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Sean Scott
เข้าร่วมเมื่อ 13 ต.ค. 2011
learnECMO2
Footage from the Resuscitative ECMO and Cannulation Training Course at St. Vincent's Hospital, Sydney
มุมมอง: 61
วีดีโอ
SMACCannulate
มุมมอง 5137 ปีที่แล้ว
If your going to dasSMACC sign up for for your SMACCannulate time trial during dasSMACC in Berlin www.learnECMO.com/SMACCannulate Join the learnECMO team in the Tempodrome to be SMACC’s fastest ECMO cannulator! www.learnECMO.com
SMACCannulate
มุมมอง 1487 ปีที่แล้ว
If your going to dasSMACC sign up for for your SMACCannulate time trial during dasSMACC in Berlin www.learnECMO.com/SMACCannulate Join the learnECMO team in the Tempodrome to be SMACC’s fastest ECMO cannulator! www.learnECMO.com
Resuscitative ECMO insitu sim
มุมมอง 47K8 ปีที่แล้ว
Insitu simulation of resuscitative ECMO for out of hospital cardiac arrest undertaken at St. Vincent's Hospital in Sydney together with the NSW Ambulance service
ECMO Sim NSW Ambulance & St Vincent's Hospital Sydney
มุมมอง 19K8 ปีที่แล้ว
Full scale high fidelity ECMO CPR simulation to refine logistics and streamline processes. NSW Ambulace intensive care paramedics respond to a cardiac arrest in the park. Mechanical CPR initiated and patient transported to St Vincent's Hospital ED. ECMO is initiated in ED by an combined ED/ICU team and patient is transported to cath lab. The entire scenario was undertaken insitu and in real tim...
Salbutamol MDI for ETT - MacGyver style
มุมมอง 15K10 ปีที่แล้ว
Salbutamol MDI for ETT - MacGyver style
Thanks! Great help. I just tried this with a 50cc syringe because we don't have 30ml.
Size 6 tube....hmmm
Where is this hospital located?
sydney australia
Curious to hear how you simulated the cannulation and were able to allow for blood to flow through the circuit. Any publications that exist to help start-up ECMO programs to incorporate simulation into training?
Since 1937
Harley Davidson caused all this alcohol drug addictions affecting children making them bipolar skistifrenia disorders
Randy pardis lies to his alcohol addiction for wheat allergies
My daughter never had ear infections that's hay fever
Mine I just had a cold
Dr. Butler is crooked at the billings deaconess saint Vincent hospital taking my daughter Tammys while thyroid out feeding her radiation that's what caused her cancer almost killed her says sinplot
Stress anxiety is making men bald
Where is this hospital located?
The ambulance drivers my grocery customers for 20 years I made sure they got through the express checkout lane first because they would get a call while getting into their ambulances
Am glad I quit FACEBOOK
Also have records of a family member taking both mom dad to hospital with left right stroke victims instead of calling the ambulance I asked my doctor if I should have one for birth control he would not recline d me .I thank my doctor for that
Different reasons for hystectomies to tummies alcohol drug useage.deaconess hospital too
Conrad Hawkins? is that you on the background?
This is the way prehospital arrests should be run. Double thumbs up.
Where is this hospital located?
great vedio we use ecmo in our cath lab.. 5 yrs now. great simulation
You can do this without the 30ml syringe tho... The MDI fits into that port on its own.
doesn't in my experience??
@@birdmanilikeflying it does... it's intended for that
Wouldnt it make more sense to treat the coronary lesion first and then proceed to ecmo implantation under flouroscopy in the cath lab if the patient doesnt recover after reperfusion?
Good Question! No evidence to guide us here. Logistically it is much easier to cath a patient on ECMO rather than LUCAS. Also the ECMO first strategy prioritizes time to brain perfusion over time to coronary reperfusion.
Thanks for your reply! At my institution we argue a lot about that question... Personally, I think if the patient is in VF or ST elevation was documented pre arrest, its worthwile to do the cath first (because its likely to be very straighforward) and put the ecmo in later if its still necessary. If a coronary problem is not that likely, probably its better to implant the ecmo first. What do you do in pulmonary embolisms? We recently decided to implant the ecmo during cpr and then performed thrombolysis when ecmo circulation was established - patient went on to full recovery. You have any experiences in situations like these?
@@paclitaxel How would you cath someone who needed continous chest compressions? That's the whole point of ECPR as soon as possible isn't? To provide the brain with oxygenated blood with the hopes of preventing an anoxic brain injury and brain death. If the ECPR was delayed by proceeding to the cath lab first, then the chance of a significant anoxic brain injury and brain death would be greatly increased.
@@gskessingerable Hi Gary, in my experience, skilled interventional cardiologists are well capable of cathing someone with ongoing chest compressions, in particular when done by a device like LUCAS etc. It's been done like that for years before ECMO or eCPR very widely available in cath labs. Usually it's not a highly complicated thing to do, given that usually the lesions that need to be adressed under such circumstances are proximal fresh plaque ruptures with soft thrombi that can be passed quite easily. Mind you, that good quality CPR for these few minutes will likely provide sufficient cerebral oxygenation while salvaging myocardium by fast revascularization. But in the end, "(more) studies are needed".
@@robertkellis6033 Good quality CPR doesn't provide adequate cerebral oxygenation. CPR can only provide, at optimum performance, 20% of a person's oxygen. CPR cannot be relied upon to keep a person alive, or to prevent brain death. That's why getting ROSC is so vital.The longer CPR lasts without ROSC the chances of an anoxic brain injury increase dramatically. Delaying ECPR to take a cardiac arrest victim to the cath lab would do nothing but guarantee an anoxic brain injury and death. Lastly, CPR with frequent interuptions in chest compressions is virtually worthless. That's precisely what would occur in attempting to cath cardiac arrest victims with ongoing CPR.
Hi I was wondering how you put together the vascular access moulage.. I am looking to do something similar. Cheers
Great!!!!
Great Sean!