UK ECPR SUMMIT
Session 1: what can we apply to the UK from the evidence base?
Dr Brij Patel - session chair
Dr Patel is a consultant in cardiac intensive care at the Royal Brompton Hospital. He is a senior clinical lecturer at Imperial College, with a current research interest in the pathophysiology and basic mechanisms of cell death-induced organ injury and inflammation within critical care disease states, including ARDS, sepsis and burns.
Dr James Raitt - State of the art resuscitation management
Dr Raitt is a Consultant in Emergency Medicine at Frimley Park Hospital in Surrey, and Consultant in Pre-Hospital Emergency Medicine with Thames Valley Air Ambulance. He is also the lead of the Audit, Improvement and Research group for TVAA and has had a recent focus on cardiac arrest related improvement projects including a protocol for vector change defibrillation for refractory shockable rhythms and the establishment of an ECMO CPR pathway in conjunction with Harefield Hospital.
Dr Stuart Gillon - Current evidence for and against ECPR
Dr Gillon is a consultant in general and cardiac critical care at the Edinburgh Royal Infirmary. His interests include extracorporeal life support and critical care echocardiography.
Dr Nick Barrett - Session chair; Future directions in ECPR research: is a registry the answer?
Dr Barrett is a consultant in critical care medicine at Guy's and St Thomas' NHS Foundation Trust. He trained in anaesthesia and intensive care medicine at Royal North Shore Hospital in Sydney, Australia. He is an honorary senior lecturer at King's College London. He leads the intensive care unit at Guy's and St Thomas' and has interests in: severe cardiorespiratory failure, ECMO, and extracorporeal carbion dioxide removal (ECCO2R). He is a specialist advisor to the National Institute for Health and Care Excellence (NICE) and the Healthcare Safety Investigation Branch (HSIB). He is chair of EuroELSO, the organisation supporting the development of ECMO in Europe and provides advice to ECMO programmes around the world.
Session 2: pre-hospital, in-hospital, or hybrid model?
Sofia Pinto RN - Session chair
Sofia is the lead nurse for extracorporeal life support in the intensive care unit at Harefield Hospital. She leads the ECMO clinical nurse specialist education programme and has a particular interest in service and staff development.
Dr Miguel Garcia - Session chair; In-hospital model
Dr Garcia is a consultant in cardiothoracic anaesthesia and intensive care at Manchester University Foundation Trust where he is the lead for ECMO. His key areas of interest include ECMO, transplantation, simulation training, and patient safety/human factors, including developing several ECMO training and simulation programmes.
Dr Ben Singer - Pre-hospital model; also session 4 chair
Dr Singer is a consultant in intensive care medicine at Bart's Health NHS Foundation Trust, and a consultant in prehospital emergency medicine with London's Air Ambulance. He is an honorary senior clinical lecturer at Queen Mary University of London, and is a principal investigator on the SUB30 trial, a feasibility study of pre-hospital ECPR for refractory out of hospital cardiac arrest in London.
Dr David Ransley - Hybrid model
Dr Ransley is an adult ICU consultant at The Royal Brompton Hospital and a pre-hospital emergency medicine consultant with the West Midlands Ambulance Service. He trained in Australia and has performed ECPR in the UK and Australia. His topic of hybrid models will look at how to make an integrated system offering ECPR in the UK, recognising that neither in-hospital nor pre-hospital services will offer the complete solution.
Dr Clara Hernandez Caballero - BCS Fellowship to Minneapolis
Dr Hernandez Caballero is a consultant in cardiothoracic intensive care medicine at Harefield Hospital, where she is the lead for clinical governance. She will speak on the MLS team's experience visiting the University of Minnesota's Mobile Resuscitation Consortium, including their dedicated truck for delivering prehospital ECPR using a hybrid model.
Session 3: What are the other considerations for an ECPR programme?
Dr Peter Sherren - Session chair
Dr Sherren is a consultant in critical care medicine, extracorporeal membrane oxygenation (ECMO) and anaesthesia at Guy's and St Thomas' NHS Foundation Trust. He is also a consultant in pre-hospital care, governance lead and deputy Medical Director for Essex and Herts Air Ambulance Trust.
Dr Sameer Patel - Session chair
Dr Patel is a Consultant in general, liver and cardiac critical care and is the lead for ECMO at King's College Hospital. His specialist areas of expertise include acute liver failure, acute-on-chronic liver failure, and advanced cardiorespiratory support, including all forms of ECMO. Other areas of specialist interest include diagnostic right heart catheterization, the management of right heart dysfunction and pulmonary hypertension, management of haematology-oncology patients, and complex trauma. Dr Patel leads on Cardiac Critical Care and ECMO at King's College Hospital.
Dr Claire Scanlon - Session chair
Dr Scanlon is a consultant in cardiothoracic anaesthesia and intensive care medicine at University Hospitals Birmingham. She is in the process of establishing a hypothermic cardiac arrest pathway with other local cardiac centres and prehospital teams in the West Midlands. She also has an interest in education and is involved in developing a fellowship pathway for cardiac anaesthesia and critical care.
Mr Dominic Summers - Normothermic renal perfusion
Mr Summers is a consultant transplant and vascular access surgeon at Cambridge University Hospitals. His clinical interests are renal and pancreas transplantation, as well as 'donation after circulatory death' (DCD) kidney transplantation. Normothermic renal perfusion may facilitate opportunities for patients for whom ECPR is unsuccessful to become organ donors.
Dr Tom Hurst - Post-ROSC stabilisation
Dr Hurst is a consultant in Intensive Care Medicine at King’s College Hospital and the Medical Director of London’s Air Ambulance. As an intensivist at King’s he has participated in both the Major Trauma and ECMO services, and led the neurocritical workstream for 5 years. He is an honorary clinical senior lecturer at the Centre for Neuroscience, Surgery and Trauma, Blizard Institute, Queen Mary University of London. His areas of interest include major trauma, resuscitation and leading system and culture change. Following an executive masters in medical leadership and management he was admitted as a fellow of the faculty of medical leadership and management.
Dr Guy Glover - Neuroprognostication
Dr Glover is a consultant in critical care at Guy's and St Thomas' NHS Foundation Trust. His interests include mechanical ventilation and post-cardiac arrest care. He will speak about multi-modal neuroprognostication strategies to optimise outcomes for patients and their families.
Dr Antonio Rubino - Organ donation
Dr Rubino is a consultant in cardiothoracic anaesthesia and intensive care medicine at Royal Papworth NHS Foundation Trust, where he is also the clinical lead for organ donation. His other clinical interests include echocardiography, ECMO, and education.
Session 4: Where are we, where are we going, and how do we get there?
Dr Alex Rosenberg - Session chair; A proposed model for a large metropolitan area
Dr Rosenberg is a consultant in cardiothoracic intensive care medicine at Harefield Hospital, where he is the lead for ECMO. His clinical interests include medical education and simulation, delivering mechanical circulatory support to the multidisciplinary critical care team.
Dr Caroline Sampson - Session chair
Dr Caroline Sampson is a Consultant in Anaesthesia, Intensive care medicine and Adult ECMO at Glenfield Hospital in Leicester. She also works as part of the ECMO retrieval service for severe acute respiratory failure. Dr Sampson also has specalist interests in Critical Care follow up and medical education and runs the ECMO fellowship programme.
Dr Waqas Akhtar - The UK experience
Dr Akhtar is a cardiology and intensive care registrar at Royal Brompton and Harefield hospitals, part of Guy's and St Thomas' NHS Foundation Trust. His clinical interests include mechanical circulatory support, advanced heart failure, and cardiac transplantation. He is the national trainee representative on the Board of the Faculty of Intensive Care and London trainee representative for organ donation at NHSBT.
Prof Richard Lyon - A proposed model for a rural area
Prof Lyon is a consultant in emergency medicine at the Royal Infirmary of Edinburgh, where he is the lead for the Medic One advanced prehospital care team. He is also a consultant in prehospital emergency medicine and director of research and innovation with Air Ambulance Kent Surrey Sussex. He is a professor of prehospital care at the University of Surrey and is an international expert in prehospital critical care research.
Dr Simon Finney - Health economics of ECPR
Dr Finney is a consultant in cardiothoracic anaesthesia and intensive care medicine at St Bartholomew's Hospital in London. He is the chief investigator on the SUB30 trial, a feasibility study of pre-hospital ECPR for refractory out of hospital cardiac arrest in London.
Dr Ritesh Maharaj - Panel discussion
Dr Maharaj is a Critical Care physician at King’s College Hospital, London and a Fellow in the Department of Health Policy at the LSE. Ritesh continues to work clinically in critical care medicine and teaches courses in health economics, health system performance measurement and statistical methods for health care evaluation. Ritesh’s research is focused on health service organization, methodologies for institutional comparisons and benchmarking and health system inequalities with specific focus on the UK. Ritesh has completed an MSc in Health Economics, Policy, and Management and a PhD at the LSE. His thesis focused on the volume-outcome relationship in sepsis and the benefits of economies of scale and scope in the UK using a large national database.
Dr Sean Scott - Panel discussion
Dr Scott is an emergency physician and intensivist currently working at Bart's Health NHS Foundation Trust. He has a huge breadth of clinical experience from critical care retrieval in rural Africa to working in cardiothoracic critical care in Australia and the UK. His interests include ECMO education and simulation.
Dr Demetris Yannopoulos - Panel discussion (participating remotely)
Dr Yannopoulos is an interventional cardiologist and professor of medicine at the University of Minnesota in Minneapolis. He is the director of the Center for Resuscitation Medicine, where he runs the Mobile Resuscitation Consortium, a unique service providing a hybrid ECPR model for out of hospital cardiac arrest. He was also the principal investigator on the ARREST trial.