Educational Corners

Simulation-based learning is frequently used in medical education and skills training, especially related to complex technologies like extracorporeal systems.

Educational Corner during EuroELSO conference provides a near authentic experience and enhanced learning. EduCorner simulations rely on scenarios similar to clinical practice in controlled environment without any negative consequences of an error.

Repetitive practice leads to skill improvement with clearly defined goals. Lessons learned can be turned into effective improvements in the workplace and beneficial changes in how to cannulate and to manage patients on ECMO and ECLS.

Note: Registration for the Educational Corners is only possible for delegates of the EuroELSO Congress.

Further information will be published within the upcoming weeks and can be found online in the preliminary program.

Educational Corner

The Thrills and Spills of delivering haemofiltration and plasma exchange to your ECMO patient​​

Circuit Factors:
Pitfalls & Callenges of Hybrid ECLS

ECLS in OHCA and IHCA - Simulation with Cannulation Training

The Thrills and Spills of delivering haemofiltration and plasma exchange to your ECMO patient

Trainers
Margaret Farley RN, Jo-Anne Fowles RN

Aims

  • Technical challenges of deciding where to connect ‘Access’ and ‘Return’ lines for the haemofilter
  • Working with the pressure limitations of your haemofiltration device
  • Recognising the potential risks associated with connecting the CRRT to the ECMO circuit

Learning Outcomes / Objectives

  • Programming the haemofilter for ECMO
  • Programming and prescription for a plasma exchange
  • Understanding the limitations placed by different CRRT machines
  • This workshop will be very focussed on practical skills and asking those questions that have been troubling you

Circuit Factors: Pitfalls & Callenges of Hybrid ECLS – SOLD OUT

Trainers
Emmanuel Devolder, Tim Jones, Leen Vercaemst

Goals
To provide the participants with an understanding of the appropriate hybrid cannulation strategy and flow management to meet the needs of the patient.

Aim

  • Indications for hybrid ECMO
  • The rationale behind the choice of cannulation size & sites
  • The clinical & technical parameters used to assess adequacy of support
  • The interventions required if support is inappropriate

Learning Outcomes / Objectives

  • Know when to decide on hybrid cannulation configuration for optimal support
  • Understand where to cannulate, how to connect cannula into circuit & restart ECMO
  • Understand the parameters used to assess adequacy of hybrid ECLS support
  • Recognize whether or not the ECLS support is appropriate
  • Understand how to intervene if ECLS support is innapropriate

ECLS in OHCA and IHCA – Simulation with Cannulation Training

Trainers
Matthias Baumgärtel, Justyna Swol, Karin Buttler, Kathrin Emmrich, Steffen Nietzold

Aim

  • Insights how to perform cannulation via percutaneous vascular access during resuscitation of the arresting patient using mechanical circulatory support system

Learning Outcomes / Objectives

  • Basic training in advanced vascular access procedure to implement ECLS in order to cardiopulmonary resuscitation both in in-hospital (IHCA) and in out-of-hospital cardiac arrest (OHCA)
  • Team logistics and all requirements for Extracorporeal Cardiopulmonary Resuscitation (ECPR) will be discussed

Troubleshooting on paediatric ECMO – SOLD OUT

Trainers
Mirjana Cvetkovic, Maura O’Callaghan

Participants
This course is designed for EuroELSO Participants– intensivists, anaesthetists, paediatricians, cardiologists, emergency physicians, physician assistants, advanced practice nurses, perfusionists and all other providers who provide care for patients treated on Extracorporeal Membrane Oxygenation (ECMO).

Aims
This immersive hands-on workshop provides the latest techniques and technology surrounding the clinical use of ECMO.  Through clinical scenarios we will apply the knowledge gained towards the troubleshooting of ECMO circuit utilizing high fidelity simulation lab in order to recognise routine and catastrophic ECMO problems.

1. Routine ECMO problems

  • Access issues
  • Flow fluctuations
  • Kick-back of the venous line
  • Haemolysis and raised plasma free haemoglobin
  • Limb ischaemia
  • Bleeding cannula sites

2. Catastrophic ECMO problems

  • Pump failure
  • “Suck-down”
  • Venous or arterial decannulation
  • Circuit rupture
  • Air embolism
  • Cardiac arrest

With VA ECMO:

  • LV distension
  • Cardiac chamber thrombosis

Learning Outcomes / Objectives
Upon completion of this activity, participants should be able to:

  • Identify the components of the ECMO circuit
  • Recognize major indications and contraindications of VV and VA ECMO
  • To be able to recognise and address routine and catastrophic ECMO problems.
  • Differentiate the interaction ECMO has on various patient organ systems.

Fisiología del ECMO – Simulación para enfermeras/os

Contenidos
Fisiología del ECMO
Clase teórica de conceptos básicos del ECMO veno-venoso y ECMO veno-arterial, y luego demonstración de su funcionamiento con una máquina de ECMO real. – Lo básico que debes saber!

Cuidados del paciente en ECMO
Clase teórica de cuidados básicos y generales del paciente conectado a ECMO, y luego demonstración de cada paso a seguir en el cuidado y atención del paciente en ECMO. – Los detalles sí importan!