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#ParisRescue key messages 🔑 successful #ECPR starts w optimal bystander BLSD 🔑 integrate #ECLS assisted resuscitation in your system 🔑 #ECMO? multidisciplinary effort: for good outcome you need to involve intensivists, surgeons, perfusionists, nurses... SAUV Life SAMU de PARIS

Want to start an #ECPR program?? Go back to data 🗺️ how many cardiac arrest do you have in your area? how many are shockable? how many pts have positive neuro-outcome?? Dr. Jason Bartos presenting Minnesota Resuscitation Consortium (& their truck = mobile #ECMO site) #ParisRescue

Ultra-early management of pts with CA on #ECPR 🧠 think to brain: sedate! start pre #ECMO, not only for neuroprotection (pt memories?) + be cautious with FdO2 (I/R injury!) ☢️always go to cath lab before moving to #ICU unless evidence for PE (CT first) Lamhaut #ParisRescue

How to manage patients with refractory cardiac arrest undergoing #ECPR after cannulation?? jon marinaro #ParisRescue 🖥️ TEE to support monitoring/weaning (details in slide ⬇️) ☢️ whole-Body CT scan may be advisable if feasible... check on asaiojournal 🔓 bit.ly/3wYF4Nz

What can go wrong with #ECPR? 🩸 cannulae: exit site bleeding, limb ischemia, dislodgement, thrombosis & trauma (vessel + tissues) 🩸circuit: hemolysis, thrombi/fibrin, hypothermia 🩸 physiology: drainage failure, LV distension/thrombi, differential oxygenation, CPR injuries

Thank you Luca Carenzo for your great presentation!

🫀 #REBOA in OHCA? In zone 1 may ⬆️ brain/cardiac perfusion, occluding aorta 🎈1st line to ⬆️ P vs epinephrine? 🎈between 1st/2nd line to extend window allowing to tranfer pt to #ECMO center? training/in-vivo research pivotal Lamhaut #ParisRescue 📖 rdcu.be/cWapC

🚑 At #ParisRescue Lamhaut shows SAMU de PARIS mobile car & #ICU ready to cannulate/initiate #ECPR on streets of Paris! SAUV Life 📑 checklists/visual protocols 💧pre-primed circuit + backup ⚙️ ECLS machine + gas blender + O2/air 🖥️ monitoring tools 🎈#REBOA kit & more!

🫀How to set up #ECPR program? 🇫🇷 🇺🇸🇦🇺 panel discussion at #ParisRescue Lamhaut with Zack Shinar ED ECMO Project Josh Ihle jon marinaro Dr. Jason Bartos At start, be strict with inclusion criteria, as you need survival to have people/managers following you! Lamhaut L 🚑 SAMU de PARIS

How many lives did you save as result of your interventions? What is the chance of survival for pts with refractory CA after 15'/16'? Apporaching 0. If you get 20% survival rate with your #ECPR program, this is an impressive increase in chance of survival Zack Shinar #ParisRescue

Chris Bishop Jon Barratt M Velia Antonini Luca Carenzo Lamhaut Hutin Alice RobbieL Zack Shinar @ResusOne @Resus_SPHERES @EmsvenG carlo_coniglio cristian lupi Lorenzo Gamberini Max Marsden Or this: if you look really closely you can see a 0.014" angioplasty wire and a catheter loaded over it, superior to the aortic balloon and heading for the arch.

🫀 Successful #ECPR cannulation to close #ParisRescue! 3 days learning, discussing, training & simulating on #ECLS & endovascular #resuscitation with SAMU de PARIS #ECMO team & an impressive panel of #ECLS #REBOA experts! 🚑 See you next Autumn SAUV Life paris-ecmo.com

Proud of the UoM !! Innovative ECPR to transplant opens new horizons and opportunities for patients! Two patients in 1 month!

Whole body CT scans after trauma detail the full injury load & improve coordination of on-going management. Secondarily, they inform underlying health status (coronaries, CKD, sarcopenia) and are an unscheduled health screen. MAKE SURE YOU FOLLOW UP INCIDENTAL FINDINGS

With the giants of Resuscitation Science who defined CPR compressions defibrillation, blood flow physiology, airway management and many other resuscitation aspects at the 17th Wolf Creek symposium ! Honored to have them all as my mentors over the years!!

This is an impressive achievement.. and a great video - thank you HMS Prince of Wales

Come to the next #ParisRescue Team Course in March 2024 to hear more about #prehospitalECPR in Paris, Melbourne, Minneapolis, Albuquerque, Prague + the Netherlands!!! Demetris Yannopoulos Josh Ihle Lamhaut Jan Belohlavek jon marinaro DinisReisMiranda ➡️paris-ecmo.com

About 10 years ago, a patient who's aorta I fixed donated £20,000 to us via Barts Charity. Since then this money has supported nurses in getting advanced degrees & training, junior doctors in education and presenting their own studies, pump primed research programmes, supported

#ECPR for refractory #OHCA ?? When? Where (pre/inhospital)? How? For who? Join us in Paris March 21-22/03/24 with international experts Josh Ihle jon marinaro Jan Belohlavek M Velia Antonini Lamhaut Dinis Dos Reis Miranda paris-ecmo.com

500 cases with Minnesota Mobile Resuscitation Consortium !! What a team and journey! So proud of our collective medical community achievements! UMN Medical School UMN Medicine UMN Office of Academic Clinical Affairs M Health Fairview University of Minnesota