Enloe's 2012 STEMI SYMPOSIUM
Our third STEMI Symposium, focusing on methods for expediting treatment of ST Elevation Myocardial Infarctions from our designated STEMI Receiving Center, was a success. Thank you to the many EMS and cardiac professionals who joined us on Sept. 25, 2012. Check back soon for information on our upcoming STEMI boot camp!
Enloe has been designated as a STEMI Receiving Center by Sierra-Sacramento Valley EMS Agency (S-SV EMS). Here we provide more information about what this means to you.
What is A STEMI?
STEMI stands for ST Elevation Myocardial Infarction, a severe heart attack caused by clotting in one or more arteries. EMS agencies certify specific hospitals as STEMI Receiving Centers to handle such cardiac emergencies. Enloe became the first such facility between Roseville and the Oregon border.
“For patients suffering a STEMI heart attack, a lifesaving trip to a 24-hour STEMI center for urgent intervention could mean the difference between life and death,” says Dr. Troy Falck, medical director of the Sierra-Sacramento Valley EMS Agency.
‘Time is muscle’
Working in coordination with emergency medical responders, the physicians and staff at STEMI Receiving Centers expedite the diagnosis and treatment of cardiac episodes.
The goal is to have a patient receiving comprehensive treatment within 90 minutes of paramedics’ arrival — a timeframe known as the Door-to-Balloon Golden Rule, because angioplasty is a common procedure for restoring blood flow in the blocked arteries responsible for STEMI.
In communities that do not feature a STEMI Receiving Center, the ambulance may bypass the local hospital in favor of a higher-level trauma center.
That is because not all hospitals have the same capability to treat patients suffering from severe heart attacks. Among the procedures offered at a STEMI center such as Enloe are angioplasty, stenting, thrombolytic therapy and emergency bypass surgery.
The process commences when the ambulance service or fire department responds to the 9-1-1 call or other area hospitals. For a person experiencing chest pain, an EKG (electrocardiogram) is performed, using equipment provided by the STEMI Receiving Center. Paramedics transmit the EKG to the hospital.
There, a team of physicians, nurses and technicians begins to review the data. This response team creates a treatment plan before the patient arrives at the hospital. This allows the patient to go directly to the Cath Lab or receive care in the Emergency Department, based on the condition of the patient.
STEMI Response coordinates the efforts of paramedics, E.R. physicians and nurses, cardiologists, Cath Lab team, Nursing Supervisor, admission team, DCU nurses, critical-care nurses and surgical teams to speed up the treatment of heart attacks. As Vickie Pinette, Regional Executive Director of Sierra-Sacramento Valley EMS, explains: “This new cardiac initiative is a multidisciplinary effort that brings together the expertise” of paramedics and hospital staff.
Statistics regionally and nationally show that STEMI Response improves the chance for survival.