EMS: An Integrated EMS: An Integrated Regional Systems Regional Systems Approach to Acute Approach to Acute Events Events STROKE , TRAUMA,STEMI STROKE , TRAUMA,STEMI A FIVE MONTH REPORT A FIVE MONTH REPORT SEAEMS SEAEMS JANUARY – MAY 2015 JANUARY – MAY 2015
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EMS: An Integrated Regional Systems Approach to Acute Events EMS: An Integrated Regional Systems Approach to Acute Events STROKE, TRAUMA,STEMI A FIVE MONTH.
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EMS: An Integrated EMS: An Integrated Regional Systems Regional Systems Approach to Acute Approach to Acute
Events Events
STROKE , TRAUMA,STEMI STROKE , TRAUMA,STEMI
A FIVE MONTH REPORT A FIVE MONTH REPORT
SEAEMS SEAEMS
JANUARY – MAY 2015 JANUARY – MAY 2015
What is an integrated EMS What is an integrated EMS regional system ?regional system ?
HOSPITAL ADMISSION HOSPITAL ADMISSION STATUS STATUS
TYPE OF STROKE TYPE OF STROKE 1/1/15--- 6/1/15 1/1/15--- 6/1/15
ALL ISCHEMIC TREATMENT ALL ISCHEMIC TREATMENT
HEMORRHAGICHEMORRHAGIC
• 2015 33.3% 2015 33.3%
• 2013 22.4% 2013 22.4%
• 20122012 19.2% 19.2%
• 20112011 16.9% 16.9%
• 20102010 15.9% 15.9%
• 20032003 10.1% 10.1%
• Why the climbing % of total strokes ? Why the climbing % of total strokes ?
STROKE HOSPITAL RED STROKE HOSPITAL RED TIMES 1/15-5/15TIMES 1/15-5/15
CHALLENGES CHALLENGES /OPPORTUNITES /OPPORTUNITES
• STROKE SYSTEM PATIENTS DIRECTLY STROKE SYSTEM PATIENTS DIRECTLY TO SCANNER -- WHY NOT ?????? TO SCANNER -- WHY NOT ??????
CT PERFORMED CT PERFORMED
ADDITIONAL CHALLENGES ADDITIONAL CHALLENGES
• EMS Transfer Drug Course inclusion EMS Transfer Drug Course inclusion of LYTIC for stroke (BP CONTROL- of LYTIC for stroke (BP CONTROL- ANAPHYLAXIS (EDEMA) Referring ANAPHYLAXIS (EDEMA) Referring orders or ?, Lytic complete or still orders or ?, Lytic complete or still running, other concerns)running, other concerns)
• ATRIAL FIB. As a data point & ATRIAL FIB. As a data point & measured /reported measured /reported
• Hospital entries via email or text Hospital entries via email or text