Hey, folks, Scott Weingard here, bringing you a CV cardiovascular MCRIT Wii.

Now, a few weeks ago, Trina and I did an episode on Electrical Storm.

All things, electrical storm leading up to the need for mechanical circulatory support.

And we stopped the episode at that point.

This one's a little different.

This one is specifically for electrical storm on patients already on VA ECMO.

And this will be of particular interest to cardiovascular intensivists.

Though, you know, anyone who has an interest in the subject matter may get some stuff out of this.

But really, this is for a very subset population of

the MCRID audience. So this is for people who are managing patients on VA ECMO already and what

happens when they tip into electrical storms. So let's get right into it. Now we are on part two.

Let's do it. All right. Trina, welcome back.

This is now part two of our electrical storm series here on cardiovascular M-crit. You're going to be

in the driver's seat on this one because there's a lot here and you got to tell me which way we should go.

So let's get right into it. Trina, you have a patient. You thought you solved the problem. You put them on VA ECMO for goodness sake. And now that you're going to tell me we still have to worry about electrical storm, this is just torture now. Who is this going to happen on, I guess, is where we start, and then we could go from there. Especially for this part, I'm thinking of this. If you were the cardiovascular intensities, yes, maybe the person got put on for electrical

store.

But actually, a lot of times, these are actually patients that were put on the Ayakromo for a different reason.

So maybe it was your post-cardiac surgery patient that couldn't separate from bypass.

Maybe it was the cardiac ICU patient that has an end-stage cardiomyopathy that our plan is to bridge to advanced therapy is like an LVAD or a heart transplant.

And now suddenly you're thinking, we're on VAFMO, but you are sitting here in electrical store.

And the question is, how do I approach these patients?

Some things are going to be similar to part one of the podcast, and some things

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