I have extensive experience managing ECMO circuits, including priming, monitoring, and troubleshooting. I am proficient in identifying and addressing complications such as circuit clotting, oxygenator failure, and cannula issues. My training includes regular simulations and real-world scenarios, ensuring I can respond swiftly and effectively to emergencies. I prioritize patient safety by maintaining strict protocols and collaborating closely with the multidisciplinary team to optimize outcomes.

Effective communication is critical in ECMO cases. I use clear, concise language and structured tools like SBAR (Situation, Background, Assessment, Recommendation) to relay information. I actively participate in team briefings and debriefings, ensuring everyone is aligned on the patient’s status and plan. I also foster a culture of open dialogue, encouraging team members to voice concerns or suggestions, which enhances collaboration and patient care.

To manage hemodynamic stability, I closely monitor vital signs, blood gases, and ECMO flow rates. I adjust pump speeds and inotropic support as needed, ensuring adequate perfusion and oxygenation. I also assess fluid balance and administer volume or diuretics judiciously. My approach is data-driven, relying on continuous monitoring and frequent reassessment to make timely interventions that stabilize the patient’s condition.

I stay updated by attending ECMO-specific conferences, participating in webinars, and reviewing peer-reviewed journals. I am also an active member of professional organizations like ELSO (Extracorporeal Life Support Organization), which provides access to the latest research and guidelines. Additionally, I engage in continuous education through online courses and collaborate with colleagues to share knowledge and implement evidence-based practices in my work.

I managed a case involving a pediatric patient with severe ARDS who developed circuit thrombosis. I quickly identified the issue, initiated anticoagulation adjustments, and coordinated with the perfusionist to replace the oxygenator. Simultaneously, I optimized ventilator settings and hemodynamic support to stabilize the patient. The case required rapid decision-making and teamwork, and the patient ultimately recovered. This experience reinforced the importance of vigilance, adaptability, and collaboration in ECMO care.