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And the Emergency Chain that Saved Him. - St. Joseph Medical ...

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thomas thibeault<br />

“This whole experience<br />

has given me a much greater<br />

appreciation for how incredible<br />

medical care can be.”<br />

Women’s Care<br />

“When he awoke, he had an immediate sense of well being,”<br />

says his mo<strong>the</strong>r.<br />

“This whole experience has given me a much greater appreciation<br />

for how incredible medical care can be,” says Thomas.<br />

“Dr. Finney is a great doctor —he saved my life. The staff<br />

at <strong>St</strong>. <strong>Joseph</strong> really cared for me as a person and for<br />

<strong>the</strong> well-being of my family.”<br />

Although Thomas will be on blood thinners<br />

for life, he says, “I feel very lucky to have<br />

survived a physical defect <strong>that</strong> no one knew<br />

about. The mechanical valve I have is very<br />

strong.” Just three months after heart surgery,<br />

he was assisting coaching lacrosse at his<br />

former high school, Boys Latin.<br />

“Thomas has shown a lot of maturity and<br />

grace through all this,” says Dr. Finney, a former<br />

lacrosse player himself.<br />

Innovators in <strong>Emergency</strong> Care<br />

Recently, <strong>St</strong>. <strong>Joseph</strong> embarked on a campaign to highlight<br />

<strong>the</strong> hospital’s innovation in ER care, “which has resulted in<br />

decreasing treatment time by 25 percent,” explains Dr. Gail<br />

Cunningham, head of <strong>St</strong>. <strong>Joseph</strong>’s <strong>Emergency</strong> Department. By<br />

increasing efficiency and enhancing patient care, <strong>St</strong>. <strong>Joseph</strong>’s<br />

ER won <strong>the</strong> “Top Innovator of <strong>the</strong> Year Award” in 2009 from<br />

<strong>the</strong> Daily Record.<br />

“It’s a credit<br />

to <strong>St</strong>. <strong>Joseph</strong>’s ER,<br />

cardiac surgery team<br />

and intensive care unit<br />

<strong>that</strong> we can handle<br />

this type of grave<br />

situation.”<br />

Dr. <strong>St</strong>ewart Finney<br />

chief of Cardiac<br />

Surgery<br />

Innovation is a <strong>St</strong>. <strong>Joseph</strong> tradition: its ER has <strong>the</strong> longest<br />

standing group of emergency physicians in <strong>the</strong> U.S., who founded<br />

one of <strong>the</strong> first ERs in <strong>the</strong> country in 1966. “We are always striving<br />

to improve <strong>the</strong> care we give,” assures Dr. Cunningham.<br />

“We have quality, experienced, specifically trained<br />

ER physicians and nurses. We are in a unique environment,<br />

working shoulder to shoulder daily, and<br />

know each o<strong>the</strong>r so well <strong>that</strong> we can anticipate<br />

how care is going for each patient.<br />

“A lot of care is initiated even before <strong>the</strong><br />

patient sees <strong>the</strong> doctor. We are very motivated,<br />

getting <strong>the</strong>ir tests started, blood work,<br />

x-rays or CT scans and even <strong>the</strong> administration<br />

of certain medicines done as soon as we<br />

can,” she says.<br />

<strong>St</strong>. <strong>Joseph</strong>’s ER is a vital partner in <strong>the</strong> <strong>Chain</strong><br />

of Survival advocated by <strong>the</strong> American Heart<br />

Association. (See illustration below.)<br />

“It begins with <strong>the</strong> lay person doing CPR and calling<br />

9-1-1,” says Captain <strong>St</strong>even Adelsburger of Baltimore County EMS.<br />

“Then EMS does <strong>the</strong>ir part; we treat and stabilize at <strong>the</strong> scene of<br />

<strong>the</strong> emergency and deliver <strong>the</strong> patient to <strong>the</strong> ER where <strong>the</strong> cardiac<br />

team is waiting. With our LifeNet system, we even transmit<br />

a picture of <strong>the</strong> patient’s heart to <strong>the</strong> ER, so <strong>the</strong> team is a couple<br />

steps ahead before <strong>the</strong> patient arrives. We have great confidence<br />

in <strong>the</strong> cardiac care at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> Center.”<br />

<strong>St</strong>ep 4<br />

Early advanced care<br />

Qualified paramedics/healthcare<br />

providers respond to cardiac<br />

arrests with Advanced Cardiac<br />

Life Support standards.<br />

<strong>St</strong>ep 5<br />

ER & Cardiac Teams<br />

Patient arrives by ambulance at <strong>the</strong><br />

<strong>Emergency</strong> Room, where emergency<br />

doctors and nurses are waiting, plus<br />

a cardiac team is prepared.<br />

survivor.<br />

“If any of <strong>the</strong> links in <strong>the</strong> chain<br />

are broken, <strong>the</strong> chances for survival<br />

and a successful outcome are<br />

significantly diminished.”<br />

Captain <strong>St</strong>even Adelsburger<br />

EMS Shift Commander, Baltimore County<br />

<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> Center / <strong>St</strong><strong>Joseph</strong>Towson.com

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