All right, coming back to our case, the patient is suffering from cardiogenic shock. His point-of-care ultrasound showed a severely dilated heart with poor function and dilated IVC with minimal variation. Now, unfortunately, the patient's oxygen requirements continue to increase and his PEEP continues to go up. A transthoracic echo shows a severely reduced ejection fraction with regional wall motion abnormalities in the anterior segments. So question number one, what is the most likely etiology of this regional wall motion abnormality? I think this will challenge most of us here in the room a little bit because it's probably not something most of you have seen or experienced in your patients. So I'll give you guys a little time. That question should have showed up on the polling service. All right. The patient is now requiring escalating doses of vasopressors and is now on norepinephrine, vasopressin, and epinephrine. The team considers important adjunct treatments for his current condition and decides to consult the cardiothoracic team for ECMO cannulation. I know the ECMO machine can sometimes look and seem like a very complex, incredibly complex machine, but hopefully our next presentation will help to demystify that piece of technology. But before we jump into that presentation, what first ECMO configuration would be useful and helpful for our patient? VV, VA, VAV, or VAA? Can we go forward and backward to do it? Awesome. So that should show up now. Excellent. I'm liking these results. Okay. We'll keep going.

cardiogenic shock

dilated heart

ejection fraction

ECMO cannulation

vasopressors