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The St.Emlyn’s Podcast
Ep 252 - ECMO in Trauma with Chris Bishop at Tactical Trauma 24
Dec 4, 2024
Chris Bishop, a clinical research fellow at the Centre for Trauma Sciences, dives deep into veno-arterial ECMO and its critical role in trauma situations. He discusses current practices and challenges in the adoption of ECMO, compared to its more established pediatric use. The conversation highlights patient selection criteria and the importance of multidisciplinary decision-making. Innovative techniques like selective aortic arch perfusion and emergency preservation are explored, showcasing the future of trauma resuscitation in critical care.
13:51
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Quick takeaways
- ECMO serves as a critical support mechanism for trauma patients, emphasizing the need for multidisciplinary decision-making in their treatment.
- Emerging techniques like selective aortic arch perfusion are being developed to enhance ECMO's effectiveness and improve patient outcomes during trauma care.
Deep dives
Understanding ECMO and Its Applications
Extracorporeal Membrane Oxygenation (ECMO) is an advanced life support therapy that acts as an artificial heart and lung for critically ill patients. It involves removing blood from the body, oxygenating it, and returning it, allowing for support of both cardiac and respiratory functions. There are two primary types of ECMO: VA ECMO for patients with heart failure and VV ECMO for those with lung failure. The discussion highlights how ECMO is especially relevant in trauma patients who have undergone damage control surgery and require further support due to cardiovascular failure.
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