A Locums ScrapBook: A Day in the Life…

“I joked with the crew, and said, we are in the land of the Paramedics, cuz that’s pretty much all you could see.” Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here I’m doing some perfusion traveling as I am taking my show on the road.  As such, every once in awhile I […]

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Perfusion Job Shadow- Wisconsin PLZ

Editor’s Note:   Hello Wisconsin and a shout out to my friends in Madison: )!  I have a student looking for a job shadow opportunity in the Wisconsin area. Here’s our prospective student’s message to you as well as a contact email: To whom it may concern, My name is Melit Gjinolli and I am […]

Perfusion Job Shadow- South Carolina :)

Editor’s Note:   Hello South Carolina and a shout out to my friends in Greer: )!  I have a student looking for a job shadow opportunity in the South Carolina area. Here’s our prospective student’s message to you as well as a contact email: To whom this may concern, Hi my name is Joe and […]

Perfusion Job Shadow PLZ: Louisiana & South Texas?

Editor’s Note:   Hello Louisiana  and a shout out to my friends in Lufkin : )!  I have a student looking for a job shadow opportunity in the Louisiana/Texas area. Here’s our prospective student’s message to you as well as a contact email: Hi, I am an undergrad student DESPERATELY searching for a perfusionist to […]

SURVEY: VAVD- When does Negative Pressure = a NEGATIVE Result?

Editor’s Note: I recently had an interesting discussion with my colleague, Dennis, regarding whether we measured negative pressures on the venous line when using Vacuum Assisted Venous Drainage (VAVD) during the conduct of perfusion at our particular clinical site.  I was frank in my answer (no pun) and said- it wasn’t something that I have […]

Genesis: Why I Chose to become a Perfusionist… The Long & Winding Road

  Editor’s Note: I was talking to a colleague of mine, who was visiting our program to help out for a bit, and we both had some pretty long and interesting background stories about some of the reasons of why we chose to become Perfusionists.  After thinking about it, I realized I had had this […]

Excerpts From the Red Cell Highway: What is it that I do?

Editor’s Note: This book is NOW over halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, […]

Genesis: Why I Chose to become a Perfusionist…

Editor’s Note: I was talking to a colleague of mine, who was visiting our program to help out for a bit, and we both had some pretty long and interesting background stories about some of the reasons of why we chose to become Perfusionists.  After thinking about it, I realized I had had this same […]

From Our Colleagues in Azerbaijan: Pulmonary Endarterctomy

Editor’s Note: I got an email from a colleague that has been a friend and supporter of Circuit Surfers for the past 6 years or so, Mr.Cuneyt iImamoglu.  I included a little extra information below the body of his article and wish to thank and compliment his team for their tremendous accomplishment! Good Luck and […]

Perfusion 101: Cannulation Sketches

Editor’s Note: How often have you found yourself drawing on the back of a piece of paper, your chart, a napkin, a paper towel, or a scrap of paper- in order to draw a picture describing an anatomical aspect of perfusion, the heart, or cannulation? I know that I have done it more times than […]

Globally Challenged- Perfusion Networks: Are We Kidding Ourselves???

  Editor’s Note: Well this certainly has been a long month. Global weather patterns have absolutely demonstrated that we survive as a community and not as individuals. Unfortunately during the last three weeks, multiple Internet servers were down and thus exposed the soft underbelly of the reptile so to speak – making it painfully obvious […]

Perfusion Art: “Eye of the Storm”

“The Eye of the Storm” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 7S Editing:  Photoshop: Contrast Filter Narrative: Engaging the Heart- Negotiating the TEE Time & Place:  Midwest 2017 About The Artist:   Locum’s Perfusionist

Associate Editor’s Wanted: South & Central America, Canada, Europe, Africa, Middle East, Russia, China, SE Asia, Australia/South Pacific…

Editor’s Note: Dear fellow colleagues.  Thank you for taking the time to read this “help wanted” ad. Currently, CircuitSurfers.com is searching for energetic and culturally diverse representation in the recognition that we as an organization- are geographically under-represented in the South Americas, European, Balkan, Chinese, East Asian, and Australian/South Pacific medical markets/sectors. We are looking […]

From Perfusionist to MD: A Career Pathway Realized

Editor’s Note: I started this blog on Feb 21, 2011.  Six and a half years ago to be precise.  Since it was a new format, and employing a dynamically newer media paradigm, I can’t say there wasn’t a bit of push-back from the perfusion community, some people were roiled, some feathers ruffled, and I was […]

Factor X Inhibition? Cardiac Health Supplements / Polyphenol Compounds & Considerations Regarding Hemostasis…

Editor’s Note:   Had an unusual presentation of unexpected post op bleeding the other day with a patient that had no concomitant coagulation issues nor other co-existing disease states that would possibly contribute or amplify post CPB hemostasis. Normally I would write this off as the “the less-than-extraordinary transcendence of damage to general hemostasis” that […]

Perfusion Job Shadow Desired: Hello Utah???

Editor’s Note:   Hello Utah!   I have a student looking for a job shadow opportunity in your area-  She actually wants to get into the profession- but has yet to see first hand- what it is we do.  (Reminds me of me lol- I was 100% sure it was the right field for me- […]

Perfusion Job Shadow: New Jersey and East Coast

  Editor’s Note:   Hello New Jersey and East Coast!   I have a student looking for a job shadow opportunity in your area- Here’s our prospective student’s message to you as well as a contact email: Hello, I am a prospective student seeking the chance to shadow a perfusionist in order to strengthen my […]

Perfusion Job Shadow: New Jersey or PA

Editor’s Note:   Hello New Jersey and PA!   I have a student looking for a job shadow opportunity in your area- Here’s our prospective student’s message to you as well as a contact email:   Hi! I am an undergraduate student at Rowan University. I plan to apply to perfusion programs this coming winter. […]

Perfusion Job Shadow: Chicago Area

Editor’s Note: Hello Chicago  and a shout out to my friends in Illinois:)!  I have a student looking for a job shadow opportunity in the Chicago area- Here’s our prospective student’s message to you as well as a contact email: Hello, I’m a recent graduate looking to shadow a cardio-pulmonary perfusionist in the Chicago land […]

Perfusion Policies 101: Anticoagulation Reversal

Renee Toth, BS, CCP   Editor’s Note: Renee is a colleague I work with quite often.  She is an amazing perfusionist as well as administrator, mom, and just a decent all around human being. She has a pretty scathing wit- so beware.  She offered to share a policy she has worked on for a quite […]

Look Out Dallas TX! Perfusion Job Shadow Desired

Editor’s Note:   Hi Dallas! Well you have to admit- after reading the post below, that this student really wants to become a perfusionist.  Please lend assistance if possible. I was pretty impressed with the effort and  exuberance demonstrated in the email. Hi there Frank! My name is Ashley Kirksey, and I’m a junior-year student […]

There’s A New Player in Town: Kcentra Rx for Postoperative CPB Induced Coagulopathy

Editor’s Note: Had a pretty routine CABG x something the other day, and encountered a postoperative coagulopathy, functional platelet count at roughly 72 (Platelet Works), and instead of going down our traditional Factor VII tunnel, we opted to use Kcentra,  a member of a relatively new category of drugs classified as a Prothrombin Complex Concentrates (PCC). […]

Perfusion Job Shadow Requested: Dallas TX or Central TX

  Editor’s Note: Hello Dallas and a shout out to my friends in Texas :)!  I have a student looking for a job shadow opportunity in the Dallas area-possibly Central Texas. Here’s our prospective student’s message to you as well as a contact email: Hello, I am a prospective perfusion student and will be applying […]

A Locum’s ScrapBook: Modifying the ECC for Antegrade Cerebral Protection

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I take BOTH very seriously. I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in […]

Perfusion Art: The Bubble Zone

“The Bubble Zone” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 6S Editing:  Photoshop: Contrast Filter Narrative: Waiting to go on bypass:  SVG Prep on back Mayo Time & Place: West Texas 2014 About The Artist:   Locum’s Perfusionist

Excerpts: The Red Cell Highway: “Epiphany”

Editor’s Note: This book is halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, but openly […]

Perfusion Job Shadow Desired: Iowa, Iowa City

Editor’s Note: Hi Iowa, and a shout out to my friends in Des Moines!  I have a student looking for a job shadow opportunity in Iowa, hopefully in Iowa City 🙂 Here’s our prospective student’s message to you as well as a contact email:   Hello, I am a prospective perfusion student hoping to find […]

Perfusion Job Shadow Request: Houston TX Area

      Editor’s Note: Howdy Houston!  I almost forgot- I was a Texan for 7 years 🙂  Hope all is well, and trying to see if you can offer a potential perfusion student a job shadow opportunity? Here’s our prospective student’smessage to you as well as a contact email:   Good Afternoon, I was […]

Perfusion Pancakes Anyone?

  Click image above to view Video 🙂 Editors Note: My wife Kashmir linked me this video from FB.  It’s a lot of fun.  Happy Friday all! Video made by Medical Videos (FB) Its a Perfusion Pancake!  How cool is that??? Makin’ Breakfast…

A Locum’s ScrapBook: Looking in the Rear-View Mirror

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Perfusion Job Shadow: New Jersey or Philadelphia

Editor’s Note: Yo!  Jersey Shore and  Philly… This potential CCP needs a job shadow opportunity to get her into perfusion school.  Can anyone help her out? Hi! I am an undergraduate student at Rowan University. I plan to apply to perfusion programs this coming winter. In order to do so, I need to shadow a […]

Bicarb Alternatives: Sodium Acetate & Balanced Crystalloids

Editor’s Note:   Authorization for the contributions below were obtained from each contributor via email.  Please see comments section… THAM A a Buffer Tham Description Tham Solution (tromeThamine injection) is a sterile, non-pyrogenic 0.3 M solution of tromeThamine, adjusted to a pH of approximately 8.6 with glacial acetic acid. It is administered by intravenous injection, by […]

Perfusion Life: SURF’s UP!

Editor’s Note: Was chilling- and on call in PA,  looked at my FB and saw a link my wife, Kashmir left on my Time Line.  A nice reminder of why I started this blog to begin with, and an inspiring video that places what we do in perspective: We do this so that people have […]

Management of weaning from cardiopulmonary bypass after cardiac surgery

Editor’s Note: Oddly enough, I was searching for some information regarding observed hypotensive states post CPB- associated with pump blood reinfusion, when I came upon this very cogent and well written article.  So I diverted my attention for the time being, to sharing this resource. Ill get back to the previous search later 🙂 Enjoy […]

“The Red Cell Highway: An Inside Look at Heart Surgery in America”

Editor’s Note: This book is halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, but openly […]

A Locum’s ScrapBook: TEAMING UP in Southern Indiana

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

The Sanibel Perfusion PodCast: When VISION Becomes Reality…

Editor’s Note:   In terms of perfusion interaction and communication, there are a few seminal moments I’m sure all of us recognize as game changers, paradigm shifts, and technological improvements that could be compared as dynamic as the transition from bubble oxygenators, to hollow fibre membrane technology. Some examples of perfusion evolution in terms of […]

Heater/Cooler Survey Results are In!

  Editor’s Note: Well… I started this survey back in the Fall of last year. (Click image above to view or take the survey) Since then I have been at 4 other institutions and have had the opportunity to observe how my colleagues addressed this issue.  No footprint changes regarding the relative position of the […]

Plz Take this TAVR Survey

Dear Readership: Please complete our TAVR survey if you are currently doing TAVR procedures.  This data is really important. Click on Link Below to take TAVR Survey 🙂 TAVR Survey

PERFUSION PRO: A Bold Approach to EMR

  Editor’s Note: I guess the proof is in the pudding so to speak… when I found myself on a 3 hour pump run yesterday, instinctively looking for my clipboard.  I think that’s a common trait for perfusionists as we pump cases, we look for a clipboard not necessarily to enter data, but it keeps […]

Perfusion Art: Insight from an LVADer

“Insight from an LVADer” Contributor:  ‎Michael-Joshua Morris‎  Equipment:  Cut N Paste 🙂 Editing:  Photoshop: Contrast Filter Narrative: Joshua is an on-line friend I met almost 6 years ago.  He has had a HeartMate II in for that entire duration plus I believe at least 1 or more years prior.  His story is amazing- and 5 years ago I […]

Perfusion Art: Crimson Tide

“Crimson Tide” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 6S Editing:  Photoshop: Contrast Filter Narrative: Waiting to go on bypass:  Blood is from the cell saver and dropped into ECC to chase out priming volume. Time & Place: Southern Indiana/  March 2017 About The Artist:  Locum’s Peerfusionist

Perfusion Policies 101: Perfusion & the Pregnant Patient

  Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic recipes […]

Perfusion Art: Field of Dreams

“Field of Dreams” Photographer: Somewhere in India Equipment:  Digital Editing:  None required  Narrative: When you see a heart surgeon of this stature, being so free willed and loving life and his patient’s as he clearly does, that brings me to pause, and realize the majesty of all that is within a team with such a leader.  Bravo […]

A Locum’s ScrapBook: 2 Amigos & a Bag

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Perfusion Art: Flagellae

“Flagellae” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 6S Editing:  Photoshop: Metallic Filter:  Narrative: I like this picture because it demonstrates the variety of ECC shunts that are limited only by your imagination. Time & Place: Southern Indiana/  February 2017 About The Artist:  Locum’s Peerfusionist  

A Locum’s ScrapBook: Finding Mimo…

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Live YouTube CEU’s: Save Money and Get the Category 1 CEU’s that You Need

Click on image above to view online details 🙂 To All: This year we will be “upping the ante” again with our Live Webcast by making it available on Youtube! This new platform will allow many new amazing features as follows: 1. Ability to pause and resume live video feed. 2. Multi-platform capability on every device […]

A Locum’s ScrapBook: 49 & 50

Editor’s Note: In the middle of this month,  January 2017, I had the privilege of visiting and assisting three teams in the Midwest, representing an institution I have been at previously several times, and then a new venture a little further South, that implies two more clinical sites adding to the sum of hospitals I have pumped at during my […]