Chris Bishop
@pipes-n-pumps.bsky.social
Senior Clinical Research Fellow/PhD candidate in trauma VA ECMO. Centre for Trauma Sciences, Blizard Institute, @qmul UK. #ECMO and #ECPR geek, lecturer in Resuscitation Science, asker of questions, teacher of things! #MedSky
June 30, 2025 at 7:37 AM
February 2, 2025 at 12:36 PM
Addressing the inequity/postcode lottery of community CPR and PAD deployment is a good place to start.
December 11, 2024 at 9:52 AM
Addressing the inequity/postcode lottery of community CPR and PAD deployment is a good place to start.
Undoubtedly though, the future is encouraging for the advancement of resuscitation science and medicine. We have just got to get it right - doing the best thing for the patient; meaningful interventions with honourable intentions. End
December 11, 2024 at 9:28 AM
Undoubtedly though, the future is encouraging for the advancement of resuscitation science and medicine. We have just got to get it right - doing the best thing for the patient; meaningful interventions with honourable intentions. End
As an ECLS enthusiast myself, I can appreciate the wave of excitement that these potential developments may bring - indeed, we are now asking “in who, how and when do we offer ECPR?”, whereas a few years ago the question was framed “does ECPR work?” 6/
December 11, 2024 at 9:26 AM
As an ECLS enthusiast myself, I can appreciate the wave of excitement that these potential developments may bring - indeed, we are now asking “in who, how and when do we offer ECPR?”, whereas a few years ago the question was framed “does ECPR work?” 6/
Disposition and ECMO centre buy-in exceptionally important here. These patients need managing within a system that is highly skilled and experienced in looking after VA ECMO patients. Clinical course can be very turbulent and unpredictable, with many complications to be mitigated 5/
December 11, 2024 at 9:23 AM
Disposition and ECMO centre buy-in exceptionally important here. These patients need managing within a system that is highly skilled and experienced in looking after VA ECMO patients. Clinical course can be very turbulent and unpredictable, with many complications to be mitigated 5/
VA ECMO patients (as they are, post ECPR cannulation) are incredibly sick, with complicated physiology (underlying disease and ECLS interactions) with a relatively high mortality 4/
December 11, 2024 at 9:19 AM
VA ECMO patients (as they are, post ECPR cannulation) are incredibly sick, with complicated physiology (underlying disease and ECLS interactions) with a relatively high mortality 4/
Adding in the human factors, logistical and environmental challenges that PHEM/PHC brings, coupled with the time criticality of minimising the low-flow times (because seconds count in ECPR!) 3/
December 11, 2024 at 9:17 AM
Adding in the human factors, logistical and environmental challenges that PHEM/PHC brings, coupled with the time criticality of minimising the low-flow times (because seconds count in ECPR!) 3/
It must be appreciated that ‘putting the patient on pump’ is only the first step. PH ECPR patients a world apart (in complexity terms)from elective VV and (some) VA in a relatively controlled operating theatre or cath lab environment with time on your side 2/
December 11, 2024 at 9:15 AM
It must be appreciated that ‘putting the patient on pump’ is only the first step. PH ECPR patients a world apart (in complexity terms)from elective VV and (some) VA in a relatively controlled operating theatre or cath lab environment with time on your side 2/
🫀Emergency preservation and resuscitation (EPR) via cold aortic flush of crystalloid to get the 🧠 temp down to 10 oC may buy time for DCS in patients where 🕰️ runs out (long transport times, prolonged ischaemia, exsanguination) - watch this space…the future is now!
November 19, 2024 at 12:16 PM
🫀Emergency preservation and resuscitation (EPR) via cold aortic flush of crystalloid to get the 🧠 temp down to 10 oC may buy time for DCS in patients where 🕰️ runs out (long transport times, prolonged ischaemia, exsanguination) - watch this space…the future is now!
🫀 We are still learning, and there is still much to unpick in terms of CV dysfunction following major trauma haemorrhage
🫀Selective aortic arch perfusion (SAAP) may be a useful bridge to ROSC, or as intermediary step between REBOA and full extracorporeal support
🫀Selective aortic arch perfusion (SAAP) may be a useful bridge to ROSC, or as intermediary step between REBOA and full extracorporeal support
November 19, 2024 at 12:13 PM
🫀 We are still learning, and there is still much to unpick in terms of CV dysfunction following major trauma haemorrhage
🫀Selective aortic arch perfusion (SAAP) may be a useful bridge to ROSC, or as intermediary step between REBOA and full extracorporeal support
🫀Selective aortic arch perfusion (SAAP) may be a useful bridge to ROSC, or as intermediary step between REBOA and full extracorporeal support