From pedsrusscott at cs.com  Sun Jan 18 14:54:29 2009
From: pedsrusscott at cs.com (pedsrusscott at cs.com)
Date: Sun, 18 Jan 2009 14:54:29 -0500
Subject: coumadin question
Message-ID: <8CB47BDB57F10C6-16D0-4AF@mblk-d32.sysops.aol.com>

Greetings - does anyone have an easy way to remember that the PT should be checked with coumadin, but the PTT should be checked with heparin?
thanx!
Scott DeBoer RN,MSN
UCAN Flight RN
Peds-R-Us Medical Education
www.peds-r-us.com
________________________________________________________________________
Email message sent from CompuServe - visit us today at http://www.cs.com


From pedsrusscott at cs.com  Sun Jan 18 14:57:41 2009
From: pedsrusscott at cs.com (pedsrusscott at cs.com)
Date: Sun, 18 Jan 2009 14:57:41 -0500
Subject: chest tube question
Message-ID: <8CB47BE28161666-16D0-4CE@mblk-d32.sysops.aol.com>

Greetings - One more quick question - outside of the ER/ICU with lots of resources immediately available, what would you do in the hallway or ambulance with a patient who has a chest tube & the tubing becomes disconnected - still in the chest, but the connection tubing is disconnected? - the books say to put the tubing "under water or a bottle of saline" to simulate a water seal, but I've honestly never seen that done -? options suggested have been to do the do the water seal trick or just to "wipe it off with an alcohol pad & put it back together until a new chest drain can be set up" - any input welcomed & appreciated!
?

thanx!

Scott DeBoer RN,MSN

UCAN Flight RN

Peds-R-Us Medical Education

www.peds-r-us.com________________________________________________________________________
Email message sent from CompuServe - visit us today at http://www.cs.com


From lkaminsky0570 at gmail.com  Sun Jan 18 16:48:17 2009
From: lkaminsky0570 at gmail.com (Linda Kaminsky)
Date: Sun, 18 Jan 2009 16:48:17 -0500
Subject: coumadin question
In-Reply-To: <8CB47BDB57F10C6-16D0-4AF@mblk-d32.sysops.aol.com>
References: <8CB47BDB57F10C6-16D0-4AF@mblk-d32.sysops.aol.com>
Message-ID: <c134c5200901181348o5ad49106m2bfd6771288f532e@mail.gmail.com>

Scott,
we use the INR, therapeutic over 2. Linda Kaminsky RN

On Sun, Jan 18, 2009 at 2:54 PM, <pedsrusscott at cs.com> wrote:

> Greetings - does anyone have an easy way to remember that the PT should be
> checked with coumadin, but the PTT should be checked with heparin?
> thanx!
> Scott DeBoer RN,MSN
> UCAN Flight RN
> Peds-R-Us Medical Education
> www.peds-r-us.com
> ________________________________________________________________________
> Email message sent from CompuServe - visit us today at http://www.cs.com
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to
> http://six.pairlist.net/mailman/listinfo/flightmed
>
>


From DMPLIER at aol.com  Sun Jan 18 16:54:29 2009
From: DMPLIER at aol.com (DMPLIER at aol.com)
Date: Sun, 18 Jan 2009 16:54:29 EST
Subject: coumadin question
Message-ID: <d30.481f0e0f.36a4ff15@aol.com>

Scott, I was taught in clinics to think that the TT in PTT was more  shaped 
like an H so that is how I remember that the PTT goes with heparin. Hope  that 
helps some. Dawn Plier
 
 
In a message dated 1/18/2009 3:48:38 P.M. Central Standard Time,  
lkaminsky0570 at gmail.com writes:

Scott,
we use the INR, therapeutic over 2. Linda Kaminsky  RN

On Sun, Jan 18, 2009 at 2:54 PM, <pedsrusscott at cs.com>  wrote:

> Greetings - does anyone have an easy way to remember that  the PT should be
> checked with coumadin, but the PTT should be checked  with heparin?
> thanx!
> Scott DeBoer RN,MSN
> UCAN Flight  RN
> Peds-R-Us Medical Education
> www.peds-r-us.com
>  ________________________________________________________________________
>  Email message sent from CompuServe - visit us today at  http://www.cs.com
>  _______________________________________________
> Flightmed mailing  list
> To unsubscribe or change your email address, go to
>  http://six.pairlist.net/mailman/listinfo/flightmed
>
>
_______________________________________________
Flightmed  mailing list
To unsubscribe or change your email address, go to  
http://six.pairlist.net/mailman/listinfo/flightmed



**************A Good Credit Score is 700 or Above. See yours in just 2 easy 
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cemailfooterNO62)


From traumaweasel1 at yahoo.com  Sun Jan 18 19:17:11 2009
From: traumaweasel1 at yahoo.com (geoffrey patty)
Date: Sun, 18 Jan 2009 16:17:11 -0800 (PST)
Subject: coumadin question
In-Reply-To: <8CB47BDB57F10C6-16D0-4AF@mblk-d32.sysops.aol.com>
Message-ID: <37869.84664.qm@web53402.mail.re2.yahoo.com>

Scott,
?
?
?
When you write ptt in lower case...the two tt's make an H"?? for Heparin...thats how I tell our newer RN's to remember it.
?
Geoff Patty RN
University Hospitals Cleveland
Case Medical?Center 
Cardiac Cath Lab
?


--- On Sun, 1/18/09, pedsrusscott at cs.com <pedsrusscott at cs.com> wrote:

From: pedsrusscott at cs.com <pedsrusscott at cs.com>
Subject: coumadin question
To: flightmed at flightweb.com, Em-Nsg-L at LISTSRV.UCSF.EDU
Date: Sunday, January 18, 2009, 2:54 PM

Greetings - does anyone have an easy way to remember that the PT should be
checked with coumadin, but the PTT should be checked with heparin?
thanx!
Scott DeBoer RN,MSN
UCAN Flight RN
Peds-R-Us Medical Education
www.peds-r-us.com
________________________________________________________________________
Email message sent from CompuServe - visit us today at http://www.cs.com
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed




      


From rparrish at flightweb.com  Sun Jan 18 20:13:28 2009
From: rparrish at flightweb.com (Rollie Parrish)
Date: Sun, 18 Jan 2009 17:13:28 -0800
Subject: chest tube question
In-Reply-To: <8CB47BE28161666-16D0-4CE@mblk-d32.sysops.aol.com>
References: <8CB47BE28161666-16D0-4CE@mblk-d32.sysops.aol.com>
Message-ID: <c6af0c490901181713y5170adccs4342efe0d4d893c1@mail.gmail.com>

I assume you mean a hypothetical situation where you couldn't just
re-connect the drain device, like it was crushed or broken.

Quickly fold the end of the tubing back to mimic the effect of a chest tube
clamp. That can give you some time to put together a 'Heimlich' or flutter
valve using a disposable glove.

To make the flutter valve, just cut the finger off a glove and cut a small
slit in the tip. Tape the finger portion to the end of the chest tube, which
will allow air to escape but any negative pressure on inspiration will
collapse the finger around the end of the tube.

If all you have available is a glove with no tape or scissors (highly
doubtful), you could just manually hold the wrist portion of the glove
around the end of the chest tube and tear a small hole in one of the distal
fingers.


-- 
Rollie Parrish
rparrish at flightweb.com


On Sun, Jan 18, 2009 at 11:57 AM, <pedsrusscott at cs.com> wrote:

> Greetings - One more quick question - outside of the ER/ICU with lots of
> resources immediately available, what would you do in the hallway or
> ambulance with a patient who has a chest tube & the tubing becomes
> disconnected - still in the chest, but the connection tubing is
> disconnected? - the books say to put the tubing "under water or a bottle of
> saline" to simulate a water seal, but I've honestly never seen that done -?
> options suggested have been to do the do the water seal trick or just to
> "wipe it off with an alcohol pad & put it back together until a new chest
> drain can be set up" - any input welcomed & appreciated!
> ?
>
> thanx!
>
> Scott DeBoer RN,MSN
>
> UCAN Flight RN
>
> Peds-R-Us Medical Education
>
>
> www.peds-r-us.com________________________________________________________________________
> Email message sent from CompuServe - visit us today at http://www.cs.com
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to
> http://six.pairlist.net/mailman/listinfo/flightmed
>
>


From asif_xtc at yahoo.com  Sun Jan 18 21:31:36 2009
From: asif_xtc at yahoo.com (asif)
Date: Sun, 18 Jan 2009 18:31:36 -0800 (PST)
Subject: chest tube question
In-Reply-To: <c6af0c490901181713y5170adccs4342efe0d4d893c1@mail.gmail.com>
Message-ID: <436413.18084.qm@web53510.mail.re2.yahoo.com>

Rolli'e suggestion is real world and 'real time'...
best
asif

DISCLAIMER :
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--- On Mon, 1/19/09, Rollie Parrish <rparrish at flightweb.com> wrote:

> From: Rollie Parrish <rparrish at flightweb.com>
> Subject: Re: chest tube question
> To: "Flightmed" <flightmed at flightweb.com>
> Date: Monday, January 19, 2009, 6:43 AM
> I assume you mean a hypothetical situation where you
> couldn't just
> re-connect the drain device, like it was crushed or broken.
> 
> Quickly fold the end of the tubing back to mimic the effect
> of a chest tube
> clamp. That can give you some time to put together a
> 'Heimlich' or flutter
> valve using a disposable glove.
> 
> To make the flutter valve, just cut the finger off a glove
> and cut a small
> slit in the tip. Tape the finger portion to the end of the
> chest tube, which
> will allow air to escape but any negative pressure on
> inspiration will
> collapse the finger around the end of the tube.
> 
> If all you have available is a glove with no tape or
> scissors (highly
> doubtful), you could just manually hold the wrist portion
> of the glove
> around the end of the chest tube and tear a small hole in
> one of the distal
> fingers.
> 
> 
> -- 
> Rollie Parrish
> rparrish at flightweb.com
> 
> 
> On Sun, Jan 18, 2009 at 11:57 AM,
> <pedsrusscott at cs.com> wrote:
> 
> > Greetings - One more quick question - outside of the
> ER/ICU with lots of
> > resources immediately available, what would you do in
> the hallway or
> > ambulance with a patient who has a chest tube &
> the tubing becomes
> > disconnected - still in the chest, but the connection
> tubing is
> > disconnected? - the books say to put the tubing
> "under water or a bottle of
> > saline" to simulate a water seal, but I've
> honestly never seen that done -?
> > options suggested have been to do the do the water
> seal trick or just to
> > "wipe it off with an alcohol pad & put it
> back together until a new chest
> > drain can be set up" - any input welcomed &
> appreciated!
> > ?
> >
> > thanx!
> >
> > Scott DeBoer RN,MSN
> >
> > UCAN Flight RN
> >
> > Peds-R-Us Medical Education
> >
> >
> >
> www.peds-r-us.com________________________________________________________________________
> > Email message sent from CompuServe - visit us today at
> http://www.cs.com
> > _______________________________________________
> > Flightmed mailing list
> > To unsubscribe or change your email address, go to
> > http://six.pairlist.net/mailman/listinfo/flightmed
> >
> >
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to
> http://six.pairlist.net/mailman/listinfo/flightmed


      


From ciaokk at msn.com  Sun Jan 18 23:56:36 2009
From: ciaokk at msn.com (Karen Kilian)
Date: Sun, 18 Jan 2009 20:56:36 -0800
Subject: chest tube question
In-Reply-To: <8CB47BE28161666-16D0-4CE@mblk-d32.sysops.aol.com>
References: <8CB47BE28161666-16D0-4CE@mblk-d32.sysops.aol.com>
Message-ID: <COL103-DS1202AD4B58B5FD82D06821C1D30@phx.gbl>

If there is a heimlich valve in place (between the chest tube and the water-seal device) it shouldn't be a problem.....if no valve in place, clamp for the time it takes to get it reconnected.  (which should be short)

Karen Kilian, 
Ex-ALNW Flight Nurse
Seattle
  ----- Original Message ----- 
  From: pedsrusscott at cs.com<mailto:pedsrusscott at cs.com> 
  To: flightmed at flightweb.com<mailto:flightmed at flightweb.com> ; Em-Nsg-L at LISTSRV.UCSF.EDU<mailto:Em-Nsg-L at LISTSRV.UCSF.EDU> 
  Sent: Sunday, January 18, 2009 11:57 AM
  Subject: chest tube question


  Greetings - One more quick question - outside of the ER/ICU with lots of resources immediately available, what would you do in the hallway or ambulance with a patient who has a chest tube & the tubing becomes disconnected - still in the chest, but the connection tubing is disconnected? - the books say to put the tubing "under water or a bottle of saline" to simulate a water seal, but I've honestly never seen that done -? options suggested have been to do the do the water seal trick or just to "wipe it off with an alcohol pad & put it back together until a new chest drain can be set up" - any input welcomed & appreciated!
  ?

  thanx!

  Scott DeBoer RN,MSN

  UCAN Flight RN

  Peds-R-Us Medical Education

  www.peds-r-us.com<http://www.peds-r-us.com/>________________________________________________________________________
  Email message sent from CompuServe - visit us today at http://www.cs.com<http://www.cs.com/>
  _______________________________________________
  Flightmed mailing list
  To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed<http://six.pairlist.net/mailman/listinfo/flightmed>



From rmorga27 at jhmi.edu  Tue Jan 20 10:54:52 2009
From: rmorga27 at jhmi.edu (Richard Morgan)
Date: Tue, 20 Jan 2009 10:54:52 -0500
Subject: respiratory therapists
Message-ID: <fbe6df331e76.4975ad7c@johnshopkins.edu>

Dear flight friends,Could you please send me via email or list serv competencies or annual reviews required for respiratory therapists on your team? I am collecting this information for education project purposes only. It will not be used by management at my company. Job descriptions and skill sets may be helpful. The practice of respiratory therapists seem to differ greatly.  I am trying to show the variability of the field.Thanks,Rick Morganrmorga27 at jhmi.edu 


From boisedave at hotmail.com  Wed Jan 28 18:02:31 2009
From: boisedave at hotmail.com (David Kim)
Date: Wed, 28 Jan 2009 16:02:31 -0700
Subject: intefacility STEMI transfers
Message-ID: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with the following questions.  In return for your help, I will forward the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the sending facility?
3.  In general, does your flight program encourage a "hot unload" at the receiving facility?
4.  What is the average time spent at the sending facility for STEMI transfers (defined as the arrive at sending facility-leave sending facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the name of your flight program (I will blind the aggregate results and will not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009

From mjs6029 at msn.com  Wed Jan 28 23:10:38 2009
From: mjs6029 at msn.com (Michael Stauter)
Date: Wed, 28 Jan 2009 22:10:38 -0600
Subject: intefacility STEMI transfers
In-Reply-To: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
References: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
Message-ID: <BAY107-W169FA7FBE9109CC165E433BCC90@phx.gbl>


David, my flight program (OSF Life Flight) does function under a STEMI transfer protocal (heart 777 ).  At no time do we hot off load or load crew or patients due to our program policy.  We try to keep our bedside time to under 8 minutes.  Our regional representatives have really strived to educating out lying hospitals on the protocal so we all can improve the bedside times.  Look forward to seeing your results.  
 
Michael Stauter RN, BSN
> From: boisedave at hotmail.com> To: flightmed at flightweb.com> Subject: intefacility STEMI transfers> Date: Wed, 28 Jan 2009 16:02:31 -0700> > > Hello!> Just wanted to gain a bit of insight into interfacility STEMI transfers with the following questions. In return for your help, I will forward the aggregate results. Thank you in advance.> 1. Does your flight program participate in a regional protocol for interfacility STEMI transfers?> 2. In general, does your flight program encourage a "hot load" at the sending facility?> 3. In general, does your flight program encourage a "hot unload" at the receiving facility?> 4. What is the average time spent at the sending facility for STEMI transfers (defined as the arrive at sending facility-leave sending facility interval)? > > Optional: To help prevent more than one answer per program, what is the name of your flight program (I will blind the aggregate results and will not divulge any program-specific responses)?> > DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight Boise, ID> _________________________________________________________________> Windows Live?: E-mail. Chat. Share. Get more ways to connect. > http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009> _______________________________________________> Flightmed mailing list> To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed> 

From JPufahl at smdc.org  Thu Jan 29 08:50:57 2009
From: JPufahl at smdc.org (Pufahl, Jo M.)
Date: Thu, 29 Jan 2009 07:50:57 -0600
Subject: intefacility STEMI transfers
In-Reply-To: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
Message-ID: <9B1E85EB3C01204E9AFEBC46BC8EE50F013579B6@BARRED.ntcampus.smdc.org>

St. Mary's LifeFlight, Duluth, MN

1. Yes, we have a hospital protocol for STEMI transfers.  We have multiple "circles" around our hospital of 50 miles, 100 miles and 150 miles.
2.  Yes, we are doing hot loads
3.  Yes, we are doing hot off-loads
4.  6-10 minutes preferred.  skid-skid with hot off and hot loads.







-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com]On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 5:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers



Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with the following questions.  In return for your help, I will forward the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the sending facility?
3.  In general, does your flight program encourage a "hot unload" at the receiving facility?
4.  What is the average time spent at the sending facility for STEMI transfers (defined as the arrive at sending facility-leave sending facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the name of your flight program (I will blind the aggregate results and will not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed



This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. 

 


From ab9302 at gmail.com  Thu Jan 29 10:56:39 2009
From: ab9302 at gmail.com (Allan)
Date: Thu, 29 Jan 2009 10:56:39 -0500
Subject: intefacility STEMI transfers
In-Reply-To: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
References: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
Message-ID: <EBAC0E9C4D284427B9309CEDE66D2F42@allan>

Dr. Kim,

1) We do operate under a regionally coordinated STEMI protocol which most
EMS agencies and referral hospitals cooperate with. 

2) We do try to hot load at the referring facility. In fact, we try to get
the staff to supply us with report while we are enroute and then bring the
patient to the helipad as we touch down, rather than come into the ED to get
the pt.

3) We do hot offload at our receiving facility (which is also our home base
the vast majority of the time)

4) I don't know what our average time is, but our goal is 10 minutes. We
easily meet that when the referring facility is willing and able to bring
the pt to the helipad, which they often do.

5) MedCenter Air, Charlotte, NC

------------------------------------------------------
Allan Bulkley, RN, CCRN, CFRN, EMT-P
Flight Nurse, MedCenter Air
Carolinas Healthcare System
Charlotte, NC


 

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 6:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with
the following questions.  In return for your help, I will forward the
aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending facility
interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will not
divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows LiveT: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



From wadesee at hotmail.com  Thu Jan 29 12:45:18 2009
From: wadesee at hotmail.com (Wade See)
Date: Thu, 29 Jan 2009 10:45:18 -0700
Subject: intefacility STEMI transfers
In-Reply-To: <EBAC0E9C4D284427B9309CEDE66D2F42@allan>
References: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
	<EBAC0E9C4D284427B9309CEDE66D2F42@allan>
Message-ID: <BAY122-W94A09F94D4DDB05016A23ABC90@phx.gbl>


Hi Gang;
One additional question worth considering is what type of aircraft you fly in relation to whether hot loading is worth the risk.  i.e. Bell models have much longer shut-down times than ECs.  Or is it a model with a NOTAR and a high/safe rotor system...etc.
 
Wade See
Life Flight
Missoula, Montana> From: ab9302 at gmail.com> To: flightmed at flightweb.com> Subject: RE: intefacility STEMI transfers> Date: Thu, 29 Jan 2009 10:56:39 -0500> > Dr. Kim,> > 1) We do operate under a regionally coordinated STEMI protocol which most> EMS agencies and referral hospitals cooperate with. > > 2) We do try to hot load at the referring facility. In fact, we try to get> the staff to supply us with report while we are enroute and then bring the> patient to the helipad as we touch down, rather than come into the ED to get> the pt.> > 3) We do hot offload at our receiving facility (which is also our home base> the vast majority of the time)> > 4) I don't know what our average time is, but our goal is 10 minutes. We> easily meet that when the referring facility is willing and able to bring> the pt to the helipad, which they often do.> > 5) MedCenter Air, Charlotte, NC> > ------------------------------------------------------> Allan Bulkley, RN, CCRN, CFRN, EMT-P> Flight Nurse, MedCenter Air> Carolinas Healthcare System> Charlotte, NC> > > > > -----Original Message-----> From: flightmed-bounces at flightweb.com> [mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim> Sent: Wednesday, January 28, 2009 6:03 PM> To: flightmed listserv> Subject: intefacility STEMI transfers> > > Hello!> Just wanted to gain a bit of insight into interfacility STEMI transfers with> the following questions. In return for your help, I will forward the> aggregate results. Thank you in advance.> 1. Does your flight program participate in a regional protocol for> interfacility STEMI transfers?> 2. In general, does your flight program encourage a "hot load" at the> sending facility?> 3. In general, does your flight program encourage a "hot unload" at the> receiving facility?> 4. What is the average time spent at the sending facility for STEMI> transfers (defined as the arrive at sending facility-leave sending facility> interval)? > > Optional: To help prevent more than one answer per program, what is the> name of your flight program (I will blind the aggregate results and will not> divulge any program-specific responses)?> > DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint> Alphonsus Life Flight Boise, ID> _________________________________________________________________> Windows LiveT: E-mail. Chat. Share. Get more ways to connect. > http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009> _______________________________________________> Flightmed mailing list> To unsubscribe or change your email address, go to> http://six.pairlist.net/mailman/listinfo/flightmed> > _______________________________________________> Flightmed mailing list> To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed> 
_________________________________________________________________
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From ZamoraR at nwmedstar.org  Thu Jan 29 12:46:22 2009
From: ZamoraR at nwmedstar.org (Zamora, Rachel A.)
Date: Thu, 29 Jan 2009 09:46:22 -0800
Subject: Flightmed Digest, Vol 65, Issue 3
In-Reply-To: <mailman.25.1233248449.39915.flightmed@flightweb.com>
References: <mailman.25.1233248449.39915.flightmed@flightweb.com>
Message-ID: <F68F326C6463704BA6FA33424DBA6BA301956597@IRMEXCH02.irm.inhs.org>

Dr. Kim,
1. We established and have participated in a regional STEMI (Cardiac
Level 1) protocol in eastern Wasington since 2007
2. We do not do "hot load/unload."  Our aircraft have a very short
shutdown time (< 1 minute)
3. After a regional protocol was established, our average bedside times
dropped by 50%, in 2008 we averaged 7 minutes.  There has also been a
steady decrease in our overall D2B times.

Rachel Zamora RN, Chief Flight Nurse, Northwest MedStar, Spokane, WA 

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of
flightmed-request at flightweb.com
Sent: Thursday, January 29, 2009 9:01 AM
To: flightmed at flightweb.com
Subject: Flightmed Digest, Vol 65, Issue 3

Send Flightmed mailing list submissions to
	flightmed at flightweb.com

To subscribe or unsubscribe via the World Wide Web, visit
	http://six.pairlist.net/mailman/listinfo/flightmed
or, via email, send a message with subject or body 'help' to
	flightmed-request at flightweb.com

You can reach the person managing the list at
	flightmed-owner at flightweb.com

When replying, please edit your Subject line so it is more specific than
"Re: Contents of Flightmed digest..."


Today's Topics:

   1. intefacility STEMI transfers (David Kim)
   2. RE:intefacility STEMI transfers (Michael Stauter)
   3. RE:intefacility STEMI transfers (Pufahl, Jo M.)
   4. RE:intefacility STEMI transfers (Allan)


----------------------------------------------------------------------

Message: 1
Date: Wed, 28 Jan 2009 16:02:31 -0700
From: David Kim <boisedave at hotmail.com>
Subject: intefacility STEMI transfers
To: flightmed listserv <flightmed at flightweb.com>
Message-ID: <BLU113-W344359DF776A805A447DBCABC80 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers
with the following questions.  In return for your help, I will forward
the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending
facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will
not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009

------------------------------

Message: 2
Date: Wed, 28 Jan 2009 22:10:38 -0600
From: Michael Stauter <mjs6029 at msn.com>
Subject: RE: intefacility STEMI transfers
To: <flightmed at flightweb.com>
Message-ID: <BAY107-W169FA7FBE9109CC165E433BCC90 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


David, my flight program (OSF Life Flight) does function under a STEMI
transfer protocal (heart 777 ).  At no time do we hot off load or load
crew or patients due to our program policy.  We try to keep our bedside
time to under 8 minutes.  Our regional representatives have really
strived to educating out lying hospitals on the protocal so we all can
improve the bedside times.  Look forward to seeing your results.  
 
Michael Stauter RN, BSN
> From: boisedave at hotmail.com> To: flightmed at flightweb.com> Subject:
intefacility STEMI transfers> Date: Wed, 28 Jan 2009 16:02:31 -0700> > >
Hello!> Just wanted to gain a bit of insight into interfacility STEMI
transfers with the following questions. In return for your help, I will
forward the aggregate results. Thank you in advance.> 1. Does your
flight program participate in a regional protocol for interfacility
STEMI transfers?> 2. In general, does your flight program encourage a
"hot load" at the sending facility?> 3. In general, does your flight
program encourage a "hot unload" at the receiving facility?> 4. What is
the average time spent at the sending facility for STEMI transfers
(defined as the arrive at sending facility-leave sending facility
interval)? > > Optional: To help prevent more than one answer per
program, what is the name of your flight program (I will blind the
aggregate results and will not divulge any program-specific responses)?>
> DTKDavid T. Kim, M.
 D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight
Boise, ID>
_________________________________________________________________>
Windows Live?: E-mail. Chat. Share. Get more ways to connect. >
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
> _______________________________________________> Flightmed mailing
list> To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed> 

------------------------------

Message: 3
Date: Thu, 29 Jan 2009 07:50:57 -0600
From: "Pufahl, Jo M." <JPufahl at smdc.org>
Subject: RE: intefacility STEMI transfers
To: "Flightmed" <flightmed at flightweb.com>
Message-ID:
	
<9B1E85EB3C01204E9AFEBC46BC8EE50F013579B6 at BARRED.ntcampus.smdc.org>
Content-Type: text/plain;	charset="Windows-1252"

St. Mary's LifeFlight, Duluth, MN

1. Yes, we have a hospital protocol for STEMI transfers.  We have
multiple "circles" around our hospital of 50 miles, 100 miles and 150
miles.
2.  Yes, we are doing hot loads
3.  Yes, we are doing hot off-loads
4.  6-10 minutes preferred.  skid-skid with hot off and hot loads.







-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com]On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 5:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers



Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers
with the following questions.  In return for your help, I will forward
the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending
facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will
not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



This e-mail communication and any attachments may contain confidential
and privileged information for the use of the designated recipients
named above. If you are not the intended recipient, you are hereby
notified that you have received this communication in error and that any
review, disclosure, dissemination, distribution or copying of it or its
contents is prohibited. As required by federal and state laws, you need
to hold this information as privileged and confidential. If you have
received this communication in error, please notify the sender and
destroy all copies of this communication and any attachments. 

 


------------------------------

Message: 4
Date: Thu, 29 Jan 2009 10:56:39 -0500
From: "Allan" <ab9302 at gmail.com>
Subject: RE: intefacility STEMI transfers
To: "'Flightmed'" <flightmed at flightweb.com>
Message-ID: <EBAC0E9C4D284427B9309CEDE66D2F42 at allan>
Content-Type: text/plain;	charset="us-ascii"

Dr. Kim,

1) We do operate under a regionally coordinated STEMI protocol which
most EMS agencies and referral hospitals cooperate with. 

2) We do try to hot load at the referring facility. In fact, we try to
get the staff to supply us with report while we are enroute and then
bring the patient to the helipad as we touch down, rather than come into
the ED to get the pt.

3) We do hot offload at our receiving facility (which is also our home
base the vast majority of the time)

4) I don't know what our average time is, but our goal is 10 minutes. We
easily meet that when the referring facility is willing and able to
bring the pt to the helipad, which they often do.

5) MedCenter Air, Charlotte, NC

------------------------------------------------------
Allan Bulkley, RN, CCRN, CFRN, EMT-P
Flight Nurse, MedCenter Air
Carolinas Healthcare System
Charlotte, NC


 

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 6:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers
with the following questions.  In return for your help, I will forward
the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending
facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will
not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows LiveT: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



------------------------------

_______________________________________________
Flightmed mailing list


End of Flightmed Digest, Vol 65, Issue 3
****************************************


From vtach1010 at sbcglobal.net  Thu Jan 29 12:52:07 2009
From: vtach1010 at sbcglobal.net (Bryan Pond)
Date: Thu, 29 Jan 2009 09:52:07 -0800 (PST)
Subject: Flightmed Digest, Vol 65, Issue 3
In-Reply-To: <F68F326C6463704BA6FA33424DBA6BA301956597@IRMEXCH02.irm.inhs.org>
Message-ID: <300508.2585.qm@web83105.mail.mud.yahoo.com>

One question I have for the teams doing this rapid turn around is how do you handle patients on several drips? Have a transport pump at the hospital that can be started or just pull the drips off and change over pumps in the air as you transport?
Bryan

--- On Thu, 1/29/09, Zamora, Rachel A. <ZamoraR at nwmedstar.org> wrote:
From: Zamora, Rachel A. <ZamoraR at nwmedstar.org>
Subject: RE: Flightmed Digest, Vol 65, Issue 3
To: flightmed at flightweb.com
Date: Thursday, January 29, 2009, 9:46 AM

Dr. Kim,
1. We established and have participated in a regional STEMI (Cardiac
Level 1) protocol in eastern Wasington since 2007
2. We do not do "hot load/unload."  Our aircraft have a very short
shutdown time (< 1 minute)
3. After a regional protocol was established, our average bedside times
dropped by 50%, in 2008 we averaged 7 minutes.  There has also been a
steady decrease in our overall D2B times.

Rachel Zamora RN, Chief Flight Nurse, Northwest MedStar, Spokane, WA 

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of
flightmed-request at flightweb.com
Sent: Thursday, January 29, 2009 9:01 AM
To: flightmed at flightweb.com
Subject: Flightmed Digest, Vol 65, Issue 3

Send Flightmed mailing list submissions to
	flightmed at flightweb.com

To subscribe or unsubscribe via the World Wide Web, visit
	http://six.pairlist.net/mailman/listinfo/flightmed
or, via email, send a message with subject or body 'help' to
	flightmed-request at flightweb.com

You can reach the person managing the list at
	flightmed-owner at flightweb.com

When replying, please edit your Subject line so it is more specific than
"Re: Contents of Flightmed digest..."


Today's Topics:

   1. intefacility STEMI transfers (David Kim)
   2. RE:intefacility STEMI transfers (Michael Stauter)
   3. RE:intefacility STEMI transfers (Pufahl, Jo M.)
   4. RE:intefacility STEMI transfers (Allan)


----------------------------------------------------------------------

Message: 1
Date: Wed, 28 Jan 2009 16:02:31 -0700
From: David Kim <boisedave at hotmail.com>
Subject: intefacility STEMI transfers
To: flightmed listserv <flightmed at flightweb.com>
Message-ID: <BLU113-W344359DF776A805A447DBCABC80 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers
with the following questions.  In return for your help, I will forward
the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at
the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at
the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending
facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will
not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009

------------------------------

Message: 2
Date: Wed, 28 Jan 2009 22:10:38 -0600
From: Michael Stauter <mjs6029 at msn.com>
Subject: RE: intefacility STEMI transfers
To: <flightmed at flightweb.com>
Message-ID: <BAY107-W169FA7FBE9109CC165E433BCC90 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


David, my flight program (OSF Life Flight) does function under a STEMI
transfer protocal (heart 777 ).  At no time do we hot off load or load
crew or patients due to our program policy.  We try to keep our bedside
time to under 8 minutes.  Our regional representatives have really
strived to educating out lying hospitals on the protocal so we all can
improve the bedside times.  Look forward to seeing your results.  
 
Michael Stauter RN, BSN
> From: boisedave at hotmail.com> To: flightmed at flightweb.com> Subject:
intefacility STEMI transfers> Date: Wed, 28 Jan 2009 16:02:31 -0700> >
>
Hello!> Just wanted to gain a bit of insight into interfacility STEMI
transfers with the following questions. In return for your help, I will
forward the aggregate results. Thank you in advance.> 1. Does your
flight program participate in a regional protocol for interfacility
STEMI transfers?> 2. In general, does your flight program encourage a
"hot load" at the sending facility?> 3. In general, does your
flight
program encourage a "hot unload" at the receiving facility?> 4.
What is
the average time spent at the sending facility for STEMI transfers
(defined as the arrive at sending facility-leave sending facility
interval)? > > Optional: To help prevent more than one answer per
program, what is the name of your flight program (I will blind the
aggregate results and will not divulge any program-specific responses)?>
> DTKDavid T. Kim, M.
 D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight
Boise, ID>
_________________________________________________________________>
Windows Live?: E-mail. Chat. Share. Get more ways to connect. >
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
> _______________________________________________> Flightmed mailing
list> To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed> 

------------------------------

Message: 3
Date: Thu, 29 Jan 2009 07:50:57 -0600
From: "Pufahl, Jo M." <JPufahl at smdc.org>
Subject: RE: intefacility STEMI transfers
To: "Flightmed" <flightmed at flightweb.com>
Message-ID:
	
<9B1E85EB3C01204E9AFEBC46BC8EE50F013579B6 at BARRED.ntcampus.smdc.org>
Content-Type: text/plain;	charset="Windows-1252"

St. Mary's LifeFlight, Duluth, MN

1. Yes, we have a hospital protocol for STEMI transfers.  We have
multiple "circles" around our hospital of 50 miles, 100 miles and 150
miles.
2.  Yes, we are doing hot loads
3.  Yes, we are doing hot off-loads
4.  6-10 minutes preferred.  skid-skid with hot off and hot loads.







-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com]On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 5:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers



Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers
with the following questions.  In return for your help, I will forward
the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at
the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at
the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending
facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will
not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



This e-mail communication and any attachments may contain confidential
and privileged information for the use of the designated recipients
named above. If you are not the intended recipient, you are hereby
notified that you have received this communication in error and that any
review, disclosure, dissemination, distribution or copying of it or its
contents is prohibited. As required by federal and state laws, you need
to hold this information as privileged and confidential. If you have
received this communication in error, please notify the sender and
destroy all copies of this communication and any attachments. 

 


------------------------------

Message: 4
Date: Thu, 29 Jan 2009 10:56:39 -0500
From: "Allan" <ab9302 at gmail.com>
Subject: RE: intefacility STEMI transfers
To: "'Flightmed'" <flightmed at flightweb.com>
Message-ID: <EBAC0E9C4D284427B9309CEDE66D2F42 at allan>
Content-Type: text/plain;	charset="us-ascii"

Dr. Kim,

1) We do operate under a regionally coordinated STEMI protocol which
most EMS agencies and referral hospitals cooperate with. 

2) We do try to hot load at the referring facility. In fact, we try to
get the staff to supply us with report while we are enroute and then
bring the patient to the helipad as we touch down, rather than come into
the ED to get the pt.

3) We do hot offload at our receiving facility (which is also our home
base the vast majority of the time)

4) I don't know what our average time is, but our goal is 10 minutes. We
easily meet that when the referring facility is willing and able to
bring the pt to the helipad, which they often do.

5) MedCenter Air, Charlotte, NC

------------------------------------------------------
Allan Bulkley, RN, CCRN, CFRN, EMT-P
Flight Nurse, MedCenter Air
Carolinas Healthcare System
Charlotte, NC


 

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 6:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers
with the following questions.  In return for your help, I will forward
the aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at
the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at
the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending
facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will
not divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows LiveT: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



------------------------------

_______________________________________________
Flightmed mailing list


End of Flightmed Digest, Vol 65, Issue 3
****************************************
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To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



From mjs6029 at msn.com  Thu Jan 29 12:57:12 2009
From: mjs6029 at msn.com (Michael Stauter)
Date: Thu, 29 Jan 2009 11:57:12 -0600
Subject: intefacility STEMI transfers
In-Reply-To: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
References: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
Message-ID: <BAY107-DS3078DA5BE7C5399214BB2BCC90@phx.gbl>

OSF Life Flight Peoria, IL

1) Yes, we do have a hospital to hospital STEMI protocol, that various
hospitals in our service area are on board with.
2) No we do not hot load for any patient
3) No we do not hot off load crew for this protocol, however we do hot off
load at scenes
4) We try to keep our bedside time to under 8 minutes, We have the sending
facility have compatible tubing already in place, we also have a report
check off sheet that is handed to us with documented medications times and
other significant reporting information to allow our bedside time to be more
efficient.    

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 5:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with
the following questions.  In return for your help, I will forward the
aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending facility
interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will not
divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows LiveT: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
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http://six.pairlist.net/mailman/listinfo/flightmed




From n105nc at aol.com  Thu Jan 29 13:57:08 2009
From: n105nc at aol.com (n105nc at aol.com)
Date: Thu, 29 Jan 2009 13:57:08 -0500
Subject: intefacility STEMI transfers
In-Reply-To: <BAY107-DS3078DA5BE7C5399214BB2BCC90@phx.gbl>
References: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
	<BAY107-DS3078DA5BE7C5399214BB2BCC90@phx.gbl>
Message-ID: <8CB505A84E2E13F-F44-999@WEBMAIL-MB14.sysops.aol.com>

1. We fly an EC-135 and BK-117
2. Land at the sending facility,?crew gets out immediately (hot)
3. Bed side time benchmark is < 8 - 10 minutes
4. Do not load or unload hot at the receiving hospital
5. Unless the drip is vasoactive and required, pull it off the pump and transport without it if the time off the IV pump is less than 30 min.
6. Have the attitude that time is tissue and move like they are bleeding to death with out a band-aid.

Johnny Grindstaff, RN/Paramedic
Supervisor, Air Medical - MAMA
Asheville, NC?


-----Original Message-----
From: Michael Stauter <mjs6029 at msn.com>
To: 'Flightmed' <flightmed at flightweb.com>
Sent: Thu, 29 Jan 2009 12:57 pm
Subject: RE: intefacility STEMI transfers



OSF Life Flight Peoria, IL

1) Yes, we do have a hospital to hospital STEMI protocol, that various
hospitals in our service area are on board with.
2) No we do not hot load for any patient
3) No we do not hot off load crew for this protocol, however we do hot off
load at scenes
4) We try to keep our bedside time to under 8 minutes, We have the sending
facility have compatible tubing already in place, we also have a report
check off sheet that is handed to us with documented medications times and
other significant reporting information to allow our bedside time to be more
efficient.    

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 5:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with
the following questions.  In return for your help, I will forward the
aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending facility
interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will not
divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows LiveT: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe o
r change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed


_______________________________________________
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From Pedsrusscott at cs.com  Thu Jan 29 16:05:39 2009
From: Pedsrusscott at cs.com (Pedsrusscott at cs.com)
Date: Thu, 29 Jan 2009 16:05:39 -0500
Subject: nitric oxide transports help
Message-ID: <66EFFAE1.323DD4EE.329B1E73@cs.com>

Greetings - Hoping the group can help with the following situation - our flight crew is an RN/ER resident crew configuration - For the past several years, we have been transporting neonates on nitric by air & ground with our RN/ER MD crew, but happily have had a neonatal RT accompany us - However, we have recently been told that the RT department is downsizing & they will no longer be able to routinely accompany us on these NO transports - I am hoping, especially from our transport RT colleagues, for input on this situation - Are there standards out there that support RT's going on NO transports? Any programs who have protocols for having RT's accompany on NO transports? Our flight RN's feel that these transports, in our instance, are low volume, but very high risk (2-3/month on average) & we are very much in need of "backup info/protocols/standards" to help us maintain what we believe to be standard of care for these patients
Any help welcomed
Scott DeBoer RN,MSN,CFRN
Flight Nurse: UCAN
Founder: Peds-R-Us
scott at peds-r-us.com
866-449-7337 fax

From tomlev1281 at aol.com  Thu Jan 29 17:33:36 2009
From: tomlev1281 at aol.com (tomlev1281 at aol.com)
Date: Thu, 29 Jan 2009 17:33:36 -0500
Subject: Flightmed Digest, Vol 65, Issue 3
In-Reply-To: <mailman.25.1233248449.39915.flightmed@flightweb.com>
References: <mailman.25.1233248449.39915.flightmed@flightweb.com>
Message-ID: <8CB5078C2955AF8-14C8-181@mblk-d41.sysops.aol.com>

PennSTAR Flight / University of Pennsylvania Medical Center, Philadelphia? Pennsylvania

1- Yes we are a part of a regional referral system for STEMI patients.? One of the hospitals in our health system has a Heart Rescue program in which?STEMI patients are rapidly transported from several referring institutions for?emergent intervention.
2- Yes we do hot load when appropriate / safe > crew discretion
3- Yes we do hot off load when appropriate /safe > crew discretion
4- This? time varies as some of the institutions we serve bring the patient to us, some we have to go to the ER to pick up.? On average, when the patient is brough to us approximately?6-10 minutes.? When we have to go to the ER, approximately 12-20 minutes.? This time varies based upon crew members.? Some are just quicker than others? 

Tom Levins RN
Clinical Coordinator
PennSTAR Flight


-----Original Message-----
From: flightmed-request at flightweb.com
To: flightmed at flightweb.com
Sent: Thu, 29 Jan 2009 12:00 pm
Subject: Flightmed Digest, Vol 65, Issue 3



Send Flightmed mailing list submissions to
    flightmed at flightweb.com

To subscribe or unsubscribe via the World Wide Web, visit
    http://six.pairlist.net/mailman/listinfo/flightmed
or, via email, send a message with subject or body 'help' to
    flightmed-request at flightweb.com

You can reach the person managing the list at
    flightmed-owner at flightweb.com

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Flightmed digest..."


Today's Topics:

   1. intefacility STEMI transfers (David Kim)
   2. RE:intefacility STEMI transfers (Michael Stauter)
   3. RE:intefacility STEMI transfers (Pufahl, Jo M.)
   4. RE:intefacility STEMI transfers (Allan)


----------------------------------------------------------------------

Message: 1
Date: Wed, 28 Jan 2009 16:02:31 -0700
From: David Kim <boisedave at hotmail.com>
Subject: intefacility STEMI transfers
To: flightmed listserv <flightmed at flightweb.com>
Message-ID: <BLU113-W344359DF776A805A447DBCABC80 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with the 
following questions.  In return for your help, I will forward the aggregate 
results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for 
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the sending 
facility?
3.  In general, does your flight program encourage a "hot unload" at the 
receiving facility?
4.  What is the average time spent at the sending facility for STEMI transfers 
(defined as the arrive at sending facility-leave sending facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the name of 
your flight program (I will blind the aggregate results and will not divulge any 
program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus 
Life Flight Boise, ID
____________________________________________________
_____________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009

------------------------------

Message: 2
Date: Wed, 28 Jan 2009 22:10:38 -0600
From: Michael Stauter <mjs6029 at msn.com>
Subject: RE: intefacility STEMI transfers
To: <flightmed at flightweb.com>
Message-ID: <BAY107-W169FA7FBE9109CC165E433BCC90 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


David, my flight program (OSF Life Flight) does function under a STEMI transfer 
protocal (heart 777 ).  At no time do we hot off load or load crew or patients 
due to our program policy.  We try to keep our bedside time to under 8 minutes.  
Our regional representatives have really strived to educating out lying 
hospitals on the protocal so we all can improve the bedside times.  Look forward 
to seeing your results.  
 
Michael Stauter RN, BSN
> From: boisedave at hotmail.com> To: flightmed at flightweb.com> Subject: 
intefacility STEMI transfers> Date: Wed, 28 Jan 2009 16:02:31 -0700> > > Hello!> 
Just wanted to gain a bit of insight into interfacility STEMI transfers with the 
following questions. In return for your help, I will forward the aggregate 
results. Thank you in advance.> 1. Does your flight program participate in a 
regional protocol for interfacility STEMI transfers?> 2. In general, does your 
flight program encourage a "hot load" at the sending facility?> 3. In general, 
does your flight program encourage a "hot unload" at the receiving facility?> 4. 
What is the average time spent at the sending facility for STEMI transfers 
(defined as the arrive at sending facility-leave sending facility interval)? > > 
Optional: To help prevent more than one answer per program, what is the name of 
your flight program (I will blind the aggregate results and will not divulge any 
program-specific responses)?> > DTKDavid T. Kim, M.
 D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight Boise, 
ID> _________________________________________________________
________> Windows 
Live?: E-mail. Chat. Share. Get more ways to connect. > http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009> 
_______________________________________________> Flightmed mailing list> To 
unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed> 


------------------------------

Message: 3
Date: Thu, 29 Jan 2009 07:50:57 -0600
From: "Pufahl, Jo M." <JPufahl at smdc.org>
Subject: RE: intefacility STEMI transfers
To: "Flightmed" <flightmed at flightweb.com>
Message-ID:
    <9B1E85EB3C01204E9AFEBC46BC8EE50F013579B6 at BARRED.ntcampus.smdc.org>
Content-Type: text/plain;   charset="Windows-1252"

St. Mary's LifeFlight, Duluth, MN

1. Yes, we have a hospital protocol for STEMI transfers.  We have multiple 
"circles" around our hospital of 50 miles, 100 miles and 150 miles.
2.  Yes, we are doing hot loads
3.  Yes, we are doing hot off-loads
4.  6-10 minutes preferred.  skid-skid with hot off and hot loads.







-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com]On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 5:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers



Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with the 
following questions.  In return for your help, I will forward the aggregate 
results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for 
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the sending 
facility?
3.  In general, does your flight program encourage a "hot unload" at the 
receiving facility?
4.  What is the average time spent at the sending facility for STEMI transfers 
(defined as the arrive at sending facility-leave sending facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the name of 
your flight program (I will blind the aggregate results and will not divulge any 
program-speci
fic responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus 
Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed



This e-mail communication and any attachments may contain confidential and 
privileged information for the use of the designated recipients named above. If 
you are not the intended recipient, you are hereby notified that you have 
received this communication in error and that any review, disclosure, 
dissemination, distribution or copying of it or its contents is prohibited. As 
required by federal and state laws, you need to hold this information as 
privileged and confidential. If you have received this communication in error, 
please notify the sender and destroy all copies of this communication and any 
attachments. 

 


------------------------------

Message: 4
Date: Thu, 29 Jan 2009 10:56:39 -0500
From: "Allan" <ab9302 at gmail.com>
Subject: RE: intefacility STEMI transfers
To: "'Flightmed'" <flightmed at flightweb.com>
Message-ID: <EBAC0E9C4D284427B9309CEDE66D2F42 at allan>
Content-Type: text/plain;   charset="us-ascii"

Dr. Kim,

1) We do operate under a regionally coordinated STEMI protocol which most
EMS agencies and referral hospitals cooperate with. 

2) We do try to hot load at the referring facility. In fact, we try to get
the staff to supply us with report while we are enroute and then bring the
patient to the helipad as we touch down, rather than come into the ED to get
the pt.

3) We do hot offload at our receiving facility (which is also our home base
the vast majority of the time)

4) I don't know what our average time is, but our goal is 10 minutes. We
easily meet that when the referring facility is willing and
 able to bring
the pt to the helipad, which they often do.

5) MedCenter Air, Charlotte, NC

------------------------------------------------------
Allan Bulkley, RN, CCRN, CFRN, EMT-P
Flight Nurse, MedCenter Air
Carolinas Healthcare System
Charlotte, NC


 

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 6:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with
the following questions.  In return for your help, I will forward the
aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending facility
interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will not
divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
_________________________________________________________________
Windows LiveT: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



------------------------------

_______________________________________________
Flightmed mailing list


End of Flightmed Digest, Vol 65, Issue 3
****************************************



From l-peeples at sbcglobal.net  Thu Jan 29 19:36:32 2009
From: l-peeples at sbcglobal.net (Lance Peeples)
Date: Thu, 29 Jan 2009 16:36:32 -0800 (PST)
Subject: nitric oxide transports help
In-Reply-To: <66EFFAE1.323DD4EE.329B1E73@cs.com>
Message-ID: <394463.7252.qm@web82005.mail.mud.yahoo.com>

Scott, I'm on a neonate/peds specialty team MD/RN/EMT-P configuration.? We add an RT and drop the EMT-P (if necessary for weight) for NO transports.? I think our team members would generally frown upon attempting to handle NO transports without RT.? I would concur with your comments that NO is a fairly hazardous therapy especially for adult teams without significant experience with neonatal pulmonary hypertension.
?
Lance C. Peeples, MS, EMT-P

--- On Thu, 1/29/09, Pedsrusscott at cs.com <Pedsrusscott at cs.com> wrote:

From: Pedsrusscott at cs.com <Pedsrusscott at cs.com>
Subject: nitric oxide transports help
To: flightmed at flightweb.com
Date: Thursday, January 29, 2009, 3:05 PM

Greetings - Hoping the group can help with the following situation - our flight
crew is an RN/ER resident crew configuration - For the past several years, we
have been transporting neonates on nitric by air & ground with our RN/ER MD
crew, but happily have had a neonatal RT accompany us - However, we have
recently been told that the RT department is downsizing & they will no
longer be able to routinely accompany us on these NO transports - I am hoping,
especially from our transport RT colleagues, for input on this situation - Are
there standards out there that support RT's going on NO transports? Any
programs who have protocols for having RT's accompany on NO transports? Our
flight RN's feel that these transports, in our instance, are low volume, but
very high risk (2-3/month on average) & we are very much in need of
"backup info/protocols/standards" to help us maintain what we believe
to be standard of care for these patients
Any help welcomed
Scott DeBoer RN,MSN,CFRN
Flight Nurse: UCAN
Founder: Peds-R-Us
scott at peds-r-us.com
866-449-7337 fax
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to
http://six.pairlist.net/mailman/listinfo/flightmed



From tomlev1281 at aol.com  Thu Jan 29 22:09:44 2009
From: tomlev1281 at aol.com (tomlev1281 at aol.com)
Date: Thu, 29 Jan 2009 22:09:44 -0500
Subject: Flightmed Digest, Vol 65, Issue 3
In-Reply-To: <mailman.25.1233248449.39915.flightmed@flightweb.com>
References: <mailman.25.1233248449.39915.flightmed@flightweb.com>
Message-ID: <8CB509F5596AE07-C08-2283@WEBMAIL-MC13.sysops.aol.com>

PennSTAR Flight / University of Pennsylvania Medical Center, Philadelphia
Pennsylvania

1- Yes we are a part of a regional referral system for STEMI patients. One of 
the hospitals in our health system has a Heart Rescue program in which? STEMI 
patients are rapidly transported from several referring institutions 
for emergent intervention.
2- Yes we do hot load when appropriate / safe > crew discretion
3- Yes we do hot off load when appropriate /safe > crew discretion
4- This time varies as some of the institutions we serve bring the patient to 
us, some we have to go to the ER to pick up. ?On average, when the patient is 
brough to us approximately?6-10 minutes. When we have to go to the ER, 
approximately 12-20 minutes. This time varies based upon crew members.? Some 
are just quicker than others.

Tom Levins RN
Clinical Coordinator
PennSTAR Flight




-----Original Message-----
From: flightmed-request at flightweb.com
To: flightmed at flightweb.com
Sent: Thu, 29 Jan 2009 12:00 pm
Subject: Flightmed Digest, Vol 65, Issue 3



Send Flightmed mailing list submissions to
    flightmed at flightweb.com

To subscribe or unsubscribe via the World Wide Web, visit
    http://six.pairlist.net/mailman/listinfo/flightmed
or, via email, send a message with subject or body 'help' to
    flightmed-request at flightweb.com

You can reach the person managing the list at
    flightmed-owner at flightweb.com

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Flightmed digest..."


Today's Topics:

   1. intefacility STEMI transfers (David Kim)
   2. RE:intefacility STEMI transfers (Michael Stauter)
   3. RE:intefacility STEMI transfers (Pufahl, Jo M.)
   4. RE:intefacility STEMI transfers (Allan)


----------------------------------------------------------------------

Message: 1
Date: Wed, 28 Jan 2009 16:02:31 -0700
From: David Kim <boisedave at hotmail.com>
Subject: intefacility STEMI transfers
To: flightmed listserv <flightmed at flightweb.com>
Message-ID: <BLU113-W344359DF776A805A447DBCABC80 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with the 
following questions.  In return for your help, I will forward the aggregate 
results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for 
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the sending 
facility?
3.  In general, does your flight program encourage a "hot unload" at the 
receiving facility?
4.  What is the average time spent at the sending facility for STEMI transfers 
(defined as the arrive at sending facility-leave sending facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the name of 
your flight program (I will blind the aggregate results and will not divulge any 
program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus 
Life Flight Boise, ID
____________________________________________________
_____________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009

------------------------------

Message: 2
Date: Wed, 28 Jan 2009 22:10:38 -0600
From: Michael Stauter <mjs6029 at msn.com>
Subject: RE: intefacility STEMI transfers
To: <flightmed at flightweb.com>
Message-ID: <BAY107-W169FA7FBE9109CC165E433BCC90 at phx.gbl>
Content-Type: text/plain; charset="Windows-1252"


David, my flight program (OSF Life Flight) does function under a STEMI transfer 
protocal (heart 777 ).  At no time do we hot off load or load crew or patients 
due to our program policy.  We try to keep our bedside time to under 8 minutes.  
Our regional representatives have really strived to educating out lying 
hospitals on the protocal so we all can improve the bedside times.  Look forward 
to seeing your results.  
 
Michael Stauter RN, BSN
> From: boisedave at hotmail.com> To: flightmed at flightweb.com> Subject: 
intefacility STEMI transfers> Date: Wed, 28 Jan 2009 16:02:31 -0700> > > Hello!> 
Just wanted to gain a bit of insight into interfacility STEMI transfers with the 
following questions. In return for your help, I will forward the aggregate 
results. Thank you in advance.> 1. Does your flight program participate in a 
regional protocol for interfacility STEMI transfers?> 2. In general, does your 
flight program encourage a "hot load" at the sending facility?> 3. In general, 
does your flight program encourage a "hot unload" at the receiving facility?> 4. 
What is the average time spent at the sending facility for STEMI transfers 
(defined as the arrive at sending facility-leave sending facility interval)? > > 
Optional: To help prevent more than one answer per program, what is the name of 
your flight program (I will blind the aggregate results and will not divulge any 
program-specific responses)?> > DTKDavid T. Kim, M.
 D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight Boise, 
ID> _________________________________________________________
________> Windows 
Live?: E-mail. Chat. Share. Get more ways to connect. > http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009> 
_______________________________________________> Flightmed mailing list> To 
unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed> 


------------------------------

Message: 3
Date: Thu, 29 Jan 2009 07:50:57 -0600
From: "Pufahl, Jo M." <JPufahl at smdc.org>
Subject: RE: intefacility STEMI transfers
To: "Flightmed" <flightmed at flightweb.com>
Message-ID:
    <9B1E85EB3C01204E9AFEBC46BC8EE50F013579B6 at BARRED.ntcampus.smdc.org>
Content-Type: text/plain;   charset="Windows-1252"

St. Mary's LifeFlight, Duluth, MN

1. Yes, we have a hospital protocol for STEMI transfers.  We have multiple 
"circles" around our hospital of 50 miles, 100 miles and 150 miles.
2.  Yes, we are doing hot loads
3.  Yes, we are doing hot off-loads
4.  6-10 minutes preferred.  skid-skid with hot off and hot loads.







-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com]On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 5:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers



Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with the 
following questions.  In return for your help, I will forward the aggregate 
results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for 
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the sending 
facility?
3.  In general, does your flight program encourage a "hot unload" at the 
receiving facility?
4.  What is the average time spent at the sending facility for STEMI transfers 
(defined as the arrive at sending facility-leave sending facility interval)?  
 
Optional:  To help prevent more than one answer per program, what is the name of 
your flight program (I will blind the aggregate results and will not divulge any 
program-speci
fic responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus 
Life Flight Boise, ID
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed



This e-mail communication and any attachments may contain confidential and 
privileged information for the use of the designated recipients named above. If 
you are not the intended recipient, you are hereby notified that you have 
received this communication in error and that any review, disclosure, 
dissemination, distribution or copying of it or its contents is prohibited. As 
required by federal and state laws, you need to hold this information as 
privileged and confidential. If you have received this communication in error, 
please notify the sender and destroy all copies of this communication and any 
attachments. 

 


------------------------------

Message: 4
Date: Thu, 29 Jan 2009 10:56:39 -0500
From: "Allan" <ab9302 at gmail.com>
Subject: RE: intefacility STEMI transfers
To: "'Flightmed'" <flightmed at flightweb.com>
Message-ID: <EBAC0E9C4D284427B9309CEDE66D2F42 at allan>
Content-Type: text/plain;   charset="us-ascii"

Dr. Kim,

1) We do operate under a regionally coordinated STEMI protocol which most
EMS agencies and referral hospitals cooperate with. 

2) We do try to hot load at the referring facility. In fact, we try to get
the staff to supply us with report while we are enroute and then bring the
patient to the helipad as we touch down, rather than come into the ED to get
the pt.

3) We do hot offload at our receiving facility (which is also our home base
the vast majority of the time)

4) I don't know what our average time is, but our goal is 10 minutes. We
easily meet that when the referring facility is willing and
 able to bring
the pt to the helipad, which they often do.

5) MedCenter Air, Charlotte, NC

------------------------------------------------------
Allan Bulkley, RN, CCRN, CFRN, EMT-P
Flight Nurse, MedCenter Air
Carolinas Healthcare System
Charlotte, NC


 

-----Original Message-----
From: flightmed-bounces at flightweb.com
[mailto:flightmed-bounces at flightweb.com] On Behalf Of David Kim
Sent: Wednesday, January 28, 2009 6:03 PM
To: flightmed listserv
Subject: intefacility STEMI transfers


Hello!
Just wanted to gain a bit of insight into interfacility STEMI transfers with
the following questions.  In return for your help, I will forward the
aggregate results.  Thank you in advance.
1.  Does your flight program participate in a regional protocol for
interfacility STEMI transfers?
2.  In general, does your flight program encourage a "hot load" at the
sending facility?
3.  In general, does your flight program encourage a "hot unload" at the
receiving facility?
4.  What is the average time spent at the sending facility for STEMI
transfers (defined as the arrive at sending facility-leave sending facility
interval)?  
 
Optional:  To help prevent more than one answer per program, what is the
name of your flight program (I will blind the aggregate results and will not
divulge any program-specific responses)?
 
DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
Alphonsus Life Flight Boise, ID
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End of Flightmed Digest, Vol 65, Issue 3
****************************************



From BRUST at email.chop.edu  Fri Jan 30 06:48:21 2009
From: BRUST at email.chop.edu (Peter Brust)
Date: Fri, 30 Jan 2009 06:48:21 -0500
Subject: nitric oxide transports help
Message-ID: <s982a2c5.012@email.chop.edu>

Hi Scott, We do a fair number of nitric transports in our neonatal
population.  We always bring an RT and a neonatal fellow on every
transport due to the acuity of the child.  Let me know if you have any
questions.  peter





Peter Brust, RN, MSN, CMTE, CCRN
Nurse Manager 
Emergency Transport Services
Children's Hospital of Philadelphia
34th St and Civic Center Blvd
Philadelphia, Pa 19104
215.590.2160
215.590.2268 voice mail
215.590.4868 fax
brust at email.chop.edu

>>> Pedsrusscott at cs.com 1/29/2009 4:05:39 PM >>>
Greetings - Hoping the group can help with the following situation -
our flight crew is an RN/ER resident crew configuration - For the past
several years, we have been transporting neonates on nitric by air &
ground with our RN/ER MD crew, but happily have had a neonatal RT
accompany us - However, we have recently been told that the RT
department is downsizing & they will no longer be able to routinely
accompany us on these NO transports - I am hoping, especially from our
transport RT colleagues, for input on this situation - Are there
standards out there that support RT's going on NO transports? Any
programs who have protocols for having RT's accompany on NO transports?
Our flight RN's feel that these transports, in our instance, are low
volume, but very high risk (2-3/month on average) & we are very much in
need of "backup info/protocols/standards" to help us maintain what we
believe to be standard of care for these patients
Any help welcomed
Scott DeBoer RN,MSN,CFRN
Flight Nurse: UCAN
Founder: Peds-R-Us
scott at peds-r-us.com 
866-449-7337 fax
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From ncline7 at aol.com  Fri Jan 30 11:23:52 2009
From: ncline7 at aol.com (ncline7 at aol.com)
Date: Fri, 30 Jan 2009 11:23:52 -0500
Subject: intefacility STEMI transfers
In-Reply-To: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
References: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
Message-ID: <8CB510E4593BEBA-CFC-4DB@WEBMAIL-MB06.sysops.aol.com>

Mr. Kim, 
1) There are no regional protocols in our area, but we are trying
2) No hot loads as patients are never brought to us
3) In general, no. But sometimes, situational dependent.
4) Goal of Skids up/down is 15 minutes. A recent time study found that only on rare occasions did we meet that goal.

Additionally, if anyone has there regional protocols handy, I'd love to see them.
N. Cline, RN
Clinical Coordinator
Enloe FlightCare



-----Original Message-----
From: David Kim <boisedave at hotmail.com>
To: flightmed listserv <flightmed at flightweb.com>
Sent: Wed, 28 Jan 2009 3:02 pm
Subject: intefacility STEMI transfers




ello!
ust wanted to gain a bit of insight into interfacility STEMI transfers with the 
ollowing questions.  In return for your help, I will forward the aggregate 
esults.  Thank you in advance.
.  Does your flight program participate in a regional protocol for 
nterfacility STEMI transfers?
.  In general, does your flight program encourage a "hot load" at the sending 
acility?
.  In general, does your flight program encourage a "hot unload" at the 
eceiving facility?
.  What is the average time spent at the sending facility for STEMI transfers 
defined as the arrive at sending facility-leave sending facility interval)?  

ptional:  To help prevent more than one answer per program, what is the name of 
our flight program (I will blind the aggregate results and will not divulge any 
rogram-specific responses)?

TKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint
 Alphonsus 
ife Flight Boise, ID
________________________________________________________________
indows Live?: E-mail. Chat. Share. Get more ways to connect. 
ttp://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009
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o unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed



From wadesee at hotmail.com  Fri Jan 30 16:42:52 2009
From: wadesee at hotmail.com (Wade See)
Date: Fri, 30 Jan 2009 14:42:52 -0700
Subject: intefacility STEMI transfers
In-Reply-To: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
References: <BLU113-W344359DF776A805A447DBCABC80@phx.gbl>
Message-ID: <BAY122-W3D57DEFDED5FDB481C241ABC60@phx.gbl>


HI Dr. Kim, 1. Does your flight program participate in a regional protocol for interfacility STEMI transfers?We are in the infancy of an outreach program...we have a good program with 2-3 sending facilities, but not all of them. 2. In general, does your flight program encourage a "hot load" at the sending facility?No, we don't do hot loads or unloads.  We fly an Astar with a comparatively short shut-down time when compared to Bell.
3. In general, does your flight program encourage a "hot unload" at the receiving facility?Again, no hot patient loads / unloads. Our shutdown time is < 1 minute. 4. What is the average time spent at the sending facility for STEMI transfers (defined as the arrive at sending facility-leave sending facility interval)?  We don't currently track these times, but hope to start... Life Flight
Saint Patrick Hospital
Missoula, Montana
 
> From: boisedave at hotmail.com> To: flightmed at flightweb.com> Subject: intefacility STEMI transfers> Date: Wed, 28 Jan 2009 16:02:31 -0700> > > Hello!> Just wanted to gain a bit of insight into interfacility STEMI transfers with the following questions. In return for your help, I will forward the aggregate results. Thank you in advance.> 1. Does your flight program participate in a regional protocol for interfacility STEMI transfers?> 2. In general, does your flight program encourage a "hot load" at the sending facility?> 3. In general, does your flight program encourage a "hot unload" at the receiving facility?> 4. What is the average time spent at the sending facility for STEMI transfers (defined as the arrive at sending facility-leave sending facility interval)? > > Optional: To help prevent more than one answer per program, what is the name of your flight program (I will blind the aggregate results and will not divulge any program-specific responses)?> > DTKDavid T. Kim, M.D., FACEP Idaho Emergency Physicians, P.A. Saint Alphonsus Life Flight Boise, ID> _________________________________________________________________> Windows Live?: E-mail. Chat. Share. Get more ways to connect. > http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009> _______________________________________________> Flightmed mailing list> To unsubscribe or change your email address, go to http://six.pairlist.net/mailman/listinfo/flightmed> 
_________________________________________________________________
Windows Live?: E-mail. Chat. Share. Get more ways to connect. 
http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_012009