Zach Shinar's talk at The Big Sick 2018 in Zermatt. Rest of talks: https://scanfoam.org/bigsick18/

2. Zack Shinar
San Diego, California
@ZackShinar
BIGSICK18
ECMO FOR CARDIAC ARREST:
2018

4. Zack Shinar
San Diego, California
@ZackShinar
BIGSICK18
ECMO FOR CARDIAC ARREST:
2018

5. OUR DATA

7. TODAY
•Current State of ECMO
•ECMO Pearls
•Future of Resuscitation

11. PHASES OF TECHNOLOGY ADOPTION
How does this work?
→ Does it
work?

13. ECPR 28%
ELSO - Survival to DC

14. • PEA
• ECMO Receiving
Centers
• Neuroprognostication • Cost Containment
• Specialty Relationships
• District Politics

15. PHASES OF TECHNOLOGY ADOPTION
How do this work?
→ Does it
work?
→ How do we do this
better?

16. THE BIG DAWGS!
Sam
Tisherman
Demetris
Yannopoulos
Lionel
Lamhaut

17. ECMO NEXT STEPS
•Endovascular Skillset

24. CANNULATION PEARLS
• Ultrasound/Wires
• Micropuncture
• LUCAS
• Pelvis

25. ECMO NEXT STEPS
•Endovascular Skillset
•Organization

27. Code Team Leader

28. Alpha Doc

29. Wire Assistant

30. PIN AND PULL / PUSH AND RACK

31. THE FUTURE OF
RESUSCITATION

34. PROXIMAL AORTIC
LINES

35. ECCOR

36. MAY 2016
The Month We Woke Up to
ED VV ECMO

38. RESUSCITATIVE ANGIOGRAPHY

39. TAKE HOME
• ECPR has increased in use and supportive data
• Cannulation and Organization
• Future = Endovascular
@ZackShinarQuestions

42. ULTRASOUND AND AMPLATZ BETTER

43. ORGANIZATION
• Nurse Lead Codes
• Perishock Pause
• Shock the VF
• Minimize the Interuptions
• Alpha Doc
• DO NOT PLACE THE LINES
• Pseudo PEA
• Get the Story
• Wire Assistant
• Demetris’ success