STAFFORD — During June 2015, ASM Paramedics Jonathan Lentini, and Greg Derosier responded to a medical call in Stafford with Stafford Ambulance. The EKG was indicative of a STEMI and Jon wirelessly transmitted the 12-lead EKG to Hartford Hospital, activating their cardiac catherization lab from the field. (#15-46694). The following are comments provided by Hartford Hospital’s Dr. Marcin Dada with some acronyms and patient information removed:
Today’s STEMI: Stafford to Hartford Hospital TOTAL Ischemia time 73 min !!!
This patient was brought from Stafford to HH by ASM and Stafford Ambulance (pre hospital ECG was sent and communicated to the ED attending: Drs. Dufel/Price and Cath Lab was activated).
Highlight: We utilized the quick registration where the EMS team was met at the triage and the patient was brought straight to the Cath Lab.
In a nut shell:
1) HH D2B Time = 30 min
2) Total Ischemia Time = 73 min (goal <90 min [1st Medical Contact in the field to Open Artery Time in the Cath Lab]
3) 100% mid-RCA –> 2 DES (TIMI III Flow)
In particular, we would like to recognize the following teams:
1) HH Cath Team – Dr Hirst; D. Jordan, T Schrimer
2) HH ER Team – Drs Dufel, Price and Tilden, and the rest of the clinical team (I am sure we missed many as this was a quick triage)
3) EMS team : G. Derosier and J. Lentini and the Stafford crew.
Marcin Dada, MD
Manager, Structural Heart Program
Manager, Cardiovascular Data Management Center
Manager, Preventive Cardiology and Cardiac Rehab