The Design and Implementation of a Multidisciplinary Regional Extracorporeal Life Support Transport Team

Q3 Nursing

Air Medical Journal Pub Date : 2025-08-21 DOI:10.1016/j.amj.2025.06.008

Matthew Plourde MS, BSN, RN, CCRN, CFRN , Michael J. Lauria MD, NRP, FP-C , Katie Johnston MSN, CFRN, C-NPT, EMT-P , Mikaela Hagberg MHA, BSN, RN, CEN, CFRN , Kyle Danielson MPH, MN, RN, CFRN, CMTE , Jenelle Badulak MD , John W. Scott MD, MPH, FACS , Megan Robinson BSN, RN , Patricia L. Anderson MSN, RN, CCRN , Eileen Bulger MD, FACS , Jay D. Pal MD, PhD , Michael S. Mulligan MD , Richard Utarnachitt MD

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引用次数: 0

Abstract

Venovenous (VV) and venoarterial (VA) extracorporeal membrane oxygenation (ECMO) are effective, lifesaving interventions for refractory, severe respiratory and/or circulatory failure. Access to these therapeutic modalities is traditionally limited to tertiary and quaternary medical centers with highly trained subspecialties and substantial ECMO volumes. The Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) region of the United States is a vast and largely rural area in the northwestern United States that encompasses nearly 27% of the country’s landmass. In April 2024 the University of Washington Medicine ECMO Program officially launched an ECMO Transport Team that can perform primary (remote cannulation) and secondary ECMO retrieval missions with 24/7 availability. The team is a concerted effort between the University of Washington Medical Center at Montlake, Harborview Medical Center, and Airlift Northwest. We describe the unique design of a multidisciplinary team of surgeons, intensivists, emergency physicians, ECMO specialists, flight nurses, and other support staff capable of providing ECMO services across the region and bridging significant disparities in care for the most critically ill patients. In addition, we review the education, training, and key logistic elements of the program that facilitate implementation.

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多学科区域体外生命支持运输团队的设计与实施

静脉静脉（VV）和静脉动脉（VA）体外膜氧合（ECMO）是治疗难治性、严重呼吸和/或循环衰竭的有效、挽救生命的干预措施。传统上，这些治疗方式仅限于具有训练有素的亚专科和大量体外膜肺容量的三级和四级医疗中心。华盛顿州、怀俄明州、阿拉斯加州、蒙大拿州和爱达荷州（WWAMI）是美国西北部的一个广阔的农村地区，占美国陆地面积的近27%。2024年4月，华盛顿大学医学ECMO项目正式启动了ECMO运输团队，可以24/7全天候执行初级（远程插管）和二级ECMO检索任务。这个团队是由华盛顿大学蒙特莱克医学中心、港景医学中心和西北空运公司共同努力的结果。我们描述了一个由外科医生、重症医师、急诊医生、ECMO专家、飞行护士和其他支持人员组成的多学科团队的独特设计，能够在整个地区提供ECMO服务，并弥合最危重患者护理方面的重大差异。此外，我们审查了促进实施该计划的教育、培训和关键后勤要素。

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来源期刊

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.