With each new phase of the pandemic comes a new set of challenges, and each new need is significant. From COVID testing and new treatment protocols to contact tracing and mass vaccinations, we must concurrently address all these challenges before the nation can begin returning to a renewed sense of normalcy. Modernizing and mobilizing the tools our nation’s first responders – and those who support them – use is now imperative, as we combat the spread of COVID-19.

On Thursday, April 8, from 11:30 am - 12:30 pm MDT, join Pulsara's Vice President of National Accounts, Corey Ricketson, for the session "FirstNet: Tracing and Collaborative Care Coordination." In this session, Corey will discuss how Pulsara's healthcare communications platform is being used by emergency medical personnel to unite distributed teams, enable scalable networked communication, and coordinate patient movement across the continuum of patient care.

Click Here to Register for Free

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, Sarah Calams of EMS1 BrandFocus.

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In the past, the traditional way of thinking as a paramedic was often this: Get the patient in the rig and drive to the hospital as soon as possible to get the patient the care they need.

But what if the patient wasn’t being transported to the right facility?

Imagine: a paramedic recognizes on scene that they are treating a stroke victim. Their first thought is to get the patient to a hospital as quickly as possible. But what if the receiving hospital isn’t equipped or staffed appropriately to treat the patient?

“A 500-bed hospital loses more than $4 million annually as a result of communication inefficiencies.” — National Center for Biotechnology Information

There is a communication crisis in hospitals today, as doctors and nurses are forced to use pagers, fax machines, and other forms of outdated technology to communicate critical patient information. These old technologies don’t talk to each other, either — so your staff ends up spending hours every day collecting, repeating, recording, and re-recording information. From the routine consult to critical COVID-19 management, these kinds of workflows negatively affect patient outcomes and organizational efficiencies. That’s a lot of valuable time down the drain.

Are you using old, non-patient-centric communication technologies like pagers or phone calls (or even WhatsApp) to solve present-day healthcare challenges? Do you ever wonder if there's a better way to connect your care teams? 

At the European Resuscitation Council Virtual Congress on Oct. 24, 2020, Greg Brown, RN, Pulsara's Western Regional Sales Manager, hosted an exclusive webinar exploring just that. In "Patient-Centric Emergency Medicine: Why Mobile Team Communication Across Healthcare Organizations is the New Standard," Greg discusses how to improve acute care team communication and patient outcomes by switching to mobile technology — and why it is imperative to inter-organizational success.

Imagine: you need to see your doctor's notes from your last appointment, so you put in a request to view your clinical notes. Shortly afterward, all the information you need shows up in an app on your smartphone.

Wouldn't it be nice to have such easy access to your electronic health records? 

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.

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.

GROWING UP IS HARD.

As a young industry, EMS had its cute years. We were the baby of the family. Our oldest brother, Police, followed Mom and Dad’s orders to a T. Police was a rule-following perfectionist who aimed to please. Then, there was the middle child, Firefighter. She was similar to her brother, following in his footsteps and enjoying the attention of being the baby of the family ... until we came along. Then, she started taking on a new role – differentiating herself from her older brother while at the same time, nurturing us.

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.

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.

At Pulsara, our purpose is to improve the lives of patients and caregivers through innovative communication. For us, that means delivering a platform that standardizes communication for ALL teams involved in patient care — including prehospital providers like EMS, urgent care centers, nursing homes, critical access hospitals, and other referring facilities, teams within the destination hospital, and teams who need to communicate between healthcare organizations in cases that require a consult or transfer.

"Moral injury, as defined by researchers from veterans hospitals, refers to the emotional, physical and spiritual harm people feel after 'perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations,'" according to a recent article by Kaiser Health News.

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.

My Grandfather (who was a very wise man) used to say “It’s a lot easier to pull a rope than push it.” Of course, as a kid I thought he had lost his mind. “Who would ever try to push a rope? It makes no sense!” 

I was right, it makes no sense. Yet, we find ourselves everyday trying to push ideas, initiatives, and process changes on others, and then we just can’t figure out why our “great ideas” don’t get off the ground.

We see this frequently in healthcare. My background is in ED Nursing and EMS, and in my roles in these fields, we pushed each other daily in efforts to get THEM to do things the way WE want them done.

The biggest pain point I encountered when working nights in the ED was communication — mainly, waiting. Call lists, pagers, and phone trees were our reality when we needed to act fast. But think about it: do we communicate this way in any other aspects of our lives? Why can I order a ride to the airport from a complete stranger with a few taps on my smartphone, but I need to use a pager to connect with providers I know personally? In medicine, when time is of the utmost importance, we still communicate like it’s 1985.

Dr. Brijesh Mehta is a Neurointerventional Surgeon, currently practicing at Memorial Neuroscience Center in Hollywood, FL. He recently gave a TED talk describing how his teams have leveraged new research, technology, and data to improve stroke care and give patients better outcomes. 

In the talk, Dr. Mehta describes how large vessel occlusion stroke (LVO) is "like a wildfire in the brain." He also says there used to be little we could do to stop the devastating effects, but now, thanks to new technologies and procedures such as thrombectomy, patients are regaining functionality and leaving the hospital much sooner than they had in the past.

I recently read an interesting review on a very important topic in healthcare: DIVERSION. The article reviews how the state of Massachusetts banned the practice of busy hospitals diverting patients coming in via EMS to other facilities, and the long-lasting impacts of that ban.

A few weeks ago, I wrote about how we strive to improve the lives of ED Nurses and the patients they serve. This week, I want to focus on ED Doctors (did you know Pulsara was founded by one?). In this post, my aim is to help ED Doctors understand how a communication platform like Pulsara can make their lives better.