Kudos from the Cath Lab: Volume 16

Posted on January 8, 2016 by ASM-Aetna

STAFFORD 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.

ASM’s Kenya Russell Receives Saint Francis 2015 EMS Champion Award

Posted on May 21, 2015 by ASM-Aetna

Kenya Russell with Saint Francis Hospital’s John Quinlavin

HARTFORD — On May 20, 2015, as part of EMS Week celebrations, ASM’s Kenya Russell received an EMS Champion Award from Saint Francis Hospital and Medical Center. The award was conveyed to Kenya and Vernon Fire Department’s Jean Gauthier by Saint Francis EMS Coordinator John Quinlavin and EMS Medical Director Dr. Steve Wolf.

Click to Enlarge. (L to R): John Quinlavin, Kenya Russell, Jean Gauthier, Dr. Steve Wolf.

The following is the content of the nomination for Kenya as submitted by ASM’s Stephanie Boutot:

I’d like to nominate my friend, co-worker Kenya Russell, paramedic at ASM. As a paramedic, she assesses each patient and treats them as the individual they are. She is very good at gaining a rapport, making them feel as comfortable as possible. With her amazing smile and contagious laugh, it is not uncommon to hear laughter as she cares for patients. Music is a great tool she uses and will offer to play whatever their favorite might be, even if not her favorite. I admire her strength, confidence, and ability to advocate for patients. She not only stands up for patients, she also stands up for herself earning respect from others.

Kenya is continuously learning about EMS from CMEs and from her calls, and consulting with other providers to improve her knowledge and care. Kenya is not only an amazing paramedic on the clock, but she has traveled abroad to experience other cultures and assist in their healthcare. And if that wasn’t enough, Kenya organized a support system for a friend and co-worker, playing a major role in starting up the Carolyn Edwards Foundation to help Carolyn as well as continuing the support efforts for others EMSer’s in need.

Kudos from the Cath Lab: Volume 12

Posted on April 28, 2015 by ASM-Aetna

HARTFORD — During April 2015, ASM Paramedic Supervisor Matt Tuttle and his EMT partner, Supervisor Mike Sparks, responded to a medical call in South Windsor. The EKG was indicative of a STEMI and Matt wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#15-24713).

ASM’s Matt Tuttle.

“Nice job, Matt. Thanks for calling early.”

– John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

Additionally the patient returned a Satisfaction Survey with every one of the 21 boxes checked Strongly Agree or Excellent. In a follow-up phone call he said that Matt should be commended, that he was “absolutely fantastic”, caring and took the time to explain everything as it was happening. Further, he said, “I have nothing but good things to say about your service.”

Vessel Angiography Findings/Treatment: 100% thrombotic occlusion of Distal RCA; hypotensive, required Dopamine, ejection fraction 55%.

Comments: onset 20 min PTA dispatched 0822; EKG transmitted on scene to ED & med control contacted prior to departure; left scene @ 0840 (South Windsor location)- in ED pt remained on EMS stretcher then to cath lab.

SFH Cath Lab Patient Follow-Up Form

EMS Agency: ASM

Indication: STEMI

First Medical Contact (FMC) (at pt side) Time: 08:28 elapse: 00:00

EMS 12 Lead Acquisition Time: 08:32 elapse: 00:04

EMS STEMI Alert Request Time (source: cmed): prior to dept. elapse: 00:01

EMS 12 Lead Transmit Rec’d Time: 08:36 elapse: 00:04

Arrival Time (SFHED): 09:01 elapse: 00:25

Cath Lab Arrival Time (SFH): 09:17 elapse: 00:16

Procedure Start Time: 09:26 elapse: 00:09

First Device Time: 09:33 elapse: 00:07

————————————————————————————————————–

SFHED Door to First Device: 32 min

FMC to First Device: 65 min

Kudos from the Cath Lab: Volume 11

Posted on April 13, 2015 by ASM-Aetna

HARTFORD — During March 2015, ASM Paramedic Adam Fine and his partner David Tedeschi responded to a medical call in Coventry with Coventry Volunteer Fire Association (CVFA) ambulance. The EKG was indicative of a STEMI and Adam wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#15-17116)

ASM’s Adam Fine

“First Medical Contact to device under 90 minutes!!!”

– John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

SFH Cath Lab Patient Follow-Up Form

100% left posterior descending artery ballooned.
Re-clotted, managed medically.

EMS Agency: ASM (Coventry)

Indication: STEMI

First Medical Contact (FMC) (at pt side) Date/Time: 16:31

EMS 12 Lead Acquisition Time: 16:34 elapse: 00:03

EMS 12 Lead Transmit Rec’d Time (source: Lifenet): 16:42 elapse: 00:08

Arrival Time (SFHED): 17:06 elapse: 00:24

Cath Lab Arrival Time (SFH): 17:21 elapse: 00:15

Procedure Start Time: 17:42 elapse: 00:21

First Device Time: 17:57 elapse: 00:15

————————————————————————————————————-

SFHED Door to First Device: 51 min

FMC to First Device: 86 min

Kudos from the Cath Lab: Volume 10

Posted on April 6, 2015 by ASM-Aetna

HARTFORD — During March 2015, ASM Paramedic Ted Oliver and his partner David Rice responded to a medical call in Somers with Somers Fire Department ambulance. The EKG was indicative of a STEMI and Ted wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#15-21457)

“Another great job by our ASM partners and this time with Somers Fire. The bar has been raised now with measuring the time from first medical contact to device in the Cath Lab and this requires a strong team effort to meet the new benchmark. Rapid identification and notification are critical elements to success.”

– John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

SFH Cath Lab Patient Follow-Up Form

100% occlusion of the posterior left anterior descending artery.
90% occlusion of the ramus artery (a division of the left main coronary artery)
100% occlusion of the first through third obtuse marginal arteries
80% RCA ejection fraction < 20%. IABP placed. No PCI – CABG performed.

Treatment by EMS and Direct to SFH ED

EMS Agency: ASM (run # 21457) (Somers FD Ambulance transported)

Indication: STEMI

First Medical Contact (FMC) (at pt side) 15:05 elapse: 00:00

EMS 12 Lead Acquisition Time: 15:10 elapse: 00:05

EMS 12 Lead Transmit Rec’d Time: 15:22 elapse: 00:12

Arrival Time (SFHED): 15:56 elapse: 00:34

Cath Lab Arrival Time (SFH): 16:14 elapse: 00:18

Procedure Start Time: 16:17 elapse: 00:03

SFHED Door to First Device: to start proc. 21 min

FMC to First Device: to start proc 72 min

Kudos from the Cath Lab: Volume 9

Posted on September 10, 2014 by ASM-Aetna

HARTFORD — During August 2014, ASM Paramedic Rachel Buechele and her partner Stephanie Boutot responded to a medical call in one of the towns ASM serves. The first EKG was indicative of a STEMI and Rachel wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#14-73447)

“An incredible job by EMS with efficient recognition, treatment and early notification. St Francis Hospital and Medical Center is excited about the partnership we have with the ASM and Aetna staff. We are grateful for the teamwork displayed toward improving care for our STEMI patients, as well as others.” – John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

Comments: Cath showed 100% Mid RCA Lesion which was opened and stented.

Kudos from the Cath Lab: Volume 8

Posted on September 3, 2014 by ASM-Aetna

HARTFORD — During August 2014, Aetna Paramedic Matthew Carter and his partner Kathryn Stewart, wirelessly transmitted a 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field.

“Another great job by your staff!! ” – John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

Cath showed 100% LAD Lesion which was opened and stented.

STEMI Transmission

ED Arrival			18:34	Sat
EKG Complete			18:37
Cath Lab Paged			18:17
Cath start			19:09
First PCI Time			19:17
Door to Balloon Time	43 Min
Mode of Arrival		EMS	Other	EMS STEMI Alert	Cath Lab Activated
EMS Agency		Aetna		Lifenet @ 18:13	Yes

Kudos from the Cath Lab: Volume 7

Posted on August 6, 2014 by ASM-Aetna

Aetna Paramedic receives Kudos from the Cath Lab HARTFORD — During August 2014, ASM Paramedic Preceptor Dave White and his preceptee Paramedic Sean Norton, aboard Andover Fire Department ambulance, wirelessly transmitted a 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field.

“What a great job with notification and communication by your medic! He called early (19:08) to have a conversation with MD regarding an unclear EKG and provided additional information on subsequent patches. I was very impressed with his professionalism and clinical skill. Early notification and a very well presented paramedic report to the MD allowed for early activation of our cath team by 13-18 minutes.” – John Quinlavin, EMS Manager, Saint Francis Hospital and Medical Center.

EMS Agency: ASM

Indication: STEMI

			Time
ED Arrival			19:29
Cath Lab Paged			19:16
Cath start			20:17
First PCI Time			20:28
XXX – Total
Door to Balloon Time			0:59

ASM-AETNA Blog

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Tag Archives: John Quinlavin

Kudos from the Cath Lab: Volume 16

ASM’s Kenya Russell Receives Saint Francis 2015 EMS Champion Award

Kudos from the Cath Lab: Volume 12

Kudos from the Cath Lab: Volume 11

Kudos from the Cath Lab: Volume 10

Kudos from the Cath Lab: Volume 9

Kudos from the Cath Lab: Volume 8

Kudos from the Cath Lab: Volume 7