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...
View ArticleECMO 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...
View ArticleTHE 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...
View ArticleTHE 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...
View ArticleTHE 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. Reading...
View ArticleIMAGING CASE OF THE MONTH
OK, that’s it! I’m off to Germany! I don’t care if they treat their registrars like shit, as long as I get to drive a Porsche with prehospital ECMO.
View ArticleECMO 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...
View ArticleECMO OUTCOMES IN ACCIDENTAL HYPOTHERMIA
In accidental hypothermic cardiac arrest we are to continue CPR until the patient has been rewarmed to around 34. If available, and appropriate, these patients are to be transferred to a hospital with...
View ArticleI 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...
View ArticleECMO – MIXING IT UP
ECMO is all the rage, and ScanCrit is a fanatical believer. However, ECMO has its problems and challenges. The challenge we’ll look into here, is choosing between VV or VA ECMO – sometimes the choice...
View ArticleE-CPR STRIKES AGAIN
ECMO for cardiac arrest, E-CPR, has been shown several times to increase survival more than any other intervention we have available. Here’s yet another retrospective study to support the findings in...
View ArticleSOLVING DIFFERENTIAL OXYGENATION IN VA-ECMO
ECMO can fix anything. But, surprisingly, it has some limitations. One of them is differential oxygenation in VA-ECMO, also known as watershed. A recent paper looks into new ECMO set-ups in an...
View ArticleSONA – SIDE OF NECK ACCESS
How’s this for thinking outside the box in the approach to the difficult airway!? Difficult airway algorithms and advanced management options for difficult airways mostly concentrate on getting into...
View ArticleECMO IN TRAUMA
ECMO in multitrauma patients sounds like asking for complexity and lots of oozing blood – but it seems to have potential for actually stabilising the patient’s systems and get better outcome. The short...
View Article151 DAYS ON ECMO WITH NO HEPARIN
Experimental. On a goat. But still, 151 days on ECMO without any heparinisation is very impressive and promising. One big draw-back of ECMO treatment has been the need for full heparinisation to avoid...
View ArticleECMO AT THE LOUVRE
ECMO at the Louvre, two art forms meet. We first tweeted this photo back in 2014, and now the case report behind the image has just been published. The case report highlights both the possibilities of...
View ArticleUSE ULTRASOUND FOR FEMORAL CANNULATION IN ARREST
For vascular access, you still hear the old “We don’t have time for using ultrasound – this is an emergency!”. In many settings, the old landmark techniques are quick and good in experienced hands. But...
View ArticleECMO OUT ON A LIMB
ECMO is usually applied to the whole body. In VA-ECMO, we often use a smaller side cannula to supply the lower limb with circulation and oxygenated blood, when its femoral artery is partially occluded...
View ArticleECMO SESSION – TBS18
From our ECMO session at The Big Sick 2018, #TBS18: Lionel Lamhaut on Prehospital ECMO (39:30) Zack Shinar on EDECMO (1:04:30) Håkan Kalzen on the Karolinska experience with ECMO and ECMO transports...
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