Heart Attack Treatment: Sharp Grossmont ER

Uploaded by sharpwebcenter on 30.10.2008

Colleen Murphy, RN: The minute we approach that helicopter, we kick it into gear, because
it’s a human life you’re dealing with. Colleen: Were you still doing CPR?
Male Nurse: Is she still on 02? Paramedic: Yeah, she is now.
Male Nurse: Take that off. Colleen: Do you have family coming?
Paramedic:No. Colleen:Bumps.
Male Nurse: We’re almost there. Colleen: What they were saying on the radio
when this woman was coming in was ST elevation and two leads. She has chest pain, clammy,
it’s radiating. What that means to is we have someone with a heart attack happening
this very moment. Male Nurse: Cardiologist here.
Cardiologist: Did you get any history, sir? Female Nurse: Do you need an EKG?
Male Nurse: She’s in here. Male Nurse: Heparin; Colleen, you’re giving
5,000 units. Colleen: The saw that she was in a life-threatening
rhythm, so they shocked her twice and got her rhythm back.
Doctor: Patterson family? Colleen: Can you think of anything more traumatic
than being a teenager, watching your mother, maybe for the last time, take off into the
air, and hoping that she survives, but not knowing. Not knowing if the last thing you
said to her was the last thing you’ll ever remembering saying to your mom.
Doctor: Well it looks like ... Doctor: P-a-t-t-e-r-s-o-n, Sheryl.
Colleen: We have her fiancé and he would like to see her before she goes to the Cath
Lab. Colleen: All right. She’s right there,
she can hear you, so go ahead and… Male Nurse: Look to your left, sweetheart.
Female Nurse: We’re going to make you feel better.
Doctor: And we need to go in there and open up the artery.
Colleen: She’s in the right hands at the right time. We participate in people’s lives
at their most vulnerable, when they’re frightened and when they’re confused. We share those
moments with them, and ease them through that horrible time.
Narrator: These are stories told by patients and caregivers of Sharp Healthcare.
Danny: I thought everybody was out to kill me, including people I love.
Danny’s mom (Kathe): It took me a long time to be able to say, my kid has schizophrenia. 
Debbie: They knew that if they didn’t do something, I was going to die.
Dr. Soltero: You need to have the right kidney removed.
Cora: I’m not happy that this is happening, but I have not shed one tear.
Narrator: These are stories of The Sharp Experience.
Colleen: She’s going into the Cath Lab, and then I’ll tell the doctor you’re out
there. Male Nurse #1: Has she gotten Heparin?
Male Nurse #2: Heparin 5000. Male Nurse #1: Perfect.
Colleen: Her fiancé and kids are here. They’re in the lobby.
Colleen: The nickname for this is tombstones. Her heart’s struggling to work.
Brian Grennan, RN: Males come in, crushing chest pain, sweating, cold. It can be entirely
different in females. They can come in, oh, you know, I have a little, slight little pain
here, and it is a big cardiac event. Colleen: Women really need to call 9-1-1.
The worst thing you can be is wrong. And then you go home.
Collin Ramsey, Manager, Cardiac Services: We’re going to put a catheter up to the heart. It
goes up through the femoral artery in the right groin and into the coronary artery.
Over Loudspeaker: Does everybody agree? All: I agree.
Female Nurse: Six … four going in. Rick Bushore, RN: Oh, I can see the clot
right there. Can you see it? That’s a stumped off blood vessel right there. The blood vessel
should go all the way down around the heart. Colleen: What he’s going to do is open
that up, and that’s going to fill with blood. Rick: When we open the vessel up, she’ll
say oh, I feel better. Lisa Burger, Cardiovascular Technology: They’re
going to put in an extraction device that’s going to suck the clot out of the artery.
Male, Over Loudspeaker: Go ahead and start suction.
Female, Over Loudspeaker: OK, I’m starting. I’m opening up the catheter.
Colleen: To us here at the control room, she’s lines going through an X-ray machine.
To the people in there working with her, she is a woman who is in a life-threatening situation
who’s scared, and they’re talking to her, touching her, relieving her anxiety and they’re
taking care of more than just the clot.  Lisa: We reassure them that they’re going
to be all right, that we’re doing everything we can. Letting them know every step of the
way what’s happening to them. Rick: Hey, Sheryl? Chest pain and the arm
pain both gone? Sheryl:Yeah.
Rick:Yeah. Colleen: Before you saw those large tombstones,
now this is heart working as it’s supposed to.
Lisa: The vessel’s open now. She’s got great blood pressure. This is a good outcome.
I feel so grateful to be able to do what I do every day. There’s nothing more rewarding.
Colleen: Every day, you know you’ve made a difference. Every day, you’ve touched
a life. Female Nurse: OK, sweetheart, we’re going
over to the ICU. [Six hours later, Medical Intensive Care]
Sheryl’s Son: We had no idea it was a heart attack, we just knew her chest was hurting
real bad. We got here, and we all just started crying. Longest hour of my life. It was hard
seeing her in that much pain. She wasn’t the same color and she looked like she was
going to leave us. I’m just happy she’s a very strong woman, and I love her so much.
Colleen: We’re bringing the best of who we are to our patients. We bring the best
technology, caring; everything we do is done for that patient, every time, every day.
Nassir Azimi, MD, Interventional Cardiology: Not many people can say that they touch people
in the ways that we touch people, with catheters inside their hearts. That’s a physical touch.
But I say, go beyond that to a more emotional connection, the human touch.
[Several days later.] Sheryl: I don’t remember the helicopter,
except for the rumbling. I don’t remember half of it.
Doctor: Patterson family? Sheryl’s Son: She wasn’t the same color,
and she looked like she was going to leave us.
Sheryl: I remember the doctor saying, we have to unblock an artery, and it was just
a flash. I could hear these guys crying, but I was hurting so bad.
[Sheryl returns to meet her caregivers.] Sheryl: I’m making blankets for each of
the kids, and when they have a baby, they’ve got to wrap them in that blanket at least
once. Sheryl’s Son: Hey, Dr. Kotev?
Doctor: The best part is seeing them a week later, doing well, and saying, thank you.
Sheryl: I don’t remember a lot of faces. Lisa: We remember you though. It’s great
to see you up and looking so wonderful. Thanks for coming back to see us. That really makes
it special to us to see you up and doing so well. Thank you.
Doctor: The Sharp Experience is an emotional connection. Be a human being, be a friend.
Narrator: Sharp HealthCare is not for profit, but for people.
Sheryl: Take time to hug, and tell people how you feel. I look at things different because
I came so close to never seeing my kids again.