Dr. Joshua Goldberg · Cardionerds: A Cardiology Podcast · 474. Cardiothoracic Surgery in Pulmonary Embolism with Dr. Joshua Goldberg
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Use ultrasound-guided single-stick venous cannulation for ECMO access
“I would have put the patient on ECMO. Because at that time, even if quasi-stabilized on levophed, they've already have lost their compensatory mechanism.”
“You go to a new institution and someone wants to intubate one of these patients, don't let it happen. Or you have to be very ready to support these patients with ECMO right away because arrest is almost universal.”
“Nobody holds powerful access at rest… only have that powerful access where and when I need it… credentials have zero entitlement after use.”
“Use that AI tool … go enumerate what I have access to that I might not need access to. That entitlement cleanup needs to really be continuous, not just an annual audit”
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