6 min read

STEMI, Stroke, Sepsis and ROSC: A Decade for EMS Systems of Care

By Mic Gunderson on Dec 20, 2019

EDITOR'S NOTE: The following article was first published on EMS1.com. Special thanks to guest author, Mic Gunderson*

In the coming decade, EMS will be engaged in even more efforts to triage patients in the field to route them to the most appropriate hospitals.

Systems of care is a term that commonly refers to healthcare delivery that involves multiple organizations. EMS is deeply involved in systems of care for time-sensitive conditions like major trauma, STEMI, and cardiac arrest. Formal integration of EMS into those systems of care started in the 1960s and 70s – and the success of those early systems initiatives has continued to reverberate into this decade.

Topics: Stroke STEMI EMS Sepsis Systems of Care
1 min read

Overcrowded EDs Shown to Increase Time-to-Treatment for Sepsis Patients [New Research]

By Hannah Ostrem on Jan 09, 2019

According to a recent study published in Annals of Emergency Medicine, emergency department (ED) overcrowding significantly increases the amount of time sepsis patients have to wait to receive antibiotic treatment. Because timely treatment has been shown to be a key to reducing sepsis morbidity and mortality, the results of this study indicate that overcrowded EDs are a serious threat to patient outcomes.
Topics: Sepsis
3 min read

How to Use Checklists to Counter the Effects of Fatigue and Improve Patient Care

By Team Pulsara on Sep 11, 2018

EDITOR'S NOTE: The following content originally appeared on EMS1.com. Special thanks to our guest author, Tim Nowak for EMS1 BrandFocus. Tim is the founder and CEO of Emergency Medical Solutions LLC, an independent EMS training and consulting company that he developed in 2010. He's been involved in EMS and emergency services since 2002 and has worked as an EMT, paramedic and critical care paramedic in a variety of urban, suburban, rural and hospital settings. He’s also been involved as an EMS educator, consultant, item writer, clinical preceptor, board member, reference product developer, firefighter and hazmat technician throughout his career.

“Medic 1 calling General Hospital with a patient care report."

“Go ahead, Medic 1.”

“Medic 1 is transporting one patient, non-emergent. 67-year-old female coming from a nursing home that meets our sepsis alert criteria. The patient has recent pneumonia with congested lung sounds. Respirations are at 24, heart rate of 120, blood pressure of 88/42 with an end-tidal CO2 of 23 and a temperature of 100.7 degrees. We’ve started an IV and are administering a fluid bolus. ETA is 10-15 minutes.”

Topics: Stroke STEMI Sepsis Communication Technology
4 min read

How One EMS System is Working to Improve Care Systems in Time-Sensitive Emergencies

By Hannah Ostrem on Jan 05, 2017

When the concept for EMS was born nearly 50 years ago, it was meant to be an integrated part of a smooth system of care beginning with the call to EMS dispatch and continuing through to definitive treatment. However, EMS-to-hospital communications have faced significant barriers including miscommunications due to archaic and unreliable technologies, issues transmitting ECGs and other patient data, inadequate training in STEMI recognition, and lack of access to patient outcome information for EMS. According to an article published in JEMS this week, recent studies have shown that prehospital notification by EMS improves time to treatment for stroke, however these notifications are not part of a consistent and standardized protocol, and in 25% of cases, EMS fails to alert the hospital of an incoming stroke patient.

Topics: Stroke STEMI Sepsis Trauma Healthcare
2 min read

WFBH Uses Code Sepsis Initiative to Reduce Mortality Index by More Than Half

By Hannah Ostrem on Oct 27, 2016

 
Though Pulsara was created to streamline acute care coordination and improve outcomes, it is key to remember that the Pulsara application is not a "magic bullet." Instead, Pulsara is one tool that should be used alongside refined, tested protocols which have as their goals to reduce time to treatment for all critical patients. Combined with such processes, Pulsara can help teams achieve industry-leading case times. 
 
One  example of a system that has successfully implemented such tactful protocols is Wake Forest Baptist Health (WFBH) in Winston-Salem, NC. A recent article illustrated how the facility seamlessly manages sepsis patients thanks to the hospital's Code Sepsis initiative, launched in 2013.
 
Topics: Leadership Sepsis
4 min read

Change is Here to Stay: What That Means for Healthcare and the Beloved Pager.

By Shane Elmore, RN on Oct 18, 2016

When it comes to communication in healthcare, do you ever feel like you're playing a game of "telephone?"

One of the most challenging aspects of living in the technological age is the speed of change. There was once a day when the person armed with the most knowledge and information had the upper hand. That's not the case in today's world. Instead, the person or company that can rapidly learn and adjust to changing trends, information, and technology will now lead the pack. Your ability to adapt to a rapidly changing world will be the one skill that separates you from your competition.

Topics: Stroke STEMI Leadership Sepsis Trauma Healthcare Communication
5 min read

Lactate and Sepsis: 10 things you need to know to save lives

By Hannah Ostrem on Sep 30, 2016

EDITOR'S NOTE: The following content originally appeared on EMS1.com as paid content sponsored by Pulsara. Special thanks to our guest blogger, Drew Rinella for EMS1 BrandFocus.

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Lactate may be used to identify a common killer in the prehospital environment.

According to data from the Centers for Disease Control & Prevention (CDC), one million cases of sepsis occur in the US each year, with 258,000 Americans succumbing annually to this life-threatening systemic inflammatory response to infection. Early recognition is crucial to the recovery of the sepsis patient, and lactate plays an important role in the diagnosis of this killer. Here are ten things you need to know about using lactate to identify sepsis:

Topics: Sepsis
3 min read

The Broken Radio Report and What We Can Learn from "Emergency!"

By Shane Elmore, RN on Aug 09, 2016

Just for grins and giggles, I signed in to Netflix recently and watched a few episodes of the medical drama from the 70's, "Emergency!" I'm a little young to remember the show when it was on the air, but when I started in EMS, my paramedic partner insisted that I watch some of it. It was a rite of passage. Of course, there was also Bringing Out the Dead starring Nicholas Cage and Mother, Jugs & Speed with Bill Cosby, but those are for another post.

Topics: Stroke STEMI EMS Sepsis Trauma Healthcare
1 min read

Geographic Information Systems in Healthcare: A Crucial Intersection

By Hannah Ostrem on Jul 19, 2016

Geographic Information System (GIS) software has long been employed by public health agencies to assess the health of populations in various locations. But now, healthcare providers are starting to turn to GIS too, in efforts to better identify health risk based on location; as a recent article on the subject points out, there is a strong relationship between people's health and the particular communities they live in. 

Topics: Stroke STEMI Sepsis