Door To Cath Lab Time

The time frame from door to cath lab was within time limits but the process itself for the primary nurse me was less than smooth.

Door to cath lab time. 30 minutes from the time symptoms start to the time the patient has engaged medical care a diagnosis of stemi has been made and the cardiac cath team is alerted. The problem is we don t have time later. Each color would represent a list of procedures to be carried out possibly simultaneously in order to expedite pci see figure 3. Door to balloon is a time measurement in emergency cardiac care ecc specifically in the treatment of st segment elevation myocardial infarction or stemi.

It s a testament to the exceptional coordination between the emergency department and the catheterization lab median door to balloon time during the first year after protocol revision was 52 minutes. Use of the prehospital ecg improves door to balloon times in st segment elevation myocardial infarction irrespective of time of day or day of week. In 2010 the average door to balloon time was 69 2 minutes. Krumholz hm et al.

Since 2010 the aha s mission. Lifeline program has recognized hospitals for their outstanding performance in high quality systems care performance by meeting or exceeding guideline therapy recommendations in treating patients presenting with stemi heart attacks and introduced nstemi recognition in 2016. Emergency physician activation of cardiac catheterization team by a group page activation predetermined time based goals for each step of the patient care process i e door to ecd of less than 5 minutes door to team activation of less than 15 minutes door to ed departure of less than 45 minutes and finally door to balloon time of less than 90 minutes. Bradley eh et al.

2 4 the cath lab should concentrate on factors that are under their control and assist others in controlling those factors that are related to the door to balloon time for the stemi patient see table on previous page. The cath lab s role in achieving shorter dtb times has been discussed extensively in the cardiology literature. This 90 min period of time can be thought of as three 30 minute increments. Get with the guidelines coronary artery disease cad fully supports mission.

100 percent of stemi patients have had a door to balloon time within the american college of cardiology recommended 90 minutes for each. 6 6 minutes less than in 2009. Improvements in door to balloon time in the united states 2005 2010. National efforts to improve door to balloon time results from the door to ballon alliance.

J am coll cardiol 2009 54 2423 9. The statistics for 2010 showed quality improvement. I had the er doc and cardiologist giving verbal commands continuously while i gave the meds and scribbled cryptic notes to document later. 2015 american heart association guidelines.

The cath lab team would assist the er upon their arrival.