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Assessment of Risks Posed to VAD Patients During Disasters

Published online by Cambridge University Press:  06 April 2017

Katherine J Davis*
Affiliation:
University of Pittsburgh, School of Nursing, Pittsburgh, PennsylvaniaUSA
Genevieve O’Shea
Affiliation:
Allegheny Health Network, Pittsburgh, PennsylvaniaUSA
Michael Beach
Affiliation:
University of Pittsburgh, School of Nursing, Pittsburgh, PennsylvaniaUSA
*
Correspondence: Katherine Davis, DNP, AGACNP-BC Suite 9D 23, 200 Lothrop St. Pittsburgh, Pennsylvania, USA 15213 E-mail: [email protected]

Abstract

Ventricular assist devices (VADs) are an Advanced Life Support for patients with heart failure. These patients are particularly vulnerable in the event of a disaster. A hazard vulnerability analysis (HVA) was conducted to determine areas of susceptibility for these patients. Lack of electrical power, limited access to medications and anticoagulation, dehydration, extreme temperature and weather environments, conditions which predispose to infection, and evacuation transport are all identified circumstances that place these patients at an increased risk for harm and death. Future preparations in disaster planning are needed to address and mitigate these risks.

DavisKJ, O’SheaG, BeachM. Assessment of Risks Posed to VAD Patients During Disasters. Prehosp Disaster Med. 2017;32(4):457–461.

Type
Special Reports
Copyright
© World Association for Disaster and Emergency Medicine 2017 

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Footnotes

Conflicts of interest: none

References

1. Abir, M, Jan, S, Jubelt, L, Merchant, RM, Lurie, N. The impact of a large-scale power outage on hemodialysis center operations. Prehosp Disaster Med. 2013;28(6):543-546.Google Scholar
2. Downey, EL, Andress, K, Schultz, CH. External factors impacting hospital evacuations caused by Hurricane Rita: the role of situational awareness. Prehosp Disaster Med. 2013;28(3):264-271.Google Scholar
3. Teperman, S. Hurricane Sandy and the greater New York health care system. J Trauma Acute Care Surg. 2013;74(6):1401-1410.Google Scholar
4. Brevard, SB, Weintraub, S, Aiken, J, et al. Analysis of disaster response plans and the aftermath of Hurricane Katrina: lessons learned from a Level I trauma center. J Trauma. 2008;65(5):1126-1132.Google Scholar
5. Centers for Medicare & Medicaid Services (CMS). Survey & Certification: emergency preparedness for every emergency. CMS Web site. http://www.cms.gov/Medicare/Provider-Enrollment-and-certification/SurveyCertEmergPrep/Downloads/SandC_EPChecklist_Provider.pdf. Published 2013. Accessed June 15, 2015.Google Scholar
6. The Joint Commission (TJC). Emergency Management. TJC Web site. http://www.jointcommission.org/emergency_management.aspx. Published 2015. Accessed June 20, 2015.Google Scholar
7. Beach, M. Disaster Preparedness and Management. Philadelphia, Pennsylvania USA: FA Davis; 2010.Google Scholar
8. Moore, BL, Geller, RJ, Clark, C. Hospital preparedness for chemical and radiological disasters. Emerg Med Clin North Am. 2015;33(1):37-49.Google Scholar
9. HeartWare Inc. HeartWare Ventricular Assist System: Instructions for use. http://www.heartware.com/sites/default/files/uploads/docs/ifu00001.20_us_pma_ifu_060614.pdf. Published 2014. Accessed June 9, 2015.Google Scholar
10. Thoratec® Corporation. Duel Drive Console instructions for use. Thoratec® Corporation Web site. http://www.thoratec.com/_assets/download-tracker/14025/14025_IFU-VAD-Dual-Drive-Console_revL.pdf. Accessed June 9, 2015.Google Scholar
11. Thoratec® Corporation. HeartMate II® Left Ventricular Assist System Instructions for Use. Thoratec® Corporation Web site. http://www.thoratec.com/_assets/download-tracker/HMII/106020/106020_G_HM2_EN_IFU_NA.pdf. Published 2014. Accessed June 9, 2015.Google Scholar
12. Thoratec® Corporation. HeartMate II® LVAS clinical operation & patient management: abbreviated and extracted from the HeartMate II® LVAS operating manual. http://www.thoratec.com/_assets/download-tracker/HM_II_Clin_Op_&_Pt_Mgt_ 104185B_ENGLISH.pdf. Published 2011. Accessed June 9, 2015.Google Scholar
13. Thoratec® Corporation. Thoratec® TLC-II® portable VAD driver and system: instructions for use. Thoratec® Corporation Web site. http://www.thoratec.com/_assets/download-tracker/TLC%20II%20IFU_WW_105800E_ENGLISH.pdf. Published 2013. Accessed June 9, 2015.Google Scholar
14. Schatz, DV, Wolcott, K, Fairburn, JB. Response to hurricane disasters. Surg Clin North Am. 2006;86(3):545-555.Google Scholar
15. Fink, S. Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital. New York USA: Crown Publishing Group; 2013.Google Scholar
16. Thoratec® Corporation. Anticoagulation. Thoratec® Corporation Web site. http://www.thoratec.com/_assets/download-tracker/15579-A.pdf. Published 2000. Accessed June 20, 2014.Google Scholar
17. Lister, SA. CRS Report for Congress. Hurricane Katrina: The public health and medical response. 2005. http://fpc.state.gov/documents/organization/54255.pdf. Accessed June 2014.Google Scholar
18. Zong, S, Clark, M, Hou, XY, Zang, Y, FitzGerald, G. Development of key indicators of hospital resilience: a modified Delphi study. J Health Serv Res Policy. 2015;20(2):74-82.Google Scholar
19. O’Shea, G. Ventricular assist devices: what intensive care unit nurses need to know about postoperative management. AACN Advanced Critical Care. 2012;23(1):69-83.Google Scholar
20. Givertz, MM. Ventricular assist devices: important information for patients and families. Circulation. 2011;124(12):305-311.Google Scholar
21. US Department of Health & Human Services (HHS). Chapter 3. Pre-event evacuation decision guide. HHS, Agency for Healthcare Research and Quality Web site. http://archive.ahrq.gov/prep/hospevacguide/hospevac3.htm. Published 2011. Accessed June 15, 2014.Google Scholar
22. Owens, WR, Morales, DL, Braham, DG, et al. Hurricane Katrina: emergent interstate transport of an evacuee on biventricular assist device support. ASAIO J. 2006;52(5):598-600.Google Scholar
23. Bailey, R. The case of Dr. Anna Pou - physician liability in emergency situations. AMA Journal of Ethics. 2010;12(9):726-730.Google Scholar
24. Taylor, IL. Hurricane Katrina’s impact on Tulane’s teaching hospitals. Trans Am Clin Climatol Assoc. 2007;118:69-78.Google Scholar
25. Holt, GR. Making difficult ethical decisions in patient care during natural disasters and other mass casualty events. Otolarngol Head Neck Surg. 2008;139(2):181-186.Google Scholar