A 90 year old female arrives in the emergency department as Express 2780. She had a syncopal event that day and 911 was called. She was diagnosed as having a STEMI in the field. The trauma stat was called and nurses and techs set up the room for her arrival. A crash cart, glide-o-scope, and STEMI box were placed in the room. A doctor was notified and waiting in the room as well as the cardiac catheterization lab nurse from upstairs. Once she arrived everyone worked diligently together. Medications were given, she was hooked up to the emergency department’s cardiac monitor, and an EKG was done and pacer pads were placed on the patient. The patient was then stabilized and vitals were stable. Due to her syncopal episode we had to take a detour to CT scan to run out a head bleed prior to heading upstairs to the cardiac…show more content… She was transferred from the stretcher to the operating table, monitors were transferred and new pacer pads were placed. Door to balloon time or the amount of time it takes to successfully re-open the occluded artery is one of the quality measures for STEMI care. ST-elevation myocardial infarction (STEMI) is a very serious type of heart attack during which one of the heart’s major arteries that supplies oxygenated blood to the heart muscle is blocked. Therefore this procedure needs to be done quickly and in an efficient manner. A STEMI is treated mainly by using clot busting drugs such as thrombolytic agents or with primary percutaneous coronary intervention (PCI) in a cardiac catheterization lab; this is also known as angioplasty or stenting. During this procedure they ballooned the patient twelve times and placed the first stent, which was not enough to open the artery completely. Therefore, they ballooned some more and placed a second stent, which allowed them to complete the procedure successfully. The whole procedure took about an hour and a
