EDECMO Podcast

About EDECMO Podcast

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.

Publisher

Zack Shinar

Language

en

Explicit

No

First episode

18 Dec 2020

Latest episode

13 Jan 2024

Latest episodes

14 episodes in the feed.

1. 

   13 Jan 2024

   EDECMO 88: Billing with John Mehall

   This episode is a must for your ECMO program.  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.  This episode is critical to maintain the billing aspects of specifically US ECMO programs.  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.

2. 

   3 Nov 2023

   EDECMO 87: Pearls from Prague and an Update on San Diego's ECPR initiative with Saul Levine

3. 

   6 Sept 2023

   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 - https://web.cvent.com/event/ae91fbc7-6d71-45f9-8a6f-41fe973bfd23/summary Oct - Prague ECPR School - https://www.ecprprague.com/ Nov - Reanimate Reanimateconference.com Zack and Jon's Editorial about Sakuraya PE trial https://www.resuscitationjournal.com/article/S0300-9572(23)00267-8/pdf

4. 

   1 Aug 2023

   85: Los Angeles ECPR Initiative

   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.

5. 

   19 Jun 2023

   84: Talking ELSO with CEO Christine Stead

6. 

   29 May 2023

   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.

7. 

   10 Feb 2023

   82: Inception Trial with Jon Marinaro

8. 

   14 Nov 2022

   81: In-Hospital ECPR Inclusion Criteria with Joe Tonna

9. 

   7 Oct 2022

   80: The Expert Approved ECPR Procedure

   EDECMO Podcast Number 80

10. 

    20 Sept 2022

    79: Prolonged Arrests and The Denmark Experience

11. 

    15 Aug 2022

    78: ECMO in South Africa

12. 

    13 Jul 2022

    77: ECMO in Trauma

13. 

    12 Jun 2022

    76: Netherlands --ECPR for all--

    The Netherlands have undertaken a monumental task: provide ECPR to 100% of their country.  Dinis Reis Miranda and his team have put in place an unbelievably organized and robust project to improve the survival from cardiac arrest for their entire country.  Listen to Dinis explain about the project, their struggles, and this world changing experiment going on right now in Netherlands.

14. 

    18 Dec 2020

    2020_synopsis.mp3

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Guest appearances

Books guests

Based on episode analysis; this does not confirm that the show is currently accepting guests.