The Southern California Extracorporeal Membrane Oxygenation Consortium During the Coronavirus Disease 2019 Pandemic.

Disaster Medicine and Public Health Preparedness
Mazen OdishTravis Pollema

Abstract

In March 2020, at the onset of the coronavirus disease 2019 (COVID-19) pandemic in the United States, the Southern California Extracorporeal Membrane Oxygenation (ECMO) Consortium was formed. The consortium included physicians and coordinators from the 4 ECMO centers in San Diego County. Guidelines were created to ensure that ECMO was delivered equitably and in a resource effective manner across the county during the pandemic. A biomedical ethicist reviewed the guidelines to ensure ECMO use would provide maximal community benefit of this limited resource. The San Diego County Health and Human Services Agency further incorporated the guidelines into its plans for the allocation of scarce resources. The consortium held weekly video conferences to review countywide ECMO capacity (including census and staffing), share data, and discuss clinical practices and difficult cases. Equipment exchanges between ECMO centers maximized regional capacity. From March 1 to November 30, 2020, consortium participants placed 97 patients on ECMO. No eligible patients were denied ECMO due to lack of resources or capacity. The Southern California ECMO Consortium may serve as a model for other communities seeking to optimize ECMO resources during the c...Continue Reading

References

Sep 14, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Amy KajiTareg Bey
Oct 14, 2009·JAMA : the Journal of the American Medical Association·UNKNOWN Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Influenza InvestigatorsMarc Ziegenfuss
Aug 14, 2019·JAMA : the Journal of the American Medical Association·Daniel BrodieAlain Combes
Feb 20, 2020·JAMA : the Journal of the American Medical Association·Graeme MacLarenDaniel Brodie
Jul 29, 2020·Critical Care : the Official Journal of the Critical Care Forum·Elliott WorkuKiran Shekar

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