HEMS Debrief - Retrieval and Pre-Hospital Medicine #3. ECMO...in trauma???

HEMS Debrief - Retrieval and Pre-Hospital Medicine #3. ECMO...in trauma???

G'day and welcome back to the podcast.

ECMO....in trauma? Today, we are talking about a more general emergency medicine / intensive care medicine topic, that of advanced trauma care. It is fair to raise an eyebrow at 'advanced trauma care' and 'ECMO' in the same sentence - these patients are anatomically disrupted, prone to bleeding and suffering huge multi-system injuries. So placing them onto a heparinised ECMO circuit seems counterintuitive.

But, Chris Bishop and the team from London offer a different perspective.

Chris is a Senior Clinical Research Fellow at the Centre for Trauma Sciences at Queen Mary University of London, UK. His PhD research focuses on the potential utility of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) to treat cardiac dysfunction associated with major trauma haemorrhage. Indeed, as we have discussed elsewhere in the podcast, these patients often have refractory cardiogenic shock secondary to an unfavourable metabolic storm following massive acute trauma - and it is partly this which ECMO may help bridge.

Too, we discuss with Chris the benefit of ECMO as part of a neuro-protection package of care in patients with severe lung injury who are challenging to ventilate.

This is real cutting edge medicine, and we are delighted to share with you our chat with Chris.

Speak to you soon.

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Jaksot(31)

HEMS Debrief - Retrieval and Pre-Hospital Medicine #7. Dr Stephen Hearns - Peak Performance

HEMS Debrief - Retrieval and Pre-Hospital Medicine #7. Dr Stephen Hearns - Peak Performance

G'day, and welcome back.  Pre-hospital clinicians are used to working under pressure. Teams work in often austere environments, with limited resources caring for some of the most severe patient pathol...

5 Elo 1h 1min

HEMS Debrief - Retrieval and Pre-Hospital Medicine #6. Dr Matt Hooper (part 2) - Emergency Last Aid

HEMS Debrief - Retrieval and Pre-Hospital Medicine #6. Dr Matt Hooper (part 2) - Emergency Last Aid

Hello and welcome back. This is part two of our chat with Dr Matt Hooper, continuing our conversation on emergency last aid. In this episode, we discuss the hows and whens involved when informing a fa...

19 Heinä 44min

HEMS Debrief - Retrieval and Pre-Hospital Medicine #5. Dr Matt Hooper - Emergency Last Aid

HEMS Debrief - Retrieval and Pre-Hospital Medicine #5. Dr Matt Hooper - Emergency Last Aid

G'day, and welcome back. In today's episode, we are delighted and privileged to be joined by South Australia's Dr Matt Hooper. The practice of medicine - including pre-hospital medicine - often focuse...

8 Heinä 43min

HEMS Debrief - Retrieval and Pre-Hospital Medicine #4. Damage control resuscitation with London HEMS

HEMS Debrief - Retrieval and Pre-Hospital Medicine #4. Damage control resuscitation with London HEMS

G'day and welcome back. Damage control resuscitation - what is it, why should a pre-hospital provider do it, what does it look like in real life, and what are the results.  These are but some of the q...

26 Kesä 1h 14min

HEMS Debrief - Cardiac Arrest Focus #23, Prof Sheldon Cheskes - Part 2: Defibrillation Strategies for Refractory Ventricular Fibrillation

HEMS Debrief - Cardiac Arrest Focus #23, Prof Sheldon Cheskes - Part 2: Defibrillation Strategies for Refractory Ventricular Fibrillation

G'day and welcome back into part two of our conversation with Prof Sheldon Cheskes from Toronto, Canada. Here we continue our discussion about refractory cardiac dysrhythmias with the Sheldon, the pri...

31 Touko 34min

HEMS Debrief - Cardiac Arrest Focus #22, Prof Sheldon Cheskes - Defibrillation Strategies for Refractory Ventricular Fibrillation

HEMS Debrief - Cardiac Arrest Focus #22, Prof Sheldon Cheskes - Defibrillation Strategies for Refractory Ventricular Fibrillation

G'day and welcome back to the HEMS debrief podcast.  We are back with part one of a two part episode with Professor Sheldon Cheskes from Toronto, Canada. Sheldon is a Professor of Emergency Medicine b...

21 Touko 43min

HEMS Debrief - Retrieval and Pre-Hospital Medicine #2. Thoracotomies, Sydney and London in Conversation

HEMS Debrief - Retrieval and Pre-Hospital Medicine #2. Thoracotomies, Sydney and London in Conversation

G'day and welcome back. Today, we continue our conversation on pre-hospital thoracotomies. To do this, we have teamed up with Professor Ewoud Ter Avest, an Emergency Physician with the London HEMS ser...

26 Huhti 56min

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