ECMO CPR (eCPR) (Westmead NSW) - Demo for EVIDENCE Study

Westmead specific suggested approach to eCPR for the EVIDENCE study - content is for medical professionals only and will not apply to all settings. Concerns of comments can be flagged with email(s), website at end of video

[@winsi4072]

May I ask, have they ever done Prone CPR simulation based on 2020 Interim CPR Guidelines? Can I request for those doctors and nurses to upload their own simulation videos on how to manage a cardiac arrest Covid-19 patient undergoing Prone Position Ventilation inside the ICU?

[@uberim]

why is the leader not wearing a face mask?

[@sean2200]

Implying a face mask offers anything other than minimal protection from droplet spread.

[@andrewrcoggins]

At this time masks were optimal.
I mean really if pt had covid would this be something we d be doing

[@winsi4072]

Hi, doctor. What if a prone ventilated cardiac arrest patient needs Prone CPR, which part of the spine would you do compressions based on 2020 Interim AHA CPR Guidelines?

[@eiba8322]

Very hard STOP criteria.

[@andrewrcoggins]

Yes a little. We’ve pulled them out (time wise) a bit since this video

[@andrewrcoggins]

What do you think of 100 minus age as time guide?

[@eiba8322]

100 - Age: collaps to ecmo flow? Sounds realistic. We are struggling with no flow time if there is no bystanderCPR. We have seen good outcomes after 10-12min no flow if first detected rhythm is VF. Sometimes it is a clinical decision: some patient look dead even if they have no exclusion criteria, some met exclusion criteria but look "still alive".

[@andrewrcoggins]

@@eiba8322 that’s right 100 minus age to flow target - completely unvalidated but seems like a ball park based on past outcomes