Chattanooga/Tristate Region STEMI Update 2014 C. Samuel
Ledford, MD Chattanooga Heart Institute
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Disclosures None relevant to this talk
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Whitfield Murray Georgi a Tenne ssee
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The Realities of Transport/Communication in our Tristate Region
Weather Topography Limited Resources
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How do we increase the number of patients with timely access to
reperfusion therapy?
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We Know what the problems are. So what do we do? Concept: A
Regional STEMI Taskforce
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Barriers to Timely Reperfusion The Patient Hesitation to seek
medical attention Transported to E.D. by private vehicle Time to
transport/EMS Delivery to the closest hospital by EMS, regardless
of PCI capabilities Long transport in rural areas Limited Resources
STEMI Referral Hospitals Reticence to use Thrombolytics Delay in
Transfer to PCI facility STEMI Receiving Hospitals Multiple
Thrombolytic and transport protocols
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Tri-State Regional STEMI Taskforce Charter Mission Statement:
The mission of the Tri-State Regional STEMI Taskforce is to improve
the quality of care and outcomes in acute coronary syndrome
patients through a uniform readiness and response to ST-Elevated
Myocardial Infarction (STEMI) patients. Purpose: The Tri-State
Regional STEMI Taskforce is a multi-disciplinary,
multi-organizational group of healthcare providers focused on
decreasing the time to reperfusion therapy, reducing
inefficiencies, optimizing resources for patients with ST- Elevated
Myocardial Infarctions, and caring for the patent with acute
coronary syndrome.
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STEMI Receiving Hospitals/ Local Government Letters of Support
for a Regional STEMI Task Force Financial Commitment to support
Task Force Membership on Executive Committee of Southeast Tennessee
Regional Medical Communications Center (Region 3)
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EMS/Helicopter Services Provide Educational Resources to EMS
providers Use and transmission of 12-lead ECGs 12 Lead STEMI
interpretation Empower EMS to diagnose STEMI in the field Develop
Standardized EMS STEMI protocols Develop Alternative options for
Counties without automated 12 Lead transmission capabilities.
Create Feedback documents for EMS
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STEMI-Referral Hospitals Provide Educational support to EDs
Create Standardized STEMI Medical Treatment Protocols Create
Standardized Thrombolytic Protocols Create Standardized Transport
Protocols (EMS protocols) Rapid feedback with phone follow-up to ED
and Feedback document
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Begin to Think Inside The Box
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Questions ?? STEMI Coordinators: Marla Thomas RN Erlanger (423)
778-5673 Dee Dee Edgemon RN Memorial (423) 495-7686 Sandra Tilley
RN Parkridge (423) 493-1589
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Ten- one minute time savers are easier to recognize and
implement than One ten minute time saver