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
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