ACS is a serious event. In the case of a Myocardial Infarction the time to treatment is crucial. Through integrated care processes significant outcome improvements can be obtained.
Acute Coronary Syndrome (ACS) is a serious disease event. In the case of an Acute Myocardial Infarction (AMI) the time from onset to correct treatment is crucial. By applying integrated care processes involving the pre-hospital as well as the hospital care, and even the dispatch function, significant improvements in medical outcome and healthcare economics can be obtained.
Of fundamental importance in ACS is to early identify the correct treatment for each individual. In the case of a STEMI (ST-Elevation Myocardial Infarction) a PCI procedure is today the preferred treatment, although in some cases, and at some places, thrombolytic treatment is still the preferred choice. In both cases the goal is to re-establish sufficient flow in the coronary arteries and thereby reduce ischemia and the risk for complications like distorted heart muscle, severe arrhythmias and ultimately death. No matter what treatment is selected, time is always a crucial factor; “time is muscle” is the saying. Therefore it is important to shorten the time from onset to treatment as much as possible, but also to be able to select for each individual patient its most beneficial care. The latter meaning that all patients with chest pain shall not be taken automatically to the PCI-lab, which should then be overcrowded, but rather to the unit where they are best handled according to their actual situation.
One important tool in order to discriminate the patients with STEMI from others is the 12-lead ECG, which therefore shall be registered as early as possible. However since an AMI is a dynamic process it is not sufficient just to register once, take a snapshot, but rather to continue to register periodically throughout the transport. This will catch sudden changes of state which may have impact on the planned treatment.
Consequently, if the best treatment and selection of patients shall be implemented, integrated care-plans or processes involving all care providers involved as well as active logistics depending on patient status and available resources need to be applied. Apart from that, tools for reliable and secure exchange of information like ECG, vitals, observations and treatments, between all stakeholders have to be used.
Ortivus can through MobiMed provide the necessary tools and solutions to implement efficient ACS care processes linking pre-hospital and hospital care together. Furthermore the company has more than 20 years experience from the field; an experience we are happy to share with our customers.
Core Messages:
• Regionally implemented care plans or processes improves treatment outcome
• Time is muscle also in PCI
• Correct Pre-hospital processes improves call-to-balloon and call-to-needle
• Regionally implemented care plans or processes improves treatment outcome
• MobiMed is the right platform for establishing and supporting the necessary plans and processes
• Good medical care is teamwork across stakeholder borders e.g. ambulance and hospital
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