Paramedics to administer clot-busting therapy for acute heart attack patients
Winnipeg one of only three major Canadian cities to employ vital procedure in the field
Released: 1:30 p.m.
NEWS @ A GLANCE:
The Winnipeg Fire Paramedic Service (WFPS) – in partnership with the Winnipeg Regional Health Authority (WRHA) – today announced that its Advanced Care Paramedics will have the ability to administer clot-busting therapy, where medically-indicated, to patients suffering the most severe form of heart attack. (for more details, please read the full media release below) |
WINNIPEG - May 22, 2008 – The Winnipeg Fire Paramedic Service (WFPS) – in partnership with the Winnipeg Regional Health Authority (WRHA) – today announced that its Advanced Care Paramedics will have the ability to administer clot-busting therapy, where medically-indicated, to patients suffering the most severe form of heart attack. This new protocol – currently in place in only two other Canadian cities – is made possible by innovative technology and the careful guidance of an on-call cardiologist.
“Medical progress and technological advancements have come together to improve patient care,” said Dr. Rob Grierson, WFPS Medical Director. “When every second counts, the sooner we can reverse damage to the heart, the better the outcome for the patient. When clot-busting medications are administered, we see results in minutes; in the past, this was something done only by a physician in a hospital. Now, under a cardiologist’s direction, our most highly trained paramedics will be able to provide this therapy in the field.”
Dr. Alan Menkis, Medical Director of the WRHA Cardiac Sciences Program said the unique partnership between WFPS and the region is reflected in the announcement. “The best interests of the patients are best served when everyone works together as part of the patient’s health care team. This is an excellent example of that kind of teamwork.”
The new protocol will see paramedics assess a patient who is suffering from chest pain and conduct a 12-lead heart tracing (ECG) using a cardiac monitor/defibrillator. Based on this ECG and the patient’s symptoms, the paramedics will be able to diagnose patients who are having the most severe form of heart attack. This form of heart attack is known as a ST segment Elevation Myocardial Infarction (STEMI). Once paramedics have identified a patient with a STEMI, they will then transmit a copy of the ECG, via a wireless network (from an electronic tablet (E-PCR) to the wireless hand-held device), to an on-call cardiologist. They will then follow-up that transmission with a call to the cardiologist to discuss the patient’s case in real time. Based on this discussion and the ECG, the cardiologist will recommend one of three possible treatment options: 1) transport to the closest hospital, 2) administration of the clot-busting medication and transport to St. Boniface General Hospital or 3) transport directly to the cardiac catheterization laboratory at St. Boniface General Hospital.
The combined technologies of three key partners have made this initiative possible: Zoll Medical Corporation with its defibrillator/monitor; Zoll Data Systems with its electronic patient care reporting software; and MTS Allstream, who are providing a secure wireless network over which information travels, and wireless hand-held devices which allow the cardiologist to view the 12-lead ECG.
“We are pleased to work with the City of Winnipeg and the Winnipeg Regional Health Authority to develop a solution that not only demonstrates a capacity for wireless innovation, but will help improve the emergency medical services available to people in Winnipeg,” said Kelvin Shepherd, President Consumer Markets division, MTS Allstream. “The people of Winnipeg are fortunate to have some of the most committed emergency medical personnel in Canada protecting them, and we are proud to provide them with a solution that will help them do an even better job.”
Advanced Care Paramedics will begin administering clot-busting medication early next month. |