Tag Archives: EKG transmission

Kudos from the Cath Lab: Volume 17

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Aetna Paramedic receives Kudos from the Cath LabROCKY HILL — During early February 2016, Aetna Paramedic Ryan Gonska and his partner Logan Royale responded to a medical call in Rocky Hill. The EKG was indicative of a STEMI and Ryan wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#16-8644).

Rapid identification, treatment, and early notification (STEMI ALERT) is vital in the care of patients with cardiac emergencies such as ST Segment Elevation Myocardial Infarction.  We hope the attached information is useful in the design and monitoring of your treatment strategies.     — Saint Francis Hospital staff

SFH Cath Lab Patient Follow-Up Form

Treatment by EMS and Direct to SFH ED

EMS Agency: Aetna Ambulance

Indication: STEMI

First Medical Contact (FMC) (at pt side)                             16:13    elapse: 00:00

EMS 12 Lead Acquisition Time:                                           16:17          elapse: 00:04

EMS STEMI Alert Request Time (source: cmed):                16:37          elapse: 00:20

EMS 12 Lead Transmit Rec’d Time (source: Lifenet):        16:19          elapse: 00:02

Arrival Time (SFHED):                                                          16:51          elapse: 00:14

Cath Lab Arrival Time (SFH):                                              17:13          elapse: 00:22

Procedure Start Time:                                                        17:28          elapse: 00:15

Vessel Angiography Findings / Treatment: 3V Dz; Coronary Artery Bypass Graft Consult.

Comments: Patient went MD office due to prolonged chest pain and shortness of breath; APRN performed EKG and administered Aspirin; No first medical contact time, so EMS times utilized- EMS dispatched 16:05 on scene 16:10. Transport 16:31. EMS performed 12-lead; STEMI Center activation at 16:37. Cath lab notified prior to arrival of patient. Patient required emergent coronary artery bypass graft instead of stents.

Kudos from the Cath Lab: Volume 16

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Aetna Paramedic receives Kudos from the Cath LabSTAFFORD SPRINGS — During January 2016, ASM Paramedic David White and his partner Ray Philbrick responded to a medical call in Stafford with Stafford Ambulance. The EKG was indicative of a STEMI and Dave wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#16-0017.

“Here is the full feedback report. Great job!!” – John Quinlavin, Manager, Emergency Medical Service, Saint Francis Hospital and Medical Center.

SFH Cath Lab Patient Follow-Up Form Treatment by EMS and Direct to SFH ED

EMS Agency: Ambulance Service of Manchester & Stafford Ambulance

Indication: STEMI

First Medical Contact (FMC) (at pt side) Date/Time: 1/1/2016 01:00          elapse:  00:00

EMS 12 Lead Acquisition Time:                                           01:02          elapse: 00:02

EMS STEMI Alert Request Time (source: cmed):                01:19          elapse: 00:17

EMS 12 Lead Transmit Rec’d Time (source: Lifenet):          01:19          elapse: 00:17

Arrival Time (SFHED):                                                         01:41          elapse: 00:22

Cath Lab Arrival Time (SFH):                                              02:03          elapse: 00:22

Procedure Start Time:                                                          02:20          elapse: 00:17

First Device Time:                                                                02:46          elapse: 00:26

————————————————————————————————————–

SFHED Door to First Device:                                                65 min

FMC to First Device:                                                              106 min

Vessel Angiography Findings / Treatment: 100% SVG-RCA lesion open not stented.

Comments: Onset chest pain 00:00. Once patient on EMS stretcher Asystole, went to start CPR, patient responsive prior to any compressions.  This occurred again during transport.  STEMI team paged prior to arrival at 0122.

Kudos from the Cath Lab: Volume 15

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EMS team receives Kudos from the Cath LabGLASTONBURY — During July 2015, ASM Paramedic Joshua Traber and his partner Supervisor Michael Sparks responded to a medical call in Glastonbury with Glastonbury Ambulance. The EKG was indicative of a STEMI and Josh wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#15-53809).

SFH Cath Lab Patient Follow-Up Form Treatment by EMS and Direct to SFH ED

EMS Agency: Ambulance Service of Manchester & Glastonbury Vol Ambulance

Indication: STEMI

First Medical Contact (FMC) (at pt side)                           14:09          elapse:  00:00

EMS 12 Lead Acquisition Time:                                           14:17          elapse: 00:08

EMS STEMI Alert Request Time (source: cmed):                14:38        elapse: 00:21

EMS 12 Lead Transmit Rec’d Time (source: Lifenet):        14:37          elapse: 00:20

Arrival Time (SFHED):                                                            14:46          elapse: 00:09

Cath Lab Arrival Time (SFH):                                              15:37          elapse: 00:51

Procedure Start Time:                                                             15:46          elapse: 00:09

First Device Time:                                                                  16:07          elapse: 00:21

————————————————————————————————————–

SFHED Door to First Device:                                                81 min

FMC to First Device:                                                              118 min

Vessel Angiography Findings / Treatment:100% LAD and 80% RCA lesions; LAD open and stented. IABP required. NOTE: delay to PCI due to CTSCAN  to r/o aortic aneurysm-family history.

Early EKG Transmission Device Resurfaces

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MANCHESTER — An early communication device, used during the days when ASM was known as Manchester Ambulance, was brought out as a prop for a recent retirement party.

Shown here, the phone and EKG transmission device shows just how far technology has come but reminds us that transmitting EKGs to hospital is not a new idea. Aetna and ASM operate technology to wirelessly transmit 12 lead EKGs to a terminal in area emergency departments as well as they smartphones of the interventionalist and cardiologist.

Kudos from the Cath Lab: Volume 5 – Update

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An update was received to the story found here in the form of an email directly from the patient:

“You and you partners responded to a 911 call at my house. I was having a massive heart attack. I only remember being carried down the stairs. Thanks to you and your partners, I’m here at home about to have my 33 year [anniversary] with my wife to celebrate.  I just want to thank you from the bottom of my heart.”

The original story:

According to Aetna Ambulance Service Supervisor Paramedic Joyce Valentukonis:

  1. Assigned to Aetna 201, Alpha/Monitor 6,
  2. The 12-lead was transmitted with success and then a radio patch notifying of a STEMI alert was given.
  3. Just prior to arriving the patient went into cardiac arrest.
  4. The patient was resuscitated upon arrival of parking lot (eyes open and talking). In the hallway, patient went into cardiac arrest again.
  5. As of today: patient is extubated and talking.

Aetna Paramedic receives Kudos from the Cath LabPercutaneous coronary intervention (PCI): EMS-to-balloon time: 61 minutes.

The patient’s spouse returned a Patient Satisfaction Survey with perfect scores and a note that says, “Thank you for saving my husband’s life.”

Kudos from the Cath Lab: Volume 2

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Kudos from the Cath Lab

Kudos from the Cath Lab

Email from Saint Francis Hospital and Medical Center:

“Greg D. [ASM Paramedic #438] and the crews did a great job with this STEMI patient yesterday. Patient did very well and is fortunate to have been transported to a STEMI center. Nice work for the crew working with the patient to make an informed decision. Cath showed 99% RCA Lesion which was opened and stented.” Continue reading →

Kudos from the Cath Lab: Volume 1

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ASM Aetna Paramedics operate LifePak 15 cardiac-monitors
ASM and Aetna Paramedics operate LifePak-15 cardiac monitors

(Content that follows is excerpted from an email from the Hartford Hospital cardiac team…)

STRONG team work.

Kudos continue – to the Cath Lab/ED/EMS team. This patient was brought by ASM who transmitted ECG and activated the team pre-hospitaly (STEMI). The patient was taken straight to the Cath Lab after a quick triage in the emergency department (without any STOP at the [critical care pod]). Continue reading →