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enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":283,"meta":360,"internal":370},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":251,"author":273,"readDuration":281,"readDurationFormatted":282},"Using mechanical circulatory support","Gain an understanding of extracorporeal circulatory support and when to use it.",{"id":215,"name":216},1,"Course previews",[218,229,234,239,246],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},134,{"platform":223,"name":224,"url":225,"size":226},"YouTube","Considering mechanical circulatory support","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=5AMEUHpPLWU",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},6.666666666666667,"\u003Cp>In this video, from our Resuscitation Essentials course, we'll look at mechanical circulatory support devices, as well as important considerations about when they're appropriate to use and when they are \u003Cem>not!\u003C\u002Fem>\u003C\u002Fp>",{"type":230,"data":235},{"readDurationInSeconds":236,"title":237,"text":238},12.266666666666666,"Join our Resuscitation Essentials course today!","\u003Cp>Learn all about supporting patient circulation, manual compressions, mechanical circulatory support, and the methods used to optimize their effects in our \u003Cstrong>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fcourse\u002Fresuscitation-essentials\">Resuscitation Essentials\u003C\u002Fa>\u003C\u002Fstrong> course. By the end of this course, you'll master a step-by-step approach for managing patients near to, or experiencing, cardiac arrest in any environment. \u003C\u002Fp>",{"type":240,"data":241},"cta",{"readDurationInSeconds":242,"text":243,"buttonText":244,"buttonUrl":245},3.466666666666667,"Become a great clinician with our video courses and workshops","Start learning for free","https:\u002F\u002Fwww.medmastery.com\u002Fuser\u002Fregister",{"type":230,"data":247},{"readDurationInSeconds":248,"title":249,"text":250},56,"Video Transcript ","\u003Cp dir=\"ltr\">\u003Cstrong>[00:00:00] \u003C\u002Fstrong>Intraaortic balloon pumps have been used for many years to provide support during cardiogenic shock. They augment diastolic filling pressure by expanding in the aorta during diastole. In addition, they may increase cardiac output slightly by decreasing afterload with deflation during systole. In general, they provide about one to two liters a minute of augmented cardiac output. Percutaneous ventricular assist devices have been developed more recently to provide more flow to \u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cstrong>[00:00:30]\u003C\u002Fstrong> support cardiac output, up to several liters per minute. Cardiopulmonary bypass is able to completely replace the function of the heart and lungs, however, it's generally available only in the operating room environment. Extracorporeal membranous oxygenation or ECMO devices are able to provide biventricular support, at flow rates which may be adequate to provide perfusion and have been described as a supportive therapy, for patients in cardiac arrest, as a bridge toward intervention or recovery. These devices function \u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cstrong>[00:01:00]\u003C\u002Fstrong> in a similar manner to cardiopulmonary bypass but are more portable and therefore more available for use in the emergency setting. It's important to remember that mechanical circulatory support provides temporary support, as a bridge for patients in whom an endpoint is clear, for example, a disease process in which recovery is expected or definitive treatment is available. Examples may include cardiac revascularization, recovery from a transient disease process like \u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cstrong>[00:01:30]\u003C\u002Fstrong> some types of myocarditis or recovery from a toxic overdose or as a bridge to organ transplantation. Patients are unlikely to benefit from these therapies if they have multi-organ system failure, irreversible conditions or terminal diseases or with any other contraindications like the inability to anticoagulate.\u003C\u002Fp>",{"courses":252,"showAwardsBelow":48},[253],{"id":254,"isFreeCmeCourse":255,"title":256,"type":257,"specialization":258,"teachers":260,"cmeCredits":262,"teacherIllustration":263,"backgroundImage":264,"relativeUrl":265,"lastChanged":266,"created":267,"description":268,"relativeURL":265,"meta":269},5236,false,"Resuscitation Essentials","course",[259],"Emergency medicine and critical care",[261],"Christopher R. Tainter, MD",3,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55eb1-6358-434e-bd05-101915d2de76","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55eee-ca2a-4d37-beeb-eafdef1a9482","\u002Fcourses\u002Fresuscitation-essentials","1763556352","1533061301","Resuscitation is all about making rapid, life-saving decisions in the face of uncertainty. Algorithms give structure, but can’t cover every possible scenario. 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Aziz, MD FHRS","\u002Fteachers\u002Fpeter-f-aziz-md-fhrs","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9ef4d18d-7b35-4843-a39a-5e3495d544df","\u003Cspan id=\"docs-internal-guid-bb2fbf38-7fff-c33a-a26a-a82f9d2d9c4a\">Pediatric Electrophysiologist, Professor of Pediatrics, and founder and director of the Inherited Arrhythmia Clinic.\u003C\u002Fspan>",{"name":303},"Pediatric Electrophysiologist",0,"\u002Fmagazine\u002F15-lead-pediatric-ecg",160,"3m",{"created":309,"updated":310,"published":310},1781900013,1781901055,{"id":312,"title":313,"text":314,"image":315,"author":322,"path":331,"readDuration":332,"readDurationFormatted":307,"internal":333},1354,"Evaluating bleeding & abdominal pain in early pregnancy","Learn how to evaluate a patient presenting with vaginal bleeding and abdominal pain in early pregnancy when ectopic pregnancy is a concern.",{"alt":316,"title":290,"size":317,"location":320},"Medical illustration of an ectopic pregnancy implanted in the fallopian tube outside the uterus",{"width":318,"height":319},1201,1200,{"bucket":294,"key":321},"\u002F2026-06\u002FC144(2)_magazine image.png",{"id":323,"title":324,"relativeURL":325,"image":326,"professionLong":327,"profession":328,"weight":330},12787,"Tori O’Daniel, MD FACOG","\u002Fteachers\u002Ftori-odaniel-md-facog","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf00-58e5-4b12-9d94-ce4fcf5697fc","Tori is a lead obstetrician (OB) hospitalist and Medical Director of OB Hospitalists and Women’s Services at Mercy Hospital, Oklahoma City.",{"name":329},"Lead obstetrician hospitalist",5312,"\u002Fmagazine\u002Fabdominal-pain-in-early-pregnancy",172,{"created":334,"updated":335,"published":336},1780855964,1780858467,1780858468,{"id":338,"title":339,"text":340,"image":341,"author":347,"path":355,"readDuration":228,"readDurationFormatted":282,"internal":356},1353,"Gestational age ultrasound in early pregnancy evaluation","Learn how to obtain the correct ultrasound views and accurately measure crown-rump length and biparietal diameter to estimate gestational age.",{"alt":342,"title":290,"size":343,"location":345},"Gestational age ultrasound image demonstrating crown-rump length measurement in the first trimester",{"width":344,"height":344},900,{"bucket":294,"key":346},"\u002F2026-05\u002FC144(1)_magazine image.png",{"id":348,"title":349,"relativeURL":350,"image":351,"professionLong":352,"profession":353,"weight":354},2976,"Viveta Lobo, MD","\u002Fteachers\u002Fviveta-lobo-md","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cefc-7f09-4a9a-9865-4aeea3cef318","\u003Cspan id=\"docs-internal-guid-57fc7959-7fff-8d74-e680-4d8102bdd254\">Associate Professor, Department of Emergency Medicine at Stanford University Medical Center in California, USA.\u003C\u002Fspan>",{"name":277},507,"\u002Fmagazine\u002Fgestational-age-ultrasound",{"created":357,"updated":358,"published":359},1780168728,1780322380,1780169720,{"seo":361,"og":363},{"title":362,"description":213},"Using mechanical circulatory support | Medmastery",{"title":362,"description":213,"image":364},{"alt":290,"title":290,"size":365,"location":368},{"width":366,"height":367},769,477,{"bucket":294,"key":369},"\u002Fmigrated-images\u002FScreen Shot 2018-07-31 at 6.22.30 pm.png",{"id":371,"created":372,"updated":373,"published":372},245,1533921805,1655189586]