UPMC Procirca Adult ECLS Boot Camp - Kaiser
The UPMC Procirca Adult ECMO Boot Camp designed for health care professionals interested in a foundational education in the care of the adult ECMO patient. The curriculum was designed for the bedside clinician to improve their understanding of ECMO technologies, with an emphasis on practical hands-on simulation training. A blended learning model will combine on-site didactic and simulation training to help clinicians learn to manage and troubleshoot adult ECMO patients. Course content includes lecture on topics ranging from understanding the components of the ECMO circuit, patient selection, cannulation strategies, management of various ECMO patient groups to weaning and decannulation.
Learning Objectives
Upon completion of the course, learners should be able to:
- Understand basic principles of ECMO
- Identify indications and contraindications for ECMO support in the adult patient
- Have a foundational understanding of the function of the components of the ECMO circuit
- Understand concerns of managing patients on ECMO
- Describe complications that may occur while on ECMO support
- Understand the cannulation, weaning and decannulation of the ECMO patient
- Respond to the most common ECMO emergencies
- Demonstrate ECMO knowledge in high fidelity simulation scenarios
UPMC Procirca ECMO Boot Camp – Kaiser Permanente
Course Agenda
December 9-10 & 12-14, 2019
Day 1 & 2 Basic Lecture Series
0800-0815 Welcome Overview of Course
Michael Anselmi, CCP, LP
0815-0900 Physiology of ECMO
Penny Sappington, MD
0900 – 0915 VA ECMO Patient Selection
Penny Sappington, MD
0915 -0930 VV ECMO Patient Selection
Penny Sappington, MD
09340-1000 Indications/Contraindications for Adult ECMO (Case Studies)
Penny Sappington, MD
1000 - 1015 Break
1015-1045 Cannulation
Penny Sappington, MD
1045-1115 ECMO Circuit Overview and Daily Management for the ECMO Specialist
Brandon D’Aloiso, CCP, LP
1115-1145 Management of Respiratory Failure
Penny Sappington, MD
1145-1215 Management of Cardiogenic Shock Patients on ECMO
Penny Sappington, MD
1215 - 1300 Lunch
Day 3 & 4 Complications Lectures Series
0800-0815 Welcome Overview of Course
Michael Anselmi, CCP, LP
0815-0845 ECMO Circuit Overview and Daily Management for the ECMO Specialist
Brandon D’Aloiso, CCP, LP
0845-0915 Medical Emergencies and Complications on ECMO
Penny Sappington, MD
0915- 1015 Mechanical Emergencies and Complications on ECMO
Michael Anselmi, CCP, LP
1015 – 1030 Break
1030 - 1100 ECMO Patient Case Studies
Penny Sappington, MD
1100 - 1200 Hybrid ECMO – “When Conventional ECMO is not enough”
Penny Sappington, MD
1200 - 1300 Lunch
Day 1 - 4 Simulation Stations
1300-1400 Managing the ECMO patient in the ICU
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Initiation of ECMO (VA), “The First Hour of ECMO”, High SVRI, Hypovolemia, Insufficient venous return, Limb Ischemia/Adding a distal perfusion cannula
1400 -1410 Break (Reset Simulation Station)
1410 - 1510 VA ECMO Patient Complications
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Differential Hypoxemia – VAV ECMO
1510 – 1520 Break (Reset Simulation Station)
1520 - 1620 VV ECMO Patient Complications
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Hybrid ECMO – VV – VVA
1620 – 1630 Break (Reset Simulation Station)
1630 - 1730 Mechanical Complications of ECMO
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Oxygenator Failure/Pump Failure/Air Entrainment/Circuit change-out
1730 Adjournment
Day 5 Simulation Stations
0800-0900 Managing the ECMO patient in the ICU
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Initiation of ECMO (VA), “The First Hour of ECMO”, High SVR, Hypovolemia, Insufficient venous return, Limb Ischemia/Adding a distal perfusion cannula
0900-0910 Break (Reset Simulation Station)
0910-1010 VA ECMO Patient Complications
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Differential Hypoxemia – VAV ECMO
1010-1020 Break (Reset Simulation Station)
1020 - 1120 VV ECMO Patient Complications
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Hybrid ECMO – VV – VVA
1120 – 1130 Break (Reset Simulation Station)
1130 - 1230 Mechanical Complications of ECMO
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Oxygenator Failure/Pump Failure/Air Entrainment/Circuit change-out
1230-1330 Lunch
1330-1430 Managing the ECMO patient in the ICU
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Initiation of ECMO (VA), “The First Hour of ECMO”, High SVRI, Hypovolemia, Insufficient venous return, Limb Ischemia/Adding a distal perfusion cannula
1430 -1440 Break (Reset Simulation Station)
1440 - 1540 VA ECMO Patient Complications
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Differential Hypoxemia – VAV ECMO
1540 – 1550 Break (Reset Simulation Station)
1550 - 1650 VV ECMO Patient Complications
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Hybrid ECMO – VV – VVA
1650 – 1700 Break (Reset Simulation Station)
1700 - 1800 Mechanical Complications of ECMO
Penny Sappington MD, Michael Anselmi CCP, LP, Brandon D’Aloiso, CCP, LP
Includes: Oxygenator Failure/Pump Failure/Air Entrainment/Circuit change-out
1800 Adjournment
Course Medical Director
Penny Sappington, MD
Assistant Professor, Critical Care Medicine
Medical Director, ECMO Program
UPMC Presbyterian Hospital
Faculty
Mike Anselmi, CCP, LP
ECMO Director, Procirca
UPMC Presbyterian Hospital
Brandon D’Aloiso, BSE, CCP, LP
Lead Perfusionist - Education, Procirca
UPMC Presbyterian Hospital
Faculty Disclosure:
No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients to disclose.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians
The University of Pittsburgh School of Medicine designates this live activity for a maximum of 15.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Other health care professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 15.50 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 15.50 Attendance
If you have any questions, please contact Michael Anselmi at [email protected].