Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
Page 15
Page 16
Page 17
Page 18
Page 19
Page 20
Page 21
Page 22
Page 23
Page 24
CarrollHospitalCenter.org3IfhismassiveheartattackhadstruckonedayearlierDavidMongoldlikelywouldnthavesurvived.ButtheNewWindsorresidentdidsurviveandisthrivingtodaythankstoanewtime-andlie-savingprotocolthatCarrollHospitalCenterintroducedtoitsemer-gencyangioplastyprogramjust24hoursbeorehisSeptemberattack.TenewprotocolallowsemergencymedicalservicesEMScrewstoassessandcallthemostsevereheartattacksS-segmentelevationmyocardialinarctionsorSEMIsromthefeld.TisactivatesaSEMIalertwhichtellsthehospitalsemergencyangioplastyteamnomatterwhattimeodayitistoassembleandprepareorthepatientsarrival.PreviouslyEMScrewswererequiredtofrstsendapatientsEKGtothehospitalandwaitoranemergencyroomphysiciansassessmentbeoreaSEMIalertwasactivated.AswithanyheartattacktheasterwecanopenthearterythelessdamagecanoccurexplainsDavidZimrinM.D.interventionalcardiologistandmedicaldirectorotheemer-gencyangioplastyprogram.Te10minutesitwouldhavepreviouslytakentoreceiveandevaluatetheEKGwouldhavebeenadeathsentenceorMr.Mongold.TeEMS-initiatedSEMIalertsarejustthelatestsuccessstoryortheemergencyangioplastyprogramwhichwascre-atedin2008throughapartnershipwiththeUniversityoMarylandMedicalCenterUMMC.Sincethenmorethan400patientshavereceivedemergencyheartattackcareandCarrollHospitalCenternowboastsa68-minuteaveragedoor-to-balloontime24percentasterthanthestatestandard.Door-to-balloontimemeasureshowlongittakestoopenablockedarteryviaangioplastyuponapatientsarrivaltothehospital.WhenaSEMIalertisactivateditslikewatchinganorchestrasaysemergencymedicinenurseJosephBrownR.N.E.M..-P.Everyteammemberknowsexactlywhathisorherpartisandgetstowork.BecauseotheseverityohisheartattackMongoldwasowntoUMMCorsurgeryatertheteamatCarrollHospitalCenterperormedtheemergencyangiosplastythatstabilizedhim.InamatterosecondswecancoordinatetheemergencytranserchopperandgettheUMMCsurgeonuptospeedonthephone.InMr.MongoldscasethatspeedwascriticalsaysMarkVeselyM.D.theinterventionalcardiologistwhotreatedMongold.WhenaskedabouthisexperienceMongoldadmitsthathedoesntremembermuchhedidntcomeoutosedationatUMMCuntilmorethanaweeklater.TeysavedmyliethatsallIcansayhereplies.Dr.Veselytheambulancecrewtheemergencydepartmentstaallthepeopleittooktogetmeonthatangioplastytablesavedmylie.KnowthewarningsignsofaheartattackVisitCarrollHospitalCenter.orgHeartSafetolearnhowtoidentifysignsofaheartattack.Aswithanyheartattackthefasterwecanopenthearterythelessdamagecanoccur.DavidMongoldwiththeteamthatsavedhislifeJessicaConnerR.N.cardiovasculartechnologistteamleaderColeBooneUniversityofMarylandinterventionalcardiologistMarkVeselyM.D.MongoldcardiovascularservicesmanagerTonyPinsoncardiovasculartechnologistRobinSilvermanEMSCaptainDavidCoerepresentingtheNewWindsorFireHoseCo.No.1EMSteamandJenniferAlderR.N.vascularregistrycoordinator.