Metro STEMI Task Force The Central Iowa EMS Directors STEMI Task Force is striving to improve the patient outcomes of ST elevation myocardial infarctions.

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Presentation transcript:

Metro STEMI Task Force The Central Iowa EMS Directors STEMI Task Force is striving to improve the patient outcomes of ST elevation myocardial infarctions. Current members Central Iowa EMS Directors Association Broadlawns Medical Center Mercy Hospital Medical Center Mercy West Lakes Unity Point Health (Methodist, Lutheran and West) Iowa Heart Center UnityPoint Health Cardiology Iowa Clinic Cardiology

STEMI Task Force Goals Goals for 2016 Establish/improve a method for data collection that includes prehospital data and feedback Established standardized pre-hospital protocols for STEMI including 12 lead ECG transmission Monitor and improve outcomes such as door to balloon, first medical contact to balloon, etc… Develop improved education for EMS providers, nursing and physicians Increase medical director involvement in pre-hospital STEMI care Provide public education to improve recognition and appropriate actions

Metro STEMI Task Force Implement STEMI Kit protocol 2016 Task Force Initiatives Implement STEMI Kit protocol Continue emphasis on STEMI Tag completion Develop strategic plan for Community Education in order to further decrease time of symptom onset to Balloon

STEMI Task Force Data Points Time of symptom onset Dispatch time from communications center Time of 1st medical contact Time of 1st ECG Scene times and details may be added

STEMI ALERT????? Don’t forget your TAG Tags now included in your STEMI Kit! Kits provided by Emergency Dept. at IMMC, ILH, Mercy Downtown, Mercy West Lakes

STEMI Kit for EMS The STEMI Kit includes Pt. belonging bag STEMI Tag Pt. gown Each ambulance should pick up initial kit from one of the following Emergency Depts. IMMC, ILH, Mercy Downtown, Mercy West Lakes, When dropping off your STEMI Pt., pick up a replacement kit for your ambulance If time permits, All STEMI Patients should be fully undressed, placed in patient gown. At a minimum, STEMI Tag should be initiated. STEMI Kit Pilot project was very successful in reducing time to balloon

STEMI Task Force Data Tag

Back side of Tag Reminder Provide copy of your 12 lead Label 12 lead with Pt. name and age Complete and leave tag on Pt. or with nurse Go to CIEMSD website to request Patient follow up http://www.ciemsd.org/?page_id=518 (password: ems) For more information on Metro STEMI Task Force contact admin@ciemsd.org

STEMI Alert activation procedure Request STEMI Alert to ED if: i. 12 lead interpretation by Paramedic ii. Acute MI/STEMI Alert diagnosis by monitor (No physician contact required) b. Provide the following information: i. Patient report including patient condition, assessment findings, ECG analysis, ii. name and DOB, ETA c. Provide copy of 12 lead and report to hospital

STEMI Task Force Data Tag EMS is to initiate use of STEMI Kit and complete STEMI Data Tag for each STEMI patient. (not all chest pain Patients –just STEMI patients)

STEMI Task Force Data Tag IF tag is incomplete or missing…… ED or Cath Lab staff must complete tag by collecting times before EMS leaves the Hospital.

STEMI Task Force Data Tag At hospital, completed Tag must be labeled with patient identifier to enable placement into medical record. Details of this process will be defined by each participating health system

STEMI Task Force Data Tag Please make sure your Medical Director and EMS crews are well informed on this project It is the goal that the Kit be utilized and tag be completed on ALL STEMI patients

Pt. follow up is always available. www.ciemsd.org

Metro STEMI Task Force For further information regarding this education or content please contact: Katy Hill RN, BSN, CFRN, EMT-B EMS Coordinator UnityPoint Health Des Monies (515) 241-6747 office katherine.hill@unitypoint.org