Heart Failure and the Ventricular Assist Device (LVAD)

Overall Management
  • Avoid supine positioning
  • Avoid exertion such as standing or walking
    • Utilize the stair chair whenever possible
    • Any physical activity can exacerbate the patient's condition
  • Maintain the airway
  • Administer oxygen
  • Activate ALS-Paramedics
  • CPAP (Continuous Positive Airway Pressure) as indicated
    • CPAP as an expanded scope of practice for the EMT in some settings
  • Be familiar with your local protocol