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Neither, however, is quick to take personal credit.Īccording to the CDC, even in the pandemic year of 2020, heart disease was the number-one cause of death in the United States.
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Given the added stress of the pandemic, Azzarello and Muench are understandably proud of the Mission: Lifeline recognition their teams received in 2020-the Gold Plus award to the ED/EMS departments and the Gold Mission: Lifeline for ST Elevation Myocardial Infarction (STEMI) Receiving Department. It has also created a growing number of post-COVID coronary infections, a story that was under-reported in 2020. Needless to say, COVID-19 has complicated the work of everyone involved in emergency care.
“It’s an amazing privilege to watch a cardiac patient go from near death upon arrival to wanting to leave the hospital as soon as treatment has been administered.” In assembling that team, she looks for individuals who are “a bit of an adrenaline junkie,” adding that they need to stay calm under fire and also appreciate the ultimate rewards of being a critical caregiver. The need to combine empathy with speed and accuracy is echoed by Kathleen Azzarello and her team, which deals with extreme pressure situations on a round-the-clock basis. “Good people skills are essential to a good emergency medical technician.”
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“Learning how to communicate with the patient is key,” Muench explains. He has developed and implemented a thorough regimen for the hospital’s staff of EMTs, including a first-contact philosophy. on wheels.” He has been at Trinitas for 11 years, previously served as ED/EMS Administrator, and is often described as a paramedic educator. The MICU operates in coordination with the Elizabeth Fire Department, which initiates on-site stabilization and treatment.Įveryone trained and supervised by Rod Muench appreciates that every minute matters when it comes to coronary patient outcomes, making the MICU an “Emergency Dept. At Trinitas, first contact typically goes through the hospital’s Mobile Intensive Care Unit.
The clock starts ticking at the point of first medical contact-in the home, in the car, at work, or on the phone with a 911 dispatcher-and doesn’t stop until a patient is transported by an emergency vehicle to the catheterization lab or cardiovascular department, where life-saving treatment can be initiated before time runs out. The overall success of response to cardiac emergencies starts with expediting what used to be called “door-to-needle” time. Once delivered to the Emergency Department, no time is wasted in turning over those in need of immediate cardiac care to the Cardiovascular Services Department. Trinitas pre-hospital personnel is trained in procedures such as administering CPR, providing medication, inserting an IV, and transmitting an EKG to the hospital prior to the patient’s arrival. The goal of the EMS team is to administer treatment at the very first moment that the EMTs make contact with the patient. The common goal of emergency System of Care protocols can be defined by three important C’s: Cooperation, Collaboration and Communication. On average, their coordinated care probably saves 50 patients a year-about one a week-whose extreme coronary distress would have resulted in death under almost any other scenario.
Muench and his team deliver approximately 1,000 patients each year to Azzarello and her staff. Azzarello’s team, which includes the cardiac catheterization lab, is at the receiving end when the ambulance arrives with patients in cardiac distress. Muench’s team is focused on saving the lives of severely distressed cardiac (and other) patients by streamlining the trip of EMS personnel from point of contact to the Emergency Department at Trinitas. The departments receiving this honor are under the director- ship of Muench and Kathleen Azzarello, head of Cardiovascular Services-two professionals who excel at administering critical emergency-treatment response. Trinitas has been the recipient of Mission: Lifeline awards from the American Heart Association in each of the last four years.
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