ssm healthcare partners with EMS to p...

ssm healthcare partners with EMS to provide Stemi care

Posted in the De Soto Forum

heart attack survivor

Kimmswick, MO

#1 Dec 29, 2010
New STEMI protocol/Newstat

A protocol established Dec. 1 allows Emergency Medical Services (EMS) crews to activate the St. Clare Cath Lab from the field, completely bypassing the Emergency Department and shaving crucial minutes off treatment time for STEMI patients. A STEMI (ST-elevated myocardial infarction) is the deadliest type of heart attack.

This new protocol resulted in a door-to-balloon (D2B) time of 18 minutes for one St. Clare patient.“The patient went directly to the Cath Lab,” explained Judson Smith, EMS Liaison for the South Operating Group.“He went into cardiac arrest twice on the table, but was resuscitated. The next morning, he was completely awake and alert and holding his new grandbaby. The story literally put tears in my eyes and gave me goose bumps.”

National guidelines recommend a D2B treatment time of 90 minutes or less. The St. Clare Cath Lab has achieved this guideline for 10 months in a row, even setting a D2B record of 12 minutes.

With this latest change in protocol, the Cath Lab team and area EMS crews are partnering together to provide this life-saving treatment in the shortest possible time. The process was developed with guidance from the Emergency Department and cardiology groups.

When EMS workers identify through assessment and diagnostic testing in the field that a patient is having an STEMI, they now activate an alert.“The difference is the patient is not stopping in the Emergency Department to be evaluated,” said Rich Gordon, team leader, Cardiac Cath Lab.“The patient is quickly admitted, directed to the Cath Lab, and evaluated by the cardiologist in the Cath Lab. Prior to this, although the EMS was activating in the field, the patient stopped in the Emergency Department, got an EKG and was evaluated by the Emergency Department physician.”

In the case of the patient with the 18-minute D2B time, the ambulance district did a pre-hospital EKG and noted the ST segment elevation.“We have been successful at doing this because our cardiology groups are accepting the STEMI activation without even seeing the initial EKG from the field crews,” said Smith.“We also have technology in place to allow EMS to fax or email their pre-hospital EKG right to our Emergency Department for quick review by the Emergency Department physician and/or cardiologist if time permits.”

As of Jan. 1, this process is being implemented at SSM St. Mary's Health Center.


De Soto, MO

#2 Dec 29, 2010
Gee, I wonder who posted that article?

United States

#3 Dec 31, 2010
DUH wrote:
Gee, I wonder who posted that article?
Who cares who posted this? It's very informative. Obviously, you don't know how crucial every second, minute is to someone who's suffered a heart attack!For them to be able to communicate with the cath lab in the field and to be able to bypass the dreaded ER is amazing!Take your snide comments elsewhere and educate yourself in the meantime.

De Soto, MO

#4 Jan 6, 2011
DUH has forgotten more about EMS that you will ever know hahahahahah.. Grow up....

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