Flightmed Digest, Vol 65, Issue 3

Zamora, Rachel A. ZamoraR at nwmedstar.org
Thu Jan 29 12:46:22 EST 2009


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

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Subject: Flightmed Digest, Vol 65, Issue 3

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

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

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

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
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