- Warm ischemia thresholds by organ (AWIT ≥10 min cardiac hard stop)
- DO2i framework — first perfusionist-controlled DCD cardiac outcome variable
- Biliary protection matrix with metabolic velocity guardrails
- 60-Second Viability Audit checklist (laminate-ready) included free
- 57 pages · 57+ citations · Updated through March 2026
Built by someone
still behind the pump.
Clinical manuals, interactive calculators, hospital consulting, and competency programs — written and delivered by a practicing CCP, not a committee.
Reference books from the pump side
Every manual is field-tested, guideline-verified, and written to be used — not shelved. Instant PDF download.
- Full program launch framework (staffing, equipment, credentialing)
- Circuit management protocols — VV, VA, ECMO-CPR
- Transport module with checklist-based decision trees
- ELSO-aligned governance and policy templates
- AI decision-support boundary definitions for cardiac surgery
- Institutional policy templates (ready to adapt)
- Risk stratification checklist for AI-assisted clinical decisions
- Documentation standards for AI-augmented workflows
- Instant PDF download — no sign-up required
- Laminate-ready format for the clinical environment
- Companion to the AI in Perfusion framework
Clinical calculators
Use these at the bedside, during rounds, or for program planning. Results are for reference — always apply clinical judgment and institutional protocols.
Calculate ECMO flow targets, DO2 delivery, oxygen extraction ratio, and pump speed guidance for VV and VA ECMO. Based on indexed parameters.
Step through the key clinical variables to receive a mechanical circulatory support device recommendation with rationale. Based on hemodynamic phenotype, indication, and urgency.
Estimate potential ECMO billing revenue and identify charge-capture gaps for your program. Based on CMS MS-DRG data. For planning and administrative reference only.
If your program has a problem,
I've probably already solved it.
Direct access to a practicing CCP with 20 years across cardiac surgery, ECMO, and NRP programs nationally. No staffing agency. No committee. Just Tom.
Starting normothermic regional perfusion — A-NRP or TA-NRP? I can review your circuit, help develop protocol, train your team to ASTS/OPTN standards, and help you avoid the compliance gaps that will get flagged on your first case review.
Contact Tom →Having trouble with ECMO staffing models, on-call coverage, response times, or handoff protocols? I'll review your current model and recommend a structure that's clinically sound and operationally sustainable.
Contact Tom →Your P&Ps should reflect what your team actually does, not what was copied from another institution. I'll review your ECMO, CPB, and NRP policies for clinical accuracy, regulatory alignment, and actionability.
Contact Tom →Reviewing circuit setup, disposable selection, prime composition, and workflow efficiency for cardiac surgery. I can identify waste, standardize selection, and reduce per-case costs without compromising outcomes.
Contact Tom →Have a specific clinical problem — an unusual ECMO case, an unexpected event, a circuit issue you can't explain? I can provide a fast, structured clinical analysis with actionable recommendations.
Contact Tom →Board-certified perfusionist available for case review, standard-of-care analysis, and expert witness services in cardiac surgery and ECMO malpractice cases. AI-accelerated 48-hour merit review available.
Contact for Consult →Train your team to a standard
you can actually defend.
Competency programs your hospital can implement, document, and demonstrate at survey. Built around ELSO, ASTS, and AABB standards.
A complete competency and credentialing framework for ECMO specialists — RNs, RTs, and perfusionists. Covers initial certification, annual recertification, and event-based reviews.
Team-based competency framework for NRP programs — covering perfusionist role, surgical coordination, OPO communication, and regulatory compliance documentation for OPTN review.
Onboarding and orientation framework for cardiac surgery programs launching perfusion services or bringing on new traveling/contract perfusionists. Covers disposable workflows, surgeon preferences, and institutional standards.
Interactive practice exams for ECMO specialist certification, CCP board preparation, and ABG interpretation. Self-paced, scored, and referenced to ELSO and ABCP content domains.
Meet PerfusionOS
A clinical decision-support and program management platform built specifically for perfusionists, ECMO coordinators, and cardiac surgery teams. This isn't an app built by a software company that hired a consultant. It's being built by someone who is still running circuits.
Be the first to know when it's ready. No spam — one email when it launches.
Board-certified cardiovascular perfusionist with 20+ years of active clinical practice across cardiac surgery, ECMO, normothermic regional perfusion, and transplant medicine. Operating as a traveling perfusionist across 24 U.S. hospitals. Every manual, calculator, and consulting engagement comes from someone who was behind the pump this week.