Joined May 2023
Thank you @Medtronic for supporting our @NHSBartsHealth ECMO course with their excellent new simulation centre. I call it the ECMOBus. 🎵the ECMO Bus is coming 🎵
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Learn from international experts in #ECMO & #ECPR at Barts Autumn #ECMO Course in the heart of London. September 26-28. More information: BartsECMO.com Booking link: bookcpd.com/course/barts-aut…
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Get hands on #ECMO training with members of the UK’s first prehospital #ECPR team. Join us at Barts Autumn #ECMO Course in the heart of London. September 26-28. More information: BartsECMO.com Booking link: bookcpd.com/course/barts-aut…
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Learn to manage high fidelity ECMO emergencies at Barts Autumn ECMO Course in the heart of London. Sept 26-28. More information: BartsECMO.com Booking link: bookcpd.com/course/barts-a…
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Join us for BartsECMO.com summer #ECMO course 20-22 June in the heart of London Faculty from @NHSBartsHealth @bartspom and @LDNairamb
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Awesome work from my colleagues @NHSBartsHealth
Clinical Paper: Sub30: Feasibility study of a pre-hospital extracorporeal membrane oxygenation (ECMO) in patients with refractory out-of-hospital cardiac arrest in London, United Kingdom resuscitationjournal.com/art… #Resuscitation
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It’s sim day on the @bartspom #bartsecmo course The sim legend that is @GomorraDoc is introducing our awesome candidates to our setup.
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A wonderful 3 days Great faculty and participants The future of #echofirst in critical care is stellar. Thank you all. The second @BartsEcho/@echonepean course comes to an amazing close.
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The @BartsEcho/@echonepean course is in full swing, in beautiful sunny London! #echofirst
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An emergency circuit change for our candidates to wrap up #bartsecmo23! 3 days of awesome training and learning. Our next course will hopefully be in May- stay tuned for a formal announcement of dates! #ecmo #ecpr
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Sean’s rules for transport are good rules for life #ecmo #ecls #bartsecmo23
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The legend that is @GomorraDoc discussing transport on #ECMO He’s done retrievals over some impressive distances So much to think about beyond cannulation- preparation, oxygen, patient weight, clinician fatigue… #bartsecmo23
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Our awesome candidates practicing cannulation Under the guise of our expert faculty The pearls of knowledge are just flying
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So I just completed a talk on imaging for cannula positioning on ECMO You’ve got 3 choices: TTE TOE Fluoroscopy Each with their strengths and weaknesses #bartsecmo23
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Dr Martina Buerge discussing ECMO anticoagulation at #bartsecmo23 This is a fascinating area Little in the way of international agreement. I’m quite interested in bivalirudin personally…
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How to carefully select patients for VV #ECMO? #ECLS is not for all, resources are limited; to be balanced: ⚖️ costs staffing ICU beds ⚖️ patient survival Goal social justice, utility, respect for the person. ECMO mostly aimed as bridge to recovery: Who will cross the bridge? How about the quality of the bridge How to predict success?? Prediction tools provide a structured algorithm using objective criteria to prognosticate success ➡️ensures uniformity in pt selection ➡️minimizes inherent biases ➡️establishes expectations with care team, pt, family @AnilTrindadeMD #ELSO2023
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Weaning from VA ECMO A constant work in progress Simple priniciples: -daily patient assessment -wean flows and watch haemodynamics Anyone do anything different? ccforum.biomedcentral.com/ar… #bartsecmo23
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How should we wean from VV ECMO? Lots of different techniques- for instance ccforum.biomedcentral.com/ar… Sachin demonstrates our algorithm at #bartsecmo23…
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Anthony now talks us through the most difficult aspect of #ECMO in my opinion: Ethics. All you have to do is read this heartbreaking article to understand it. nytimes.com/2022/11/22/opini… #bartsecmo23
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Now we’re getting down to juicy stuff Patient selection Led by our lead, Sachin Shah #bartsecmo23
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