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Streamlined Emergency Response

MyMichigan Medical Center Emergency Medical Services and MyMichigan Health have implemented a regional STEMI Alert Program designed to rapidly identify patients who are suffering from ST segment elevation myocardial infarction (STEMI) – the most serious type of heart attack. The program is designed to train paramedics on how to quickly identify STEMI patients so that they can implement lifesaving protocols to bypass the closest Emergency Department and take the patient to the nearest Percutaneous Coronary Intervention (PCI) Center. Upon arrival, the patient is taken directly to the Cath Lab so that blood flow can be quickly reestablished to their heart. With state protocols now in place, MyMichigan’s STEMI Alert Program is approved for up to a 90-minute patient transport time to MyMichigan Medical Center Midland, the nearest PCI Center. To ensure overall success of the program, MyMichigan Medical Center Emergency Medical Services actively collaborates with other local EMS agencies to provide training and share best practices.

STEMI Process

Step 1
Step 1 - Individual experiences one or more signs of a heart attack (chest pain, shortness of breath, dizziness, heavy sweating, indigestion or radiating pain) and dials 911
Step 2
Step 2 - Emergency Medical Services (EMS) personnel arrive at the scene and perform a 12-lead electrocardiogram (ECG) to determine the extent of the individual’s cardiac emergency
Step 3
Step 3 - For certain types of heart attacks, the EMS personnel immediately contact the Emergency Department (ER) at MyMichigan Medical Center–Midland, the nearest Percutaneous Coronary Intervention (PCI) Center
Step 4
Step 4 - The ER staff quickly activate the Cardiac Cath Rapid Response Team and admit the patient to the Medical Center
Step 5
Step 5 - The ambulance arrives at the Medical Center, bypasses the ER and heads straight for the cardiac cath lab for immediate intervention to re-establish blood flow to the heart

Bypassing the ER and heading straight for the cath lab saves an average of 20 minutes or more, time that can be critical for a heart attack patient.

MyMichigan Medical Center Midland has set a target of <=120 minutes for door-to-balloon intervention based on recommendations by the American College of Cardiology. By following these recommendations, the patient’s chance of recovery without loss of heart muscle or long-term complications is very high.

Midland ER-Ambulance

 This streamlined approach is also implemented in cases where a patient arrives in the ER and presents with heart attack symptoms. The patient is quickly moved into an exam room where a 12-lead ECG is performed to determine the extent of the cardiac emergency and the course of action. Additionally, at MyMichigan Medical Centers in Alma, Clare and Gladwin, patients are diagnosed and given early treatment, then quickly transported to Midland where the Cath Lab is ready to ensure expedited treatment upon arrival.

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