The physician will emergently respond 24/7 to Fairview hospitals and other partnership healthcare organizations for ECMO initiation, management, and transport for patients suffering out-of-hospital cardiac arrest (OHCA) and other cardiovascular emergencies requiring ECMO/ECPR related therapy. An Extracorporeal Cardiopulmonary Resuscitation (ECPR) physician is a specialist, critical care or interventional cardiology physician, who can respond emergently and lead a team in initiating ECMO for patients with refractory cardiac arrest. The role involves performing emergency ultrasound-guided percutaneous cannulations to establish the ECMO circuit, coordinating a multidisciplinary team, and managing the patient's complex, multi-system care until they can be stabilized and transferred to the cardiac catheterization lab and/or intensive care unit. The team is expected to provide care and management of those patients until handed off to a critical care team in the same or other hospitals for prolonged management.
Responsibilities
Quickly assess the patient to determine if they meet ECPR criteria for refractory cardiac arrest.
Evaluate pre-hospital patient report to ensure conditions are met.
Perform emergent, ultrasound or X-ray-guided percutaneous cannulation to insert the ECMO catheters and start the machine.
Coordinate and lead a multidisciplinary team, including nurses, paramedics, and other specialists, to ensure the ECPR protocol is followed.
Provide medical/resuscitative therapy to stabilize the patient +/- up to 6 hours peri cannulation resuscitation and critical care management.
Provide ongoing patient care during transport and during the transition of care to the in-hospital team.
Manage patients with multi-system issues, including potential neurologic injury and organ failure, as part of the specialized ECPR service.
Complete the training required to become certified through Center for Resuscitation Medicine training process.
The physician is expected to be able to fly with helicopters and respond in Emergency Vehicles to the scene and other hospitals.
Required Qualifications
Doctor of Medicine
3 years experience in cardiology or critical care
Licensed or ability to obtain Minnesota board of Medical Practice Licensure board certification
MMRC for ECMO certification from CRM training program within 180 Days
Preferred Qualifications
Interventional cardiology fellowship
Emergency critical care fellowship
Anes. Critical care fellowship
Prior ECMO related experience in cannulation and/or management.
Advanced ECMO fellowship under the MMRC
Advanced Cardiac Life Support (American Heart Assoc)