3 min read

7 Themes the Most Successful STEMI Teams Have in Common

By James Woodson, MD on Jul 26, 2016

 
 
Some principles never change. In particular, the well-known 2006 Circulation study, " Achieving Rapid Door-to-Balloon Times," presents findings and take-aways that are still incredibly relevant for STEMI teams today. The aim of the study was to examine the similarities between the STEMI centers that had successfully improved their D2B times over a 3-year period, citing that fewer than half of all STEMI patients receive proper treatment within the guideline-recommended D2B times.
Topics: STEMI
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
2 min read

How to Solve Care Management Problems at Your Hospital (No, It's Not By Hiring More People).

By Shane Elmore, RN on Jul 14, 2016

How do you solve care management problems at your hospital?

I think that's a fair question. I was talking with a nurse from reputable a STEMI receiving center just a few days ago, and he told me "our times are amazing!" In my role, anytime I hear that it makes me ask lots of questions. I want to learn what the leading hospitals are doing to solve the problems that we all face.

Topics: Stroke STEMI Leadership Healthcare
3 min read

3 Guiding Questions to Help You Reduce STEMI Process Variability [Part 2]

By Shane Elmore, RN on Jul 12, 2016

In last week's blog post, I talked about the root of all evil in STEMI care processes: VARIABILITY. 

There are several areas where we commonly see variability in STEMI processes. Here are 3 questions whose answers will give you some insight into whether you might have a variability problem at your facility: 

Topics: STEMI
3 min read

The Root of All Evil in STEMI Care Processes [Part 1]

By Shane Elmore, RN on Jul 07, 2016

As Pulsara employees, when we meet with prospective clients we hear a lot of different stories about how well their facilities are already doing. Most of the time they tell us what their mean time for Door-to-Balloon (D2B) is. Many of them sound good on the surface, but there's usually more going on under the hood that they aren't proud of or willing to show you.

Topics: Stroke STEMI
1 min read

The Key to Reducing Deaths from Coronary Artery Disease [Infographic]

By Hannah Ostrem on Jul 05, 2016

The key to reducing Coronary Artery Disease Deaths? Simple. Spread Awareness!

Coronary Artery Disease (CAD) is the most common form of heart disease, and it kills more than 370,000 people per year. Because its symptoms mimic those of many other common ailments, some patients can be led to believe they have come down with the flu, or are simply tired or stressed. For this reason, it is of paramount importance that healthcare providers raise awareness of CAD symptoms and prevention with their patients, and understand and prescribe a combination of the most effective treatments for those patients in which the disease is already identified. 

Topics: STEMI
2 min read

Eating to Reduce Stroke and Heart Attack: What You Need to Know [New Research]

By Hannah Ostrem on Jun 30, 2016

Well, the time is upon us once again. It is nearly our country's Independence Day, and while the holiday generally brings with it plenty of camping trips, music festivals, family barbeques, etc., it also tends to be a time when many Americans find themselves indulging in lots of fatty, salty, and simple carbohydrate-rich foods from all of those post-river 4th of July cookouts. 

Don't worry! I'm not here to chastise you for that. It's necessary to indulge once in awhile! Instead, I wanted to share the results of an interesting study that examined the diets of people with heart disease to see what effects a Mediterranean style vs. a Western style diet had on their likelihood of experiencing a stroke or heart attack. 

Topics: Stroke STEMI
1 min read

How to Fix the Dreaded "Weekend Effect" in Hospital Deaths

By Wes Wood on Jun 02, 2016

Feeling all alone out there on weekends/holidays/night shifts?

You’re not the only one. Any clinician involved in care of time sensitive emergent patients has experienced the frustration of delays in care during these “off times.” Unfortunately, strokes, STEMIs and traumas do not take time off. Two recent studies (here and here) released in London and Birmingham, UK allude to how process variations have resulted in a decrease in quality of stroke care. Specifically, the quality measurement of door to needle in less than 60 minutes took a hit, and was directly linked to day of week and time of day.

Topics: Stroke STEMI EMS Trauma Healthcare
2 min read

The University of Mississippi Medical Center Improves Patient Outcomes with Smartphone App for Stroke and Cardiac Care [Press Release]

By Hannah Ostrem on May 31, 2016

Topics: Stroke STEMI Press
1 min read

No Power? No Problem. Pulsara Has You Covered.

By Shawn Olson on May 27, 2016

We have a saying in Montana: If you don't like the weather, wait 10 minutes and it will change. And springtime in Montana often brings blizzards and hail storms one minute, followed by sunshine and blue skies the next. Seriously! 

Topics: Stroke STEMI EMS
3 min read

A Communication Breakdown That May Have Cost a Heart Patient His Life

By Shane Elmore, RN on Apr 28, 2016

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Topics: Stroke STEMI EMS Trauma Healthcare
2 min read

Under the Hood of an EKG

By Shawn Olson on Apr 22, 2016

When a clinician looks at an EKG, they can depict a STEMI, arrhythmias, and so much more. However, as a non-clinician, when I look at an EKG, I see an electrical circuit built up of many components where the heart is central power unit.  

For many years, I helped develop and build data acquisition systems for a neuro-focused company.  I've found that this experience has given me a slightly different perspective of what is going on under the hood of an EKG than your average layperson or even clinician.

Topics: STEMI
2 min read

A Heart Healthy Way to Celebrate St. Patrick's Day With Your Pooch!

By Hannah Ostrem on Mar 17, 2016

...Okay, well the most obvious way to celebrate St. Patrick's day in a heart healthy way with your pooch would be to take him or her outside for a short jog. Seriously, new research has shown that even exercising even as little as 5 minutes per day DRASTICALLY reduces all-cause AND cardiovascular mortality. But I digress. 

Topics: STEMI
2 min read

ThedaCare Joins Industry Leaders in Use of Pulsara Acute Care Solution [Press Release]

By Hannah Ostrem on Mar 15, 2016

ThedaCare, a seven-hospital system in Northeast Wisconsin, serves over 200,000 patients per year and has always prided itself on being at the forefront of implementing new ways to provide the best, cutting edge medical care possible for its patients. Recently (also announced in a press release on March 14), this goal has materialized in the form of ThedaCare's partnership with Pulsara

Topics: STEMI Press
1 min read

The Sunny (Literally) Outlook for Fighting Cardiovascular Disease

By Hannah Ostrem on Mar 08, 2016

We all know that Vitamin D is an essential nutrient and that deficiency can cause mood disorders, fatigue, and muscle weakness. But research has also shown that decreased exposure to the sun correlates with higher levels of heart disease. 

Topics: STEMI
1 min read

Ambulance Diversions Result in Increased Deaths for Heart Attack Patients.

By Hannah Ostrem on Feb 25, 2016

We all know that when it comes to time sensitive emergencies, like stroke or STEMI, time is tissue. As such, it should come as no surprise that a recent study performed by the University of California-San Francisco and the National Bureau of Economic has found that among 30,000 heart attack patients, those who were transported by ambulances that were diverted from busy ERs to other, further away hospitals, were 10 percent more likely to be dead one year later. 

Topics: Stroke STEMI EMS
2 min read

Valley Health System Aims to Improve Stroke and Cardiac Care with Smartphone Technology [Press Release]

By Hannah Ostrem on Feb 23, 2016

Topics: Stroke STEMI Press
2 min read

To Repeat or Not to Repeat? A STEMI Coordinator's Guide to ECGs

By Shane Elmore, RN on Feb 02, 2016

Fewer things are more frustrating for a medic than calling in a STEMI. First they have to send the ECG in for the physician to see before they arrive at the hospital, and then they are asked to stop at the door to get another one using the hospital’s ECG machine. When they could be out saving more lives, duplicating their efforts is the last thing they want to be doing.

There used to be a time when prehospital ECGs were lacking in quality compared to those obtained using hospital machinery. Field ECGs simply weren't of diagnostic quality - but today's field monitors have come a long way and are now of comparable quality to hospital machinery. As
 such, it no longer makes sense to require medics to repeat their ECG upon hospital arrival.

Topics: STEMI
1 min read

Want to improve STEMI patient outcomes? Focus on more than just D2B time.

By Hannah Ostrem on Jan 05, 2016

 

The findings of new research support the notion that improving heart attack outcomes begins with patient education.

The study - which suggests that early treatment to restore blood flow rapidly after heart attack symptom onset may reduce heart tissue damage - tested 2056 patients who had received treatment in three different time groupings. The first group received treatment less than 2 hours after symptom onset, the second group received treatment 2-4 hours after symptom onset, and the third group received treatment more than 4 hours after symptom onset.

Topics: STEMI
3 min read

Happy New Year! A Look at Pulsara's Most Read Content From 2015

By Hannah Ostrem on Dec 31, 2015

2015 has been an amazing year for Pulsara. We grew our incredible team, gained some amazing clients, helped several facilities finally acheive their desired D2N and D2B times, and pushed out some truly revolutionary features on our platform - all in the name of improving patient outcomes for time sensitive emergencies. 

To celebrate a successful year, we thought we'd reflect on Pulsara's 5 most popular blog posts from 2015. Some were funny, others serious, but all were educational. Take a look for yourself!

Topics: Stroke STEMI EMS Leadership Healthcare