UK Cannulation Cup 2024
Please complete this form if you wish to submit a team for the UK Cannulation Cup 2024. The winner will represent the UK in EuroELSO 2025 Cannulation Cup. 

The cup will be run during the UK ECPR Summit 2024 and team members will be required to purchase a ticket for the summit. 

A mannequin and ECMO circuit will be provided. We would ask teams to bring their standard cannulation equipment to showcase techniques and equipment to the audience. 

Cannulation will be judged based on technique, teamwork, communication and time.

Deadline for applications are 31st July 2024
Sign in to Google to save your progress. Learn more
What is your full name *
What is your job title *
What is your email address *
Please list your team joining you for cannulation and job titles *
Which centre will you be representing *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report