VAD 911: Process Improvement for First Responders Treating Ventricular Assist Device Patients

Area of Science:

• Cardiology
• Emergency Medical Services
• Medical Device Technology

Background:

• Ventricular assist devices (VADs) are increasingly used for heart failure management.
• Complications of VADs, such as stroke, bleeding, and infection, can occur in outpatient settings.
• First responders may lack specialized knowledge to manage VAD-related emergencies.

Purpose of the Study:

• To assess the baseline knowledge and self-reported competency of first responders regarding VADs.
• To evaluate the effectiveness of an educational intervention on improving VAD knowledge and competency.
• To recommend strategies for enhancing community preparedness for VAD emergencies.

Main Methods:

• A pre- and post-intervention study design was employed.
• Two hundred thirty-six first responders from communities with VAD patients participated.
• Knowledge and competency were assessed using questionnaires before and after an educational course.

Main Results:

• Initial assessments revealed poor generalized knowledge and low self-reported competency among first responders regarding VADs.
• A significant majority (80%) reported feeling unsafe to marginally aware of VADs.
• Post-intervention, generalized knowledge improved by at least 38% and competency increased by over 50%.

Conclusions:

• First responders demonstrate a critical need for VAD-specific education.
• Targeted educational interventions can substantially improve first responder knowledge and confidence in managing VAD patients.
• VAD centers should integrate community first responders into discharge planning and outreach initiatives to ensure optimal patient outcomes.