Developing and Evaluating an Abbreviated Extracorporeal Membrane Oxygenation (ECMO) Course for Physicians and Nurses
59th Medical Wing San Antonio United States
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Extracorporeal Membrane Oxygenation ECMO is a modification of cardiopulmonary bypass that allows prolonged support of patients with severe respiratory or cardiac failure. ECMO indications are rapidly evolving and there is growing interest in its use for cardiac arrest and cardiogenic shock. However, current ECMO training programs are limited. Training of emergency medicine and critical care clinicians could expand the use of this lifesaving intervention. We aimed to develop and evaluate an abbreviated ECMO course that can be taught to emergency and critical care physicians and nurses. We developed a training model using Yorkshire swine Sus scrofa, a procedure instruction checklist, a confidence assessment, and a knowledge assessment. Participants were assigned into teams of one emergency medicine or critical care physician and one nurse and completed an abbreviated eight-hour ECMO course. An ECMO specialist trained them on preparation of the ECMO circuit and oversaw vascular access and ECMO initiation. We used the instruction checklist to evaluate performance. Participants completed confidence and knowledge assessments before and after the course.
- Medicine and Medical Research