Simulation-based Assessment of ECMO Critical Event ManagementMark Shepard RN,BSN,CCPSt Louis Children’s Hospital

ECMO Program

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Simulation of ECMO [Extracoporeal Membrane Oxygenation]Clinical Specialist Nurses/8 Scenarios • Air Entrainment• Agitation/Arterial Occlusion• Hypovolemia/Venous Occlusion• Bleeding/Venous Occlusion• Hemodilution• Hyperventilation• Ventricular Tachycardia• Pneumothorax 2

Setup of Simulation Circuit

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Setup of CDI

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ECMO Simulation

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Arterial Bleeding

6

Learning Objective• ECMO specialist will utilize previous experience and water lab skills to properly troubleshoot scenarios• Grade sheet based on meeting specific key actions – i.e. Recognizes negative venous line pressure• 1-3 (Unsatisfactory), 4-6 (Satisfactory), 7-9 (Superior)

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Grading Sheet

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Percent of Key Actions Completed

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Hypovolemia Agitation Bleeding Air Entrainment V Tach Pneumothorax Hyperventilation Hemodilution0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

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