Cath Lab Digest - May 2008 - (Page 3) CONSULTING EDITORS MORTON KERN, MD Clinical Editor, Cath Lab Digest Clinical Professor of Medicine Associate Chief Cardiology University of California Irvine • Orange, CA ROBERT J. BASILE, SR., RT(R) Hackettstown Regional Medical Center Hackettstown, NJ A Product, News and Clinical Update for the Cardiac Catheterization Laboratory Specialist May 2008 vol.16 no.5 DOUGLAS S. BEINBORN, MA, RN Mayo Clinic • Rochester, MN 1 The King Faisal Specialist Hospital and Research Centre Keith Barron, Ba App Sc in Med Rad, Radiographer, Quality Coordinator CCL, Clinical Services Quality Management Team Riyadh, Kingdom of Saudi Arabia HEIDI N. BONNEAU, RN, MS Highlands Consulting, Inc. • San Jose, CA GEORGANN BRUSKI, RT(R), CRT, ARRT Beth Israel Deaconess Medical Center • Boston, MA 1 Cell Therapy in the Cath Lab for Heart Failure: A look at MyoCell® Therapy and the SEISMIC Trial Cath Lab Digest talks with Warren Sherman, MD, Director, Cardiac Cell-based Endovascular Therapies, Columbia University Medical Center, New York, New York and Principal Investigator of the Phase II/III MARVEL Study 20 JACK P. CHEN, MD, FACC, FSCAI Northside Cardiology P.C. • Atlanta, GA ANDREA E. DAVIS, BA, RCIS, FSICP George Washington University Hospital Washington, D.C. 1 STEMI INTERVENTIONS: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients Sara Moseley, RN, MS, Performance Improvement Coordinator, Patient Safety and Quality, Deryck Yarde, RN, BSN, CCRN, Manager, Cardiac Catheterization Laboratory, Haleh Eskandari, RN, MSN, CCRN, RCIS, Clinical Educator, Cardiac Catheterization Laboratory, Saint Joseph’s Hospital, Atlanta, Georgia; Jack Chen, MD, FACC, FSCAI, FCCP, Northside Cardiology P.C., Atlanta, Georgia MICHELE DOUGHTY VOELTZ, MD Emory University School of Medicine Atlanta, Georgia KENNETH A. GORSKI RN, RCIS, FSICP Sones Cardiac Catheterization Labs Cleveland Clinic Foundation • Cleveland, OH 40 DEPARTMENTS 4 Clinical Editor’s Corner 44 Society of Invasive Cardiovascular Professionals 46 Meetings Calendar 46 Education Center 47 What Do You Think? 47 Clinical & Industry News 52 Classifieds 58 Advertisers Index © 2008, HMP Communications, LLC. All rights reserved. Reproduction in whole or in part prohibited. Opinions expressed by authors, contributors, and advertisers are their own and not necessarily those of HMP Communications, LLC, the editorial staff, or any member of the editorial advisory board. HMP Communications, LLC is not responsible for accuracy of dosages given in articles printed herein. The appearance of advertisements in this journal is not a warranty, endorsement or approval of the products or services advertised or of their effectiveness, quality or safety. HMP Communications, LLC disclaims responsibility for any injury to persons or property resulting from any ideas or products referred to in the articles or advertisements. Content may not be reproduced in any form without written permission. Reprints of articles are available. Contact HMP Communications, LLC for information. HMP Communications, LLC (HMP) is the authoritative source for comprehensive information and education serving healthcare professionals. HMP’s products include peerreviewed and non-peer-reviewed medical journals, national trade shows and conferences, online programs and customized programs within the clinical areas of wound care, dermatology, podiatry, cardiology, vascular, electrophysiology, long-term care, diabetes, arthritis, and specialized primary care. 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Discover more about HMP’s products and services at www.hmpcommunications.com. 14 STEMI INTERVENTIONS: TODD GINAPP, EMT-P, RCIS, FSICP Memorial Hermann Southeast Houston, Texas Commentary: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients Sameer Mehta, MD, FACC, MBA, Miami, Florida STEVE GRESSMIRE, RT(R)(CV) ARRT, AAMA Mississippi 17 29 STEMI INTERVENTIONS: MARSHA HOLTON, RN, BS, CCRN, RCIS Cardiovascular Orientation Programs Indian Head, MD Ask the STEMI Expert DRUG-ELUTING STENT SOLUTIONS: Comparing Drug-Eluting Stents and Bare-Metal Stents This monthly column in Cath Lab Digest reviews important points of distinction in drugeluting stents, from characteristics to techniques, to provide valuable and relevant information about this technology. This month’s column features Ajay J. Kirtane, MD, SM, Assistant Professor of Clinical Medicine, Center for Interventional Vascular Therapy, Division of Cardiology, Columbia University Medical Center, New York, New York. GERALD LAGASSE, RCIS Borgess Medical Center • Kalamazoo, MI MICHAEL LIM, MD St. Louis Health Sciences Center St. Louis, MO TOM MALONEY, MS, RCIS Memorial Regional Medical Center Richmond, VA 29 Ten-Minute Interview with… Christopher Kambak, RT(R) Oregon Heart & Vascular Institute, Sacred Heart Medical Center Eugene, Oregon SICP: The JASON MONEY, RN, RCIS Elkins, AR BHAWNA OBEROI, BSRS-CBRPA, RT(R)(M) Sherman Radiology Associates Sherman, TX 32 Cardiac Cath Lab Economics in a Public Hospital of a Developing Country F. Petersen-Aranguren, MD, FACC, L. Jauregui-Plascencia, MD Cardiology Department and Cardiac Catheterization Laboratory Hospital Civil de Guadalajara “Fray Antonio Alcalde,” Guadalajara, México TIM ROHRSCHNEIDER, BMSC, RT(R) Emory University Hospital, Children's Healthcare of Atlanta • Atlanta, Georgia 36 YOUR PATH TO SUCCESS: CAREER ADVICE ANNIE RUPPERT, RN, BSN Sharp Memorial Hospital • San Diego, CA Keeping Your Heart & Vascular Employees: Proven Ideas for an Effective Retention Plan Kevin Miracle, Recruitment Consultant, Corazon, Inc., Pittsburgh, Pennsylvania HABIB SAMADY, MD, FACC, FSCAI Emory University Hospital • Atlanta, Georgia 38 Unspoken Words Michele Impreveduto, RN, BA, MPA, Lead Nurse CCL, Hackensack University Medical Center, Hackensack, New Jersey JACKSON L. THATCHER, MD, FACC The Park Nicollet Heart Center at Methodist Hospital, St. Louis Park, MN SANDY WATSON, RN, BN, NFESC Switzerland 40 Ask the Clinical Instructor: A Q&A column for those new to the cath lab Valve Analysis, Part II. Questions are answered by: Todd Ginapp, EMT-P, RCIS, FSICP. Todd is the Cardiology Manager for Memorial Hermann Southeast in Houston, Texas. He also teaches an online RCIS Review course for Spokane Community College, in Spokane, Washington, and regularly presents with RCIS Review Courses. CHUCK WILLIAMS, BS, RT(R)(CV)(CI), RCIS, FSICP Atlanta, GA http://www.hmpcommunications.com
Table of Contents Feed for the Digital Edition of Cath Lab Digest - May 2008 Cath Lab Digest - May 2008 The King Faisal Specialist Hospital and Research Centre Cell Therapy in the Cath Lab for Heart Failure: A Look at MyoCell® Therapy and the SEISMIC Trial Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients Contents Clinical Editor’s Corner Commentary: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients Ask the STEMI Expert Comparing Drug-Eluting Stents and Bare-Metal Stents SICP: The Ten-Minute Interview with… Christopher Kambak, RT(R) Cardiac Cath Lab Economics in a Public Hospital of a Developing Country Keeping Your Heart & Vascular Employees: Proven Ideas for an Effective Retention Plan Unspoken Words Ask the Clinical Instructor Society of Invasive Cardiovascular Professionals Meetings Calendar Education Center What Do You Think? Clinical & Industry News Classifieds Advertisers Index Cath Lab Digest - May 2008 Cath Lab Digest - May 2008 - Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients (Page 1) Cath Lab Digest - May 2008 - Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients (Page 2) Cath Lab Digest - May 2008 - Contents (Page 3) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 4) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 5) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 6) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 7) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 8) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 9) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 10) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 11) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 12) Cath Lab Digest - May 2008 - Clinical Editor’s Corner (Page 13) Cath Lab Digest - May 2008 - Commentary: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients (Page 14) Cath Lab Digest - May 2008 - Commentary: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients (Page BRC1) Cath Lab Digest - May 2008 - Commentary: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients (Page BRC2) Cath Lab Digest - May 2008 - Commentary: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients (Page 15) Cath Lab Digest - May 2008 - Commentary: Performance Improvement Strategies Speed Up Treatment Times in the Management of ST-Elevation Myocardial Infarction (STEMI) Patients (Page 16) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 17) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 18) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 19) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 20) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 21) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 22) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 23) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 24) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 25) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 26) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 27) Cath Lab Digest - May 2008 - Ask the STEMI Expert (Page 28) Cath Lab Digest - May 2008 - SICP: The Ten-Minute Interview with… Christopher Kambak, RT(R) (Page 29) Cath Lab Digest - May 2008 - SICP: The Ten-Minute Interview with… Christopher Kambak, RT(R) (Page 30) Cath Lab Digest - May 2008 - SICP: The Ten-Minute Interview with… Christopher Kambak, RT(R) (Page 31) Cath Lab Digest - May 2008 - Cardiac Cath Lab Economics in a Public Hospital of a Developing Country (Page 32) Cath Lab Digest - May 2008 - Cardiac Cath Lab Economics in a Public Hospital of a Developing Country (Page 33) Cath Lab Digest - May 2008 - Cardiac Cath Lab Economics in a Public Hospital of a Developing Country (Page 34) Cath Lab Digest - May 2008 - Cardiac Cath Lab Economics in a Public Hospital of a Developing Country (Page 35) Cath Lab Digest - May 2008 - Keeping Your Heart & Vascular Employees: Proven Ideas for an Effective Retention Plan (Page 36) Cath Lab Digest - May 2008 - Keeping Your Heart & Vascular Employees: Proven Ideas for an Effective Retention Plan (Page 37) Cath Lab Digest - May 2008 - Unspoken Words (Page 38) Cath Lab Digest - May 2008 - Unspoken Words (Page 39) Cath Lab Digest - May 2008 - Ask the Clinical Instructor (Page 40) Cath Lab Digest - May 2008 - Ask the Clinical Instructor (Page 41) Cath Lab Digest - May 2008 - Ask the Clinical Instructor (Page 42) Cath Lab Digest - May 2008 - Ask the Clinical Instructor (Page 43) Cath Lab Digest - May 2008 - Society of Invasive Cardiovascular Professionals (Page 44) Cath Lab Digest - May 2008 - Society of Invasive Cardiovascular Professionals (Page 45) Cath Lab Digest - May 2008 - Education Center (Page 46) Cath Lab Digest - May 2008 - Education Center (Page BRC3) Cath Lab Digest - May 2008 - Education Center (Page BRC4) Cath Lab Digest - May 2008 - Clinical & Industry News (Page 47) Cath Lab Digest - May 2008 - Clinical & Industry News (Page 48) Cath Lab Digest - May 2008 - Clinical & Industry News (Page 49) Cath Lab Digest - May 2008 - Clinical & Industry News (Page 50) Cath Lab Digest - May 2008 - Clinical & Industry News (Page 51) Cath Lab Digest - May 2008 - Classifieds (Page 52) Cath Lab Digest - May 2008 - Classifieds (Page 53) Cath Lab Digest - May 2008 - Classifieds (Page 54) Cath Lab Digest - May 2008 - Classifieds (Page 55) Cath Lab Digest - May 2008 - Classifieds (Page 56) Cath Lab Digest - May 2008 - Classifieds (Page 57) Cath Lab Digest - May 2008 - Advertisers Index (Page 58) Cath Lab Digest - May 2008 - Advertisers Index (Page 59) Cath Lab Digest - May 2008 - Advertisers Index (Page 60) Cath Lab Digest - May 2008 - Advertisers Index (Page BRC5)
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