Veno-arterial extracorporeal life support (VA-ECLS) provides circulatory and respiratory stabilisation in patients with severe refractory cardiogenic shock. Although randomised controlled trials are lacking, the use of VA-ECLS is increasing and observational studies repeatedly have shown treatment benefits in well-selected patients. Current clinical challenges in VA-ECLS relate to optimal manag...

INTRODUCTION Extracorporeal life support in adult patients with extended intracranial hemorrhage is controversial. In pediatric patients, it has traditionally been considered a contraindication as systemic anticoagulation may worsen the hemorrhage and neurological outcome. CASE HISTORY We present a nine-year-old female patient who was admitted with extended intracranial hemorrhage after spont...

OBJECTIVE To report a case of pH1N1 viral infection presenting as heart failure requiring mechanical extracorporeal life support. DESIGN Case report. SETTING Pediatric intensive care unit at a regional children's hospital. PATIENT Obese 15-yr-old boy who presented with pH1N1-related cardiomyopathy and respiratory failure that required extracorporeal membrane oxygenation. INTERVENTIONS E...

Please cite this paper as: Paydar S, Farhadi P, Ghaffarpasand F. Advanced Trauma Life Support (ATLS) Tips to Be Kept In Mind. Bull Emerg Trauma. 2013; 1(1):49-51. Corresponding author: Fariborz Ghaffarpasand Address: Trauma Research Center, Shahid Rajaee Trauma Hospital, Chamran Avenue, PO Box: 713451876 Shiraz, Iran. Tel: +98-917-3095214 Fax: +98-711-6254206 e-mail: fariborz_ghaffarpasand@yaho...

Anticoagulation is an imperfect science and is even more complicated in neonates and young children. The addition of the extracorporeal life support (ECLS) foreign circuit adds an additional layer of complexity. Anticoagulation goals during ECLS are to maintain a clot-free circuit and a hemostatically balanced patient. Unfractionated heparin (UFH) is the default gold standard anticoagulant as n...

As the wave of respiratory and cardiac failure due to an unprecedented pandemic hits our medical centers, extracorporeal life support (ECLS) specialists have become more involved with long term intensive care; relationship patient care has been altered. ECLS Ventricular Assist Devices (VAD) essential tools in critically ill patients failure, post-cardiotomy viral infection. During this pandemic...

Extracorporeal membrane oxygenation (ECMO) is an extracorporeal life support technique to provide cardiac and/or respiratory assistance to patients. ECMO has been demonstrated to be beneficial for the life support of selected traumatic individuals. However, the application of arteriovenous ECMO as an intraoperative support strategy in emergency operations has rarely been described. The presente...