For a patient with a ventricular assist device (VAD), what is the recommended action during CPR?

For a patient with a ventricular assist device (VAD), what is the recommended action during CPR?

• A. Do not perform CPR
• B. Perform CPR and contact BH for additional instructions
• C. Only transfer to hospital
• D. Perform CPR and call family

Answer: (B)

The key idea is that a ventricular assist device does not negate the need for CPR during cardiac arrest. Even with a VAD, if the patient is in arrest you should start high‑quality chest compressions to maintain circulation while you seek further instructions. The device may be functioning or fail, and clinicians in the field often need device‑specific guidance that only the base hospital can provide. So, perform CPR and immediately contact the base hospital for additional instructions tailored to the VAD and the patient’s situation. If available, check the VAD controller for power and function, but do not stop CPR pending device assessment; follow the base hospital’s guidance for any defibrillation, medication, or further actions. This approach ensures you provide appropriate, device‑aware care rather than relying on the device alone.

The key idea is that a ventricular assist device does not negate the need for CPR during cardiac arrest. Even with a VAD, if the patient is in arrest you should start high‑quality chest compressions to maintain circulation while you seek further instructions. The device may be functioning or fail, and clinicians in the field often need device‑specific guidance that only the base hospital can provide. So, perform CPR and immediately contact the base hospital for additional instructions tailored to the VAD and the patient’s situation. If available, check the VAD controller for power and function, but do not stop CPR pending device assessment; follow the base hospital’s guidance for any defibrillation, medication, or further actions. This approach ensures you provide appropriate, device‑aware care rather than relying on the device alone.