Abstract
IntroductionDue to miniaturization of ventricular assist devices (VADs) application in children is feasible. As waiting time for a suitable organ increases worldwide, discharging children on intracorporeal VAD to enhance quality of life should be aimed for. Emphasis for discharge are on besides extensive training of the child, parents and family doctor to train emergency services (EMS) as well as school maits and teaching staff. Paramedics have to be aware of the problems that might occur and should know how to monitor a left VAD (LVAD) patient and how to handle life threatening device failure.MethodsWe report a preclinical algorithm for emergency care in children provided with an intracorporeal VAD plus our joint established training concept with local EMS staff. Main focus besides a theoretical part are hands-on training workshops and cardiac arrest simulation training (CAST) and establishing an alarm plan including local medical organization and specialists of the Children’s Hospital Zurich.ConclusionSpecifics for treatment for children on VAD support are discussed.
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