105 episodes

The ED ECMO Project is the work of Zack Shinar and Jon Marinaro to bring extracorporeal life support to EDs and ICUs around the world. This site aims to be the ultimate resource for the background, logistics, and evidence for resuscitative ECMO.

EDECMO Podcast Zack Shinar, MD

    • Health & Fitness

The ED ECMO Project is the work of Zack Shinar and Jon Marinaro to bring extracorporeal life support to EDs and ICUs around the world. This site aims to be the ultimate resource for the background, logistics, and evidence for resuscitative ECMO.

    88 – ECMO Billing with John Mehall

    88 – ECMO Billing with John Mehall

    If you are running or starting a US ECMO program, this episode is a must listen.  John Mehall from Innovative ECMO Concepts goes through the financial aspects of ECMO care.  He covers everything from hospital charges to physician reimbursement to areas where hospitals commonly fail.  We all know that you cannot have a successful ECMO program unless you have sufficient funding to keep it going.  Jon Marinaro, Zack Shinar, and an entire audience of Reanimate 9 attendees join the episode to ask questions and give their own insight.



    Web Pricer (cms.gov) - your hospital weight.  Times it by DRG to get your hospital ECMO compensation.

    • 53 min
    87 – Pearls From Prague and San Diego Resus Consortium with Saul Levine

    87 – Pearls From Prague and San Diego Resus Consortium with Saul Levine

    This month Zack gives some pearls from his travels to Prague for Jan Behlolavek's ECPR school, Poland to meet with Marek Dabrowski, and ELSO with the entire crew.  Zack also interviews Saul Levine for the first of what may be a recurring conversation about the San Diego Resuscitation Consortium.  His efforts along with Kristi Koenig, Shawn Evans, Todd Baumbacher, and many others have paved the way for an OHCA ECPR protocol that may change more than just San Diego cardiac care.  Listen to Saul explain how the first 3 months of this process has expanded the minds of what cardiac arrest care can look like.

    • 25 min
    86: UCLA ECPR with Vadim Gudzenko

    86: UCLA ECPR with Vadim Gudzenko

     



    This episode is a follow up to last month's episode with Nichole Bosson.  Zack interviews Vadim Gudzenko about the in-patient aspects and critical care doctor perspective on the Los Angeles OHCA ECPR program.  A few take homes are that EMS is critical to any OHCA ECPR program.  Nurses need support for these intense patients with high mortality.  And emergency physicians need to buy in to the idea of ECMO for cardiac arrest to make a successful program.



     



    Upcoming Events



    Sept - ELSO - Summary - 34th Annual ELSO Conference (cvent.com)



    Oct - Prague ECPR School - https://www.ecprprague.com/



    Nov - Reanimate Reanimateconference.com



     



    Zack and Jon's Editorial about Sakuraya PE trial



    https://authors.elsevier.com/a/1hlr514RWGNg8s



     

    • 37 min
    85: Los Angeles County ECPR Program with Nichole Bosson

    85: Los Angeles County ECPR Program with Nichole Bosson

    One of the biggest questions in ECPR right now is how do we organize our system to provide ECPR in an effective and streamlined approach?  Nichole Bosson, Dave Shavelle and the army of L.A. ECPR enthusiasts have successfully implemented a multi-hospital ECPR receiving center program in Los Angeles.  In this episode, Zack talks with Dr. Bosson about how they started, what they learned, and where they are going.



     



    A little about Dr. Bosson



    * She is the Assistant Medical Director at the Los Angeles County EMS Agency. She is an Associate Clinical Professor at David Geffen School of Medicine at UCLA and faculty and EMS fellowship director in the Department of Emergency Medicine at Harbor-UCLA.



     



    * Here is the link to her paper



    Bosson N, Kazan C, Sanko S, Abramson T, Eckstein M, Eisner D, Geiderman J, Ghurabi W, Gudzenko V, Mehra A, Torbati S, Uner A, Gausche-Hill M, Shavelle D. Implementation of a regional extracorporeal membrane oxygenation program for refractory ventricular fibrillation out-of-hospital cardiac arrest. Resuscitation. 2023 Jun;187:109711. doi: 10.1016/j.resuscitation.2023.109711. Epub 2023 Jan 30. PMID: 36720300.



     



    * And here is Jason Bartos' editorial



    Bartos JA, Yannopoulos D. Starting an Extracorporeal cardiopulmonary resuscitation Program: Success is in the details. Resuscitation. 2023 Jun;187:109792. doi: 10.1016/j.resuscitation.2023.109792. Epub 2023 Apr 10. PMID: 37044354.



     



     

    • 49 min
    84: Talking ELSO with CEO Christine Stead

    84: Talking ELSO with CEO Christine Stead

    Jon Marinaro takes EDECMO through another great podcast.  This time he interviews Christine Stead, the CEO of ELSO.  She talks about how ELSO is setting up standards for ECMO programs to try to make ECMO care at all hospitals safer.  She talks about how she works also with the device industry.  This involves working with the FDA for future innovations and CMS for reimbursement issues.  She talks about the website and how to get your program certified.  Christine as a person is amazing.  She and her 5 person team runs an organization that has its hands in so many different areas.  Also, she is avid runner having completed 12 Boston Marathons!



     



    ELSO website - www.elso.org



    Annual ELSO conference in Seattle







    Reanimate 9 is nearly sold out.  November 2023.  Check it out here

    • 27 min
    83: Taking ECMO in Pulmonary Embolism to the Next Level

    83: Taking ECMO in Pulmonary Embolism to the Next Level

    In this episode Jon Marinaro joins the ED ECMO team and interviews his colleague Sundeep Guliani, MD about the use of an ECMO first strategy for Massive Pulmonary Embolism. Jon and Sundeep review the data and processes from their institution and from other institutions in the United States.  Could it be that ECLS could move the survival needle on this high mortality disease? Listen and find out!



    Hobohm L, Sagoschen I, Habertheuer A, Barco S, Valerio L, Wild J, Schmidt FP,

    Gori T, Münzel T, Konstantinides S, Keller K. Clinical use and outcome of

    extracorporeal membrane oxygenation in patients with pulmonary embolism.

    Resuscitation. 2022 Jan;170:285-292. doi: 10.1016/j.resuscitation.2021.10.007.

    Epub 2021 Oct 12. PMID: 34653550.



    Shinar Z, Hutin A. Pulmonary ECMO-ism: Let's add PEA to ECPR indications.

    Resuscitation. 2022 Jan;170:293-294. doi: 10.1016/j.resuscitation.2021.11.004.

    Epub 2021 Nov 10. PMID: 34774708.



    Pudil J, Rob D, Smalcova J, Smid O, Huptych M, Vesela M, Kovarnik T,

    Belohlavek J. Pulmonary embolism related refractory out-of-hospital cardiac

    arrest and extracorporeal cardiopulmonary resuscitation: Prague OHCA study post-

    hoc analysis. Eur Heart J Acute Cardiovasc Care. 2023 May 12:zuad052. doi:

    10.1093/ehjacc/zuad052. Epub ahead of print. PMID: 37172033.



    Karami M, Mandigers L, Miranda DDR, Rietdijk WJR, Binnekade JM, Knijn DCM,

    Lagrand WK, den Uil CA, Henriques JPS, Vlaar APJ; DUTCH ECLS Study Group.

    Survival of patients with acute pulmonary embolism treated with venoarterial

    extracorporeal membrane oxygenation: A systematic review and meta-analysis. J

    Crit Care. 2021 Aug;64:245-254. doi: 10.1016/j.jcrc.2021.03.006. Epub 2021 Mar

    24. PMID: 34049258.

    • 33 min

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