yannopoulos\u2019 catchment area gets three shocks. If the patient does not get ROSC then they are immediately transported to the University of Minnesota using LUCAS mechanical chest compression device. The patient bypasses the emergency department and goes directly to the cath lab. In the cath lab, Demetris, or one of his partners, cannulates and initiates ECMO with an average time of 6 minutes!!! In his first 90 patients he has had a 45% neurologically intact survivorship. Patients are getting to the cath lab on average 60 minutes after their arrest. In this cohort, you would expect a less than 1% survival. We can use Dr. Yannopoulos\u2019 model to expand the use of ECPR in many other systems. The real question is do we have champions like Demetris who will rise to the calling!<\/p>\n<p><a href=\"https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Yannopolis-ECMO-2016.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-3219 size-medium\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Screen-Shot-2017-06-09-at-2.18.29-PM-740x593.png\" alt=\"\" width=\"740\" height=\"593\" srcset=\"https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Screen-Shot-2017-06-09-at-2.18.29-PM-740x593.png 740w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Screen-Shot-2017-06-09-at-2.18.29-PM-768x615.png 768w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Screen-Shot-2017-06-09-at-2.18.29-PM-1024x821.png 1024w, https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/Screen-Shot-2017-06-09-at-2.18.29-PM.png 1097w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 changed the mindset of out of hospital refractory ventricular fibrillation care from \u201cstay and play\u201d, the philosophy that medics should stay at the scene and provide care until ROSC (return of spontaneous circulation) or until the patient is pronounced dead. In Minneapolis, a patient who who arrests in \u00a0Yannopoulos\u2019 catchment area gets three shocks. If the patient does not get ROSC then they are immediately transported to the University of Minnesota using LUCAS mechanical chest compression device. The patient bypasses the emergency department and goes directly to the cath lab. In the cath lab, Demetri, or one of his partners, cannulates and initiates ECMO with an average time of 6 minutes!!! In his first 90 patients he has had a 45% neurologically intact survivorship. Patients are getting to the cath lab on average 60 minutes after their arrest. In this cohort, you would expect a less than 1% survival. We can use Dr. Yannopoulos\u2019 model to expand the use of ECPR in many other systems. The real question is do we have champions like Demetri who will rise to the calling!<\/p>\n","protected":false},"author":4,"featured_media":3214,"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":[1,4],"tags":[246,245,243,242,120,72,56,244,247,248],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/edecmo.org\/wp-content\/uploads\/2017\/06\/GM-F13-HeartRescue-01-e1497034338771.jpg","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3JzC4-PM","_links":{"self":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/3210"}],"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=3210"}],"version-history":[{"count":0,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/3210\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media\/3214"}],"wp:attachment":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media?parent=3210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/categories?post=3210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/tags?post=3210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}