Abstract

Expedient transfer of a ST-elevation myocardial infarction (STEMI) patient presenting to the Emergency Department (ED) to a cath lab for percutaneous coronary intervention (PCI) is well understood to make a difference in the patient outcome. The American Heart Association has given a goal of 30-30-30 from first medical contact (FMC) to device time, meaning that patients should spend no more than 30 minutes at each step when transported to a hospital, evaluated in an ED and re-perfused in a cath lab. In Los Angeles County, Mobile Intensive Care Unit (MICN) nurses are certified to provide specialty pre-hospital guidance from the ED, which affords them a unique perspective on the relationship between pre-hospital and post-arrival care of patients transported by ambulance. With newly enhanced ability for paramedics to transmit 12-lead electrocardiograms (EKGs) electronically, there is need to evaluate the variables associated with the efficient transfer of a STEMI patient from the field to reperfusion treatment.

Author Details

Melissa Connor, MPH, BSN, RN, CEN, MICN; Kate Hurley, MSN, RN, CEN, MICN; Ning Yao, BS; Theresa Nicholson, MHA, BSN, NEA-BC; Morgan Harris; Tyler Rodriguez, BS; Nicholas Jackson, PhD, MPH; Pamela Miller, PhD, RN

Sigma Membership

Theta Tau

Lead Author Affiliation

Ronald Reagan UCLA Medical Center, Los Angeles, California, USA

Type

Poster

Format Type

Text-based Document

Study Design/Type

Observational

Research Approach

Quantitative Research

Keywords:

Heart Attack Patients, Patient Transfers, Patient Care Improvements

Conference Name

Emergency Nursing 2020

Conference Host

Emergency Nurses Association

Conference Location

Virtual Event

Conference Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Poster

Additional Files

Abstract.pdf (404 kB)

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Effects of prehospital communication times in STEMI patients

Virtual Event

Expedient transfer of a ST-elevation myocardial infarction (STEMI) patient presenting to the Emergency Department (ED) to a cath lab for percutaneous coronary intervention (PCI) is well understood to make a difference in the patient outcome. The American Heart Association has given a goal of 30-30-30 from first medical contact (FMC) to device time, meaning that patients should spend no more than 30 minutes at each step when transported to a hospital, evaluated in an ED and re-perfused in a cath lab. In Los Angeles County, Mobile Intensive Care Unit (MICN) nurses are certified to provide specialty pre-hospital guidance from the ED, which affords them a unique perspective on the relationship between pre-hospital and post-arrival care of patients transported by ambulance. With newly enhanced ability for paramedics to transmit 12-lead electrocardiograms (EKGs) electronically, there is need to evaluate the variables associated with the efficient transfer of a STEMI patient from the field to reperfusion treatment.