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Related Concept Videos

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Administering Oxygen by Mask01:30

Administering Oxygen by Mask

Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)
Ventilatory Modes01:14

Ventilatory Modes

Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...

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Mechanical Ventilation Boot Camp Curriculum
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A Simulation Curriculum for Ground and Air ECMO Transport.

Daniel Shouldice1,2, August Felix3,2, Kyle Danielson4

  • 1Attending Physician, Department of Emergency Medicine, University of Washington School of Medicine.

Mededportal : the Journal of Teaching and Learning Resources
|March 19, 2025
PubMed
Summary

A simulation curriculum significantly improved ECMO transport team confidence. This training enhanced skills in logistics, emergency management, and protocol use for extracorporeal membrane oxygenation (ECMO) patient transfers.

Keywords:
Cardiac ArrestClinical/Procedural Skills TrainingCommunication SkillsCritical Care MedicineECMO TransportEmergency MedicineExtracorporeal Membrane OxygenationInterdisciplinary MedicineResuscitationShockSimulationSurgery - Cardiothoracic

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Area of Science:

  • Cardiovascular Medicine
  • Medical Simulation
  • Emergency Medicine

Background:

  • Extracorporeal membrane oxygenation (ECMO) use for cardiopulmonary failure is rising, necessitating specialized transport teams.
  • Expanding patient access to ECMO requires efficient and safe transport capabilities.
  • Developing standardized training for ECMO transport teams is crucial.

Purpose of the Study:

  • To design and implement a simulation-based curriculum for an extracorporeal membrane oxygenation (ECMO) transport team.
  • To assess the impact of the simulation curriculum on team confidence and competence in ECMO transport procedures.

Main Methods:

  • Utilized Kern's model to develop the curriculum and ECMO transport protocol.
  • Conducted a needs assessment survey (Likert scale) to evaluate presimulation confidence.
  • Developed a simulation script covering logistics, loading/unloading, and emergency management.
  • Implemented a pilot simulation using a mannequin with an ECMO circuit for hands-on training.

Main Results:

  • Needs assessment showed 95% of respondents were novices, with low initial confidence (mean 3.4) in ECMO transport.
  • Post-simulation confidence scores significantly improved overall (3.0 to 4.3).
  • Specific improvements noted in emergency procedure confidence: air entrainment (3.0 to 4.6), pump failure (3.3 to 4.6), patient handling (2.8 to 4.1), and protocol use (3.5 to 4.8).

Conclusions:

  • A simulation-based curriculum was successfully developed and implemented for an ECMO transport team.
  • The curriculum effectively enhanced team members' confidence across various critical aspects of ECMO transport.
  • Simulation training is a valuable tool for improving ECMO transport team readiness and patient care.