Recently, ECMO machine has become used frequently in several medical procedures. Hence, hands-on training is significantly important for ECMO professionals to develop fast and precise actions upon different scenarios. Therefore, a simulation-based training (SBT) is a powerful learning method that gives the trainees the opportunity to develop the skills needed for the initiation of the ECMO procedure and the care of ECMO patients without exposing patients to undue risks [8]. Moreover, SBT allows the trainees to make decisions as in real-life situations, and it should provide corresponding evaluative feedback. To provide such an efficient design, SBT system should contain specific features like fast transient response and highly accurate stored data that can be presented through a screen monitor. Beyond that, the system requires high accuracy components such as sensors and motors.

Indeed, there are numbers of existing ECMO simulators around the world. However, some simulators with low cost but low fidelity (that does not satisfy cannulation and ECMO circulation needs), and some simulators are realistic and highly efficient but very expensive. On the other hand, the proposed SBT system will be low-cost and more realistic in terms of cannulation/de-cannulation and the ECMO circulation.