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Cardiac Arrest
Everything in the library about cardiac arrest — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Acute Management
1 item
2025 Pediatric Surgery Update Course - Updates in ECMO & eCPR Use
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On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this year’s changes in practices and innovation. Learn more about the future of pediatric surge
video22:26 · Aug 2025
Emerging & Future Directions
2 items
Digital Twinning Application in Healthcare - Transforming Healthcare, Episode...
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Here's another video about digital twin technology… This time we're talking about applications of digital twin to healthcare. Here's what you need to know about Digital Twins! A digital twin is a virtual representation of an object or syste
video · Jun 2022
Digital twinning technology and applications in personalized medicine
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Here is our second bonus episode explaining a technology that we believe will transform healthcare: Digital Twinning. A digital twin is a virtual representation
podcast5:03 · Jul 2026
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
2025 Pediatric Surgery Update Course - Updates in ECMO & eCPR Use
ECPR is extracorporeal cardiopulmonary resuscitation, which adds ECMO or extracorporeal life support to conventional CPR to increase outcomes.
clinical0:40 ↗
Out-of-hospital cardiac arrest ECPR in kids is not often performed and probably has bad outcomes based on adult literature.
clinical1:35 ↗
For cold water drowning ECPR, outcomes are pretty low despite having a robust program.
clinical3:46 ↗
Potassium level is used to determine if avalanche victims or cold water drowning victims got cold first or hypoxic first, with a cutoff at 8.
clinical5:02 ↗
ECPR candidates need witnessed arrest (specifically for out-of-hospital) and reversible pathology, as ECMO is a bridge to gain time, not a destination that fixes anything.
clinical5:28 ↗
In one institution, after the second dose of epinephrine during cardiac arrest, they activate ECPR and mobilize all teams.
clinical7:00 ↗
ELSO data shows survival to ECLS for ECPR is 70% in neonatal and 60% in pediatric cases, with survival to discharge at 40% in both groups.
epidemiological8:37 ↗
ECPR improves survival to hospital discharge in pediatric cardiac arrests compared to conventional CPR, with survival to discharge at 40% and favorable neurologic outcome at 30%.
epidemiological11:25 ↗
For meningococcal sepsis, ECPR outcomes are in the single digits no matter what intervention is used.
epidemiological12:10 ↗
Strongest predictors of post-ECPR mortality include polymyositis, neurologic complications including stroke and seizures, and renal failure.
clinical12:40 ↗
Septic patients require massive amounts of volume to support them through ECMO, and most times central cannulation is needed to drain enough from the venous system.
clinical14:11 ↗
During CPR, patients can be cannulated through the neck and then transitioned to central cannulation once flowing and oxygenating better.
clinicalTodd Ponsky14:34 ↗
Current data shows stroke rate of 10% (range 2.2% to 10.4%) with cervical cannulation for ECPR.
epidemiologicalTodd Ponsky15:45 ↗
Stroke risk is not insignificant in older kids and adolescents when cannulating the neck, especially if there is not a complete circle of Willis.
clinical15:45 ↗
Femoral approach requires a distal perfusion cannula, preferably with a chimney configuration.
clinical16:10 ↗
Over half of patients in a seven-year median follow-up study had some vascular findings after neck cannulation that were perhaps actionable into adulthood, including dilation and narrowing of different percentages.
epidemiologicalTodd Ponsky16:40 ↗
Oncology patients and patients with active bleeding are increasingly being considered as ECPR candidates, with oncology teams often stating they can treat the underlying condition.
clinical17:50 ↗
CPR coaches showing cardiac output and end-tidal CO2 monitoring with constant team circulation and compressor changes are key to maintaining quality compressions during ECPR.
clinical19:13 ↗
The younger the patient, the easier it is to cannulate the vessels during ECPR.
clinicalTodd Ponsky20:41 ↗
A two-attending model for ECPR cannulation is beneficial, with one attending performing cannulation while the second checks the circuit, ensures correct cannulas are available, and guides the scrub tech.
clinical21:49 ↗
Digital Twinning Application in Healthcare - Transforming Healthcare, Episode...
Digital twin technology can be used to generate a virtual healthcare facility or human body
clinicalAnthon Bash1:00 ↗
Digital twins can create an individual's genetic makeup, physiological characteristics, and lifestyle habits
clinicalAnthon Bash1:15 ↗
AI helps in the design of digital twins to put together organs physiological data to output a 3D image
clinicalAnthon Bash1:30 ↗
3D images can be modeled to specific patients from their specific parameters
clinicalAnthon Bash1:45 ↗
Potassium overload induces arrhythmias
clinicalAnthon Bash2:15 ↗
It is critical to understand, predict, and avoid cardiac arrests in the context of potassium-induced arrhythmias
opinionAnthon Bash2:25 ↗
Digital twins show imbalances of electrical signals going through the heart before an actual heartbeat after surgery
clinicalAnthon Bash2:45 ↗
With a digital twin of the patient's heart and data from similar cases, doctors can predict the best possible outcome for the patient
clinicalAnthon Bash3:15 ↗
Simulating various options for a certain procedure enables doctors to select the one with the optimal computer result
clinicalAnthon Bash3:35 ↗
The Swedish digital twin consortium aims to develop a strategy for personalized medicine based on constructing unlimited copies of network models of all molecular, phenotypical, and environmental factors
Host summaryAnthon Bash summarizing a resource — not the host's own clinical position3:55 ↗
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