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Isle of Man Ambulance Paramedic and Patient Transport Service Pre- Hospital Cardiac Care 5 August 2005

    Following the introduction earlier this year of new equipment and training in relation to treating patients suffering from suspected Cardiac related pain, the Ambulance Service is pleased to announce that, although the treatment has only been available since March, early reports are that it is being very successful.

    In one incident in the North of the Island where a client was suffering from chest pain, the crew that had only been trained the week before were able to confirm that the pain was Cardiac related and that the client’s condition could be treated by clot-busting drugs known as Thrombolytic Therapy.

    The Electrocardiograph (ECG) or cardiac rhythm was transmitted to Noble’s Cardiac Care Unit (CCU) directly from the client’s home address using telecommunications that are built into the new ECG monitor/defibrillator equipment which is then received in the form of a fax print out in the CCU.

    After receiving advanced pain relief and other Cardiac related drugs to make them comfortable for the Journey, the patient was transferred to Noble’s Hospital. Within ten minutes of arrival the patient was given the clot-busting drugs, which was due to the fact that the Nobles medical staff, already having received the faxed ECG report from the Ambulance staff in advance, had the time to confirm the diagnosis and have the drug ready for administration.

    All ambulance teams have now been trained to use this new equipment and there is now one provided for each of the three Ambulance Stations with further units planned for the future to be placed in first response vehicles.

    Chief Ambulance Officer, Steve Sieling commented that he was delighted with the achievements of the ambulance staff and that this was an important step forward in improving the treatment of clients suffering from acute heart attacks. This development will not only help to save lives but, due to the reduction in the time taken to administer the Cardiac drugs, will also help to extend them.

    The next step will be to audit the use of this new equipment, training and following further training, towards ambulance staff being able to deliver the clot-busting drug treatment before the patient is transported to hospital, reducing the time of administration even further.

    5th August 2005

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