Door To Cath Lab Time

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

Door to cath lab time.

The interval starts with the patient s arrival in the emergency department and ends when a catheter guidewire crosses the culprit lesion in the cardiac cath lab because of the adage that time is muscle meaning that delays in treating. In 2010 the average door to balloon time was 69 2 minutes. 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. The statistics for 2010 showed quality improvement.

Get with the guidelines coronary artery disease cad fully supports mission. 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. Since 2010 the aha s mission. This 90 min period of time can be thought of as three 30 minute increments.

30 minutes from cardiology team mobilization to patient arrival in the cardiac cath lab. The cath lab s role in achieving shorter dtb times has been discussed extensively in the cardiology literature. I had the er doc and cardiologist giving verbal commands continuously while i gave the meds and scribbled cryptic notes to document later. Improvements in door to balloon time in the united states 2005 2010.

The problem is we don t have time later. Krumholz hm et al. J am coll cardiol 2009 54 2423 9. National efforts to improve door to balloon time results from the door to ballon alliance.

Door to balloon is a time measurement in emergency cardiac care ecc specifically in the treatment of st segment elevation myocardial infarction or stemi. 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. Bradley eh et al. Each color would represent a list of procedures to be carried out possibly simultaneously in order to expedite pci see figure 3.

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. 100 percent of stemi patients have had a door to balloon time within the american college of cardiology recommended 90 minutes for each. 2007 24 588 591 o connor re al ali brady wj ghaemmaghami ca menon v welsford m shuster m. 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.

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.