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Both facilities 1) utilize an ECMO specialist model staffed by specifically trained nurses and breathing therapists and 2) developed similar education curricula for ECMO experts, intensivists, surgeons, and trainees. Each system began with venovenous ECMO to offer help for refractory hypoxemic breathing failure and consequently broadened to venoarterial ECMO support. The coronavirus infection 2019 (COVID-19) pandemic developed an impetus for restructuring, with each system produci
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