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8 May 2019

Pulsatio the first Italian ECMO, ECLS, ECPR and REBOA course.

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On April 23-24th the first Italian ECMO, ECLS, ECPR and REBOA course, with a major prehospital focus was delivered in Roma in Italy and appropriately called ‘PULSATIO’ delivered by the irrepressible force that is Carmine Della Vella.

Some key members of The ATACC Group joined other Faculty members on the course including Lionel Lamahut and Alice Hutin (SAMU Paris), Zaf Qassim (USA), Mansoor Khan (UK), Thomas Dolven (The Big Sick, Norway) and key players from the Italian ECMO service including Fabio Sangalli and Mirko Belliato.

Carmine had done an amazing job pulling together all of these international experts and the venue in the Gemelli Training Centre in the University Hospital in Cattolica del Sacro Cuore, Roma was ideal for both the lecture sessions and clinical simulations.

The course opened with an excellent summary of the current principles of ECMO and then moved onto the key methods of cannulation and the SAMU approach to prehospital cannulation. Skill stations followed using excellent cannulation simulators created by the INBTUBATIEM team, producing a quality learning experience, rather than simply using expensive and un-realistic training devices.

Throughout the day the discussions extended from the formal training into much wider discussions drawing from the wealth of expertise on the course.

The afternoon sessions continued with presentations on the indications and uses of ECMO and ECLS in cardio-respiratory failure, cardiac arrest, and trauma. The final sessions began talking through the live ECMO simulation that they delivered with The ATACC Group in Berlin at SMACCFORCE, using our ultra-realistic wearable simulator.

Clear messages shone through the day, including the need for dedicated Cardiac arrest centres, the need to commence ECMO as early as possible in the right patients and most important of all, the need to consider the brain more than the heart in cardiac arrest patients.

Day two was discussing the role of REBOA in current practice and the practicalities and challenges of using this device in arrested and peri-arrested patients. Their real-world experience was invaluable and left everyone clear on the advantages but also the real challenges in providing a REBOA service.

Outside the course, inevitably with a ‘gathering’ of such passionate individuals the conversation flowed with discussions around many and diverse topics such as Trauma, Sepsis, conferences and CODA.

The huge success of ‘The Big Sick’ and the potential of combined working between The ATACC Group, SAMU, INTUBATIEM, SMACCFORCE and other individuals has left us all with some exciting new ideas for the future.


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