Shawano Ambulance Service

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Shawano Ambulance Service
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Shawano Ambulance Service
 
Shawano Ambulance Service Programs
STEMI

In EMS, we have a saying: “Time is heart muscle.” A STEMI, or specific kind of heart attack we can identify relatively quickly in the field, is very time sensitive; the sooner the coronary arteries can be opened up to replenish the heart with fresh blood, oxygen and nutrients, the better chance of survival the patient has. A great deal of attention has been focused on this program because of the positive outcomes it has produced for heart attack victims.

Shawano Ambulance has been a pioneer in implementing revolutionary STEMI (S-T Elevation Myocardial Infarct) protocols and procedures. We are the only EMS provider in the region that uses both 12 and 15-lead EKGs as our standard of care for identifying patients that are candidates for immediate cardiac catherization procedures. Very few ambulance providers perform 15-lead EKGs, and interestingly enough, most emergency departments do not utilize this level of diagnostic procedure either. We were the first ground ambulance in the state to gain approval to administer Plavix, Lipitor and Metoprolol in the field for STEMI patients. Previously, these measures were reserved for air transport providers. With quickly evolving protocols that have been driven by extensive research, replacement medications such as Brilinta (Ticagrelor) have been put into use as well.
Critical Care Transport Paramedics
"Time is heart muscle!"

We have worked closely with hospital facilities in Green Bay, Appleton and Wausau to prearrange their acceptance of our STEMI victims. If we identify a heart attack patient as a candidate for catherization, we will consider transport directly to a ‘cath lab’ in one of the above mentioned cities as opposed to first transporting to the nearest hospital. It is not uncommon for our STEMI patients in Shawano County to arrive inside a ‘cath lab’ less than 50 minutes from the time our EKG has confirmed they are a candidate for this type of procedure.


Transferring STEMIs that are diagnosed at Shawano Medical Center is also a priority for us. We have studied and made changes our transfer of care process to ensure that we can fully expedite moving a patient from the SMC-ED to another facility. It is interesting that
we have found ways to make significant time savings in our processes, rather than suggest our ambulances drive faster and risk the safety of our patient, crew and other motorists. Reviewing every interfacility STEMI transport we have performed over the last four years, we have found that our critical care ground transport can consistently deliver a patient to catherization facilities in Green Bay and Appleton 10 to 15 minutes faster than air transport, while still delivering the level of care these patients require en route.

CODE STROKE


When someone is having a stroke, or cerebrovascular accident (CVA), time is of the essence. Advanced imaging needs to be performed at the earliest possible time to determine whether the cause of the stroke is an active bleeding in the brain (hemorrhagic) or if it is due to a clot blocking blood flow to a portion of the brain (ischemic). In either case, steps to mitigate the problem need to be initiated quickly.

Shawano Ambulance has a procedure for identifying patients who may be candidates for thrombolytic therapy, which is a preferred approach for many ischemic stroke patients. We have worked in conjunction with Shawano Medical Center as well as other specialized facilities in the region such as the Neuroscience Center in Green Bay, to devise different plans for our patients based upon our findings in the initial minutes of contact with a suspected stroke victim. When receiving the correct treatment to minimize damage to brain tissue is at stake, having plans in place to put our patients in touch with the right services and the right facility help ensure we are doing all we can to achieve favorable outcomes.

SAFEKIDS CHILD PROTECTIVE SEAT INSPECTIONS

We believe the best approach to dealing with injuries is to prevent them from happening in the first place. In keeping with that mindset, Shawano Ambulance sponsors several events annually where our personnel who are certified CPS technicians inspect car seats for proper fitting, function and installation. We partner with area businesses and other local agencies to get these events out into the community at no charge to those who wish to attend.
CPS Inspection
“Our most precious cargo…”
Shawano Ambulance Service
It may seem simple at first when one considers installing a child seat into a vehicle. However, there are many variables, including the type of car, type of seat, and age/size of the child that dictate how and where the seat is installed. A large part of our initiative is aimed at educating parents, grandparents and anyone who may be transporting infants or small children, so that long after they attend one of our events, they continue to make good decisions regarding how they secure their loved ones in a motor vehicle. Check our Events schedule on this web site to learn more about scheduled inspection events.
Shawano Ambulance Service
FRIENDS AND FAMILY CPR TRAINING

The key to successful resuscitation of cardiac arrest victims is often credited to early performance of bystander CPR. In fact, in nearly all of our successful “saves,” someone is performing CPR before paramedics arrive and can administer defibrillation measures and advanced cardiac medications.
CPR Classes

It is for this reason that we have embarked on an effort to train anyone who is interested in learning the basics of cardiopulmonary resuscitation (CPR). The Friends and Family CPR program is aimed at teaching non-medical personnel what they need to know to respond appropriately in a cardiac arrest emergency. It is taught in a casual, informative and at times fun course that meets once for about four hours, usually in one evening. The course involves both classroom instruction and hands-on practice with experienced medical personnel. Since it is not a formal certification class, there is no final examination.

Since we began the Friends and Family program, over a hundred local people, from 16 to nearly 80 years of age, have attended this informative training. The best part about our Friends and Family CPR is that there is no charge for the training!! Check our Events schedule on this web site to learn more about scheduled CPR courses.
“When the moment of truth arrives, the opportunity for preparation has passed”
Shawano Ambulance Service
COMMUNITY PARAMEDIC PILOT

In conjunction with the University of Wisconsin and Northeast Wisconsin Technical College, Shawano Ambulance Service was awarded a grant to study alternative methods of identifying at risk individuals in our aging population. The Wisconsin Community-Academic Partnership Fund provided support that would allow all SAS personnel to receive Geriatric Emergency Medical Services (GEMS) training, as developed and provided by Northeast Wisconsin Technical College. This specialized training allows our paramedics and EMTs to better understand the things that affect patients over the age of 60 and how these issues impact our approach to caring for this group of people which comprise a large portion of our patient base.

Furthermore, a screening tool was developed and is applied to patients over the age of 60 to identify concerns regarding medications, safety in the home and depression. Our personnel have the opportunity to see patients in their normal living environment, an experience other health care providers are not able to get because most people leave their homes to go see medical providers. With the assistance of Shawano Medical Center, concerns that are identified by field personnel are evaluated with the assistance of a social worker in a timely manner to help address them, increasing the chance that resolution is made before becoming problematic.

The pilot project ran through the end of 2014. However, even before the results were studied and recommendations were formulated, we felt so strongly about the benefits to our patients that we continued the screening and referral process. We hope that the findings mirror our feelings and this type of program is made available to all ambulance services in the State.
   
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Contact Information: Website Pages: Service Area:
Shawano Ambulance Service
220 N. Main St.
Shawano, WI   54166
USA
Phone (715) 524-2036
Fax (715) 524-3292
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