ECMO setup Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date / TimeDateTimeECMO CircuitCardiohelpOtherLot Number *Heater coolerhemothermcardioquip Heater Date priming Dry Set UpPigtails PlacedAll connections tightOxygen and Air tanks present with minimum 1500 PsiHand Crank on cart and operationalTanks have connections to connect to blender4 clamps presentPrimedAll measurements 0 before fluidFlow probe ZeroedAll pigtails primed and de-airedAll caps are non-ventedPump plugged inStaff building and priming ECMO *Angela ParkerAmy HargraveBen DominicoDoug HadfieldJenna HadfieldJustin McClamrockRyan AshcraftSam DominicoSubmit