#Evolution of combat 4 portable

15 The follow-up study from the Karolinska Hospital published in 2019 included over 900 ECMO transports. 13 Columbia University 14 and the Karolinksa University Hospital in Stockholm performed reviews as well. The University of Michigan recently reported on their experience from the transport of 221 patients on ECMO between 19. 13, 14Д¬urrent literature describes high-volume center reviews on ECMO transports to include indications and outcomes. military has further developed this capability to effectively and safely perform patient transports on ECMO from austere and far-forward locations in combat environments. military expanded this team to include ECMO capabilities. military established the Acute Lung Rescue Team (ALRT) in 2005 to transport and care for patients unable to be managed by standard critical care therapies. 10 However, a real spike in the number of adult ECMO cases and utilization came after the H1N1 pandemic, which exposed the need for ECMO as an immediate rescue therapy in severe ARDS.

9 A 22-year pediatric global ECMO transport experience has also been described.

#Evolution of combat 4 portable

8 Cornish further developed the concept of traveling to a referring hospital with a portable ECMO system, performing the cannulation at the referring hospital, and then transporting the patient back to their own institution while on ECMO. The first ECMO cannulation of a patient at a referring hospital and transport of the patient on ECMO was described by Bartlett in 1977. As a result, they are often referred to higher level medical centers. Many of these patients are often at small, remote hospitals, without tertiary care intensive care capabilities. 7 Patients who meet criteria for ECMO are often in an unstable clinical condition supported by many intensive care therapies to include maximal inotropic and vasopressor infusions and maximal mechanical ventilation (MV) settings, all of which are known to exacerbate their condition and lead to increased morbidity and mortality. are often arranged in a hub and spoke model. 3вЂ“5 Because of the logistical, technical, and resource utilization challenges of performing ECMO, only 820 specialized centers provide this therapy. 1, 2 ECMO is commonly used as rescue therapy in patients with pulmonary failure, to include severe acute respiratory distress syndrome (ARDS), cardiopulmonary failure, or a myriad of other etiologies. Extracorporeal membrane oxygenation (ECMO) is a form of extracorporeal life support (ECLS) that can provide cardiac, pulmonary, or combined cardiopulmonary support.