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3 min read

LewisGale Hospital Montgomery Achieves Record 14-Minute Door-to-Balloon Time

By Kinsie Clarkson on Apr 13, 2022

LewisGale Hospital Montgomery in Blacksburg, Virginia, recently achieved a record door-to-balloon time of 14 minutes for one of their STEMI patients—one of their fastest ever. 

LewisGale has been working to create clearer lines of communication between its team members. They implemented Pulsara to successfully create a streamlined process for team communication around potential heart attack patients. 

Dr. John Patterson, a cardiologist at LewisGale, described how Pulsara allows him to receive notifications and information about a new patient instantly: "With this platform, I have the ability to see the EKG and activate the cath lab. All of this happens immediately so that it shortens the length of time it takes from the time the patient starts having their heart attack to the time they arrive at our hospital, to the time that we fix it. All of these times get shortened significantly with a platform like this." 

Topics: STEMI Press Customer Success
3 min read

Arkansas’s Ouachita County Medical Center Cuts Door-In, Door-Out Times for STEMI Patients by 50% with Pulsara

By Team Pulsara on Apr 04, 2022

How one Arkansas hospital is using healthcare communication technology to dramatically speed up time-to-treatment for STEMI patients

BOZEMAN, Mont., April 4, 2022Pulsara, the leading mobile telehealth, communication, and logistics platform that unites healthcare teams and technologies across organizations during dynamic events, published new details on Arkansas-based Ouachita County Medical Center’s record improvements in patient care. The Ouachita County Medical Center Case Study reveals the challenges many hospitals face when trying to transfer patients quickly, and the solution they found that enabled faster transfers and streamlined communication across organizations, ensuring secure and efficient patient care.

As a small medical center in rural southern Arkansas, Ouachita County Medical Center (OCMC) faced a lengthy and inefficient process when transferring STEMI patients to percutaneous coronary intervention (PCI) facilities that could provide critical care. Jennifer Ray, RN, OCMC’s ER and ICU manager, explained that in 2017, the average door-in, door-out (DIDO) time was 72 minutes for the 19 STEMI patients who came into the OCMC ER—more than double what the American College of Cardiology Foundation and the American Heart Association recommends.

Topics: STEMI Press Customer Success Transfer
3 min read

Press Release: Arkansas-Based Saline Memorial Hospital Reduces STEMI Treatment Times By 28% In 4 Months with Pulsara

By Team Pulsara on Jan 12, 2022

How one rural Arkansas county is using integrated telehealth, communication, and logistics technology to treat patients faster

Bozeman, Mont., Jan. 12, 2022 —  Pulsara, the leading mobile telehealth, communication, and logistics platform that unites healthcare teams and technologies across organizations during dynamic events, published new details on Arkansas-based Saline Memorial Hospital’s record improvements in patient care. The Saline Memorial Hospital Case Study reveals the unique challenges care teams were facing with a rapidly growing and dispersed population, and the solutions they found to markedly reduce treatment times, establish secure and reliable ECG transmissions, and improve real-time care team communication. 

Topics: STEMI Customer Success
10 min read

Pulsara's 2021 Case Studies: A Review of Results & Improved Patient Care

By Kinsie Clarkson on Dec 20, 2021

It has been a challenging year in healthcare. The second year of the COVID-19 pandemic has brought burnout, staffing shortages, and the continued struggles associated with trying to care for patients during a pandemic. 

In the midst of it all, many healthcare systems have risen to the challenge and devoted themselves to providing better, faster, and more efficient care for their patients. They've achieved amazing things in 2021, and, in spite of the setbacks and challenges, have found ways to continue to deliver top-notch care for their patients.

Join us as we take a walk through Pulsara's 2021 case studies, celebrate the stories of some of our partner organizations, and highlight the amazing results they've achieved this year!

Topics: Stroke STEMI Trauma Customer Success
2 min read

Ouachita County Medical Center Cuts DIDO for STEMI Patients by 50%

By Kinsie Clarkson on Dec 08, 2021

Ouachita County Medical Center (OCMC) is a not-for-profit hospital with 99 beds, serving residents of the rural community surrounding the city of Camden in southern Arkansas, about 100 miles from Little Rock. As a smaller, non-PCI facility, OCMC often coordinates transfers for their STEMI patients to PCI facilities.

Previously, when a patient arrived in the OCMC emergency room with a STEMI, whether by ambulance or private car, staff would first page a cardiologist at the patient’s preferred receiving facility, then wait for the physician to call back. Only then could they start the process of transferring the patient to a percutaneous coronary intervention (PCI) facility that could provide critical care. “Then we had to get a bed confirmed, and then we had to wait to get our EMS service to take the patient. And then, usually, most of those patients at that time went to Little Rock, which is about an hour and a half from where we are,” explained Jennifer Ray, RN, OCMC’s ER and ICU manager. “So the timeliness of the patient getting in and out was very, very slow.” How slow? During 2017, the average door-in, door-out (DIDO) time was 72 minutes for the 19 STEMI patients who came into the OCMC ER—more than double the 30 minutes or less recommended by the American College of Cardiology Foundation and the American Heart Association.

Topics: STEMI Press Consult Customer Success Transfer
2 min read

Saline Memorial Hospital Reduces STEMI Treatment Times by 28% in 4 Months

By Isabella Rapp on Oct 11, 2021

Saline Memorial Hospital is the only full-service hospital in the rural area of Saline County, Arkansas. Serving over 120,000 people, Saline Memorial is licensed for 177 beds and has its own EMS service (MedTran) that brings in 85 to 90% of their patients. According to Brian Mann, Saline Memorial's Director of Growth and Outreach, Saline County is and has been “one of the fastest-growing counties in Arkansas for around a decade.”

With a rapidly growing population and a system running to keep up, Saline Memorial Hospital was looking for a way to reduce their treatment times for patients arriving via EMS. Because it serves a dispersed population across a large service area and is the only American College of Cardiology Accredited Chest Pain Center in the community, Saline Memorial struggled to keep their first medical contact-to-device times low. The ACC and the AHA recommend a standard of 90 minutes. According to Jeannie Otts, RT, R, CV, ARRT, Cardiac Cath Lab Director, Saline Memorial’s STEMI patients’ first medical contact-to-device time averaged around 105 minutes from the field.

Topics: STEMI Press Customer Success
4 min read

How LewisGale Regional Health System is Using Pulsara

By Team Pulsara on Jul 21, 2021

When our customers experience the benefits of Pulsara—from faster door-to-needle times and minimized errors to improved team communication and reduced costs—it goes without saying that we love to share and celebrate their successes. LewisGale Regional Health System in southwest Virginia is just such a case, recently releasing both a press release and video testimonial about how Pulsara is helping them better support their patients and care teams.

From their press release:

“EMS plays a vital role in improving care for these patients, and we’ve known for some time that patients with life-threatening conditions receive faster treatment when EMS activate the appropriate hospital team from the field,” said Steven Pasternak, MD, emergency department medical director at LewisGale Medical Center. “This new, cloud-based, mobile technology further decreases the amount of time it takes to communicate vital data and activate hospital teams compared to traditional methods of communication between ERs and EMS. For example, if a patient has had a suspected cardiac event, the EKG administered by EMS in the field can be transmitted in real-time to the hospital, which enables the hospital to be ready to perform, if necessary, a cardiac catheterization procedure to open blocked arteries as soon as the patient arrives.”

Topics: STEMI Communication Customer Success
6 min read

STROKE: 10 Things You Need to Know to Save Lives

By Team Pulsara on Feb 22, 2021

EMS plays a critical role in identifying, treating, and directing stroke patients into a system of care. Time is brain for stroke patients, and as the first on-scene, your response time is critical to quickly identifying stroke symptoms, alerting the right care teams, and getting the patient the care they need. Every minute you can shave off their treatment time saves tissue and makes a big difference to the patient's quality of life. 

With those things in mind, here are 10 things you need to know about stroke:

Topics: STEMI EMS
3 min read

Putting a [Pit] Stop to Bottlenecks in Healthcare Communication

By Brandon Means on Feb 05, 2021

What do EMS and hospital care teams have in common with NASCAR drivers?

Quite a bit, as it turns out. The success or failure of both hinges on one thing: time. 

It might surprise even dedicated fans to learn that all of the cars on the track are limited to the same top speed and horsepower range. With this being the case, how can it be that there is such a large disparity between first and last place?

The answer: The race is won and lost during the pit stop.

Topics: Stroke STEMI Coordinators' Corner Sepsis Trauma Time Sensitive Emergencies Connected Teams
2 min read

How’s Your Heart? 7 Tips to a Healthier Heart

By Kinsie Clarkson on Feb 01, 2021

With Valentine’s Day just around the corner, hearts are everywhere—heart decorations, heart candies, heart cards, even heart pancakes for the more creative sweethearts. But one of the most important hearts of all too often gets overlooked: Your heart (or your heart health, to be specific)! 

February is American Heart Month: a national event to raise awareness about heart disease and what you can do to decrease your risks. Heart disease is the #1 cause of death for Americans, killing over 650,000 people annually. It is responsible for 1 in 4 deaths in the U.S. each year, and one person dies every 36 seconds from cardiovascular disease (that's heart disease and stroke combined). And that's not just for older adults; heart disease is becoming more and more common in young adults, making it important to learn whether you might be at risk.

Topics: STEMI Wellness Health Sudden Cardiac Arrest
3 min read

Mobilize Your Care Teams Early to Maximize Peak Performance

By Brittany Means, RN, BSN on Jan 22, 2021

Picture this:

About 12 hours into your 24-hour shift, you and your partner are finally sitting down to your first real meal of the day.

Just as the first bite of warm food hits your lips, the tones drop—an all-too-familiar scenario in the world of first responders. 

You’re dispatched to a 51-year-old male reporting chest pain. You walk in the door to a very distraught family, gathered around a man clutching his chest. He is pale and sweating profusely. You meet your partner’s eyes, and you know you’re both thinking the same thing. You quickly obtain the ECG and your suspicions are confirmed: tombstones in leads II, III, and AVF.

Topics: Stroke STEMI EMS Coordinators' Corner
1 min read

St. Bernards Medical Center Improves STEMI Care Coordination (Case Study)

By Kinsie Clarkson on Sep 09, 2020

With state-of-the-art facilities and well-trained caregivers, St. Bernards’ cardiac teams were already achieving door-to-balloon (DTB) times well within the recommended guidelines for STEMI response. But that didn’t stop them from looking for ways to get even better.

“We have a lean process for STEMI response, but we needed a way to see the bigger picture for identifying areas we could improve,” said Lindsey Stacy, the hospital’s STEMI coordinator.

Topics: STEMI Press Communication Connected Teams Systems of Care Customer Success
2 min read

Longview Regional Medical Center Achieves Record STEMI Treatment Times (Case Study)

By Kinsie Clarkson on Jun 12, 2020

Longview Regional Medical Center (LRMC) has long had a well-designed and fully functioning process for identifying and rapidly treating STEMI patients. The hospital was meeting its goal of keeping door-to-reperfusion times under 60 minutes; as a result, patient outcomes were generally very good. Despite their satisfactory performance, the teams at LRMC believed they could reduce their treatment times even further to improve patient outcomes.

Topics: STEMI Press Communication Connected Teams Systems of Care Customer Success
7 min read

Where Are the STEMIs and Strokes? Doctors Urge Patients Not to Wait

By Kinsie Clarkson on May 08, 2020

Since COVID-19 began spreading in the United States in March, emergency departments have seen a sharp decrease in the number of STEMI and stroke patients coming through their doors. For almost two months, polls and anecdotal evidence have suggested that this is happening all over the country, as well as in countries like Spain, the UK, and China. The Journal of the American College of Cardiology decided to conduct a formal study of nine major hospitals across the U.S. On April 7th, they released the results, confirming with statistical evidence what doctors have been experiencing: on average, the nine hospitals saw a 38% reduction in cath lab activations for STEMI patients.

Topics: Stroke STEMI COVID-19
1 min read

Arkansas Healthcare System Uses New Communication Approach to Improve STEMI Patient Outcomes [Case Study]

By Hannah Ostrem on Mar 06, 2020

Saint Mary’s Regional Health System is a Joint-Commission-accredited Level III Trauma Center, located in Russellville, Arkansas. The 170-bed hospital has delivered care to the River Valley community for the past 90 years, and alongside Pope County EMS since 1967.

Saint Mary’s and Pope County EMS have a long-standing relationship built on a shared value of putting patients first. As the only hospital and EMS agency serving their region, they together perform emergency response for 28,000 patients annually.

Topics: STEMI EMS Communication Connected Teams Systems of Care Customer Success
4 min read

How One Hospital and EMS System is Reducing Time to Treatment for STEMI Patients [White Paper]

By Team Pulsara on Mar 02, 2020

Because time is muscle during a STEMI, early intervention directly translates to lowering mortality and morbidity rates. At CarolinaEast and surrounding EMS agencies, making the appropriate communication changes has been an effective catalyst in reducing time to treatment and saving patients’ lives.

Topics: STEMI Connected Teams Systems of Care Customer Success
1 min read

New AHA Algorithm Encourages ED Pre-Activation and Direct-to-Cath-Lab Protocols

By Hannah Ostrem on Jan 23, 2020

In emergency conditions like STEMI, patient outcomes depend heavily on the time between onset of symptoms to definitive treatment. As such, clinicians should make every effort possible to reduce any delays during that period. 

To that aim, an algorithm developed by the American Heart Association, and published earlier this week, establishes a standardized process which encourages pre-activation of the ED and determines when direct-to-cath-lab protocols are appropriate.

Topics: STEMI Connected Teams Systems of Care
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

A Pulsara STEMI Case Demo

By Hannah Ostrem on Oct 31, 2019

Pulsara is a communication platform that connects teams across organizations. Want to see how it works? While the demo video below focuses on a STEMI case started by EMS, STEMI is only one of the many conditions your teams can use Pulsara for. Additionally, care teams can start a case on Pulsara in the ED for walk in patients, from anywhere else in the facility for inpatients, and can use the platform to manage interfacility transfers.

Topics: STEMI
2 min read

The Changing Face of STEMI and Stroke Care

By Barry Hickerson, EMT-P on Sep 25, 2019

When I was fresh out of Paramedic school, STEMI and stroke patients were something we couldn’t do much about except monitor and transport. To be honest, we hadn’t even started using the term "STEMI," and we were years away from giving aspirin. Patients who survived to get discharged out of the CCU or ICU (there were no stroke units then) went on to rehab or an extended care facility with a shoebox full of meds. They were armed with lots of Digitalis and Lasix, but not much hope.

 

Topics: Stroke STEMI Healthcare Regional Systems of Care