Kudos from the Cath Lab: Volume 17

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.

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