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.