Dr. Ibrahim Fawzy to discuss the challenges and future of ECMO (Extracorporeal Membrane Oxygenation), particularly in trauma care and out-of-hospital cardiac arrest programs.

Key Highlights from the Conversation:

On ECMO in Trauma Patients:
Dr. Fawzy explains that one of the biggest challenges in using ECMO for trauma cases lies in identifying the right patients—particularly those with brain injuries. The severity of brain injury can significantly impact outcomes, and this area needs more research and refined prognostication tools.

On Spreading ECMO Knowledge:
SWACC ELSO is on the right path, but the future lies in “Train the Trainer” models, endorsed ECMO courses, and building capacity in underserved regions. Dr. Fawzy stresses the importance of reaching countries with limited access and providing support like scholarships, partnerships, and on-site mentorship.

On Pre-Hospital ECMO Programs:
Dr. Fawzy, who leads one of the most successful pre-hospital ECMO programs, emphasizes tailoring strategies to local resources. His advice? Don’t copy-paste models from other countries. Instead, adapt them for cost-effectiveness, relevance, and long-term sustainability. What works in one country may not work in another—but collaboration and learning from each other is key.

Dr. Fawzy recalls a quote from ECMO pioneer Dr. Robert Bartlett:

Ten years from now, the patients and families won’t know how ECMO worked without complications. But we will. And it’s our responsibility to keep improving.