EuroELSO Steering C & Chair NRP Working Group
ELSOeducation taskforce
SoMe Director @TheELSO
SoMe Editor @asaiojournal
🩸🌡️effective NRP to support combined thoraco/abdominal organs recovery
🫀LV venting
🫀 fast conversion to central configuration as needed
⭕️ shunt for recirculation
🫧 air management
#FOAMcc
🔓 bit.ly/TANRPasaio
⏱️ initial assessment + #resuscitation
🔍 diagnostic approach
☠️ poisoning specific strategies
⚖️ toxicant-specific strategies + antidotes
🚨 rescue strategies including #ECMO (#ECPR, VA, VV for aspiration or inhalational injuries)
🔓 rdcu.be/ePGFM
⏱️ initial assessment + #resuscitation
🔍 diagnostic approach
☠️ poisoning specific strategies
⚖️ toxicant-specific strategies + antidotes
🚨 rescue strategies including #ECMO (#ECPR, VA, VV for aspiration or inhalational injuries)
🔓 rdcu.be/ePGFM
💉 clinical pharmacology
⚖️ dosing
⏱️ timing
🩺 practical considerations
#FOAMcc @intenscaremed.bsky.social
🔓 rdcu.be/ePAno
💉 clinical pharmacology
⚖️ dosing
⏱️ timing
🩺 practical considerations
#FOAMcc @intenscaremed.bsky.social
🔓 rdcu.be/ePAno
#FOAMcc
🔓 bit.ly/3LtxJCz
🔍 ELSO Registry analysis
🚑 17.9% received #ECMO because of traumatic CA, ⅓ #OHCA. Survival 29.2%
🚑 82.1% because of CA of medical etiology; survival 37.3%
ECPR may result in higher-than-expected survival, evenmin patients with traumatic CA.
#FOAMcc
🔓 bit.ly/3LtxJCz
#FOAMcc
🔓 bit.ly/3LtxJCz
You can use this free app to learn/train your team on how to manage emergencies during the run!
Apple 📱 bit.ly/ELSOBedsideG...
Google Play 📱 bit.ly/ELSOBedsideG...
🩸 accidental decannulation
🫧🫧 air in the circuit
🩸blood out of the circuit
🫀cardiac arrest
⛔️ NO flow
🚨 coming off #ECLS emergently
The app is free open access
Apple 📱 bit.ly/ELSOBedsideG...
Android 📱 bit.ly/ELSOBedsideG...
You can use this free app to learn/train your team on how to manage emergencies during the run!
Apple 📱 bit.ly/ELSOBedsideG...
Google Play 📱 bit.ly/ELSOBedsideG...
Increasingly used to avoid neurologic risk of VA #ECLS & technical difficulties of DLCs!
⚖️ percutaneous cannulas smaller vs surgical but
🩸 adequate flows delivered w 10 Fr access/8 return in neonates + 12 access/10 return in older pts
🔓 bit.ly/4nNZxz0
🔪 surgical VV cannulation associated with greater risk of thrombosis at vessel sites vs percutaneous technique; no significant at 1y. Potential confounder: surgical group younger + smaller weight
🔓 bit.ly/4nNZxz0
Increasingly used to avoid neurologic risk of VA #ECLS & technical difficulties of DLCs!
⚖️ percutaneous cannulas smaller vs surgical but
🩸 adequate flows delivered w 10 Fr access/8 return in neonates + 12 access/10 return in older pts
🔓 bit.ly/4nNZxz0
⚖️ pro/con & 🩸 different strategies
for high resolution supplementary images
🖇️ bit.ly/3LtrL4t
⚖️ pro/con of returning vs discarding blood
🩸 considerations related to different strategies: return through pre-pump access, pre-ML, ML, post-ML, A-V bridge, and use of cell saver
🖇️ bit.ly/47JJADF
⚖️ pro/con & 🩸 different strategies
for high resolution supplementary images
🖇️ bit.ly/3LtrL4t
⚖️ pro/con of returning vs discarding blood
🩸 considerations related to different strategies: return through pre-pump access, pre-ML, ML, post-ML, A-V bridge, and use of cell saver
🖇️ bit.ly/47JJADF
⚖️ pro/con of returning vs discarding blood
🩸 considerations related to different strategies: return through pre-pump access, pre-ML, ML, post-ML, A-V bridge, and use of cell saver
🖇️ bit.ly/47JJADF
🔍 @mayoclinic.org experience, largest 🇺🇸 series to date
🩺 overall survival suboptimal: 33.3%; all pts discharged from hospital were alive at 1 y
🚧 significant complications: #AKI requiring CRRT (40%), neuro-complications (40%), bleeding
🔗 bit.ly/4hLZmm7
📚 growing use, also intra/preop, but outcomes remain poor (better if intra/postop). Improved survival may depend on careful pt selection, optimal timing of initiation, distinguishing reversible vs irreversible pathology
🔗 bit.ly/4hLZmm7
🔍 @mayoclinic.org experience, largest 🇺🇸 series to date
🩺 overall survival suboptimal: 33.3%; all pts discharged from hospital were alive at 1 y
🚧 significant complications: #AKI requiring CRRT (40%), neuro-complications (40%), bleeding
🔗 bit.ly/4hLZmm7
🗓️ April 14-15 & 16-17 2026
📍 Ann Arbor MI
🎓 bit.ly/ELSOAcademy
🗓️ April 14-15 & 16-17 2026
📍 Ann Arbor MI
🎓 bit.ly/ELSOAcademy
📚 growing use, also intra/preop, but outcomes remain poor (better if intra/postop). Improved survival may depend on careful pt selection, optimal timing of initiation, distinguishing reversible vs irreversible pathology
🔗 bit.ly/4hLZmm7
📚 growing use, also intra/preop, but outcomes remain poor (better if intra/postop). Improved survival may depend on careful pt selection, optimal timing of initiation, distinguishing reversible vs irreversible pathology
🔗 bit.ly/4hLZmm7
🔗 bit.ly/4hKcJ6x
🔗 bit.ly/4hKcJ6x
🛒 bit.ly/ELSObooks
📖 Let's open the book and start with Dedication, with immense gratitude and affection, to Robert & Wanda Bartlett. Dr Bartlett wrote Foreword of Blue Book.
🛒 bit.ly/ELSObooks
📖 Let's open the book and start with Dedication, with immense gratitude and affection, to Robert & Wanda Bartlett. Dr Bartlett wrote Foreword of Blue Book.
⚖️ Indications, timing and settings
🫀 Unloading, hybrid configurations & difficult cases
🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation
🩺 Case
🎥 youtube.com/watch?v=AlHJ1f026AM
⚖️ Indications, timing and settings
🫀 Unloading, hybrid configurations & difficult cases
🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation
🩺 Case
🎥 youtube.com/watch?v=AlHJ1f026AM
🫘 integrating #RRT into circuit
💪🏼 designing/implementing early mobility protocol for #ECLS #ICUrehab
🫁 oxygenation riddles
Register
🔗 bit.ly/ELSO2025virt...
If you joined in Washington
🔗 elso2025.teneventsmedia.com
🫘 integrating #RRT into circuit
💪🏼 designing/implementing early mobility protocol for #ECLS #ICUrehab
🫁 oxygenation riddles
Register
🔗 bit.ly/ELSO2025virt...
If you joined in Washington
🔗 elso2025.teneventsmedia.com
2️⃣ grants (MAX value 30K € 💶) available aimed at both adult & pediatric research equally, from healthcare professionists or research scientists
🗓️ Deadline: Dec 15, 2025
🔗 bit.ly/EuroELSOgrants
🏆 awarded candidates will present at #EuroELSO2026 in Dublin 🇮🇪
2️⃣ grants (MAX value 30K € 💶) available aimed at both adult & pediatric research equally, from healthcare professionists or research scientists
🗓️ Deadline: Dec 15, 2025
🔗 bit.ly/EuroELSOgrants
🏆 awarded candidates will present at #EuroELSO2026 in Dublin 🇮🇪
🔗 bit.ly/48PYtGW
🔍 analysis of the Extracorporeal Life Support Organization Registry, 2015 -2023
🔎 157 patients with CCB toxicity, overall survival higher in pediatric patients vs adults
🔗 bit.ly/48PYtGW
🔗 bit.ly/48PYtGW
🩸anticoagulants
🩸 blood products
🩸 hemostatic agents
🌸 opioids
🛌 sedatives
Open access app, to be useful to everyone with interest in #ECLS.
Apple store 📱 bit.ly/ELSOBedsideG...
Google Play (Android) 📱 bit.ly/ELSOBedsideG...
🩸anticoagulants
🩸 blood products
🩸 hemostatic agents
🌸 opioids
🛌 sedatives
Open access app, to be useful to everyone with interest in #ECLS.
Apple store 📱 bit.ly/ELSOBedsideG...
Google Play (Android) 📱 bit.ly/ELSOBedsideG...
We had 5 sessions over 3 days
🫀VA 🫁 VV #ECLS + ECPR #simulation
🚧 circuit & complications troubleshooting
🚑 ECPR cannulation/initiation
See you at #EuroELSO2026 in Dublin 🇮🇪 & #LIVES2026 in Lisbon 🇵🇹!
We had 5 sessions over 3 days
🫀VA 🫁 VV #ECLS + ECPR #simulation
🚧 circuit & complications troubleshooting
🚑 ECPR cannulation/initiation
See you at #EuroELSO2026 in Dublin 🇮🇪 & #LIVES2026 in Lisbon 🇵🇹!
🔓 bit.ly/3LeVAWd
See thread 🧵🪡 1/2
🔓 bit.ly/3LeVAWd
See thread 🧵🪡 1/2
🧊 do NOT use criteria established for normothermic pts!
Hypothermic CA? better survival/neuro-outcome. Unwitnessed CA, asystole, long no/low-flow times, age ≥70, low EtCO2 NOT contraindications to #ECPR in hypothermia.
🔓 bit.ly/475GUkR
🔗 preparation and organization
🧊 patient selection & indications for ECLS
⚖️# ECMO mode/technical considerations
🩺 patient + circuit management during ECLS
🚧 complications
🪽 weaning
🔍 outcome & follow up
🔓 bit.ly/475GUkR
🧊 do NOT use criteria established for normothermic pts!
Hypothermic CA? better survival/neuro-outcome. Unwitnessed CA, asystole, long no/low-flow times, age ≥70, low EtCO2 NOT contraindications to #ECPR in hypothermia.
🔓 bit.ly/475GUkR
🫀 adult basic & advanced life support
🧸 pediatric life support
🍼 neonatal life support
🚧 special circumstances
🩺 post-resus care
⚖️ ethics
📋 system saving lives
🎓 education for #resuscitation
🔍 epidemiology
🩹 first aid
🔓 bit.ly/4qkPTWO
🫀 adult basic & advanced life support
🧸 pediatric life support
🍼 neonatal life support
🚧 special circumstances
🩺 post-resus care
⚖️ ethics
📋 system saving lives
🎓 education for #resuscitation
🔍 epidemiology
🩹 first aid
🔓 bit.ly/4qkPTWO
🚿overview of process
Myths on cell-salvaged blood
⚖️ 1️⃣ poor quality/inferior to allogeneic RBCs
🩸 2️⃣ increases bleeding
🚧 3️⃣ not safe in many surgeries
💶 4️⃣ not cost-effective
#FOAMcc @anesthesiology.bsky.social @asahq.bsky.social
🔓 bit.ly/47vZfrk
🚿overview of process
Myths on cell-salvaged blood
⚖️ 1️⃣ poor quality/inferior to allogeneic RBCs
🩸 2️⃣ increases bleeding
🚧 3️⃣ not safe in many surgeries
💶 4️⃣ not cost-effective
#FOAMcc @anesthesiology.bsky.social @asahq.bsky.social
🔓 bit.ly/47vZfrk
But it’s by Robert Hahn, and is a nice overview of everything we know about fluid redistribution in the critically unwell- including gel phase, some glycocalyx stuff, 3 compartment models, and albumin escape rates
#foamed
💦 morphological changes/damage by fluid overload
🛌 fluid distribution in anesthesia
3️⃣ extracellular fluid compartments
💧 physiology, manipulation & max filling of slow-exchange fluid space
🔥 inflammation, capillary leakage & lymphatic flow 💦
🥚 albumin
🔓 rdcu.be/eLnfi
But it’s by Robert Hahn, and is a nice overview of everything we know about fluid redistribution in the critically unwell- including gel phase, some glycocalyx stuff, 3 compartment models, and albumin escape rates
#foamed