Responsibilities/Job Description:
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
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Quickly assess the patient to determine if they meet ECPR criteria for refractory cardiac arrest.
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Evaluate pre-hospital patient report to ensure conditions are met.
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Perform emergent, ultrasound or X-ray-guided percutaneous cannulation to insert the ECMO catheters and start the machine.
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Coordinate and lead a multidisciplinary team, including nurses, paramedics, and other specialists, to ensure the ECPR protocol is followed.
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Provide medical/resuscitative therapy to stabilize the patient +/- up to 6 hours peri cannulation resuscitation and critical care management.
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Provide ongoing patient care during transport and during the transition of care to the in-hospital team.
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Manage patients with multi-system issues, including potential neurologic injury and organ failure, as part of the specialized ECPR service.
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Complete the training required to become certified through Center for Resuscitation Medicine training process.
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The physician is expected to be able to fly with helicopters and respond in Emergency Vehicles to the scene and other hospitals.
Required Qualifications
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Doctor of Medicine
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3 years experience in cardiology or critical care
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Licensed or ability to obtain Minnesota board of Medical Practice Licensure board certification
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MMRC for ECMO certification from CRM training program within 180 Days
Preferred Qualifications
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Interventional cardiology fellowship
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Emergency critical care fellowship
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Anes. Critical care fellowship
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Prior ECMO related experience in cannulation and/or management.
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Advanced ECMO fellowship under the MMRC
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Advanced Cardiac Life Support (American Heart Assoc)
