Flightmed Digest, Vol 65, Issue 3

[tomlev1281 at 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




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