We are Emergency Physicians practicing in a suburban Emergency Department in San Diego, California.  By nature, a true Emergency Physician is a resuscitationist. Of course, that’s not what we really do for a living, right? Our daily workflow and routine can sometimes feel like we are Vicodin-dispensaries. Nonetheless, what we live for (professionally-speaking) is the resuscitation. Isn’t that why you decided to become an Emergency Physician in the first place?

In early 2010 I was talking with Walter Dembitsky, MD, who is one of the pioneers of extracorporeal life support and percutaneous ECLS.  ECLS is mobile. ECLS is performed via big femoral central lines (which ED docs can place). And the inpatient studies available show a huge benefit when compared with traditional resuscitation. So WHY AREN’T WE USING IT IN THE Emergency Department?

Over the next several months we began incorporating ECLS into the resuscitation strategy in arresting patients who were failing traditional therapies. The outcomes were amazing.  So one goal of this podcast is to raise the awareness of ECLS in the Emergency Department.  I want to show you how you can use percutaneous cardiopulmonary bypass in your emergency department.

Once we realized that we had a powerful tool at our disposal we became more and more interested in optimizing the individual components of resuscitation. As an analogy Jerry Hoffman always told us that… when it comes to doing research…”garbage in equals garbage out.”  So we set about the business of cleaning up the ‘garbage in’ component of cardiopulmonary resuscitation. So the second goal of this podcast is to explore every aspect of emergency department resuscitation and optimize it.

So stop with the ‘one-handed CPR’ already!  Come with us as we change the world of resuscitation!