Program to coordinate regional systems to speed heart a... (t attacks in the field and provide the n...)

Program to coordinate regional systems to speed heart attack care

Date:5/11/2012

t attacks in the field, and provide the necessary information to mobilize interventional cardiology teams. As a result, patients are transported directly to waiting catheterization laboratories where their blocked coronary arteries are opened within minutes of hospital arrival. Evidence shows paramedics can reliably diagnose heart attacks, and more than half of patients are treated within 60 minutes of hospital arrival. The clock now starts when the ambulance arrives at the patient in distress, not when the patient arrives at the hospital door.

The new national guidelines also embrace an accelerated approach for patients who walk into hospitals without catheterization facilities who require transfer to a second hospital for treatment. Currently, transferred patients wait an average of two hours or longer for treatment. With the new coordinated approach, hospitals and emergency medicals services implement rapid diagnosis and transfer plans, directly activating interventional cardiology teams before the patient leaves the first hospital and transporting patients in a priority "lights and sirens" mode.

The new program builds on the successful Mission: Lifeline program, which has spent the past five years helping to create systems of care for treating heart attacks in more than 60 percent of the population.

It also builds on Duke's documented success with its statewide RACE (Reperfusion of Acute Myocardial Infarction in Carolina Emergency Departments) intervention which demonstrates how systematic barriers in timely heart attack treatment can be overcome when an organized system fills the gaps between competing institutions and other healthcare entities that function independently.

"By building consensus among all primary PCI hospitals in the state, we were able to convince the majority of emergency departments and EMS systems to adopt uniform and coordinated processes for rapid diagnosis and treatment," Jollis said. "By the en
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Contact: Debbe Geiger
debbe.geiger@duke.edu
919-660-9461
Duke University Medical Center
Source:Eurekalert

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