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    Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices

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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.
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    Keyword
    Emergency Medical Services
    Algorithms
    Heart Failure
    Heart-Assist Devices
    Journal title
    Emergency Medicine Journal
    
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    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/238
    DOI
    10.1136/emermed-2016-206172
    Abstract
    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. https://emj.bmj.com/content/emermed/34/12/842.full.pdf 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/ http://dx.doi.org/10.1136/emermed-2016-206172
    ae974a485f413a2113503eed53cd6c53
    10.1136/emermed-2016-206172
    Scopus Count
    Collections
    Publications - London Ambulance Service
    Publications - East of England Ambulance Service
    Publications - South Central Ambulance Service

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