The Air Methods AMPED Podcast is now available on iTunes along with the Libysn website. The podcast highlights critical care topics with flight scenarios and education
AMPED
iTunes
I think there are two different things being discussed. There are programs that are doing true pre-hospital ECLS cannulations and then there is what Tigger is describing as what some call "ECMO Retrieval" in which the ambulance is just a means to get the ECMO team and equipment to an non-ECMO...
I am a huge advocate for ECMO however field ECMO is just a flex and waste of resources.
Have a robust ED ECMO program and encourage early transport with mechanical CPR for appropriate patients
Most intra-arrest ECPR are shotgun fem-fem VA. I am assuming they will have pre-primed circuits...
I have no first hand experience however with talking to friends in CA it seems that like stated above many of the "CCT-RN" transfers are typical ALS stuff and not what most would consider actual critical care.
Deranged Physiology. Except the website doesn't seem to be working lately
Or Intensive blog and LIFTL
https://intensiveblog.com/cicm-second-part-exam-practice-saqs-19122019/
Patients in septic shock are usually hyperdynamic initially due to tachycardia and non-existent SVR which allows them maintain a reasonable SV until they become either profoundly hypovolemic or have cardiac dysfucntion from acidosis. The patients we see who actually have invasive hemodynamics...
Correct, at appropriate dosages the duration of action is pretty similar with Vec being slightly longer and the onset being the bigger difference. I guess a more general statement would be that a short acting sedative with a long acting paralytic isn't an ideal combination for inexperienced...