Heart Failure and the Ventricular Assist Device (LVAD)

Treatment Priorities
  1. Ensure scene safety and maintain appropriate body substance isolation precautions

  2. Maintain open airway and assist ventilations as needed. Provide advanced airway management or CPAP (Continuous Positive Airway Pressure) as indicated.

  3. Administer oxygen using appropriate oxygen delivery device, as clinically indicated.

  4. Place patient in full sitting position as tolerated.

  5. Determine patient's hemodynamic stability and symptoms. Continually assess Level of Consciousness, ABCs and Vital Signs.

  6. Obtain appropriate S-A-M-P-L-E history related to event, including any Trauma (recent head injury/fracture).

  7. Monitor and record vital signs and ECG.

  8. Initiate transport as soon as possible, with or without ALS. Do not allow patients to exert

    themselves and properly secure to cot in position of comfort, or appropriate to treatment(s) required. [12]