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Submission content Introduction: An unusual case of a very young patient without previously known cardiac disease presenting with severe left ventricular failure, detected by a point of care echocardiogram. Main Body: A 34 year old previously well man was brought to hospital after seeing his general practitioner with one month of progressive shortness of breath on exertion. This began around the time the patient received his second covid-19 vaccination. He was sleeping in a chair as he was unable to lie flat. Abnormal observations led the GP to call an ambulance. In the emergency department, the patient required oxygen 5L/min to maintain SpO2 >94%, but he was not in respiratory distress at rest. Blood pressure was 92/53mmHg, mean 67mmHg. Point of care testing for COVID-19 was negative. He was alert, with warm peripheries. Lactate was 1.0mmol/L and he was producing more than 0.5ml/kg/hr of urine. There was no ankle swelling. ECG showed sinus tachycardia. He underwent CT pulmonary angiography which demonstrated no pulmonary embolus, but there was bilateral pulmonary edema. Troponin was 17ng/l, BNP was 2700pg/ml. Furosemide 40mg was given intravenously by the general medical team. Critical care outreach asked for an urgent intensivist review given the highly unusual diagnosis of pulmonary edema in a man of this age. An immediate FUSIC Heart scan identified a dilated left ventricle with end diastolic diameter 7cm and severe global systolic impairment. The right ventricle was not severely impaired, with TAPSE 18mm. There was no significant pericardial effusion. Multiple B lines and trace pulmonary effusions were identified at the lung bases. The patient was urgently discussed with the regional cardiac unit in case of further deterioration, basic images were shared via a cloud system. A potential diagnosis of vaccination-associated myocarditis was considered,1 but in view of the low troponin, the presentation was felt most likely to represent decompensated chronic dilated cardiomyopathy. The patient disclosed a family history of early cardiac death in males. Aggressive diuresis was commenced. The patient was admitted to a monitored bed given the potential risk of arrhythmia or further haemodynamic deterioration. Advice was given that in the event of worsening hypotension, fluids should not be administered but the cardiac centre should be contacted immediately. Formal echocardiography confirmed the POCUS findings, with ejection fraction <35%. He was initiated on ACE inhibitors and beta adrenergic blockade. His symptoms improved and he was able to return home and to work, and is currently undergoing further investigations to establish the etiology of his condition. Conclusion(s): Early echocardiography provided early evidence of a cardiac cause for the patient's presentation and highlighted the severity of the underlying pathology. This directed early aggressive diuresis and safety-netting by virtue of discussion with a tertiary cardiac centre whilst it was established whether this was an acute or decompensated chronic pathology. Ultrasound findings: PLAX, PSAX and A4Ch views demonstrating a severely dilated (7cm end diastolic diameter) left ventricle with global severe systolic impairment.
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IMPACTThis article explores the consequences of emotional labour on UK NHS ambulance staff and their response to the Covid-19 pandemic. It highlights the challenges faced by ambulance crews while dealing with their emotional labour within the context of organizational settings. Research findings also explain the importance of emergency responders' psychosocial wellbeing. The article has clear relevance as to how frontline staff manage their emotional labour in other emergency service settings, such as the police and fire and rescue services.Alternate :Managing emotions are essential aspect of many jobs, and frontline healthcare workers have to manage and control their emotions while caring for critically ill patients and working in an emotionally-charged dynamic environment;this was particularly the case during Covid-19. Ambulance workers are an important group in this respect but they are currently under-researched. Evidence behind this article comes from data collected from an NHS ambulance trust in England. One of the key contributions of this article is to highlight how frontline ambulance professionals manage their emotional labour while working within the stipulations of organizational constraints.
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Objective: Multiple major health organisations recommend the use of extracorporeal membrane oxygenation (ECMO) support for COVID-19-related acute hypoxaemic respiratory failure. Method(s): From march 2020 to november 2021 we done 108 veno-venous ECMO therapies. 35 patients required implantation immediately in intensive care unit in place of call by mobile ECMO team. Depend from distance of call it was used medical ambulance, rescue helicopter or medical plane. Result(s): In the first analyzed period (March-December 2020), 90-day mortality was 41%. 8 (7.6%) patients were discharged from the Intensive Care Unit. The remaining 3 (4.2%) were discharged home. 7 patients (6.6%) had both lung transplants. 7 patients (6.6%) required conversion to VV-A ECMO therapy due to the development of acute heart failure. Conclusion(s): In the analyzed period of March-December 2020, the mortality was 41%. As a result, the lower effect of regression of consolidation and inflammatory lesions of lung tissue indicates that ECMO therapy remains the treatment method in high-risk patients as a bridge therapy to lung transplantation.
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Objective: A pandemic is an epidemic of an infectious disease that has spread across a large region of the world and affects many people. In this study, it was aimed to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on ambulance use by pediatric patients in Ankara Province, Turkey. Material and Methods: This retrospective study was conducted in the spring-summer of 2019 and 2020. The electronic medical records of pediatric patients who were transported to the hospital by ambulance were analyzed. Results: It was determined that 49.6% of the 23.201 patients included in the study were transported during the pandemic period. Male gender was higher in both the pandemic and pre-pandemic periods, there was no difference in terms of average age. The rate of forensic cases and refugee patients increased, while that of emergency patients decreased. Both the arrival at the scene time and intervention time were prolonged. Medical cause was the most common cause of emergency calls in both years, however, it increased significantly in 2020. The decrease in cases of traffic accidents, suicides, and other accidents was statistically significant. In the pandemic period, total rate of COVID-19 infection and suspicion was 29.7%. Most of the patients had been referred to a public hospital. Conclusion: It was found that most of the ambulances were used for transporting patients with minor illnesses that did not require immediate medical attention in pandemic period. (English) [ FROM AUTHOR] Amaç: Pandemi, dünyanın geniş bir bölgesine yayılan ve birçok insanı etkileyen bulaşıcı hastalık salgınıdır. Bu çalışmada, Türkiye'nin Ankara ilinde, 2019 koronavirüs hastalığı (COVÍD-19) pandemisinin çocuk hastaların ambulans kullanımına etkisinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Bu retrospektif çalışmada 2019 ve 2020 yıllarının bahar-yaz aylarında ambulans ile hastaneye nakledilen çocuk hastaların elektronik tıbbi kayıtları incelendi. Bulgular: Çalışmaya alınan 23201 hastanın %49.6'sının pandemi döneminde nakledildiği belirlendi. Erkek cinsiyet hem pandemi hem de pandemi öncesi dönemlerde daha yüksekti, yaş ortalamaları açısından fark yoktu. Pandemi döneminde adli vaka ve mülteci hasta oranı artarken, acil hasta oranı azaldı. Hem olay yerine gelme süresi hem de müdahale süresi uzadı. Medikal nedenler her iki yılda da en sık acil çağrı nedeniydi, ancak 2020'de önemli ölçüde arttı. Trafik kazası, özkıyım ve diğer kaza vakalarındaki azalma istatistiksel olarak anlamlıydı. Pandemi döneminde toplam kesin ve şüpheli COVÍD-19 enfeksiyonu oranı %29.7'di. Hastaların çoğu devlet hastanesine sevk edildi. Sonuç: Pandemi döneminde ambulansların çoğunun acil tıbbi müdahale gerektirmeyen hafif hastalığı olan hastaları taşımak için kullanıldığı tespit edildi. (Turkish) [ FROM AUTHOR] Copyright of Journal of Pediatric Disease / Cocuk Hastaliklari Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Objectives: During COVID pandemic, ECMO support for the patients with ARDS have saved many lives. Although its an important and effective treatment modality, management of ECMO could be done in a few specialized centers. In this study, we share our in- and out-of-city ECMO transport experience of the patients with COVID-ARDS. Method(s): A total of 75 patients (57% male- 43 %female) were included in this study. The decision ECMO support, initiation at referral hospital, and transport process of all of the patients to our centre were performed by our mobile ECMO team. All transports were done by land ambulance Results: Mean age of the patients was 43.4+/-11.5 years. Mean intubation period before ECMO support was 8.5 +/-8.3 days. We transferred 14 patients from the centers within the city and 12 patients from the centers outside the city to our hospital. Mean distance between our center and the referral center was 36,2 kms (max 269- min 1). We did not experience any major complication during transport. A total of 30 patients (38,6 %) were weaned from ECMO and discharged from hospital. Conclusion(s): ECMO support is an advanced treatment modality for pulmonary failure patients. The decision of initiation, cannulation, transport and management should be performed by experienced centers to achive acceptable results.
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: Emergency medical services (EMS) aims to deliver timely ambulatory care to incidents in communities. However, the operations of EMS may contend with suddenly increasing demands resulting from unexpected disasters such as disease outbreaks (e.g., COVID-19) or hurricanes. To this end, it usually requires better strategical decisions to dispatch, allocate, and reallocate EMS resources to meet the demand changes over time in terms of demographic and geographic distribution of incidents. In this study, we focus on the operation of the EMS resources (i.e., ambulance dispatch) in response to a demand disruption amid the COVID-19 pandemic. Specifically, we present a analytical framework to (1) analyze the underlying demographic and geographic patterns of emergency incidents and EMS resources;(2) develop a mathematical programming model to identify potential demand gaps of EMS coverage across different districts;and (3) provide a remedial reallocation solution to the EMS system with the existing ambulance capacity. The proposed method is validated with emergency response incident data in New York City for the first COVID-19 surge from March to April 2020. We found that it takes a long incident response time to scenes which reflects unexpected incident demands during COVID-19 surge. To cover such disruptive demands, ambulances need to be reallocated between service districts while meeting the response time standard. The proposed framework can be potentially applied to similar disruptive scenarios in the future and other operational systems disrupted by other disasters. Highlights: We propose an analytical framework using optimization modeling and simulation techniques for EMS resource allocation in response to a demand disruption amid the COVID-19 pandemic.We propose mathematical programming models to identify potential demand gaps of EMS coverage across different districts.We provide a remedial reallocation solution to the EMS system with the existing ambulance capacity. © 2023, The Author(s).
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This is the first study investigating the determinants of mental health among Japanese firefighters with the COVID-19 outbreak. Firefighters who respond to emergency calls and administer emergency medical treatment face numerous serious threats to their mental health because of the spread of COVID-19. These threats range from significant infection risks to changes in daily operations. We conducted an online questionnaire survey with Japanese firefighters (n = 2,748, valid responses = 2,204) who also served as ambulance workers during the second COVID-19 wave in August 2020. The questionnaires inquired about personal and occupational demographics, occupational stress resulting from COVID-19, social support, germ aversion using a subscale of tire Perceived Vulnerability to Disease (PVD) scale, and the General Health Questionnaire (GHQ-12). The results indicated that the burdens of infection prevention, anxiety about infection and furloughs, interpersonal conflicts related to COVID-19, reduced social support, and germ aversion were associated with deterioration of mental health. Measures for maintaining the mental health of firefighters are discussed based on these results. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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A well-planned pandemic protocol and define emerging risk preparedness checklist during pandemic help to ensure the shutdown is conducted safely and well efficiently so that manufacturing sites can be returned to normal operation as per defined timeline. As such we have implemented shutdown protocol to mitigate Occupational Health Hazards risk. The major challenge to manage the large workforce and additionally prevention of COVID 19 spread among workforces. COVID 19 risk management is a proactive preparedness which was included in revised shutdown protocol and implanted across all sites. This strategy would be great help to mitigate the risk and successfully completion of shutdown at respective manufacturing location. Methods & Guidelines: Methods: To managed shutdown risk management during a pandemic, the following methodology was considered during planning. * The first step was virtual meeting with the plant team to understand the shutdown job, list of hazardous activities, the number of the workforce, days of shutdown, etc. * The second step was to plan a Sustainable COVID 19 management program including testing and create a Bio bubble for all the employees and business partners involved in the shutdown. * The third step was to determine potential exposure to chemical, physical and biological agents, including medical OH requirements, the review of existing control measures. * The fourth step was to verification, planning, and execution of all requirements in the prescribed checklist and plant round to identify any gaps followed by a plant shutdown meeting. Result(s): Pandemic Management protocol and defined OH-IH emerging risk preparedness checklist during the pandemic had helped to ensured that Shutdown activities were well managed with proactive control program and robust system. Emerging risk details of one of the manufacturing sites are mentioned below. * Total no of workforce health screening: 25000 Nos Approx. * 24x7 ACLS ambulance with medical officer and nursing staff a defined job location * RT PCR testing before entry and periodic testing * Availability of antidotes & Safety Data Sheet * Basic first-aider training and shift wise availability * Arrangement of accommodation (Bio Bubble) till completion of shutdown Conclusion(s): Modified shutdown protocol with inclusion of COVID 19 management is great tool/approach to mitigate OH hazard including COVID 19 in shutdown and comprehensive monitoring of hazardous activities. The recommended control measures would help to ensure the next turnaround project will be completed with a well-defined checklist having all controls in place.
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Background The onset of the coronavirus pandemic (COVID-19/SARS-CoV-2) saw an overall decline in traffic. Fundamental shifts in the pattern of traffic-related traumas were observed across the United States and beyond. Objectives This study aims to predict changes in the length of stay (LOS) for patients sustaining traumatic moving injuries before and during the coronavirus pandemic. Methods All moving injuries (bicycle accidents, pedestrians struck, motor vehicle/motorcycle accidents) before and during the first SARS-CoV-2 wave in the US were extracted from our hospital's trauma registry. The study period was from March 1st to October 31st of 2019 and 2020, respectively. Ordinary least squares (OLS) multilinear regression models were estimated with a significance level of 0.05. Results In both periods, the Glasgow coma scores (GCS), ICU LOS, injury severity scores (ISS), and admitting service had significant impacts on hospital duration. Higher GCS scores increased the hospital LOS by 0.811 days in 2019 and 0.587 days in 2020. A higher ISS resulted in an increase in LOS by 0.207 days in 2019 and 0.124 days in 2020. The ICU admissions increased LOS by 0.82 days in 2019 and 1.25 days in 2020. Admissions to trauma services increased in duration by 2.111 days in 2019 and 1.379 days in 2020. Average LOS dropped from 3.09 to 2.50 days between both periods. Conclusion Our trauma center saw significant changes in the admission patterns of moving injuries during COVID-19. We must therefore be better prepared to handle increased volume during public health emergencies and potential reductions in trauma utilization. Local injury prevention efforts may help reduce the burden on trauma centers during such emergencies as they did during COVID-19, allowing for greater focus on non-trauma patients.
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BACKGROUND: Melghat in India is a hilly, forested, difficult to access, impoverished rural area in northeast part of Maharashtra (Central India) with difficult healthcare access. Melghat has very high Mortality rates, because of grossly inadequate medical facilities. (1) Home deaths contribute to 67% of deaths,(2) which are difficult to track and where cause of death is mostly unknown. METHODS: A feasibility study was carried out in 93 rural villages and 5 hospitals to assess feasibility of tracking real-time community mortality and to ascertain cause of death in 0-60 months and 16-60 years age group using Minimal Invasive Tissue Sampling (MITS) in purpose-modified ambulance. We used the network of village health workers (VHW)s, to establish real-time community mortality tracking. Upon receipt of reports of home death, we performed MITS within 4 h of death in the vicinity of the village. RESULTS: We conducted 16 MITS. Nine, in MITS ambulance in community and seven at MAHAN hospital. The acceptance rate of MITS was 59.26%. Standard operating procedure (SOP) of conducting community MITS in an ambulance, is established. Major challenges were, Covid19 lockdown, reluctance of tribal parents for consent for MITS due to illiteracy, superstitions and fear of organ removal. Ambulance was an easy to reach transport means in remote area, provided a well-designed and discrete facility to perform MITS in community, winning the confidence of bereaved family. This has reduced time interval between time of death and performing MITS. CONCLUSIONS: MITS in purpose-modified Ambulance can be used worldwide for community MITS especially in areas which are remote and lack healthcare access. This solution needs to be assessed in different cultural settings to document culture specific issues.
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The outbreak of the COVID-19 epidemic has had a significant impact in increasing the number of emergency calls, which causes significant problems to emergency medical services centers (EMS) in many countries around the world, such as Saudi Arabia, which attracts a huge number of pilgrims during pilgrimage seasons. Among these issues, we address real-time ambulance dispatching and relocation problems (real-time ADRP). This paper proposes an improved MOEA/D algorithm using Simulated Annealing (G-MOEA/D-SA) to handle the real-time ADRP issue. The simulated annealing (SA) seeks to obtain optimal routes for ambulances to cover all emergency COVID-19 calls through the implementation of convergence indicator based dominance relation (CDR). To prevent the loss of good solutions once they are found in the G-MOEA/D-SA algorithm, we employ an external archive population to store the non-dominated solutions using the epsilon dominance relationship. Several experiments are conducted on real data collected from Saudi Arabia during the Covid-19 pandemic to compare our algorithm with three relevant state-of-art algorithms including MOEA/D, MOEA/D-M2M and NSGA-II. Statistical analysis of the comparative results obtained using ANOVA and Wilcoxon test demonstrate the merits and the outperformance of our G-MOEA/D-SA algorithm.
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Introduction: In 2020, stroke and ambulance clinicians in North Central (NC) London and East Kent introduced prehospital video triage, which permitted stroke specialist assessment of suspected stroke patients on scene. Key aims included reducing conveyance of non-stroke patients to stroke services and reducing transmission of Covid-19. Method(s): Rapid, mixed-method evaluation of prehospital video triage in NC London and East Kent (conducted July 2020-September 2021), drawing on: * Interviews with ambulance and stroke clinicians (n=27);observations (n=12);documents (n=23). * Survey of ambulance clinicians (n=233). * Descriptive analysis of local ambulance conveyance data (n=1,400;April-September 2020). * Difference-in-differences regression analysis: team-level national audit data, assessing changes in delivery of clinical interventions in NC London and East Kent relative to elsewhere in England (n=137,650;2018-2020). Result(s): Clinicians perceived prehospital video triage as usable, safe, and preferable to 'business-as-usual'. Several interrelated factors influenced implementation: impetus of Covid- 19, facilitative local governance, receptive professional values, engaging clinical leadership, active training approaches, and stable audio-visual signal. Stroke clinician capacity was a risk to sustainability. Neither area saw increased time from symptom onset to arrival at services. Delivery of clinical interventions either remained unchanged or improved significantly, relative to elsewhere in England. Conclusion(s): Prehospital video triage in NC London and East Kent was perceived as usable, acceptable, and safe;it was associated with some significant improvements in secondary care processes. Key influences included national and local context, characteristics of triage services, and implementation approaches.
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The management of Covid-19 affected patients is a very difficult task. The current healthcare system of India is not able to cope with the enormous flow of patients and is in a dire need for improvement. This implementation paper provides a system which will manage all the affected patients right from the time they are Covid-19 positive till the time they are treated and discharged. This paper includes all the technical details of a fully implemented healthcare management system which is a significant improvement in the current system. The proposed system is a cross platform multi user web app which can be used by multiple stakeholders to carry out smooth management of the patients. It consists of a lot of key features like dynamic location-wise patient status, an accurate tracking system of ambulances, a statistical trend analysis of patients and categorical report generation of patients. This system aims to help the medical Front-liners in efficient management of Covid-19 patients, and it is a common site for all the different health workers like field workers and medical officers to work togetherand fight against this deadly disease affecting our country. © 2022 IEEE.
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Introduction: Factors of the work environment affect the functional state of the central nervous system of employees, which is manifested by changes in sensorimotor reactions. Professional tasks of emergency medical personnel during the COVID-19 pandemic determine high requirements for the stability of functional systems of the body. Objective: To study the influence of professional activities on the mobility of central nervous processes in ambulance workers. Materials and methods: The study was conducted at the Ryazan City Clinical Emergency Hospital in 2021. It included 44 ambulance workers (12 doctors and 32 paramedics), 12 men and 32 women with the mean age of 35.77 ± 3.39 years, working a 24-hour shift followed by 72 hours off. We studied parameters of the complex visual-motor reaction of the subjects including the average response times and the Whipple's index using the "NS-Psychotest” computer complex equipped with the visual-motor analyzer. The data were analyzed using the Data Analysis ToolPak in Microsoft Excel 2007. Results: The established statistically significant increase in the average response time of ambulance employees by 60.75 ms (p < 0.001) by the end of the work shift indicates changes in the functional state of the central nervous system caused by fatigue. The analysis of the dynamics of indicators between the beginnings of neighboring shifts revealed positive trends expressed by an average decrease in the response time by 77.67 ms (p = 0.002) and an increase in the Whipple's index by 0.07 (p < 0.0001) in most subjects after the regulated rest period, thus indicating the effectiveness of the processes of functional restoration of the central nervous system. Conclusions: By the end of the work shift, ambulance workers demonstrated increased average visual-motor reaction times. Age under 30 and 0–5-year work experience are risk factors for poor professional adaptation proven by a high proportion of the subjects with a statistical increase in the average reaction time during the work shift. Stabilization of the dynamics of inter-shift indicators when compared at the beginning of adjacent shifts indicates proper functional restoration of the central nervous system of emergency medical personnel during the 72-hour rest period. © 2023, Federal Center for Hygiene and Epidemiology. All rights reserved.
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Medical care at the pre-hospital stage requires concentration of attention from ambulance workers and induces stress on the functional systems of their bodies. The spread of COVID-19 has increased the workload on mobile ambulance teams and worsened functional state of the team members' central nervous systems. This study aimed to investigate the impact of professional activity on changes in the indicators reflecting attention capacity, allocation and switching in mobile ambulance healthcare workers in the context of the COVID-19 pandemic. We used the Number Square method to assess these indicators. The participants were divided into groups with the help of standard tens, through standardization of the number of digital symbols, correct answers, mistakes made and time spent. The clear signs of fatigue by the end of the work shift are the decreased attention capacity, registered in 40.48% (p < 0.0001) of participants, and deteriorating attention allocation, registered in 64.29% (p < 0.05). The dynamics of the indicators were revealed to be associated (negative trends) with length of service and age. The registered values did not decrease at each subsequent shift, which proves the rest period between the shifts ensures a sufficient recovery. Decreased attention capacity and allocation by the end of the shift, as objective signs of fatigue, depend on age and length of service. Lack of negative dynamics shift-to-shift shows that the functional resources of the body are restored during the prescribed rest period even in the intense conditions of mobile ambulance teams' work during the COVID-19 pandemic. © Modern Pediatrics. Ukraine. All rights reserved.
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Covid -19 second wave was considered a disaster in India as it was more havoc than the first one. Shortness of breath in patients leads to more demand for oxygen and hospitalization. So, there was a challenge for the hospitals to combat this disease. In the covid second wave, moderate to severe cases were treated at three hospital levels (CHC, Sub-district, and District hospital). This disease was not limited to bigger cities but spread to rural and hilly areas. We conducted quantitative research among government hospitals in five hilly districts of Uttarakhand at three levels of hospitals. Data were collected from a close-ended questionnaire using a judgmental sampling technique and analysed with the help of tables and bar charts. Questions were set based on the pilot study. The challenges explored through this study were divided into five main headings and eleven sub-headings. The main headings were Manpower, Surge capacity, logistics, coordination, and management of non-covid patients. Sub-headings were a shortage of medical staff, shortage of paramedical staff, shortage of sweepers, shortage of ambulance drivers, shortage of ICU beds, shortage of oxygen beds, shortage of covid drugs (Remdesivir and Steroids), oxygen cylinders, PPE kits, difficulty in coordination with staff and difficulty in managing non- covid patients.Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
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Introduction: Use of extracorporeal membrane oxygenation (ECMO) has been a transport standard of care for cardiovascular and pulmonary compromised patients. However, implementation and associated outcomes for unstable patients diagnosed with SARS-COV-2 infection has not been documented. Method(s): A retrospective chart review was performed examining ECMO transports of patients with SARS-COV-2 infection from April 2020- October 2021 involving one healthcare transport program. Variables of interest included: pH pre-post cannulation, BMI, pre-existing health conditions, medications utilized, and health outcomes. Descriptive statistics was used to analyze the data. Result(s): 21 transports were completed involving North Carolina and South Carolina referral facilities: 15 ground ambulance and 6 EC-145 rotor wing aircraft. All patients were cannulated at outside hospitals, with 2 performed by the transport team. While there were no complications during transport, trends illustrated those patients persistently acidotic (pH< 7.35) after ECMO cannulation were more likely to die.8 of the 10 patients who died had persistently low pH, versus the survivors where only 3 of 11 had persistently low pH after cannulation. This was a statistically significant difference in survival outcomes for those with sustained normal pH after cannulation, p=0.03. BMI had no statistically significant influence on outcomes, p=0.08. Conclusion(s): Transportof patients on ECMO with SARS-COV-2 virus infection is safe and effective with a specialty transport team. The significance between post-ECMO cannulation pH and patient outcomes requires further examination which may aid in patient management.Copyright © 2022