This paper summarizes the nursing experience of a 65-year-old elderly patient with fulminant myocarditis complicated by cardiogenic shock who received veno-arterial extracorporeal membrane oxygenation (V-A ECMO) combined with intra-aortic balloon pump (IABP) support therapy. The core nursing measures included: establishing a multidisciplinary collaboration team to implement daily goal management; standardized anticoagulation monitoring; refined hemodynamic management; stepped respiratory support; and early rehabilitation intervention. After 9 days of ECMO support combined with 5 days of IABP support, the patient’s cardiac and respiratory functions recovered. The patient was discharged on the 42^nd day and was fully recovered during the follow-up on the 60^th day. This case suggests that refined nursing care for ECMO combined with IABP is the key to the treatment of fulminant myocarditis.