Wednesday, March 1, 2017

LVADs in the ED

An online community of practice for Canadian EM physicians
CanadiEM - By Jared Baylis - February 28, 2017
"You may be wondering; why do we need another post on left ventricular assist devices (LVADs) when there are already several phenomenal articles out there in the #FOAMed universe? There are two reasons for this. First, to my knowledge, there has not yet been a #FOAMed article regarding community emergency department (ED) management of LVAD related complications. LVADs are surgically placed in tertiary care, academic centres with specialized LVAD teams. However, the patients who receive LVADs are not confined to those centres. Second, in this article, we have expert contribution from Dr. Gil Kimel, a palliative care physician with fellowship training in palliative management of congestive heart failure, as well as Annemarie Kaan, a masters-prepared nurse, who works as part of the LVAD team at St. Paul’s Hospital in Vancouver.
The purpose of this post is to provide a practical, case based approach to the patient with a LVAD who presents to the ED. This is not intended to be comprehensive as there are already several detailed articles out there [see below]..."