ANNA PRICE CHD PROJECT MANAGER BEDFORDSHIRE & HERTFORDSHIRE LOCALITIES EAST OF ENGLAND AMBULANCE SERVICE.

Slides:

Advertisements

Similar presentations

Implementing NICE guidance

Advertisements

Door to Balloon Times: Achieving 90 Minutes and Less.

West Hertfordshire Hospitals NHS Trust Centralisation of Acute Services Dr Colin Johnston Medical Director WHHT.

James Pavey Senior Operations Manager Think you know SECAmb?

BASE HOSPITAL GROUP ONTARIO Chapter 3 for 12 Lead Training -WHY 12 LEAD- Ontario Base Hospital Group Education Subcommittee 2008 TIME IS MUSCLE.

ESD Stroke Pilot. Pilot Based on retrospective audit and budget of £75,000. Clinical Leads OT and Physio from RCH Acute Stroke Unit developing and leading.

Serving the Capital Gresham Lecture ‘Saving Londoner’s Lives’ 7 th March 2011.

Lewiston Emergency Medical Services Advisory Board September 27, 2010.

NO CONFLICT OF INTEREST TO DECLARE J.M. McLENACHAN, LEEDS.

Kathy Blacker Network Director Cardiac and Stroke Networks in Lancashire and Cumbria Gus Hartley Programme Lead ICT Infrastructure NHS North (North West)

EMS and D2B in Pennsylvania Douglas F. Kupas, MD, FACEP Commonwealth EMS Medical Director Bureau of EMS PA Department of Health.

PPCI – National Update NCBC Workshop Jim McLenachan, National Clinical Lead for PPCI, NHS Improvement, England. London, 24 th November, NCBC Annual.

Joint Royal Colleges Ambulance Service Liaison Committee (JRCALC) Conference.

Steve Edwards Clinical Governance manager West Midlands Ambulance Service NHS Trust.

The Redesign of the Urgent Care System in Suffolk Introduction Training & Education Event 11 December

Very Rapid Treatment of STEMI: Utilizing Pre-Hospital ECGs to Bypass the Emergency Department Kenneth W. Baran, MD Medical Director for United Hospital’s.

1 What is Hospice Palliative Care? The Canadian Hospice Palliative Care Association defines hospice palliative care as a special kind of health care for.

Developing a Primary PCI Service - A practical guide Dan Blackman Leeds General Infirmary Advanced Cardiovascular Intervention January 29 th 2009.

Reconfiguration of Services in the Mid West Future Role of the Local Hospital.

What Do We Mean By Quality In PCI Institutional Requirements Dr Bernard Prendergast John Radcliffe Hospital, Oxford.

Around-the-Clock Primary Angioplasty: A Process of Care Analysis Comparing Off-Hours and Normal Hours Treatment of Acute STEMI R Leung, D Lundberg, D Galbraith,

PRE-HOSPITAL THROMBOLYSIS IN SWEDEN EMERGENCY HOSPITALS 65 ECG-TRANSMISSION 38 PRE-HOSPITAL THROMBOLYSIS 37 RETEPLAS 1 ALTEPLAS or RETEPLAS NATIONAL.

Ambulance Victoria and MonashHEART Acute Myocardial Infarction (Mon-AMI) 12 lead ECG project. An update On behalf of the MonAMI Team A Hutchison, Y Malaiapan,

Regional Showcase West Tennessee. Speakers: John Baker M.D./Emily Garner RN Presentation: Regional Showcase – West Tennessee Presenter Disclosure Information.

Forsyth ML Receiving Center Report New Slide for Transfer in patients #2.

Your Ambulance Service Foundation Trust Consultation.

1 Primary Angioplasty for Acute STEMI Dr Adam Jacques Dr Sola Odemuyiwa February 2010.

“The Doctor said another 5 minutes and I would have been dead” A regional approach to saving heart muscle Vanessa Thornton Clinical Head Emergency Care.

North West Ambulance Service Delivering seamless urgent care Blackpool Health Committee 21 July 2011.

Virginia Heart Attack Coalition/Mission Lifeline.

National AMI Information Call February 5, 2008 Patient Safety Initiative.

Delivering Equality & Diversity Training on-line Glynis Bakker Educational Systems Manager.

BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive Will Hancock Chief Executive.

PPCI - it’s 24/7 or not at all? Dr JIM HALL CONSULTANT CARDIOLOGIST JAMES COOK UNIVERSITY HOSPITAL MIDDLESBROUGH.

Establishing an Emergency Aeromedical Service for Ireland Dr Cathal O’Donnell Medical Director NAS Rural, Island & Dispensing Doctors of Ireland Conference.

Teenage Pregnancy Topic Group Scrutiny Seminar Provision and access to sexual health services for young people Sue Beck 18 May 2006.

Heart Attack Centres: Every Network Should Have (at least) One Dr Rod Stables The Liverpool Heart and Chest Hospital.

The dovetailing of the Hertfordshire decision with North London PCTs decision regarding Barnet & Chase Farm Hospitals Hertfordshire PCTs.

Pre-hospital Thrombolysis in the UK - looking ahead Richard Vincent Royal Sussex County Hospital, Brighton.

AA 2008 Session III: STEMI The UK data Mark de Belder The James Cook University Hospital Middlesbrough.

A MODEL FOR CO-OPERATION - some inconvenient truths Mark Signy Worthing and Brighton.

West Hertfordshire Primary Angioplasty Service Masood Khan.

The Health Roundtable Saving heart muscle by reducing delays to getting patients to the overnight regional catheter lab Presenter: Debby Hailstone Middlemore.

Introduction to SECAmb Paul Sutton Chief Executive.

Presenter Disclosure Information Kevin Daniel, RN, CEN Clinical Data Supervisor Northside Hospital System Metro Atlanta Mission Lifeline Quality & Data.

Acute Coronary Syndromes in West Hertfordshire Masood Khan.

Coronary Revascularisation: the DoH View Dr Roger Boyle National Director for Heart Disease.

Pre Hospital Thrombolysis David Whitmore Head of Training Westcountry Ambulance Services NHS Trust.

Inter-Hospital Transfer of High Risk STEMI Patients for PCI is Safe and Feasible David M. Larson, Katie M. Menssen, Scott W. Sharkey, Marc C. Newell, Anil.

16 Jun 2010www.westhertscardiology.com1 Cardiology Connect Modern Cardiology at Watford for West Herts David Hackett Consultant Cardiologist at West Herts.

Dr Martyn Thomas Kings College Hospital Primary angioplasty “A UK Experience” “The UK experience”

North West Ambulance Service NHS Trust Halton Overview and Scrutiny Committee March 2014.

Blue light to the East of England Heart Attack Centres Dr Sarah Clarke Consultant Cardiologist And Clinical Director Cardiac Services Papworth Hospital.

1 Development of heart attack services in the east of England Julie Garbutt Chair of Specialised Commissioning Group Dr Sarah Clarke Acute Programme Board.

Overview of the Winnipeg CODE STEMI Project Implemented May 2008 Dr.J.Tam MD, FRCP(C), FACC Section Chief Cardiology WRHA and University of Manitoba Lillian.

HERTS URGENT CARE ‘Local clinicians working together with you to develop high quality Urgent Care Services in Hertfordshire’

Telemedicine To Expedite Patient’s Transfer: The Introduction of the Videophone Lowell Satler, MD Washington Hospital Center.

East Midlands Ambulance Service

Dr Paul Driscoll Chair and Medical Director Suffolk GP Federation Presentation for Kings Fund 18th October 2016.

Urban and rural implementation of prehospital STEMI diagnosis

Challenging Case Presentations From South Texas Methodist Hospital

Optimising STEMi Care- Role of Nurses and Paramedics

Metro STEMI Task Force The Central Iowa EMS Directors STEMI Task Force is striving to improve the patient outcomes of ST elevation myocardial infarctions.

Summit County EMS 2018 BUDGET DISCUSSION

ASSENT-3 PLUS 1,639 patients with STEMI Treatment Group A

Heart Disease in the Acute Hospital

Brief History on Mission: Lifeline

Heart Failure Prevention: Mission Impossible?

National Ambulance Service (NAS) Martin Dunne Director NAS

Presentation transcript:

ANNA PRICE CHD PROJECT MANAGER BEDFORDSHIRE & HERTFORDSHIRE LOCALITIES EAST OF ENGLAND AMBULANCE SERVICE

INTRODUCTION Bedfordshire & Hertfordshire localities covers 1106 square miles Population of 1.6 million Number of A & E vehicles = 75 Number of paramedics 324 Now the East of England Ambulance Service Largest land Ambulance service in the U.K.

INTRODUCTION NSF CHD 2000 outlined what part the ambulance service played in delivering the care to patients Call for help and defibrillator within 8 minutes Aspirin 300mg Oxygen Opioid pain relief (morphine) Introduction of PHT/PPCI

PRE HOSPITAL THROMBOLYSIS 2 days training. Assessment, then able to thrombolyse Use of a clinical advice line for verification of ECGs With excellent results. Only a small amount of patients are thrombolysed within B & H

PRE HOSPITAL THROMBOLYSIS Clinical advice line introduced Able to access clinical advice 24/7 Able to transmit an ECG if diagnosis is unclear or the patient goes outside of our criteria. Means more patients are able to be pre hospitally thrombolysed Also used to for Primary PCI patients. Good support for our crews

PRIMARY PCI In West Herts we have no thrombolysis. Since 2006 all STEMI patients go direct to the cath lab for angiogram/plasty. We use Hemel Hempstead cath lab Monday- Friday Harefield 24/7 In 2007 we transported over 200 patients.

PRIMARY PCI All patients will be moving to PPCI by April 2009 (hopefully!) Using Harefield, Royal Free, Papworth and during office hours Hemel Hempstead and Lister. The geography will dictate which hospital is used. No longer than 60 minute journey time under emergency conditions

PRIMARY PCI All patients with ST elevation. Under 12 hours of pain Will not include LBBB or any patients who have presented unconscious. Direct from home to PPCI centre Crews choice of hospital All patients will be followed up and audited.

THE FUTURE To have PPCI throughout the two counties Have no more Paramedic Pre hospital thrombolysis To have call to balloon < 2 hours To continue to train all staff in ST elevation recognition.