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| Primera activación de camión (Ambulancia) de reanimación móvil ecmo |
El primer paciente fue canulado con éxito en el camión ECMO móvil. Llegada a ecmo tiempo 12 minutos. #mmrc #ecmo #edinafire #jasonbartos se necesita un pueblo…. Gracias M Health Fairview EMS por un increíble tiempo de respuesta y activación temprana.
First patient was successfully cannulated in the mobile ECMO truck. Arrival to ecmo time 12 minutes. #mmrc #ecmo #edinafire #jasonbartos it takes a village…. Thank you M Health Fairview EMS for an amazing response time and early activation.
VIDEO https://www.facebook.com/DrRamonReyesMD/videos/470717804425104
El ECMO móvil
Life Line Emergency Vehicles de Sumner, Iowa sigue liderando el camino con este. Una vez más empujando el sobre de lo que es posible en el tratamiento prehospitalario. El Centro de Medicina de Reanimación de la Universidad de Minnesota Twin Cities recibió una subvención para probar la capacidad de aumentar la tasa de supervivencia de los pacientes con paro cardíaco en un entorno prehospitalario. Se asociaron con 94 Services de Monticello, MN y eligieron Life Line para construir esta unidad móvil "primera en su tipo" para la atención de emergencia por paro cardíaco utilizando ECMO. Esto ahorraría potencialmente las horas que normalmente llevaría llevar a un paciente con paro cardíaco a un hospital capaz de realizar este procedimiento. Pensando en la seguridad y la confiabilidad, esta innovadora unidad presenta:
-Módulo personalizado de 330" con espacio libre de 87"
- Generador Hidráulico 30kw
- Generador de respaldo Stadco Generators de 30kw impulsado por diesel
- Fuente de alimentación ininterrumpida Tripp Lite con (3) baterías de respaldo
- Climatización doble con bomba de calor de techo Dometic para el interior del módulo
- Compresor de CA adicional en el motor del chasis
- Unidades HVAC Dual Hoseline para el interior del módulo
- Sistema de elevación de pacientes trasero personalizado para cargar al paciente
- Disposiciones para el sistema de cámara de telemedicina 3D para transmitir procedimientos en vivo a un hospital remoto
- Cilindros de oxígeno dobles "H"
-Cilindros de aire médicos de tamaño doble "H"
- Sistema de oxígeno líquido de respaldo de 25 lite
- Compresor de aire médico de respaldo
- Fregadero con agua corriente fría y caliente y tanque de agua dulce de 15 galones
- Iluminación interior personalizada
- Paquete personalizado de luces de advertencia
- Entrada costera personalizada de 150 amperios
- Provisiones para rayos X del brazo "C"
- Mesa de fluoroscopia plegable
- Soporte para equipo de ultrasonido.
Agradecemos a la Universidad de Minnesota por elegir Life Line para construir este vehículo que salva vidas para ellos y para el público al que todos servimos.
The Mobile ECMO
Life Line Emergency Vehicles of Sumner, Iowa still leading the way with this one. Again pushing the envelope for what is possible in pre-hospital treatment. The Center for Resuscitation Medicine of University of Minnesota Twin Cities received a grant to test the ability to increase the survival rate of patients in cardiac arrest in a pre-hospital setting. They partnered with 94 Services of Monticello, MN choosing Life Line to build this "first of its kind" mobile unit for emergency cardiac arrest care utilizing ECMO. This would potentially save hours that it would normally take to get a patient in cardiac arrest to a hospital able to perform this procedure. With safety and reliability in mind, this groundbreaking unit features:
-Custom 330" Module with 87" Headroom
- 30kw Hydraulic Generator
- 30kw Diesel Driven Stadco Generators back-up generator
- Tripp Lite uninterrupted power supply with (3) back up batteries
- Dual Dometic roof top heat pump style HVAC for the module interior
- Additional AC compressor on chassis motor
- Dual Hoseline HVAC units for the module interior
- Custom rear patient lift system to load patient
- Provisions for 3D telemedicine camera system to transmit procedures live to a remote hospital
- Dual "H" oxygen cylinders
-Dual "H" size medical air cylinders
- Back-up 25 lite liquid oxygen system
- Back-up medical air compressor
- Sink with hot and cold running water and 15 gallon fresh water tank
- Custom interior lighting
- Custom warning light package
- Custom 150amp shoreline inlet
- Provisions for "C" Arm X-ray
- Folding fluoroscopy table
- Mount for ultrasound equipment.
We thank the University Of Minnesota for choosing Life Line to build this life saving vehicle for them and the public we all serve.
First mobile ecmo resuscitation truck activation
Help is on the way
Minnesota’s first mobile emergency department is hitting the road to help people who have suffered cardiac arrest away from the hospital
By Justin Harris
People who suffer cardiac arrest—when the heart unexpectedly stops beating—need medical attention fast. Really fast. In fact, it’s among the most time-sensitive emergencies in all of medicine, and if victims aren’t in a hospital’s specialized cardiac catheterization lab within an hour, they probably won’t survive. That’s why nearly 90% of people who experience cardiac arrest today will die.
The University of Minnesota Medical School’s Demetri Yannopoulos, M.D., has an idea to budge that grim statistic in a positive direction: Bring the “hospital” to the person. (Read a Q&A with Yannopoulos.)
With support from the Leona M. and Harry B. Helmsley Charitable Trust, M Health Fairview and three other Minnesota health care systems have teamed up to create the state’s first mobile emergency department, carrying the experts and advanced tools needed to provide the critical first stages of care for people who have suffered cardiac arrest away from a hospital.
Later this year, the truck will hit the road. Twice as long as a normal ambulance and about two feet longer than a city bus, this mobile emergency department is designed to allow experts to administer specialized care inside the vehicle itself, giving them more time to begin treatment—and giving the patient a much better chance of survival.
Find out how your gift can support this work by contacting Michelle Boe of the University of Minnesota Foundation at 612-625-9903 or maboe@umn.edu.
SUV-sized versions of the mobile emergency department were deployed in December. These vehicles carry specialized equipment and an interventional cardiologist to the nearest participating emergency department to provide lifesaving care for the person in cardiac arrest.
“It’s redefining what emergency care looks like,” says Yannopoulos, who holds the Robert K. Eddy Endowed Chair in Cardiovascular Resuscitation. “If we can reach patients faster, we can save more lives.”
Take a look inside.
ILLUSTRATION BY LISA HAINES
1. Extracorporeal membrane oxygenation, or ECMO, is a life-preserving machine pump that temporarily does the work of the heart and lungs. It pumps oxygenated blood throughout the body, giving doctors more time to perform lifesaving interventions.
1. Extracorporeal membrane oxygenation, or ECMO, is a life-preserving machine pump that temporarily does the work of the heart and lungs. It pumps oxygenated blood throughout the body, giving doctors more time to perform lifesaving interventions.
2. Un laboratorio de cateterismo cardíaco en el hospital generalmente cuenta con siete proveedores de atención. En el camión, esas responsabilidades recaen en tres expertos altamente capacitados. Dos se desinfectan para tocar al paciente, mientras que el tercero mueve el equipo, toma suministros y hace funcionar la máquina ECMO.
2. A cardiac catheterization lab in the hospital is usually staffed by seven care providers. In the truck, those responsibilities fall to three highly trained experts. Two are sanitized to touch the patient, while the third moves equipment, grabs supplies, and runs the ECMO machine.
3. Una máquina grande que generalmente se encuentra solo en hospitales, el escáner de rayos X con brazo en C permite a los médicos encontrar venas en las piernas, el cuello o el pecho del paciente donde pueden insertar tubos delgados para conectar la máquina ECMO.
3. A large machine usually found only in hospitals, the c-arm X-ray scanner enables doctors to find veins in the patient’s legs, neck, or chest where they can insert thin tubes to connect the ECMO machine.
4. Un cardiólogo intervencionista está disponible las 24 horas del día, los 7 días de la semana para brindar experiencia remota. El camión está equipado con capacidades de transmisión de video de alta definición, lo que le permite al cardiólogo ver lo que sucede dentro del vehículo a través de la realidad virtual.
4. An interventional cardiologist is on call 24-7 to provide remote expertise. The truck is equipped with high-definition video-streaming capabilities, allowing the cardiologist to see what’s happening inside the vehicle via virtual reality.
5. Cameras inside the truck broadcast multiple angles of the patient onto a big-screen TV, giving the providers a full view of the procedure without forcing them to move around in a tight space.
5. Las cámaras dentro del camión transmiten múltiples ángulos del paciente en un televisor de pantalla grande, lo que brinda a los proveedores una vista completa del procedimiento sin obligarlos a moverse en un espacio reducido.
6. Aunque es más un “hospital móvil” que un vehículo de emergencia con luces intermitentes, el camión todavía está sobre ruedas, lo que significa que todo debe estar asegurado en caso de un choque. Una unidad de almacenamiento inspirada en un zapatero contiene diversos suministros médicos.
6. Although it’s more “mobile hospital” than a lights-flashing emergency vehicle, the truck is still on wheels, which means everything must be secured in case of a crash. A shoe-rack-inspired storage unit holds miscellaneous medical supplies.
Enlace al post original en la Universidad de Minnesota. Estados Unidos de América
Flota de vehículos en la operación ECMO de esta noche trabajando en estrecha colaboración con EMS #helmsley #NMEMS #ecpr
Más artículos relacionados:
How Physicians Perform Prehospital ECMO on the Streets of Paris by JEMS
http://emssolutionsint.blogspot.com/2018/09/how-physicians-perform-prehospital-ecmo.html
Unidad de Reanimación Extracorpórea móvil del SAMUR-Protección Civil del Ayuntamiento de Madrid. Extracorporeal membrane oxygenation (ECMO)
http://emssolutionsint.blogspot.com/2017/01/unidad-de-reanimacion-extracorporea.html
The Minnesota mobile extracorporeal cardiopulmonary resuscitation
consortium for treatment of out-of-hospital refractory ventricular
fibrillation: Program description, performance, and outcomes
Jason A. Bartosa,b
, R.J. Frasconeb,c
, Marc Conteratob,d
, Keith Wesleye
, Charles Lickf
,
Kevin Sipprellg
, Nik Vuljaje
, Aaron Burnetth
, Bjorn K Petersoni
, Nicholas Simpsonj
, Kealy Hamk
,
Charles Bruenk
, Casey Wosterk
, Kari B Haleyk
, Joanna Moorej
, Brandon Triggerl
,
Lucinda Hodgsonb
, Kim Harkinsb
, Marinos Kosmopoulosb
, Tom P. Aufderheidem, Jakub Tolarn
,
Demetris Yannopoulosa,b,
*
a Division of Cardiology, Department of Medicine
Enlace para descargar artículo en PDF
Extracorporeal cardiopulmonary resuscitation may increase survival in patients with refractory cardiac arrest, who typically have mortality rates higher than 90%. https://ja.ma/41K6RRN
Dr Ramon REYES, MD,
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