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12 lead ECG project Fiona Webster Executive Director Strategy, Performance and Planning

12 lead ECG project Fiona Webster Executive Director Strategy, Performance and Planning. 19 March 2008 - Melbourne. KEY PROBLEM. Delays in patients with STEMI (heart attack) being identified, processed and then treated in the catheter lab.

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12 lead ECG project Fiona Webster Executive Director Strategy, Performance and Planning

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  1. 12 lead ECG projectFiona WebsterExecutive Director Strategy, Performance and Planning 19 March 2008 - Melbourne

  2. KEY PROBLEM • Delays in patients with STEMI (heart attack) being identified, processed and then treated in the catheter lab. • Strong evidence that early recognition, rapid transport and treatment is absolutely vital

  3. AIM OF THIS PROJECT • Improved time from arrival in ED to opening of the artery for patients with AMI

  4. Previous Communication Strategy MICA Transports Patient to ED Patient with CP MICA 12 Lead ECG Performed by ED Staff Patient Triaged in ED Diagnosis Made ED Resident/Registrar or Consultant Calls Cardiology Registrar Cardiology Registrar see patients & calls Interventional Cardiologist Contact CCU Ward Service Consultant Infarct Team Activated

  5. New lines of Communication: MICA Attends & Performs 12 Lead ECG On Site MICA Transports Patient to Monash Heart Cath Labs Patient with CP 12 Lead ECG Electronically Transmitted to ED Diagnosis Made by ED Consultant Interventional Cardiologist Contact Infarct Team Ready & Waiting in Cath Labs

  6. OUTCOMES SO FAR • Commenced 11 December 2007 • 70 MICA 12 lead ECGs performed (Feb YTD) • 40 patients registered with faxed ECG • 33 patients taken to the Cath Lab with suspected MI • 7 faxed ECGs not meeting Cath Lab criteria ECG • Arrival at ED to balloon times reduced from 105 minutes to 59 minutes

  7. PROJECT EVALUATION • The clinical evidence supports this as the best possible care. This has assisted in gaining clinician support • Strong clinical leadership at Monash Heart and with the Metropolitan Ambulance Service

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