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ForwardCurrent Concepts in Extracorporeal Life Support: Medical Management and High-Fidelity Cannulation Simulations - 2025
This course offers Live (in-person) and Livestream (virtual) attendance options
Course Directors: Gregory J. Schears, M.D., Pramod K. Guru, M.B.B.S., Sanjay Chaudhary, M.B.B.S., and Troy G. Seelhammer, M.D.
December 2 - 5, 2025 - Mayo Clinic - Jacksonville, Florida
Extracorporeal life support (ECLS) is increasingly being used for refractory cardiopulmonary failure and its use in the adult population is gaining attention in clinical practice. The paucity of randomized clinical trials and guidelines has led to significant practice variation when trying to address the challenge of minimizing risk and maximizing benefit. This course provides the necessary framework for management of a patient requiring ECLS through the use of practical case-based scenarios, high fidelity hands-on simulations, and discussion of current hot topics.
To see the course fee, please log in or create an account
*Purchase of General Session is required for each workshop.
Live (in-person) courses have limited registration
| Registration Fee(s) | |
|---|---|
| Pre-Course Workshop* - Live (in-person) | $450 |
| Full Course - Live (in-person) - General Session & High Fidelity Workshop* | $2100 |
| General Session - Live (in-person) | $1350 |
| General Session - Livestream (virtual) | $600 |
Call for Abstracts
Overview: Given the success of the abstract symposia in the last three years, we are pleased to announce that the course will be offering a venue to present abstracts from all medical trainees. Abstracts highlighting topics from within the broad category of temporary mechanical circulatory support will be considered. These can be medically challenging cases, case series, or scientific studies. Abstracts will be reviewed by our course directors and decisions regarding acceptance will be made on a rolling basis. Trainees* with accepted abstracts will receive a discounted course fee ($1,600 for General Session and High-Fidelity Simulation) or ($850 for the 2-day General Session). All abstracts will require presentation at the Wednesday evening e-poster session (Wednesday, December 3 at 5:00pm) to be held at the Kinne Auditorium at Mayo Clinic Jacksonville.
*Non-trainee abstracts will be considered on an individual basis based upon merit and circumstance.
Details for Abstracts:
- Limited to one page
- Divide into Introduction, Methods, Results, Conclusion or Introduction, Case Description, Discussion.
- Include references; limited to 3.
Medically Challenging Cases: Minimum Mechanical Circulatory Support Details
- Indication: pathophysiologic perturbation requiring consideration for ECMO support
- Initiation: configuration including cannulas & device
- Maintenance: relevant settings (ie flow, RPM, inlet/outlet pressures), major complications, any/all reconfigurations
- Pharmacotherapy: anticoagulation, antiplatelet therapies, anti-infectives, immunosuppressants
- Exit Strategy Employed: recovery, alternate MCS, durable device, transplant, decision, death
Submission Deadline: Abstract submission deadline is November 7, 2025.
Notification of Results: All submitting authors will be notified no later than Wednesday, November 12, 2025, if their submission has been selected for the poster session, and details regarding presentation and set-up will follow. All accepted abstract recipients are required to register for the conference to present Live (in-person) and handle their own lodging and travel.
Presentation Date: December 3, 2025, beginning at 5:00 p.m. | Kinne Auditorium at Mayo Clinic – Jacksonville, Florida
*Enclosed is the current agenda and course brochure.
If you are interested in participating, click the link to complete our Abstract Submission Form. Note: Submitters must be logged into https://ce.mayo.edu prior to completing the above submission form. To create a profile, please follow the instructions located here.
Additional instructions on the electronic poster format will be sent to individuals once abstract submissions are accepted. Registration is required for all electronic poster presenters.
Inquiries: For further information, contact Addie Graves/FLACMEabstracts@mayo.edu
Target Audience
ECMO specialists, respiratory therapists, nurses, perfusionists and physicians specializing in critical care medicine, pulmonary medicine, emergency medicine, cardiothoracic surgery, and cardiology. Also, those interested in a foundational education in caring for the ECMO patient may benefit from this course.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Identify the various forms of ECMO support while explaining their individual roles in clinical practice
- Describe anticoagulation, transfusion, and fluid management during ECMO
- Summarize strategies for pharmacotherapy during ECMO
- Discuss hemodynamic assessment of ECMO patients including application of POCUS and TEE in management
- Discuss principles of ethics to delivery of ECMO care
- Evaluate patient selection criteria for initiating various forms of ECMO (VV, VA, ECPR)
- Analyze the integration of ECMO with other mechanical circulatory support devices
- Develop a comprehensive approach to patient management, considering factors such as indications, contraindications, and potential synergies between modalities
- Assess the optimal cannulation strategy for each scenario to enhance patient outcomes
Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.
Pre-Course Workshop – Additional Registration Required Hands On Point-of-Care Ultrasound & Transesophageal Echocardiography for Optimizing the Care of Extracorporeal Membrane Oxygenation Patients Tuesday, December 2nd, 2025 Simulation Center (In-Person Only) | |
7:00 a.m. | Registration & Continental Breakfast |
7:50 | Opening Remarks Hari Kalagara, MBBS, MD; Govind Panda, MD |
8:00 | Basic Cardiac and Lung Ultrasound Carla Venegas, MD |
8:30 | Hands on Session Carla Venegas, MD; Juan Ripoll Sanz, MD |
9:30-9:45 a.m. | Break |
9:45 | Advanced Cardiac Views Hari Kalagara, MBBS, MD |
10:00 | Hemodynamics and VExUS Nathan Waldron, MD |
10:30 | Hands on Session Juan Ripoll Sanz, MD; Nathan Waldron, MD; Govind Panda, MD; Hari Kalagara, MBBS, MD |
12:00-1:00 p.m. | Lunch |
1:00 | Basic TEE TBA |
1:15 | Advanced TEE Wesley Allen, MD |
1:30 | Hands on Session TBA; Jon Christensen, MD, J. Ross Renew, MD |
2:30 | Break |
2:45 | POCUS for ECMO Govind Panda, MD |
3:15 | Vascular Ultrasound Juan Ripoll Sanz, MD |
3:30 | Hands on Session Jon Christensen, M.; J. Ross Renew, MD; Nathan Waldron, MD; Ricardo Diaz Milian, MD |
4:30 p.m. | Concluding Remarks/Q&A |
Wednesday, December 3rd, 2025 Mayo Clinic Kinne Auditorium – Cannaday Building (In-Person & Livestream) | |
7:00 a.m. | Registration, Continental Breakfast & Exhibit Hall |
7:20 | Welcome & Course Highlights Gregory Schears, MD |
7:30 | ECMO History and Overview Gregory Schears, MD |
ECMO Introduction | |
8:00 | ECMO Nuts & Bolts: Basics of Cannulas, Oxygenators, Pumps, & Configurations Heidi Dalton, MD |
8:30 | Management of VV-ECMO Kyle Bohman, MD |
9:05 | Essentials of Anticoagulation during ECMO Troy Seelhammer, MD |
9:35-9:45 a.m. | Break & Exhibits |
9:45 | Avoiding the “Bloody Mess”: Transfusion and ECMO Sanjay Chaudhary, MBBS |
10:15 | ECPR Rational/Trials Pramod Guru, MBBS, MD |
10:45 | Cannulation Reassessment and Reconfiguration Nishant Saran, MD |
11:15 | ECMO program Design and Development Troy Seelhammer, MD & Gregory Schears, MD |
11:50-12:45 p.m. | Lunch Break & Exhibits Optional Non-CME Session: Medtronic Vitalflow- with Matt Sweeney |
Afternoon Simulations/Small Groups Mayo Clinic Kinne Auditorium – Cannaday Building | |
Rotation #1 1:00 – 1:45 | A. Selection – (Kinne A) Gregory Schears, MD / Michael Nemergut, MD, PhD / Pablo Moreno Franco, MD |
Rotation #2 1:50 – 2:35 | B. Hemostatic Management – (Kinne B) Troy Seelhammer, MD / Anna Shapiro, MD / Allison Strong, RN |
Break 2:35– 2:50 | |
Rotation #3 2:50 – 3:35 | C. ECPR: Emergent Initiation, DPC, Approaches for Optimization, Disposition – (Kinne 1106) Alex Finch, MD / Pramod Guru, MBBS, MD / Jill Zimmerman, RN |
Rotation #4 3:40 – 4:25 | D. Hypoxia on VV ECMO – (Kinne 1107) Sanjay Chaudhary, MBBS, MD / Ryan Craner, MD / Layton White Jr, PA-C |
4:30 – 4:40 p.m. | Q&A & Debrief |
5:00 – 6:00 p.m. | Fellow Abstract Presentations and Welcome Reception at the Kinne Auditorium |
Thursday, December 4th, 2025 Mayo Clinic Kinne Auditorium – Cannaday Building (In-Person & Livestream) | |
ECMO Intermediate | |
6:45 a.m. | Continental Breakfast & Exhibit Hall |
7:00 | Levers to Pull: Vasoactive Pharmacotherapy Optimization Troy Seelhammer, MD |
7:25 | Heart Failure: Physiology and Management Parag Patel, MD |
7:50 | Application of Pharmacotherapy on ECMO Patrick Wieruszewski, PharmD, RPh |
8:20 | RV dysfunction and ECMO John Haney, MD, MPH |
8:50 | ECMO and Heart / Lung Transplant Parag Patel, MD |
9:20-9:35 a.m. | Break & Exhibits |
Mechanical Circulatory Support Rapid Fire | |
9:35 | Role of AI in ECMO Anirban Bhattacharyya, MD, MS |
9:50 | LV Vent: Who, What, Where, When, & How Trina Augustin, MD |
10:05 | What About the Liver and Kidneys? – CRRT and MARS on ECMO (Virtual) Nathan Peffley, MD |
10:20 | Contemporary Role of ECMO in Lung Transplant Juan Ripoll Sanz, MD |
10:35 | ECCO2R: Is it Still an Option? Thomas Comfere, MD |
10:50-11:05 a.m. | Break & Exhibits |
11:05 | ECMO beyond the conventional indications – toxicology, upper airway procedures, thoracic procedures TBA |
11:20 | Role of ECMO in Obstetrics Juan Ripoll Sanz, MD |
11:35 | Role of ECMO in Sepsis Juan Diaz Soto, MD |
11:50 | ECMO for PE TBA |
12:05 | Play Nice – Mixed Mechanical Circulatory Support Devices & ECMO, ECPELLA Trina Augustin, MD |
12:20-12:45 p.m. | Lunch & Exhibits |
Afternoon Simulations/Small Groups Simulation Center – Stabile Building | |
Rotation #1 1:00 – 1:45 | A. LV Venting Strategies: Who, What, When, & Where – (Learning Center A) Trina Augustin, MD / Thomas Brown, CCP / Stephanie Zhang, APRN |
Rotation #2 1:50 – 2:35 | B. Circuit Emergencies – (ICU) Bhavesh Patel, MD / James Johnson, Jr, CCP / Megan Osterhaus, RN / Pramod Guru, MBBS, MD / Joseph Shiber, MD |
Break 2:35 – 2:50 | |
Rotation #3 2:50 – 3:35 | C. Wet/Wet Connection, Sterile Thrombus Removal, Cannula Securement – (PSL) Gregory Schears, MD / Tammy Friedrich, MSN, RN / Ryan Craner, MD / Pavel Mishin, CCP |
Rotation #4 3:40 – 4:25 | D. Trial Off (with ECHO Assessment) / ECMO Removal – (Learning Center B) Ricardo Diaz Milian, MD / Juan Ripoll Sanz, MD / Layton White Jr, PA-C |
4:30 – 4:40 p.m. | Q&A & Debrief |
4:40 p.m. | Adjourn |
Friday, December 5th, 2025 Mayo Clinic Simulation Center – Stabile Building (In-Person Only) | |
7:30 a.m. | Special Session: Continental Breakfast with the Experts Join our faculty for breakfast to discuss DPC, integrate simulation at your center, to cath or not to cath, financial considerations/implications/billing, staffing controversies & bridging strategies |
8:00 | Introduction to the Day Troy Seelhammer, MD |
8:05 | Live Guided Case Discussions with Experts (Learning Center B) Moderator: Troy Seelhammer, MD, Trina Augustin, MD, Nishant Saran, MD |
High Fidelity Simulations * Rotating Groups; All Attendees Participate in Every Session | |
Rotation #1 9:00 – 9:50 | A. Cannulation Basics – (Procedural Skills Lab) Gregory Schears, MD / Trina Augustin, MD / Allison Strong, RN / Ruggero Bruzzone, CCP / Pavel Mishin, CCP |
Rotation #2 10:00 – 10:50 | B. VV ECMO Cannulation – (Emergency Department) Randy Mielke, MD, MPH, / PJ Spencer, MD / Sanjay Chaudhary, MBBS / James Johnson, Jr, CCP / Jill Zimmerman, RN / Megan Osterhaus, RN |
Rotation #3 11:00 – 11:50 | C. Extended Reality –VR; AR TEE; Immersive Table – (Learning Center A&B) Jonathan Morris, MD (VR) / Troy Seelhammer, MD / Nishant Saran, MD (Immersive Table), Govind Panda, MD / TBA (TEE) |
12:00 - 12:30 | Lunch with Q&A |
High Fidelity Simulations * Rotating Groups; All Attendees Participate in Every Session | |
Rotation #1 12:45 – 1:50 | A. ECPR Simulations and Debrief – (Procedural Skills Lab) John Haney, MD, MPH / Trina Augustin MD / Alex Finch, MD / Ruggero Bruzzone, CCP / Pavel Mishin, CCP |
Rotation #2 2:00 – 3:05 | B. Circuit Reconfiguration: Each Portion 30-min duration – (Emergency Department) Medical: Quintin Quinones, MD, PhD / Jill Zimmerman, RN / Thomas Brown, CCP Surgical: Sanjay Chaudhary, MBBS / Tammy Friedrich, MSN, RN / Layton White Jr, PA-C / Megan Osterhaus, RN |
Rotation #3 3:15 – 4:20 | C. Non-Emergent Cannulation (Periprocedural, Bridge to Transplantation) – (OR) Nishant Saran, MD / Pablo Moreno Franco, MD / Troy Seelhammer, MD |
4:20 – 5:00 | Q&A and Debrief |
5:00 p.m. | Adjourn |
Jacksonville International Airport (JAX) is located 45 minutes from Mayo Clinic. Taxis and rental cars are readily available at the airport. Transportation is highly recommended, as the campus is not within walking distance to many dining locations. Attendees are responsible for their own reservations and travel arrangements.
Located on the Mayo Clinic Campus:
Hilton Jacksonville at Mayo Clinic
4745 Transformation Way
Jacksonville, FL 32224
904-929-9000
Mayo Clinic Courtyard by Marriott
14390 Mayo Blvd.
Jacksonville, FL 32224
800-321-2211
For those seeking off-campus accommodations, some recommendations include but are not limited to:
Four Points by Sheraton Jacksonville Beachfront
11 First Street North
Jacksonville Beach, FL 32250
904-435-3535
Located five miles from the Mayo Clinic campus
Hampton Inn Jacksonville Beach/Oceanfront
1515 First Street North
Jacksonville Beach, FL 32250
904-241-2311
Located six miles from the Mayo Clinic campus
Ponte Vedra Inn & Club
200 Ponte Vedra Blvd.
Ponte Vedra, FL 32082
888-839-9145
Located six miles from the Mayo Clinic campus
One Ocean Resort & Spa
1 Ocean Blvd
Atlantic Beach, FL 32233
800-874-6000
Located eight miles from the Mayo Clinic campus
Sawgrass Marriott Golf Resort & Spa
1000 PGA Tour Blvd
Ponte Vedra Beach FL, 32082
904-285-7777
Located 10 miles from the Mayo Clinic campus
Contact your hotel of interest about a possible Mayo Clinic business rate. You may also view www.visitjacksonville.com for additional accommodations as well as recreation and leisure activities.
Travel
Mayo Clinic School of Continuous Professional Development is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.
Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Credit Statement(s):
AMA
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 30.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AAPA
Mayo Clinic College of Medicine and Science has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 30.00 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
ANCC
Mayo Clinic College of Medicine and Science designates this activity for a maximum of 30.00 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
AOA
The American Osteopathic Association designates this program for a maximum of 30.00 AOA Category 2-A credits.
IPCE
This activity was planned by and for the healthcare team, and learners will receive 30.00 Interprofessional Continuing Education (IPCE) credit for learning and change.
Other Healthcare Professionals:
A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations.
| Course / Day | Credit |
|---|---|
| Pre-Course Workshop* / Tuesday | 7.00 |
| General Session / Wednesday & Thursday | 14.75 |
| High Fidelity Workshop* / Friday | 8.25 |
| Total | 30.00 |
*Purchase of General Session is required for each workshop.
For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.
Available Credit
- 30.00 AAPA Category 1
- 30.00 AMA PRA Category 1 Credit™
- 30.00 ANCC
- 30.00 AOA
- 30.00 Attendance
- 30.00 IPCE
In response to company inquiries, we are excited to share that Caring for the Cancer Patient 2025 course has expanded its commercial support offerings to include a variety of sponsorship opportunities! Please review our commercial support prospectus (PDF).
If you are interested in exhibiting only, please complete the Letter of Agreement.
If you are interested in Sponsoring or hosting a Non-CME Educational Product Theatre please email Addie Graves.
Please DO NOT register as an attendee for the conference unless claiming CME credit.
Exhibit space is not confirmed until a representative is notified by a member of the mayo Clinic School of Continuous Professional Development. Exhibitors do not have to register as attendees for the conference. Signed agreements will not be accepted via email.
To see the course fee, please log in or create an account
*Purchase of General Session is required for each workshop.
Live (in-person) courses have limited registration
| Registration Fee(s) | |
|---|---|
| Pre-Course Workshop* - Live (in-person) | $450 |
| Full Course - Live (in-person) - General Session & High Fidelity Workshop* | $2100 |
| General Session - Live (in-person) | $1350 |
| General Session - Livestream (virtual) | $600 |
Please update your profile to let us know if you have dietary restrictions or access requirements.
To claim credit for livestream participation in this course, learners must view the content during the hours posted for the live activity. This course is not approved for on-demand delivery.
Commitment to Belonging and Inclusion
Mayo Clinic School of Continuous Professional Development (MCSCPD) strives to foster a learning environment in which all individuals are valued, allowing all to achieve their fullest potential.
Cancellation and Refund Policy
View Cancellation and Refund Policy
All requests must be submitted in writing using the Contact Us Form.
Any use of this site constitutes your agreement to the Terms and Conditions of Registration.