Pang G, et al. - In view of an explosive growth of ECPR within new and established ECMO programs worldwide with the concomitant requirement for simulation trainers, researchers sought to develop a training manikin for comprehensive ECPR simulation using 3-dimensional (3D) printing. The base model used was a standard commercially available CPR manikin with airway model for modification. A modular plastic pelvis was printed using an inexpensive 3D printer. They built a medical silicone gel incorporated silicone femoral vasculature component with a connection to a gravity-fed vascular system. The modular in-house designed ECMO cannulation and vascular structures wedded to the commercially available airway and CPR components were incorporated in the resulting modified manikin. This novel in-house modified manikin was identified as cost-efficient and was realistic to use from first response through to the establishment of ECMO circulation. The entire cost was estimated at $2,000 Australian dollars AUD; this included the printer purchase and supplies. Future reuse of components is expected to cost less than $5 AUD per simulation run.