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2016 CAREER EMS SERVICE

Story County Medical Center
As an employee of Story County Medical Center, I feel this service is more than deserving of recognition for the progressive patient protocols that have been formed within the last few years; some that may be first in the state for a paramedic level ground ambulance. Towards the latter part of 2015, Story County Medical Center adopted a new patient protocol for the out-of-hospital ST elevation myocardial infarction (STEMI) patient. This protocol was adopted from a guideline that was released by Mercy Medical Center Des Moines and Unity Point Cardiologists for transferring a patient from an outlying ED to one of their facilities when the patient is experiencing a myocardial infarction. The new protocol allows the paramedics in the back of the ambulance to administer Brilinta, an anticoagulation medicine. This medication was created specifically for patients experiencing a myocardial infarction and it comes with the added the added benefit of being reversible which Plavix is not. This medicine was chosen by a group of Des Moines cardiologists from both Mercy Medical Center and Unity Point. Story County Medical Center realized the benefit of administering this medication in the prehospital setting due to the potentially long transport times to a catherization lab as they provide paramedic level care in the rural setting. Paramedics are also able to give a bolus dose of heparin, another lifesaving drug for someone experiencing a myocardial infarction. By administering Brilinta, prehospital studies have shown that it greatly reduces the risk of stent thrombosis. Studies have also shown that administration of pre-hospital heparin has increased survivability of myocardial infarction patients. Story County Medical Center put this protocol in place to not only serve the residence of Story County and its surrounding areas better but to also help improve patient outcomes.

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IEMSA Memorial
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IEMSA Categories
Categories
  • Full Time Instructor of the Year
  • Part Time Instructor of the Year
  • Dispatcher of the Year
  • Friend of EMS
  • Volunteer Individual
    EMS Provider
  • Career Individual EMS Provider
  • Volunteer EMS Service
  • Career Service
  • Hall of Fame
     

NOMINATIONS
Know of someone who has made outstanding contributions to EMS in Iowa? Nominate them for an IEMSA Annual Award here! Or, download the printable PDF form here.

 

 

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