Sample interview questions: How do you handle patients who require emergency extracorporeal life support (ECLS)?
Sample answer:
Handling Patients Requiring Emergency Extracorporeal Life Support (ECLS)
- Rapid Assessment and Stabilization:
- Assess for hemodynamic instability, respiratory distress, or other life-threatening conditions.
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Stabilize the patient with oxygen therapy, vasopressors, or intubation and mechanical ventilation as needed.
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Consultation and Team Activation:
- Consult with the cardiothoracic or critical care team to determine ECLS candidacy.
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Activate the ECLS team, including perfusionists, nurses, and physicians.
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Patient Preparation:
- Obtain informed consent from the patient or surrogate.
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Prepare the patient for the cannulation procedure, including groin shaving and aseptic technique.
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Cannulation and Device Implantation:
- Assist with the surgical cannulation of the carotid artery and internal jugular vein.
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Ensure proper placement and securement of the ECLS circuit and oxygenator.
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Hemodynamic Management:
- Manage blood flow and pressure to maintain adequate tissue perfusion and organ function.
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Monitor vital signs and adjust device settings accordingly.
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