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 Client 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 Client Success
5 min read

EMS and Paramedicine: At the Crossroads of Change

By Kris Kaull on Mar 09, 2020

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.

Topics: EMS Change Management Community Paramedicine Systems of Care Mobile Integrated Health
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
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
1 min read

What Does Innovative Communication Mean to You?

By Hannah Ostrem on Feb 24, 2020

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.

Topics: Connected Teams Systems of Care
1 min read

How Real-Time Feedback Can Help Fight Moral Injury in Healthcare

By Team Pulsara on Feb 14, 2020

"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.

Topics: Systems of Care
2 min read

What Healthcare Teams Can Learn From NASCAR Pit Crews

By Brandon Means on Feb 12, 2020

Even if you aren’t a diehard NASCAR fan, you’ve likely still heard the same champion names over and over. But 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 is that the race is won and lost during the pit stop!

During the longer races, drivers will make up to a dozen pit stops. Instead of victory being about having the fastest speed down the stretch, it’s more about identifying bottlenecks and delays while eliminating mistakes.

Topics: Connected Teams Interoperability Systems of Care
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
1 min read

It's Easier to Pull a Rope Than to Push it.

By Wes Wood on Jan 20, 2020

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.

Topics: Connected Teams Systems of Care
3 min read

How to Reclaim Your Clinical Dead Space

By Greg Brown on Jan 13, 2020

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.

Topics: Stroke Systems of Care
1 min read

Technology and Data are Key to Transforming Stroke Care [TED Talk]

By Hannah Ostrem on Jan 03, 2020

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.

Topics: Stroke EMS 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

We Need to Pull (Not Push) Our Patients Along Their Journey.

By James Woodson, MD on Dec 17, 2019

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.

Topics: Systems of Care
6 min read

Can Your Hospital Relate to These Communication Frustrations?

By Hannah Ostrem on Dec 09, 2019

 

DOES THE FOLLOWING SOUND FAMILIAR TO YOU?

Your hospital team receives a radio report from the local EMS service.

"We are on our way with KCCFPPPTHHH patient."

"Sorry, what??"

"We are coming in with a STEMI patient. ETA KCCFPPPTHHH..."

Didn't catch that. Oh well. Time to notify the rest of the team. Your unit clerk starts the process of trying to contact each member of the cardiac team. This takes her so long that before she's heard back from even half of them...

Topics: miscommunication Systems of Care
2 min read

Three Ways We Strive to Improve the Lives of ED Doctors Through Innovative Communication

By Shane Elmore, RN on Dec 06, 2019

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.

Topics: EMS Communication Interoperability Systems of Care
1 min read

A Pulsara Stroke Case Demo

By Hannah Ostrem on Dec 02, 2019

When our care teams are all on the same page, communication is seamless, and treatment times are reduced, ultimately improving quality of care. How you can leverage the Pulsara communication platform to connect your care teams—whether in your organization or dispersed across many organizations?

Topics: Stroke Communication Systems of Care
8 min read

Community Paramedicine 101: What Every EMS Personnel Needs to Know [Webinar]

By Team Pulsara on Nov 19, 2019

Learn how communities across the country are leveraging community paramedicine and mobile integrated health for better patient care.

Topics: EMS ET3 Community Paramedicine Systems of Care Mobile Integrated Health