1. Safety & Essentials


  1. How to use this guideline?


The purpose of this document is to standardise management of patients receiving ECMO in ICU. It is meant to provide a guide for the safe practice of ECMO at The Alfred ICU. It contains references to current equipment and staffing practices at The Alfred but also relies heavily on the local system and experience that may not apply in an alternate environments.


  1. Disclaimer


This guideline is freely available to assist our own staff and others in the care of ECMO patients, however it does not replace individual clinician judgement and responsibility at the bedside. This is particular important if this guideline is used outside the Alfred Hospital and all liability and applicability lies with the external user. ECMO expertise and safe ECMO care can not be inferred be following this guideline.


  1. Staff governance


An overview of the staffing roles, responsibilities and training requirements are contained in the

  • ECMO Clinical Service Structure and Scope of Practice


The current initial credentialing process for consultant intensivists include completion of the ECMO course, ECMO Competency Course Presentations, individual introduction and assessment of knowledge and practical skills. In addition the ARV retrieval competency package.


For ongoing credentialing the following targets are set and reviewed on an annual basis:

  • 5 cannulations

  • Teaching activities - ECMO course/ SR teaching

  • Circuit priming HLS/ PLS

  • ARV (Adult Retrieval Victoria) credentialing


ECMO activities are recorded by each individually consultant online under ECMO activities.

© Alfred ICU 2018