EMS World

OCT 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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Page 38 of 87

38 OCTOBER 2018 | EMSWORLD.com MOBILE STROKE CARE says. "We are providing the most advanced stroke care in the world to the people of Mercer County. We are going to be the lead- er on stroke care—that's our commitment, and that can come at a cost." St i e f e l a c k n o w le d g e s t h at w h i le experimental practices in medicine can be pushed in the wrong direc tion, an MSU will never affect the quality of the care given. "If it's only going to improve [patient care], even though it hasn't been proven, this is what we're going to do," he says. Wherea s some s ys tems have tried neurologists in their MSUs, Capital Health decided to use a HIPAA-compliant tele- medicine route, which was more cost- ef fective and convenient, a s the neu- rologists could remain at the hospital while carr ying an iPad to answer calls and assess patients on the go. As far as drawbacks of the MSU? "There's only one," says Stiefel. "You can't be ever y where." If there are t wo simultaneous stroke calls, both patients will still receive the standard of care. "MSUs are not yet a par t of a set stan- dard," Stiefel adds. "The standard of care at the scene is an ambulance and para- medics who then transpor t the patient to the most appropriate stroke center to get tPA, endovascular treatment, or both. So we are never deviating or providing less than the standard." If any th in g , th e MSU m ay e xce e d today's standard of stroke care. Boozan says while EMS providers can drop off a patient at the emergency room and leave for another call, the MSU team must begin and end patient care completely before they make themselves available for the next caller. "It's really critical that the informa- tion is relayed meticulously a s to the [time] last known normal, the medica- tions they're on, allergies or histor y, risk factors—a good repor t," says Boozan. "It's not uncommon that these patients can't give the ED team the information they want, so it's really important for us to get it right for the receiving emergency department." Other Benefi ts Stiefel says a major advantage of the MSU is the ability to transport patients to the appropriate facility right from the scene based on the CT scan results. It's critical that patients are brought to the appropriate hospitals so as not to delay care. Those with strokes that can be cared for by a primary stroke center, or patients who may not be having a stroke, will be directed to hospitals such as St. Francis, Robert Wood Johnson, Capital Health Medical Center-Hopewell, or Princeton if they are closer. "The goal of this MSU was not to bring ever yone here [Capital Health]. We're set up for severe strokes and the most criti- cal neuroscience patient," says Stiefel. "We don't want to inundate the team with people who can be well cared for at a Introducing the Next Generation of the MegaMover® Product Family Tactical MegaMover® Disaster Response MegaMover® Intuitive patient transport devices for unpredictable and hostile environments. SEE THEM AT EMS WORLD EXPO BOOTH 606 For more information call 800.558.6765 or visit GrahamMedical.com Follow Us R E S P O ND E R S ' F I R S T C H O I C E For More Information Circle 32 on Reader Service Card

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