OVERVIEW

The Complete ECMO Advantage Adult ECMO Curriculum is organized by ECMO Advantage.

Description:
The Complete ECMO Advantage Adult ECMO Curriculum includes access to our 11 core ECMO courses at a discounted rate. Expand your ECMO knowledge and skills at your own pace. (6 Month Access)

1.0 Introduction to ECMO:
This introduction course contains modules that will provide a basic understanding of historical events, terminology, key components of an ECMO system, primary types of ECMO, and basic blood product information to help set the foundation for your ECMO education journey.

2.0 ECMO Physiology:
This lesson series will lay the foundation for how ECMO Physiology differs from and/or supports normal physiology.  
After completing this lesson, you will be able to:

  • Describe normal oxygen delivery
  • Describe how hemoglobin affects oxygen content
  • Name things that will increase oxygen consumption

3.0 Concepts of VV ECMO:
This lesson will provide the learner with a foundational understanding of V-V ECMO.
After completing this lesson, the learner will be able to:

  • Explain the role of blood flow on ECMO
  • Describe the indications of recirculation on VV ECMO
  • State the four factors of recirculation on VV ECMO
  • Describe the indications for patients to require extracorporeal life support
  • Indicate the specific severity of illness scores relevant to population
  • Delineate the absolute contraindications to placing a patient on ECMO
  • Discuss the relative contraindications that must be evaluated prior to ECMO

4.0 Concepts of VA ECMO:
This course provides information for the understanding of VA ECMO.

By the end of the course, the learner will be able to:

  • Describe the indications for putting a patient on VA ECMO
  • Explain the role of blood flow on ECMO
  • Identify key differences between the two modalities
  • Discuss potential complications for a patient on VA ECMO

5.0 Cannulation and Initiation:
This course discusses different types of ECMO cannula as well as cannulation sites. It also covers the roles of the different team members involved in cannulation.
After completing this course, the learner will be able to:

  • Delineate the team members involved in placing a patient on ECMO
  • Describe the priming of the ECMO circui
  • Explain the connection of the patient to the circuit and initiating blood flow process
  • Define the stabilization period for the ECMO patient
  • Discuss the potential complications that may occur during cannulation

6.0 Weaning and Trialing Off ECMO:
This course covers content related to weaning, trialing off, and decannulation for both VV and VA ECMO.
After completing this course, the learner will be able to:

  • Define weaning for Venoarterial and Venovenous ECMO
  • Describe the weaning process for cardiac and respiratory ECMO
  • Explain what the differences are for trialing off VA or VV ECMO
  • Detail the precautions taken during decannulation
  • Explain when to take a patient off who has not improved
  • Describe the support of the family in the event of an unsuccessful ECMO run

7.0 ECMO Specialists Skills:
This course will define and discuss the role of the ECMO Specialist.
After completing this course, the learner will be able to:

  • Describe the role of the ‘ECMO Specialist’ as advocate for the ECMO pump and circuit
  • Define a circuit check and what it entails
  • Describe the management of CO2 and Oxygenation on ECMO
  • Define the infusions that may be given to the ECMO circuit vs. the patient 
  • State the importance of aseptic technique on ECMO and how to maintain
  • Detail the blood products commonly used with ECMO patients and how to deliver them
  • Explain the importance of maintaining skin integrity and list the interventions to use
  • Define the positioning techniques to use on ECMO patients
  • Describe the proper assessment of cannula sites, securing devices and dressing application
  • Outline the basic charting requirements for ECMO patient

8.0 ECMO Management:
This Course provides information on the day to day management of the ECMO patient.  

9.0 Anticoagulation:
This Lesson Series will discuss how coagulation processes change with ECMO and how to manage anticoagulation on ECMO.
When the learner completes this course they will be able to:

  • Describe the blood surface interactions of the artificial surfaces of the ECMO circuit
  • Define heparin pharmacology
  • Outline the use of laboratory testing including activated clotting times (ACT's) 
  • Explain the testing parameters for anticoagulation
  • Define the importance of Antithrombin III for anticoagulation with heparin
  • Understand the difference of direct thrombin inhibitors for anticoagulation

10.0 Complex Cases:
This course will address issues surrounding complex ECMO cases and emergencies. 
After completing this course, the learner will be able to:

  • Explain what surgical interventions may be required on ECMO patients and how to prepare for them
  • Define the potential hemorrhagic complications that may occur on ECMO
  • Detail the interventions necessary for hemorrhage on ECMO
  • State the interventions for accidental decannulation on ECMO
  • Describe the interventions for accidental air entrainment on ECMO
  • Discuss how to safely orchestrate an intrahospital transport of an ECMO

11.0 ECMO Ethics:
This course will discuss some of the ethical considerations important when providing ECMO support to your patients. 
After completing this course, the learner will be able to:

  • Identify the consent process and limitations related to ECMO
  • Discuss the importance of clear communication with families
  • Examine futility and withdrawal issues as related to ECMO
Credits

Credits:
8 Continuing Ed Credits Available (Completion of Full Curriculum Required)

  • 8 Continuing Education (CE)
  • SPECIALITIES

    Vascular SurgeryAnesthesia and Intensive Care

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