Media: April-June, 2012 Radio PSA’s $20,000Print and Social Medial $3000Digital Billboards at Mall $1000

Distribution of Education: OngoingCommunity Presentations: OngoingHands only CPR: Simulaid Manikins $1700

Kim Newlin, CNS, ANP-C; Kate Carleton, RN; George Fehrenbacher, MD, FACC; Lisa Barnes, RN; Janelle Orr, Regional Marketing Specialist; Selinda Shontz, RD; John Poland, Paramedic; Troy Faulk, MD; Vicki Wolf, RN; Steve Giusti, Paramedic

Background: Placer County ST elevation myocardial infarction (STEMI) receiving centers have had an average “door to balloon” time of 60 minutes for over 18 months. It was identified that the time from onset of chest pain to the 911 call was too long and that only about 50% of these patients were arriving by Emergency Medical Services (EMS). At the Sierra-Sacramento Valley EMS meeting in August, 2011, the Chairman challenged the committee to improve these measures.

Purpose: Optimizing the time between onset of symptoms and the start of an intervention can make a significant difference in the outcome to STEMI patients. It was agreed upon that we should focus on educating the public in identifying angina early and the importance of calling 911 at the onset of symptoms.

Design/Implementation: Starting in October, 2011, several key community organizations in Placer county collaborated to create print and radio advertisements, hold a televised press conference, and identify locations to hold hands on CPR training. The team met bimonthly to strategize, obtain funding from Sutter Roseville Medical Center, create the materials, plan for distribution and recruit for Hands Only CPR training by nurses, paramedics and firefighters.

Evaluation/Outcomes: The time from onset of symptoms to intervention has decreased from 145 minutes in 2011 to 122 minutes for 3rd Quarter 2012. The percentage of STEMI patients arriving by EMS has increased from 51% to 65%. Over 1000 Placer County residents have been trained on Hands-Only CPR.

Implications for practice: Successful public awareness campaigns co-promoted by community organizations can make a difference in patients identifying angina early and utilizing EMS for transport to the hospital, leading to better outcomes.

For more information, please contact:

Kim Newlin at newlink@sutterhealth.orgSutter Roseville Medical Center

One Medical PlazaRoseville, CA 95661

#32TIME IS MUSCLE: A PUBLIC AWARENESS CAMPAIGN TO HELP PEOPLE RECOGNIZE ANGINA SIGNS AND

SYMPTOMS, ENCOURAGE THEM TO CALL 911, AND LEARN HANDS ONLY CPR

Total System Measurement 2010 2011 2012-3RD QTotal EMS Time 35 33 36

911 Call to First Intervention 95 92 97

Door to Balloon Time 67 60 62

Symptom to Balloon Time 180 148 122

Patient Arrival by EMS N/A 51% 65%

2011 Cal-endar Year

2012 Q-1 2012 Q-2 2012 Q-30%

10%

20%

30%

40%

50%

60%

70%

51% 53% 56%65%

2011 Cal-endar Year

2012 Q-1 2012 Q-2 2012 Q-30

20

40

60

80

100

120

140

160

180

145166

139

122

Successful public awareness campaigns co-promoted by community organizations can make a difference in patients identifying angina early and utilizing EMS for transport to the hospital, leading to better outcomes.

DESIGN AND IMPLEMENTATION

SYMPTOM TO BALLOON TIME (MINS) ( - Increased catchment basin to 45 minutes)

PATIENT ARRIVAL BY EMS (%)

EVALUATION/OUTCOMES

CONCLUSIONS

Community Partners

Education Plan and Costs