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The MSE ECMO simulator is a screen-based implementation of a high-fidelity, medical simulation system - 'The Modular Simulation Environment' (MSE). It is intended for teaching the principles of VV and VA ECMO to those working in the fields of Intensive Care, Anaesthesia or Perfusion and can be used to simulate both veno-venous (VV) and veno-arterial (VA) ECMO in adults.