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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Co-designing emergency communication for patients with mechanical circulatory support devices
Leon Fitzpatrick1, Genevieve Mosely1, Thomas Davidson1
1School of Architecture, Design and Planning, The University of Queensland, Brisbane, Australia.
Emergency Medical Services (EMS) can now rapidly assess and manage patients with HeartMate 3 left ventricular assist devices using a new co-designed communication poster. This tool aids non-specialist clinicians in time-critical situations.
Area of Science:
- Cardiology
- Biomedical Engineering
- Human Factors Engineering
Background:
- Mechanical Circulatory Support (MCS) device use is rising globally.
- Patients with MCS devices frequently interact with emergency departments (EDs) and emergency medical services (EMS).
- Complex protocols and limited non-specialist training can cause critical treatment delays for these patients.
Purpose of the Study:
- To develop an emergency communication poster for HeartMate 3 left ventricular assist device patients.
- To support rapid assessment and initial device management by non-specialist clinicians in emergency settings.
- To establish design principles for effective MCS emergency communication.
Main Methods:
- A multi-stage, co-design process was employed.
- Methods included clinical observations, research, concept development, and global evaluation.
- Iterative refinement involved feedback from 18 international MCS practitioners.
Main Results:
- A rapid-reference emergency communication poster for HeartMate 3 devices was finalized.
- Key design principles for MCS emergency communication were established.
- Feedback informed refinements in information hierarchy, visual structure, and clinical clarity.
Conclusions:
- An iterative, context-sensitive design approach enhances clinical communication for MCS patients.
- The developed poster and principles support shared understanding in time-critical MCS care.
- This initiative improves emergency response for patients with left ventricular assist devices across diverse healthcare settings.
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