The EMS STEMI Storyboard

							The EMS STEMI Storyboard

            Gary Morris, EMT-I
   University of Virginia Medical Center
         Emergency Department
What is an EMS STEMI Storyboard?

     A method of EMS outreach that allows follow-up and recognition of
    prehosptial providers involved in the STEMI process.


     A bulletin board that is at least 3 feet wide by 2 feet high. The one shown
    in the upcoming slides is a Quartet Prestige colored corkboard with light
    cherry wood trim. The plastic title at the top was manufactured in house.


     An avenue that provides ongoing training to those involved in the
    treatment of STEMI patients.
 EMS STEMI Storyboard
University of Virginia Medical Center
      Emergency Department
 You have your Bulletin Board, What’s Next?

1. Hang your board in a conspicuous location that is well
   traveled by the EMS providers in your area. In our
   institution we hung it outside of our Chest Pain Center in
   our Emergency Department.


2. Once hung, it’s time to decide what data you want to
   post. I will go through what we have decided to post
   based on ensuring that all appropriate confidentiality has
   been maintained.
                   The Data for your Board
1. Photograph the EMS crew that transported the STEMI
   patient to your facility. (Be sure to list each individual’s
   name left to right below the photo)


2. Under the photo provide a basic narrative of what the EMS
   providers reported and what was the outcome of the
   patient. Be sure NOT to use a patient’s name. We remove
   the name from all documents and only use initials and age.
   (Ex: DS, a 39 year old male)


3. The second sheet should be the results from the Cardiac
   Cath Lab. Our lab provides us with a visual of the coronary
   tree and shows exactly which vessel was occluded and at
   what percentage. It also shows the same post
   catherization.
4. The third page should have a copy of Data Sheet A from
the STEMI packet with the patient name removed that will
show the timeline of care as the patient was treated within
your department.




5. The fourth page should be the local EMS protocol for
suspected STEMI cases.



All of the above pages should be done in portrait mode on 8
½ x 11 paper and placed left to right across the top of the
bulletin board.
6. The fifth page should be a copy of the EMS EKG
that was used to identify a potential STEMI in
progress.


7. The sixth page should be a copy of the 12-lead
EKG performed in the Emergency Department
which confirmed the EMS suspicion of a STEMI.


8. The last page should be a copy of the post
catherization EKG.


These last three pages should be in landscape mode
and on standard 8 ½ x 11 paper and placed across
the bottom of the bulletin board.
                Congratulations!
You have just created …   your EMS STEMI Storyboard.
All copies of the forms used on our storyboard may be made available to you
upon request.

The good thing about the STEMI Storyboard is that you can customize it to
your own department, and you will love the value it gives to the EMS
community and the feedback you receive.