The Emergency Medical Services (EMS) personnel in the United States respond to an estimated 37 million 911 calls every year.1 A delay in care for a patient with a time-sensitive emergency can be more harmful than a medication error—and the number one cause of treatment delays that result in poor outcomes is communication failure..2 Sending critical patient information to all members of the care team, at the same time, will reduce opportunities for communication errors. All departments should have the important data they need and in order to work in parallel, they have to provide the appropriate care in the most effective way.3
In 2016, Naperville, Illinois Fire and EMS personnel responded to over 13,000 calls for services delivered from 10 fire stations.4
According to Naperville Bureau Chief, Jim Kubinski, “While our response times continued to improve, our greatest need was to improve and hasten real-time communication of triage-specific data to ED departments in order to improve the patient’s chances of receiving an accurate diagnosis and proper treatment.”
Following extensive research, Naperville implemented the GD e-Bridge™ mobile telemedicine app platform across their entire EMS system in 2018.
GD e-Bridge™ allows their hospital to automate and streamline their information flow, team activations, protocols and processes. The ED can set up a one-button initiation of treatment-specific workflow right from the mobile device, complete with intelligent triggers, which initiate additional follow-up actions. Everything is tracked and downloaded.
The ED will receive to-the-second real-time ambulance GPS tracking and mapping, enabling medical teams to prepare for patient arrival, ensuring a swift and smooth patient handoff. For example, with a single click, they notify their cardiologist and STEMI team that a stroke patient is on the way and will arrive in 4 minutes. Once pushed, all STEMI reports, patient and treatment data are immediately sent right to the team’s mobile devices.
Jim elaborates that, “The GD e-Bridge™ platform has effectively closed the gap between response time and triage-specific treatment.”
Since the implementation of GD e-Bridge™, Naperville’s EMS, ED, Cardiac and Neuro teams have all been positively impacted. This real-time team approach has shortened the time to an accurate diagnosis and proper treatment for their entire service population. City wide, they’ve measurably reduced their stroke treatment by 20-30 minutes. This has significantly impacted these patients’ chances for an improved initial recovery and long-term outcome.
“We now provide initial ED notification prior to on-scene arrival and triage-specific information in real-time during transport. GD e-Bridge™ seamlessly connects us with care providers to share and track HIPAA-secure full-care assessment data and streaming video using any mobile device, Toughbook® and PC,” states Kubinski.
For Naperville, implementing GD e-Bridge™ has improved patient outcomes by shortening the time from on-scene arrival to accurate triage and treatment. Any EMS/ED provider interested in improving patient outcome will benefit from the mobile telemedicine solutions, while further improving EMS-ED communications.
About GD (General Devices)
General Devices (GD) enables smarter patient care by empowering hospitals, EMS, mobile integrated healthcare, community paramedicine and public safety responders with the most comprehensive, interactive, configurable, affordable and integrated medical team communication and mobile telemedicine solutions. Offering benefits unmatched in the industry including enhanced workflows, minimized risks, reduced costs and improved patient outcomes, GD’s innovative solutions help more than 15,000 patients’ lives daily. Learn more at general-devices.com
1 Emergency Medical Services Response Times in Rural, Suburban, and Urban Areas Howard K. Mell, MD, MPH, CPE1; Shannon N. Mumma, MD2; Brian Hiestand, MD, MPH2; et al Journal American Medical Association, July 19, 2017
2 The Joint Commission. (n.d.) Sentinel event data: root causes by event type 2004–2015. HNX Healthcare Update. Retrieved Nov. 20, 2017, from https://hcupdate.files.wordpress.com/2016/02/2016-02-se-root-causes-by-event- type-2004-2015.pdf
3 Journal of Emergency Medical Services, Tue, Jan 2, 2018, James Woodson, MD , E. Stein Bronsky, MD https://www.jems.com/articles/print/volume-43/issue-1/features/effective-communication-in-ems.html
4 Naperville Fire Department Annual Report 2016 https://www.naperville.il.us/globalassets/media/annual-reports/fire-department-annual-report-2016