WEBVTT 00:00:00.000 --> 00:00:25.000 Well, honestly, I didn't realize it was a heart attack. I just felt like I was about to faint. I felt faint, you know. I told my son, and he said, "Well, he felt like we needed to call EMS," which we did. 00:00:29.000 --> 00:00:32.540 Once we got to the ER, everything just went like clockwork. 00:00:32.540 --> 00:00:38.720 Time is muscle. 00:00:38.720 --> 00:00:41.360 Speed is critical. 00:00:41.360 --> 00:00:46.040 You have to have an EKG within the first 10 minutes. 00:00:46.040 --> 00:00:54.860 Door to balloon, 90 minutes, 90 minutes, 90 minutes, 90 minutes, 90 minutes. 00:00:59.000 --> 00:01:09.380 My name is Jo Holley and I live in Greenwood and I work at Lakeview Elementary with kindergarten. 00:01:09.380 --> 00:01:12.300 I have one son. I'm divorced. 00:01:12.300 --> 00:01:15.480 I've lived in Greenwood most of my life. 00:01:15.480 --> 00:01:20.360 I came when I lived at County Maxwell before I started, you know, before I got married. 00:01:20.360 --> 00:01:21.940 So Greenwood's more like my hometown. 00:01:21.940 --> 00:01:28.980 When EMS is activated for someone who's potentially having a heart attack, 00:01:29.160 --> 00:01:32.980 they'll come to the house with lights and sirens on. 00:01:32.980 --> 00:01:35.320 The concern is that you are having a heart attack. 00:01:35.320 --> 00:01:40.080 The first thing they do when they get to your home is they're going to do a full assessment. 00:01:40.080 --> 00:01:43.340 They're going to ask you some history, what's hurting. 00:01:43.340 --> 00:01:45.140 If you're telling them you have chest pain, 00:01:45.140 --> 00:01:48.940 they're going to start down a specific guideline chest pain protocol. 00:01:48.940 --> 00:01:53.340 Part of that protocol is going to be to do an EKG. 00:01:53.340 --> 00:01:57.320 The really cool thing about getting an EKG done in this manner 00:01:57.320 --> 00:01:58.980 is that as soon as the medic sees you, 00:01:59.160 --> 00:02:04.700 and sees that EKG, they are all trained to recognize a heart attack on an EKG tracy. 00:02:04.700 --> 00:02:06.920 I do remember a lot of it. 00:02:06.920 --> 00:02:12.900 They would ask you questions, you know, about how I felt, how old I was, my birthday. 00:02:12.900 --> 00:02:21.180 Like I said, they were very helpful, you know, because I think they were taking an EKG 00:02:21.180 --> 00:02:24.220 and they were sending everything, I think, to the emergency room. 00:02:24.220 --> 00:02:28.620 And like I said, I am indebted to them mostly because they were so quick 00:02:28.620 --> 00:02:33.080 and fast in everything that they did, you know, they were very efficient. 00:02:33.080 --> 00:02:35.140 They immediately call us in the ER, 00:02:35.140 --> 00:02:37.940 let us know that we have a patient in the field who's having a heart attack. 00:02:37.940 --> 00:02:41.380 That allows us to go ahead and start the process. 00:02:41.380 --> 00:02:44.600 We can go ahead and activate the cath lab, they're on the way in. 00:02:44.600 --> 00:02:46.940 We call the cardiologist, they're on the way in. 00:02:46.940 --> 00:02:51.800 What this does is it speeds the process to get you seen quicker, 00:02:51.800 --> 00:02:55.580 which is what our goal is to get you to the cath lab as quick as we can 00:02:55.580 --> 00:02:57.940 to get the artery open back up in your heart. 00:02:58.240 --> 00:03:00.660 It was just like one, two, three, and you were in and out. 00:03:00.660 --> 00:03:04.680 There was no delay, there was no hesitant, I mean, 00:03:04.680 --> 00:03:07.420 everybody knew exactly what to do and when to do it. 00:03:07.420 --> 00:03:13.680 The foundation was great when they helped us to purchase the CarePoint system 00:03:13.680 --> 00:03:16.220 that we're using currently in our emergency department. 00:03:16.220 --> 00:03:23.780 The CarePoint system is a way that EMS can safely and securely transmit an EKG 00:03:23.780 --> 00:03:27.860 to the emergency department for the emergency department physician to read the EKG 00:03:27.860 --> 00:03:31.600 real live before the patient arrives here. 00:03:31.600 --> 00:03:33.860 So, when you have that EKG done at your house, 00:03:33.860 --> 00:03:38.260 the EMS folks can immediately send us the EKG in the ER 00:03:38.260 --> 00:03:40.260 and you have a physician reading your EKG 00:03:40.260 --> 00:03:42.720 and we can make some decisions on the point right then. 00:03:42.720 --> 00:03:48.740 Another great initiative that our hospital is currently doing is 00:03:48.740 --> 00:03:53.180 that we are helping provide AEDs to our communities. 00:03:53.180 --> 00:03:57.020 An AED is an automatic external defibrillator 00:03:57.480 --> 00:03:59.880 that is used by the general public 00:03:59.880 --> 00:04:03.800 and serves as a first responder for those people 00:04:03.800 --> 00:04:07.320 who are having a cardiac event out in the community. 00:04:07.320 --> 00:04:13.120 For the last two years, our hospital has been providing them to select areas 00:04:13.120 --> 00:04:17.220 where there are high volumes or potential volumes of people 00:04:17.220 --> 00:04:19.480 that could be having a heart attack. 00:04:19.480 --> 00:04:23.040 AEDs are fantastic in that if someone is having a heart attack 00:04:23.040 --> 00:04:27.100 to the point to where their heart stops, an AED can be life-saving. 00:04:27.100 --> 00:04:32.420 They're self-explanatory on how to use, even for a layperson. 00:04:32.420 --> 00:04:35.940 It will walk you through the process of how to apply the AED 00:04:35.940 --> 00:04:38.980 and when to shock somebody and when not to shock somebody. 00:04:38.980 --> 00:04:41.740 Just by pushing the button, the machine tells you what to do. 00:04:41.740 --> 00:04:47.020 So, it's a great service to our community and AEDs do save lives. 00:04:47.020 --> 00:04:51.620 Once the cath lab team arrives, after they've been called in, 00:04:51.620 --> 00:04:56.720 they will call the emergency care center and tell them that they're ready for the patient. 00:04:56.720 --> 00:05:01.400 The emergency care center nurse and one other person will transport that patient 00:05:01.400 --> 00:05:06.640 to the cath lab on a monitor, and once they arrive in the cath lab, 00:05:06.640 --> 00:05:10.540 then the table, our table is set up and we're ready for the patient. 00:05:10.540 --> 00:05:15.960 We prep the patient, put the patient on the table, the physician is already here. 00:05:15.960 --> 00:05:19.960 So, we're ready to start once that patient arrives here. 00:05:19.960 --> 00:05:22.620 I would have assessed the patient in the emergency room 00:05:22.620 --> 00:05:26.340 and from the EKG, already have an idea where the blockage is going to be, 00:05:26.340 --> 00:05:28.800 then we start the procedure. 00:05:28.800 --> 00:05:35.700 We get access to the heart, either through the artery of the wrist or the artery in the groin, 00:05:35.700 --> 00:05:39.220 most often through the wrist as it's more comfortable for the patient. 00:05:39.220 --> 00:05:44.840 Once we get to the heart, we quickly get x-ray pictures and confirm the blockages 00:05:44.840 --> 00:05:47.120 and then we start working on the blockage. 00:05:47.120 --> 00:05:52.580 And very quickly, we will have the artery open with a balloon angioplasty 00:05:52.580 --> 00:05:55.960 and quickly followed by stent placement. 00:05:55.960 --> 00:06:03.960 And by then, usually, the patient's pain is mostly relieved and the patient becomes stable. 00:06:03.960 --> 00:06:13.920 Once the vessel is opened by balloon or stent, the clock will stop. 00:06:13.920 --> 00:06:17.080 The physician will then finish the procedure. 00:06:17.080 --> 00:06:20.340 The patient will be transported to our cardiac intensive care unit 00:06:20.340 --> 00:06:22.540 where they'll be monitored overnight. 00:06:22.540 --> 00:06:25.580 Medication administration will be managed and they will more 00:06:25.580 --> 00:06:28.620 than likely be discharged the next day. 00:06:28.620 --> 00:06:32.880 Prior to discharge, they will be referred to cardiac rehab. 00:06:32.880 --> 00:06:41.900 I think part of your procedure of getting better is that they do prescribe cardio rehab. 00:06:41.900 --> 00:06:45.900 They're very good about checking you and encouraging you. 00:06:45.900 --> 00:06:49.440 And they've encouraged me to like to push myself a little bit farther. 00:06:49.440 --> 00:06:55.200 You know, you've done this, do you think you can go another step? 00:06:55.200 --> 00:06:56.040 It makes you want to. 00:06:56.040 --> 00:06:59.280 And like I said, once you start feeling better, you do want to do more. 00:06:59.280 --> 00:07:14.340 ♪ ♪ 00:07:14.340 --> 00:07:19.360 My name is Dr. Claudio Greskin, one of the heart surgeons here at Self Regional Health Care. 00:07:19.360 --> 00:07:21.780 I've been here for the past 15 years. 00:07:21.780 --> 00:07:24.820 I was here since the beginning of this program. 00:07:24.820 --> 00:07:28.200 And what I do, I do heart surgery. 00:07:28.200 --> 00:07:32.860 ♪ ♪ 00:07:32.860 --> 00:07:38.920 When patients come and see me, particularly if they need to see me on a kind of an urgent 00:07:38.920 --> 00:07:45.420 or emergency situation, I realize quite often that I see people that they're very afraid. 00:07:45.420 --> 00:07:54.440 They just discovered that they have a potentially deadly disease and they don't know where their life is going to go from there. 00:07:54.440 --> 00:08:01.440 They don't know if they're going to survive. They don't know if they're going to be the same people, I mean the same person. 00:08:01.440 --> 00:08:09.120 And that's particularly when I have to treat a young male. There is a lot of concerns. 00:08:09.120 --> 00:08:22.440 And one of the things that we do that I think we do particularly well here is to reassure these people that actually it's not the end of the road, but it's the beginning of a new chapter in life. 00:08:22.440 --> 00:08:37.440 And we can take care of their disease very effectively, and we can restore their health to probably better what it was at the time that they came in. 00:08:37.440 --> 00:08:44.440 I want to sincerely thank the Foundation and all of the donors to the Foundation for allowing us to provide this service at our hospital. 00:08:44.440 --> 00:08:49.440 I really feel like this is making a huge difference for the patients in our community. 00:08:49.440 --> 00:08:50.440 We would really like to thank the donors to the Foundation for allowing us to provide this service at our hospital. 00:08:50.440 --> 00:08:50.440 We would really like to thank the donors to the Foundation for allowing us to provide this service at our hospital. 00:08:50.440 --> 00:08:51.440 We would really like to thank the donors to the Foundation for allowing us to provide this service at our hospital. 00:08:51.440 --> 00:08:51.440 We would really like to thank the donors to the Foundation for allowing us to provide this service at our hospital. 00:08:51.440 --> 00:08:52.440 We would really like to thank the donors to the Foundation for allowing us to provide this service at our hospital. 00:08:52.440 --> 00:08:58.020 for helping us provide these life-saving therapies to the community. I would like 00:08:58.020 --> 00:09:02.100 to thank the foundation and the generosity of all the donors that 00:09:02.100 --> 00:09:05.820 contribute to the foundation that makes all these possible. Thank you very much. 00:09:05.820 --> 00:09:11.720 On behalf of the cardiovascular service line, I would like to thank the Self 00:09:11.720 --> 00:09:16.900 Regional Healthcare Foundation for their generous donations. Yeah, I'm indebted to 00:09:16.900 --> 00:09:21.200 them, I really am. It just means I can't even comprehend or even put into words 00:09:21.200 --> 00:09:25.920 the appreciation that what it means to me, that I'm a better person 00:09:25.920 --> 00:09:31.440 because they have helped me literally to live a better life. 00:09:31.440 --> 00:09:38.700 It means so much to me that they've helped me, you know, I don't think I'd 00:09:38.700 --> 00:09:44.520 be here if it wasn't for them. Well, I know I wouldn't be here if it wasn't for them.