EnLOE MEDICAL CENTER'S STEMI SYMPOSIUM
Methods for expediting treatment
of ST Elevation Myocardial Infarctions
from our designated
STEMI Receiving Center
AUG. 23, 2011
9 a.m. to 2:30 p.m.
Enloe Conference Center
1528 Esplanade, Chico
4.75 CME*; 4 Pre-Hospital CE**
Free. Includes continental breakfast and lunch
Registration: Click here for online registration
AGENDA
8:30 a.m. to 9 a.m.
Sign in and Continental Breakfast
9 a.m. to 10:30 a.m.
STEMI 2011 State of the Nation
David R. Burt, M.D., F.A.A.E.M.
Assistant Professor, Department of Emergency Medicine
University of Virginia Health System, Charlottesville, VA.
10:30 a.m. to 10:40 a.m. Break
10:40 a.m. to 11:10 a.m.
Enloe EMS: One-Year STEMI Update
Jerry Gill, M.D.
ER Physician, Enloe Medical Staff
Co-Medical Director, Enloe STEMI Program
11:10 a.m. to 11:40 a.m.
Barriers to Timely Percutaneous
Coronary Intervention
Peter T. Magnusson, M.D.
Medical Director, Enloe Cardiac Catheterization Lab
Co-Medical Director, Enloe STEMI Program
11:40 a.m. to 12:10 p.m.
Lunch
12:10 p.m. to 12:45 p.m.
Current Controversies in Opening Arteries: Timing is Everything
Peter J. Wolk, M.D.
Chair, Enloe Cardiovascular Department
12:45 p.m. to 2:30 p.m.
Case Review and Panel Discussion
Moderated by David R. Burt, M.D., F.A.A.E.M.
Following the symposium You are welcome to join us for:
2:30 p.m. to 4:30 p.m.
Introduction to 12-Lead EKG Interpretation
Cindy Weaver, RN, BSN
Clinical Care Resource, American Heart Association Training Coordinator
Enloe Medical Center
Two hours of BRN credit *** will be offered for this stand-alone class.
Physicians are independent licensed practitioners not employed by the medical center.
* Enloe Medical Center designates this educational activity for a maximum of four and three-quarters (4.75) AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit also may be applied to the CMA Certification in Continuing Medical Education.
Enloe Medical Center is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. Enloe Medical Center takes responsibility for the content, quality and scientific integrity of this CME activity.
**Provider approved, for the number of hours indicated of Category 1 continuing education by California EMT-P CE Provider #64-401.
***Provider approved by the California Board of Registered Nurses, CEP 180, for the number of hours indicated.
More about STEMI RECEIVING
What is Stemi Receiving?
Enloe has been designated as a STEMI Receiving Center by Sierra-Sacramento Valley EMS Agency (S-SV EMS). Here we provide more information about what this means to you.
What is A STEMI?
STEMI stands for ST Elevation Myocardial Infarction, a severe heart attack caused by clotting in one or more arteries. EMS agencies certify specific hospitals as STEMI Receiving Centers to handle such cardiac emergencies. Enloe is one such facility — the only one between Roseville and the Oregon border.
“For patients suffering a STEMI heart attack, a lifesaving trip to a 24-hour STEMI center for urgent intervention could mean the difference between life and death,” says Dr. Troy Falck, medical director of the Sierra-Sacramento Valley EMS Agency.
‘Time is muscle’
Working in coordination with emergency medical responders, the physicians and staff at STEMI Receiving Centers expedite the diagnosis and treatment of cardiac episodes.
The goal is to have a patient receiving comprehensive treatment within 90 minutes of paramedics’ arrival — a timeframe known as the Door-to-Balloon Golden Rule, because angioplasty is a common procedure for restoring blood flow in the blocked arteries responsible for STEMI.
Regional Routing
In communities that do not feature a STEMI Receiving Center, the ambulance may bypass the local hospital in favor of a higher-level trauma center.
That is because not all hospitals have the same capability to treat patients suffering from severe heart attacks. Among the procedures offered at a STEMI center such as Enloe are angioplasty, stenting, thrombolytic therapy and emergency bypass surgery.
STEMI Response
The process commences when the ambulance service or fire department responds to the 9-1-1 call or other area hospitals. For a person experiencing chest pain, an EKG (electrocardiogram) is performed, using equipment provided by the STEMI Receiving Center. Paramedics transmit the EKG to the hospital.
There, a team of physicians, nurses and technicians begins to review the data. This response team creates a treatment plan before the patient arrives at the hospital. This allows the patient to go directly to the Cath Lab or receive care in the Emergency Department, based on the condition of the patient.
Team Effort
STEMI Response coordinates the efforts of paramedics, E.R. physicians and nurses, cardiologists, Cath Lab team, Nursing Supervisor, admission team, DCU nurses, critical-care nurses and surgical teams to speed up the treatment of heart attacks. As Vickie Pinette, Regional Executive Director of Sierra-Sacramento Valley EMS, explains: “This new cardiac initiative is a multidisciplinary effort that brings together the expertise” of paramedics and hospital staff.
Statistics regionally and nationally show that STEMI Response improves the chance for survival.

