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Science & Medicine

ED ECMO

Zack Shinar, MD

Resuscitationist-Initiated Extracorporeal Life Support

Episodes

20 of 92 episodes

75: Pulmonary Embolism and ECPR

In this short episode, Zack makes two points. One, it was tough to get to where we are with ECMO acceptance. Two, cardiac arrest patients in...

8:10Dec 3, 2021

74: Do 70 year old’s deserve ECPR? A Deep Dive into the Economics of ECPR

Have you ever pondered whether all the work over ECPR was worth it? Even if you did save a few patients, does this really make sense from a...

28:22Oct 14, 2021

73b: Conclusions for Hyperinvasive Trial with Jan Belohlavek

Here is the conclusion for the interview of Jan Belohlavek and his Hyperinvasive Trial

5:09May 24, 2021

73:The Hyperinvasive Trial with Jan Belohlavek

Wait...ECPR works? To the believers, this has been a foregone conclusion. To the rest of the world, the question of whether ECPR improves ca...

53:39May 24, 2021

72: Should We All Switch To Bivalirudin?

Heparin has been the mainstay of anticoagulation for ECMO patients for years. In recent years, this has been challenged. Bivalirudin has b e...

29:39Mar 25, 2021

71: Should We Prioritize VV-ECMO over ECPR?

In this episode, we dive into the abyss of resource allocation. Much of the world is saying that the limited number of ECMO circuits should...

37:55Feb 24, 2021

70: REBOA REDUX – Management of Hemorrhagic Shock in Non-Trauma Patients – with Bellezzo & Zaf Qasim

In this episode Joe Bellezzo talks with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) expert Zaf Qasim about NON-TRAUMA...

53:34Jan 2, 2021

69: 2020 Synopsis

2020 was a crazy year. This month Zack goes through the biggest ECMO lessons learned in 2020. This is a short concise run through of ECPR, E...

11:08Dec 18, 2020

68: ARREST – The First Randomized ECPR Trial Ever

The ARREST Trial is published! Demetris Yannopoulos, Jason Bartos and their army of rockstars have done it! This is the first randomized ECP...

47:24Nov 22, 2020

67: Da DO2: Fundamental ECMO Physiology with Sage Whitmore

Have you ever wondered about how initiating ECMO changes the cardiovascular physiology? Have you wondered what metrics you should be looking...

33:46Oct 14, 2020

66: Crash VV ECMO

Have you ever wondered how you would crash someone onto VV ECMO? Have you ever wondered where is the best place to put the cannulas? Have st...

36:06Sep 7, 2020

65: ECPR Journal Club: Dual Sequential Defibrillation, CT after ECMO, and much, much more

This month we tackle a number of topics. Garrett Sterling is back again with Zack Shinar to talk about cutting edge resuscitation, ECMO, and...

33:44May 23, 2020

64: Contraindicated??? – Long Live the Aortic Dissection with Garrett Sterling

In this episode, Zack Shinar introduces a new physician to the podcast - Garrett Sterling. Garrett and Zack discuss the sticky topic of ECMO...

32:28Apr 23, 2020

63: Covid and ECMO – Who do we cannulate? with Jenelle Badulak

"Normal life is changing. It is now a covid 19 life" - Bin Cao I write this with some trepidation as well as pride in the role we get to pla...

23:09Mar 22, 2020

62: Jason Bartos Take 2: The Future of ECPR Now

Last month you heard Jason talk about the ECPR program at the University of Minnesota. This month Zack and Jason talk about post initiation...

27:26Feb 18, 2020

61: Jason Bartos – ECPR Redefined

Jason Bartos and his crew at the University of Minnesota have revolutionized the concept of ECPR for out of hospital cardiac arrests. His cr...

36:22Jan 30, 2020

60: ECPR 2.0 with Scott Weingart

Today's episode focuses on the differences between ECMO physiology in the patient in cardiogenic shock versus the one in cardiac arrest.

51:07Dec 3, 2019

59: Partial REBOA and US PreHospital ECPR Revisited

This month we discuss two different topics we've recently had on the podcast. Albuquerque had started the first US prehospital ECPR program....

35:44Nov 4, 2019

58: First U.S. Pre-Hospital ECPR Program

The U.S. has seen pre-hospital programs spring up in Paris, UK, and Australia. It was thought that due to billing issues this could never ha...

30:43Sep 30, 2019

57: The New REBOA catheter – Perfecting the Partial Occlusion

Over the last two years, partial or intermittent REBOA has been thought to be a significant advantage over complete REBOA. How to do this an...

34:44Sep 7, 2019