ECMO Field Manual Series: Certified Bedside Reference

ECMO Field Manual Series: Certified Bedside Reference

ECMO doesn't pause while you look something up.

This certified bedside reference is built for the clinician already at the circuit — structured for fast decision-making under pressure, not textbook reading. Ten focused chapters covering the situations that don't wait:

• ECMO as patient-circuit interface — understanding flow, pressure, and sweep as an integrated system
• VV hypoxemia — systematic troubleshooting when saturations won't come up
• VA ECMO and right radial ABG — why it matters, what it tells you, how to act on it
• Anticoagulation management — heparin, argatroban, ACT/anti-Xa targets, and bleeding/clotting decisions
• Circuit walks — what to look for, what it means, when to escalate
• ECPR — rapid cannulation context and post-arrest circuit management
• LV distension — recognition, risk stratification, and unloading decisions
• Fluid removal — CRRT integration, ultrafiltration targets, hemodynamic tolerance
• Transport — pre-transport checklist, in-transit monitoring, handoff documentation
• Time-limited trials — goal-setting frameworks and decannulation decision criteria

Evidence-referenced throughout. Written for nurses, perfusionists, residents, and fellows who need clinical answers — not background reading.

By Thomas Ferry BS, CCP — Central Coast Perfusion LLC