Cath Lab Digest - December 2007 - (Page 1) Ask the Clinical Instructor: Todd Ginapp EMT-P, RCIS, FSICP. How do beta-blockers work? Clinical Editor’s Corner: Morton Kern, MD Implanted Devices and MRIs Page 34 Page 4 December 2007, vol.15, no.12 A Product, News and Clinical Update for the Cardiac Catheterization Laboratory Specialist Cath Lab Spotlight STEMI Interventions Making STEMI a Priority: How the challenge differs at a large metropolitan medical center Larry H. Brown, RN, BSN, CNOR, Cardiac Catheterization Laboratory, St. Luke’s Episcopal Hospital, Houston, Texas Working in paradise! Mike McKeever, RT, Bruce Freiman, RT, Mary Jacobs, RN, Sue Salimaki, RN, Kathy Stevens, RN, Steve Jones, RT, Dixie Sargent, RCIS. W Eisenhower Medical Center Dixie Lee Sargent, CVT, RCIS Rancho Mirage, California What is the size of your cath lab facility and number of staff members? The Cardiac Cath Lab at Eisenhower Medical Center is located in a separate wing on the hospital main floor. We have two very large suites, a pre-op area, ample storage areas, a staff meeting room with windows, an office, a computerized physician reporting area, a kitchen and locker facilities. The department is aesthetically beautiful in décor. There are high-gloss wood floors, desert tone tiling, neutral wall coloring, and an interesting collection of photographic artwork created by our own radiologic technologist, Mike McKeever, RT. e have all been hearing a great deal about the ST-elevation myocardial infarction (STEMI) guidelines from the American Heart Association/American College of Cardiology (AHA/ACC). In 2007, St. Luke’s Episcopal Hospital in Houston, Texas, a large metropolitan acute care hospital, initiated processes and procedures to ensure compliance with these new guidelines. St. Luke’s Episcopal Hospital, home of the Texas Heart Institute, figures prominently in the campus of the Texas Medical Center in Houston, Texas. It boasts one of the largest cardiac catheterization laboratories in the world, devoting three labs to electrophysiology studies (cardiac mapping, bi-ventricular automatic implantable cardioverter defibrillators [AICD], pulmonary vein ablations, permanent pacemakers [PPM]), three labs to peripheral vascular procedures (abdominal aortic aneurysm repair, limb salvage, carotid and peripheral stenting), and the remaining five labs to coronary procedures (diagnostic, percutaneous coronary interventions [PCI], atrial septal defect/patent foramen continued on page 9 New! STEMI Interventions. Facilities share the triumphs and challenges of treating ST-elevation myocardial infarction patients in a new section, featuring commentary by Sameer Mehta, MD, FACC, MBA. Commentary to the article by Larry H. Brown is on page 13. On the Horizon continued on page 17 Polymer-free Drug Delivery to the Vessel Wall: A Drug-eluting Balloon Catheter Cath Lab Digest talks with Martin Unverdorben, MD, Clinical Research Institute at the Center for Cardiovascular Diseases, Rotenburg an der Fulda, Germany See the full article on page 16 http://www.cathlabdigest.com
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