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UPMC Procirca Adult ECLS Training CourseNovember 6 - 9, 2019Cambria Suites Hotel – Pittsburgh Downtown1320 Centre Avenue, Pittsburgh, PA, 15219Program Overview:The UPMC Procirca Adult ECLS Training Course is a 3.5-day course designed for health careprofessionals interested in a foundational education in the care of the adult ECLS patient.Course content includes lecture on topics ranging from understanding the components of theECLS circuit, patient selection, cannulation strategies, management of various ECLS patientgroups to weaning and decannulation. Panel discussions with ECLS experts from UPMC willallow for exploration of topics including complex patient management as well as the morepractical concerns related to creating and maintaining a successful ECLS program. Lecture willbe supported with 12 hours of simulation-based learning, including ECLS circuit basics, a highfidelity ECLS cannulation simulation, handling ECLS emergencies, and high-fidelity casesimulation scenarios to help develop patient management and troubleshooting skills. Hands ontime with multiple ECLS systems will be available.This course has been designed to follow the ELSO Guidelines for Training and ContinuingEducation for adult ECMO Specialists.In support of improving patient care, the University of Pittsburgh is jointly accredited by theAccreditation Council for Continuing Medical Education (ACCME) and the Accreditation Councilfor Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), toprovide continuing education for the healthcare team.PhysiciansThe University of Pittsburgh School of Medicine designates this live activity for a maximum of24.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with theextent of their participation in the activity.Other health care professionalsOther health care professionals will receive a certificate of attendance confirming the numberof contact hours commensurate with the extent of participation in this activity.Perfusionists: This course has been approved by the American Board of CardiovascularPerfusion for 29.2 Category I CEUs.

Course Objectives:Upon completion of the course, learners should be able to: Understand basic principles of ECLSIdentify indications and contraindications for ECLS support in the adult patientHave a foundational understanding of the function of the components of the ECLScircuitUnderstand concerns of managing patients on ECLSDescribe complications that may occur while on ECLS supportUnderstand the cannulation, weaning and decannulation of the ECLS patientRespond to the most common ECLS emergenciesDemonstrate ECLS knowledge in high fidelity simulation scenariosThe information presented at this CME program represents the views and opinions of the individualpresenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMCCenter for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh MedicalCenter or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have beentaken intending for educational subject matter to be presented in a balanced, unbiased fashion andin compliance with regulatory requirements. However, each program attendee must always usehis/her own personal and professional judgment when considering further application of thisinformation, particularly as it may relate to patient diagnostic or treatment decisions including,without limitation, FDA-approved uses and any off-label uses.Course Medical Director:Penny L. Sappington, MDAssociate Professor, Critical Care MedicineMedical Director, Procirca ECMO DivisionUPMC Presbyterian HospitalCourse Co-Director(s):Michael P. Anselmi, CCP, LPECMO Director, UPMC ProcircaUPMC Presbyterian HospitalBrandon D. D’Aloiso, BSE, CCP, LPPerfusionist, UPMC ProcircaUPMC Presbyterian HospitalStephen WinowichPresident, UPMC Procirca

Faculty:Pete Arlia MBA, CCP, LPDirector, Perfusion ServicesUPMC Presbyterian HospitalMegan Bayley RN, BSNSr. Professional Staff Nurse, CTICUUPMC Presbyterian HospitalRobert Dyga RN, CCPVice President, Perfusion OperationsUPMC ProcircaRyan Dzadony M.Ed., CCP, LPDirector, UPMC School of PerfusionUPMC Procirca Perfusion ServicesDanielle Freeman CCP, LPPerfusionistUPMC Presbyterian HospitalMelissa Grayson BS, CCP, LPECMO CoordinatorUPMC Children’s Hospital of PittsburghJane Guttendorf DNP, CRNP, ACNP-BC, CCRNAssistant Professor, Pitt NP ProgramAcute Care Nurse Practitioner SICU and CTICUUPMC Presbyterian HospitalDavid A. Palmer Ed.D. CCP, LPDirector, Perfusion, ECMO, CVOR, CardiacCath LabUPMC Children’s Hospital of PittsburghJennifer Rabuck RN, BSNClinician, CTICUUPMC Presbyterian HospitalRyan Rivosecchi Pharm.D., BCCCPUnit Based Clinical PharmacistUPMC Presbyterian HospitalBrian Rosborough MD, PhDFellow PACCMUPMC Presbyterian HospitalDaniel Rowan, MDFellow PACCMUPMC Presbyterian HospitalPablo Sanchez MD, PhDAssistant Professor, Cardiothoracic SurgerySurgical Director, Lung Transplant and ECMOUPMC Department of Cardiothoracic SurgeryOriana Hunter MD, PhDEngineer, ProcircaUPMC Artificial Heart ProgramChristopher Sciortino MD, PhDAssistant Professor, Cardiothoracic SurgerySurgical Director, Advanced Heart FailureCenterUPMC Department of Cardiothoracic SurgeryWendy James BS, CCP, LPPerfusionistUPMC ProcircaRichard Weinberg MDUPMC Palliative and Supportive InstituteUPMC Presbyterian HospitalNo members of the planning committee, speakers, presenters, authors, content reviewers and/or anyoneelse in a position to control the content of this education activity have relevant financial relationships withany entity producing, marketing, re-selling, or distributing health care goods or services, used on, orconsumed by, patients to disclose.

We gratefully acknowledge support from the following for this activity:Exhibitors:Tandem Life LivaNovaAbbottMedtronic

Course AgendaDay One: Wednesday November 6, 20190700 - 0800Registration and Breakfast0800 - 0830Welcome and Overview of CourseMichael Anselmi CCP0830 - 0900Physiology of ECLSBrian Rosborough MD0900 - 0930Indications/Contraindications for Adult ECLS, Patient Selection CriteriaPenny Sappington MD0930 - 0945BREAK09:45 - 1015Management of the Cardiogenic Shock PatientChristopher Sciortino MD1015 - 1100CannulationPablo Sanchez MD1100 - 1200LUNCH1200 - 1300Management of the Respiratory Failure PatientPenny Sappington MD1300 - 1330Principles of ECLS circuit, Components and DesignBrandon D’Aloiso CCP1330 - 1345BREAKHands on Learning: ECLS Circuit and Cannulation Basics: Visit 4 stations for 45 min each1345 - 1430Station 1: CentrimagWendy James CCP1430 - 1515Station 2: CardioHelpDanielle Freeman CCP1515 - 1525BREAK1525 - 1610Station 3: Basic Cannulation WorkshopPenny Sappington MD, Brandon D’Aloiso CCP, Michael Anselmi CCP1610 – 1655Station 4: RotaflowRyan Dzadony CCP1700ADJOURNMENT DAY ONE

Day Two: Thursday November 7, 20190700 - 0800Breakfast0800 - 0845AnticoagulationPenny Sappington MD0845 - 0915Case StudyRyan Rivosecchi PharmD0915 - 0945Daily Management of the ECLS Circuit by the ECLS SpecialistBrandon D’Aloiso CCP0945 - 1000BREAK1000 - 1030Daily Patient Management of the ECLS Patient by the Bedside RNJenifer Rabuck RN, BSN1030 - 1100Transport on ECLSDavid Palmer EdD, CCP1100 - 1115Intro to SimulationMichael Anselmi CCP1115 - 1215LUNCHHands on Learning: Visit each of the 4 stations for 60 min each.1215 - 1315Station 1: Circuit Checks and Daily MaintenanceDanielle Freeman CCP, Megan Bayley RN, BSN1315 - 1415Station 2: Pressures 101/CRRTPeter Arlia CCP, Jenifer Rabuck RN, BSN1415 - 1430BREAK1430 - 1530Station 3: Cannulation and Initiation of ECLSPenny Sappington MD, Brandon D’Aloiso CCP, Michael P. Anselmi CCP1530 - 1630Station 4: Mechanical Circulatory Support - Temporary VADSOriana Hunter, MD, PhD1630ADJOURNMENT DAY TWO

Day Three: Friday November 8, 20190700 - 0800Breakfast0800 - 0830Ethical ConcernsRichard Weinberg MD0830 - 0900Mechanical and Medical Emergencies: Troubleshooting on ECLSPeter Arlia CCP, LP0900 - 0935ECLS OutcomesJane Guttendorf DNP0935 – 0945BREAK0945 - 1030Hybrid ECLSPenny Sappington MD1030 - 1100Financial Impact of ECLSRobert Dyga CCP Emeritus1100 - 1200LUNCHHigh Fidelity Simulation Sessions – Visit each of the 4 stations for 60 min each.1200 - 1300Station 1:Case Simulation 1 – Oxygenator Failure/ChangeoutDanielle Freeman CCP, Ryan Dzadony CCP1300 - 1400Station 2:Case Simulation 2 – Air Entrainment /Circuit ChangeoutMelissa Grayson CCP, Wendy James CCP1400 - 1415BREAK1415 - 1515Station 3:Case Simulation 3 – Hybrid ECLSPenny Sappington MD, Brandon D’Aloiso CCP, Michael Anselmi CCP1515– 1615Station 4: Mechanical Circulatory Support - Durable VADSOriana Hunter MD, PhD1615ADJOURNMENT DAY THREE1700 – 1900Vendor Reception

Day Four: Saturday November 9, 20190700 - 0800Breakfast0800 - 0830Rehabilitation on ECLSMelissa Grayson CCP0830 – 0900Case ReportWendy James CCP0900– 0930ECLS Program Structure and QIMelissa Grayson CCP0930 – 1000Case ReportDaniel Rowan, MDHigh Fidelity Simulation Sessions – Visit each of the 3 stations for 45 min each.1000 - 1045Station 1: Pump FailureRyan Dzadony CCP, Wendy James CCP1045 - 1130Station 2: ECLS TransportMelissa Grayson CCP, Danielle Freeman CCP1130 - 1230LUNCH1230 - 1315Station 3: VA ECLS ScenarioPenny Sappington MD, Brandon D’Aloiso CCP1315 - 1400Station 4: TandemLife DemonstrationMichael Anselmi, CCP1400COURSE ADJOURNMENT, Q&A

Danielle Freeman CCP, Megan Bayley RN, BSN 1315 - 1415 Station 2: Pressures 101/CRRT Peter Arlia CCP, Jenifer Rabuck RN, BSN 1415 - 1430 BREAK 1430 - 1530 Station 3: Cannulation and Initiation of ECLS Penny Sappington MD, randon D'Aloiso CCP, Michael P. Anselmi CCP 1530 - 1630 Station 4: Mechanical Circulatory Support - Temporary VADS