Kudos from the Cath Lab: Volume 14

Posted on June 24, 2015 by ASM-Aetna

STAFFORD — During June 2015, ASM Paramedics Jonathan Lentini, and Greg Derosier responded to a medical call in Stafford with Stafford Ambulance. The EKG was indicative of a STEMI and Jon wirelessly transmitted the 12-lead EKG to Hartford Hospital, activating their cardiac catherization lab from the field. (#15-46694). The following are comments provided by Hartford Hospital’s Dr. Marcin Dada with some acronyms and patient information removed:

Today’s STEMI: Stafford to Hartford Hospital TOTAL Ischemia time 73 min !!!

Congratulations everyone!!!

This patient was brought from Stafford to HH by ASM and Stafford Ambulance (pre hospital ECG was sent and communicated to the ED attending: Drs. Dufel/Price and Cath Lab was activated).

Highlight: We utilized the quick registration where the EMS team was met at the triage and the patient was brought straight to the Cath Lab.

In a nut shell:

1) HH D2B Time = 30 min

2) Total Ischemia Time = 73 min (goal <90 min [1st Medical Contact in the field to Open Artery Time in the Cath Lab]

3) 100% mid-RCA –> 2 DES (TIMI III Flow)

In particular, we would like to recognize the following teams:

1) HH Cath Team – Dr Hirst; D. Jordan, T Schrimer

2) HH ER Team – Drs Dufel, Price and Tilden, and the rest of the clinical team (I am sure we missed many as this was a quick triage)

3) EMS team : G. Derosier and J. Lentini and the Stafford crew.

Strong Work.

Regards,

Marcin Dada, MD

Co-Director, CPC

Manager, Structural Heart Program

Manager, Cardiovascular Data Management Center

Manager, Preventive Cardiology and Cardiac Rehab

Kudos from the Cath Lab: Volume 13

Posted on May 11, 2015 by ASM-Aetna

HARTFORD — During April 2015, ASM Paramedic David White and his AEMT partner, Al Pardi, 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 Hartford Hospital, activating their cardiac catherization lab from the field. (#15-29463). The following are comments provided by Hartford Hospital’s Dr. Marcin Dada with some acronyms and patient information removed:

Congratulations everyone on a great care of this antero-lateral STEMI pt last Sunday.

This patient was brought to HH by ASM (prehospital ECG was sent and communicated to the ED attending: Dr. Herbst)

While in the ER, patient arrested with return of spontaneous circulation… and was brought to the Cardiac Catheterization Lab.

In a nut shell:

1) HH D2B Time = 77 min (off hrs, Sun 3 AM)

1) STEMI Total Ischemia Time = 115 min

In particular, we would like to recognize the teams involved:

1) HH Team – Dr Hirst, Engles and the Cath Lab team – W. Arcisz, D. Jordan, F. Natale.

2) HH ER Team – Dr Herbst, and Snyder, and the ED team: M. Moquin, D, Phillips, S. Ferri.

3) and last but not least : ASM and Stafford Ambulance

Strong Work.

Regards,

Marcin Dada, MD

Co-Director, CPC

Hartford Hospital

Kudos from the Cath Lab: Volume 5

Posted on December 5, 2012 by ASM-Aetna

Kudos from the Cath Lab

Field Care: The story says it all… Sunday 8:00 am. According to Aetna Ambulance Service Supervisor Paramedic Joyce Valentukonis:

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

Percutaneous 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 4

Posted on May 18, 2012 by ASM-Aetna

ASM Aetna Paramedics operate LifePak 15 cardiac-monitors

MANCHESTER — On May 17, 2012, ASM Paramedic Supervisor Robert O’Neil wirelessly transmitted a 12-lead EKG to Hartford Hospital in order to precipitate a field activation of the cardiac catheterization lab.

The transmission, which flows through a purpose-specific modem stored externally on the LifePak 15 cardiac monitor, draws the attention of the ED physician, interventionalist and cardiologist and most often results in the patient being conveyed from the field directly into the care of the cardiac staff in the cath lab.

This particular patient was in cardiogenic shock as partially manifested by bradycardia.

The following is excerpted from an email from Dr. Marcin Dada, Associate Director of the Chest Pain Center, Hartford Hospital: Continue reading →

Kudos from the Cath Lab: Volume 3

Posted on April 24, 2012 by ASM-Aetna

Kudos from the Cath Lab

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

Great job everyone.

I though you would like to know that today’s STEMI times were as follows:

Door to Balloon Time – 36 minutes

EMS to Balloon time – 69 minutes

The system-organized response was initiated in the field (town withheld) where the pre-hospital ECG was transmitted by AETNA Ambulance to the Hartford Hospital Emergency Department and then forwarded to the Cath Lab (Cardiac Catheterization Laboratory). Many should be congratulated, in particular:

Drs. McKay and Almahasnen and the Cath Lab team (A. Almeida, R. Fisher, E. Letoutneau)
Drs. Smally, Sullivan and the ED team (C. Urso, A. Mugovero)
Last but not least, the AETNA Paramedics Ashley Harkins and Preston Ryzak for timely ECG interpretation and transmission. Continue reading →

Kudos from the Cath Lab: Volume 1

Posted on November 28, 2011 by ASM-Aetna

: 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 →

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Tag Archives: Marcin Dada