1. Simulation-based Assessment of ECMO Critical Event Management
Mark Shepard RN,BSN,CCP
St Louis Children’s Hospital
ECMO Program

2. 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

3. Setup of Simulation Circuit

4. Setup of CDI

5. ECMO Simulation

6. Arterial Bleeding

7. 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)

8. Grading Sheet

9. Percent of Key Actions Completed