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Written by: Hugh N. Burrill. I collapsed at the gym when a massive pulmonary embolism caused my heart to stop. Unbelievably I survived thanks to a clinical trial delivering an extracorporeal membrane oxygenation (ECMO) heart–lung bypass machine directly to me at the gym. Hopefully out-of- hospital ECMO becomes an accepted emergency strategy to save more lives. JEL Classification: Surgical procedures, operative, Emergency medicine, Health occupations, Vascular diseases, Cardiovascular diseases, Social determinants of health, General medicine.

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The Global Emergency & Critical Care Conference is an annual two-day event comprising two complementary programs: an interactive Capacity Building in Global Emergency Care Workshop and the Global Emergency & Critical Care Symposium. Each can be attended independently or together, allowing participants to tailor their experience. Together, they are designed to equip emergency care providers with the skills, resources and networks to become involved in the development of global emergency care, particularly in resource-limited settings.

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Thank you to everyone who joined us last week for the inaugural Catalyst event. The only thing better than our outstanding speakers was the highly engaged, interprofessional audience representing every corner of critical care. Resuscitation of the Critically Ill — Morning Theme

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Professor Andrew Udy, Deputy Director (Head of Research) The Alfred ICU, speaks with the ABC Health Report about new research revealing the long term consequences faced by people who survive sepsis and septic shock.

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I would like to sincerely thank The Alfred ICU Foundation for supporting my attendance at the AP-ELSO Conference 2026 in Tokyo, Japan. The funding enabled me to attend one of the leading international conferences in extracorporeal life support, bringing together clinicians, researchers, and educators from across the Asia-Pacific region to share advances in ECMO practice, education and research.

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Recently, Dr Ruvini Vithanage presented "Long-term outcomes of patients with persistent critical illness in Australia and New Zealand: Does a longer ICU stay, in itself, cost survival?" at the Alfred Journal Club and the ICU Consultant Meeting. The work has attracted significant interest, and she will also be presenting at the Trainee Meeting during the ANZICS quality and safety CTG meeting in November.

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CCR Belfast is renowned for bringing critical care trials to life through expert discussion and debate.

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Catalyst: Critical Care Ideas in Action fuses potent ideas with practical action. It is built for critical care clinicians of all stripes who want meaningful change to become reality.

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Join leaders in cardiac arrest, resuscitation, advanced mechanical support, and cutting edge research at a focused one day symposium designed to accelerate the delivery of lifesaving care.

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Our latest educational video has arrived: Temporary Pacing Complex Complications! This is the fourth video in the temporary pacing series aimed a staff managing post cardiac surgical temporary pacing.

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