The Power of the Glove: Rural EKG Transmission A Pilot Study among E.M.S. Providers to Expedite Rural Heart Attack Care One Year Later….. Angela Powell,

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Presentation transcript:

The Power of the Glove: Rural EKG Transmission A Pilot Study among E.M.S. Providers to Expedite Rural Heart Attack Care One Year Later….. Angela Powell, RN, MSN

About Us… “… to advance rural health through education, innovation, and collaboration."

Wabash Valley Rural Telehealth Network

Access to Care...Reducing Disparities

The Need

High Risk Counties Cardiac Death Rates per 100,000 Indiana Life Expectancy: CDC Final Data

Identified Gap

Project Area Vermillion County Parke County Union Clinton Critical Access Hospital Union Hospital PCI

Parke County Ambulance

Vermillion County Ambulance

Benefits of Field EKG Program

Door-to -Balloon (D2B) time <75 minutes (Reported as percentages of patients) Krumholz H M et al. Circulation 2011;124: Copyright © American Heart Association

EKG Transmission... Why isn’t everyone doing it?

Project Goal

Implementation

Protecting Participants Identified Risk Delay in treatment due to technology failures Per medical direction EMS providers are instructed “do not interrupt life-saving interventions and /or ever delay transport in order to obtain or transmit an EKG” Extensive training and support of EMS staff including real time feedback and technology support. Patient anxiety related to new process Patient education regarding the integration of the Emergency Department physician IRB

Training Multiple Sessions Hands-on approach Physioglove Technology Identification of STEMI Chest Pain and EKG Transmission Protocols Interactive skills assessment Pocket guides sent with participants

Protocol Chest Pain/Suspected Acute Coronary Syndrome Protocol NOTE: This protocol applies to any patient complaining of chest discomfort, jaw pain, left arm pain, nausea, shortness of breath, dizziness or sweating.

Equipment Overview Physioglove by Commwell Toughbook PC Wireless Booster Antenna

EKG Transmission

Challenges

Overcoming Technological Challenges

One Year of Data

Opportunities

Next Steps…. Continuous Quality Improvement Data Collection Process Improvement Outcomes Reporting IRB HRSA (OAT) Indiana EMS Commission Share Findings

BLS EKG Implementation- Tips Engage all STEMI team members in project development and implementation Provide ongoing provider education for all appropriate aspects of cardiac care Manage expectations related to transmission limitations – clearly outline plan for transmission failure within protocols Check server and all transmission equipment daily Implement Continuous Quality Improvement Process

Special Thanks and Recognition Health Resources and Services Administration (HRSA)- Office for the Advancement of Telehealth (OAT) Indiana Department of Homeland Security- E.M.S. Commission American Heart Association: Mission Lifeline Indiana University School of Medicine All Project Stakeholders

Visit Us At

Angela Powell Office: Cell: Stephanie Laws Office: Cell:

Thank You