Cardiovascular Critical Care

Getting to ECLS – Optimizing Organ Perfusion via CPR prior to ECPR Activation

This past month was our Annual University of Pennsylvania Adult ECMO symposium. One of the talks addressed optimizing a patient prior to ECPR activation. In this demo, we walked the patient through how we optimize our patients organ perfusion while identifying, “ACLS Refractory” cardiac arrest care and those who meet inclusion for E-CPR.

Resus C4: Induction Phase Logistics of Targeted Temperature Management

Clinical questions addressed in this C4:
1. Who should be cooled after ROSC and when?
2. How are you going to reach your target temperature?
3. How should you approach shivering during the induction phase of TTM?
4. How should you approach oxygenation and ventilation using an ABG in the patient receiving TTM?

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