In this episode, Dr. Colin McCloskey, an EM intensivist from Cleveland, Ohio, shares insights on troubleshooting "The Low-Flow LVAD." He simplifies the process by emphasizing that LVADs are preload dependent and afterload sensitive, highlighting the importance of understanding this physiology for effective troubleshooting. Colin emphasizes the collaborative approach needed when managing LVAD patients, involving VAD coordinators for assistance and historical information. He delves into the internal and external components of LVADs, discusses common pathologies affecting LVAD function, and provides practical tips for managing complications like pump thrombosis, bleeding, and systemic hypertension. Throughout, Colin's expertise makes navigating LVAD management accessible, ensuring comprehensive care for patients in critical conditions.