SOUTH PLACER COUNTY – If you are having a heart attack and need a stent or angioplasty to restore blood flow, clinical guidelines set a goal of 90 minutes for you to receive this interventional treatment.
Last year, Sutter Roseville Medical Center, which is a heart attack receiving center for South Placer County, was making improvements to shave a few precious minutes from its processes when it noticed a disturbing trend: In January-March 2011, local residents waited an average of nearly 90 minutes after experiencing heart attack symptoms before calling 9-1-1 or coming to the hospital.
That’s when the Placer 9-1-1 campaign was born. The campaign was launched with a press conference at a Roseville fire station on Tuesday, March 27.
When it comes to heart attacks, time is muscle. The success of the outcome depends greatly on the timeframe in which heart attack patients receive the proper care. For this purpose, Sutter Roseville partnered with the American Heart Association, the Sierra-Sacramento Valley EMS Agency and others to educate the public on the importance of recognizing the symptoms of a heart attack and then calling 9-1-1 rather than coming straight to the emergency room.
“We have developed a multi-system, coordinated approach for one reason: to save lives,” said George Fehrenbacher, M.D., medical director of Cardiology Services at Sutter Roseville Medical Center and the chairman of the Heart Attack Subcommittee of the Sierra-Sacramento Valley EMS Agency. “We have been working for more than three years to make our processes as efficient as possible. Now we hope Placer 9-1-1 will get the word out to the public to call 9-1-1 as soon as they’re experiencing symptoms or signs of a heart attack.”
In March 2010, Sutter Roseville Medical Center was designated a Regional Heart Attack Center, allowing emergency medical technicians to bypass other hospitals if a patient in South Placer and neighboring counties is having a severe heart attack – called a STEMI (ST Elevation Myocardial Infarction), caused by a clot in one or more of the coronary arteries. The key component of an active STEMI Center is primary percutaneous coronary intervention (PCI), otherwise known as angioplasty.
Through a coordinated effort from Placer County Health Department, Roseville Fire Department, Sutter Roseville Medical Center, American Medical Response, Sierra-Sacramento Valley EMS Agency and other EMS providers in Placer County, Placer County has now established a STEMI system of care and is poised to improve readiness, response and care for STEMI emergencies.
Under the coordinated approach, when a person within 45 minutes of Sutter Roseville Medical Center exhibits heart attack symptoms and calls 9-1-1, EMTs perform an electrocardiogram on the scene and, if the patient is assessed to be in STEMI, the ambulance would be diverted directly to the Sutter Roseville Medical Center Emergency Department for an emergent interventional treatment.
During the press conference Tuesday, the warning signs of a heart attack were detailed. They include:
- Most heart attacks involve chest discomfort. It may last for several minutes or go away and come back. It may feel like pressure, squeezing, fullness or pain.
- Discomfort in other areas of the upper body. Be alert to pain or discomfort in the arms, back, neck, jaw or stomach.
- Shortness of breath, with or without chest discomfort.
- Other signs may include breaking out in a cold sweat, nausea/vomiting or lightheadedness.
“With the Placer 9-1-1 campaign, the objective is to educate the community about the critical need to know the signs and symptoms of a heart attack and importance of calling 9-1-1 should they experience those signs or symptoms,” said Terry Hilliard, a volunteer with the American Heart Association and a heart attack survivor. “The goal is to decrease the amount of walk-ins into Placer County emergency departments and to have as many EMS-transported patients as possible.”
The Placer 9-1-1 campaign is sponsored by the American Heart Association, Placer County Health Department, Roseville Fire Department, Sutter Roseville Medical Center, American Medical Response, Sierra Sacramento Valley EMS Agency and other EMS providers.
On March 30, hospitals around the nation will observe Doctors’ Day. Sutter Roseville Medical Center will join this effort by celebrating the talented physicians who serve the community. “We are privileged to have some of the most skilled physicians in the region,” said Patrick Brady, CEO, Sutter Roseville Medical Center. “Doctors’ Day is one small way we can honor them.”
The 700 physicians on staff at the medical center range from family medicine physicians to cardiologists, gastroenterologists, oncologists, gynecologists, to emergency doctors, neurosurgeons and more. Many of these doctors have pioneered new procedures and technology to diagnose, treat and care for patients. For instance:
– Nuclear medicine specialists ran research trials on DaTscan, an imaging agent that helps diagnose parkinsonian syndromes such as Parkinson’s Disease. This is the first tool ever that can help diagnose the disease and Sutter Roseville is now one of 80 hospitals nationwide to offer it to the public.
– Cardiologist experts were instrumental in securing state approval for Senate Bill 891, which allows six community hospitals, including Sutter Roseville, to serve as regional “heart attack centers” for outpatient emergent and elective interventional cardiology procedures. This means heart attack patients will be rushed to designated hospitals where they have the best prospect of surviving a heart attack.
– Neurologists worked to garner certification from the Joint Commission to designate Sutter Roseville as a Primary Stroke Center to help reduce mortality and disability related to stroke. Primary Stroke Centers help standardize stroke care to improve patient’s outcomes.
– Gastroenterologists employ new radiofrequency ablation technology in order to perform the Barr Procedure to treat gastrointestinal esophageal reflux disease, or GERD. They also employ endoscopic ultrasound to obtain images and information about the digestive tract and the surrounding tissue and organs. The accuracy and speed of this procedure provides a rapid onsite pathologic evaluation that benefits the patient.
– Pulmonologists supported new technology, Super Dimension, an advanced lung navigation system that provides minimally invasive access to lesions deep in the lungs and enables physicians to diagnose benign and malignant lunch lesions to enhance treatment decisions for patients.
– A group of specialty surgeons advocated for advanced technology and implemented a robotic surgery system, da Vinci, that gives surgeons superior visualization, enhanced dexterity and greater precision for a variety of surgical procedures. Studies show that robotic surgery reduces a patient’s hospital stay, reduces blood, pain and infection risks and provides a faster recovery.
Brady acknowledges that the medical staff at Sutter Roseville work together to find better ways of caring for patients. “They have a lot of experience to contribute toward finding optimum ways of delivering high quality, affordable care,” he said. “They work together with partners and facilities across the Sutter Health network of care so patients can experience truly affordable, highly personalized health care.”
This excellent care not only helps individual patients it also benefits the health and well-being of the community, ensuring everyone can receive the health care they need close to home.
“We are certainly inspired by our physicians’ energy, attitude, care and commitment,” said Brady. “We commend all their hard work and dedication and wish them the best on their special day.”</P
SACRAMENTO – Children who have had open-heart surgery and other kids who require constant monitoring are now able to get up, move around and even play thanks to the first Pediatric Telemetry Monitoring Unit in the region at Sutter Children’s Center, Sacramento. Read More about Cardiac Kids Walk Hospital Halls for First Time with Wireless Heart Monitor
Because of the commitment made by staff, leadership and physicians, Sutter Medical Center, Sacramento received prestigious, international recognition as a Baby-Friendly® birth facility this week by Baby-Friendly USA. It becomes the first Level III, regional birthing center in the Sacramento region to receive this award, which recognizes birth facilities that offer an optimal level of care for breastfeeding mothers and their babies.
Baby-Friendly USA, Inc. is the U.S. authority for the implementation of the Baby-Friendly Hospital Initiative, a global program sponsored by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF). The initiative encourages and recognizes hospitals and birthing centers that offer an optimal level of care for breastfeeding mothers and their babies. Based on the Ten Steps to Successful Breastfeeding, this prestigious international award recognizes birth facilities that offer breastfeeding mothers the information, confidence, and skills needed to successfully initiate and continue breastfeeding their babies.
Currently, there are 134 active Baby-Friendly hospitals and birth centers in the United States. The “Baby-Friendly” designation is given after a rigorous on-site survey is completed. The award is maintained by continuing to practice the Ten Steps as demonstrated by quality processes.
For more information on Baby-Friendly USA and the Baby-Friendly Hospital Initiative, go to www.babyfriendlyusa.org.
Of the 1.7 million people who sustain a traumatic brain injury (TBI) each year, 52,000 die, 275,000 are hospitalized and 1,365,000 are treated and released from an emergency department. A traumatic brain injury is a blow, jolt or bump to the head or a penetrating head injury that disrupts the normal function of the brain.
But the real story, the one embedded in the lives of brain injury survivors, their families, friends and caregivers, goes far beyond the number and statistics. The personal impact of a brain injury can be devastating. It can create despair for individuals, upheaval in families and the need for long term or life-long assistance to carry out the most basic activities of daily living.
Sutter North Home Health offers a monthly support group for brain injury survivors. This group meets the fourth Monday of every month from 3 – 5 p.m. at Sutter North Home Health. Facilitated by Stacy Hall, M.A., C.C.C., Speech Pathologist, and Susan Bowder, Occupational Therapist, this group offers a safe and caring environment for those who suffer acquired and traumatic brain injuries. Hall says the goal is to educate the community on brain injuries and to provide available resources and preventative information.
We’ve got a great group, said Hall. “At each meeting we split up into two support groups—those who have survived a brain injury and those who are the care takers. Everyone truly supports each other inside and outside of our group.”
Those in the support group, who range in age from 23 years to 70 years, know first-hand that a brain injury can happen anytime, anywhere to anyone—brain injuries do not discriminate. In addition, just as no two people are exactly alike, no two brain injuries are exactly alike. For some, brain injury is the start of a lifelong disease process. The injury requires access to a full continuum of medical treatment and community-based support from teams of qualified and specialized clinicians.
Because it’s important for survivors to have resources, the Sutter North Home Health brain injury support group supports the Brain Injury Association of America (BIAA ). BIAA is a national organization that helps people with brain injury and their families by providing information, resources and support and by advocating for life-saving research and treatment. In addition, BIAA recognizes March for Brain Injury Awareness Month to raise awareness and to honor the millions of people with brain injuries.
The Sutter North Home Health brain injury support group meets on Monday, March 26, at 3 p.m., at Sutter North Home Health, 400 Plumas Street, Ste 115. For more information call 530-749-3450.