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Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted i...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750371/ https://www.ncbi.nlm.nih.gov/pubmed/29127102 http://dx.doi.org/10.1136/emermed-2016-206172 |
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author | Bowles, Christopher T Hards, Rachel Wrightson, Neil Lincoln, Paul Kore, Shishir Marley, Laura Dalzell, Jonathan R Raj, Binu Baker, Tracey A Goodwin, Diane Carroll, Petra Pateman, Jane Black, John J M Kattenhorn, Paul Faulkner, Mark Parameshwar, Jayan Butcher, Charles Mason, Mark Rosenberg, Alexander McGovern, Ian Weymann, Alexander Gwinnutt, Carl Banner, Nicholas R Schueler, Stephan Simon, Andre R Pitcher, David W |
author_facet | Bowles, Christopher T Hards, Rachel Wrightson, Neil Lincoln, Paul Kore, Shishir Marley, Laura Dalzell, Jonathan R Raj, Binu Baker, Tracey A Goodwin, Diane Carroll, Petra Pateman, Jane Black, John J M Kattenhorn, Paul Faulkner, Mark Parameshwar, Jayan Butcher, Charles Mason, Mark Rosenberg, Alexander McGovern, Ian Weymann, Alexander Gwinnutt, Carl Banner, Nicholas R Schueler, Stephan Simon, Andre R Pitcher, David W |
author_sort | Bowles, Christopher T |
collection | PubMed |
description | Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making. In order to improve patient safety, a consortium of UK healthcare professionals with expertise in LVADs developed universally applicable prehospital emergency algorithms. Guidance was framed as closely as possible on the standard ABCDE approach to the assessment of critically ill patients. |
format | Online Article Text |
id | pubmed-5750371 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57503712018-02-12 Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices Bowles, Christopher T Hards, Rachel Wrightson, Neil Lincoln, Paul Kore, Shishir Marley, Laura Dalzell, Jonathan R Raj, Binu Baker, Tracey A Goodwin, Diane Carroll, Petra Pateman, Jane Black, John J M Kattenhorn, Paul Faulkner, Mark Parameshwar, Jayan Butcher, Charles Mason, Mark Rosenberg, Alexander McGovern, Ian Weymann, Alexander Gwinnutt, Carl Banner, Nicholas R Schueler, Stephan Simon, Andre R Pitcher, David W Emerg Med J Review Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making. In order to improve patient safety, a consortium of UK healthcare professionals with expertise in LVADs developed universally applicable prehospital emergency algorithms. Guidance was framed as closely as possible on the standard ABCDE approach to the assessment of critically ill patients. BMJ Publishing Group 2017-12 2017-11-10 /pmc/articles/PMC5750371/ /pubmed/29127102 http://dx.doi.org/10.1136/emermed-2016-206172 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Review Bowles, Christopher T Hards, Rachel Wrightson, Neil Lincoln, Paul Kore, Shishir Marley, Laura Dalzell, Jonathan R Raj, Binu Baker, Tracey A Goodwin, Diane Carroll, Petra Pateman, Jane Black, John J M Kattenhorn, Paul Faulkner, Mark Parameshwar, Jayan Butcher, Charles Mason, Mark Rosenberg, Alexander McGovern, Ian Weymann, Alexander Gwinnutt, Carl Banner, Nicholas R Schueler, Stephan Simon, Andre R Pitcher, David W Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices |
title | Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices |
title_full | Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices |
title_fullStr | Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices |
title_full_unstemmed | Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices |
title_short | Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices |
title_sort | algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750371/ https://www.ncbi.nlm.nih.gov/pubmed/29127102 http://dx.doi.org/10.1136/emermed-2016-206172 |
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