Title: Leading the Way in Quality of Care: Wireless Transmission of 12Lead ECG's From Ambulance to ER
1Leading the Way in Quality of CareWireless
Transmission of 12-Lead ECG'sFrom Ambulance to ER
- Physio Control LifeNet Solutions
- Frederick Memorial Healthcare System
- Presented by Tanya Miller
- Senior Systems Analyst
/ Project Manager - Prepared by Tanya Miller, Information
Services - Cindy Russell, Director
of Nursing Finance - Dave Chisholm, RN, EMT,
Battalion Chief
2Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- Objectives
-
- Why We Installed LifeNet
- Overview of LifeNet Product
- Technology
- Implementation Process
- Results
3Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- ST-Elevation Myocardial Infarction (STEMI) is a
dangerous form of heart attack that poses a
serious threat to the heart muscle. - The quicker patients receive treatment, the more
likely they are to have positive outcomes and
survive the event. - The goal is to reduce door-to-balloon time,
saving heart muscle and saving lives.
4Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- The American Heart Association estimates that
nearly 400,000 people in the U.S. experience
STEMI every year. - Studies have reported a significant relationship
between pre-hospital 12-lead ECGs and shorter
door-to-balloon times, the effect was strongest
when the Cath Lab was activated while the patient
was still in route to the hospital. - LifeNet is a wireless technology that helps
improve STEMI care with a web-based solution
enabling the activation of Cath Lab team in
advance of the patient arrival.
5Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ERLifeNet
6Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- LifePak Defibrillator used in the ambulance sends
an ECG tracing to a gateway, using wireless
communications.
- The destination site is configured and selected
on the LifePak device. - A wireless modem is attached to each LifePak.
- We expanded our existing cellular service plan to
include transmission of data.
7Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- The Gateway sends the reports from the LifePak
device to the LifeNet Cardiac Care Server. - Reports are sent through
- the Internet using standard
- secure Internet protocols.
8Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- The LifeNet Cardiac Care Web Server looks to a
routing table, which contains information
pertaining to transmitting devices and the
intended destinations. - Routing information stored on the Web server
includes identifiers for the following - Transmitting Devices
- Modems
- Receiving Site
- Receiving/Alert Clients
- Print Client
- Notifications
9Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- LifeNet Receiving Station receives the
transmission - The ECG tracing flashes on the screen until
acknowledged. - Theres an audible alarm on the PC.
- The tracing is automatically printed on a
designated network printer.
10Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
11Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
12Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- Alert Client forwards 12-lead reports and
notification to other destinations.
13Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- This data can be used for diagnosis, disposition,
and therapy decisions by qualified medical
personnel, prior to the patients arrival in the
E.R.
- The Cardiologist reviewing the tracing may choose
to activate a Code Heart.
14Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- The Code Heart Team is ready to treat the patient
upon arrival.
15Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- The speed of transmission
- 22 seconds
- 1 minute, 30 seconds
- Job Timeout
- Cellular coverage issues
- If job times out, EMT simply re-sends
16Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- Results
- Average door-to-balloon time for a STEMI patient
without LifeNet, presenting to the ER and moving
to the Cath Lab, is 63 minutes. - In patients where LifeNet is used, weve been
able to reduce our door-to-balloon time to 49
minutes. - Scenario LifeNet Transmission received, Code
Heart initiated, Team ready per standard
protocol, patient arrived and was in the Cath Lab
within 40 minutes.
17Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- Implementation
- Local Software Installation
- WebSite Configuration Data Workflow
- Receiving and Alert Devices
- Printer
- Modems
- Users Accounts
- Report Distribution
- Auto Notifications
- Educational Sessions E.R. Staff
- Workflow
- Feature/Functionality
18Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- Hardware Deployment
- Hardware installation in each ambulance.
- Trained EMTs
- Test transmissions from each LifePak.
19Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
20Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
21Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
22Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- Making a Difference
- I am pleased and happy to report that today our
Code Heart was called prior to the pt's arrival,
due to the tracing sent in by the EMS. GREAT JOB
BY ALL!!!!!! Jackie - HEY, We had another one Saturday. Called the
code heart before pt was here!!! Jackie - Thanks Tanya, nice work on this project. This
one is saving lives. Cindy
23Quality Care Requires Teamwork
- Responsibility
- Utilize and implement current tools and
technology
- Goal
- Put the right information, in the right hands, at
the right time, to make the right decisions
- Result
- Positive Outcomes
- Saving Lives
24Wireless Transmission of 12-Lead ECG'sFrom
Ambulance to ER
- Thank You
- Questions or Comments